NCG020085 DMR SW (3)

j' -
ANNUAL SUMMARY DMR - STORMWATER ,
L-7 SEND TO CENTRAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
'Report ALL STORMWATF,R Monitoring Data on this form (including No Flow and No Discharge and PennifLimit Violations) by MARCH 1 ofeach year.
CERTIFICATE OF COVERAGE NO. NCG020085 SAMPLE COLLECTION YEAR:
2015
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 Monitorin r Requirements
Date Sample In Tier 2
Outfall Collected Monthly # of Months in Total Flow Total SuspendedTotal
Event
No. (mo/dd/yr OR Monitoring? Tier 2 (MG) Solids .Turbidity° Settleable
Rainfall Duration
NO FLOW)t /n Sampling2 (mg/1) (NTU) Solids (ml/1)
(in)
- - 1003'4 See Footnob?' O.1 s
Jan. -Jun. No Outfalls Exist
Jul. -Dec. No Outfalls Exist
a
'If "NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
IPer NCG02: Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Teir 1 or Tier 2 responses in the General Permit.
'TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
SThe 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 NTU 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 Activitv Monitoring Renuirementc fnr facilitiac ncino > iS "al nf—w ., nfnr „;un,,."*ti,
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly. # of Months in New Motor
Monitoring? Tier 2 Oil Usage
(y/n) Sampling (gal/month) ..
Total Flow TPH using method
(MG) 1664A SGT -HEM
(mg/l)
- 15 3
Total Suspended
Solids
(mg/1)
I00 3
SPH Total Event
(Standard Rainfall Duration
Units) (in)
6-9 3
Jan. -Jun. Comin led Water
Jul. -Dec. Comingled Water
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES NOCr'
HAVE YOU CONTACTED THE REGION? YES ❑ NO p
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY fINCLUDING 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 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 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 ammaa �e that there are significant penalties for submitting false information, including the, possibility of fines and imprisionment for knowing
violations.'I
1/6/2016
(Signature ormitte (Date)
Pennit Date: 171/2010-12.41/2014 Last Revised 01-21-11
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