NCG140140_2021 DMR_20210524

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater uiscnarge Monitoring Report (DMR) Form for NCG140000
Ready -Mix Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG140140
Person Collecting Samples: R. Harmon, Harmon Env., PA
Facility Name:Williams Ready Mix Products, Inc.
Laboratory Name: Pace Analytical Services, LLC
Facility County:Union
Laboratory Cert. No.: 12
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 III)?Tier I I Out
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ® Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
Out 01
Out 02
Out 03
N/A
Date Sample Collected MM/DD/YYYY
May 3, 2021
May 3, 2021
May 3, 2021
46529
24-Hour Rainfall in inches
1.01
1.01
1.01
C0530
TSS in mg/L (100 or 50*)
50.8
673
22.8
00400
pH in standard units (6.0-9.0)
6.34
9.24
9.56
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
NA
NA
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
NA
NA
NA
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of . All other water classifications have a benchmark of 100 mg/L
Notes (optional):WiIIiams Ready Mix Products Inc. is in the process of regrading the site to improve draiii
"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, including the possibility of fines and imprisonment for knowing violations."
Michael Martin Z;//A1
Signature of Permittee or Delegated Authorized Individual
5/24/2021
Date
Email Address [e-mail] Phone Number704-400-6237