HomeMy WebLinkAboutNCG140382_2022 DMR_20220908NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report 4DMRj form for NCG140000
Ready -Mixed Concrete
Click here for instructions
Complete, sign, scan and submit the D M R via the Stormwater NPDES Permit Data Monitoring Report (DMR) U0oad farm within
30 days of receiving sampling results. Mail the original, signed hard copy of the DM to the appropriate DEMLR ReglonaI Office.
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 Class C
N/A Date Sample Collected MM/DD/YYYY 08/30/22
46529 24-Hour Rainfall in inches 1.50
C0530 TSS in mg/L (100 or 50*) 12.0
00400 pH in standard units (6.0-9.0) 7.3
Non -Polar Oil & Grease in
00552 mg/L (15) for drainage areas that use > 55 <5 5
ga1/mo of new hydraulic oil on average
NCOIL Estimated New Motor/Hydraulic Oil NIA
Usage in gal/month
" Outfalis to Outstanding Resource Waters (ORK 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): Discharge waste water only during storm water event. co- mingIed discharge
"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." ,7 n
Signature of Permittee or peVgated Authorized Individual
09/07/2022
Date