NCG140350_DMR WW_20220222

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2021
Report ALL WASTEWATER monitoring data on this form (include "No FloW7"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG 14 0❑ 30 500❑
Facility Name: Thomas Concrete of Carolina - Wake Forest Plant
County: Wake
Phone Number: 9( 19 )562-1909 Total no. of outfalls monitored 1
Certified Laboratory Pace Analytical Lab # 375
Lab #
Wastewater (WW) Discharge Outfall No. 001
Does this outfall discharge WW to SA waters? Yes ❑ No ❑`'
Does this outfall discharge WW to SE; or PNA waters? Yes ❑ No ❑�
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ✓❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑✓
Were there any limit violations in the calendar year? Yes r❑ No ❑
Outfall No,
001
Daily Flow Rate,
cfs
pH,
SLI
TSS,
mg/1
SS,
ml/I
n,PPlrcwi,
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mg/I
Effluent
Limitations
Daily Maximum
HOW ar ORW
50% of 7Q10
Meka. Hoptown
aPPlk,6h
mahw,,,r
6.0-9.0
a.8.
6.6-B.S
sm.mm
30
HOW
26
HOW /ORW ,M Tr. or
PHA
10
HOW, ORW. S0.
se,PHac,..y
Ti.Pt
S
No Limit
$bj.d1 , 1.Wl Raman..
,uEi,dbTlvae ROPenna
1 rJ
Date
Sample
Collected,
mo/dd/ r
N
� v
e'Ys#)- v�
a . 3- � y,,.
01/25/21
0.06
12.38
N/A
-
N/A
06/10/21
0.06
10.80
N/A
-
N/A
07/08/21
0.06
10.84
N/A
-
N/A
10121 - 12/21
NO FLOW
Permit Date 8/1/2017 - 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG 14 ®©E[] 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 knowing violations."
[Regiilred by 40 CFR §122.221
Signature
Date
Mall Annual Summary Wastewater 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 276994617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff In the Central Office at:
[phone]
Permit Date 8/112017 — 6130/2022
Last Revised 8-22-2017