NCG140448_DMR_20220118 (1)

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year ZgZt
*Report ALL STOP.MWATER monitoring data on this form (include "No Flovv"I"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
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
Certified Laboratory PAC r 4W&V7-1'C,ge- Lab #
#Un 1_E)ZSIl.CLCE Lab #
Stormwater Discharge Outfall (SDO) No. Z)P- VMA Outfall? Yes ❑ No [J — CUM '-J6e6V
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [2r
Was this outfall ever in Tier 2 during the past year? Yes ❑ No [3-
t//asrEt�w rt 2
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfal No.
D10L
Total Rainfall
inches
Total
Suspended
Solids TSS
( )r
m /l
pH,
SU
Non -polar O&G
(EPA Method
1664 (SGT-HEM)),
mg/l (VMA)
Ifappllcable
New Motor Oil
Usage (gal/mo.)
If applicable
Stormwater
Benchmarks
Indicate NO
cable If
applicable
°^^hmarrt
100 0
6.0-9.0
15
a55 gagmo. average requires T55 and
Non -polar O&O monitoring
Date Sample
Collected,
rn rid/yr
O 1 m l
ro
7r .Z
G .� NO
-7.S�
Ars E
�w
03 ZoLI
/t7
6
[ /.S- D
S�
07 / Zo21
tr
8.
15-
7,02,1 l2Yb1XQ6LfVU
&Zal4aF
7w-rs
Azr /lGEp7441
P-StL'�✓�7t'k
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

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. 24
Signature
Date &// / zz
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: 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 81112017 — 6/30/2022
Last Revised 8-22-2015