NCG140328 DMR SW (2)

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT(DMR)
Calendar Year 2016
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage(COC) No. NCG140328
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPPP.
Facility Name: Carolina Sunrock LLC—North Raleigh Distribution Center
County: Wake
Phone Number: [phone] Total no.of SDOs monitored 1
Outfall No. 1
Is this outfall currently in Tier 2 (monitored monthly)? Yes❑ No El
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ►/'
If this outfall was in Tier 2 last year,why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes 0 No El
Parameter,(units)
Total
Rainfall, pH TSS SS turb O8G
inches
Benchmark N/A
•
Date Sample
Collected,
mm/dd/yy
No Sampling Events/Discharge occurred in 2016.
SW U-264-Generic-13Dec2012

"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 significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Signature l��
Date 01-13-2017
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information: ,
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ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa,NC 28778 Systel Building Suite 714 Mooresville,NC 28115
[phone] Fayetteville,NC 28301-5043 [phone]
__ [phone] _ _ OFFI_
RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL CE
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh,NC 27609 Washington,NC 27889 Wilmington,NC 28405-2845
[phone] [phone] [phone]
WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE
585 Waughtown Street 1617 Mail Service Center "---"\ ,do preserve, ect—
Winston-Salem,NC 27107 Raleigh,NC 27699-1617 111,,f,t1 and enhance
[phone] _ [phone] North Carolina's water.__" +
SW U-264-Generic-13Dec2012

STORMWATER DISCHARGE OUTFALL (SDO) - Semi-Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140328 SAMPLE COLLECTION YEAR: 2016
FACILITY NAME:North Raleigh Concrete SAMPLING PERIOD: /1 July-December p JanuaryJune
PERSON COLLECTING SAMPLES Scott Martino COUNTY Wake
CERTIFIED LABORATORY ConTest Lab#652 PHONE NO.[phone]
Lab# ADD TO LISTSERVE? //YES ENO EMAIL:[e-mail]
OPTIONAL INFO:_Dicharging To Class C-No FLOW 2016 DISCHARGING TO CLASS: OSA ❑HQW ❑PNA ['Trout ®Other
Part A:Stormwater Monitoring Requirements
Date Sample In Tier 2
Collected pH TSS Event Total Monthly #of Months in Tier
Outfall No. (Standard Duration Rainfall4
(mo/dd/yr OR (mg/L) Monitoring? 2 Sampling2
NO FLOW)1 Units) (minutes) (in) (Y/n)
- - 6-92 1002.3 - - - - -
1 NO FLOW
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
Page 1 of 2

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 Sample pH TPH using method Total Suspended Event Total New Motor OII Monthl #of Months
(Standard 1664A SGT-HEM Solids Duration Rainfall4 Usage y in Tier 2
No. Collected 1 Units) (mg/L) (mg/I.) (minutes) (in) (gal/month) Monitoring? Sampling2
(mo/dd/yr) (Yin)
6-92 152 1002.3 - - - - -
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 El
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 significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations."
•
1/20/2017
(Signature of Permittee) (Date)
Permit Date:7/1/2011-60/30/2015 Last Revised 7/13/11
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