NCG140081 DMR SW (3)

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG1*0`0- -1
FACILITY NAME: Chandler Concrete Co. — Reidsville Plant #104
PERSON COLLECTING SAMPLES: Philip Motsinger
CERTIFIED LABORATORY:Pace Analytical Lab #633
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLING PERIOD: ❑ July -December
FORM
Orig — State
0 Copy — State
0 Copy — Plant
0 Copy - File
® January -June
COUNTY Rockingham
PHONE NO. ( 336) 634 -1845
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: _
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other: C
Outfall No.
Date Sample
Collected
( mo/dd/yr OR
NO FLOW)'
pH
TSS
(Standard
(mg/L)
Units)
Event
Duration
(minutes)
In Tier 2
Total Monthly
Rainfall4
Monitoring.
(in)
(y/n)
# of Months in Tier
2
2 Sampling
-
-
6-92 1002'3
-
- -
-
1
2/3/16
6.5 ND
75+ Min.
2.1 N
0
2
2/3/16
6.5 ND
75+ Min.
2.1 N
0
If—
Discharge due to storm event, PW commingles w/ SW
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, HOW, 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.
MAY -32016
D'Jli,� 3£CTITJ
?T101V -R C83''sit-11p11 i
Permit Date: 7/1/2011-60/30/2016 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.
Outfall
No.
Date Sample
Collected
(mo/ecteddd/yr1
pH
(Standard
Units)
TPH using method Total Suspended
1664A SGT -HEM Solids
(mg/L) (mg/L)
Event Total
Duration Rainfalla
(minutes) (in)
New Motor Oil
Usage
(gal/month)
In Tier 2 Monthly
Monitoring?
(y/n)
# of Months
in Tier 22
Sampling
6-92
152 1002'3
- -
-
N/A*
*Vehicle Maintenance Not Performed
at this Location
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 Orieinal and one copy of this DMR (includine all "No Flow" & "No Dischame" reoorts) within 30 days of receipt of sample (or at end of monitoriniz 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 direct) res'p7onsible f r gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware si ifi� enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
b
(Signature of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2016 Last Revised 7/13/11
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