NCG140031_2023 DMR_20230331

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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.:
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.deq,nc.gov/Forms/SW-DMR ✓❑Yes ❑No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Effluent Limits in(Red)
.,;Parameter: 3i .>.:.;.,.:..:
4; Parameter, Outfall s Outfall .n< bOtitralMONSIDutfall
s,Code A,.,
N/A Receiving Stream Class 1
N/A Date Sample Collected MM/DD/YYYY 3/23/23
82220 Daily Flow Rate in cfs(50%of 7Q10 .13
for HQW/ORW)
C0530 TSS in mg/L(30,20,or 10*) 2.6
pH in standard units (6.0-9.0
00400 freshwater,6.8-8.5 saltwater) 6.92
Settleable Solids In HOW,ORW,SA,
00545 SB,Tr&PNA(5 mL/L) 1
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(HOW)have a TSS limit of 20 mg/L,outfalls to Trout Waters(Tr)and
Primary Nursery Areas(PNA)have a TSS limit of 10 mg/L.All other water classifications have a benchmark of 30 mg/L.
Notes(optional): _
"l 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.lam aware that there are significant penaities for submitting
false information,including the possibility of fines and imprisonment for knowing violations."
3-31-23
Signature of Permittee or Delegated Authorized Individual Date
Email Address [e-mail] Phone Number 336-672=0957