NCG140448_Monitoring Report_20330713

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(DMR) 'Upload
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Permit and Facility Information: m`g? ;� IL
Please enter the permit number and other details for this upload. o
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IMPORTANT.• Until your stormwater permit is registered in the eDMR system, an original signg# (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 0's)
NCG 144448
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 andlor 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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DIVIRgplcad* Click the upload button mdrag and drop files here toattach documant-
OIVIR2NDOTR2022O5142022.pdf 296.94KB
Only PoFoare accepted -
Comments:
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By checking the box and signing box below, | certify that:
m | have given true, accurate, and complete information onthis form;
• I agree that submission of this Discharge Monitoring Report (DMR) Upload form is a "transaction" subject to Chapter
OG. Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
» I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes ([he "Uniform Electronic Transactions Act'');
» \ understand that an electronic signature on this upload fnnn has the same legal effect and can be enforced in the
same way anawritten signature; AND
» ( intend to electronically sign and submit this DIVIR Upload form.
Full Name:* M|CHAELLBONHOUSER
Name of person submitting this form
Email Address:* [e-mail]
Phone Number:* 828-409-3596
Signature: *
MICYACZ ZOV
*
07/08/2022
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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
Person Collecting Samples: MICHAEL HOUSER
Facility Name: MACLEOD CONSTRUCTION INC.
Laboratory Name: PACE ANALYTICAL -HUNTERSVILLE
Facility County: MECKLENBURG
Laboratory Cert. No.: HUNTERSVILLE
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:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
DP-1; FW
N/A
Date Sample Collected MM/DD/YYYY
06/14/2022
46529
24-Hour Rainfall in inches
1.0
C0530
TSS in mg/L (100 or 50*)
49
00400
pH in standard units (6.0-9.0)
7.4
Additional parameters for outfalls in drainage areas that use >55 gallons nth ne draulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
<15mg/L
y
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
250
* 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):
"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."
07/08/2022
Signature of Permittee or Delegated Authorized Individual' Date
Email Address [e-mail] Phone Number 828-409-3596

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