NCG140448_DMR_20220118 (2)

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year Zd,i✓I
*Report ALL STORMWATER monitoring data on this form (include "No Flow"/"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 l°AG€' As$tyTfG9e Lab #
1i61nl/ZX.SVLZC€ Lab#
Stormwater Discharge Outfall (SDO) No. hP.Y VMA Outfall? Yes ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑
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 ❑
No - 6oMIa161E-0
No [x S vrmwtt rE,2
a
No Vi,RS7E_WW-rt'42
RECER r
JAN 2 6 2021
CENTRAL
Outfal
� L
Total Rainfall, r
inches
Total
Suspended
Solids TSS
( )�
m /I
pH,
SU
Non -polar O&G
(EPA Method
1664 (SGT-HEM)),
mg/l (VMA)
Ifapplicable
New Motor Oil
Usage (gal/mo.)
Ifapplicablc
Stormwater
Benchmarks
Indicate NO
cable f
applicable
circl nnchmark
100 0
6 0-9.0
15
>55 gallmo. average requires TSS and
Nan-polarO&G monitoring
Date Sample
Collected,
moldd/yr
l O ICQMNr,1
NO
S3
D1TCN./f� F
YLt
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Permit Date 811/2017 - 6/30/2022
Last Revised 8-22-2015
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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
/ �/%iCL�YJ COBS 1), '' G? c
Signature
Date OA,
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
!Vote 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 8/112017 — 6/30/2022
Last Revised 8-22-20 1 5