NCG140140_MONITORING REPORT_20210121

BENCHMARK EXCEEDANCE or TIER 2 DISCHARGE MONITORING REPORT DMR STORMWATER
11 SUBMIT TO REGIONAL OFFICE*
General Permit No. NCG140000
*Use this form if any stormwater samples have EXCEEDED A BENCHMARK or if the facility is in TIER 2 MONITORING for any parameter.
Send sample results to the DEMLR Regional Office within 30 days of receipt from the laboratory.
Certificate of Coverage No. NCG14
Facility Name: Williams Ready Mix Products, Inc.
County: Union
Phone Number: 7(04 )283-1173
Certified Laboratory: Pace Analytical Services, LLC
Sample Collection Period: Period 1 ❑ Period 2❑ Calendar Year
For Monthly Monitoring: Month December
Person Collecting Samples: Richard Harmon - Harmon Environmental, PA
Lab # 40
Lab #
Has this facility had 4 or more benchmark exceedances for any single parameter, at anyone SW discharge outfall (SDO)? Yes ❑ Now
Have you contacted the Regional Office? Yes R No ❑
Whom at the Region did you speak with? Lily Kay
Stormwater Monitoring Reouirements
Outfall
No.
Date Sample
Collected
Total
Rainfall
Is this
2? in
Tier 2?
Does this SDO
include Vehicle
Maintenance
Activities (VMA)?
Total
Suspended
Solids (TSS),
mg/I
pH,
SU
Non -polar O&G
(EPA Method 1664
(SGT-HEM)), mg/I
(VMA)
lI applicable
New Motor Oil
Usage (gal/mo.)
Ilapplicable
-
mo/dd/yr
or "NO FLOW"
inches
YIN
Y/N
100
50 (GRW,HGW.Tr.PW)
6.0-9.0
15
>55 ras TSmo.a em9polar
n4ul O&Gm nkoring
01
No Flow
N
N
NA
NA
02
No Flow
Y
N
NA
NA
03
No Flow
N
N
NA
NA
Permit Date 8/1 /2017 — 6/30/2022 Last Revised 8-22-2017
Page 1 of 3

Certificate of Coverage No. NCG14 00®0
Stormwater Monitoring Requirements
Outfall
No.
Date Sample
Collected
Total
Rainfall
Is this SDO in
Tier 2?
Does this SDO
include Vehicle
Maintenance
Activities (VMA)?
Total
Suspended
Solids (TSS),
mg/l
pH,
SU
Non -polar O&G
(EPA Method 1664
(SGT-HEM)), mg/I
(VMA)
N applicablo
New Motor Oil
Usage (gal/mo.)
lfapplkable
mo/dd/yr
or "NO FLOW"
inches
Y/N
Y/N
50 (ORW, HOW, Tr, PNA)
6.0-9.0
15
>55 gallmo. average
requ1maT55and Non- lar
O&G monitoring
Permit Date 6/1/2017 — 6/30/2022 Last Revised 8-22-2017
Page 2 of 3

Certificate of Coverage No. NCG14 ] 1 F] 0�
CERTIFICATION
"I certify, 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
Signature
Date
ing violations." [Required by 40 CFR §122.22]
Mail Benchmark Exceedance/Tier 2 DMR to Your DEMLR Regional Office Land Quality Section:
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL
OFFICE
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27103
[phone]
FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
225 Green Street 610 East Center Avenue/Suite 301
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE
Questions for The Central Office
Stormwater Permitting Program?
[phone]
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2017
Page 3 of 3

BENCHMARK EXCEEDANCE or TIER 2 DISCHARGE MONITORING REPORT (DMR) — STORMWATER
SUBMIT TO REGIONAL OFFICE*
General Permit No. NCG140000
*Use this form if any stormwater samples have EXCEEDED A BENCHMARK or if the facility is in TIER 2 MONITORING for any parameter.
Send sample results to the DEMLR Regional Office within 30 days of receipt from the laboratory.
Certificate of Coverage No. NCG14 :] 1❑® 0❑
Facility Name: Williams Ready Mix Products, Inc. Sample Collection Period: Period 1 ❑ Period 2 ❑■ Calendar Year 2020
County: Union For Monthly Monitoring: Month November
Phone Number: 7( 04 )283-1173 Person Collecting Samples: Richard Harmon - Harmon Environmental, PA o cr m
Certified Laboratory: Pace Analytical Services, LLC Lab # 40 a m n
Lab #
Has this facility had 4 or more benchmark exceedances for any single parameter, at any one SW discharge outfall (SDO)? Y"n ffi
0
Have you contacted the Regional Office? Yes FE-1 No ❑ '
Whom at the Region did you speak with? Lily Kay
Stormwater Monitoring Requirements
Outfall
No.
Date Sample
Collected
Total
Rainfall
Is this SDO in
Tier 2?
Does this SDO
include Vehicle
Maintenance
Activities (VMA)?
Total
Suspended
Solids (TSS),
mg/I
pH,
SU
Non -polar O&G
(EPA Method 1664
(SGT-HEM)), mg/I
(VMA)
ffapplicable
New Motor Oil
Usage (gal/mo.)
Ifopplleablo
mo/dd/yr
or "NO FLOW"
inches
Y/N
Y/N
0
50 (ORW, NOW, Tr, PNA)
6.0-9.0
15
>55 gagmo. average
requires TSS and Non -polar
O&G monitodng
01
1 11/12/20
1.7
N
N
280
7.9
NA
NA
02
11/12/20
1.7
Y
N
365
8.9
NA
NA
03
11/12/20
1.7
N
N
68.9
6.6
NA
NA
Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2017
Page 1 of 3

Certificate of Coverage No. NCG 14 00 1❑®0❑
Stormwater Monitoring Requirements
Outfall
No.
Date Sample
Collected
Total
Rainfall
Is this SDO in
Tier 2?
Does this SDO
include Vehicle
Maintenance
Activities (VMA)?
Total
Suspended
Solids (TSS),
mg/I
pH,
SU
Non -polar O&G
(EPA Method 1664
(SGT-HEM)), mg/I
(VMA)
Ha llcable
New Motor Oil
Usage (gal/mo.)
❑appllcable
mo/dd/yr
or "NO FLOW"
inches
Y/N
Y/N
100
50 (ORW,HOW,Tr, PNA)
6.0-9.0
15
requires TSS and N np lar
O&Gmonitodng
Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2017
Page 2 of 3

Certificate of Coverage No. NCG14 ] t❑�Fl❑
CERTIFICATION
"I certify, 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." [Required by 40 CFR §122.22]
Signature , Z,
Date W,21
Mail Benchmark Exceedance/Tier 2 DMR to Your DEMLR Regional Office Land Quality Section:
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
225 Green Street 610 East Center Avenue/Suite 301
Syste] Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
Raleigh, NC 27609
Washington, NC 27889
[phone]
[phone]
WINSTON-SALEM REGIONAL
CENTRAL OFFICE
OFFICE
450 Hanes Mill Road, Suite 300
Questions for The Central Office
Winston-Salem, NC 27103
Stormwater Permitting Program?
[phone]
[phone]
Permit Date 8/1/2017 — 6/30/2022
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Last Revised 8-22-2017
Page 3 of 3