NCG140496_2022 DMR_20220518

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG140000
Ready -Mix Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater 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 appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG14 0496
Person Collecting Samples: Max
Facility Name: FB-Runway & Pararell Taxiway Rehabilitation, Batch Plant Site
Laboratory Name: Microbac Laboratories
Facility County: Cumberland
Laboratory Cert. No.: K2D0337-01
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, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ✓❑ Yes ❑ No
Date Uploaded: 05/18/2022
Analytical Monitoring Requirements for Clutfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall #1
Outfall #2
Outfall #3
Outfall
Outfall
N/A
Receiving Stream Class
No water flow observed
other
No water flow observed
N/A
Date Sample Collected MM/DD/YYYY
-
4/26/2022
-
46529
24-Hour Rainfall in inches
-
0.48
-
00530
TSS in mg/L (100 or 50*)
-
456
-
00400
pH in standard units (6.0-9.0)
-
-
-
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
-
<5
-
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
-
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
Notes (optional): Sample was taken from the existing storm water management area close to the wash -down pond, and not from the outfall point itself
"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, 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."
Jose Soler - QC Mana�ler Digitally signed by Jose Soler-QCMa"ages
7 Date 2022.05.1811:3222-04'00'
Signature of Permittee or Delegated Authorized Individual
5/ 18/2022
Date
Email Address [e-mail] Phone Number 7879143406