NCG140138_DMR_20191213

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
11 SUBMIT TO CENTRAL OFFICE* I
i,
General Permit No. NCG140000
Calendar Year ,20/?
*Report ALL STORMWATER monitoring data on this form (include"No Flow"/"No Discharge" and Benchmark
Exceedances)from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG140138
Facility Name: Greystone Concrete Products, Inc.
County: Vance
Phone Number: 252-438-5144 Total no. of SDOs monitored ;—
Certified Laboratory i�"1g,9i/,9Ly�i(4L- Lab #00
Lab # a
o O
Stormwater Discharge Outfall (SDO) No. or/ VMA Outfall? Yes ❑ Nog] � _
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No.0 u-t-
Was this outfall ever in Tier 2 during the past year? Yes ❑ NoR c d
III c:) w
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? z ar
Yes, enough consecutive samples below benchmarks to decrease frequency 0 ( t-- ;l
Yes, received approval from DEMLR to reduce monitoring frequency ❑
Other 0
Non-polar O&G
Total (EPA Method New Motor Oil
Total Rainfall, Suspended pH, Usage (gal/mo.)o. p 1664 (SGT-HEM)), 9 (9 )
inches Solids (TSS), SU
7 mg/I (VMA) If applicable
mg/I If applicable
Stormwater Cir • -nchmark
Indicate NO FLOW if •0 6.0-9.0 15 >55 gal/mo.average requires TSS and
Benchmarks applicable Non-polar O&G monitoring
Date Sample
Collected,
mo/dd/yr
./7-/Ig ir, P
fr--- %9 ‘ 1 5 ////9 /1,(//9 _
ir}
1
/03/8 /lb 'i _ ,6 s9 I
Permit Date 8/1/2017—6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG140138
Additional Outfall Attachment (make copies as needed for additional outfalls)
::y /
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ] No ill
Was this outfall ever in Tier 2 during the past year? Yes ❑ No Pi
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes,enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Total Non-polar O&G New Motor Oil
Total Rainfall, (EPA Method
Suspended pH, Usage (gal/mo.)
Outfall No. 1664(SGT-HEM)),
inches Solids (TSS), SU mg/I (VMA)
mg/I
Stormwater Cir • - chmark
indicate NO FLOW if 413 0 6.0-9.0 15 >55 gal/mo.average requires TSS and
Benchmarks applicable Non polar O&G monitoring
Date Sample
Collected,
mo/dd/yr
/OP
'P/�y �' /0/� �y ND yt7
Permit Date 8/1/2017—6/30/2022
Last Revised 8-22-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - WASTEWATER
( II>> SUBMIT TO CENTRAL OFFICE* I
General Permit No. NCG140000
Calendar Year ).f7/y
*Report ALL WASTEWATER monitoring data on this form (include"No Flow'/"No Discharge" and Limit Violations)from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG140138
Facility Name: Greystone Concrete Products, Inc.
County: Vance
Phone Number: 252-438-5144 Total no. of outfalls monitored /
Certified Laboratory 770/, , G/7L Lab #i7(7
/ Lab #
Wastewater (WW) Discharge Outfall No. (2( f
Does this outfall discharge WW to SA waters? Yes ❑ No n
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No (X1
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No tgl
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No'
Were there any limit violations in the calendar year? YeslEt, No ❑
Outfall No. Daily Flow Rate, pH, TSS, SS, Non-Polar O&G (EPA Method
'16) / cfs SU mg/I ml/I 1664 (SGT-HEM)), mg/I
if applicable
Standard
HQW or ORW freshwater 30 HQW,ORW,SA,SB,PNA,
Effluent 50% of 7Q10 6.0-9.0 HQW or any Trout No Limit
Limitations
Indicate NO FLOW if saltwater 20 5 Samples above Benchmark
applicable 6 8-8 5 HQW/ORW and Tr,or subject to Tiered Responses
Daily Maximum C C7 PNA 15
10
Date Not Applicable Not Applicable
Sample for Greystone for Greystone
Collected,
mo/dd/yr
,y/9/q Ic,y. /),Ig
LS-AVi. /-tt
)'//7
i),15/1 611
Permit Date 8/1/2017-6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG140138
CERTIFICATION
"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."
[Required by 40 CFR§122.22]
Signature
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct—Central Files is housed in DWR(not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017—6/30/2022
Last Revised 8-22-2015