NCG140448_DMR Jan 2023_20230620

0, _. r
NCDEQ Division of Energy,Mineral and Land Resources V
Wastewater Discharge Monitoring Report(DMR) Form for NCG140000
Ready-Mix Concrete
Click here for instructions DEMLR-Stormwater Program
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 Re-ional Office.
Certificate of Coverage No.NCG14140448 Person Collecting Samples: MICHAEL HOUSER
Facility Name: CRETE SOLUTIONS LLC Laboratory Name: PACE
Facility County: MECKLENBURG 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.dea nc gov/Forms/SW-DMR /❑Yes ❑No
Date Uploaded:021323
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Effluent Limits in(Red)
Parameter Code Parameter Outfall DP1 Outfall Outfall Outfall Outfall
N/A Receiving Stream Class C
N/A Date Sample Collected MM/DD/YYYY 01/25/2023
82220 Daily Flow Rate in cis(50%of 7Q10
for HQW/ORW)
_ C0530 TSS in mg/L(30,20,or 10') 10.1
00400 pH in standard units(6.0-9.0 7.6
freshwater,6.8-8.5 saltwater)
00545 Settleable Solids in HOW,ORW,SA, DNA
SB,Tr&PNA IS mL/L)
Non-Polar oil&Grease in mg/L(N/A,
00552 but samples above 15 require tiered <15 MG/L
responses)
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW)have a TSS limit of 20 mg/L,ouffalls 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):
"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 systemA or those persons directly responsible for gathering the information,the information
submitted is,to the best of my knowledge and bel' ,tru accurate,and 5priete.I am aware that there are significant penalties for submitting
false information,including thepossibilityoffin p 'son for win v'olatlons."
C2fTFS"noo.)s a r-67.
( T1.71A)S UC 02/13/2023
Signature of Permittee or Delegate uth rized Indi idual // Date
Email Address [e-mail] �L� Phone Number 828-409-3596