NCG020536 DMR WW (2)

V ANNUAL SUMMARY DMR - WASTEWATER d
SEND TO CENTRAL OFFICE*
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE NO. NCGW d%f2'�-2
FACILITY NAME: k) / ZYZ X22 //t,/,&-
PERSON
/Ls,PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitorinu RenuiremPnts
SAMPLE COLLECTION YEA a?d/S
COUNTY: a9AX5 Gn
PHONE NO.
ADD TO LISTSERVE? YES ❑ NO❑ EMAIL:
RECEIVED
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INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATERS49 ❑
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�-ui mines must monitor w w aiscnarges ror 1 ��. uniy maustnal sancl 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 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 receiving water, directly upstream and downstream of the discharge.
4 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
Page 1 of 2

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d W ' t t Monitorin Re uirements
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
"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."
of
Permit Date: 1/1/2010-12/31/2014
/- a
(Date)
Last Revised 01-21-11
Page 2 of 2