NCG020085 DMR SW (2)

A
ANNUAL SUMMARY DMR - STORMWATE
SEND TO CENTRAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWA TER Monitoring Data on this forth (including No Flow and No Discharge and Permit Limi[ Violations) by MARCH I of each year
CERTIFICATE OF COVERAGE NO. NCG020085 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Hickory Quarry COUNTY: Catawba
PERSON COLLECTING SAMPLES: David Green PHONE NO. 828-322-8386
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES❑ NO❑ EMAIL:
Part A: Stormwater Monitoring Requirements
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(/n)
# of Months in Total Flow
Tier 2 (MG)
SamplingZ
Total Suspended Total Event
Solids Turbidity° Settleable Rainfall Duration
(mg/1) (NTU) Solids (ml/1) (in)
'
-
-
- -
1003'4 See Footnote 3,4
0.1 3
No SW Outfalls Exist
1/2014-12/2014
No SW Outfalls Exist
1/2014-12/2014
If "NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
2Per NCG02: Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 I a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Teir I or Tier 2 responses in the General Permit.
4TSS benchmark values are 100 mg/I except in ORW, HWQ, trout, and PNA waters where they are 50 mg/I
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservois designated
as trout waters; 25 NTU for all lakes and reservois, and all salt water; 50 NTLI for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee 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
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Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in New Motor
Tier 2 Oil Usage
Sampling2 (gaUmonth)
-
Total Flow TPH using method
(MG) 166" SGT -HEM
(mg/1)
- 15 3
Total Suspended
Solids
(mg/1)
100 3
pH Total Event
(Standard Rainfall Duration
Units) (in)
6-9 3
Comin led Water
Comingled Water
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
WHO AT THE REGION HAVE YOU SPOKEN WITH?
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]
YOUMUST SIGN THIS CERTIFICATION FOR ANYINFORMATIONREPORTED•
"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 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."
1/2/2015
(Signat of Per ittee) (Date)
Pe ate: I/1/2010- 12/31/2014 Last Revised 0 1 -21 -11
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