NCG140163_2022 DMR_20220928

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 Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
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. NCG140163
Person Collecting Samples: Tim Cannon
Facility Name: Stevenson-WeidSouthem - Union
Laboratory Name: Waypoint Analytical
Facility County: Union
Laboratory Cert. No.: 98292
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 M No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR ■❑ Yes ❑ No
Date Uploaded:
Part A: Analytical Monitoring Requirements for Outfalls with Industrial Activities— Effluent Limits in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
Other
N/A
Date Sample Collected MM/DD/YYYY
08/31/22
82220
Daily Flow Rate in cfs (50% of 7Q10
for HQW/ORW)
C0530
TSS in mg/L (30, 20, or 10•)
<2.8
00545
Settleable Solids in HQW, ORW, SA,
<
SB, Tr & PNA (5 mL/L)
.O
00400
pH in standard units (6.0-9.0
�.��
freshwater, 6.8-8.5 saltwater)
00552
Non -Polar Oil & Grease in mg/L (N/A,
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, outfalls to Trout Waters (Tr) and
Primary Nursery Areas (PNA) have a TSS limit of 30 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 possibility of fines and imprisonment for
knovringpiolations." A -
Q
Aigna re of Permittee or DeI gated Authorized Individual Date