NCG020032_COMPLETE FILE - HISTORICAL_20160226

STORMWATER DIVISION CODING SHEET
RESCISSIONS .
PERMIT NO.
�IC�oaDD 3p�
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ 3OiL Gaa(�
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —WAS7EWATER
SUBMIT TO CENTRAL OFFICE"
General Permit No. NCG020000
Calendar Year
*Report ALL WASTEWATER monitoring data on this form (include "No Flow"rNo Discharge" and Limit Violations) from
the i3revious calendar vear to the DEQ by MARCH 1 of each year.
Certificate of Coverage No_ NCG02
Facility Name: L.Ira t o I+J GiL+GIE M-t
County_ `{ANcEy
Phone Number: ( $26 ) -76 S - L128 3 Total no. of outfalls monitored I
Certified Laboratory .,.j GUA&31 FICCESEA—ItN s Lab # 15 Z
Lab #
Wastewater (WW) Discharge Outfall No. 01
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No KI
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No 91
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No
Were there any limit violations in the calendar year?
Yes ❑
No 0
Ou#fall No.
01
Daily Flow
Rate, cfs
pH,
SU
TSS,
m II
9
SS,
mill
ifaAP��P
Discharge
Turbidi
Turbid",
NTU
Upstream
IJ Turbid"
( ) Turbidity,
NTU
Downstream
(D} Turbidity,
NTU
Fecal
Coliform,
co111110 ml
SA
Effluent
Limitations
Mo. Ave! Daily f,%a:L
Haw or ORw
500/6 of
7Q10
mrAciro ivo FLOW
i►applicab{e
heshtirater
6.0-9.0
�°ll""a`�
6.8 -8.5
hdusbUl Sand
26145
Haw or RRw
20130
Haw cr oRw
pnd Tr or PNA
10116
HOW Of21N'
set s9, PNA.
cranyrrout
0.110.2
No Limit
a�� Water
that applies:
(! JI 2�11
NIA
Standard r► �as
NIA
Sta�dab dies
NIA
Date Sample
Collected,
molddl r
0 5
6.0 7-2
'7.r6
L o. l
0
06 2 15
0.0111
Z.5
Ca• 1
b .Z7
01177 115
0. 0272
7.$
CZ.S
40.1
6132
z /of 115
0. 0-2zz
<a - l
8
DWR SFCTIO
Permit Date 101112016 — 9/30/2020
Last Revised 10-2-2015

Certficate of Coverage No. NCG02 ❑0 30©
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 §122.221
Signature
Date 2
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 10/112016 — 9/3012020
Last Revised 10-2-2015

ANNUAL SUMMARY DMR - WASTEWATE
RR
SEND TO CENTRAL OFFICE* RECEIVED
R 102015
PROCESS MINE/DEWATERING WASTEWATER rr������
l� L77U V YI AT "T7 T37►Rr'r XTC% XTC11 I n-i nnnn `�.-a�7 Pua M �
VL' 1\I_rl\HL rr�i�•iri i�v. 1\a.vv4vvvv ��//[[//�� - - �-- -
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year. If '-P'
you have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG02` 0 0 - Z
FACILITY NAME: + ook
PERSON COLLECTING SAMP ES: 5i-
CERTIFIED LABORATORY: Lab # l S2=
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Re uirements
SAMPLE CO ECTION YEAR: 7-©1
COUNTY: VA anC l
PHONE NO. 'Zl
ADD TO LISTSERVE? YES LJ NO EMAIL:Sf+J. Isb r� wn - nx. n. Cd n
INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATERS'? ❑
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids'
Turbidity3
Settleable Solids
pH
Fecal Colifor s
PIA
-
mm/dd/yr
MG
mg/l '
NTU
Miin
Standard 2
col/mil"
01
0 '2
, i71qq
V
E3 1
77-0
0
0
440•4S.2—
A&I
0. 01ZO
4-0•j
7
z i i r q
0-17120
ID - 0
' 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.
3 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
Stormwater Discharge Outfall. Alternatively, the permittee 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 02-02-1 1
Page] of 2

Part A Continued: Wastewater Monitoring Requirements
Outfall.No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/1
NTU23
ml/i
Standard
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]
"I cer , under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assu e t t qualified prsel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
tho per ons directlsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I a awa a that thernificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
s
(Signa a of Perm' ee) (Date)
Permit Date: 1 / 1 /2010-12/31 /2014 Last Revised 02-02-11
Page 2 of 2