NCG020695 DMR WW

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 Flo& and No Discharge and Permit Limit Violations) by MARCH I of each year If
lou have limit violations, you must also have turned in a Limit Violation DPRE r J;gl�l Office within 30 days of receiving sample results from a lab.
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CERTIFICATE OF COVERAGE NO. NCG020695
FACILITY NAME: Black Ankle Quarry
PERSON COLLECTING SAMPLES: N/A
CERTIFIED LABORATORY: PACE ANALYTICAL
LIMITS VIOLATIONS? YES NO
Part A: Wastewater Mnnitnrino Renuirementc
JAN 2 1 2015 SAMPLE COLLECTION YEAR: 2014
COUNTY: Montgomery
CENTRAL FILES PHONE NO.
LabDAVR SECTION ADD TO LISTERVE? YES NO EMAIL:
INDUSTRIAL SAND'? DISCHARGE TO SA WATERS 4?
Outfall No.
Date Sample Total Flow
Collected'
Total Suspended Turbidity3 Settleable Solids pH Fecal Coliforms
Solids'
-
mm/dd/ MG
mg/11'2 NTU 2,3 ml/12 Standard col/ml2,4
Pit Discharge
No Discharge
Pit Discharge
No Discharge
Pit Discharge
No Discharge
Pit Discharge
No Discharge
Au mines must monitor w w atscnarges for I JS. only industrial sand mine discharges are subject to TSS hints.
2 I an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiveing water, directly upstream and downstream of the discharge.
°Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1/1/2010-12/31/2014 Last Revised 01-21-11
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I art A: Continued: Wastewater Monitoring Requirements
Outfall No. Date Sample Total Flow
Collected'
Total Suspended Turbidity3 Settleable Solids pH Fecal Coliforms
Solids'
- mm/dd/yr MG
mg/l"2 NTU2'3 ml/12 Standard col/m12,4
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW" "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMA TION REPOR TED:
"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 sumbitted. 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 imprisionment for knowing violations."
Permit Date: 1/1/2010-12/31/2014
+/-v -
(Da//,
Last Revised 0 1 -2 1 -11
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