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Home My WebLink AboutNCG020096_MONITORING INFO_20190218STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE p HISTORICAL FILE Ll-,-MONITORING REPORTS DOC DATE ❑ �014 Ua l g YYYYMMDD V, SUMMARY ANNUAL DISCHARGE U SU SC RGE 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"/"No Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH i of each year. Certificate of Coverage No. NCG020107 1 XI--k-11c: IV to Facility Name: Vulcan Construction Materials, LP/Rockingham Quarry FEB 18 2019 County: Richmond CENTRAL I`ILFS Phone Number: (910) 895-2415 Total no. of SDOs monitored DWR SECTION Certified Laboratory Research & Analytical Laboratories, Inc. Lab # 34 Lab # Stormwater Discharge Outfall (SDO) No. 002 VMA Outfall? Yes ® No ❑ Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 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. Total Rainfall, inches TSS, mgll SS, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mg/I (VMA) New Motor Oil Usage (gal/Mo.) Stormwater Benchmarks indicate NO FLOW if a licai"fe circle Benchmark 1 00/50 0.1 circle Benchmark 50/25/10 NIA Water Quality Standard applies NIA Water Quality Standard applies 15 >55 . averpga requires TSS and Non•po)ar 08G monitoring Date Sample Collected, mo/dd/yr �t 01118 — 06118 No Flow 12/04/18 0.22 10.4 NIA NIA NIA NIA <5.0 >55 Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG020107 Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. 003 VMA Outfall? Yes ❑ No Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 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. Total Rainfall, inches TSS, mgll SS, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mg/I (VMA) New Motor Oil Usage allmo. Stormwater Benchmarks Indicate NO FLOwif applicable circle Benchmark 100150 0.1 circle Benchmark 50/25/10 NIA Water Quality Standard applies N/A Water Quality standard applies 15 >55e averageerequires res TSS and Non -polar 0&G monitoring Date Sample Collected, mo/ddlyr 01/18 — 12118 No Flow Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG020107 Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. 008 VMA Outfall? Yes ❑ No Is this outfall currently in Tier 2 for any parameter? Yes ❑ No Was this outfail ever in Tier 2 during the past year? Yes ❑ No If this outfatl 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. Total Rainfall, inches TSS, mg/I SS, ml/I Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mg/I (VMA) New Motor Oil Usage (gal/mo.) Stormwater Benchmarks Indicate NO FLOWi/ a licablg Bencrclehmark benchmark 1001JCo 0,1 Circle Benchmark 50/25/10 NIA Water Quality Standard applies NIA Water Quality Standard applies 15 >55 a requi. average requires TSS and Non -polar O&G monitoring Date Sample Collected, mo/dd/yr 01/18 — 12/18 No Flow Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG020107 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 § 122.22] Signature Date February 5, 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 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 t of each year. Certificate of Coverage No. NCG020096 Facilily Name: Salem Stone Quarry County: Forsyth Phone Number: 336-375-7584 Total No. of Outfalis Monitored 1 Certified Laboratory Pace Analytical Lab H 663 Lab 4 Wastewater (WW) Discharge Outfall No. 1 Is this an industrial sand mine (See 40 CFR §436 Subpart D)7 Yes No X Does this outfall discharge WW to SA waters? Yea 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? Yea 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 jr) designated waters? Yas B NoWere there any limit violations in the calendar year? YesNo X C F I C, EI F Outfall No. 1 Daily Flow Rate, cfa PH SU TSS, mgA SS, mill ,� �,, Discharge Turbidity, NTU Upstream (U} Turbidity. Downstream (D) Turbidity, NTU Fecal Collform, co (SA} /100 ml Effluent LIlrilfatlOnS Ma.Avg. lDairy Max. EIQN' or URN' 50'/.of7Ql0 [ndkneNOFLOW ii applirabie Fresfiwaler 6.t 9.0 Sdtnater fi.8-8.5 Industrial Sand 2S145 IiQN' or ORN' 20130 Ii WorORH'nndTr Q or PNA 11Qw, ORNN', SA, Sa, PNA or nnyTrout 0.110,1 No Limit eve. wr.. w yr„m„am.i�o�.., 6012li110 NIA.r...a,..�.r ��°-O�`. NIAwr..a,,.r,.v..,a�e N/A Uate Sample- Collccted, moldd) 4/11/2018 0.33 TO ND ND 2.2 mC.�,,t`.t 12/26/2018 1.31 7.0 65.0 ND W6 _ JAIN Lll t_,ECi1Y i rl AL 6LAI.,_0 Permit Date 10/1/2015—913012020 Last Revised 10-2-2015 M Certificate of Coverage No. NCG020096 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." lRequirear by 40 CFR §122.221 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 10/112016 — 9130/2020 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 STORMWATER monitoring data on this form (include "No Flow"! No Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH f of each year. Certificate of Coverage No. NCG020096 Facility Name: Salem Stone County: _ Forsyth Phone Number: 336-375-7584 Total No. of SDOs Monitored Certified Laboratory Pace Analytical Lab 4 40 Lab 4 Stormwater Discharge Outfall (SDO) No. 1 1 VMA Outfall? Yes No Is this outfall currently in Tier 2 for any parameter? Yes No 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 M Outfall No. 1 Total Rainfall, inches TSS, mgli SS, ml/l Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mgll (VMA) New Motor Oil Usage (gallmo.) Stormwater Benchmarks MtlkmNOFlOWlf "vp eb e.w rt 100150 0.1 na,atm.a 50/25110 wn.Jw.ny 8m .Ppm wnNloutarr 6t.. M.Pwu, 1s T Date Sample Collected, molddlyr - ■ ■ - _ _ - 6/26/2018 0,3 20 ND 27.3 12/21/2018 1.7 80.8 ND 176 Permit Date 101712076 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No, NCG020096 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:�,,� 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 (Mt 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) 607-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919)707-9220 Pennit Date 101112016 — 9/30/2020 Last Revised 10-2.2015 P, W AAMartin Marietta Stormwater Sample Exceedance Report Site: Salem Stone Quarry Date sample was collected: December 21, 2018 Outfall location: Stormwater Outfall #1 Benchmark Parameter Exceeded: • Turbidity — 176 NTU (Pier 1 Exceedance for Turbidity benchmark of 50 NTU) Date of Lab Results: December 27, 2018 Date of Stormwater Management Inspection: January 9, 2018 Personnel in attendance: Jay Nivens — Environmental Engineer Martin Marietta Barry McConnell — Foreman, Salem Stone Quarry — Martin Marietta Inspection Observations: The inlet of the outfall structure is in need of maintenance. Proposed Actions: The outlet structure will be cleaned and new stone will be placed providing more treatment of runoff prior to release. Date Actions Implemented: Completed by the end of January 2019. Salem stone stormwater sample exceedance 12-2018.docx 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 Flow rNo Discharge' and Benchmark Exceedances) from the previous calendar ear to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG020096 Facility Name: Salem Stone County: Forsyth Phone Number: 336-375-7584 Total No. of SDOs Monitored Certified Laboratory Pace Analytical Lab # 40 Lab # Stormwater Discharge Outfall (SDO) No 1 VMA Outfali? Yes No LX Is this outfall currently in Tier 2 for any parameter? Yes No 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: 1 Total Rainfall, inches TSS, mgli SS, mill NTU NTU Upstream {UJ Turbidity, NTU Downstream {DJ Turbidity, NTU Non -polar 08G, mgll (VMA) New Motor Oil Usage (gal/Mo.) Stormwater Benchmarks xwk.e.,uoscown 'PP"r6" 100150 0.1 t 60/25/10 NIA „� °*pFO NIA ulfty s 15 ' Date Sample Collected, molddl r Imim U1812017 0.15 17.2 ND 27.3 10/9/2017 0.2 12.7 ND 16.5 0VVR SECTION Permit Date 10/1/2015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No, NCG020096 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 § i Signature Date -- Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DINR (not DRMLR) 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 RFPnPT fnMR1 _ WACTFWATFR General Permit No. NCG020000 Calendar Year 2017 'Report ALL WASTEWATER monitoring data on this form (include "No Flovif No Discharge" and Limit Violations) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG020096 Facility frame: Salem Stone Quarry_ T. County: Forsyth Phone Number: 336-375-7584 Total No. of Outfalls Monitored f Certified Laboratory race Analytical Lab # 663 Lab # Wastewater (" Discharge Outfalt 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 DRW 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 jr) designated waters? Yes No x Were there any limit violations in the calendar year? Yes No x C L• I G H F Outfall No. 1 Daily Flow Rate, efs PH SU TSS, mg/I SS, mill r.. Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream ([)) Turbidity, NTU Fecal Coliform, co0100 ml (SA) Effluent Limitations Mo. A / DailY Max, �' EIQW orORW 50� of 7Q10 Wicate NO ROW i! applicable Freshwater 6- 9.0 Saltwater 6.8 A•5 Industrial Sand 25145 IIQW or 0RW 20130 HQW or ORW And Tr or PNA 10115 HQW,ORW, SA, SB, PKA or my Treat 0,1/0.2 No Limit c.d. orry sanm as r gyp..: 60/25/10 NIA w.r .w ' NIA w> Ppl. �a �aa"" NIA Bate Sample Collected, mdddlyr 2/13/2017 0,16 6-1 9.1 NO 11.2 8/212017 0.16 7.0 5.1 NO 5.2 SENTHP�L FILES Permit Date 10/112015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NGG020096 CERTIFICATION "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in acc:ordanoe 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 oomplete. 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 - 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 1011/2015 — 9/30/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DMR - WASTEWATER SEND TO CENTRAL OFFICE* " PROCESS MINEIDEWATERING WASTEWATER GENERAL PERMIT NO. NCG020000 *ReportAll I1 asletn•aterdischarge monitoring data on this form (including No 1-1ow and No Discharge and Permit Limit Violations) by b1ARCH 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. NCG020096 FACILITY NAME: Salem Stone Quarry PERSON COLLECTING SAMPLES: Batty McConnell CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 LIMITS VIOLATIONS? YES NO Part A- Wnttewatrr Manitnrincy Renniremrntc SAMPLE COLLECTION YEAR: 2014 COUNTY: Forsyth PHONE NO. 336-769-3803 ADD TO LISTERVE? YES NO EMAIL: INDUSTRIAL SAND'? DISCHARGE TO SA WATERS'? Outfall No. Date Sample Collected Total Flow Total Suspended Solids' Turbidity3 Settleable Solids pH Fecal Coliforms - mm/dd/ r MG mg/lt" NTU2-1ml/l2 Standard col/ml2.4 Pit Discharge 3/24/14 0.7392 14.0 16.6 ND 8.0 Pit Discharge 4/29/14 0.1056 ND 21.4 ND 7.0 Pit Discharge 9/5/14 0.4224 3.7 3.8 ND 7.0 Pit Discharge 10/24/14 0.2112 ND 3.7 ND 8.1 `All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limts. 2If an effluent limit is exceeded, the pennittee is required to institute monthly monitoring for that parameter for the remaining permit term. The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, takes. 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 Stonmwater Discharge Outfall. Alternatively, the pernittee 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 coliforns. Pennit Date: I/1/2010-12/31/2014 Last Revised 0 1 -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/yr MG mg/11` NTU"3 ml/12 Standard col/ml2'a 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 INFORMA TION REPOR TED: "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 summitted. 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." /s (5igna re of P mittee) (Date) Permit Date: 1/1/2010-1213112014 Last Revised 01-21-11 Page 2 of 2 1 ANNUAL SUMMARY DMR - STORMWATER SEND TO CENTRAL OFFICE* J RECEIVED STORMWA TER DISCHARGE OUTFALLS (SDO) GENERAL PERMIT NO. NCG020000 JAN 2 1 2015 *Report ALL STORA11V t TE.R Monitoring Data on this form (including No Flow and No Uiseharge and Permit Limit Violations) by MARCII I rf each vear. t�t=1141L FILES CERTIFICATE OF COVERAGE NO. NCG020096 SAMPLE COLLECTION YEAR: zut,4 SECTION FACILITY NAME: Salem Stone Quarry PERSON COLLECTING SAMPLES: David Thorne CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 Part A: Stormwater Monitoring Requirements COUNTY: Forsyth PHONE NO. 336-769-3803, ADD TO LISTERVE? YES❑ NO❑ EMAIL: Outfall No. Date Sample Collected (mo/dd/yr OR NO FLONNI' In Tier 2 Monthly i\'lonitoring? (pin) # of Months in Tier 2 Sampling2 Total Flow (NIG) Total Suspended Solids (mg/1) Turbidity' (NTU) Settleable Solids (mill) Total Rainfall (in) Even Duration - - - - - too3.4 See Footnote 3'4 0.1 3 Riser Basin 030 No Discharge Riser Basin 930 No Discharge If "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 mg1l except in ORW, H WQ, trout, and PNA waters where they are 50 mg/l. The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoir designated as trout water..: 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 pennittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO. Permit Date: UU2010-12131/2014 Last Revised 01-21-11 Page t 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 FLONN)t 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 1664A SGT-HEM (mg/1) Total Suspended Solids (mg/1) pH (Standard Units) Total Rainfall (in) Event Duration - - 15 3 100 3 6-9 ; Comin led Water Comingled Water HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK E\CEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES NO ❑ 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 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 sys(em, 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.!!n 1 /2/2015 {Signat a of Per ee) (Date) Pennit ate: 1/1/2 12131/2014 Last Revised 01-21-11 Page 2of2 SEND TO CENTRAL OFFICE ON STORMWATER DISCHARGE OUTFALLS (SDO) GENERAL PERMIT NO. NCG020000 'Report AI.L S'7nRrbllf'fl77iR Monitoring Data on this form (including No Flow and No Discharge and Permil Limit Violations) by MARCH I of each year. CERTIFICATE OF COVERAGE NO. NCG020096 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Salem Stone Quarry COUNTY: Forsyth PERSON COLLECTING SAMPLES: David Thorne PHONE NO. 336-769-3803 CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES❑ NO ❑ EMAIL: Part A: Stormwater Monitoring Requirements Outfall No. Date Sample Collected (molddlyr OR NO FLOW)t In Tier 2 Monthly Monitoring? In # of Months in Tier 2 SamplingZ Total Flow (MG) Total Suspended Solids (mg/l) Turbidity° (NTU) Settleable Solids (ml/l) Total Rainfall (in) Event Duration - - - - - 1003'4 See Footnote"4 0.1 3 Jan. -Jun. Riser Basin #30 No Discharge No Discharge Jul. -Dec. Riser Basin 030 12/18/15 30.7 18 ND 1.5 12 n If "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. 3If 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 mgfl except in ORW, H WQ, 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. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO. Permit Date: 1/1/2010-12/31/2014 Last Revised 01-21-11 Page 1 of 2 Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using> 55 gal of new motor oil/month on average Outfall No. Date Sample Collected (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) TPH using method 1664ASGT-HEM (mgll) Total Suspended Solids (mg/0 pH (Standard Units) Total Rainfall (in) Event Duration - - is 1003 6-93 Jan. -Jun. Comin led Water 25.0 Jul. -Dec. Comingled Water 25.0 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES NO.2f HAVE YOU CONTACTED THE REGION? WHO AT THE REGION HAVE YOU SPOKEN WITH? YES ❑ NO MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT VIOLATIONS) BY MARCH l 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 INFORMA TION REPOR TED: "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." 1 /6/2016 (Signature ermit (Date) Per Dat . 1/1/2010- /31/2014 Last Revised 01 Page 2 of 2 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 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 30days of receiving sample results from a lab. CERTIFICATE OF COVERAGE NO. NCG020096 FACILITY NAME: Salem Stone Quarry PERSON COLLECTING SAMPLES: Barry McConnell CERTIFIED LABORATORY: PACE ANALYTICAL Lab #40 LIMITS VIOLATIONS? YES NO Part A- Wactewnter Mnnitnrina Reaoiremenk SAMPLE COLLECTION YEAR: 2015 COUNTY: Forsyth PHONE NO. 336-769-3803 ADD TO LISTERVE? YES NO EMAIL: INDUSTRIAL SAND'? DISCHARGE TO SA WATERS4? Outfall No. Date Sample Collected' Total Flow Total Suspended Solids' TurbidV Settleable Solids pH Fecal Coliforms - mm/dd/ MG/CFS m 1,2 NTU2.3 ml/l2 Standard col/ml2,4 IQ it Discharge 1/30/15 0,21 2.9 5.1 ND 7.0 2Q Pit Dischar e 4/30/15 0.11 30.1 3.8 ND 7.0 3Q Pit Dischar e 7/17/15 0.42 10.4 11.0 ND 7.0 'All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS hints. 21f an effluent limit is exceeded, the perminee 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: 1/1/2010-12/31/2014 Last Revised 0 1 -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 - mrn/dd/ MG m 1''2 NTUz'' mm, Standard2 col/ml1'` 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) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORM4TI0N 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." /,rsz", ( te) Permit Date; 1/1/2010-12/31/2014 Last Revised 01-21-11 Page 2 of 2 ANNUAL SUMMARY DISCHARGE MONITORING RFPnRT tnmRi _ WASTFWATFR 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. NCGO20063 Facility Name: Salem Stone Quarry County: FoMth Phone Number: 336-672-1501 Total No. of Outfalls Monitored 1 Certified Laboratory Pace Analytical _ Lab rE 40 Lab i1 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? Yea 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 (Tr) designated waters? Yea H No re Wethere any limit violations in the calendar year? Yee Nv Mx OutfalF No. 1 Daily Flow Rate cfe pH, SU fiSS, mgA SS mill ,.,p,,,,` Discharge Turbidity, NTU Upstream (U} Turbidity ' Downstream {D} Turbidity, NTU Fecal Collform, col(SA) ml [5A} Effluent flmltatlOn3 Mo. Avg.1 Dal1y Max. HQW or ORW 50%of7Q10 inditaec No FLOW it avplieabk FrrshwaterCLO 9.0 Sahwater 6.11.8.5 Industrial Send 25/45 HQW or ORW 20130 HQW or ORW tod Tr or PNA 10115 HQW, ORW, SA,Sa PNA ar any Trout 0.110.2 No Limh ci w- �� a�+tr +eor..: 50125110 NIA raa„a v N/A a ut r..e.. -P°a" NIA Date sample Collected, mo/dd/yr ®- 10l2312015 0.16 7.00 3.20 ND 5.10 NIA N/A NIA Permit Uate witzu'm—vfjuizuzu Last Revised 10-2-2015 Certificate of Coverage No. NCG020063 CERTIFICATION "I certify, under penalty of taw, 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." [RegUiMd by Q CFR § r22.22) Si natu� e Date Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in D WR (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: (9191707-9220 Permit Date 10t112015 — 9/30/2020 Last Revised 10-2-2015 I -;- I TIER 2 or BENCHMARK EXCEEDENCE DMR - STORMWATER II SEND TO YOUR LOCAL REGIONAL OFFICE* II STORMWA TER DISCHARGE OUTFALLS (SDO) GENERAL PERMIT NO. NCG020000 (MINING) * Use this form if you have EXCEEDED BENCHMARKS for any parameter or are in Tier 2 Monitoring. Send sample results to DWQ Regional Office within 30 days of receipt from lab. CERTIFICATE OF COVERAGE NO. NCG020096 SAMPLE COLLECTION PERIOD: 1 ❑ 2 MONTHLY: ❑ MONTH PERSON COLLECTING SAMPLES Vance Allred, Plant Manager FACILITY NAME: Salem Stone Quarry CERTIFIED LABORATORY Pace Analytical Lab # 12 COUNTY Forsyth Lab # PHONE NO. (336) 389-6623 Part A: Stormwater Monitoring Reauireinents Outfall No. Date Sample Collected mo/dd/ r OR { y NO FLOW)I In Tier 2 Monthly Monitoring? g. (y/n) # of Months in Tier 2 2 Sampling Total Flow (MG) Total Suspended Solids (mg/l) Turbidity (NTU) Settleable Solids (ml/1) Total Rainfall (in) Event Duration (minutes) - - - - - 100 ' See Footnote ' 0.1 RB #30 9/23/11 N NIA 157 See cover letter 2.5 13 Hours If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range. 2 Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range s If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit. 4TSS benchmark values are 100 mg/l except in ORW, I-IWQ, trout, and PNA waters where they are 50 mg/l. 5 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 SDO. Permit Date: 1/1/2010-12/31/2014 Last Revised 02-02-1 1 Page I of 2 ,k Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average Outfall No. Date Sample Collected (mo/dd/yr OR NO FLOW)' In Tier 2 Monthly Monitoring? (y/n) # of Months in Tier 2 SamplingZ New Motor Oil Usage al/month Total Flow (MG) TPH using. method 1664A SGT-HEM m 11 Total Suspended Solids m 11 pH {standard Units Total Rainfall in Event Duration minutes _ _ 15 m /13 100 in /13,4 6-93 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES AT YES ❑ NO ANY ONE OUTFALL (ALL SDOs INCLUDING VEHICLE MAINTENANCE)? HAVE YOU CONTACTED THE REGION? YES ❑ NO WHO AT THE REGION HAVE YOU SPOKEN WITH? USE THIS FORM IF YOU IIAVE EXCEEDED BE,NCIIMARKS FOR ANY PARAMETERS SF_ND THIS DMR TO YOUR LOCAL DWO REGIONAL. OFFICE WITHIN 30 DAYS OF RECEIPT OF SAMPLE RESULTS FROM THE LAB: Asheville Regional Office (ARO) Roger Edwards, Surface Water Protection Supervisor 2090 US Highway 70 Swannanoa, NC 28778 COURIER 12-59-01 Phone: (828) 296A500 Fax: (828) 299-7043 Fayetteville Regional Office (FRO) Belinda Henson, Surface Water Protection Supervisor 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 COURIER 14-56-25 Phone: (910) 433-3300 Fax: (910) 486-0707 Mooresville Regional Office (MRO) Rob Krebs, Surface Water Protection Supervisor 6 10 East Center Avenue, Suite 301 Mooresville, NC 28115 COURIER 09-08-06 Phone: (704) 663-1699 Fax: (704) 663-6040 Raleigh Regional Office (RRO) Danny Smith, Surface Water Protection Supervisor 3800 Barrett Drive Raleigh, NC 27609 COURIER 52-01-00 Phone: (919) 791-4200 Fax: (919) 5714718 Washington Regional Office (WaRO) Al Hodge, Surface Water Protection Supervisor 943 Washington Square Mall Washington, NC 27889 COURIER 16-04-01 Phone: (252) 946-6481 Fax: (252) 946-9215 or (252) 975-3716 Wilmington Regional Office (WRO) Rick Shiver, Surface Water Protection Supervisor 127 Cardinal Drive Extension Wilmington, NC 28405-2845 COURIER 04-16-33 Phone: (910) 796-7215 Fax: (910) 350-2004 Winston-Salem Regional Office (WSRO) Steve 'Tedder, Surface Water Protection Supervisor 585 Waughtown Street Winston-Salem, NC 27107 COURIER 13-15-01 Phone: (336) 771-5000 Fax: (336) 7714631 YOU MUST SIGN TIIIS CERTIFICATION FOR ANY INFORMATION RE, PORTF_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 g ther and evaluate the information submitted. Based on my inquiry of the person or persons whomanage the system, or those perso dire tly responsible for ga7�1s ering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awarilhat#ere are significan� peltiq§ for submitting false information, including the possibility of fines and imprisonment for knowing violations." — ' FSignard—re of Permitt3?e (pate) Permit Date: I/l/2010-12/31/2014 Last Revised 02-02-1 1 Page 2 of 2