NCG140091 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING F
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 91
FACILITY NAME: Chandler Concrete Co. - Roxboro Plt. 607
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A: Stormwater Monitorine Ranuiramantc
SAMPLE COLLECTION YEAR:2016
OR
Orig -.State
0 Copy - State
0 Copy - Plant
.0 Copy - File
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY Person
PHONE NO. (336) 599 - 8343
ADD TO LISTSERVE? ❑YES [-]NO EMAIL: _
DISCHARGING TO CLASS:,[]SA ❑HQW ❑PNA ❑Trout ®Other: C
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
1
NO FLOW)
pH
(Standard
Units)
TSS
1mg/L)
Event
Duration
(minutes)
Total
4
Rainfall ,
(in)
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months in Tier
2
2 Sampling
-
-
6-92
1002,3-
2
NO FLOW
N
N/A
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.
FEB 0 3 2016
CENTRAL FILES
DWR SECTION
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
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Outfall
No.
HAS--
Date Sample
Collectedt9
(mo/dd/yr)1
pH TPH using method Total Suspended
(Standard 1664A SGT -HEM Solids
Units) (mg/L) (mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2 # of Months
Monthly
in Tier 2
Monitoring? z
Sampling
(Y/n)
6-9Z 1s2 100 ,3
I
- - - N / A - - - No vehicle maintenance performed at facility ---
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 resp sible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that th I fic� pe'altie,yAr submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
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