NCG140352_2021 DMR_20210414

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Farm for NCG140000
Ready -Mix Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDCS Permit Data Monitorin Re ort DMR U load form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appLQpt-iate UEMLR Regional _Office.
Certificate of Coverage No. NCG140352
Person Collecting Samples: Pete Pelt
Facility Name: ST Wooten Winterville Concrete
Laboratory Name: Microbac
Facility County: Pitt
Laboratory Cert. No.: 11
Discharge during this period: ❑✓ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes ❑✓ No
If so, which Tier (I, II, or Ill)?
A copy of this DMR has been uploaded electronically via https://cdocs.dep.nc.govJForrns SW-DMR Yes ❑✓ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities -- Benchmarks in (Red)
Parameter
Code
Parameter
Outfall 1
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C;Sw,NSW
N/A
Date Sample Collected MM/DD/YYYY
03-25-2021
46529
24-Hour Rainfall in inches
2
C0530
TSS in mg/L (100 or 50*)
41.5mg/I
00400
pH in standard units (6.0— 9.0) -17
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
NA
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
NA
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HOW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark T55 limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false inforrrja ion, i cluding the, possibility of fines and imprisonment for knowing violations."
Signaturepf Permittee or Delegated Authorized Individual
04-14-2021
Date
Address [e-mail] Phone !Number 252-290-5912