NCG140352_2022 DMR_20220830

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Forms for NCG140000
Ready -Mixed Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the 5tormwater NPDES_Permit _Data Monitoring ReportDMRJ U load farm within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Of€ice.
Mailed in DMRs must contain an original wet signature. Electronic signatures will not be accepted for mailed in DMRs, This is a
requirement until the permittee has registered for eDMR for reporting.
Certificate of Coverage No. NCG140352
Person Collecting Samples: Frank Williams
Facility Name: S.T. Wooten Winterville Concrete
Laboratory Name: Microbac
Facility County: Pit
Laboratory Cert. No.: 91
Discharge during this period: ■❑ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes n No
if so, which Tier (I, Il, or III)?
A copy of this DMR has been uploaded electronically via hittss://edocs.dett.nc gov/Forms/SW-DMR ❑■ Yes ❑ No
Date Uploaded:
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C;Sw,NSW
N/A
Date Sample Collected MM/DD/YYYY
8/16/2022
46529
24-Hour Rainfall in inches
2
C0530
TSS in mg/L (100 or 50*)
7.57mg/I
00400
pH in standard units (6.0-9.0 PW, 6.8-
�'�
8.5 SW)
Non -Polar Oil & Grease in
00552
rng/L (15) for drainage areas that use > 55
NA
gal/mo of new hydraulic oil an average
NCOIL
Estimated New Motor/Hydraulic Oil
n�
`�
Usage in gal/month
i
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (RNA)
have a benchmark TSS limit of So 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. ,
Signature of Perroff ee or Delegated Authorized Individual
P
Date