NCG140085 DMR SW (2)

STORMWATER DISCHARGE OUTFALL (SDO) - Semi-Annual MONITORING FORyi
GENERAL PERMIT NO. NCG140000 Orig—State
0 Copy—State
0 Copy—Plant
CERTIFICATE OF COVERAGE NO. NCG14 0 0 8 5 SAMPLE COLLECTION YEAR:2014-2015 0 Copy-File
FACILITY NAME: Chandler Concrete Co.—Asheboro Plant#108 SAMPLING PERIOD: El July-December ®January-June
PERSON COLLECTING SAMPLES: Ronnie Faulkner
RLGHVE ErUNTY Randolph
CERTIFIED LABORATORY:Pace Analytical Lab#633 PHONE NO. (336)625 - 1070
JUL 3 1 20 15 TO LISTSERVE? EYES LINO EMAIL: _
OPTIONAL INFO:
CENTRAL FILES DISCHARGING TO CLASS: LISA ❑HQW ❑PNA ❑Trout ®Other: C
Part A:Stormwater Monitoring Requirements DWR SECTION
Date Sample In Tier 2
pH
Outfall No. Event Total
Collected TSS 4 Monthly #of Months in Tier
(Standard Duration Rainfall4
(mo/dd/yr OR (mg/L) Monitoring? 2 Sampling
NO FLOW)1 Units) (minutes) (in)
(y/n)
- - 6-92 10023 - - - -
1 NO FLOW N N/A
2 NO FLOW N N/A
3 NO FLOW N N/A
No Discharge Observed during this period
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/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.
Permit Date:7/1/2011-60/30/2015 Last Revised 7/13/11
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Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using>55 gal of new motor oil/month—averaged over a calendar year.
In Tier 2
Outfall Date Sam le pH TPH using method Total Suspended Event Total New Motor Oil #of Months
p (Standard 1664A SGT-HEM Solids Duration Rainfall 4 Usage Monthly in her 2
No. Collected Units) (mg/L) (mg/L) (minutes) (in) (gal/month) Monitoring? Sampling
(mo/dd/yr) (y/n)
6-92 152 1002,3 - - - - -
1 NO FLOW N N/A
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 pers• el properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,or
those persons direct) :ons. e for gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I
am aware tha • -r- . sic enalties for submitting false information,including the possibility of fi es a , imprisonment for knowing violations."
,e z. 1" f
(Signature of Permittee) (D.te)
Permit Date:7/1/2011-60/30/2015 Last Revised 7/13/11
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