NCG140448_Monitoring Report_20220303

NCDEQ Division of Energy, Mineral and Land Resources
Wastewater 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 for 'thin
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional ice.
Certificate of Coverage No. NCG140448
Person Collecting Samples: MICHAEL HOUSER
Facility Name: MACLEOD CONSTRUCTION INC
Laboratory Name: PACE ANALYTICAL HUNTERSVILLE
Facility County: MECKLENBURG
Laboratory Cent. No.:
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 0 No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via httos:/Iedocs.deg.nc.gov/Forms/SW-DMR ❑ Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Effluent Limits in (Red)
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
DP-1
N/A
Date Sample Collected MM/DD/YYYY
02/23/2022
82220
Daily Flow Rate in cfs (50% of 7Q10
NA
for HQW/ORW)
C0530
TSS in mg/L (30, 20, or 10•)
10 mg/I
00400
pH in standard units (6.0.9.0
8.1
freshwater, 6.8-8.5 saltwater)
00545
Settleable Solids in HOW, ORW, SA,
NA
SB, Tr & PNA (5 mL/L)
Non -Polar Oil & Grease in mg/L (N/A,
00552
but samples above 15 require tiered
13.4 mg/I
77
responses)
Outfalls to Outstanding Resource Waters (ORW), High QualityWaters (HOW) 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
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."
Macleod Construction Inc by Michael
Signature of Permittee or
03/03/2022
Date
Email Address [e-mail] Phone Number 828-409-3596

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Stormwater NPDES Permit Discharge
Monitoring Report (DMR) Upload
Permit and Facility Information:
Please enter the permit number and other details for this upload.
IMPORTANT. Until your storm water permit is registered in the eDMR system, an original signed (not digitally
signed) hardcopy of the DMR must be mailed to the address in your permit, in addition to this electronic
upload.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all O's)
N CG 140448
Must begin with NCS or NCG
Facility Name:* MACLEOD CONSTRUCTION INC.
County:* Mecklenburg
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different
years with a new submittal form.
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2022
Copies of the lab results and/or qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload completed and signed DMR forms.
**DMR forms should have original signature (not digital) to comply with requirements in 40 CFR 122.22**
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DMR Upload* Click the upload button or drag and drop files here to attach document.
DMR 02_23_2022 Signed.pdf 249.41 KB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o I agree that submission of this Discharge Monitoring Report (DMR) Upload form is a "transaction' subject to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
e I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the
same way as a written signature; AND
o I intend to electronically sign and submit this DMR Upload form.
Full Name:* MICHAEL HOUSER
Name of person submitting this form
Email Address:* [e-mail]
Phone Number:* 8284093596
Signature: *
M/CNA& YOU- t?
Date: * 03/01/2022
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