NCG140317_2021 DMR_20210504

NCDEQ Division of Energy, Mineral and land Resources
Wastewater Discharge Monitoring Report (DMR) Forrn for NCG140000
Beady -Mix Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the StormwatPr NlaDES Permit Data MpnitorinyBeLort_(DMRI Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriateMLR Regional Office..
Certificate of Coverage No. NCG140317
Person Collecting Samples: Chris Chavis
Facility Name: 5T Wooten Youngsville Concrete
Laboratory Name: Cameron Testing
Facility County: Franklinton
Laboratory Cert. No.: 654
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 0 No
If so, which Tier (I, 11, or III)?
A copy of this DMR has been uploaded electronically via littps://e-,docs.deg.nc.govJForrns 5W-DMR 0 Yes [:]No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Effluent Limits in (Red)
Parameter
parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
1
N/A
Date Sample Collected MM/DD/YYYY
3/26/2021
82220
Daily Flow Rate in cfs (50% of 7QA0
NA
for HQW/ORW)
C0530
TSS in mg/L (30, 20, or 10*)
<5.00mgl
pH in standard units (6.0-9.0
8
00400
freshwater, 6.8-8.5 saltwater)
00545
Settleable Solids in HQW, ORW, SA,
<0 100mgl
SB, Tr & PNA (5 mL/L)
Non -Polar Oil & Grease in mg/L (N/A,
00552
but samples above 15 require tiered
NA
responses)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW) have a TSS limit of 20 mg1L, outfalls to Trout Waters (Tr) and
Primary Nursery Areas (PNA) have a TSS limit of 10 mg/L. All other water classifications have a benchmark of 30 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 information�iQcluding the possibility of fines and imprisonment for knowing violations."
05/04/2021
Signature o rmittee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number 252-290-5912

Cameron Testing Services, Inc. Laboratory Report
S. T. Wooten Corporation
oungville Concrete:
, T, I �. M-W C, WE W ao
Sample Information
C. Chavis 03/26121
Analyses and Results
NC OENR 0654
NC PHHS #37799
US EPAWNC01M
2103-228
yoz
W"03126/21" %' J. Cameron
2103-228 01 GWAM OF-1 %m Gr TSS �5.0 mg(L 6 M500 2540 D - T88
65 <0, 100 MVC OA 03126121 254 0 F _SS
Report
Review
Project M041ager Date
.219 S. Steele SiT.
SadbW N(' 27330