NCG140159 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140159
FACILITY NAME: Southern Concrete Materials -Brevard_
PERSON COLLECTING SAMPLES _Eddie Teague
CERTIFIED LABORATORY ETS Lab # _600
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLING PERIOD: E July -December ❑ January -June
COUNTY - Transylvania
PHONE NO. (_)
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ®Trout
❑Other,
Outfall No.
Date Sample
Collected .
( mo/dd/yr OR
i
NO FLOW)
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 Sampling 2
6-92
1002,3
1
9-29-15
8.2
26
1080
2.50
N
II
NOV 0
DWR S
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
z 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/I, 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.
2, 2015
L FILES
:CTION
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
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Part ts: vemcie maintenance Activity monitoring mequirements for tacmties using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
` Date Sample
pH
�•
TPH using method
TotafSuspended ~;
'' ' Event
al
Total '
a
. '`
New; Motor 0i1
�
In Tier 2
� Monthly`
#: of Months
Collected
(Standard'
•
°1664A SGT -HEM ,
Solids,
Duration
,.
Rainfall .;
�•
�,
Usage"
•.
� �
Mo nitoring?,
in Tier. 2
(mo/dd/yr,), i
Unit's): -
i
(mg/L)
(mg/L),-
(minutes) v_
j
; r Jin) :.
(gal/month)
(y/n1
Samplmg2
�• ,�
615?
152
F
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 sample (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
am aware t t there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signatu f ermittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
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