NCG140031_2022 DMR_20221213

NCDEQ Division of Energy, Mineral and Land Resources
Wastewater Discharge Monitoring Report (DMR) Form for NCG140000
Ready-Mix 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.
Certificate of Coverage No. NCG140031 Person Collecting Samples:Bill Tate
Facility Name:MV Development. Inc.dba Piedmont Ready Mix Laboratory Name: Pace Analytical
Facility County:Randolph Laboratory Cert. No.: 633
Discharge during this period:❑✓ Yes ❑ No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑ Yes ❑✓ 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:12/13/22
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Effluent Limits in(Red)
Parameter Parameter Outfall Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class 1
N/A Date Sample Collected MM/DD/YYYY 12/5/22
Daily Flow Rate in cfs(50%of 7Q10
82220 133
for HQW/ORW)
C0530 TSS in mg/L(30,20,or 10') 3.1
pH in standard units(6.0-9.0
00400 6.96
freshwater, 6.8-8.S saltwater)
Settleable Solids in HQW,ORW,SA,
00545 12
SB,Tr&PNA(5 mL/L)
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 outfalls to Trout Waters(Tr)and
Primary Nursery Areas(PNA)have a TSS limit of .All other water classifications have a benchmark of
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."
12/13/22
Signature of Permittee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number 336-672-0957