NCG020437_MONITORING INFO_20170217

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C& UdD43�
DOC TYPE
❑-/HISTORICAL FILE
L�" MONITORING REPORTS
DOC DATE
❑ �UI7D�I�
YYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. I NCGNE
DOC TYPE O HISTORICAL FILE
DOC DATE ❑
� YYYYMMDD

f
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 70I(
*Report ALL STORMWATER monitoring data on this form (include "No Flow"1"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ©© 3❑©
Facility Name: 61ZW7zf�A ,QPIGK, L..L G - SR mP.50AJ I;AVE
County: _ 5t4 meson
Phone Number: /a 527S-- L1124' Total no. of SDOs monitored
Certified Laboratory _ PLab # Wi4-067
Lab #
Stormwater Discharge Outfall (SDO) No. 3 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
3
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
D) Turbidity,
NTU
Non-polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
indicate NO
FLOW if
applicable
Circle
Benchmark
100150
0.1
Circle
Benchmark
50/25/10
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
$
>55 galimo.
average requires
TSS and Non -polar
O&G m rillorin
Date Sample
Collected,
molddl r
Mmm=�Mw�
� � 'SG
� •.
O� G I
to
1 Z 3
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [j]Q513 ❑�
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 . )"-Z, W;?-�
Date 02.ty) J -to i`1
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 10/112015 — 9/30/2020
Last Revised 10-2-2015

FZ
N`
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year ZD/(o
*Report ALL WASTEWATER monitoring data on this form (include "No Flow"1"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 Q❑U
Facility Name: E01ZnEZZA (S1 L L C— Sig rn s frr► /I�I/U�
County: :�fl rv. P5 oM
Phone Number: 0o Sz 5— 41-1215' Total no. of outfalls monitored
Certified Laboratory _ l lc6� Anr91_•1-r76AL_ Lab # WKl- ob7
Lab #
Wastewater (WW) Discharge Outfall No. 3
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to SIB or PNA waters?
Yes ❑
No ❑X
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No 0
Were there any limit violations in the calendar year?
Yes ❑
No to
Fecal
Outfall No. Daily Flow pH, TSS, SS, Discharge Upstream Downstream Coliform,
Rate, cfs SU mgl€ mlll Turbidity, (U) Turbidity, (D) Turbidity, co€1100 ml
ifapplicable NTU NTU NTU (SA)
Industrial Sand
HQW oroRW freshwater 2CJ14FJ HQW, DRW,
Effluent 50% of 6.0-9.0 HQW or oRw SA, sa, PNA, No Limit NIA NIA
Limitations 7Q10 saltwater 20130 or any Trout Circle Water Water Quality WaterQuaiity NIA
6.8-8.5 HOW orORW 0.110.2 that applies: Quality Standard Standard applies Standard applies
Mo. Ave I Daily Max. indicate NO FLOW and Tr or PNA 50/25/1 0
if applicable 10115
Date Sample
Collected,
molddlyr
NO FizocE55 mz mwE wPr "3 L 5 Sim
Permit Date 10I1I2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 �©©❑�
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 aIr7/-r,b1-j
Mail Annual Summary Wastewater 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 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

I ANNUAL SUMMARY DMR - WASTEWATER I
II SEND TO CENTRAL OFFICE
PROCESS MINEIDEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Perinit Limit Violations) by MARCH I of each year. If
you have limit violations, you must also have turned in a Limit Violation DNIR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG02-a 4 37 SAMPLE COLLECTION YEAR:
FACILITY NAME: Hanson Brick - Sampson II MineCOUNTY: Samnsnn _
PERSON COLLECTING SAMPLES: _ Marlin Brown PHONE NO. ( gin } 525-4128
CERTIFIED LABORATORY: K&W Laboratories Lab # NC 559 ADD TO LISTSERVE? YES ❑ NO❑ EMAIL:
Lab # C,
LIMIT VIOLATIONS? YES ❑ NO M INDUSTRIAL SAND? ❑ DISCHARKCVF� W� 1U . ❑
Part A: Wastewater Monitoring Re uirements
MAR 02 Z016
Outfall No.
Date Sample
t
Collected
Total Flow
Total Suspended
Solids '
Turbidity 3
Settleable Solids
CENT
DWR
pH
L FILES
BECFT1QIf 1
eca oliforms
-
mmldd/yr
MG
mg/l '
NTWO
mlfl
Standard 2
col/ml 2,4
NA
No Discharge
01/01/2015 to
03/31/2015
NA
No Discharge
04101/2015 to
06/30 2015
NA
No Discharge
07/01/2015 to
09/30 2015
No Discharges
from Process 1Mine
Dewaterin
Occur at This E
ite
All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
Z If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Slormwater Discharge Outfall. Alternatively, the pennittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
° Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1 / 1 /2010-12/31 /2014 Last Revised 0 1 -2 1 -11
Page I of 2

Part A Continued: Wastewater Monilorine Requirements
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity
Settleable Solids
pH
Fecal Coliforms
-
mmlddlyr
MG
mg/l '
N'1'U
mill
Standard
caVml '
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATIONFOR ANY INFORMATION REPORTED:
"I certify, tinder 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 hest 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 of Permittee)
Permit Date: 111/2010-12/31/2014
at
Last Revised 01-21-1 1
Page 2 of 2

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2015
'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. NCG02 10®©7❑
Facility Name: Hanson Brick -Sampson II Mine
County; Sampson ���
Phone Number: 9( 10 ) 525-4128. Total no. of outfails monitored
Certified Laboratory K&W Laboratories lab # NC559 MAR 0
Lab #
Wastewater (WW) Discharge Outfall No. 1 DWR 9E
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No
Does this outfall discharge WW to SA waters? Yes ❑ No
Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑X
If so, what is the 7010 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No Ej
Were there any limit violations in the calendar year? Yes ❑ No ❑x
Outfall No.
1
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mUl
it awiscable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
SA
Effluent
Limitations
Ma, Ave f Dally Max.
HOW orORVV
50% of
7Q10
Indfcate HO FLOW
IfappficabM
freshwater
6.0-9.0
MMwater
6.8-8.5
tnduatflat Sand
26145
HQWor0RW
20130
HOWorORW
MW Tr or PHA
10115
HOW.ORW,
sA,ss,MA,
or airy Trout
0.110.2
No Limit
ClrcleWater
a,alttySundard
That apppll�1 �ea:
J L 5QIr1Jf
NIA
Water Quality
sunaerdeppYea
NIA
WaterOuaRw
StandardeppEics
NIA
Date Sample
Collected
molddl r�s'y
ol1I15 to 12I31115
NO DISCHARG
ES FROM
RROCESS 1 M
NE DEWATI
7RING OCCUR
T THIS SITE
Permit Date 1011/2015 — 9/3012020
Last Revised 10-2-2015
ED
016
I LES
ION

Certificate of Coverage No. NCG02 Qo ©Qn
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 tines and imprisonment for knowing violations."
(Required by 40 CFR §122.221
Signature
Date a/.
Mail Annual Summary Wastewater 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 101112015 -- 913012020
Last Revised 10-2-2015

Won
ANNUAL SUMMARY DMR - STORMWATER
SEND TO CENTRAL OFFICE * mi COO>
STORMWA TER DISCHARGE OUTFALLS (SDO) do
GENERAL PERMIT NO. NCG020000 010
tt0
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Pcrmit Limit Violations) by MARCH I of each year.
CERTIFICATE OF COVERAGE NO. NCG02 0 4 3 7
FACILITY NAME: Hanson Brick - Sampson II Mine
PERSON COLLECTING SAMPLES Martin Brown
CERTIFIED LABORATORY K&W Laboratories Lab # NC 559
Lab #
Part A: Stormwaler Monitoring Requirements
SAMPLE COLLECTION YEAR: 2015
COUNTY _Sampson
PHONE NO. (910 ) 525-4128
ADD TO LISTSERVE? YES ❑ NO ❑
EMAIL:
Outfall
No.
Date Sample
Collected
mo
( Idd/yr OR
NO FLOW)
In Tier 2
Monthly
Monitoring:
(y/n)
# of Months in
Tier 2
Sampling
Total Flow
(AIG)
Total Suspended
Solids
(mg/1)
Turbidity a
(NTU)
Settleable
Solids (ml/l)
Total
Rainfall
(in)
Event
Duration
(minutes)
- I-
-
-
-
1001,4See
Footnote"'
0.1
S-003
No Discharge
07/01/2015 to
09/30/2015
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range,
2 Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
a If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier l or Tier 2 responses in the General Permit.
TSS benchmark values are 100 tng/l except in ORW. HWQ, trout, and PNA waters where they are 50 mg/l.
5 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/1/2010-12/31/2014 Last Revised 0 1 -2 1 -11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Outfall
No.
Date Sample
Collected
(molddlyr OR
NO FLOW)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling
New Motor
Oil Usage
(gal/month)
Total Flow
(MG)
TPH using method
I664A SGT--HEM
(m )
Total Suspended
Solids
(m )
pH
(Standard
Units
Total
Rainfall
(in)
Event
Duration
(minutes)
-
_
153
100
6-9
S-003
01/01/2015 to
06/30/2015
No Dischar
<55
S-003
07/01/2015 to
09/30/2015
No Discharge
<55
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEE DENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NO ❑X
HAVE YOU CONTACTED THE REGION? YES ❑ NO M
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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
(Sigdature of Permittee)
Permit Date: 1/l/2010-12/31/2014
z Z� Zo r'a
ate)
Last Revised 01-21-11
Page 2 of 2

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
r �.�
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2015
`Report ALL STCRMWATER 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. NCG02 0❑®❑3 7❑
Facility Name: Hanson Brick - Sampson II Mine
County: Sampson _
Phone Number: 9( 10 )525-4128 Total no. of SDOs monitored 1
Certified Laboratory K&W Laboratories lab #NC559
Lab #
Stormwater Discharge Outfall (SDO) No. 1 VMA Outfall? Yes ❑ No x0
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No Ej
Was this outfall ever in Tier 2 during the past year? Yes ❑ No K
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 Cl
No, turbidity benchmark exceedanoes did not require monthly monitoring ❑
Other ❑
Outfall No.
1
Total
Rainfall,
Inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
) urbidi,
(D Turbidity,
NTU
Non -polar
O&G, mgll
(VMA}
New
Motor Oil
Usage
allmo,
Stormwater
Benchmarks
,,,dx8fewo
applicable
Clre a
Benchmark
100150
0.1
Circle
B,.nc�.rk
50/26/10
NIA
Standard ppliies
NIA
StIlty andard ;�
15
>65 giYmo.
average,egLkez
0 � rm enIng
Date Sample
molddl r
I�TW
it�t
if k
,,
r jl
"�� x"'rAs
llhyaJ^'-kgCollected
10/1115 to 12/31/15
NO DISCHAI
ZGE
<55 gaVrno
Perm it Date 10/112016 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 001[j] .'
CERTIFICATION
" 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in acoordanoe 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 'L/
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DFMLR)
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 DFMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

I ANNUAL SUMMARY DMR - WASTEWATER I
SEND TO CENTRAL OFFICE*
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Uischarga and Permh Limit Violations) by MARCH 1 of each year. If
you have limit violations, you must also have turned in it Limit Violation DMR to your local Regional Oflice within 30 dt > s of receiving sample resulls from a lab.
CERTIFICATE OF COVERAGE No. NCG02 0 43 7
FACILITY NAME: Hanson Brick - Sampson II Mine
PERSON COLLECTING SAMPLES: Martin Brown
CERTIFIED LABORATORY: K&W Laboratories Lab # NC 5 9
Lab #
LIM11' VIOLATIONS? YES ❑ NO X❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2014
COUNTY: Sampson «�
PIIONE NO. ( gin) 52..5-d12A
ADD TO LISTSERVE? YES ❑ NO❑ EMAIL:
INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATERS"' ❑ r^
Outfall No.
Dale Sample
Collected
Total Flow
Total Suspended
Solids'
Turbidity
Settleable Solids
pH
Fecal Colif'orms
-
mmldd/yr
MG
mg/1 1,2NTU
"
ml/F
Standard
coUrn1
NA
No Discharge 011011
014 to 03/31/2C
14
NA
No Discharge 041011
014 to 06/30 2C
14
W-54 w
NA
No Discharge 071011
1014 to 09/30 2C
14
FAIt-
NA
No Discharge 101011
014 to 1213112
14
r
2 U15
CFN'roAr
No Discharges
from Process I Mine
Dewatering
0kAIR
Occur at This E
ite
r All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
a The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, takes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: I/l/2010-12/31/2014
D
Last Revised 0 1 -2 1 -11
Page I of 2

�-
P,arfr'v'£outinued: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidit}'
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mgll 1,2
NTU "
ml/l 2
Standard 2
col/ml '
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared raider 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."
✓ i , z. & It b S`
(Signature of Permittee) (Date)
Permit Date: 1/1/2010-12/31/2014
Last Revised 0 1 -2 1 -11
Page 2 of 2

ANNUAL SUMMARY DMR - STORMWATER
SEND TO CENTRAL OFFICE * J,
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
e,0
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCII 1 of each year.
CERTIFICATE OF COVERAGE NO. NCG02 0 4 3 7 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Hanson Brick - Sampson 11 Mine � � COUNTY Sampson
PERSON COLLECTING SAMPLES Martin Brown PHONE NO. (910 ) 525-4128
CERTIFIED LABORATORY K&W Laboratories Lab # NC 559 ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL:
Lab #
Part A: Storrnwater Monitoring Requirements
Oulfall
No.
Date Sample
Collected
(mo/dd/ yr OR
5
NO FLOW)'
In Tier 2
Monthly
Monitoring?
l,`
(y/n)
# of Months in
Tier pl 2
i
Sampling
Total Flow
(MG)
Total Suspended
Solids
(mg/1)
a
Turbidity
(NTU)
Settleable
Solids (ml/1)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
-
-
-
1003,
See Footnote'
0.I
Discharae
1/01/20140
0 4
S-003
No Dischar e
7/01/2014 to 121
1/2014
+\�VCI
vFn
Pro Y
1.1 CU
UCNTRAr` F1
P:c
..�,n irXT!
DN
' 1f "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
z Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
1f a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit,
° TSS benchmark values are 100 mg/i except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/1/2010-12/31/2014
Last Revised 0 1 -2 1 -11
Page I of 2

fll Part B: Vehicle Maintenance Activitv Monitoring Requirements for facilities using > 55 gal of new motor oil month on average
Outfall
No.
gale Sample
Collected
(nto/dd/yr OR
NO FLOW)
In Tier 2
Monthly
Monitoring?
(y/n)
B of Months
in'I'icr 2
Sampling2
New Motor
Oil Usage
(gaVntonth)
Total Flow
(141G)
TPH using melhad
1664A .SGT-HF.M
(rn )
Total Suspended
Solids
(rng)
pH
(Standard
Units)
Total
Rainfall
{in}
Event
Duration
(minutes)
-
-
15'
100-3
6-9'
S-003
01/01/2014 to 0
/30/2014 - No
Dischar a
<55
S-003
07/01/2014 to 1
/31/2014 - No
Discharge
<55
HAS YOUR FACILITY HA114 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOVL"'. "NO DISCHARGE," & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CFRTI FICAMON FOR ANY INFORMATION RFPORTZU:
"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."
(Signat4a of Permittee)
Permit Date: l/I/2010-12/31/2014
?—9 ZD 5
(liaterf
Last Revised 01-21-11
Page 2 of 2