NCG140448_DMR_20210113

ANNUAL SUMMARY DISCHARGE MONITORING
/ REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000 IVY,
Calendar Year ,ZOZO
Report ALL STORMWATER monitoring data on this form (include "No Flow"P'No Discharge° and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
i Certificate of Coverage No. NCG140448
Facility Name: MacLeod Construction Inc. - North Pointe Business Park Concrete Batch Plant
County: Mecklenburg
Phone Number: 704-483-3580 Total no. of SDOs monitored 2
Certified Laboratory %DACE 4At1&yrf 41 Lab #
sVz a c Lab #
Stormwater Discharge Outfall (SDO) No. � VMA Outfall? Yes ❑ Nog Comet 6v
Is thi outfall current! m Tier 2 for an I svtmAw9h'2
Y y parameter? Yes ❑ No a r
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If thi�, outfall was in Tier 2 last year, was monthly monitdr'ng discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DENIER to reduce monitoring frequency ❑ JAN 2 5 2021
Other ❑
Fsench—marks
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m 11
pH,
SU
Non -polar O&G
EPA Method
1664 g/I (V HEM)),
mg/I (VMA)
//aPPllcable
New Motor Oil
Usage (gal/mo.)
I/eppllcoblo
f/
aPNlcablc
malnrllcafeikabi.
00 O
I6.0-g.0
15'55
gailmo. average requires TSS en
M".Poiar O&G monitoring
Date Sample
Collected,
mo/dd/yr
O 0s o
0 .Z
7.
20
L
�-
Permit Date 8/1/2017 - 6130/2022
s-22-2015

Certificate of Coverage No. NCG140448
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] }
Signc-
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
INote the address is correct — .Central Files i� h used in DWR not DEMLR
� p r_ )
N.C. Department of Environm tal Quality (DEQ)
Division of Water Re , ources
A, ttn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 811/2017 — 6/30/2022
Last Revised 8-22-2015