NCG140140_Tier 2 Monitoring Report_20210517

ANCHMARK EXCEEDANCE or TIER 2 DISCHARA MONITORING REPORT
SUBMIT TO REGIONAL OFFICE*
General Permit No. NCG140000
TORMWAIER
'Use this form if any stormwater samples have EXCEEDED A BENCHMARK or if the facility is in TIER 2 MONITOR4.46-Jor any parameter.
Send sample results to the DEMLR Regional Office within 30 days of receipt from the !aboratory. -';;:-.
Certificate of Coverage No. NCG14
Facility Name: Williams Ready Mix Products, Inc.
County: Union
Phone Number: 70( 4 )283-1173
Certified Laboratory: Pace Analytical Services, LLC
Sample Collection Period: Period 1 X Period 2 ❑ Calendar Year 2021
For Monthly Monitoring: Month March
Person Collecting Samples: Richard Harmon - Harmon Environmental, PA
Lab # 40
Lab #
Has this facility had 4 or more benchmark exceedances for any single parameter, at anyone SW discharge outfall (SDO)? Yes ❑ Now
Have you contacted the Regional Office? Yes ❑E No ❑
Whom at the Region did you speak with? Lily Kay
Stormwater Monitorinq Reauirements
Outfall
No.
Date Sample
Collected
Total
Rainfall
Is this SDO in
Tier T.?
Does this SDO
include Vehicle
Maintenance
Activities (VMA)?
Total
Suspended
Solids (TSS),
mg/I
pH,
SU
Non -polar O&G
(EPA Method 1664
(SGT-HEM)), mg/1
(VMA)
lfapplicable
New Motor Oil
Usage (gal/mo.)
It applicable
mo/dd/yr
or "NO FLOW
inches
YIN
Y/N
100
50 (ORW, HQW, Tr, PNA)
6.0-9.0
15
>55 erage
requlres9T55and VNon-polar
OSG monitoring
01
No Flow
N
N
NA
NA
02
No Flow
Y
N
NA
NA
03
No Flow
N
N
NA
NA
Permit Date 8/1/2017 — 6/3012022 Last Revised 8-22-2017
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Certificate of Coverage No. NCG 14 00FF]©
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 §122.221
Signs
Date
Mail Benchmark Exceedance/Tier 2 DMR to Your DEMLR Regional Office Land duality Section:
EVH.LE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OF
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL
OFFICE
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27103
[phone]
FAYETTEVILLE REGIONAL OFF
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
E MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
1.SHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
117 y W-CN-iI
Questions for The Central Office
Stormwater Permitting Program?
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2017
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