NCG140382_2022 DMR_20220908 (3)

NCDEQ Division of Energy, Mineral and Land Resources
Wastewater Discharge Monitoring Report [DMR) Form for NCG140000
Ready -Mixed Concrete
Click here for instructions
Complete, sign, scan and submit the DMR via the 5torrnwater NPDE5 Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DM to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG14 0 3 8 2 Person Collecting Samples: Gary Kilker
Facility Name: Carolina Ready Mix and Builders Supply, LLC Laboratory Name: Pace Analytical
Facility County: Buncombe Laboratory Cert. No.: #40
Discharge during this period: 0 Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes ■❑ No
If so, which Tier (I, II, or Ill)?
Part A: Analytical Monitoring Requirements for OutfaIIs with Industrial Activities-- Effluent Limits in (Red)
Parameter
Parameter outfall
outfall
outfall
outfall
Outfall
Code
N/A
Receiving Stream Class
Class C.
N/A
Date Sample Collected MM/DD/YYYY
08/30/22
Daily Flow Rate in cfs (50% of 7Q10
82220
for HQW/ORW)
C0530
TSS in mg/L (30, 20, or 10*)
12.0
5ettlleable Solids in HQW, ORW, SA,
00545
5B, Tr & PNA (5 mL/Q
0D400
pH in standard units (6.0-9.0
�' 3
freshwater, 6.8-8.5 saltwater)
Non -Polar Oil & Grease in mg/L (N/A,
00552
but samples above 15 require tiered
N/A
responses)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW) have a TSS limit of 20 mg/L, outFalis to Trout Waters (Tr) and
Primary Nursery Areas (PNA) have a T55 limit of 10 mg/L. All other water classifications have a benchmark of 30 mg/L.
Notes (optional): No waste water discharge unless it's a storm water eve nL Co -mingled 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 vl�lation
s�.'�'/ j//7� 09.07.2022
signature o�lttee or Delegated Authorized Individual Date