NCG020766 DMR WW (6)

' ANNUAL SUMMARY DMR - WASTEWATER
SEND TO CENTRAL OFFICE*
_ - PROCESS MINE/DEWATERINGl AS L ATBR •
' GENERAL PERMIT NO. NCG020000 '
Report All Wastewater discharge monitoring data on this form(including No Flow and Mo Mane and Permit Limit Violations)by MARCH I of each year. If • l
you have limit violations,you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving 2eresu is from a lab. _
CERTIFICATE OF CABBAGE NO.N r`M'' • SisMPLE,015141ECTION YEAR qZ,0 / e-P
F'ACILTri NAME: s ,J p
-l ; -f' . 7/—.2 �eN. 7J 6 COUNTY: &•
PERSON COLLECTING SAMPLES: PRONE NO.(J/D) - .
CERTIFIED LABORATORY:_ Lab# ADD TO LISTERVE?YES NeLy
MAIL:
Lab s
LIMITS VIOLATIONS? YES 0 NO 0 • INDUSTRIAL SAND'?0 DISCHARGING TO SA WATERS'? 0
Part A►:Wastewater Menitoring Reiniremente _ -
50050 • 00530 00400 00545 • •00400 31616
Date Sample 1 Total Flaw Total Suspended Turbidity'
Outfall No. ` Collectedtfig ' Settleable Wilds. lin' Fecal Conforms
I .
- mt&ddlyr MG MR'T NTU" - mlie Standard' col/m1
v . JAN 1 2017 -
• ,ice ^
•
'All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2If an effluent limit is exceeded,the permittee is required to institute monthly monitoring for thatparameter for the remaining permit term.
3The discharge shall not cause ail instantaneous measurement of the turbidity ofthe receiving water to exceed: 10 NTU for freshwater streams,labs,and reservoirs
designated as trout waters;25 NTU for all lakes and reservoirs,and all salt waters;SO 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 downatreamofthe discharge. •
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms. i
Permit Date:l/l/2010-12/3112014 Last Revised 01-05-10
Page 1o12

.t 1l,C,ntinuedt Wastewater Monitoring Requirements
' I 50050 00530 00400 00645 00400 31616
•
0 aati l No.
Date Sample Total Flow Total Suspended Turbidity' Settleesble Bolide 01Racal Conforms Salidat
146,1191.11M...1•1 ---•,.a Standards coUnil
moilddiyr l4fG— s,s z3-- r �.. ---I
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11APE.LORIGIN• . , a s . ECO' . 0 IE ._- il• S" sAILLABY tI ..l!it. ALL"N. �+ " " .O i l .4.;_i..2 GL"&.L.RLIT
NIL M_4 _ , . _ ;, _ 0' .CH 'A+R 4
livid=of Water Quality .-
o tz.DWQ Central Files
f 17 Mail Service Center
-4m140,INorth Carolina 27699-1617 glafjRE
t ovillifyi,under penalty of law,that this document and all attachments were prepared under my direction or supervbien in accordance with a system designed to
mato haat qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system,or
is se pentane directly responsible for gathering die information,the information submitted h,to the best of my lcnowted ge and belief,true,accurate,and complete.
octt aware i ere are ifcent n-ys lies f .e'i+ml fnIse information,inclodl,i the es/Ability of fines mid i npriao mntena for knowing violations."
. -/ / 4 r/7
(Signet of Permittee) (Date)
-mil Lotto: i/112o10.12/3i/2014 - Last Revised 01,35-10
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