NCG020536_MONITORING INFO_20160205

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C�
DOC TYPE
p HISTORICAL FILE
aiIVIONITORING REPORTS
DOC DATE
❑ (��� I��) a Us
YYYYMMDD

ANNUAL SUMMARY DMR - WASTEWATER
IL. SEND TO CENTRAL OFFICE*
PROCESS MINE/DEWATERING WASTEWATER
- u'l01 GENERAL PERMIT NO. NCG020000
x Report All Wastew ter disch rgc monitoring data on this form (including No Flory and No Discharge and Permit Limit Violations) by MARCH I of each year. If
you have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG02 Q 5,J .�e
FACILITY NAME: /,62 Z4Z2.2/-�Z& 15' I )Z
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LEMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitorint: Reuuirements
SAMPLE COLLECTION YEAR: — _C2dPJ-1Y—
COUNTY:
PHONE NO. (Z 2} -
ADD TO LISTSERVE? YES ❑ NO❑ EMAIL:
INDUSTRIAL SAND? ❑ DISCHARGING TO SA WATERSa. ❑
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/I1"
NTU2'3
ml/l'-
Standard'
col/n&"'
CENTRAL
FILES
DWR
1 All mines must monitor W W discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
If an effluent limit is exceeded, the pertrtittee 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 upstmarn and downstream of the discharge.
Only facilities discharging to SA waters are required to monitor for Fecal Coliforms.
Permit Date: 1/l/2010-12/31/2014 Last Revised 01-21-H
Page 1 of 2

Part A Continued: Wastewater?Nlonitorin2 Requirements
Outfall No.
Date Sample
Collected
C
Total Flow
Total Suspended
Solids'
Turbidity
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/l]-
NTU'" 3
ruyi2
Standard
col/rw2,4
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]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, tinder 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 subnutled. 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 hest 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."
re of Permittee)
(Date)
Permit Date: 1/l/2010-12/31/2014
I-ast Revised 0 1 -21 -11
Page 2 of 2

ANNUAL SUMMARY DMR - WAS' TWATER
SEND TO CENTRAL OFFICE
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
Report All Wastewater dis$harge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year. If
you have limit violations, you must also have turned in a Limit Violation DMA to Your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE No. NCG02Q ,52�
FACILITY NAME.- �ao
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lai) #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: oZ0/.57
COUNTY: ©/l,�S5� )
PHONE NO. ias2) --49 3-t,�4-2
ADD TO LISTSERVE? YES ❑ NOD EMAIL:
I.NDUSTR[AL SAND'? ❑ DISCHARGING TO SA WATERS4" ❑rum*
r"
Outfall No.
Date Sample
Collected)
Total Flow
Total Suspended
Solids'
Turbidity
Settleable Solids
pH
C
Fecal Coliforms
-
mm/dd/yr
NIG
mg/il,2
NTU'"
m1/1'
Standard`'
coVm121,3
CENT
R SECTIOW
1 All mines must monitor W W discharges for TSS. Only industrial sand 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 Out fal1. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
° Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1/1/2010-12/31/2014 Last Revised 0 1 -21 -11
Page I of 2

Part A Continued: Wastewater Monitoring Requirements
Outfafl No.
Date Sample
Collected)
Total Flow
Total Suspended
Solids'
Turbidity3
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/l1,2
NTU' 3
MIA '
Standard'
col/ml2 '4
w
c
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]
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 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 lines and imprisonment for knowing violations."
(b gnature of Permittee) (Date)
Permit Date: 1/l/2010-12/31/2014 Last Revised 01-21-1 1
Page 2 of 2

ANNUAL SUMMARY DA/ R - WASmEWAr 'ER
IL. SEND TO CENTRAL OFFICE*
PROCESS MINEIDEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
* Report All Wastewater discharge monitoring data on this form (including No flow and No Discharge and Permit Limit Violations) by MARCH I of each year. If s„
you have limit violations. you must also have turned in a Limit Violation DMR to vour local Regional Office within 30 days of receiving samole results from a lab. rr
CERTIFICATE OF COVE AGE NO NCG02�2s ,(& SAMPLE COLLECTION YEAR: o20/s rT7
FACILITY NAME: i i 2r COUNTY: i)AZ,S PERSON COLLECTING SAMPLES: MNO. ('ZS2) 0 g -3 - Cv� El C"i
CERTIFIED LABORATORY: Lab # A LISTSERVE? YES ❑ NO❑ EMAIL:
Lab # 1l f Al 1 "0
LIMIT VIOLATIONS? YES ❑ NO [0 CIENrRAL IND8STRIAL SAND`? ❑ DISCHARGING TO SA WATER54? ❑ 0,04
FiLes
Part A: Wastewater (Monitoring Requirements 11WR SEC7'!0N
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity
Settleable Solids
pH
Fecal Coliforms
-
mm/ddlyr
MG
mgni,2
NTU2'3
ml/l'-
Standard'
Coum12,4
All mines must monitor WW discharges for TSS. Only industrial sand 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 Out fal1. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 111/2010-12/31/2014 Last Revised 0 1 -21 -11
Page I of 2

Part A Continued: Wastewater Monitoring Requirements
Outfall No.
Date Sample
CollectedSolids'
Total Flow
Total Suspended
Turbidity3
Settleable Solids
pH
Fecal Coliforms
r. =
mm/ddlyr
MG
mg/l��
NTU'
ml/l'
Standard'
collml2'4
r •�,�
� s y
F
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALI, "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) KY MARCH I OF EACH YEARTO:
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 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.
1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permiftee)
Permit Date: 1 / l /2010- l 2/31 /20 l4
Last Revised 01-21-1 l
Page 2 of 2

-);6 moo' i
ANNUAL SUMMARY DMR -WASTEWATER
FF� SEND TO CENTRAL OFFICE*
PROCESS MINE/DEWATER NG WASTEWATER
GENERAL PERMIT NO. NCG020000
*_Report All Wastewater dtsctiarge, monitoring da[a:on'ttiis'form (including No Flow ah
&Mo`DrscFiarge and Permit'Liinit Violations) by MARCH 1, of eacl
you have, limif_violations, you,must also, have furnedJn a Limit.Violation DMR to our local'ke onal,Office tivithin 3O.'da s o'irecetvtng samele results:fr
CERTIFICATE OF COVERAGE NO. NCG02 0,f 2 SAMPLE COLLECTION YEA : ca�0/S
FACILITY NAME: (z 2 1 Z_n-7 IL,T/z COUNTY:
PERSON COLLECTING SAMPLES: PHONE NO. C---)
CERTIFIED LABORATORY: Lab # ADD TO LISTSERVE? YES ❑ NOD EMAIL:
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
RECEIVED
FE6 16 ?u�-
gar, i a lab. sECTIO
..-
INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATERS4. ❑
C�'�" K.) P�I'n� ' - Y �:
:.7t+� `OxaS�•�,-:Jy,L
,'fl:f: }"
_Otitfall NoF
.o,e.
N. l :...{ tr
-StM .yr 1.. - ,k,n! Ka �S# `[r ..4
.. ``'.-}S. �S •' Y
Fx at.y..". '!;•_.'�' t--•
:'13.y.` ! -�
Date Sam lef_
P
- r t', Mtt 4
.,.� �
f. i :.,$-fC :e
" ..[ r 's•.e
'7i:. >.id..:.G'n:w.: F1�R eY-wa,.
4. _ -,tee,` k'3,.'
:y Sr+ `` -.t •ij
F_:_Total7Flow
-x.-,u;�..�,[ �;'
:0. .:4 ..
r ki.`- _
.(. ,Lit+t,�� .say' J J.�
.hY..<. _` , k�` >• " 4-F
, .i:. r.'--r x.:
,Pa r
Total'SusPended
.�r
3� SOlidsr
- t
'SA,
s i :iI
1F�.r.:Ywxs
'_=^:�x .'
z y:-.. fa
Turbtdtty3
-�-r' .r-t:, ��.
}'.14'..
t l r,.
yl M1.c "l�j�e' f 4 1 wi
'lt.i'titt:,
3\5— ;4.
, - y
Settleable Solids
.y.;� `• nc a:':
{.M: Y� �.: 7::
- :. F:_:.::'i
u f` i,
'rLx�r1'�idlS...� J
:3 '
{,.. a��•
r.x�=t.
r,pHt r
� = ;,a;,�.�:��;;?`;
i!E:1 .. tE ,li :*'f...i5 v t, ry. r• ley ,,.::..
.fi 'S• i'..�r,��,G�.�..i;x.: q.�,, t.,,
7'.�.[T�'%�4[!r• ,�F..:i:-�1+1::
Y ..�'y
4" ,— i• -, :..r.
;. _
c �Fecal_ColtforrQs,
��''r ''�, �.I.._�'p�.,y t .� 's
t; • s e` �.' "
.—.v, v...- ...':1.'_�...,..wLL::
: ' " mm/ddlyr~ t .,
h. _. _u. tl.. ,.raa. �:.v.,�,.. W. V .:,l....a
_` MG" ?
,., \-..... ..+r 2.,-. f. _.:.
4 ' . to¢//�1 '
4. t.Y..t 4.,:•...' r¢;tV..t .� 1:... i:.:.^.:
' , ; ,NTU
:Lt
mlll f y
Y.: t,.J'?.
Standard "''
'�/4, -. w.r. ..d
j,',( �`coUtnl
:�ISVF t:Y*'-Ln.7f.
' All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
i If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
a The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 N1TU 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/l/2010-12/31/2014 Last Revised 01-21-1 1
Page 1 of 2

Part A Continued: Wastewater Monitoring Requirements
.� Y V""Y
Fri .., �'�'�
Outfall No.
Y3
. :.r:. _�e._i;.,..�,i�v__..f
_ I y"+�3• Z —
T �w,.�--'� -_ y?F. ,„�y ,.�•�
# rDate Sample
1
•'-' C011ected "'�"
..._._.._,..._.�.-.......:��uk�.::s�.'
J FF f. ,4 r
Ir j-f ?- s3i ,�
�, Total`Flow
_ `
I ...... .:...l,*. ,...,-, .. �i.._,
5 - : 3N f
a Total Suspended i
- i
3F -SQllds 4 - '�
..•.-- _..,.�...`�'.`... ES... :l-,.--...=.: s.,....
Turbidit}
s 3K..yeJJ* ti k 3ijK
�'.'. e:t.:.=.Cs .-.........:.... ....
1 -��
Settleaiile Solids
Ax7' -�' !i, .,n• -
... c?�..._..>r.
} r f 'rf.s
pH
t-'^3 Y
..c _r ._..S.. n._.
Y
a6�'n-e:
Fecal Colifoinis
•N'J .�^ - -
y '`
mg/l t .�.<.
.,r NT[3
nil/l I I
Standard,
y�rx col/ml`
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I 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 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."
(S►gnature of Permittee) (Date)
Permit Date: 1/i/2010-1213112014 Last Revised 0 1 -21 -11
Page 2 of 2

o ufn � i
ANNUAL SUMMARY DMR -WASTEWATER
SEND. TO CENTRAL OFFICE* , V
PROCESS MINE/DEWATERING WASTEWATER
r Gt M+ f] . -X- GENERAL PERMIT NO. NCG020000
*;Report All Wastewater discharge.tnonitoring data on this"form {including No Flow and'Nd Discharge and Permit Limit Violations)by MAR
ou have.iimit violations, ou must also_have'turned in a Lirmt.Violation DMR to our local'Re ional Office within 30;dii i"of.receivin sam
CERTIFICATE OF COVERAGE NO. NCG02 0.r6 J w SAMPLE COLLECTION YEAR:
FACILITY NAME: �(,�_,Irr�o,rt -� _ ^� COUNTY: B,/Lf,2LD
PERSON COLLECTING SAMPLES: PHONE NO. (�
CERTIFIED LABORATORY: Lab # ADD TO LLSTSERVE? YES ❑ NOD EMAIL
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Reuuirements
CH'1 'of each year. 'If f : .
ple iesults,ft=ofi a lab. ' ..
INDUSTRIAL SAND" ❑ DISCHARGING TO SA WATERS"? ❑
4`'a�'! - y,�
_�S. {' .{,
,. ,I.y�' ".1�?='
• a
L
r;�,t� w z„
Outfall No .4 r
1. � �., r�tb' -'S [`1
i a..F..y:� .,. ai F
A �,G�. Y.,.. �^4.•,� vP
f Date Sam le
P i
,',
Iss. s t �:w'. ryl
4. _ Ili
�lti. 1-- s.,-�.6 M.
'•'
F.',. iY:= tis
�� .Y
�. '' ;Total I+7ow.i ..
w
�
F I
QM+.µ f,.x .. ai✓—i 1:
C-. 'i.
'� r.-�,..4i�,,[? t.tz*...s, '
z,' t :
Total Suspended
r
?. � t
J V• !
4'� .1.J. .b..k .u'j..'
--M��.
�# :?— 9'
1;
Turbrdrty3:�
t
_
lid
4�r k -'..t. .}V
X - ry
y f-- !1 -v�� ''''
M 1..
Settleable`Sohds
,ua• 4_. �;i
1 A '•. w
,y _...,s%�,$
t� #_ wa_I t
R � e��`
_ ,, P ti
r _: ;,� ' • �,_
"iN, ',}. } _ "•'t :3
t�„�_",�i'„� r'�1". '•3
;.-. A
- Y
� : Feca Califorins ; f:
t
» ,M� - «::
.0
mm/ddlyr%
...,
z 2; 'MG "`
mg/1 ""'
NTU
''"iil/l.
Standard x
-
1'
� 1� /"Z 11�� 8 R
/ � �►
i
A %/
CEPS TRAI Pi
;:c
DWQlsol
i All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the pemuttee is required to institute monthly monitoring for that parameter for the remaining permit term.
3The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NI'U for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 Ni'U 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. Altematively, 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: I/l/2010-12/31/2014 Last Revised 01-21-11
Page 1 of 2

Part A Continued: Wastewater Monitoring Requirements
Outfall No
]late Sam le
f P s,s ;
-t
-Y 14+
�z,Jotal Flow
i Total Suspended ;
-1 f
1 7
Turbtd�ty3 J r
»5''
SettleablSolids e ,
'� +Y a'
„pH`
FeCal'ColifoTIILS'i '
`
i
nunldd/yr y
`MG
r %
_.n. mg/l;
, ` NTU
mlll ,�
taitdard
s
collinl3
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I 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 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."
(Signature of Permittee)
Permit Date: 111I2010-12/31/2014
,1," -zs �-y
(Date)
Last Revised 01-21-H
Page 2 of 2

0
ANNUAL SUMMARY DMR - WASTEWATER
SEND TO CENTRAL OFFICE*
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
* Report AIt Wastewater discharge monitoring; data.on this form (including No Flow and No Discharge and'Permit Limit. Violations) by MARCH I .of each year. If
you have luiut yiolatlons,. you most also have turned in a Limit Violation DMR to vour local Regional'Off ce.within 30 days.of receivine sample results from "a Iab..
CERTIFICATE OF COVERAGE NO. NCG02 ©.5 � L,,
FACILITY NAME,, 214,W6Z}- 12ZZA% -
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2;�
COUNTY: ©/✓�L O�
PHONE NO. (�
ADD TO LISTSERVE? YES ❑ NO[] EMAIL,:
INDUSTRIAL SAND? ❑ DISCHARGING TO SA WATERS°? ❑
;OutfalhNo
w�
D to Sample
!"..
v- Collected �,
r.�
TotahFlo�v'••.
�sTotal Su_., ended
-�
Solids
_
f TUrb�dl Y
F
Settleable Solids :
pH: .' :?
-Fecal°Cohforms -
mm/dd/yr
MG
NTU
S. : ffiM
Standard
'caJ- -• �
I All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
7 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: 11112010-12/3I/2014 Last Revised 01-21-11
Page I of 2

Part A Continued: Wastewater Monitoring Re uirements
.
Oiltfall No
F 1 Coilected1
`Y � ' Y
Solids'
, ,�
Settleable Solids ;
pH C
Fecal Cohforrig-
r,..,_NTU.3:'_
2,3
.', Hill)
I Standard -
collml
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I 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 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."
(Si ature of Permittee) (D e)
Permit Date: 1/i/2010-12/31/2014 Last Revised 0 1 -21 -11
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