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HomeMy WebLinkAboutNCG140385_DMR_20220426 I 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. NCG14b3$S nn Person Collecting Samples: N/ Facility Name: 14;kd,Y2a'h •sue L\..v Laboratory Name: N / Pr Facility County: 1`1,C)f-vrnDy'1Ck Laboratory Cert. No.: Discharge during this period:❑Yes 2-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 stf,Which tl r(I,II,or III)? I co Rif tArs DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR LJ Yes jJ rvu fi • �y Qat��?pF�i�ed: 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 N/A Date Sample Collected MM/DD/YYYY 82220 Daily Flow Rate in cfs(50%of 7Q10 for HQW/ORW) C0530 TSS in mg/L(30,20,or 10*) 00400 pH in standard units(6.0-9.0 freshwater,6.8-8.5 saltwater) 00545 Settleable Solids in HQW,ORW,SA, SB,Tr&PNA(5 mL/L) Non-Polar Oil&Grease in mg/L(N/A, 00552 but samples above 15 require tiered 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 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 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." 4c CSakiLSEJL) Di4 aoaa Signature of Permittee or Delegated Authorized Individual Date Email Address Phone Number 1(" \Cir64(N'irea kUtrei.‘C@U %rafik ream.r,2RECEIVEuu pck)(9gtA-a03A • MAY 2 2022 DEMLR rayetteville Regional Office I NCDEQ Division of Energy, Mineral and Land Resources Stormwater 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. NCG14O38 Person Collecting Samples: N/ 4 Facility Name: \-V,kckre.krh eackuk1,,ioXl--� Laboratory Name: n( / A. Facility County�`1 t��,ry` Laboratory Cert. No.: Discharge during this period:lug Yes LI 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.nr anv/Forms/SW-DMR ❑Yes ❑No Date Uploaded: _ - - __ _ - 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 N/A Date Sample Collected MM/DD/YYYY 82220 Daily Flow Rate in cfs(50%of 7Q10 for HQW/ORW) C0530 TSS in mg/L(30,20,or 10*) 00400 pH in standard units(6.0-9.0 freshwater,6.8-8.5 saltwater) 00545 Settleable Solids in HQW,ORW,SA, SB,Tr&PNA(5 mL/L) Non-Polar Oil&Grease in mg/L(N/A, 00552 but samples above 15 require tiered 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 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 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." c.\---A cs Oy- at-e- a a Signature of Permittee or Delegated Authorized Individual Date Email Address Phone Number ,xeM- re_cxc r;•x r,d reo.rr. RECEIVED7O 4) UCI U_a n3( MAY - 2 ?02?_ DEMLR ~ayet'teville Regional Office