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Home My WebLink AboutNCG020256_MONITORING INFO_20170207STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. Iv b c) DOC TYPE ❑HISTORICAL FILE )( MONITORING REPORTS DOG DATE ❑ -% )I -L- L-� 0 YYYYMMDD ' ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) - WASTEWATER 1B 07 ru I I SUBMIT TO CENTRAL OFFICE* CENTRAL FILES General Permit No. NCG020000 OWR SECTION Calendar Year 2-01 � "Report ALL WASTEWATER monitoring data on this form (include "No Flow"/"No Discharge" and Limit Violations) from the previous calendar vear to the DEQ by MARCH 1 of each yea.:L i w Certificate of Coverage No. NCG020274- ,5(o FEB 07 4'uir Facility Name: S v ffiJ,j S W ) S e M a ` CENTRAL FILES County: L � t I I DWR SECTION Phone Number: `! 6 1 G b 7.3 Total no. of outfalls monitored C - Certified Laboratory 1- TS aS le tJ 1) Lab # Lab # Wastewater (WW) Discharge Outfall No. S LU 4� Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No [�j 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 HQW 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 ❑ No ❑ Were there any limit violations in the calendar year? Yes ❑ No ❑ Outfall N IA/ Daily Flow Rate, cfs pH, SU TSS, mgll SS, mlli ifopplicabte Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliform, co11100 ml (SA) Effluent Limitations Mo. Ave t pally Max. HQW or ORW 50% of 7Q10 Indicate NO FLOW if applicable freshwater 6.0-9.0 saltwater 6.8-8.5 Industrial Sand 25145 HOW or ORW 20130 HQW or ORW and Tr or PNA 10/16 HQW, ORW, SA, SO, PNA, or any 0.1I0.2 No Limit Circle water Qullity Standthat app! esard 50/25/10 NIA Water Quality Stan@srtl applies NIA WaterQuallty SSandard applies NIA Date Sample Collected, molddlyr ' a,Z: a s , • ,�, .,k ZL 6 0 uo -7, " y U i o �O L6 L"I owb 7,)_j 1,8 7 3 0t c u'7 G Z0 Z. 4I 3 Permit Date 1011/2015 — 9/30/2020 Revised 11-16-2015 for Additional Monitoring Specific to this COC 5'110)fv s w0le r" 4 N-) S 6 Certificate of Coverage No. N0002027-4--- Supplemental paramteters: Outfall No. 5 w H I continued Total At, mgll Total Cu, mgll Total Pb, mgll Total Ni, mgll Total Zn, mgll Total Chloride, mgli Total Fluoride, mgll Total Hardness, mgll Effluent Limitations NIA N/A NIA NIA NIA NIA NIA NIA Date Sample Collected molddlyr , , p ,� � F 0 7 3a oo 401 Q 5Q I G o b 5� Lz t Z-V0 LI CU U S 40,01 ,U Z. O 1I n 116ca s 4v oil Zo,0` Zotyi c L I Z "'0'001 40 L 0 Permit Date 10/1/2015 — 9/30/2020 Revised 11-16-2015 for Additional Monitoring Specific to this CO ' t'O lh NS W I R- Mor y? 5 (� Certificate of Coverage No. NCG020274 ,Additional Outfall Attachment (make copies as needed for additional ootfalls) Wastewater (WW) Discharge Outfall No. 5 W �� 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 SB or PNA waters? Yes ❑ No ❑ Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑ 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 ❑ Were there any limit violations in the calendar year reported? Yes ❑ No ❑ Outfall No. 5 w Daily Flow Rate, cfs pH, SU TSS, mgll SS, mill if applicable Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Conform, co11100 ml (SA) Effluent Limitations Me, Ave) Daily Max. HQW or0RW 50% of 7Q1 0 indicate NO FLOW if appiicable freshwater 6.0-9.0 saltwater 6.8-8.5 Industrial Sand 25145 HQWorORW 20130 HQW or ORW and Tr or PNA 10115 HQW, ORW, SA, SB,PNA. or any Trout 0.1 /0.2 No Limit Circle Water Quality Standard that applies: 50/26/10 NIA Water Quality Standard applies NIA Water Quality Standard applies NIA Date Sample Collected, rnoldd/yr { a• M , ; t3 Uru0 o,QU 7r 2,,3 it O�Q 1 , L U, Z. `[ Z,110 li u Z 7 Z 1 z 6 3 Permit Date 10/1/2015 -- 9/3012020 Revised 11-16-2015 for Additional Monitoring Specific to this COC ! ."0I NS W 1�ei"h'ak1 56 Certificate of Coverage No. NCG0202:�4- �sip�plemental ��ra,rae�c��=: Outfall No. S Lj'd ?— , continued Total Al, mgli Total Cu, mgll Total Pb, mg/l Total Ni, mgll Total Zn, mgll Total Chloride, mgll Total Fluoride, mgll Total Hardness, mgll Effluent Limitations NIA NIA NIA NIA NIA NIA NIA NIA Date Sample Collected, molddlyr s r , (' 2v 1 G LOr Os �6, Lo 3, L39 d Z. U� ,LQ, uJ CO,0 LU U U•UZ �0 Z u i LouL U,� U 11 zit UAL Go, 006 1U, oS LO,U U GU UZZA Permit Date 10/1/2015 — 9/30/2020 Revised 11-16-2015 for Additional Monitoring Specific to this COC 5h Certificate of Coverage No. NCG020274- 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] z Signature Date G 1 Mail Annual Summary Wastewater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (riot 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 Revised 11-16-2015 for Additional Monitoring Specific to this CO r ANNUAL SUMMARY DISCHARGE MONITORING r REPORT [AMR — WASTEWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year 2-o I *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. NCG020274 N L �� (� 5 J 01 rv5-- W IS r al 0 jV Facility Name: 5_01 1 MS GyLS.C. �ry County: I Phone Number: ( } Z_S2 4Y 7 to Certified Laboratory 'T Lab # Lab # MAR 2 I pals ,tom Total no. of outfalls m - i ored lim CENTRAL FILES - DWR aECTION Wastewater (WW) Discharge Outfall No. a 5 K/ /4 Z Vv W Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑ 0 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 ❑ 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 ❑ Were there any limit violations in the calendar year? Yes ❑ No ❑ Outfall No. Daily Flow Rate, cfs pH, SU TSS, mgll SS, mill if applicable Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliform, co11100 ml (SA) Effluent Limitations Mo. Ave) Daily Max. HQW or ORW 50% of 7Q10 Indicate NO FLOW If applicable freshwater 6.0-9.0 saltwater 6.8-8.5 Industrial Sand 25145 HQW or ORW 20130 HOW or ORW and Tr or PNA 10115 HOW, ORW, SA, se, 11 ar any Trout 0.110.2 No Limit Circle Water Quality Standard that applies: L n I�1C�11 Q 50 L NIA Water Quality Standard applies NIA Water Quality Standard applies NIA Date Sample Collected, molddl r ��f3 �Ca A. : , �;•: - 6 _I U` UJ 7 71 l U! Z L Permit Date 1011/2015 — 9/30/2020 Revised 11-16-2015 for Additional Monitoring Specific to this COC Certificate of Coverage No. �,upplemewa+ uaran-jews: Outfall No. continuedmgll Total Al, mgll Total Cu, mgll Total Pb, mgll Total Ni, mgll Total Zn, mgll Total Chloride, Total Fluoride, mgll Total Hardness, mgll Effluent Limitations NIA NIA NIA NIA NIA NIA NIA N/A Date Sample Collected, mo/ddlyr„ Permit Date 10/1/2015 — 9130/2020 Revised 11-16-2015 for Additional Monitoring Specific to this COC Certificate of Coverage No. Additional Outfall Attachment (make copies as needed for additional outfalls) ivcG,UL02--L Wastewater (WW) Discharge Outfall No. SW 00 1 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 SB or PNA waters? Yes ❑ No ❑ Does this outfall discharge WW to HQW 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 ❑ No ❑ Were there any limit violations in the calendar year reported? Yes ❑ No ❑ Outfall No. Daily Flow Rate, cfs pH, SU TSS, mgli SS, mlll it applicable 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 ORIN 50% of 7Q10 Indicate NO FLOW it applicable freshwater 6.0-9.0 saltwater 6.8'8.5 Industrial Sand 25/45 HQW orORW 20/30 HQW or ORW and Tr or PNA 1 0115 HQW, ORW, SA, SB, PNA, or any Trout 0.110.2 No Limit OirclaWater Quality Standard that applies: 50/2511 0 NIA Water Quality Standard applies N/A Water quality Standard applies NIA Date Sample Collected,/f molddl r - z9- !z 0, 007 7. Z-ut Permit Date 10/1/2015 - 9130/2020 Revised 11-16-2015 for Additional Monitoring Specific to this COC Certificate of Coverage No. >rrpplemewa, aararrieters: Outfall No. contincred } Total Al, mg/l Total Cu, mgll Total' Pb, mgll Total Ni, mgll Total Zn, mgll Total Chloride, mgll Total Fluoride,. mgll Total Hardness, mg11 Effluent Limitations NIA NIA NIA NIA NIA NIA NIA NIA Date Sample Collected, molddlyr i k f Permit Date 1011/2015 — 9/30/2020 Revised 11-16-2015 for Additional Monitoring Specific to this COC Certificate of Coverage No. CERTIFICATION NL 6 O Z 0 Z S6 "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." fRequired by 40 CFR §122.22] Z% Signature 5<`� Date 7 o Mail Annual Summary Wastewater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is noosed 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 — 9130/2020 Revised 11-16-2015 for Additional Monitoring Specific to this COC North Carolina Department of Environmental Quality Pat McCrory Governor Gregory Taveras The Quartz Corp USA P.O. Box 309 Spruce Pine, NC 28777 Dear Mr. Taveras: November 19, 2015 Donald R. van der Vaart Secretary RECEIVED NOV 2 1015 O\NR SECT S C! Subject: General Permit No. NCG020000 The Quartz Corp USA - Sullins -Wiseman Mine COC NCG020256 Mitchell County In accordance with your request for renewal of a discharge permit received on June 30, 2014, we are forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended). Please take notice that this certificate of coverage is not transferable except after notice to the Division of Energy, Mineral, and Land Resources. The Division may require modification or revocation and reissuance of the certificate of coverage (COC). Please be advised that EPA Region 4 staff who performed a Compliance Sampling Inspection (CSI) at the end of March 2015 and follow-up sampling in June 2015 at other industrial mineral mines in North Carolina raised concerns about metals levels in the discharges. The Stormwater Permitting Program identified mines like this one that have similar activities. During the term of this General Permit, this site may be evaluated further for an alternative permitting action, such as applying to the Division of Water Resources (DWR) for an individual NPDES discharge permit (or modification of its existing wastewater individual permit) prior to the expiration of this General Permit in 2020. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Energy, Mineral, and Land Resources, or permits required by the Division of Water Resources (DWR), Coastal Area Management Act, or any other federal or local governmental permit that may be required. If the conditions as stipulated in the COC are unacceptable to you, you may apply sooner for an individual NPDES discharge permit. Division of Energy, Mineral, and Land Resources Energy Section - Geological Survey Section - Land Quality Section 512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http:l/portal.ncdenr.org/web/Irl Mailing Address: 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 - 919-707-92001 FAX: 919-715-8801 An Equal Opportunity I Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper NCGO20256 Renewal COC November 19, 2015 Page 2 If you have any questions concerning this permit, please contact Bradley Bennett at telephone number (919) 807-6378, or Bethany Georgoulias at telephone number (919) 807-6372. Sincerely, -t"4 At%ftfl- for Tracy E. Davis, P.E., CPM cc: Toby Vinson, DEMLR Land Quality Section Tom Belnick, DWR Water Quality Permitting Section Stan Aiken, DEMLR Asheville Regional Office RE Linda Wiggs, DWR Asheville Regional Office Kip Tyler, EPA Region IV NPDES Permitting and Enforcement Branch Stormwater Permitting Program Files DWR Central Files Certificate of Coverage Page l of STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL AND LAND RESOURCES GENERAL PERMIT NO. NCG020000 CERTIFICATE OF COVERAGE No. NCG020256 STORMWATER AND WASTEWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, The Quartz Corp USA is hereby authorized to discharge stormwater and/or wastewater, as provided in the original Certificate of Coverage (COC), or subsequent COC modification, from a facility located at: Sullins-Wisemsn Mine Sullins Branch Rd Spruce Pine Mitchell County to receiving waters designated as Sullins Branch, class C;Tr water(s) in the French Broad River Basin(s) in accordance with the stormwater pollution management requirements, monitoring and reporting requirements, and other conditions set forth in Parts I, 11, III, IV, V, and VI of General Permit No. NCG020000 as attached. This Certificate of Coverage shall become effective October I, 2015. This Certificate of Coverage shall remain effective for the duration of the General Permit. Signed this day October 1, 2015. ?W�l j:�Vs- for Tracy E. Davis, P.E., CPM Director, Division of Energy, Mineral and Land Resources By the Authority of the Environmental Management Commission http://portal.ncdenr.org/web/1r/2015-erenewal 1 I II 9/2015 North Carolina Department of Environmental Quality Technical Bulletin for N.C. General NPDES Permit NCG020000 (Mining Environmental Activities) Division of Energy, Mineral, and Land Resources Quality Technical Bulletin for NCG020000 (Mining) Last Revised 10/8/2015 What activities are covered by this general permit? NCG020000 coverage authorizes: • Stormwater discharges associated with mining and quarrying of non-metallic minerals (except fuels), mine excavation, processing, and vehicle maintenance activities (VMA) at mine sites. • Wastewater discharges (dewatering, process wastewater, wastewater recycle system overflows). • Operation of wastewater treatment systems (Authorization to Construct no longer required). NCG020000 coverage is NOT APPLICABLE to: • Borrow Pits covered by the NC DOT statewide Stormwater permit. * Peat mining; coal mining, metal mining, or oil & gas extraction operations. • Wastewater not specifically identified by the general permit. What are key stormwater requirements? NCG020000 requires periodic discharge monitoring and a Stormwater Pollution Prevention Plan (SPPP): • Develop and implement an SPPP, and update it at least annually. • Inspect Stormwater Best Management Practices (BMPs) once every seven (7) calendar days. • Semi-annual analytical monitoring and qualitative (visual) monitoring. • Report stormwater monitoring data once a year by March I st to DEQ Central Office. • Report benchmark exceedances or Tier 2 monitoring to the DEMLR Regional Office within 30 days. • Respond to benchmark exceedances according to Fier response requirements. What are key wastewater. requirements? NCG020000 stipulates wastewater treatment facility operational requirements and periodic discharge , monitoring: • Notify DEQ if facility fails to perform satisfactorily or creates nuisance conditions. • Only DEQ-evaluated flocculants may be used, if administered according to maximum application doses. • Quarterlj analytical monitoring for first year, or until four consecutive samples comply with all limits (then semi-annual monitoring allowed). Quarterly monitoring schedule resumes upon any limit violation. • Settleable solids (SS) monitoring applies to discharges to HQW, ORW, SA, SB, PNA, or Tr designated waters. • Total Suspended Solids (TSS) limits specific to industrial sand mines, and to any mine discharging to HQW. • Report wastewater effluent monitoring data once a year (by March I st) to DEQ Central Office. • Report effluent limitation violations to the DEMLR Regional Office within 30 days. • Effluent turbidity levels above the water quality standard prompt upstream and downstream monitoring. What has changed from the previous permit? Some changes specific to Stormwater: • Reduced BMP inspections (weekly) for active mines; additional allowances for inactive mines that qualify for "dormant status." • Changes to SPPP Annual Update. • "Measureable storm event" (any size that results in a discharge) replaces "Representative" event. • New benchmarks and Tiers specific to turbidity. . Total Flow and event duration no longer required. • pH removed from VMA monitoring. Some changes specific to Wastewater: • May drop to semi-annual WW monitoring after four quarterly samples that comply with all limitations. • Turbidity instream monitoring is required if effluent levels above the water quality standard. • SS monitoring for sensitive waters only (HQW, etc.) • TSS limits apply to industrial sand mines and HQWs. Changes from the last permit are detailed in the "Response to Comments and Summary of Changes" Document for the 20.15 NCG02 GP on our website. PAGE TECHNICAL BULLETIN FOR N.C. GENERAL NPDES PERMIT NCG020000 (MINING ACTIVITIES) Frequently Asked Questions What if my mine is inactive? The permit makes allowances for Inactive mines that have sus- pended all industrial activities and that certify to DEMLR that the site has been stabilized. If approved for "dormant status," these operations qualify for re- duced BMP inspections and may be exempted from outfall moni- toring by the Regional Engineer. Do I have to monitor all outfalls? Yes. However, you may request Representative Outfall Status (ROS). If approved, ROS allows monitoring at fewer outfolls. To request ROS, submit an ROS Re- quest Form to the DEMLR Region- al Office. The form is avoilable on our website (below). Also, the Regional Office may exempt mines with "dormant sta- tus" from analytical and/or quali- tative monitoring. What if I sell my business, or the name changes? You are required to notify DEMLR of those changes in writing, and continuation of permit coverage is subject to the Director's ap- proval. Please submit the Name/ Ownership Change form'located on our Program website. What do I do when my permit expires? Permitees are not required to sub- mit an application for renewal un- less directed by the Division. The permittee should continue to abide by this general permit if it expires and renewed coverage has not yet been issued. What is wastewater, and what is stormwater at a mine site? Any water contacting an actively mined area, water used to pro- cess mined materials, and mine dewatering water are all consid- ered "wastewater." For some mines,."mine dewatering" also means wet pit overflows, and not just pumped -out water. Any stormwater that commingles with these waters is "wastewater." "stormwater" includes runoff from areas related to mining, pro- cessing, or raw material storage areas, such as haul roads or pro- cessing plant areas at the mine. Sometimes the answer is not clear because of how broad the defini- tions are. For example, N.C. con- siders runoff from areas that con- tain overburden only (no mined or processed material), and that does not commingle with wastewater (including runoff from the mine), to be stormwater. If you are unsure about discharges, please contact the DEMLR Re- gional Office for assistance. Does a certified lab need to analyze my samples? Monitoring under NPDES permits must be conducted in accord- ance with test procedures ap- proved in federal regulations in 40 CFR §136. All labs certified by LAST REV, 10/8115 North Carolina perform analysis in accordance with those proce- dures. While N.C. certification re- quirements do not apply to testing sformwater-onfy discharges, data gathered under an NPDES permit must still conform to federal re- quirements. Using a North Caroli- na certified lab is one way to en- sure compliance. A list of certified labs is available from: http:// portal.ncdenr.org/web/wq/lab/ cert/ What if I pull samples for my analytical monitoring, and I'm unable to get a sample or valid results for a parameter? If this happens, please sample for the missing parameter during the next measureable storm event or wastewater discharge. If I sample my discharge, do I have to do visual monitoring at the same time? You may, but it is not necessary under NCG02. Some other gen= eral permits require it, however. What if there is no flow for a period between two samples that exceed a benchmark? Are those consecutive exceedances? Yes. This scenario still puts you in Tier 2. The new permit is more clear about how the Tier 2 trigger omits periods of no discharge. Who can help me with questions? am, Your questions about stormwater permit requirements can be addressed to the DEMLR Offices: Asheville Office........... (828) 296-4500 Washington Office....... (252) 946-6481 Fayetteville Office....... (910) 433-3300 Wilmington Office........ (910) 796-7215 Mooresville Office....... (704) 663-1699 Winston-Salem Office... (336) 776-9800 Raleigh Office ............ (919) 791-4200 Central Office ............. (919) 707-9220 Helpful Link: DEMLR Stormwater Permitting Program: h ttp: //portal. ncdenr. org/web /ir/storm) water ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) —STORMWATER SUBMIT TO CENTRAL OFF/CE'• General Permit No. NCG020000 Calendar Year *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. N0002 Facility Name: County: Phone Number: (� Certified Laboratory Lab # Lab # Total no. of SDOs monitored Stormwater Discharge Outfall (SDO) No. 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 ❑ c,r;^-" y r�-r �t i" '" _ Outfall,No3_ � •. _ ..s yy+. 4 T.+� "", w ', ,. Total Rainfall, m c h @s `""_'.'.�'_� TS5 .mgll r - s:..L ra:.'i °. } -.� ,� ' 55 nl/I., '�. r}: ,•(x +� Ye;;'^ i''^' F- ; • Turbidity, NTU r• Fl+,. r?'. `"sa•,.k' r�' ,- „x.T 'Upstream {U Turbidit Y, 3 NTU';' % a F_ 5. .s.•yb+',iu� "' ' n.c•-, `! Downstream . D 'Turbidit ,}'_ Yr ' ' NTU r fit* i "• ; r -r'� . -Y ` -r � �•� m v'�rtt Non=polar ,O G,:mgll b (VMA)u 1xaT - a . .y'+� �� rj � New is Mofor Oil, ,.� Usage , n` allmo r Stormwater. . - lndlcato NO Fcow n a !cable Circle Benchmark 100150 0:1 :. �l,cle - BenchmaAr -. 50/25110. NIA : WateBenchmarks Staandard applies. NIA . standard ap"' es - -15' . - - �Ss gaumo. , ' average requires Toac and solar ;Date;Sample r; Collected; . z M61dd/ r w'- Permit Date 10/1/2015 -- 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ❑❑❑❑ Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. . 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 ❑ 1 yUpstrearn Total TSS,�.° S5, -Turbidity, (U) Turbidity, '(D� Outfall No: - X Rainfall, ingll' mlll : NTU - r NTU . F r ,-` y' 'inchest.,� - Downstream 4; New Turbidity, Non=polar Motor Oil t,NTU 08G; mgll, Usage - �� '{VMi4) t R allmo::; -- _circle - . ciMle NIA Stormwater Nrdlcate NO '6endimark 6enehmark _ Benchmarks. : tO Bey '100150 ` 0.1 50/25/10 Standard applies '55 gaumo. �N/A ` '- - . average requires ar, stiad�ard eppl ; 1 5 Toa� monitoring ..Date Sample Collected, molddlyr_,, Permit Date 101112015 — 9130/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ❑❑❑❑ Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. 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 ❑ Total. Outfall No. � � - TSS,'' Rainfall'," mgll ,. W inches ' 14h.a ' '.SS,,`-- . _ ; mill > ' -Upstream Downst` 6m Turbidit , Y {U)'.Tu�bidi€y, (D)Turbidity, NT1J NTU. NTU;. t �. , a "' ..;�'';^ 'Nor► polar . .O&G, mgll (VM_ A) . N I�4 r, ' i; New,. 1t Motor Oil; ; `Usage Stormwater fndkataNO Benchmark Benchmarks aF1,kabW _ 100150 0.1 Benchmark NIA NIA 50/25/10 s� d Standard aPPt3as Standard rQuality Water apples ,. `5 average f"g res T aG ��MA,a, " �Date,,Sample• ' };Collected, ' ' -inolddl r .. Permit Date 101112015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. N0002 ❑❑❑❑ CERTIFICATION N 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 1011/2015 — 9/30/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORTL(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 year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG02 Facility Name: County: Phone Number. ( _) Total no. of outfalls monitored Certified Laboratory Lab # Lab # 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 ❑ Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑ Does this outfall discharge WW to HQW 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 ❑ No ❑ Were there any limit violations in the calendar year? Yes ❑ No ❑ O�utfalliNo Daily'Flow Rate, cfs o < {� ,`"pH,n SU n4 t �., vnTS3; mg'!I yr , ti; SS, tF : mlll o Ifappflca6lo.y Discharge Turbidity, ;NTU; ;; Upstream„ (U)�Turbiidity, i :NTU Downstream (D} Turbiiiity;� N7U, Coliform, i�co11100+ri�lt , -5A: Effluent Limitations Mo. Ave f 0ally Maz ' HOW HOW or ORW 7Q10 fndkate No FLOW frappfkabfe• freshwater '6.04.0 saltwater 6.8-8.5 mdustdal sand 25145 -HOW, HOWoroRW `120130 HOWoroRW LnA Tr or PHA 1011$ ORW, SA, SO, PHA, or any Trout 0.110.2 No Limit puarcleWilty ter , lhatapplle.:.. 50/25/10 NIA . Standard aa�es NIA stwaaterdaeppll�e. NIA" ' l s 't Date`Sample` Collected; : molddlyr---- Permit Date 1011t2015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ❑❑❑❑ 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 ❑ Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑ Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑ 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 ❑ Were there any limit violations in the calendar year reported? Yes ❑ No ❑ ii..• . - .., Daily Flow Outfall No Rate,:cfs r,i pH, ; TSS;'. SU •mgll'' T.. � _°` - __ _ SS, "' Discharge . - Upstream idi U Turbidif ,. 'famlllb TuNTUty; _ ) _N bi y .�.; J Downstream •(D) Turbidity, NTU :Fecal, ; 'Coliform; c6l/100.rnF SA ` HQW or ORW Effluent 50% of Limitations 7Q) o Mo. Ave I salty Max. Ind)cato NO FLOW 1laAAlkable , industrial Sand freatnvater 25/45 6.0-9.a HQWorORW saltwater za13a 6.8'8.5_ - HOW orORW gU Tr or PNA 10/15 • HQW, ORW, SaSB,PNA, No Limit NIA or any Trout Glrcle water water Quality A2 Quality standard Standard applies a.11a.thatappil6s: sa12 s11 a _ _ NIA Water Quallty Standard applles NIA -; Date Sample ` Collecteds' molddl r t i Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. N0002 ❑❑❑❑ 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 ❑ Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑ 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 ❑ Were there any limit violations in the calendar year reported? Yes ❑ No ❑ ru ', r •. ,. x7 Daily Flow Y -pH TSS outfall No.. 0 Rate,'cfs SU 4 ,`; mgN Y r ` SS ,� .mlll ,� irapnlrcable` Discharge: .Turbidity;' NTU ,. Upstream.' .(U} Turbidity, NTU=�. Fecal r. Downstream „ Coliform , °�, (D) Turbidity, co11100 ml; NTU' Induablal Sand HOW or ORW freshwater, Effluent 50% of 6.079.0 Wor0R - HOW or OR - 'a6ef 7Q10 20130 How or ow Mo. Ave I Daily Max. Indicate NO FLOW pnATrr or PHA MapPllcable 10115 — How.oRW.W SA;'SB, PHA, or any Tut 0.110.2 _ No'Limit Circle that applies: 1050125 . .7r 1 NIA { I NIA . ter alty N/A waaLimitations r6.8-8.5 - _ -Date Sample' w 'Coed . Permit Date 1011/2015 — 9130/2020 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 §122.221 Signature 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 DateA 011 /2015 - 9/30/2020 Last Revised 10-2-2015 BENCHMARK EXCEEDANCE or TIER 2 DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT -TO REGIONAL OFFICE*. General Permit No. NCG020000 'Use this form ff any stormwater samples have. EXCEEDED A BENCHMARK or.if the facility is in TIER 2 MONITORING for any parameter (including TIER 2 for Turbidity). Send sample results to the DEMLR Regional Office within 30 days of receipt from the -laboratory. Certificate of Coverage No. NCG02 ❑❑❑❑ Facility Name: Sample Collection Period: Period 1 ❑ Period 2 ❑ Calendar Year County: For Monthly Monitoring: Month Phone Number: ( ) Person Collecting Samples: Certified Laboratory: Lab # Lab # Has this facility had 4.or more benchmark exceedances for any single parameter, at anyone SW discharge outfall (SDO)? Yes ❑ No ❑ Have you contacted the Regional Office? Yes ❑ No ❑ Whom at'the'Regiondid you speak with? Part A: Stormwater Monitorinct Requirements (no VMA, see next page for outfalls with VMA) ,Outfall ��x,;;_ Date'Sample, Collected - Total�� :� RainfalE `Is',this;SDO ryiri Tser'2?� Total " Suspended= Solids (TS8),`' r' • mgll �` ~ wSettleable _ _Solids,,.< _' mlllt =� - �' �':. Turbidity NTU' Upstream:(U): ,Turbidity;..,. -,NTU Downstream (D) :Turbidity,.,' NTU T y,. a.:^+ 7dIdIf tuAWaterQuallty OF ,';-. „t Inches -YIN. — .10g - 550, (ORW, HQW, Tr, PNA) 0.1 . 2rJ.jlakss,ress�Qlr:,seltwalers) 10. (freshwater Tr designated = streams, lakes,and reecrwlrs NIA. Standard applies NIA WaterQualltyO%Nv Standard applies Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 Page 1 of 3 Certificate of Coverage No. NCG02 ❑❑❑❑ Part A: Stormwater Monitoring Requirements (no VMA), Cont. r{ - = Date; Sam le - p _Collected - ' Total' } `, _ - Rainfalls ' s k -^ -� Is this $DO m Tier 27 ' Ti 'Suspended..- Solids (T8S),� ,mgll ' Settleaiiiew Solid MIN:' N "- Turbi• dit NTU Y� __� �.; - Upstream U ( ) .:T,urbidity, _ NTIJ Downstream D )" ,Turbidity, NTU` ~ -� O:utfall 'No: - fit ° _; „f ?•�, -fir .Enolddly"r�_�-inches or,.,NO,FLOWa.. -,_ a -a YIN - __ n 50'(gltw,FiQW,Tr,pNA) . _ so. 25 (lake.,resemlr.,salt tere) .10.(frashwater.Trdeslgneted streams lakes and rasemira NIA Water Quality Standard applies NIA Water Quality Standard applies Part B: Stormwater Monitoring Requirements for SDOs with Vehicle Maintenance Activities (VMA) where facilities use > 55 gallons of new motor oil a month if averaged over the calendar -year. NOTE. Other parameters only for outfalls that include both mining activities and VMA. 1i"�.-" _' ] re."4 }C 1} t'� - fi i0utfall Wo- -�*� :; s - t-= - N :,y:.-r. -Date Sample, `�� "Collected ' - h-'•�-• +..4`r' Total `Rainfall r.',-� .` T• HTSS, - mg11 �. VMA only, S-.`s .VM. Non -polar-' `= 6&6, mgl1' A,on-ly New Motor t Oil Use, -If`aplicale SS " mill, . 'If ap ep ••Turbidity,,.. NTU lfplicbleIf Upstream (U) Turbidity, ` NTU . : applicableVMA _- Downstream (D) Turbidity, NTU. .k molddlyr,"� > or "NOF,LOW', - •';inches --100150 ~ - w 15 , 55 0A 50126/10. NIA N1A Permit Date 10/1/2016 -- 9/30/2020 Last Revised 10-2-2015 Page 2 of 3 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 Mail Benchmark Exceedance/Tier 2 DMR to Your DEMLR Regional Office Land Quality Section: F 2090 US Highway 70 Swannanoa, NC 28778 (828) 296-4500 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910) 433-3300 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704) 663-1699 RALEIGH REGIONAL.. OFFICE WAS HINGTON_REGIONAL OFFICE WILMINGTON-REGIONAL OFFICE ^� 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 AI:EM1 REGIONAL` yrria �, Questions for The Central Office 450 Hanes Mill Road, Suite 300 Winston-Salem, NC 27103 Stormwater Permitting Program? (336) 776-9800 (919) 707-9220 I 0" Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 Page 3 of 3 LIMIT VIOLATION DISCHARGE MONITORING REPORT DIVIR) — WASTEWATER SUBMIT TO REGIONAL OFFICE* General Permit'No. NCG020000 _ 'Use this form;if any wastewater samples have EXCEEDED A WASTEWATER LIMIT for any parameter. - Send sample results.to the DEMLR Regional Office within 30 days of.receipt from thO& oratory. Certificate of Coverage No. NCG02 ❑ Facility Name: Sample Collection Period: Qtr 1 ❑ Qtr 2 ❑ Qtr 3 ❑ Qtr 4 ❑ Calendar Year County: If Monthly Monitoring: Month Phone Number: (_ _ L Person Collecting Samples: Certified Laboratory: Lab # Lab # Is this an industrial sand mine? Yes ❑ No ❑ Discharge to HQW or ORW waters? Yes ❑ No ❑ Discharge to SA waters? Yes ❑ No ❑ Discharge to Tr (Trout) waters? Yes ❑ No ❑ Discharge to SB or PNA waters? Yes ❑ No ❑ If HQW, what is the 7010 flow rate? or Tidal, 7Q10 not available ❑ Wastewater Monitorina Reauirements ::.;.: �� ,.,.,, _ Date Sample_ - -� Dailly, Flow_' �:..,.�..{�..�. ,,pH, 3-'..�,"Total .,�. T Suspended ' ,<' -' 7 Settleable �`. _. _ � Discharge � '. ' . Y •_,Y _ Upstream'(U) _ .^ , _' _ : - Downstream ; , r Fecal Outfall"- Collected = Rate;'cfs = s;� •sU `,. Solidss(TSS), Solids," `Turbidity, NTLI Turbidity, (D) Turbidity,' Coliforrri,. No.� r ' rN y mgll . , k _ NTU , • - -"_.,-NTU ' co11100 m! +ar s+.....-�.,.,"C' "--«-�".• r�' ti re..}.a.�,� ...t�..4 ['- s +w .�..••.e - ; Otis-.r»�,.::. S'- ♦ �+� ,mill Happileable ti� •�'•r-�e�J.,� ce - . '...-... 7 .. - -. s -- SA r-�,,.�,� . x a molddlyr, HQW or Q . 50% Of ,, fneatrwaler 6.0-9.0 induahlal Sand.- _ 25145.. _- , HQWoroRW • - How,oRw.sa sa. - `- - _ _ .- No Limit .. - - -NIA _ - NIA - z '°`. ; itDrj'�TIOYE 10W" 1s �f • � - -. 7Q10 - _ -". •_ °. _ . aanwater.m . s•�'8•� 20130 or ORW and Tr or 1. PNA, or any Trout �.11�:2 Circle Water qua] standard this apPllea' Water Standard applies Waterquall Standard applies NIA . Y t <M1 fndleate HO FLOWN .HQW 5012511 O Permit Date 10/1/2015 — 9/30/2020 Last Revised 11-18-2015 Page 1 of 3 Certificate of Coverage No. NCG02 ❑❑❑❑ Wastewater Monitoring Reauirements, cont. �; � � ` tDuftall = -No.: ,` �� r EF,-.�"_-rn- w�,� . �..^,{ � "hDate Sample>' >Collected << " --r,q--•..�--.5^?. 4.+ J`_ ., Daily -Flow :> Rate; cfs .:4. u � , , p 1, �� :�;=SlJ :'.,�-r'�ti .Total..=��-._•• ;Suspended .` Solids {TSSj mg ll a w�'+r X-�� a - • •,, -� Settleable z,Solids, mill .=; -`f1.nPPlleable�,. _ '_ -- ; _ • Discharge Turbidiiy,�NTU_ h< r a; �,, s,-•, ,- - Upstream,{U) ;Turbidity, NTU . ..� =-: , . 'Downstream (D) Turbidity, .'NTU- - �- _.--- - -'Fecal, Coliform, co11100 nil SA molddlyr u rr Or NO 1=Low -. + HOW orORW '60%Of - -7Q10 s indketaN0fLOWN applicable - freshwater 8.0-9.0' saltwater . 6.8-8.5 —Industrial Sand '$141a- - _ - ►lQwnroew - 20►30 . HQwor0Rnwl.MTrorPHA :•.�v! 17.: -- HOW, ORW, SA, SB, PNAor.nyrrout : 0.110.2 _ No Limit Clrels water Quality, Standard that applles: 50�25�10 NIA water Quality Standard applies NIA water Quality Standard applies - NIA Permit Date 10/1/2015 — 9/30/2020 Last Revised 11-18-2015 Page 2 of 3 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 §122.221 Signature Date Mail Limit Violation DMR to Your DEMLR Regional Office Land Quality Section: 2090 US Highway 70 Swannanoa, NC 28778 (828) 296-4500 3800 Barrett Drive Raleigh, NC 27609 (919) 791-4200 WINSTON-SALEM REGI0NA1j OFFICE 450 Hanes Mill Road, Suite 300 Winston-Salem, NC 27103 (336) 776-9800 Permit Date 1011/2015 — 9/30/2020 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910) 433-3300 943 Washington Square Mall Washington, NC 27889 (252) ' 946-6481 CENTRAL OFFICE Questions for The Central Office Stormwater Permitting Program? (919) 707-9220 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704)663-1699 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910) 796-7215 111 Q_ hl:�� Last Revised 11-18-2015 Page 3 of 3 NCDENit Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out thisform, please visit: http:/Iportal.ncdenr,org/webLir/nodes-stornlwaterl Permit No.: �[/�/,/_/_/�/_/,/_/ or Certificate of Coverage No.: Facility Name: County: _ Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): Phone No. Was this a "Representative Storm Event' or "Measureable Storm Event" as defined by the permit? (See information below.) ❑ Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event'must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013 A -VA . � NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: htt,f /portal.ncdenr.orgf w-eb/IrLupdes-starmwaterl Permit -No.: �l/�/�/_/_/�/_/_/_/ or Certificate of Coverage No.: LI/�/�/_/_/_/_/�/_/ Facility Name: County: Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): Phone No. Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ❑ Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to he performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modifted 7/31/2013 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.) Receivine Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light; medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 3 4 5 S. Floating Solids. Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 3 4 5 7. is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013