NCG020279_MONITORING INFO_20191231

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE.
❑ HISTORICAL FILE
,J MONITORING REPORTS
DOC DATE
❑ 'c;L
YYYYMMDD

ANNUAL SUMMARY DMR - WASTEWATER
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 Discharge and Permit Limit Violations) by MARCH 1 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 O O 0 SADIPLE C LLECTIONp YEAR 20 19
FACILITY NAME: �Ou%%PCrl rnriu ctlt >`. i < •e. COUNTY: �i CIn1 0✓trl
PERSON COLLECTING SAMPLES: E'-ic a l-mar PHONE NO. 10 A91- 31$ f
CERTIFIED LABORATORY: /1'1� crp a� Lab # ADD TO LISTSERVE? YES N NO❑ EMAD,: 2r! ci�sa+,al4"d;� wc/, net
�Ze wl1e _ IV Lab #
LIMIT VIOLATIONS? YES El NO LNDUSTRIAL SAND" ® DISCHARGING TO SA WATERS", ❑
Part A: Wastewater.1%lonitoring Reilm ments
OutfaillN0.
`.DateSarn
- -1
-.- „Colleefed
-
:Total Flow.
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Total Suspended::.
- t
Solids :.,
Turbiriitys
-°
...
Settleable Solids
pH
FecalColifo�ms
-.: _., ..
--
'.- min/dd/yt•
DIG
mgA
NTU
:., mVl'
Standard
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< 17
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All mines must monitor .NVW dischar--es for TSS. Only industrial sand mine discharges are subject to TSS limits
' If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
'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
Stonnwater 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: � _ Last Revised 01-21-1 I
10GTd01S f'D -30 SEP-1-020 Page Iof2

,��iuu ui water yuanty
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 dititrectly responsible for gathering the information, the information submitted is, to the best of my knowledge, and belief, true, accurate, and complete.
I am awalthe signit' penalties/,fors Itiu tong false information, including the possibility of Fnes and imprisonment for knowing violations_"
(S�gna[ure of Permdtee) (Date)
Permit Date: 10 QQJ Q 12 Q 1 r;Z9 1 1
Last Revised 01-21-11
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