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Home My WebLink AboutNCG020695_MONITORING INFO_20190131STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE El HISTORICAL FILE GYMONITORING REPORTS DOC DATE ❑�UJ��JI�� YYYYMMDD STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCGNE DOC TYPE ❑ HISTORICAL FILE DOC DATE ❑ YYYYM M DD m ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — WASTEWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year 2018 "Report ALL WASTEWATER monitoring data on this form (include "No Flow"f No Discharge' and Limit Violations) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCCO20695 Facility Name: -Black Ankle Quarlry County: Montgomery Phone Number: 336-672-1501 Total No. of Oulfalls Monitored 1 Certified Laboratory Pace Analytical I.ab f1 40 I,ab # Wastewater (WIN) Discharge Outfall No. 1 Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes No x Does this outfall discharge WW to SA waters? Yes No x Does this outfall discharge WW to SS or PNA waters? Yes No x Does this outfall discharge WW to HOW or ORW waters? Yes No x If so, what is the 7010 flow rate? NA or Tidally influenced waters, 7Q10 not available Does this outfall discharge WW to Trout (Tr) designated waters? Yes a No FXXqWere there any limit violations in the calendar year? Yes No Outfall No. t Daily Flow Rate, cfs pH, SU TSS, mgll SS, mill l •awr-e. Discharge Turbidity, NTU Upstream (U) ' Turbidity, NTU Downstream tpi ,NTU Fecal Coliform, co11100 ml (SA) Effluent Limitations Mp. Av aa! Max. y'' � HQR' or ORN' 50% of 7 10 Q Iadiute F'it applilinhle Freshm-aler 6.& 9.0Saltwater 6'&-tt,S Industrial Sand 25145 ItQV&' or OR\y 20130 IIQ15'orORH'andTr or PN.\ 10115 ItQN, ORA1', SA, SA, PNA or any Trout50/26/10 0,1(0.2.2 MO Limit ci,.t. wM« owihs.a.errwca..: NIA w«« o� , '1rtlitl.ow». NIA wn« a-wrr a«wm `P°a" NIA Date Sample Collected, molddf} r 1Q-No Discharge 2Q-No Discharge 3Q-No Discharge _ 4Q-No Discharge JAN 3 1 7 iq tIAE_ rfLE' arJoNj Permit pate t url tzu'! o — w4urzuzu Last Revised 10-2-2015 9E Certificate of Coverage No. NCGG20695 CERTIFICATION "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." (Required by aD CFR § f 22, 221 Signature: -- Date: 1/7/2019 Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919)707-9220 Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 im ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year 2018 'Report ALL STORMWATER monitoring data on this form (include "No Flow 1'No Discharge' and Benchmark Exceedances) from the previous calendar year to the DE4 byMARCN 1 of each year. Certificate of Coverage No. NCG020695 Facility Name: Black Ankle County: Montgomery Phone Number: 336-672-1501 Total No. of SDOs Monitored 0 Certified Laboratory Pace Analytical Lab # 40 Lab #E Stormwater Discharge Outfall (SDO) Nol 0 VIAA Outfall? Yes No X Is this outfall currently in Tier 2 for any parameter? Yes No X Was this outfall ever in Tier 2 during the past year? Yes No X If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency Yes, received approval from DEMLR to reduce monitoring frequency No, turbidity benchmark exceedances did not require monthly monitoring Other R r) k M T 7.5AA Outfall No. Total Rainfall, Inches TSS, mgll SS, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar Ol3�G, mg/1 (VMA) New Motor Oil Usage allmo. (5 ) Stormwater Benchmarks lndc,hNOiLOW1I f�,�, e<Me,.n 100150 0.1 g, rt 50/25/10 NIA w.r,nauamy 6,, NIA� m�.raN,my 15 "S—dN-1-W Date Sample Collected, molddtyr 1/18 - 6/18 No SDO Exist 611E-12f18 NoSDO Exist Permit ❑ate ioil rzats — siaolzuzo Last Revised 10-2-2015 Certificate of Coverage No. NCG020695 CERTIFICATION "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. t am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CFR § i 22.22) Signature: 5;r� N --y- — Date: 1/7/2019 Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct - Central Files is housed in DtNR (pat DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permft Date 10l'112015 - 913012020 Last Revised 10-2-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — WASTEWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year. 2017 'Report ALL WASTEWATER monitoring data on this form (indude'No Flow rNo Discharge' and Limit Violations) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG020695 Facility Name: Black Ankle Quarry County: Montgomery Phone Number: 336-672-1501 Total No. of Outfalls Monitored 1 Certified Laboratory Pace AnalyticaI Lab # 40 -- - — Lab # Wastewater (WW) Discharge Outfall No. 1 Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes No X Does this outfall discharge WW to SA waters? Yes No X Does this outfall discharge WW to SB or PNA waters? Yes No x Does this outfall discharge WW to HQW or ORW waters? Yes No X If so, what is the 7Q10 flow rate? NA or Tidally influenced waters, 7Q10 not available Does this outfall discharge WW to Trout jr) designated waters? Yes- B No MXWere there any limit violations in the calendar year? YesNo Outfatl No. 1 Dairy Flow Rate, cfa pH. 5U TSS, mgll Sg min „ Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream [D} Turbidity, NTU Fecal Coliform, coU100 ml (SA) ERluent Limitations Ma. A /Datl Mar. �� Y HQW or ORW n 50 /. of 7Q10 lndinap NO NLOW it applicable Freshwater 6. 9.0 Saltwater 6.8-8.5 Industrial Sand 25145 HQW or ORW 20I30 HQW or ORW' and Tr or PNA 10115 HQW, ORW, SA, SH, PNA or a0. Trout 0.110.2 No Limit cwa n„ q,,.,,,�r„�„_ I>0125li 1) NIA w Q ft, w.r.+w+4 NIA,.. QLftma,. woe NIA Date Sample Coliecccd, mo/ddlyr IQ -No Discharge 2Q-No Discharge 4Q-No Discharge 6. 4Q-No Discharge l Fit J v Permit Date 1011/2015 — 9/3012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG020695 CERTWICATION "I certify, under penalty of law, that this document and all attachments were prepared under my'diiection or supervision in accordance with a system designed to assure that qualified personnel property 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 infomtation submitted is, m 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." (Required by 40 CFR 9122, 221 Signature Date — Gf Mail Annual Summary Stormwater DIVIR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions?. Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015- ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR):- STORMWATER SUBMIT TO CENTRAL OFFICE` General Permit No. NCG020000 Calendar Year 2017 'Report ALL STORMWATER monitoring data an this form (inc lude'ND F10WrNo Discharge' and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH i at each year. Certificate of Coverage No. NCG020695 Facility Name: Black Ankle County: Montgomery Phone Number: 336-672-1501 Total No. of SDOs Monitored 0 Certified Laboratory ,Pace _Analrtical Lab # 40 Lab # Stormwater Discharge Outfall (SDO) Nol 0 VMA Outfall? Yes No X Is this outfall currently in Tier 2 for any parameter? Yes No X Was this outfall ever in Tier 2 during the past year? Yes No X If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency Yes, received approval from DEMLR to reduce monitoring frequency No, turbidity benchmark exceedances did not require monthly monitoring Other B D K M J Z\AA Outfall No. Total Rainfall, inches TSS, m911 SS, mUl Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar 08G, mg/1 (VMA) New Motor Oil Usage (gallmo.) Stormwater Benchmarks .,�,,,oRo,, ` "' wa. 100150 0.1 cWtu 5012511D NIA NIA S Quw" 15 'uo.Lm_ " "�" Date Sample Collected, mldd d 1117 - 6117 No SDO Exist 6/17 - 12117 No SDO Exist 1 A n1 y v i-W i%J DWR SEC I ION Permit Date 101112015 — 9/3012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG020695 CERTIFICATION "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." (Required by 40 CFR 122.22j Signature ---�� Date Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct- Central Files is housed in DWR (not DEMLRj N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: 1919)707-9220 Permit Date 101112015 - 9/30/2020 Last Revised f 0-2-2015 ANNUAL SUMMARY DISCHARGE MONITORING RFDr1RT tnmpi — WACTr-WATPO General Permit No. NCG020000 Calendar Year. 2016 'Report ALL WASTEWATER monitoring data on this form (include'No Flow"/No Discharge' and Limit Violations) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCGO20695 Facility Name: Black Ankle Quarry County: Montgomery Phone Number: 336-672-1501 Total No. of Outfalls Monitored 1 Certified Laboratory Pace Analvtical _ Lab # 40 Lab # Wastewater (WW) Discharge Outfall No. 1 Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes No X Does this outfall discharge WW to SA waters? Yes No X Does this outfall discharge WW to SB or PNA waters? Yes No x Does this outfall discharge WW to HQW or ORW waters? Yes No z If so, what is the 7Q10 flow rate? NA or Tidally influenced waters, 7010 not available Does this outfall discharge WW to Trout (Tr) designated waters? Yes B No [2X Were there any limit violations in the calendar year? Yes No X Outfall No. 1 Daily Flow Rate, cfs PH, SU TSS, mgll SS, mill ,,,Pp,r,,,,, Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (Dj Turbidity, NTU Fecal Coliform, co11100 ml (SA) Effluent [imitations Ma. Avg./Daily Max. IIQN' ur URNN, 50%of7Q10 IndlcateN O FLON�if applinhle Fres6n ater G.f1 4.f! SalMntrr 6.ti-S.5 Industrial Sand 25145 HQN' or URN' 20130 11G«'ur0RN'andTr ur 1'\A 10115 URN'. SA,5IS,PYA ar am Trnul 0.1111.2 No Limit coca. wa., a• rs.waaow•c•w: 50/25/10 NIAw.wawr awwna •ov��.• NIAwa.o.anra,•.n•a .•Ww• NIA Date S;urp!e Collected, mo/dX+ 1Q-No Discharge 2Q-No Discharge 4Q-No Discharge 'v 40-No Discharge N h., q 2 017 e'E ITC? t Ell f;r- 5 . es<rT nil Perm Date 10/112015 - 913012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG020695 CERTIFICATION '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 property 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.' (Required by 40 CFR § 122.221 n Signature —C t�--- Date /Z !rl -mil Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMI-R Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 101112015 — 9/30/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year 2016 'Report ALL STORMWATER monitoring data on this form (include "No Flow"rNe Discharge" and benchmark Exceedances) from the previous calendar year to the DEQ by MARCH f of each year. Certificate of Coverage No. NCG020695 Facility Name: Black Ankle County: Montgomery Phone Number: 336-672-1501 Total No. of SDOs Monitored 0 Certified Laboratory Pace Analvtical Lab At 40 Lab # Stormwater Discharge Outfall (SDO) No 0 VMA Outfall? Yes No X Is this outfall currently in Tier 2 for any parameter? Yes No X Was this outfall ever in Tier 2 during the past year? Yes No X If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency Yes, received approval from DEMLR to reduce monitoring frequency No, turbidity benchmark exceedances did not require monthly monitoring 14 D K M i Z. AA Outfall No. Total Rainfall, inches TSS, mgll 55, m111 Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar 08G, mgll (VMA) New Motor Oil Usage (gall ge Usa Stormwater Benchmarks Ldc.MXOFLOW,! "°¢"'°" e.�,�.rt 100150 0'1 �.� �,„ 50/25/10 N/A „�„ „;sMy NIA pa �;;Pw, 15 ,ss wl w. .�.,.,e..w.� T5""°"°"p" Date Sample Collected, molddl r W�._ ® ®® I/16-6�16 NoSDWOExist 6/16 - 12/16 No SDO Exisi vermn Uate 1UMM5-513Ur1UZU Last Revised 10-2-2015 Certificate of Coverage No. NCG020695 CERTIFICATION "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 property 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." Required by 40 CFR §i LAJ� .22j Signature 2 Date Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (pQt DEMLR) N.C. Department of Environmental Quality (OEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919)707-9220 Permit Date 1011/2015 — 9130/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DMR - STORMWATER L SEND TO CENTRAL OFFICE* STORMWA TER DISCHARGE OUTFALLS (SDO) GENERAL PERMIT NO. NCG020000 *Report,41,L S70RditVA77;R Monitoring Data on this form (including No Flow and No Dischar a and Permit Limit Violations) by MARCH 1 o each veer. CERTIFICATE OF COVERAGE NO. NCG020695 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Black Ankle Quarry COUNTY: Montgomery PERSON COLLECTING SAMPLES: NIA PHONE NO. 336-584-8875 CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YESO NO❑ EMAIL: Part A: Stonnwatcr Monitoring Requirements Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW)' In Tier 2 Monthly Monitoring? /n # of Months in Tier 2 Sampling Total Flow (MG) Total Suspended Solids (Mg/1) Turbidity (NTU) Settleable Solids (m111) Total Rainfall in Event Duration - - - - - t003,4 See Footnote3,4 0.1 J Jan. -Jun. No Outfalls Jul. -Dec, No Outfalls tlf"NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range. 2Per 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 i or Tier 2 responses in the General Permit. 4TSS 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. Ahernatively, the penniltee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO. Permit Date: I/l/2010-12131/2014 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 (moldd/yr OR NO FLOW)' In Tier 2 Monthly Monitoring? (yln) # of Months in Tier 2 SamplingZ New Motor Oil Usage (gal/month) Total Flow (MG) TPH using method 1664A SGT-HEM (mg/1) Total Suspended Solids (mg/1) pH (Standard Units) Total Rainfall in Event Duration (hrs) - - 15 3 100 3 6-9 3 Jan, -Jun. No Outfalls E Jul. -Dec. No Outfalls HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [] NO Qr HAVE YOU CONTACTED THE REGION? YES 0 NO 0 WHO AT THE REGION HAVE YOU SPOKEN WITH? 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 (919)807-6300 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing violations.--? _ X" L/ 1 /6/2016 (Sign re of P ittee) (Date) Pen a Date: l/l/ 014-12/31/2014 Last Revised 01-21-11 ANNUAL SUMMARY DMR - WASTEWATER SEND TO CENTRAL OFFICE* _ PROCESS MINE/DEWATERING 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 1 of each year. If you have limit violations, you trust 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. NCO020695 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Black Ankle Quarry COUNTY: Montgomery PERSON COLLECTING SAMPLES: NIA PHONE NO. CERTIFIED LABORATORY: PACE ANALYTICAL Lab #40 ADD TO LISTERVE? YES NO EMAIL: LIMITS VIOLATIONS? YES NO INDUSTRIAL SAND'? DISCHARGE TO SA WATERS °? Part A: Wastewater Monitorinv Requirements Outfall No. Date Sample Collected' Total Flow Total Suspended Solidst TurbidV Settleable Solids pH Fecal Coliforms - mm/dd/ MGICFS m It,2 N'CU?' m1/12 Standard col/ml2.4 IQ Pit Discharge No Discharge A 2Q Pit Discharge No Discharge } Ck-0 E" ED 3Q Pit Dischar e No Dischar c 4Q Pit Discharge No Discharge 1'�� n �I•+1 PI^ 'All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limts. 21f an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term. 3Thc 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 receiveing 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 01-21-11 Page 1 of 2 Part A: Continued. Wastewater Monitoring Requirements Outfall No. Date Sample Collected) Total Flow Total Suspended Solids' Turbidity Settleable Solids pH Fecal Coliforms - mm/dd/ r MG m l,.2 NT J2,3 ml/lz Standard2 col/mil" 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 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: 9 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." Permittee) Permit Date: 1/1/2010-12/3112014 Z� f te) Last Revised 01-21-11 Page 2 of 2 .j, ANNUAL SUMMARY DISCHARGE MONITORING RFPnRT MMR1 _ WASTFWATFR General Permit No. NCG020000 Calendar Year 2015 'Report ALL WASTEWATER monitoring data on this form (include 'No Flov"t'No Discharge' and Limit Violations) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCGO20695 Facility Name: Black Ankle Quarry County: Montgomery Phone Number: 336-672-1501 'Total No. of Outfalls Monitored 1 Certified Laboratory Pace Analytical Lab # 40 Lab # Wastewater (WW) Discharge Outfall No_ 1 Is this an industrial sand mine (See 40 CFR W6 Subpart D)? you No X Does this outfall discharge WW to SA waters? Yes No X Does this outfall discharge WW to SB or PNA waters? Yes No X Does this outfall discharge WW to HQW or ORW waters? Yes No X It so, what is the 7010 flow rate? NA or Tidally influenced waters, 7010 not available Does this outfail discharge WW to Trout (Tr) designated waters? Yes B No e Were there any limit violations in the calendar year? Yes No X outfall No. 1 Daily Flow Rate cfs pH, SU TSS, mgll SS m>n „„p� Discharge Turbidity, NTU Upstream (U) Turbidity, Downstream ID} Turbidity, NTU Fecal Collform, col/100 mi (SA) Effluent LtmJtaffons Afa AvU.1 Da11y Alex. llQW or ORW SOY. of 7 10 Q In ieae NO FLOW if rppfiabk Freshwatrr6 9.0 Saltwater 6.8-8.5 lndmtrial Sand 25/45 HQW orORW 20/30 HQW orORW and Tr or PMA 10I15 HQW.ORW, SA, Se P tiA or aay Trout 0.110.2 Nc Llmlt c— a a"�'r""1°^"'rp"" 60126/10 NIA W. 0�w ram`" NIA rra.Irroavr saYe NIA Dale SamplE Collected, mo/ddlyr °{ri c -�F ' ; 7 •� ,,,_. y1.; x-� °dies r 3 ' ,� 't �F 'y _ �p x ` r�'1+ s '� k t e t �" RF - No Discharge NIA NIA N/A Permit uate iurtizu'm — ylswzulu Last Revised 10-2-2015 a CERTIFICATION Certificate of Coverage No. NCG020695 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 property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those " pe=sons 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." flu Sig m Date Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct— Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DMR - STORMWATER � SEND TO CENTRAL OFFICE* j I I STORMWA TER DISCHARGE OUTFALLS (SDO) JAN 21 2015 GENERAL PERMIT NO. NCG020000 CENTRAL FILES 'Report ALL ST0K,MJ',477LR Monitoring Data on this forth (including No Flow and No Discharge and Permit Linnit Violations) by MARCH 1 of each vent N CERTIFICATE OF COVERAGE NO. NCG020695 SAMPLE COLLECTION YEAR: 2014 FACILITY NANIE: Black Ankle Quarry COUNTY: Montgomery PERSON COLLECTING SAMPLES: NIA PHONE NO. 336-584-8875 CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YESO NO❑ EMAIL: Part A: Storniwater Monitoring Requirements 0 Outfall No, Date Sample Collected (moldd/yr OR NO FLOW)' In Tier 2 Monthly Monitoring? (VIn) # of Months in Tier 2 Sampling Total Flow (hiG) Total Suspended Solids (mg/1) Turbidity' (NTU) i Settleable Solids (m111) Total Rainfall (in) E,,-ent Duration - - - - - 100" See Footnote3,4 0.1 3 No SW Out falls Exist 112014-12I2014 No SW Outfalls Exist 1/2014-12/2014 A ION IIf "NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range. 2Per NCG02: Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. `!fa 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. 4,I'SS benchmark values are 100 mg/l except in OR W, H WQ, trout, and PNA waters where they are 50 mgll. `The 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. Alternalively, the penniuee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO. Pennit Data 1/l/2010-12/31/2014 Last Revised 0 1 -21 -11 Page 1 of 2 Patt.A: Vehicle Maintenance Activity Monitoring Requirements for facilities using> 55 gal of new motor oil/month on average Outfall No. Date Sample Collected (moldd/yr OR NO FLOW)' In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Samplingz New Motor Oil Usage (gal/month) Total Flow (yMG) TPH using iuellied 1664A SGT-HEM (mg/1) Total Suspended Solids (mg/1) pit (Standard Units) Total Rainfall (in) Event Duration - - 15 3 100 3 6-9 i No Outfalis Exist 1/2014-12/2014 No Outfalls Exist 112014-12/2014 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES NO HAVE YOU CONTACTED THE REGION? YES ❑ NO WHO AT THE REGION HAVE YOU SPOKEN WITH? 17AIL 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 Attw DWQ Central riles 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6300 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTF_D: "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 violatio l /2/2015 (Sign re of P mittee) (Date) Permit Date: UII 010-1213112014 Last Revised 01-21-11 } ANNUAL SUMMARY DMR - WASTEWATER SEND TO CENTRAL OFFICE* PROCESS MINEIDEWATERING WASTEWATER GENERAL PERMIT NO. NCG020000 `Report All Wasleiralerdisc barge monitoring data on this fonn (including No Plow and No Discharge and Permit Lintit Violations) by MARCH I of each year. If you have limit violations, you must also have turned in a Limit Violation D ssaypupI Office within 30 days of receiving sample results from a lab. CERTIFICATE OF COVERAGE NO. NCG020695 FACILITY NAME: Black Ankle Quarry PERSON COLLECTING SAMPLES: NIA CERTIFIED LABORATORY: PACE ANALYTICAL LIMITS VIOLATIONS? YES NO Fart A: Wastewater iMonitoriw! Requirements JAN 2 1 2015 SAMPLE COLLECTION YEAR: 2014 COUNTY: Montgomery CENTRAL FILES PHONE NO. LabD" SECTION ADD TO LISTERVE? YES NO EMAIL: INDUSTRIAL SAND'? DISCHARGE TO SA wNrERS4? Outfall No. Date Sample Collected' Total Flow Total Suspended Solids' Turbidity Settleable Solids PH Fecal Coliforms mm/dd/ r MG Ing/]t' NTU2,3 MIA Standard collml^a Pit Dischar ge No Discharge Pit Discharge No Dischar e Pit Discharge No Discharge Pit Discharge No Discharge 'All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limts. 2Ifan effluent limit is exceeded, the pennittee is required to institute monthly monitoring for that par:unctcr for the remaining permit tern. `The discharge shall not cause an instantaneous measurement of the turbidity of tlic receiving water to exceed: 10 NTU for Iresltwatcr streams, lakes, and reservoirs designated as trout water; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may he monitored at the Stonnwater Discharge Outfall. Alternatively, the penniace may choose to monitor turbidity in the receiveing water, directly upstream and downstream of the discharge. 4Only facilities discharging to SA waters arc required to monitor for Fecal colif'orms. Pennit Date: 1/l/2010-12131/2014 Last Revised 0 1 -21 -11 Page 1 of 2 l:0 Fart A: Continued: Wastewater Monitoring Requirements Outfall No. Date Sample Collected' Total Flow Total Suspended Solids) Turbidity Settleable Solids pH Fecal Coliforms mm/dd/ r MG mg/11'2 NTU2.3 mlll` Standard` colhnl"'a MAIL, ORIGINAL AND ONE COPY OF TIIIS ANNUAL SUMMARY (INCLUDING ALL "NO FLAW". "NO DISCHARGE" & LIMIT VIOLATIONS) BY MARCH 1 OF EACII YEAR TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: 1 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 infonmation 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." X .S w / (Da ) Pen -nit Date: 1/1/2010-12/31/2014 Last Revised 01-21-11 Page 2 of 2