NCG020109_MONITORING INFO_20190131

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
�V � /�a Ul U
V
DDC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
—
❑ �,O1901-l-)1
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
DEO by MARCH I of each year.
Certificate of Coverage No.
Facilitv Name:
one Number:
rtified l.aboralon'
NCG020109
Statesville Quarry
Iredell
704-873-8191
Pace Analytical Lab # 40
Lah #
Total No. of Outfalls Aionitored 1
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 7010 flow rate? NA or Tidally influenced waters, 7010 not available
Does this outfall discharge WW to Trout (Tr) designated waters? Yes No EXWere there any limit violations in the calendar year? Yes JNo--�
C E I G H F
Outfall No. 1
Daily Flow
Rate, cfs
pH, SU
TSS, mgn
SS, mill
u�.
©ischarge
Turbidity, NTU
Upstream (U)
Turbidity,
Downstream (p)
Turbidity, NTU
Fecal Coliform,
co11100 ml
(SA)
Effluent
Limifatlons
- Mo. Avg. 1 Daily
Max.
HQW or ORW
50'/. of 7Q 10
rndieme NO FLOW if
applicable
Freshwater 6.
9.0 Saltwater
6,".5
Ind —trial Sand 25145
li¢N' or ORN' 20130
II ,61' or OR��' and Tr
¢
or PNA 10115
HQN', ORW,
SA. SB. PNA or
any Trout
0.110.2
No Limit ee w—
o u,m.,a a . +ram•:
60125110
NIA w. w rr
NIA w�� w.ur s.b.
NIA
Date Sample
Collected, mc'ddFyr
1/31/2018
0.05
8.1
ND
ND
1.8
8/21/2019
0.07
7.7
ND
ND
ND
GENTKi
,L FILES
DIP./R S
ACTION
Permit Date imam — 9I301202u
Last Revised 10-2-2015

Certificate of Coverage No. NCG020109
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."
(RequW 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 [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
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 STORMWATER monitoring data on this form (include "No Flow"/'No Discharge' and Benchmark
Exceedances) from the previous calendar year to the DER by MARCH f of each year.
Certificate of Coverage No. NCG020109
Facility Name: Statesville
County: Iredell
Phone Number: 704-873-8191 Total No. of SDOs Monitored I
Certified Laboratory Pace Analytical Lab # 40
^Lab #
tormwater Discharge Outfall (SDO) No. I 1 VMA Outfall? Yes No
this outfall currently in Tier 2 for any parameter? Yes No
tas this outfall ever in Tier 2 during the past year? Yes No
this outfall was in Tier 2 last year, was monthly monitoring discontinued?
es, enough consecutive samples below benchmarks to decrease frequency
es, received approval from DEMLR to reduce monitoring frequency
o, turbidity benchmark exceedances did not require monthly monitoring
D
0
Outfall No. 1
Total Rainfall,
inches
TSS, mg/1
SS, mill
Turbidity,
NTU
Upstream (U)
Turbidity, NTU
Downstream (D)
Turbidity, NTU
Non -polar O&G,
mgll (VMA)
New Motor Oil
Usage
(gaUmo.)
Stormwater
Benchmarks
MIUNNOROWIlypic�6N
eenClnrM
100150
0.1
C "
50/25/10
N/A
Wa«OUNIy
.,,,,,,,,,Pp,„
NIA
WR..uwny
� .PPr,„
15
D-W-
Date Sample
Collected,
molddtyr
MEIM
M===
5/1612018
0.5
ND
ND
ND
12l2S12018
1.25
299
0.1
344
Permit Date 101112015 — 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG020109
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, tree, 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 {nol 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 [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2015-912012020
Last Revised 10-2-2015

Martin
Marietta
Stormwater Sample Exceedance Report
Site: Statesville Quarry
Date sample was collected: December 28, 2018
Outfall location: Stormwater Outfall #1
Benchmark Parameter Exceeded:
• Turbidity — 334 NTU (Tier 1 Exceedance for Turbidity benchmark of 50 NTU)
• Total Suspended Solids — 299 mg/l (Tier 1 Exceedance for TSS benchmark of 100 mg/l)
Date of Lab Results: January 2, 2019
Date of Stormwater Management Inspection: January 9, 2018
Personnel in attendance: Jay Nivens — Environmental Engineer Martin Marietta
Alex Jolly — Plant Manager — Martin Marietta
Inspection Observations: The inlet of the outfall structure is in need of maintenance.
Proposed Actions: The inlet 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.
statesville 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 RoWjrNo Discharge' and Benchmark
Exceedanoes) from the previous calendar year to the DEQ MARCH 1 of each year.
Certificate of Coverage No. NCG020109
Facility Name: Statesville
County: Iredell
Phone Number: 704-873-8191 Total No. of SDOs Monitored 1
Certified Laboratory Pace Analytical Lab # 40
Lab #
Stormwater Discharge Outfail (SDO) Not 1 J 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 exoeedances did not require monthly monitoring
B D K M 3
Total New Motor Oil
Outfall No. 1 Rainfall, TSS, mgll 5S, mlll Turbidity, Upstream (U} Downstream (D� Non -polar O8,G, Usage
inches NTU Turbidity, NTU Turbidity, NTU mgl! (VMA) (gallMo.}
Stormwater �` °"` NIA NIA �6Spa°""
Benchmarks 0.1 vawa� W. � 15 TU
"^
100150 50125110 wnaar 3tnere
Date Sample
Collected,
5t24/2017 0.7 "NDND ND
9/1/2017 0.4 ND ND I ND
Permit Date 1011/2015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG020109
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 §1 _221
Signature
Date 122
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is Correct- Central Files is housed in DIA/R (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 [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
1919)707-9220
Permit Date 1011/2015 - 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 2017
"Report ALL WASTEWATER monitoring data on this form (include 'No FkyWrNo Discharge' and Limit violations) from the previous calendar year to the
DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCCO20109
Facility Name: Statesville Quarry
County: iredell
Phone Number: 704-873-8191 7btai No. of Outfails Monitored 1
Certified Laboratory Pace Analytical 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? Yea No X
Does this outfall discharge WW to HOW 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? Yes e No MX
Were there any limit violations in the calendar year? Yes No
G
OutfaEl No: 1
Daily Flow
{fate, cfs
pH, SU
•
TSB, rrlgll
55 min
.�
Discharge
Turbidity, NTU
Upstream (Ul
�' `- -
Turbidity,
NTU
DonY,s.—aa . (UI .
Turbidity, NTU
Fecal Collform,
col(SA)lau mi '
(SA)
Effluent
Limitations
Mo. Avg. / Daily Max,
HQW or ORW
50 % of 7 1
Q U
Indicate NO FLOW if
applicxwe
Freshwater 6
9.0 Stillwater
6.8-8.5
lndnstrial Saad 25/45
HQW or ORW 20130
HQW or ORW and Tr
at PNA 10115
HOW, ORW,
SA, SR, PNA or
any Trent
0.I/0.1
No Limit ow.w.r
crnr s+w.�a++,+oow:
50/25/10
N/A —a.e.
�'""s"
NJA wr..a«rip a,w.,.
NIA
Date Sample
Collected, mofddlyr=
�Imiff
e"ro.
1/30/2017
0.02
6.9
ND
ND
23
r v
^
7/31/2017
0.02
7.4
ND
ND
ND
Y
618
Permit Date 10/1/2015 - 9/30=20
Last Revised 10-2-2015

Certificate of Coverage No, NCG020iog
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in actordanoe 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."
jRKWUd by 4D CFR §t22.24
(:::�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 [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 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 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. NC6020109
Facility Name: Statesville Quarry
County: Iredell
Phone Number: 704-873-8191 Total No. of Outfalls Monitored 1
Certified Laboratory Pace Anah'tical Lab # 40
Lab 9
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? 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 outfall discharge WW to Trout (Tr) designated waters? Yes B NoMx
Were there any limit violations in the calendar year? Yes No
C 'c G 1! jr
Outfall No. 1
Daily Flow
Rate, cis•
pH, SU
TSS, mgll
SS, m111
Discharge
Turbidity, NTU
Upstream (U)
Turbidity,
NTU
Downstream (D)
Turbidity, NTU
Fecal Coliform ,
co11100 ml
(SA)
Effluent
LlrtlitatiDRS
Mo. Avg./Daily Max.
IIQ\i' or OH\y
50% of 7QIU
Indicale NO FLOWif
applicable
Fresheater 6.0
9.0 Salrna[er
G.R-8.5
Industrial Sand 25145
IfQw or omv 20130
I[QR'arOH\\'and'I'r
or PNA 10115
IIQ\\', ()HN',
SA.. Sa, PNA or
am-1.
0.I1t1.2
No Limit c.ww..
o�rirya,>,a..auw.opw.:
50/25/10
NIA wx..owMr
'un°"°'Pw"•
NIAw.r«oV+,rrs,...e�e
'0°�"'
NIA
Date Sample
Collected, mn/dXN
2/2l2016
0.05
7.7
ND
ND
ND
as
5/16/2010
0.28
8.1
ND
ND
1.2
1`R E C E
/ r— Li
7/5/2016
0.02
7.8
3.1
ND
5.0
11f2812016
0.14
7.8
5.2
ND
3.8
t4CN 1 tCAL t
IL b
y
UN
Permit Qate iunlzui o — yljuizuzu
Last Revised 10-2-2015

Certificate of Coverage No. NCG020109
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."
fR"aired by 40 CFR § 122 22)
f
Signature C7- A
zlo' ell,
Date '/q -r/c
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 [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9130/2020
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 RoWrNo Discharge' and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year,
Certificate of Coverage No. NCG020109
Facility Name: Statesville
County: Iredell
Phone Number: 704-873-8191 Total No. of SDOs Monitored
Certified Laboratory Pace Analytical Lab # 40
Lab #
Stormwater Discharge Outfall (SDO) No 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
TA D K M
Ouifal! No. 1
Total
Rainfall,
inches
TSS, mg/l
SS, mUl
Turbidity,
NTU
Upstream (U)
Turbidity, NTU
Downstream (D)
Turbidity, NTU
Non -polar 08G,
mgA (VMA)
New Motor Oil
Usage
(gallMo.)
Stormwater
Benchmarks
ww�c.,.Harrown`
by
100150
U.1
,,k
50/25/10
NIA
B
NIA
15
""'°'"""�'
TH"'d"11"
Date Sample
Collected,
molddl r
MIM
.
=
_
_
=
4/16/2016
0.2
ND
ND
ND
6I16 - 12l16
No Discharge
Permit Date 1u1112u15 - snur2u2o
Last Revised 10-2-2015

Certificate of Coverage No. NCG020109
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.'
lRequired by 40 CFR 1 2.22J
Signature
Date -
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (riot 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 [phone]
Questions? Contact DEMLR Storrrtwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 - 9130/2020
Last Revised 10-2-2015

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 11iolations) by MARCH I or each year. If
you have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office withn 30 days of receiving sample results from a tab.
CERTIFICATE OF COVERAGE NO. NCG020109 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Statesville Quarry COUNTY: Iredell
PERSON COLLECTING SAMPLES: Scott Rogers PHONE NO. 704-873-8191
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #40 ADD TO LISTERVE? YES NO EMAIL:
LIMITS VIOLATIONS? YES NO INDUSTRIAL SAND"? DISCHARGE TO SA WATERS 4?
Part Ar Wastewater Mnnitnrinv Renuirements
Outfall No.
Date Sample
Collected"
Total Flow
Total Suspended
Solids'
Turbidity'
Settleable Solids
PH
Fecal Coliforms
-
mm/dd/ r
MG/CFS
m lt'z
NTU2,3
ml/12
Standard2
col/mIl"
1Q Pit Discharge
1/30/15
0.16
ND
1.0
ND
7.3
2Q Pit Discharge
5115115
0.11
ND
3.7
ND
8.0
3Q Pit Dischar e
9/22/15
0.11
ND
ND
ND
7.9
e-r- tT Q1 ES
rrvv -,TION
'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 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 NTiJ 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: 1/1/2010-12/3112014 last Revised 0 1 -21 -11
Page 1 of 2
�Yrrrtr;
i

Part A. Conrinued : Wastewater Monitoring Requirements
OutfalI No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
Turbidity'
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/
MG
Me 1,2
NTU"'
mill'
Standard
col/mlx''
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATIONREPORTED:
"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."
Pem,ittee)
Permit Date: 1/1/2010-12/31/2014
z� 6
(te) If
Last Revised 0 1 -21 -11
Page 2 of 2

ANNUAL SUMMARY DISCHARGE MONITORING
SPORT DMR — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2015
"Report ALL WASTEWATER monitoring data on this form (inciude'No Flcw TNo Discharge' and Limit Violations) from the previous calendar year to the
DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG020109
Facility Name: Statesville Quarry
County: Iredell
Phone Number: 336-672-1501 Total No. of Outfalls Monitored I
Certified Laboratory Pace Analytical 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 5A waters? Yes No X
Does this outfall discharge WW to 5B 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 (Tr) designated waters? Yes a No
h B
Were there any limit violations in the calendar yeaYes No X
Outfall No. 1
Daily Flow
Rate, cfs
ft
pH, SU
TSS, mg/l
55, mill
•+�
Discharge
Turbidity. NTI}
Upstream (U)
Turbidity,
N R U
Downstream (U
Turbldky. NT
Fecal Coliform,
coula0 ml
sa
�1
E fluent
Uraitat/t7ns Aga
Avg./DsAy Alax
HQW or ORW
50%of7Q10
4 ladic FLOW it
aniK�
Freshwater 6.
9.0 Saltwater
6.8-8,5
Iad.t,w saod 25/45
HQW ar ORW 20f30
HQW or ORW and Tr
orPNA1Oil 5
HQW, ORW,
Q
SA,sa,PVA ar
aor /0
01.2 10Z
No Limit
�r��""'•e•'°'
60125110
NIAw.wo.q
N1Aw.. o...M,a....
NIA
Date Sample le
ddlyr
re.4a r �
P:i.>�...;
�y.`ki
IT
a t 25�,rxy;,y
� .�
10/20/2015
0.02
7,90
ND
ND
ND
N/A
N/A
NIA
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

A,,
Certificate of Coverage No, NCG020109
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in aocordance 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."
(RaQurred by 40 CFR §122.221
Signatu . o4.LM-
Date
Mail Annual Summary Stormwater DIIAR 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 [phone]
Questions? Contact DI_MLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2016 — 9/30/2020
Last Revised 10-2-2015

fl ANNUAL SUMMARY DMR - STORMWATER II
SEND TO CENTRAL OFFICE*
STORMWA TER DISCHARGE ODTFALLS (SDO)
GENERAL PERMIT Nil). NCG020000
`Report ALL S1ORMIFYI'T R Monitoring Data on this form (including Na Flow and No Discharge and llermit Limir Violations) byMifRC11 1 afeach tear.
CERTIFICATE OF COVERAGE NO. NCG020109 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Statesville Quarry COUNTY: Iredell
PERSON COLLECTING SAMPLES: Scott Rogers PHONE NO. 704-873-8191
CERTIFIED LABORATORY: PACE ANALYTICAL Lab ##12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A: Stormwater Monitorin¢ Requirements
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLO t
In Tier 2
Monthly
Monitoring?
/n
4 of Months in
Tier 2
Sampling'
Total Flow
(MG)
Total Suspended
Solids
(mom)
Turbfdity4
(NTIJ)
Settleable
Solids (mill)
Total
Rainfall
(in)
Event
Duration
-
-
-
-
-
f 00''4
See Footnote3'4
0.13
Jan. -Jun. No Outfalls Exist
Jul. -Dec. No Outfalls Exist
' 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 ofthe 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/l except in ORW, H WQ, trout, and PNA waters where they are 50 mg/l.
5The discharge shall not cause an instantaneous measurement of the turbidity ofthe receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservois designated
as trout waters; 25 N'ru 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 ofthe SDO.
Permit Date: I/10010-12/31/2014 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
(mo/dd/yr 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
1664A SGT-HEM
(mg/0
Total Suspended
Solids
(mg/1)
pH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
-
-
153
1001
6-9 3
Jan. -Jun. Comin led Water
Jul. -Dec. Comingied Water
20
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES p NO p—
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑ NO p
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
Attm DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information 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 imprisioument for knowing
violati -
'*,,— 1/6/2016
(Signatur Permi ) (Date)
Pennit e: 1/1/2010/31/2014 Last Revised 01-21-11
Page 2 of 2

ANNUAL SUMMARY DMR - WASTEWATER
SEND TO CENTRAL OFFICE
PROCESS MINEIDEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
"Report All Fi astewaler discharge monitoring data on this form (including No blow and No Discharge and Permit Limit ilinlalions) by A1,4RCH l 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. NCG020109
FACILITY NAME: Statesville Quarry
PERSON COLLECTING SAMPLES: Scott Rogers
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12
LIMITS VIOLATIONS? YES NO
Part A: Wastewater Monitorimy Requirements
SAMPLE COLLECTION YEAR: 2014
COUNTY: Iredell
PHONE NO, 704-873-8191
ADD TO LISTERVE? YES NO EMAIL:
INDUSTRIAL SAND19 DISCHARGE TO SA WATERS4`?
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids,
Turbidity}
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/ r
MG
m a 1,'
NTU23
m1/13
Standard`
col/ml2.4
Pit Discharge
3/27/14
0.0528
ND
ND
ND
7.8
Pit Discharge
6/18/14
0.2112
ND
2.6
ND
8.0
Pit Discharge
9/29/14
0.1056
ND
ND
0.1
8A
Pit Discharge
10/28/14
0.0528
ND
ND
ND
7.8
'All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limts.
elf an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
iThe discharge shall not cause an instantancous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU Ibr all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters, Turbidity may be monitored at the
Stonnwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the recciveing water, directly upstream and downstream of the discharge.
4Oniv facilities discharging to SA waters arc required to monitor for Fecal colifonns.
Pennit Date: 1/1/2010-12/31/2014 Last Revised 0 1 -21 -11
Page 1 of 2

Part A: Conlinucd : Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
Ttirbidity;
Settleable Solids
pH
Fecal Colitbrms
-
mm/dd/ r
MG
mg/l "
NTU2.3
ml/l'-
Standard`
col/ml2,4
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) [IV MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 infonmation, including the possibility of fines and imprisionment for knowing violations."
re o ermittee) (Date)

ANNUAL SUMMARY DMR - STORMWATER
SEND TO CENTRAL OFFICE* RECEIVES
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000 JAN 2 1 201�
I* Report ALI, STORM IVATER Monitoring Data on this form (including No Flmr and A'o Dixchco.ge and Permit Limit Violations) by MARCII I oj'ench year. f Fts1TD A'FILC-ty^y p
'
J
DWR SECTIO�
CERTIFICATE OF COVERAGE NO. NCG020109 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Statesville Quarry COUNTY: Iredell
PERSON COLLECTING SAMPLES: Scott Rogers PHONE NO. 704-873-8191
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES❑ NOD EMAIL:
Part A: Stonmvater Monitoring Requirements
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLON)1
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in
Tier 2
Sampling
Total Flog
(MG)
Total Suspended
Solids
(mg/1)
Turbidity
(NTU)
Settleable
Solids (ml/p
Total
Rainfall
(in)
Event
Duration
-
-
-
-
-
t00'''
See Footnote3.4
0.1 3
Existing Basin
No Discharge
Existing Basin
12/23/14
N
0.034
3.8
3.5
ND
0.1
3
'If"NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each out fall 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 nl'the benchmark, or outside the benchmark range (fur pit), you must implement the Teir I or Tier 2 responses in the General Permit.
4TSS benchmark values are 100 mg/1 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 reservois designated
as trout waters; 25 NTU for all lakes and reservois, and all suit water; 50 NTU for all other streams and surface waters. Turbidity may he monitored at the SDO
Alternatively, the pennince may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 111/2010-12/31/2014 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
(mo/dd/yr OR
NO FLONV)'
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months in
Tier 2
Sampling
New Motor
Oil Usage
(gal/month)
Total Flow
(I%IG)
TPH using method
166.1A SGT-HEM
(mg/1)
'Total Suspended
Solids
(mg/1)
pH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
-
-
1511
1003
6-9 11
Cornin Bled Water
Comingled Water
20
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
I1AVE YOU CONTACTED THE REGION? YES ❑ NO ❑
WHO A'T'I'HE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY AFIARCH 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGH' THIS CERTIFICATION FOR ANY INFORMATION RFPORTF_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
violations.! � n
1/2/2015
(Signatu of Per ttee) (Date)
Pennir me; I1112f o-12131120t4 Last Revised 0 1 -21 -11
Page 2of2