NCG140382_2021 DMR_20210708 (2)

NCDEQ Division of Energy, Mineral and Land Resources
Wastewater Discharge Monitoring Report (DMR) Form for NCG140000
Ready -Mixed Concrete
Click here for instructions
Stormwater NPDES Permit Data Monitoring Report (D DERegional Office.
) upload form l
Complete, sign, scan and submit the DMR via the e.
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the a�^'^ MLR
Certificate of Coverage No. NCG14
Person Collecting Samples: Gary Kilker
0 3 8 2 Laboratory Name: Pace
Facility Name: Carolina Ready Mix and Builders Supply, LLC
Laboratory Cert. No.: #40
Facility County: Buncombe
Discharge during this period: LW Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? 0 Yes X No
If so, which Tier (I, II, or III)?
Part A: Analvtical Monitoring Requirements for Outfalls with Industrial Activities— Effluent Limits in (Red)
Outfall I Outfall
Parameter
Parameter
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
Daily Flow Rate in cfs (50% of 7Q10
82220
for HQW/ORW)
C0530
TSS in mg/L (30, 20, or 10*)
-
Settlleable Solids in HOW, ORW, SA,
00545
Sg Tr & PNA (5 mL/L)
PH in standard units (6.0-9.0
00400
freshwater, 6.8-8.5 saltwater)
Non -Polar Oil & Grease in mg/L (N/A,
00552
but samples above 15 require tiered
Outfall
responses)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW) have a TSS limit of 20 mg/L, outfalls to Trout Waters jr) and
Primary Nursery Areas (PNA) have a TSS limit of 10 mg/L. All other water classifications have a benchmark of 30 mg/L.
"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
peorsons who managequalified
the systemeopthoselperstonsdire tly respons ble foher and evaluate the mation
submitted. Based on my inquiry of the persono
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and compete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations."
I t, r . /) -7
Signa ure of Per Mee or Delegated Authorized Individual
Date