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HomeMy WebLinkAboutNCG020121_COMPLETE FILE - HISTORICAL_20190215STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NC001aI DOC TYPE U HISTORICAL FILE DOC DATE ❑ aol 4 OAS IS YYYYMMDD a 4 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) —WASTEWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year A0 115 "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. N0002 Facility Name: I' County: Phone Number: (a Certified Laboratory _ Lab # 317 Wastewater (WW) Discharge Outfail No. IDS Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No m Does this outfall discharge WW to SA waters? Yes ❑ NoN Does this outfall discharge WW to SB or PNA waters? Yes ❑ Nos] Does this outfaIf discharge WW to HOW or ORW waters? Yes ❑ No If so, what Is the 7010 flow rate? or Tidally Influenced waters, 7010 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 ❑ Outfall No. p Daily Flow Rate, cfs pH, SU TSS, mg/l SS, mill Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliform, col/100 mI SA Effluent Limitations Mo. Ave I Daily Mea, HOW or ORW 50% of 7f110 �K khftaft NfO F OW heshmw 6.0-9.0 asibater 6.8.8.5 � sand 26146 HQWorORRW 20130 ►�Qw or orrn AM Tr or PNA 10116 NOW, ORW. M S8, PNA, oranytroul 0.110.2 No Limit Circle Water gustily standard tnat aWks: 012rJ/1 NIA WaterQutlAy Standard applies N/A Water Quality Standard applies NIA Date Sample Collected, m olddl rmil , . 03 3 ice! o 1 sc- RGIiL 6 to 3 -3-j S Ff o i P-& 5- Vtu 011 01 s c_bd CENTRAi F rS 12 1 71A m & ukNH rE 'TION r0 5 M, n �e fi 5 rr1 d 2dt�aTS-OO Wan 0 "'SG r `sc a es Perm it Date 101112016 - 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 Q❑®❑I Additional Outfall Attachment (make copies as needed for additional outfalls) Wastewater (WW) Discharge Outfall No. OQ'S Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ Noj Does this outfall discharge WW to SA waters? Yes ❑ No o Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No Jj Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No 10 If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑ Does this outfall discharge WW to Trout jr) designated waters? Yes ❑ NOD Were there any limit violations in the calendar year reported? Yes ❑ No 19 Outfall No. �Q- Daily Flow Rate, cfs pH, SU TSS, mg/l SS, mill #app&-we Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliform, col/100 ml SA EffluentHow Limitations MM Are1 oa4 M&. arom 50%of 7010 Indlcata NO FLOW treanneter 6.0-9.0 `a""'t`r 6. B-8.6 tmuatrtai Band 25146 HaWorOM 20130 Hats oroaw &QQ Tr or PM 10115 Ha,. ORW. SA, sa,P"A. °ra"'Tr°`" 0.110.2 No Limit QuaNtyBdttndard that apppe: 50125/10 NIA Standard p� N/A Stanch Wpft• hmMy NIA Date Sample Collected, molddl r �• t r L t rt ' gn 0 1(0 r r C rP-J L, m— ct 1tiL 4.,�+� i n • oa s 11 19.1f) /A I "5.I A NI - LA I A lb5 1 o. of a: 'T.00 117. G N 1A aO.5 15.5 !`I N Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 Certfcate of Coverage No. NCG02 009Q 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 _ o..% A 2 f 201 q 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 1011t2015 — 9/30/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE' General Permit No, NCG020000 Calendar Year �LO 18_ ' 'Report ALL STORMWATER monitoring data on this form (include "No Flow "PNo Discharge"and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG02 Facility Name: S c— Rocku Mouyi+T ►.kart' County: E&e c-ornb Phone Number: (9 IT380 - 2 7 y ro Total no. of SDOs monitored oZ Certified Laboratory P_riCe_&1 a N++ CCJ lab # _W't= 7 1- akn,son X:k�r'tc;ctc_S Lab# 5392 Stormwater Discharge Outfall (SDO) No.. I _ - 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. Total Rainfall, inches TSS= mgll SS, mlfi Turbidity, ` NTU Upstream (U)Turbidity, NTU Downstream (D)Turbidity, NTU Non -polar O&G, mgll (VMA) New Motor Oil Usage allmo. Stormwater Benchmarks i dk,*No FLOWN ClrCla Benchmark 100150 0.1 Circle Benchmark 50/25/10 .'l N/A Standard pWater p esll N/A Water Quality Standard apptles 1 `6 >55 gailme. averaperequires M and Non -polar o6G monRor! Date Sample Collected, moldLU r 03 Q0 8 O.aa, <a.5 <o.Ia y2:. e.i O >55' .77 © 33. G <a. o D7.9 14.3 19-B < 5. O >-s5' Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 00®Q Additional Outfali Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfali (SDO) No. a ._ VMA Outfail? Yes ❑ No JZ Is this outfall currently in Tier 2 for any parameter? Yes ❑ Nolo Was this outfall ever in Tier 2 during the past year? Yes ❑ No 03 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, turgidity benchmark exceedances did not require monthly monitoring ❑ Other ❑ Outfll .'! - - : : Inches BE DownstreamUpstream •g le .®. ® ET ss '3 . r NMI r a r - f13ii7,i E M1 - • • ri _� Permit Date 101112015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. N0002 QO I❑®0 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 o—V1 a,2Q)q___ 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 ❑11111111113 ❑❑❑ ❑' ° Hasnson -; IVED HEID>ELBERGCEMENTGroup �u= 2 8 2018 Hanson Aggregates Southeast, LLC South Region CENTRAL FILL North Carolina Territory Office D" SF9TION 2101 Gateway Centre Blvd, Suite 100 February 21, 2018 Morrisville, NC 27560-9626 Tel 9193802610 Fax 919 380 2616 www.hanson.com Attn: Central Files North Carolina Department of Environmental Quality Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Hanson Aggregates, NPDES Wastewater Discharge Monitoring Reports for the 2017 Year and NPDES Mine Stormwater Discharge Monitoring Reports for the 2017 Year To Whom It May Concern: Please find the attached Annual 2017 Summary Discharge Monitoring Reports for Wastewater and Stormwater for the following Hanson Aggregates sites: Crabtree Quarry NCG020052 Neverson Quarry NCG020234 Durham Sales Yard NCG020088 Princeton II Quarry NCG020124 Elliott Sand & Gravel NCG020178 Raleigh Quarry NCG020209 Elm City Quarry NCG020182 Rocky Mount 11 Quarry NCG020121 Gardner Quarry NCG020164 Rougemont Quarry NCG020235 Holly Springs Quarry NCG020087 Senter Sand & Gravel NCG020156 Lexington Quarry NCG020204 Please note that as of 05/22/2013, the Vander site, COC NCG020224, became exempt from monitoring as long as the site remains dormant and stabilized, so a 2017 DMR has not been included. Should you have any Questions or need additional information, please call me: (919) 380-2746, or you can reach me at Jack.Garvey a hanson.com . Sincerely, 6!�nJa Garvey Environmental Manager Encl.: DMRs cc: Daren McMorris, NC Operations Manager Toby Lee, NC & SC General Manager ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — WASTEWATER 11 SUBMIT TO CENTRAL OFFICE* 11 General Permit No. NCG020000 Calendar Year A 01 `1 "Report ALL WASTEWATER monitoring data on this form (include "No FloWl"No Discharge" and Limit Violations) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG02 ©[I ®10 Facility Name: Iota n5 otln+e5 - oc-cv M ®cl�J` l� tea« County: Phone Number: ( 913 cS - 9Total no. of outfalls monitored a Certified Laboratory t lab # WW Qn--P"l a Lab # 531 P- Wastewater (WW) Discharge Outfall No. 001 Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No N Does this outfall discharge WW to SA waters? Yes ❑ No'J Does this outfall discharge WW to SB or PNA waters? Yes ❑ No Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No 10 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 ❑ NoJK Outfall No. -MlNtWteabla Daily Flow Rate, cfs pH, SU TSS, mgli SS, MIA Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliform, co11100 ml SA Effluent Limitations Mo. Ave I Daily Max. HQW or ORW 60% of 7Q10 In icato NO if applkaFle W freshwater 6.0-9.0 saltwater 6.8-8.5 Industrial Send 26/46 HQWer0RW 20130 HQW or 0RW AU T r w PNA 10115 HOW, ORW, SA, SB,PNA. oranyTrout 0.110.2 No Limit Quays ndard that applies: 60126110 N/A Stendardapp ealE NIA Standardappli a NIA Date Sample Collected, molddl r a3/31 l0 it, Z 61 c,6 r V'n wft &eJ3m 9 io s e- a Ti 77 LET m r r ` a Permit Date 10/1/2015 — 9/30/2020 due -a ! .v rn. -,J �.` W qt.+,e Last Revised 10-2-2015 `;,.4 No sc �ar Certificate of Coverage No. NCG02 E ®❑I Additional Outfall Attachment (make copies as needed for additional outfalls) Wastewater (WW) Discharge Outfall No. Pin.3 Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ NON Does this outfall discharge WW to SA waters? Yes ❑ NoDd Does this outfall discharge WW to SB or PNA waters? Yes ❑ No Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No D9 If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑ Does this outfall discharge WW to Trout jr) designated waters? Yes ❑ No 1 Were there any limit violations in the calendar year reported? Yes ❑ No Im Outfall No. Daily Flow Rate, cfs pH, SU TSS, mg/1 SS, mlll ifewicaale Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliform, co11100 ml SA Effluent Limitations Mo. Ave f Daily Max. HQW orORW 50% of 7Q10 Indicate NO FLOW Happlkable freshneter 6.0-9.0 sal"ter 6.8-8.5 Industrial Sand 25145 HQW or ORW 20J30 HQW or ORW an Tr or PNA 10115 HQW, ORW, SA, SB, PNA, or any Trout 0.110.2 No Limit CircleWeter Q that applesertl 50/25/10 NIA Water Quality Standard applies NIA Water Quality Standard applies NIA Date Sample Collected, molddl r MEMEMMMM .9 b 12, NIA.__ I .(, k 5a I rV,I5.„ s-o 1 u n Q-Mj to �.lo NA II G le, 1 15. 1z - aba , M A V Jg,, P BLS-©®3 , Ins wI r %+' M .eW ert 0( w rt .n d ra 4 w � ,n �r N r uar 114 t Permit Date 10/112015 — 9/3012020 7' Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ❑O Q® 1 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 belie{, 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 _6i22.221 Sign Date 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) -STORMWATER SUBMIT TO CENTRAL OFFICE* Genera! Permit No. NCG020000 Calendar Year A d 1 '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. NCG02 Facility Name: fj cit) vi Ili re�� County: Phone Number: 1 3 8 0 - 27 y 6 Certified LaboratorynCe- n0,N+hea1,� 14ane%nn AaG�'-tCr4c 119 r Total no. of SDOs monitored 21 lab # AG7 Lab # .ti3`IP Stormwater Discharge Outfall (SDO) No. L VMA Outfall? Yes"f g No ❑ Is this outfall currently in Tier 2 for any parameter? Yes ❑ No'K Was this outfall ever in Tier 2 during the past year? Yes ❑ Nog 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, turgidity benchmark exceedances did not require monthly monitoring ❑ Other ❑ OutfalTotal :5110l=1 � Rainfall, inches TSS, mg/1 SS, m111 Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&�G, mgli (VMA) New Motor Oil Usage al/mo. Stormwater Benchmarks f�kateNO aF FLOWN Clrcla Berchmark 100150 0.1 Circle Benchmark 50/25/10 NIA Standard pWater p eu s NIA Water Quality Standardapplies 15 >56 gaUmo. averagarequires Nanpolar TO GrwnNorizi Date Sample Collected, molddl r MEM=,=MM O o1./t 5 0,30 -6S.Lft o.10 W 1. S 7. C, > 55, AA 1 PIA b 1 )'341cirei 11�r ir, V M r vi.- o �c ,` o c• .4. ,t+- w tip, k--cs i o Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. N0002 ®1❑®0 Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. 2 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 JZ 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 exoeedances did not require monthly monitoring ❑ Other ❑ Outfall No. — Total Rainfall, inches SS, ml/I Turbidity,Nora-polar NTU Upstream {U) Turbidity, NTU Downstream (D) Turbidity, NTU O&G, mg/1 (VMA) New Motor Oil Usage allmo_ Stormwater Benchmarks indicate No OWif0.1 aFLflcser L*O75 Circle Benchmark 50/25110 NIA Quality Standard applies NIA Standard appWater ll s 15 >65gaUmo. averagerequlres SS and Non -polar o&G monitoring Date Sample Collected, molddlyr 3 A r7 0 Permit Date 1011 /2016 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 16 I ❑d 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 J?:,A 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 RECEIVED FEB 2 7 11w ANNUAL SUMMARY DISCHARGE MONITORINGNTRAL FILES REPORT (DMR) — WASTEWATER LJvvH SECTIOi l SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year ' O l `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. Cert'rficate of Coverage No. NCG02 00®Q Facility Name: County: C Phone Number: (j Certified Laboratory +e C — rf J-L G� Ctai c _92�G— Total no. of outfalls monitored 2 n 1 +"; lab#W_WtG7 Io)a,re _ - Lab # 5.3'1a_ Wastewater (WW) Discharge Outfall No. WI 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 SE or PNA waters? Yes ❑ No Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No EU 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 o Were there any limit violations In the calendar year? Yes ❑ No ❑ Fecal Outfall No. Daily Flow pH, TSS, SS, Discharge Upstream Downstream Collform, Rate, cfs SU mg/1mul Turbidity, (U) Turbidity, (D) Turbidity, col/100 ml ivy s lI NTU NTU NTU SA s„� Effluent ++aw a eaw 60%of ft-1—ew 6.0-9.0 26146 ►tow, omv No Limit NIA NIA Limitations 7Q10 eaftu" HQWorOaW 20130 GA,SB,r+wt or&nyTF W ;ro N/A 6.8.8.5 wwwoew 0.1/0.2 n,m,ppn..: Mo. Avg I DaW Max. ►n' MO FLOW AW Tr or PMorqwxabk 10116 60/.26110 Date Sample Collected. r ; mold r Ci 3 j3 j c.�xu ect e c ro l I 1 N w .,- p t'G L i� + 3 - V • Permit Date 10/1/2018 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG0299FITE0 Additional Outfall Attachment (make copies as needed for additional outfalls) Wastewater (WW) Discharge Outfall No. Is this an Industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No (� Does this outfall discharge WW to SA waters? Yes ❑ No IN Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No 10 Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No F 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 Were there any limit violations In the calendar year reported? Yes ❑ No Outfall No. ��bS Eae3 Daily Flow Rate, cfs pH, SU TSS, mgll SS, mill dOWCAWS Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliform, col/100 ml SA EffluentNOWo Mo. AV, IDai,yYu. ORW I-s0 /a of 7Q10 bldkffft MO E MOW hedmeter 6.0-5.0 """` 6.8-8.6 wimbuisand 26145 „a,,, a ORW 20/30 N4N°,O"0.110.2 AnATrorPNA#Wft10/15 t1QMY, oRw, SA, ss. MA, °'"yT°" Limit Oly"'Ard d that 50126/10 NIA anof pw� Standard NIA bLimitations s N/A Date Sample Collected, molddl r sC c P CY9 (o -1, flo Co-3.3 N /A J,a .3 5•_5 0 os I (a (15.11 G.96 l G9 N/A I a.3 6.'7 p N Pbi5 OOa viol ei 11. riG. 5- A (-o ce J n, n e—cke-uja 4-,--r,VLjcju r 5 r u n , ,,.1 e r:' n .A e r o w + Perm it Date 10/112016 — 9/30/2020 Last Revised 10-2-2016 Certificate of Coverage No. NCG02 0❑00 CERTIFICATION 1 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. 1 am aware that there are signrficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Required by 40 CFR §122.221 SignE Date 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) Dlvislon of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1 6 17 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff In the Central Office at: (919) 707-9220 Permit Date I Oil f2015 — 9130/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) -- STORMWATER I SUBMIT TO CENTRAL OFFICE* I General Permit No. NCG020000 Calendar Year "Report ALL STORMWATER monitoring data on this form (include 'No Flow PNo Discharge' and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG02 nW[J 1UJ Facility Name: ho n_-xo 1__ N. utgc es w t SOG�C`�i MOLte* jL &Lka( y - - County: • Fck!c,ec o r-nbe- r� Phone Number: (�) 3 (o - 2 -1y Co Total no. of SDOs monitored QL Certified Laboratory Pa ee Ana I v+; cctil tab # W W 007 }-6:nson . -Lab# 553`72 Storrnwater Discharge Outfall (SDO) No. 1 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 outfali was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency ❑ Yes, recelved approval from DEMLR to reduce monitoring frequency ❑ No, turbidity benchmark exceedanees did not require monthly monitoring Other ❑ Outfall No. Total Rainfall, Inches TSS, mg/1 SS, mill 1 Turbidity,(D) NTU 1 Upstream (U) NTUdI�►, Downstream Turbidity, NTU Non -polar O&G, mg/1 (VMA) New Motor Oil Usage aYmo. Stomnvater Benchmarks ram, NO F`OH'" e�`.n� 100/50 0.7 eenr�x 601200 NIA swe.� NIA 15 no :Zogv�, S ` Date Sample Collected, mo/ddlyr Y ' :. tr 7 ( '•ne ai, 1.a ` i 'ta ; }i a f a 04 a Ti k too 51.0 <["10 79 ! 55 i I 1 I o .0 I p o Ip 3, < s; iAl ,. r 0 11A,4r a a Permft Date 10/112016 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ®0®❑I Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. 2. 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 ❑ IM jT?ota I SIM Upstream rr . I 1 0 Non -polar •: motor Oil .. Stormwater Benchmar*s�!^_� ® r r. r r WWI", Date Sample mo/ddlyr Permit Date 10/112015 — 9130/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ©❑i 00 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] Sign, Date 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 (919) 807-6300 Questions? Contact DEMLR Stonnwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 — 9130/2020 Last Revised 10-2-2015 16 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year D- C ) 5- 'Report ALL STORMWATER monitoring data on this form (include °No Fiovf/"No Discharge' and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG02 LdUUU Facility Name: Ej n5on- County: r" - Phone Number: (qI G )_ 3 SCE - `] y Total no. of SDOs monitored o� Certified Laboratory PG ce_A na 1 y + r co I _ lab # W WOO nSonlA4�:e s Lab# 53'72- Stormwater Discharge Outfall (SDO) No. S00- 1 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 ❑ Gutfall No. 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 avmo. Stormwater Benchmarks W&.:uro FLO'"" B.h.& 100150 0.1 Dvmh,,.,k 50/26/10 NIA srtuWaa,� �.. NIA �;,�, � 16 ., .ge-qL&- �� "„°"�°"` Date Sample Collected ../+r mOldll! r1+4 <�„ ., ,R �r �,� xr�c t �r f ' w� x�p i i S .I rat,; a x a t r wr i i �. i �V. (0 3D I S C_ Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 L Certificate of Coverage No. NCG02 90001 Additional Outfall Attachment (make copies as needed for additional outfalis) Stormwater Discharge Outfall (SDO) No. �� VMA Outfall? Yes ❑ No [a Is this outfall currently in Tier 2 for any parameter? Yes ❑ No'gi 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 ❑ •arn ," Total -: Inchesimma .: • •. wnstream rr , • . • •: New Oil sage . g Stormwater Benchmarksr r . r lifit . r Standardappift , MOM�i/C1a� -- Permit Date 1011/2015 - 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ❑©[Dg 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 C✓=R §122.22] Signe, Date 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date I Oil f2015 — 9130/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — WASTEWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year "Report ALL WASTEWATER monitoring data on this form (include "No FloW/'No Discharge" and Limit Violations) from the previous calendar vear to the DEC by MARCH i of each veer, Certificate of Coverage No. NCG02 Facility Name: ri a nSa !l 6�� re4T-S County: Phone Number. 3 S - 1 Certified Laboratory P rz- Ce Ph A1-g +I' e-q � n Total no. of outfails monitored 'J Lab # W w 067 _ab# 53'12- Wastewater (WIN) Discharge Outfall No. - QD I Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ Nol,2 Does this outfall discharge WW to SA waters? Yes ❑ No fD Does this outfall discharge WW to SB or PNA waters? Yes ❑ No Does this outfall discharge WW to HOW or ORW waters? Yes ❑ No If so, what Is the 7010 flow rate? or Tidally Influenced waters, 7010 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 ❑ Outfall No. Daily Flow Rate, cfs pH, SU TSS, mgll SS, nmill m Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliiorm, co11100 ml SA Effluent Limitations Rio. Ave! DANY RUK. HoweroRw 50% of 7010 InN,� • • 6.0-9.0 °"""`'" 6.8'8.5 MGRISand 26146 NQWoroRW 20130 HaworORW �R4 Tr or PNA 10116 Hca.oRW, SA,Sa,PNA, "''Onsy'P1O"' 0.110.2 No Limit Water MatappZ 60126J10 NIA Water s„„e ,ate, NIA Ww;rd� N/A Date Sample Collected, mold r M7'-i{ r x ij3^ #Y,r4, �Y o n /15 tr . E z . 30 ► 1 _7 4 0. i 0 -0 /,4- 0 oc� 6,09 o 5--4 o. 16 N 1A 35,0 �. S n t4 ic G l V)o rq, I r R P,C)'+I l 1 31 t L-Jc� Ic fi z n W r'r CA I a{' B S r-e- M t�n Il er UQ 4t r V,.a in4 } i c ^C Penn it Date 101112015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 511001Q Additional Outfall Attachment (make copies as needed for additional outfalls) Wastewater (WW) Discharge Outfall No. (DO' IN Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No, Does this outfall discharge WW to SA waters? Yes ❑ Nop— Does this outfall discharge WW to SB or PNA waters? Yes ❑ No Does this outfall discharge WW to HOW or ORW waters? Yes ❑ No� 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 ❑ NoTA Were there any limit violations In the calendar year reported? Yes ❑ No CR Outfall No. r� Daily Flow Rate, cis pH, SU TSS, mgn SS, mill rrmwkCame Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliform, co11100 ml SA Effluent Limitations U.. A. I DaRy M.. HQworoRW 60% of 7Q10 des W fraahmer 6.0-9.0 samm`er 6.8-8.6 hduahfal Band 25146 HQr„o,DR„, 20130 HQworoaw AodTrarPM 70115 t ow, OFM SA. sB,"a, °ranynwl 0.110.2 No Limit CIdoW.f.r Qandard 60126110 NIA wafarQuallry ss.ndareaapea NIA wafarQuallty Surldardappnaa NIA Date Sample Collected, molddl r -- I I c rz� ISC. i ' AN a 1t © !' a 50 10 Permit Date 10/112015 — 913012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 Q)ng0 Additional Outfali Attachment (make copies as needed far additional outfalls) Wastewater (WW) Discharge Outfall No. Oa 3 Is this an Industrial sand mine (See 40 CFR §436 Subpart Dj? Yes ❑ No Does this outfall discharge WW to SA waters? Yes ❑ No [A Does this outfall discharge WW to SB or PNA waters? Yes ❑ No P Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No p 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 reported? Yes ❑ No Upstream Li • Mo. Ave I Wily MALr HOW or OM 60% of /r 1 1 HOwDr•1 HOWOrOR%%—l1 10/16 1 1 . 1 mold r I� ► ���16�/iAi'iily3i-- !_ r. s I OWN 101 9 C3IMFM, F 9 � �e ' ffl.-. Permit Date 101112016 — 9/3012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ®Q®Q 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) Sign€ Date Mail Annual Summary Wastewater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (not DLMLR) 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 101112015 — 9130/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DMR - WASTEWATER SEND TO CENTRAL OFFICE* PROCESS MINE/DEWATERING WASTEWATER GENERAL PERMIT NO. NCG020000 REC[ElvEij MAR 022015 C,'&NTFZAL FILES DMSECTION * 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 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 O� � I FACILITY NAME: a✓+"i�Gn_ ��ce� - GV rM n C�a.kca_r PERSON COLLECTING SAMPLES - CERTIFIED LABORATORY: �GCP ,,u�ti��,` Lab# W VJ C `7 J}avr!,�n Acsr.r 8, 5 Lab # S3r7.)- LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: I �} COUNTY: PHONENO. `i1 3SO-5-7114, ADD TO LISTSERVE? YES ❑ NOD EMAIL: J�a"i,,,ry!�,-, �0 1 . �vr INDUSTRIAL SAND? ❑ DISCHARGING TO SA WATERSa? ❑ Outfall No. Date Sample Collected t Total Flow Total Suspended Solids Turbidity' Settleable Solids pH Fecal Califorms - mmlddlyr MG mgll NTU ml/l Standard collml ' © P- 0.01 D n . 2 9,9 U41 < en. 1 '1, oy d.1 9 % PN N n t`7,5 zLX- C -, c I ,s ,Pew li- (� o� 6-77H 0,03 310, 1 C, -7. C ` N4 /A 1 '7 1 -4 e j7 s� k izC t�- 0 �-7-4 1-7 Z .L4 C-r c�C 3 c�! 15 1-4 t,�c: fS -4A!--C-rL ' All mines most 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. 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 ail 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. J Only facilities discharging to SA waters are required to monitor for Fecal coliforms. Permit Date: 1/1/2010-12/31/2014 Last Revised 02-02-11 Page I 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/l NTU mlll 2 Standard 2 coUml 2.4 3 . N ire IG o14 - 1_C —f5:— 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 (919)807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "l 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 of Permittee) oa/ar7 (Date) Permit Date: 1/1/2010-12/31/2014 Last Revised 02-02-1 1 Page 2 of 2 I ANNUAL SUMMARY DMR - STORMWATER I SEND TO CENTRAL OFFICE * STORMWATER DISCHARGE OUTFALLS (SDO) GENERAL PERMIT NO. NCG020000 *Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year. CERTIFICATE OF COVERAGE NO. NCGV 4D I a J- FACILITY NAME: 4qV1 SC> 5- n a r PERSON COLLECTING SAMPLES G 2Jt�i t CERTIFIED LABORATORY Lab # VJ tn1 Ob i r o c �, Lab # Part A: Stormwater Monitoring Reuuirements SAMPLE COLLECTION YEAR: COUNTY c 4 . e C-9,-- PHONE NO. ( -3 ID - -2 `Z `1'� L ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL: �r� . afar ley (�It[s nS7t. CGS.�t Outfall No. Date Sample Collected (molddlyr OR NO FLOW)' In Tier 2 Monthly Monitoring? (Yin) # of Months in Tier 2 Sampling a Total Flow (MG) Total Suspended Solids (mgA) a Turbidity (NTU) Settleable Solids (MI/1)(in) Total Rainfall Event Duration (minutes) - - - - - 100 ' See Footnote ' 0.1 6DD-1 Al A- 3 ' I L{ 1'\ ?J CQ 2I 5 Cam ' sail-1 i 0 l 0.01 i < o, 1 1 ,off `+O 45,.E r 5 W- r, 0 1 LI &J m sc R(s If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range. Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples arc below the benchmark or within the benchmark range 3 If 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. 4 TSS benchmark values are 100 mg/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 pennittee 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 01-21-11 Page 1 of 2 fjC(-- o-.Oioff-) Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oillmonth on average Outfall No. Date Sample Collected (mo/ddty-r OR NO FLOW) In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 5amplingZ New Motor Oil Usage (allmontb Total Flow (MG) TPH using method I664A 5GT-HEM m Total Suspended Solids (m ) pH (Standard Units Total Rainfall (in) Event Duration (minutes) 15 100 6- ©9 5 >.5s 0,03 E, 0 13,E �A �5 Sn . r 1 tAl { 4 II r ` T c f HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? HAVE YOU CONTACTED THE REGION? WHO AT THE REGION HAVE YOU SPOKEN WITH? YES [-]NOT YES ❑ NO ❑ 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 (919)807-6300 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." �.,.�- ��,�.-� _ _ a� 1 �.� lam► s (Signature of Permittee) U Permit Date: 1/1/2010-12/31/2014 (Date) Last Revised 0 1 -21 -11 Page 2 of 2