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Home My WebLink AboutNCG140001 DMR SW (3)STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140001 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Thomas Concrete of Carolina -Raleigh Plant_ SAMPLING PERIOD: ❑ July -December ® January -June PERSON COLLECTING SAMPLES NA COUNTY Wake CERTIFIED LABORATORY ESC Lab # ENV 375 PHONE NO. (919) 828-4403 Lab # ADD TO LISTSERVE? ❑YES ®NO EMAIL: OPTIONAL INFO: January Monitoring Event DISCHARGING TO CLASS: [:]SA ®HQW ❑PNA ❑Trout ❑Other, Part A: Stormwater Monitoring Requirements Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW)1 pH (Standard Units) TSS (mg/L) Event Duration (minutes) Total Rainfall° (in) In Tier 2 Monthly # of Months int Tier Monitoring? 2 Sampling (y/n) - - 6-9 100 ' - - - - 001 No Discharge y 10 ui CENTRAL FILES D 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. 2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I. For each sampled measurable storm event the total precipitation must be recorded using data from an on-site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. Outfall No. Date Sample Collected ' (mo/dd/yr) PH (Standard units) TPH using method 1664A SGT -HEM (m /L) Total Suspended Solids (mg/L) Event Duration (minutes) Total a Rainfall (�m1 New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sam lin Z 6-9 15 100',-'- - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ® NO ❑ HAVE YOU CONTACTED THE REGION? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail OriPinal and one coot/ of this DMR (including all "No Flow" & "No Discharse" reports) within 30 days of receipt of sample (or at end of monitorine period in case of "No Flow") to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, 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 arp-aware that thea are �*ificanyp�nalties for subNitting false information, including the possibility of fines and imprisonment for knowing violations." &A, (Signature of Permittee) Permit Date: 7/l/2011-60/30/2015 3/31/2015 (Date) Last Revised 7/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140001 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Thomas Concrete of Carolina -Raleigh Plant_ SAMPLING PERIOD: ❑ July -December ® January -June PERSON COLLECTING SAMPLES NA COUNTY Wake CERTIFIED LABORATORY ESC Lab # ENV 375_ PHONE NO. (919) 828-4403 Lab # ADD TO LISTSERVE? ❑YES ®NO EMAIL: OPTIONAL INFO: February Monitoring Event DISCHARGING TO CLASS: []SA ®HQW ❑PNA ❑Trout []Other Part A: Stormwater Monitoring Requirements Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW)' pH (Standard Units) TSS (mg/L) Event Duration (minutes) Total a Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 2 Sampling - - 6-9 100 , - - - - 001 No Discharge y 11 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. 2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are SO mg/I. ° For each sampled measurable storm event the total precipitation must be recorded using data from an on-site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activitv Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. Outfall No. Date Sample Collected 1 (mo/dd/yr) PH (Standard Units) TPH using method 1664A SGT -HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total a Rainfall (in) New Motor Oil Usage (gal/month) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling2 6-9 15 100 ' - - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ®NO ❑ HAVE YOU CONTACTED THE REGION? YES [:]NO REGIONAL OFFICE CONTACT NAME: Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of samole (or at end of monitoring period in case of "No Flow") to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, 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. air aware that th a are significa nalties fo sub 'tting false information, including the possibility of fines and imprisonment for knowing violations." 3/31/2015 (Signature of Permittee) (Date) Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140001 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Thomas Concrete of Carolina -Raleigh Plant_ SAMPLING PERIOD: ❑ July -December ® January -June PERSON COLLECTING SAMPLES NA COUNTY Wake CERTIFIED LABORATORY ESC Lab # ENV 375 PHONE NO. (919) 828-4403 Lab # ADD TO LISTSERVE? ❑YES ®NO EMAIL: OPTIONAL INFO: March Monitoring Event DISCHARGING TO CLASS: ❑SA ®HQW ❑PNA ❑Trout ❑Other Part A: Stormwater Monitoring Requirements Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW)1 pH (Standard Units) TSS (mg/L) Event Duration (minutes) Total 4 Rainfall (in) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 2 Sampling - - 6-9 100 , - - - - 001 03-05-2015 10.42 180 45 0.5 y 12 1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above. 2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I. ° For each sampled measurable storm event the total precipitation must be recorded using data from an on-site rain gauge. Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 Page 1 of 2 Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year. Outfall No. Date Sample Collected (mo/dd/yr)1 PH (Standard Units) TPH using method 1664A SGT -HEM (mg/L) Total Suspended Solids (mg/L) Event Duration (minutes) Total a Rainfall (in) New Motor Oil Usage (gat/month) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 2 Sampling 6-9 15 100',-4- - - - - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ® NO ❑ HAVE YOU CONTACTED THE REGION? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of samDle (or at end of monitoring period in case of "No Flow") to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, 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 aware that tF ei� are sipRificant pAalties for submittigg false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 7/l/2011-60/30/2015 3/31/2015 (Date) Last Revised 7/13/11 Page 2 of 2