NCG020735 DMR SW

ANNUAL. SUMMARY DMR - STORMWATER
FEND TO CENTRAL OFFICE*
STTOR1WATTER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year
CERTIFICATE OF COVERAGE N&—j1�3�,QZ ao K :-5 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Selma Quarry COUNTY: Johnston
PERSON COLLECTING SAMPLES: N/A PHONE NO. 919-781-4550
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #67 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A: Stormwater MonitorinL) Reouirements
Outfall
No.
Date Sample In 'Pier 2
Collected Monthly
(mo/dd/yr OR Monitoring?
NO FLOW)' /n
# of Months in
Tier 2
Sampline
Total Flow
(MG)
Total Suspended Total Event
Solids Turbidity, Settleable Rainfall Duration
(mg/1) (NTU) Solids (ml/1)
(in) (minutes)
No discharge for 2015
N
-
N/A
-
1003, See Foo tnote3', 0.13
Site is not in operation
This is a greenfield site
Legend- ND = Not detectable, N/A = Not applicable
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3Per NCG02 Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchi 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
4TSS benchmark values are 100 mg/I except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
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 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
Page 1 of 2

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
Sampling Z (gal/month)
-
Total Flow TPI) using method Total Suspended
(MG) 1664A SGT -HEM Solids
(mg/1) (mg/1)
- 153 1003
Event
pHLRainfall
(Standard Duration
Units) (minutes)
6-93
No discharge for 2015
N
N/A
Site is not in operation
This is a greenfield site
Legend: ND = Not detectable, N/A = Not applicable
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO pq
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑ -NO
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]
YO U 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing
violations."
2/3/16
(Signature of Permittee) (Date)
PermltDate 1/1/2010-12/31/2014 Last Revised 01-21-11
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