NCG140157 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO). - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140157 SAMPLE COLLECTION YEAR: _2015
FACILITY NAME: Southern Concrete Mate ria ls-WeaverviIle— SAMPLING PERIOD: ® July -December ❑ January -June
PERSON COLLECTING SAMPLES _Eddie Teague COUNTY Buncombe
CERTIFIED LABORATORY ETS Lab # _600 PHONE NO. ( )
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
OPTIONAL INFO: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other,
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
( OR
NO FLOW )1 E
pH
(Standard
Units )
TSSMonthly.
(mg/L)`
Event
Duration
minutes !
( )
Total
Rainfall"
(in )
In Tier 2
# of Months in Tier"
Monitoring?. 2 Sampling?
(Y/' )
-
6-92
1002;3
1
9-29-15
8.4
69
1100
2.50
N
NOV 02015
DWR SECTION
' 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.
4 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
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Part 13: venicie Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
Date Sample
pHl
TPH using method
TotalSuspended
A =.
Event
,
Total
-
New"Motor,,Oil
,
In Tier 2
Monthly
# of Months"
( Standard
1664ASGT=HEMSohds.°'
,
Du ration '�
Rainfall a=
Usagez
in Tier 2
No
Collected
Unrts ..
(mg/Ly
1mg/L)
(mi nut es)
.(in) '
ont
(gal/m h)
Monitoring?
Sa mpIing2
(mo/dd/yr,)1'
;.
(y/n).
6-9?.
.� 152. _10023
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. I
am aware that there are significan) penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permi a (D(ate)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
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