NCG140122_2022 DMR_20220503

NCDEQ Division of Energy, Mineral and Land Resources
Wastewater Discharge Monitoring Report (DMR) Form for NC 140000
Ready -Mix Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the 5tormwater NPDES Permit Data Monitoring Report: (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the al2propriate .DEMLR_Re.Riar)al._0ffice.
Certificate of Coverage No. NCG140122
Person Collecting Samples: Will Perry
Facility Name: ST Wooten Corp -Wilson Commerece Rd.
Laboratory Name: Microbac
Facility County: Wilson
Laboratory Cert. No.: 11
Discharge during this period:❑✓ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑ Yes ✓❑ No
If so, which Tier (I, Il, or III)?
A copy of this DMR has been uploaded electronically via htt s: edocs.de ,ns , ov Forms SW-DMR ❑ Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Effluent Limits in (Red)
Parameter
Parameter
Outfall 1
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C;SW,NSW
N/A
Date Sample Collected MM/DD/YYYY
4/19/2022
82220
Daily Flow Rate in cfs (50% of 7Q10
NA
for HQW/ORW)
C0530
TSS in mg/L (30, 20, or 10*)
<2.50
pH in standard units (6.0-9.0
$
00400
freshwater, 6.8-8.5 saltwater)
00545
Settleable Solids in HQW, ORW, SA,
NA
SB, Tr & RNA (5 mL/L)
Non -Polar Oil & Grease in mg/L (N/A,
00552
but samples above 15 require tiered
NA
responses)
* Outfalls to Outstanding Resource Waters (011W), High Quality Waters (HQW) have a TSS limit of 20 mg/L, outfalls to Trout Waters (Tr) and
Primary Nursery Areas (PNA) have a TSS limit of 10 mg/L. All other water classifications have a benchmark of 30 mg/L.
Notes (optional):
"I certify by my signature below, 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, orthose persons directly responsible for gathering the information, the information
submitte ES; To e best of my knowledge and belief, true, accurate, and complete. I am aware that there are signiticant penalties for submitting
false 1pfformationfincluding tre possibiyy of fines and imprisonment for knowing violations."
of Permitttee or Delegated Authorized Individual
5/3/2022
Date
Address [e-mail] Phone Number 252-290-5912

Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K2D0283
Analytical Testing Parameters
Client Sample ID: Wilson
Sample Matrix: Stormwater Collected By: Will Perry
Lab Sample ID: K2D0283-01 Collection Date: 04/19/2022 11:00
Inorganics Total Result RL Units DF Note Prepared Analyzed Analyst
SM 2540 D-2015
Total Suspended Solids (TSS) <2.50 2.50 mg/L 1 04/25/22 1132 SXH
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 i 910.864.1920 p I www.microbac.com Page 3 of 6