NCG140122_2022 DMR_20220606

NCDEQ Division of Energy, Mineral and Land Resources
Wastewater Discharge Monitoring Report (DMR) Form for NCi 140000
Ready -Mix Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES PermitData Monitoring Report DMR Upload force 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. NCG140122
Person Collecting Samples: Will Perry
Facility Name: ST Wooten Corporation Wilson Concrete
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 0 No
If so, which Tier (I, Il,.or III)?
A copy of this DMR has been uploaded electronically via https:J/edocs.decl.ric.gov/Forms/SW DMR ✓❑ Yes ®No
Date Uploaded:6/6/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Effluent Limits in (Red)
Parameter
Code
Parameter
Outfa[11
Outfall
outfall
Outfall
Outfall
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*1
<2.50
00400
pH in standard units (6.0-9.0
$
freshwater, 6.5-8.5 saltwater)
00545
Settleable Solids in HQW, 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
NA
responses)
* Outfalls to Outstanding Resource Waters (ORW), 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, 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 possjbility of P%res and imprisonment for knowing violations."
Signature of 9d*lttee or Delegated Authorized Individual
06-06-2022
Date
Email Address [e-mail] Phone Number 252-290-5912