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HomeMy WebLinkAboutNCG020012_MONITORING INFO_20190131STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑HISTORICAL FILE 9/'MONITORING REPORTS DOC DATE ❑ YYYYMMDD 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'/'No Discharge' and Limit Violations) from the previous calendar year to the DEQ by MARCH i of each year. Certificate of Coverage No. NCG020012 Facility Name: Burlington Quarry County: Alamance Phone Number: 336-584-8875 'Total No. ofOulfalls Monitored 1 Certified Laboratory Pace Analvtical Lab # 663 Lab # Wastewater (WW) Discharge Outfall No. 1 1s 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 HOW or ORW waters? Yes No x If so, what is the 7010 flow rate? NA or Tidally influenced waters, 7010 not available Does this outfall discharge WW to Trout (Tr) designated waters? Yea a No eX Were there any limit violations in the calendar year? Yes No X Outfall No. 1 Daily Flow Rate, cfs pH, SU TSS, mg/1 SS, mill Discharge Turbidity, NTU Upstream (U} Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliform, COMO ml (SA) Effluent Limitations nao. Avg.1 nafly Mar, EIQW ur OR%�' 5(1 % of 7Q10 Indicate NO FLOW if applicable F'reshNater 6. 9.0 5ahwatcr 6 &� 5 Industrial Sand 25/45 HQN' or ORH' 20/30 . H w' ur ORN' and Tr Q or PNA 10l15 HQW, ORW, SA, SB. PNA ar any Trout 0.110.2 No Limit—, wr. w.ap v�r. emr,�a.. 50/25/10 N/A wry a,,.N, ""r"' Pw- NIA ware .w, a.w.m NIA Date Sample Collected, rnolddlyr — S/15/2018 0.67 7.2 ND ND L2 ©Crt% IN /in •ate........_ •r A—l.0 12J3/2018 0.67 7.7 8.7 ND 6,6 1 A AI r I oni yr ,r • i..., rJ r At , .:. A C11 CC' rp c =r� "i► V Permit Date 1011/2015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCGO20012 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 § 122.221 Signature: 9 /�- Date: V7I2019 Mail Annual Summary Stormwater DI41R 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 2018 Report ALL $TORMWATER monitoring data on this form (include "No Flow'/'No Discharge' and Benchmark Exceedances) from the previous calendar year to the DEG by MARCH f of each year. Certificate of Coverage No. NCG020012 Facility Name: Burlington County: Alamance Phone Number: 336-584-8875 Total No. of SDOs Monitored 3 Certified Laboratory Pace Analytical Lab # 40 Lab # Stormwater Discharge Outfall (SDO) No. I I VMA Outfall? Yes No X Is this outfall currently in Tier 2 for any parameter? Yes No X Was this outfall ever in Tier 2 during the past year? Yes No X If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency Yes, received approval from DEMLR to reduce monitoring frequency No, turbidity benchmark exceedances did not require monthly monitoring Other C D K M l Z1AA Total I Turbidity, Upstream (U) Downstream (D) Non -polar O$G, New Motor Oil Outfall No.1 Rainfall, TSS, mg/1 SS, mill NTU Turbidity, NTU Turbidity, NTU mgll (VMA) Usage inches (gal/Mo.) Stormwater Benchmarks Mdk. KOFLO l/ 'AP k'"' emd��.n 100150 01 GIIEM �dm.� 50125N0 w*NloAWy aw d,re, .. WM.,Q ly SunSartl .ppN,.. 15 -55 gYlmo. Tsa.�mex �, oscm "fing Date Sample Collected, molddlyr -. ■ - _ - - 6120/2019 0.17 ND ND 1.7 12/20/2018 1.91 89.8 ND 122 Stormwater Discharge Outfall (SDO) No. 1 2 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 Total Turbidity, Upstream (U) Downstream (D) Non -polar 08G, New Motor Oil Outfall No. Rainfall, TSS, mgll SS, mill NFU Turbidity, NTU Turbidity, NTU mgll (VMA) Usage inches (gatiMo.) Stormwater Benchmarks Mdk ,r, NO FLOWN '°°""°" e„Cfth ,u„y„ryl 100150 0.1 Clrt 50125110 NIA N1A mow. 15 '55 °'IM" S" a""°°"` 5 aWa.w ou rrorr�.n Date Sample Collected, molddlyr - ■ ■ - _ - - 6/20/2018 0.17 ND IUD 2.0 12/20/2018 1.91 5.6 ND 12A Stormwater Discharge Outfall (SDO) No. 1 3 1 VMA Outfall? Yes I X I No Is this outfall currently in Tier 2 for any parameter? Yes No NX Was this outfall ever in Tier 2 during the past year? Yes No 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 Outfall No. 3 Total Rainfall, inches TSS, mgll SS, mlll Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mgll (VMA) New Motor Oil Usage (gallmo.) Stormwater Benchmarks aac.,�NO F[owN cwk 5-.h 0.1 cl" °^"A 50/25110 N/A w.r ou,try. ..PPr NIA wm,wrty ..PP., 15 -55gw "°. " q.mdnw' T°r"."0 Date Sample Collected, molddlyr -. ■ - _ _ - 6/20/2018 0.17 ND 50 12/20/2018 1.91 45.8 ND 50 Permit Date 10/1/2015 — 9130/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCGO20012 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 [Required by 40 CFR §122.227 Signature: c� /�----•---- 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 10/112015 — 9/30/2020 Last Revised 10-2-2015 /A Martin Marietta Stormwater Sample Exceedance Report Site: Burlington Quarry Date sample was collected: December 20, 2018 Outfall location: Stormwater Outfall #1 Benchmark Parameter Exceeded: • Turbidity — 122 NTU (Tier 1 Exceedance for Turbidity benchmark of 50 NTU) Date of Lab Results: December 28, 2018 Date of Stormwater. Management Inspection: December 31, 2018 Personnel in attendance: Josh Turner — Plant Manager — Martin Marietta Inspection Observations: The inlet and discharge weir of the basin is in need of maintenance. Proposed Actions: The inlet will be cleaned and a new stone check dam will installed to provide pretreatment for the basin. New stone will be placed at the weir outlet and new baffles installed in the basin providing more treatment of runoff prior to discharge. Date Actions Implemented: Completed by the end of January 2019. burlington basin 41 stormwater sample exceedance 12-2018.docx 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 FlowTNo Discharge' and Limit Molations) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG020012 Facility Name: Burlington Quarry County: Alamance Phone Number: 336-584-8875 Total No. of Outfalls Monitored i Certified Laboratory Pace Analytical Lab ti 663 Lab r! Wastewater (WW) Discharge Outfall No. 1 Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes No X Does this outfalI discharge WW to SA waters? Yes No X Does this outfall discharge WW to SB or PNA waters? Yes No X Does this outfalI discharge WW to HQW or ORW waters? Yes No x If so, what is the 7Q10 flow rate? NA or Tidally influenced waters, 7010 not available Does this outfalI discharge WW to Trout (Tr) designated waters? Yes B No MX Were there any limit violations in the calendar yeah Yes No Outfall No. 1 Daily Flow Rate, PH, SU T55, mg11 mN „ Discharge Turbidity, NTU Upstream IM Turbidity, NTU , Downstream (D) Turbidity, NTU, Fecal Colifor m, co111110 ml (SA) Effluent limitations Ma Avg. / Daily Mar. IIQW or ORW 50% of 7 10 Q Fndiate li bi3OW if .PpVraerr rreshwater 6.0 9.0 Saltwater 6,8-8.5 Industrial Sand 25145 HQW or ORW 20/30 HQW or ORW and Tr or PNA 10/15 HQW, ORW, SA, SB, PNA or soy Tmai 0.110.2 No Limit ud.w,r 60125/10 %ensrl0 NIA ws or r �"'�� NIA w ow" ssmra '�� NIA Date sample Collected, mo/ddlyr y 5/23/2017 1 0.33 8.1 ND ND 0.53 7/31 /2017 0.25 7.8 7.8 ND 3.3 RECEIVELT L L F 1 DWR SEC- ION Permit Date 1011/2015 — 9/3012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG020012 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." (RW&Md by 40 CFR §r Signature [)ate ! " /,S7'/ 8 Mail Annual Summary Stormwater DEAR 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 10I1t2015 — 9130/2020 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 on this form (include 'No RoWrNo Discharge' and Benchmark n Ecceedances from the revious calendar r to the DEQ MARCH f of each ar. 1`�' �,J Certificate of Coverage No. NCG020012 Facility Name: Burlington County: Alamance Phone Number: 336-584-8875 Certified Laboratory Pace Analytical Lab # 40 Lab # CENTRAL Total No. of SDOs Monitored 3 QWR SE( Stormwater Discharge Outfall (SDO) No. 7 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 outfail 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 r' rl K M I % AA Total Turbidity, Upstream (U) Downstream (Dj Non -polar O&G, New Motor Oil Outfall No. 1 Rainfall, TSS, mgll SS, mill NTU Turbidity, NTU Turbidity, NTU mg11 (VMA) Usage inches (gallmo.) Stormwater e.fee.noaowe Orck " roern NIA"�'°' "A * Benchmarks 4p`f e. , 100150 01 50125/10 rw ,y„e.,dM*2. r e,op„ 15 T 0&�ena.Pa. oaa Date Sampler Collected, molddtyr a r 5123t2017 0.37 ND ND t 12/6/2017 0. k 2 ND ND 0.78 Stormwater Discharge Outfall (SDO) No. 1 2 VMA Outfall? Yes No X Is this outfall currently in Tier 2 for anv parameter? Yes No x Was this outfall ever in Tier 2 durina the oastvear? Yes No X If this outfall was in Tier 2 last vear. was monthiv monitorina discontinued? Yes. enouah consecutive samples below benchmarks to decrease frequency Yes. received aDDroval from DEMLR to reduce monitorina frequency No. turbidity benchmark exceedances did not reouire monthly monitorina Other Total Turbidity, Upstream {U) Downstream (D) Non -polar O&G, New Motor Oil Outfall No. 2 Rainfall, TSS, mg/1 SS, ml11 NTU Turbidity, NTU Turbidity, NTU mg11(VMA) Usage inches (gallmo.) Stormwater k ft ftAPFLa . e� , 0.1 cftft ,,� A ,�„dR, Benchmarks 'P°""A1 100150 50125110 Date Sample M Yt �'' PIN Collected, rnaldrilur y"� EM rMA c 7 _ 5/23/2017 1 0.37 4.5 ND 2.6 12/6f2017 o.12 ND ND 0.68 Stormwater Discharge Outfall (SDO) No. 1 3, VMA Outfatl? Yes X No Is this outfatl currently in Tier 2 for any parameter? Yes No X Was this outfail 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 -, 6utfall.No- 3 Total Rainfall,TSS, inches mgli SS, m!!I Turbidity, NTU Upstream (U) Turbidity, NTU Downstream l0j Turbidity, NTU' Non -polar 08rG, mo (VMA) New Motor it Usage Stormwater Benchmarks NoFlow V �"""" `_ 100150 0.1 Ckce 50126fl 0 NIA NIA 15 �,, q ,:y, .:, r Date Sample y •. 4 5/230017 0.37 3.4 ND 50 12/6/7017 0.12 3.2 ND 55 Permit Date 101112015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG020012 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 tho nnccihilitu of fincc nnri ir»rAZn�­le f fnr knnunnn uinInfinne [Required by 40 CFR §122C22] Signature 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 101112015 - 9130/2020 Last Revised 10-2-2o15 ANNUAL SUMMARY DISCHARGE MONITORING RFPnOT !limp% _ WACTFWATPO General Permit No. NCG020000 Calendar Year 2015 'Report ALL WASTEWATER monitoring data on this form (include '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. NCG020012 Facility Name: Burlington Quarry ^ County: Alamance 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 S436 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 a No Were there any limit violations in the calendar year? Yes No x No. 1 Daily Flow Rate, cis pH, Su TSS, mgll m01 •� Discharge Turbidity, NTU Upstream Jul Turbidity, NTU Downstream (D) TurbidityNTU , Fecal Cotiform, co1I100 ml (SA) Effluent Limitatlorrs A/o. /Ivy. /Daffy Mnx. HQW orORW 50% of 7QI0 redicate NO FLOW it -ppli-ble Fresbwater6. 9.0 Saltwater 6.84L5 Industrial Sand 25145 HQW or ORW 20i30 HQW or ORW and Tr or FNA 10115 HQW, ORW, SA, 58 PINA or any Trout 0.110.2 No Limit �u's*.�+.+^"'�""' 60I25I10 NIA w.,.,a..ur srr.M sv`e NIA or..awr.� NIA Date Sample p -; 11/12/2015 0.25 7.80 3.90 ND 5.00 NIA NIA NIA Permit Date 101112015 — 913012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG020012 CERTIFICATION "I gertify, 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." (Regwred by as CFR § 122.221 Signaj 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 - WASTEWATER 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 1 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, NCG020012 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Burlington Quarry COUNTY: Alamance PERSON COLLECTING SAMPLES: lash Turner PHONE NO. 336-584-8875 CERTIFIED LABORATORY: PACE ANALYTICAL Lab #40 ADD TO LISTERVE? YES NO EMAIL: LIMITS VIOLATIONS? YES NO INDUSTRIAL SAND'? DISCHARGE TO SA WATERS 4? Part A-. WactrwntPr Mnnitnrinv RnnmrPmvnfc Outfall No. Date Sample Collected' Total Flow Total Suspended Solids' Turbidity' Settleable Solids pH Fecal Conforms - mm/dd/ r MG/CFS m I'•2 NTU23 ml/l2 Standard col/m12,4 12 Pit Dischar e 1/29/15 0.32 9.3 11.1 ND 7.1 2Q Pit Dischar a 4/28/15 0.16 3.5 5.7 ND 7.7 3Q Pit Dischar a 9/21/15 0.16 ND 3.1 ND 7.7 Qt":I-•IVC CENI W.L r ILC- W `All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limts. ZIf an effluent limit is exceeded, the permittee 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 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 4Only facilities discharging to SA waters are required to monitor for Fecal coliforms. Permit Date: 1/1/2010-12/31/20I4 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 1''2 NTIJ -' ml/12 Standard col/ml2'4 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: D WQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS _C_ERTIFICATION_ 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing violations." Perm Permit Date: l/l/2010-12/31/2014 Last Revised 0 1 -21 -11 Page 2 of 2 II ANNUAL SUMMARY DMR - STORMWATER 11 SEND TO CENTRAL OFFICE* STORMWA TER DISCHARGE OUTFALLS (SDO) GENERAL PERMIT NO. NCG020000 *Rcpnn ALI. ST0RXff1'AT1•;R Monitoring Data on this form (including Nor -low and No Discharge and Permit Limit Violations) by MARCH I o each sear. CERTIFICATE OF COVERAGE NO. NCG020012 SAMPLE COLLECTION YEAR: 20t5 FACILITY NAME: Burlington Quarry COUNTY: Alamance PERSON COLLECTING SAMPLES: Josh Tumer PHONE NO. 336-584-8875 CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL: Part A• Ftormwnter Mnnitnrinv Renirirementc 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) Turbidity4 (NTU) Settleable Solids (ml/i) Total Rainfall (in) Event Duration hrs - - - - - too',' See Footnote ,4 0.1 3 Jan. -Jun. Existing Sediment Basin No Discharge Jul. -Dec. Existing Sediment Rasin 12/17/15 N 0,087 12.4 16.2 ND 1.33 6 `If"NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range. 2Per NC602: Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 31f 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/1 except in ORW, HWQ, 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. Alternatively, the pennittec may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO. Permit Date: l/l/2010-12/31/2014 Last Revised 0 1 -21 -11 Page 1 of 2 Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gat of new motor oil/month on average Outfall No. Date Sample Collected,, (mo/dd/yr,OR r NO FLOW)' In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling2 New Motor Oil Usage (gal/month) Total Flow (MG) TPH using method 166" SGT-HEM (mg/1) Total Suspended Solids (mg/l) pH (Standard Units) Total I Rainfall in Event Duration - - 15 3 1003 6-9 3 Jan. -Jun. Shop Basin No Discharge Jul, -Dec. Shop Basin No Discharge HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO e- IIAVE YOU CONTACTED THE REGION? YES ❑ NO ❑ 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-I617 (919) 807-6300 YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMATIONREPORTED: "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 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 imprisionment for knowing l /6/20 t 6 (Date) Last Revised 01-21-11 ANNUAL SUMMARY DMR - STORMWATER SEND TO CENTRAL OFFICE* STORMWA TER DISCHARGE OUTFALLS (SDO) t� GENERAL PERMIT NO. NCG020000 *Report ALL S70Re111KA 1-,R Monitoring Data on this form (including No Flow and No Di.. rt�-f?e ' i '#u'iolations) by MARCH I of each tear. CERTIFICATE OF COVERAGE NO. NCG020012 NOV 19 I015 SAMPLE COLLECTION YEAR: 2014 FACILITY NAME: Burlington Quarry COUNTY: Alamance PERSON COLLECTING SAMPLES: Josh Turner CENTRAL FILES PHONE NO. 336-584-8875 CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12DWR SECTION ADD TO LISTERVE? YES❑ NO[] EMAIL: Part A- Stornwater Monitoring Requirements Outfall No. Date Sample Collected (moldd/),r OR t NO FLOXV) In Tier 2 Monthly Monitoring? (��/n) # of Months in 'Tier 2 Sampling Sam lin Z Total Flow {iti1G) Total Suspended Solids (mg/1) Turbidity` (NTU) Settleable Solids (MI/1) Total Rainfall (in) Event Duration - - - - - 100;'4 See Footnote.1,4 0A 3 Existing Sediment Basin No Discharge Existing Sediment Basin No Discharge ' I ("NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here tmd 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 1 or Tier 2 responses in the General Permit. ''fSS benchmark values are 100 mgll except in ORW, 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 N'f U for frLshwatcr streams, lakes, and reservois designated as trout waters, 25 NTU Ibr 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 permittce may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO. Permit Date: 1/112010-12131/2014 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 (molddlyr OR NO FLOW)' In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 Sampling New Motor Oil Usage (gal/month) Total Flow (MG) TPII using method 166411 SGT-HF_;Vf (mg/1) Total Suspended Solids (mg/1) pH (Standard Units) Total Rainfall (in) Event Duration - - 153 100 a 6-9 't Shoe Basin No Dischar e Shop Basin No Discharge HAS YOUR FACILITY HAD 4 OR i110RE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NOD HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑ 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 1 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 CFRTIFICATIOIV FOR ANY INFORMA TION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a systent 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 violation4 (Signafure of ermittee) Permit Datc: /2l)ID-12/31/2014 1 /212015 (Date) Last Revised 0 1 -21 -11 ANNUAL SUMMARY DMR - WASTEWATER SEND TO CENTRAL OFFICE* PROCESS MINE/DEWATERING WASTEWATER GENERAL PERMIT NO. NCG020000 *Report Al! Wasleivalerdischarge monitoring data on this form (including No Plow and No /discharge and Permit Linn1 Violations ) by MARCH 1 of each year. 11' 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. NCGO20012 RECEII SAMPLE COLLECTION YEAR: 2014 FACILITY NAME: Burlington Quarry COUNTY: Alamance PERSON COLLECTING SAMPLES: Josh Turner JAIL 2 1 2015 PHONE NO. 336-584-8875 CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES NO EMAIL: LIMITS VIOLATIONS? YES NO CENTRAL FILJES INDUSTRIAL SANDt`? DISCHARGE TO SA WATERS? DWR SECTION Part A• WnctPwnter Mlnnitnrino Renuirrmt-ntc Outfall No. Date Sample Collected' Total Flow Total Suspended Solids' Turbidity Settleable Solids pH Q Fecal Coliforms mm/dd/ MG mg/lt ` NTU2.3 mI/I` Standard col/ml"a Pit Discharge 3/26/14 0.5 ND 3.1 ND 7.2 Pit Discharge 6/16/14 10 43.8 36.2 ND 7.5 Pit Discharge 9/3/14 5 10.8 5.3 ND 7.5 Pit Dischar e 10/27/14 4 3.6 3.1 ND 7.5 'All mines must monitor WW discharges 1orTSS. Only industrial sand mine discharges arc subject to TSS limts. `If an effluent limit is exceeded, the pennittee is required to institute monthly monitoring for that parameter for the remaining pen -nit Tenn. 3The discharge shall not cause an instantaneous measurement of the turbidity of the receiving `eater 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 pennittee 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 Ior Fecal coliforns. Permit Dale: 1/1/2010-12/31/2014 Last Revised 0 1 -21 -11 Page 1 of 2 Part A: Continued: Wastewater Monitoring Requirements �j Outfall No. Date Sample Collected' Total Flow Total Suspended Solids' Turbidity; Settleable Solids pH Fecal Coliforms mm/dd/yr MG mg/l` ` NTU2.3 m1/12 Standard collml`,4 MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT VIOLATIONS) BY MARCH 1 OF EACh1 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 IN_ FORMATION 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 subbitted. 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 imprisionment for knowing violations." r (Sig Pennil Date: 1/1/2010-12/3112014 (Date) Last Revised 01-21-11 Page 2 of 2 1$ , 1 �OF W A Tbual �9Q Michael F. Easley, Governor . . b William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality December 1, 2006 Donald M. Moe, Owner Martin Marietta Materials 2710 Wycliff Road Raleigh, NC 27607 Subject: NPDES Mining General Permit Inspection Martin Marietta Materials — Burlington Quarry (NCG020012) Alamance County Dear Mr. Moe: On November 28, 2006, Jenny Freeman of this office performed a General Permit Inspection at Martin Marietta Materials — Burlington Quarry located at 1671 Huffman Mill Road in Alamance County, North Carolina. This facility holds General Permit No. NCG020012 under the National Pollutant Discharge Elimination System (NPDES) to discharge Stormwater and Wastewater from Mining Activities. Nuwan Wjesuriya (Environmental Engineer), Ken Brown (Plant Manager), and Scott Still (General Foreman) were present for the inspection. This type of inspection consists of two basic parts: an in -office review of facility files and self -monitoring data and an on -site inspection of the facility's discharge outfalls. This particular inspection evaluated five (5) areas, and observations from each area are addressed below: 1. Permit The permit became effective January 19, 2005 and expires December 31, 2009. 2._Records/Reports As required by the permit, the facility has implemented a Stormwater Best Management Practices (BMPs) Plan for the site. All mandatory paperwork was available during the inspection, including monitoring records, secondary containment information, and a complete map of the quarry with the outfalls marked and labeled. The facility also has a Spill Prevention, Control, and Countermeasure Plan. Plant staff visually observes accumulated stormwater in the secondary containment areas prior to release; records of these inspections are maintained with permit records and reports. 3. Facility Site Review Materials stored outside include diesel fuel (20,000 gallon tank) and smaller bulk oil storage, all in secondary containment. The facility does conduct on site vehicle maintenance, utilizing more than 55 gallons per month of new motor oil. Mine dewatering wastewater is pumped from the borrow pit to discharge outfall. 4. Effluent/Receiving Waters Stormwater and wastewater from the property discharges to Back Creek (Class C; NSW) in the Cape Fear River Basin. All outfalls appeared well maintained during the inspection. Due to the age of the mine, Back Creek runs directly adjacent to the property, creating the potential for surface water contamination. The stream is protected with a significant berm. 5. Self -Monitoring Program The facility uses TriTest Laboratories for sample analysis. The facility is required to perform: N''o°.h�Carolina lvaturall North Carolina Division of Water Quality 585 Waughtown Street Winston Salem, NC 27107 Phone (336) 771-5000 Customer Service Internet: h2o.err.state.ric.us FAX (336) 771-4630 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper Martin Marietta Materials — Burlington Quarry Page 2 .. . . December 1, 2006 (1) Annual analytical monitoring for stormwater discharges from land disturbing activities and process areas, (2) Annual analytical monitoring for stormwater discharges from on -site vehicle maintenance areas, (3) Semi-annual qualititative monitoring for stormwater discharges from land disturbance areas, process areas, and vehicle maintenance areas, TQu�rly analytica monitoring of r mine dews ering was ei water, an - (5) Weekly inspections of all stormwater BMPs An on -site review of the monitoring data during the inspection showed that all parameters were evaluated per the specifications of the permit. The last stormwater sample was collected on February 3, 2005.. The results were under the cut-off concentrations, so the facility will not sample stormwater again until the last year of the permit cycle: 2009. The'last wastewater sample was collected on August 10, 2006. The results were as follows: Parameter Flow pH Turbidity Settleable Solids Result 0.18 MGD 7.60 8.9 NTU < 0.1 m!/! Limit --- 6.0 — 9.0 50 NTU 0.2 mlll You are found to be in compliance with General Permit No. NCG020012. Please refer to the attached report for further details from the inspection. If you have any questions concerning this report, please contact Ms. Freeman or me at (336) 771-5000. Sincerely, Steve W. Tedder Regional Supervisor Surface Water Protection Section cc: NPS Assistance & Compliance Oversight Unit SWP — Central Files fSW P_.:F_= W, .SRO~ United States Environmental Protection Agency Form Approved. EPA Washington, D.C. 20460 OMB No. 2040-0057 Water Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/molday Inspection Type tnspector Fac Type 1 I N1 2 151 31 NCG020012 1 11 121 06/11/28 I 1 I WI 191 S1 2017 1 — I t Remarks 211 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1_ I 1 I 1 J_ 11.1 I I I I 1_ _1 1 1 1 LL 1 I 1 LAA I I I I_L 16 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ---------------------- 671 169 701 31 711 1 721 NI 73L�U 74 751 1 1 1 1 1 11 80 Section B: Facility Data Name and Location of Facility inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 09:30 AM 06/11/28 05/01/19 Martin Marietta -Burlington Exit Time/Date Permit Expiration Date 1671 Huffman Mill Rd Burlington NC 27215 10:13 AM 06/11/28 og/12/31 Name(s) of Onsite Representative(s)/Tities(s)/Phone and Fax Number(s) Other Facility Data Name, Address of Responsible OffictallTitle/Phone and Fax Number Contacted Steve W:iitt,PO Box 30013 Raleigh NC 27622//919-7$1-4550/9195104739 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Records/Reports e Self -Monitoring Program ® Facility Site Review Effluent/Receiving Waters Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Jennifer M. Freeman WSRO wQ//336-771-5000/ cJ e"q 91- Signature ofZm%,ent Q A viewer AgencylOfficelPhone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yrlmolday Inspections Type 3� NCG020012 I11 121 06/11/28 1 1' 18IWI (cont.) 1 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) yra-Nau ben-28,-200fi,-Jen es�an of this-office-parfermed a General Permit Inspection at Martin _ Marietta Materials - Burlington Quarry located at 1671 Huffman Mill-Ro�i—n Alamance County, No - Carolina. This facility holds General Permit No. NCG020012 under the National Pollutant Discharge Elimination System (NPDES) to discharge Stormwater and Wastewater from Mining Activities. Nuwan Wijesuriya (Environmental Engineer), Ken Brown (Plant Manager), and Scott Still (General Foreman) were present for the inspection. This type of inspection consists of two basic parts: an in -office review of facility files and self -monitoring data and an on -site inspection of the facility's discharge outfalls. This particular inspection evaluated five (5) areas, and observations from each area, are addressed below: 1. Permit The permit became effective January 1.9, 2005 and expires December 31, 2009. 2. Records/Reports As required by the permit, the facility has implemented a Stormwater Best Management Practices (BMPs) Plan for the site. All mandatory paperwork was available during the inspection, including monitoring records, secondary containment information, and a complete map of the quarry with the outfalls marked and labeled. The facility also has a Spill Prevention, Control, and Countermeasure Plan. Plant staff visually observes accumulated stormwater in the secondary containment areas prior to release; records of these inspections are maintained with permit records and reports. 3. Facility Site Review Materials stored outside include diesel fuel (20,000 gallon tank) and smaller bulk oil storage, all in secondary containment. The facility does conduct on site vehicle maintenance, utilizing more than 55 gallons per month of new motor oil. Mine dewatering wastewater is pumped from the borrow pit to discharge outfall. 4. Effluent/Receiving Waters Stormwater and wastewater from the property discharges to Back Creek (Class C; NSW) in the Cape Fear River Basin. All outfalls appeared well maintained during the inspection. Due to the age of the mine, Back Creek runs directly adjacent to the property, creating the potential for surface water contamination. The stream is protected with a significant berm.- 5. Self -Monitoring Program The facility uses TriTest Laboratories for sample analysis. The facility is required to perform: (1) Annual analytical monitoring for stormwater discharges from land disturbing activities and process areas, (2) Annual analytical monitoring for stormwater discharges from on -site vehicle maintenance areas, (3) Semi-annual qualititative monitoring for stormwater discharges from land disturbance areas, process areas, and vehicle maintenance areas, (4) Quarterly analytical monitoring for mine dewatering wastewater, and (5) Weekly inspections of all stormwater BMPs An on -site review of the monitoring data during the inspection showed that all parameters were evaluated per the specifications of the permit. The last stormwater sample was collected on February 3, 2005. The results were under the cut-off concentrations, so the facility will not sample stormwater again until the last year of the permit cycle: 2009. Page # 2 Permit: NCG020012 Inspection Date: 11/28/2006 Owner • Facility: Martin Marietta -Burlington Inspection Type: Stormwater The last wastewater sample was collected on August 10, 2006. The results were as follows: Parameter Flow pH Turbidi Settleable Solids Kesul� � (YT8_MGU - 7:60 8.9-N -- - . mill Limit --- 6.0 -- 9.0 50 NTU 0.2 mlll You are found to be in compliance with General Permit No. NCG020012. Page # 3 Permit: NCG020012 Inspection Date: 1112812006 Owner -Facility: Martin Marietta -Burlington Inspection Type: Stormwater _.�#_��{ K�_ _ _ _ r r�,�a„�ti ua�{�_permittaP sut�mittect a ne�aG2 attoQ? _ n n ■ n Is the facility as described in the permit? ■ ❑ n n # Are there any special conditions for the permit? n ■ n n Is access to the plant site restricted to the general public? ■ n n n is the inspector granted access to all areas for inspection? ■ fl L rl Comment: Page # 4 STORMWATER DISCEIARGE MONITORING REPORT (DM Et) Please Mail Original and One Copy to Alailing Address Below GENERAL PERMIT NO. NCG020000 Part A: Facility Information Samples Collected in Calender Year: 2005 (all saurples shall be reported within 30 days following monitoring period) Certificate of Coverage No. NCGO20012 County of Facility Facility Name Burlington Quarry Name of Laboratory Facillity Contact Ken Brown L ah Certilicatinn It Facility Contact Phone No. 336/584-8875 Parl R- l.rlrrd t)istuncentce and Process Area Monitorim, Reauiremenis Outta! ...l2t%eavtng Stz to Satnpta 'l'blal No C`atlsc[ed I'otalFldyY Sus rendcxl Turbtdaty Sottl4 al 61lcls N,ne oalt)B :..:...NIits. rnlll...:.::......:'; 002 Back Creek 02/03/05 0.1 17.5 40.5 <0.1 Part D: Stor►n Event Characteristics Total Event Precipitation (inches) Event Duration (hours) Alanuuwc `I'rilusi Lnhor.aluric, 12 I'a r'f L.: ,'BMOC: A fa omen ror[.'e 11hnit1tol'i urrurwrl.c oil and -Tot aI I.low C3tda.d : p1I 1 003 1 Back Creek I 02/03/05 1 0.0 1 <5 1 18 1 7,46 1 Total Event Precipitation (inches) Event Duration (hours) (i f a Separate Sturm event is slunpte.l) Part E: Certification "I certify, under penalty of law, that this document and all all achuieuts were prepared under my direelimi or supervision in accordance with a system designed to assure that qualified personnel proptly gather and evaluate like information submitted. Based on my inquiry of the person or persons who manage the system, or those prsons directly responcible for gathering the infortuatiou, the information submittd 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 violation." t j ` ^ (Signature of Permitee) Part F.• Mailing Address Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, N.C. 27699-1617 0 0/19/ti6 (Date) 1.2 SM 1-243.12005 Martin Marietta Aggregates Return To: Don Bright or Michelle LeCompte NOTE: Please return this sheet to the Raleigh Office once sampling has been completed. "This form can be faxed to the Raleigh office at 9191510-4739 February 7, 2005 To: Ken Brown From: Michelle LeCompte Subject: Burlington Quarry Annual Stormwater Sampling Please complete the following items and return this form to Raleigh as soon as sampling and flow reporting requirements have been completed. Be sure to complete all items applicable to your operation. 1. Date of last rainfall event >0.1" 1114105 * Should be at least 72 hours prior to sampled event). 2. Sampled rain event begat on Date: 2/3/05 Time: 3:00 AM am/pm 3. Sampled rain event ended on Date: 2/3/05 Time: 1:00 PM am/pm 4. Sample collected: Date: 2/3/05 Time: 7:00 AM am/pm 5. Samples collected by: Ken Brown 6. Samples submitted to Tritest: Date: 2/3/05 7. Flow Requirements: Total rainfall amount during sampled storm event: 1.2 inches 8. Above information submitted by: Kgn Brown Date: 2/3/05 h lmitchstiswsamp.doc