NCG140001_2022 DMR_20220609

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 ad form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the a ra riate DFMLR Re Tonal (Jffice.
Certificate of Coverage No. NCG140001
Person Collecting Samples: SynTerra, Zach Garlick
Facility Name: Thomas Concrete of Carolina - Raleigh Plant
Laboratory Name: Pace Analytical
Facility County: Wake
Laboratory Cert. No.: ENV 375
Discharge during this period: ❑ Yes r❑ 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 ill)?
A copy of this DMR has been uploaded electronically via http-sJjedacs.deq 9s2.ov/ grrrts-LgM-.PMR 0 Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities -- Benchmarks In (Red)
Parameter
Code
Parameter
Outfall002
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
QNSW
N/A
Date Sample Collected MM/DD/YYYY
N/A
46529
24-Hour Rainfall in Inches
C0530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0-9.4)
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)
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):
"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 E
nowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false informatiopossibility of fin a d im iaonment for knowing violations." *_ k liqlfl
e/d
Signatur4 of Ffermitteeor Delegated
al
Date
Email Addrlss [e-mail] Phone Number 919-832-0451