NCG020175_MONITORING INFO_20190131

STORMWATER DIVISION COOING SHEET
NCG PERMITS i
PERMIT NO.
DOC TYPE
0- /HISTORICAL FILE
LN' MONITORING REPORTS
DOC DATE
o� 019 o 13)
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'rNo Discharge' and Limit Violations) from the previous calendar year to the
DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG020175
Facility Name: Hicone Quarry
County: Guilford
Phone Number: 828439-3333 'Total No, of Qutfalls Monitored 1
Certified Laboratory Pace Analytical Lab # 663
Lab #
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 SIB or PNA waters? Yes No X
Does this outfall discharge WW to HQW or 4RW waters? Yes No X
If so, what is the 7010 flow rate? NA or Tidally influenced waters, 7Q10 not available
Does this outfall discharge WW to Trout (Tr) designated waters? Yes B No
Were there any limit violations in the calendar year? Yes No X
C E I G H F
Outfall No. 1
Daily Flow
Rate, cfs
PH, SU
TSS, mgil
SS, mill
„p,,,,
discharge
Turbidity, NTIJ
Upstream IU)
Turbidity,
kTU
Downstream IDj
Turbidity, NTU
Fecal Coliform,
caIN00 ml
ISA}
Effluent
Limitations
Mo. Avg. 1Daily
Max.
IIQ%\' or ORW
50 % of 7 10
Q
Indicate NO FLOW if
applicable
Freshwater 6.
9.0 Sahwalcr
6•8-8.5
Industrial Sand 25/45
HQNy or ORw 20f30
EIQN' or ORH' and Tr
or PTA 10f1$
HOW, ,SB. .NA
SA, sa. PNA or
any Trout
0.1101
No Limit
owFn a+..a,.aar,oc`..:
gp125110
NIA w.. awe,
'�"'°" Pp—
NIA w. o .r, r.�,a„e
NIA
Date Sample
Collected, morddtyr
5/3/2018
2.50
7.3
ND
ND
2
10/25/2018
0.10
7.1
5.2
ND
18
1 A A I 0 1
In4A
to
MAID ct-r
ie,:.'
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

r
Certificate of Coverage No. NCG020175
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: 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 10/112015 — 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 rNo Discharge' and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG020175
Facilitv Name: 1licone
County: Guilford
Phone Number: 336-349-3333 Total No. ofSDOs Monitored 0
Certified Laboratory Pace Analytical Lab # 40
Lab #
Stormwater Discharge Outfall (SDO) No. 0 VMA Outfall? Yes No X
Is this outfall currently in Tier 2 for any parameter? Yes No x
Was this outfall ever in Tier 2 during the past year? Yes No X
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, received approval from DEMLR to reduce monitoring frequency
No, turbidity benchmark exceedances did not require monthly monitoring
Other
Outfall No.
Total Rainfall,
inches
TSS, mgll
SS, mill
Turbidity,
NTU
Upstream (U)
Turbidity, NTU
Downstream (D)
Turbidity, NTU
Non -polar O&G,
mgll (VMA)
New Motor Oil
Usage
(gal/Mo.)
Stormwater
Benchmarks
Mdk.,.NOFLowd
'PP""b"
,.�,
100150
0.1
50/25/10
NIA
we., Q..uy
.,. d. d.p,r..
N!A'�'�
wnrr ouWy
ae.,d.m.pp".
15
T�Ga
Date Sample
Collected, molddlyr
-M
E
1118 - 6/18
No 5DO Exist
6118 - 12118
No 5DO Exist
Permit uate mnr2al6—gmo1zo2o
Last Revised 10-2-2015

Certificate of Coverage No. NCG020175
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."
JRequimd by 40 CFR § 122.22f
Signature:
Date- 1/7/2019
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Fifes is housed in DWR (Lot 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]
Permtt Date 10/112016 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
RGPCIRT inmizi _ WAgTF:WATFR
General Permit No. NCG020000
Calendar Year. 2017
'Report ALL WASTEWATER monitoring data on this form (include 'No FioWrNo Discharge' and Limit Violations) from the previous calendar year to the
DEQ by MARCH f of each year.
Certificate of Coverage No. NCG020175
Facility Name. _. Hicone Quarry �^
County: Guilford
Phone Number: 828439-3333 Total No. of Outfalls Monitored 1
Certified Laboratory Pace Analytical Lab # 663
Lab #
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
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 ElNoPxq
Were there any limit violations In the calendar year? Yes No
C F I G H F
Qutfall No. t
Dolly Flow
Rate, cfs
PH, SU
TSS, mgli
� muf i0
�
Discharge
Turbidity, NTU
Upstream {U}
Turbidity,Turbidity,
NTU(SA)
Downstream {D)
NTU
Fecal Coliform,
couloo ml
,
ENTuerrt
Limitations
Mo. Avg.l Daffy Mar.
HQW or ORW
o
50 % of 7Q10
lndirale NO FLOW H
apphrahk
Freshwater 6.
9.0 Saltwater
6,8-8.S
Industrial Sand 25145
lrQw or ORW 20f30
HQW or ORW and Tr
or PNA 10115
HQW. ORW.
�, SIR, PNA or
any Trout
0,1f0,2
No Limit a�a.N.r,
anaq $m —wp-:
60125/10
NIA wwppp . ,
'Oo�+•
IVIR nsw wab ad a. a
+w�
NIA
Collected, ddlyr
s
2/1/2017
0.10
7.6
3.1
NO
3.6
7/17/2017
1.09
7.1
NO
NO
L6
L11 "I
C
D
5
Perm it vats 1 uru;tui b — yfjufzuzu
Last Revised 10-2-2015

Cefftcate of Coverage No. NCG020175
CERTIFICATION
"I certify, under penalty of iaw, that this document and all attachments were prepared under my direction ar supervision in accordance with a system designed to assure
that qualified personnd 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 hest of my knowledge and belief, true, accurate, and complete- I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
fRegwmd by 40 CFR § 122.24
Signature
Date
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 1011/2015 - 9130/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) T 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
Exceedanoes) from the revious ralendaryear to the DEQ_by MARCH f of each year.
Certificate of Coverage No. NCCO20175
Facility Name: Hicone
County: Guilford
Phone Number: 336-349-3333 Total No. of SDOs Monitored 0
Certified Laboratory Pace Analytical Lab # 40
Lab #
Stormwater Discharge Outfall (SDO) No 0 VN A Outfali? 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
R Fl K M
Outfall No.
Total
Rainfall,
inches
TSS, mgll
SS, mill
Turbidity,
NTU
Upstream (U)
Turbidity, NTU
Downstream (D)
Turbidity, NTU
Non -polar O&G,
mgll (VMA)
New Motor Oil
Usage
(gallmo-)
5to►mwater
Benchmarks
rw,se.noFLOW .
""
100150
0.1
n�
50/25/10
NIA
a '�"
NIA
15
"`9" "'
Date Sample
Collected,
moldd r
fit!
1117 - 6/17
No SDO Exist
6117 - 12117
No SDO Exist
reran uate i u1 Vzu t o — umuizuzu
Last Revised 10-2-2015

Certificate of Coverage No. NGG020175
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."
(� RSignature
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is corred - 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 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. NCG020175
Facility Name: Hicone Quarry
County: Guilford
Phone Number: 828-439-3333 Total No. of Outfalls Monitored I
Certified Laboratory Pace Analytical Lab 9 663
Lai) 9
Wastewater (WW) Discharge Outfall No, 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes NoMX
Does this outfall discharge WW to SA waters? Yes No
Does this outfall discharge WW to SB or PNA waters? Yes No
Does this outfall discharge WW to HOW or ORW waters? Yes No
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 B No eX
Were there any limit violations in the calendar year? Yes No X
C li ] G kI F
Outfall No. t
Daily Flow
Rat*,cis
pH, SU
TSS, mg11
SS, mill
Discharge
Turbidity, NTU
Upstream (U)
Turbidity,
NFU
Downstream (D)
Turbidity, NTU
Fecal Coliform,
co1110o ml
(SA)
Effluent
Limitations
Mo. Avg.1 Daffy Max.
HQH' ur OR1y
50% of 7Q 10
lndintr NU F LOW If
applicable
Freshnatrr 6.1
9.D Saltwalcr
6.9-8.5
Industrial Sand 25145
HQR' nr URiy 20130
IIQ1yorUR\1'nndTr
or P\'A 10115
1IQw, ORm.,
SA, tilt, 1'NA or
any'frnnt
0.I10.2
No Limit cl.pl. Wq«
puglty9lu�aval.q.pp�Ma:
50125/10
N1AWa1«OVYXy
8tndi° wol.
NIAW.I«pparrea.as'a
poll..
NIA
Hate Sample
Collected. moMd T
*
.� _
�xa .�;
-_
jra•as�,r'*w�
.r-x�4�•,,.
',. -'
K
.. 4"14,
1/12/2010
0,05
6.9
ND
ND
2.9
4119/2016
0,21
7.4
ND
ND
2
71_O )016
0.10
72
5.4
ND
2.3
1% o--
10/5/2016
0.05
7.4
4.4
ND
1.3
1 At L. %4�0
( V i= Li
1. I
SO;
IIll
Permit Date 10/1/2015 - 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG020175
CERTIFICATION
"I cerlity, 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)
7.,�,—,
Signature
Date / Z -/ 9 -.-/ C
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

i
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2016
'Report ALL STORMWATER monitoring data on this form (include "No Flow"I"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ byMARCN 1 of each year,
Certificate of Coverage No. NCG020175
Facility Name: Hicone
County: Guilford
Plione Number: 336-349-3333 Total No. of SDOs Monitored 0
Certified Laboratory Pace Analytical Lab # 40
Lab #
Stormwater Discharge Outfall (SDO) Nol 0 VMA Outfall? Yes No tx
Is this outfall currently in Tier 2 for any parameter? Yes NoWas 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
A D K M ]
Outfall No.
Total
Rainfall,
inches
TSS, mgll
5S, mill
Turbidity,
NTU
Upstream (U}
Turbidity, NTU
Downstream (D)
Turbidity, NTU
Non -polar 08G,
mgli (VMA)
New Motor Oil
Usage Usa
(gall ge
5tormwater
Benchmarks
r _XorLowir
�°"""'
,.mow;„
100150
0.1
,„
50/25/10
MIA
w.e.rowury
,w�,,,,P„
NIA
w.r,awnr
,, ,, „,�,„
15
,�-559. ,
n,yas
7OLGmmtodm
Date Sample
Collected,
moldd! r
Nim
1/16 - 6r16
No SDO Exist
6P16" 12116
Nu SDO Exist
Permit Date 1ui11Zrri5—w3oizu20
Last Revised 10-2-2015

Certificate of Coverage No. NCG020175
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."
fRequered by 40 CFR § 122. j
Signature �c.c...r�
2
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 10/112015 - 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 F(ow'rNo Discharge' and Benchmark
txceedances} from the previous calendar year to the DEQ byMARCH i of eachyear. . . ... .
Certificate of Coverage No. NCG020175
Facility Name: Hicone
County- Guilford
Phone Number: 336-349-3333 Total No. of SDOs Monitored 0
Certified Laboratory Pace Analvtical Lab it 40
Lab #
Stormwater Discharge Outfall (SDO) Not 0 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 Ll 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 Ij
a D K M l
Total
Turbidity,.
Upstream (U)
Downstream(D)
Non -polar 08,G,
New Motor Oil
O al! o
Rainfall,
TSS, mgfl
SS, mlfl
NTU
Turbidity, NTU
Turbidity, NTU
mgll (VMA)
Usage
inches
(galtmo.)
Stormwater
ft'r NoRowff
e. .r
0.1
°"`""••
NfA
Benchmarks
'°""""
100150
50125110
r0.�N.fIA
u„a,� .«..,
w
,,, ,, ,°.d"...,,
Data Sample
Collected,
n
1116-NI6
NoSDOExist
J_
101112015 —
Last Revised 10.2.2015

Certificate of Coverage No. NCG020175
CERTIFICATION
-I certify, under penalty of lave, 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
(Rogvired by 40 CFR § 122. J
Signature ' ,..,.—
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Cake:
Nate the address is correct - Central Fifes is housed ire DVW (/2o DEM.R)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Fifes Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 101112015 - 913012D20
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORINC
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 Unit Violations) from the previous calendar year tothe
DEQ by MARCH i of each year -
Certificate of Coverage No. NCCO20175
Facility Name: Hicone Quarry
County: Guilford
Phone Number: 82BA39-3333 Total No. of Qutfalls Monitored 1
Certified Laboratory Pace Analytical Lab At 663
-- - Lob 0
Wastewater (WW) Discharge OutfalI No, t
Is this an industrial sand mine (See 40 CFR 5436 Subpart D)? Yes No X
Does this outfall discharge WW to 5A waters? Yes No X
Does this outfall discharge WW to SS or PNA waters? Yes No X
Does this outfall discharge W to HOW or ORW waters? Yes No X W
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 a '4 e
Wore there any limit violations In the calendar year? Yes No X
C E I G if F
outfall No. i
Daily Flaw
Rate, cfs
Pk, 5U'
T5S, mgll
S5, mill
a„'..w
Discharge'
Turbidity, NTU
Upstream (U)
Turbidity,
b,
Downstream (D)
Turbidity, NTU
FacaF coliform,
soIH00 ml
(SA)
Effluent
Limitations
No. Avg. lbaify Max,
IIQ"' or ORW
50% of 7 10
-•
tndlcsrNU FL.O\YIr
.yglrahAr
Freshwater 6.0
9.0 Solr„ster
b-8.8.5.
hiatiuT6152nd 25145
HQW or ORNV 20130
HQ%A'ar0R«'sndTr
or PA'A I0/1S
uQw' onw,.
SA, SO, P VA or
any'rront
0.110.2
No Limit ca.rnw
C.Aw a.,..-:
W12wo
NIA ,... ev<,
a..•.,su.�+.
NIA w..,a , n....M
..
+w+•
-
NIA
-
Date Sample
Collected, road -T
-
- -
-
1112nol6
005
6.9
ND
NA
2.9
4119120t6
0.21
7,4
ND
NO
2
7/20/2016
0.10
7.2
5.4
ND
2.3
10612016
0.05
7.4
4.4
ND
1.3
Permit Date 10/1/2015 — 91301Z02u
Last Revised 10-2-2015

Certificate of Cevernge No. NCGO20175
CERTIFICATION
"1 certify, under paratty of law, that this document and all attachments were prepared Under my dir2Ction or supervision in accbrdance 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 viofatlons."
fire idled try 40 CFR § 122.221
Signature
Date / Z ,
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note .the address is correct- Central Files is housed in DWNR (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]
Pennit Date 10/1/2015 — 9/3012020
Last Revised J0-2-2015

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 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. NCG020175
FACILITY NAME: Hicone Quarry
PERSON COLLECTING SAMPLES: Bill Ashby
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #40
LIMITS VIOLATIONS? YES � NO
Part A- Wastewater Mnnitnrinv Ronllirements
SAMPLE COLLECTION YEAR: 2015
COUNTY: Guilford
PHONE NO. 336-375-7584
ADD TO LISTERVE? YES NO EMAIL:
INDUSTRIAL SAND? DISCHARGE TO SA WATERS49
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solidst
Turbidity3
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/ r
MG/CFS
mg/1 1,2
NTU2.3
ml/l,
Standard'
col/mi",
IQ Pit Discharge
2116/15
0.07
4.1
0.6
ND
6.2
2Q Pit Dischar a
4/30/15
0.07
8.7
1.4
ND
6.9
3Q Pit Discharge
7/23/15
0.07
3.9
1.6
ND
6.1
'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 permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3'1'he discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiveing water, directly upstream and downstream of the discharge.
°Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1/l/2010-12/31/2014 Last Revised 01-21-11
Page 1 of 2

Part A: Continued: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected,
Total Flow
Total Suspended
solids`
Turbidity'
Settleable Solids
pti
Fecal Coliforms
mrn/dd/
MG
m ''2
NTU2''
ml/12
Standard
col/m12,4
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 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 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 imprisionment for knowing violations."
Permitteej
Permit Date: 1/1/2010-12/31/2014
( te)
Last Revised 01 -2 1 -11
Page 2 of 2

ANNUAL SUMMARY DISCHARGE MONITORING r�
REPORT R - WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2015
`Report ALL WASTEWATER monitoring data on this form (include 'No FloW f No Discharge' and Limit Violations) from the previous calendar year to the
DED by MARCH I of each year.
Certificate or Coverage No. NCG020175
Facility Name: _ Hicone Quarry
County: Guilford
Phone Number: 336-672-1501 Total No. of Outfalls Monitored 1
Certified Laboratory Pace Analytical _ Lab 4 40
Lab i!
Wastewater (WW) Discharge Outfall No. t
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes B 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 7Q40 flow rate? NA or Tidally influenced waters, 701D not available
Does this outfall discharge WW to Trout (Tr) designated waters? Yes El
No FXWere there any limit violations in the calendar year? Yes NoX
Outfall No. t
Daily Flow
Rate, cis
pH, SU
TSS, mg11
SS, mill
•
Discharge
Turbidity, NTU
Upstream (U)
Turbidity,
NTU
Downstream (D)
Turbidity, NTU
Fecal Coliform,
c011100 ml
(SA)
Effluent
Limitations Mo
Avg./OellyAtax
HQW or ORW
50%oF7QI0
Iedk2tc NO FLOW if
.Ppk.bk
Frrahwatrr 6
q,D Salewarer
6.8$.5
lndastrW Sand 25/45
HOW w ORW 20130
HQW ar ORW sed Tr
or PNA10115
HOW, ORW.
SA, Se, PNA or
any Trout
0.110.2
No Limit
oa"�arb.�""ww'r
60J2�tU
�A w.w o".rry
�y„y �vk,
NIA xn. adr„arre
,M.,,
NIA
Date Sample
Collected, mo/ddlyr
10/20/2015
0.10
6.90
19.60
ND
6.10
NIA
N(A
NIA
Permit Uate I U111ZU15 — 9/30/2020
Last Revised 10-2-2015

• f �
Certificate of Coverage No. NCG020175
CERTIFICATION
,,'I certify, under penalty of law, that this document and ag 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, aocurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
fRequ~ 8y 40 CFR § 122.221
Signature5 9nWL0
Date t�
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

II ANNUAL SUMMARY DMR - STORMWATER II
SEND TO CENTRAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
'Report .ILL STORMIFAT R Monitoring Data on this fortn (including No Flow and No Discharge and Permit Limit Violations) by M11RC'11 I ojeach sear.
CERTIFICATE OF COVERAGE NO. NCG020I75 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Hicone Quarry COUNTY: Guilford
PERSON COLLECTING SAMPLES: Bill Ashby PHONE NO. 336-375-7584
CERTIFIED LABORATORY: PACE ANALYTICAL Lab 912 ADD TO LISTERVE? YES ❑ NO O EMAIL:
Part A: Stonnwater Monitoring Requirements
Outfail
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
/n
# of Months in
Tier 2
Sampling2
Total Flow
(MG)
Total Suspended
Solids
(mgll)
Turbidity°
(NTU)
Settleable
Solids (ml/l)
Total
Rainfall
in
Event
Duration
-
-
-
-
-
1001,4
See Footnotea'4
0.11
Jan. -Jun. No Outfalls i xist
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 of the benchmark, or outside the benchmark range (for pH), you must implement the Teir I or Tier 2 responses in the General Permit.
4TSS benchmark values are 100 mg/l except in ORW, I I WQ, trout, and PNA waters where they are 50 mgll.
`The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservois designated
as trout waters: 25 NTU for all lakes and reservois, and all salt water; 50 NTU for all other streams and surface waters. 'Turbidity may be monitored at the SDO
Alternatively, the pernittec may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/02010-12/3112014 Last Revised 0 1 -21 -11
Page 1 of 2

Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using> 55 gal of new motor oil/month on average
Outfall
No.
Date Sample
Collected
(moldd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in
Tier 2
Sampling2
New Motor
Oil Usage
(gal/month)
Total Flow
(MG)
TPH using method
1664A SGT-HEM
(mg/0
Total Suspended
Solids
(mg/l)
pH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
-
-
153
1003
6-93
Jan. -Jun. No Outfalls Exist
Jul. -Dec. No Outfalls Exist
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES © NO ff---
HAVE YOU CONTACTED THE REGION? YES 0 NO O
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
[phone]
YOUMUST SIGN THIS CERTIFICATION FOR ANYINFORMATION 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. re that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing
(Si9na!pr6of Perrrytlee)
Pen ate:I/1l20 12/31/2014
1/6/2016
(Date)
Last Revised 01-21-11
Page 2 of 2

v v.
ANNUAL SUMMARY DMR - WASTEWATER
r SEND TO CENTRAL OFFICE*
PROCESS MINEIDEWATERING WASTEWATER
C;PNIPP AT AFRMTT NO NC"C.n?00t)O
ECEIVED
JAN 21 2015
'ReportAl! Wastewater discharge monitoring data on this form (including No klow and No Discharge and Permit Linril Violations ) by MARCH 1 of each year, If DWR SECTION
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. NCG020175
FACILITY NAME: Hicone Quarry
PERSON COLLECTING SAMPLES: Josh Turner
CERTIFIED LABORATORY: PACE ANALYTICAL Lab 912
LIMITS VIOLATIONS? YES NO
Part A: Wastewater Monitorinti Reouirements
SAMPLE COLLECTION YEAR: 2014
COUNTY: Guilford
PHONE NO. 336-375-7584
ADD TO LISTERVE? YES NO EMAIL:
INDUSTRIAL SAND'`? DISCHARGE TO SA WATERS4`T
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
Turbidity'
Settleable Solids
pH
Fecal Coliforms
mm/ddl
MG
mg/l1 `
NTU" }
ml/1`
Standard?
col/ml2,4
Pit Discharge
3/24/14
1.008
ND
2.5
ND
7.3
Pit Discharge
6/19/14
0,2688
10.8
4.7
ND
7.3
Pit Discharge
9/3/14
0.0168
2.9
2.5
ND
7.4
Pit Discharge
10/23/14
0.0168
28.7
9.7
ND
7.6
'All mines must monitor W W discharges for TSS. Only industrial sand mine discharges are subject to TSS limts.
2If an effluent limit is exceeded, the perminee is required to institute monthly monitoring for that parameter for the remaining permit tern.
311'he 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 he monitored at the
Storrnwater Discharge Outfall. Altcmatively, the perminee may choose to monitor turbidity in the receiveing water, directly upstream and downstream of the discharge.
1Only facilities discharging to SA waters are required to monitor for Fecal coliforns.
11crrnit Date: 1/l/2010-12/31/2014 Last Revised 0 1 -2 1 -11
Page 1 of 2
tttt.^
Itttt�
r
�7
c7
0
"D
Ittt 04

Part A: Continued. Wastewater Monitoring Requirements
Ntfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
Turbidity`
Settleable Solids
pH
Fecal Coliforms
mmldd/ r
MG
mg/lI2
NTU2.3
mill"
Standard
coll11112'4
MAIL ORIGINAL, AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCII I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, Nortli Carolina 27699-1617
[phone]
l'OUMUST SIGN THIS CERTIFICATION FOR A NY INFORMA TION REPORTED:
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information sumbitted. Based on my inquiry of the person or persons who manage the system. or
those persons directly responsible for gathering the information, the 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."
ig
Pennit Date: 1/1/2010-12/3112014
t S� /.S'
(Date)
Last Revised 01-21-11
Page 2 of 2

11 ANNUAL SUMMARY DMR - STORMWATER 11
SEND TO CENTRAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STOR WATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violalions) by MARC11 I rfeach vear. 0
CERTIFICATE OF COVERAGE NO. NCG020175
FACILITY NAME: I-licone Quarry
PERSON COLLECTING SAMPLES: Bill Ashby
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12
Part A: Stornwater Monitorintr Rcauirements
SAMPLE COLLECTION YEAR: 2014
COUNTY: Guilford
PHONE NO. 336-375-7554
AI)D TO LISTERVE? YES❑ NOD EMAIL:
Outfall
No.
Date Sample
Collected
(molddlyr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(yln)
# of Months in
Tier 2
Sampling
Total Flow
(SIG)
Total Suspended
Solids
(Mg/1)
Turbidity
(NTU)
Settleable
Solids (ml/I)
Total
Rainfall
(in)
Event
Duration
too3•4
See Footnote'';
0.1 3
No SW Outfalls Exist
1/2014-12/2014
No SW Outfalls Exist
1/2014-12/2014
'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 1 or Tier 2 responses in the General Permit.
4TSS benchmark valuLS are 100 mg/l 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 salt water: 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the perrnittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Pennit Date. 1 / 112010-12/31 /2014 Last Revised 0 1 -21 -11
Page 1 of 2

P,Tl-X: 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
(N1G)
TPH using method
1664A SGT-11EM
(mg/1)
Total Suspended
Solids
(mg/1)
pH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
-
-
15'
1003
6-9 11
No Outlalls Exist
No Outtalls Exist
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
WHO AT'ITHE REGION HAVE YOU SPOKEN WITH?
NIAIL ORICINAL 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
[phone]
YOU MUST SIGN TII1S CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, tinder penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information sumbitted. Based on my inquiry of the person or persons who manage the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing
violatio
1 /2 /2015
(Signatu a of Per ee) (Date)
PernittUtc: Ill1201 I213112014 Last Revised 0 1 -21 -11
Page 2 of 2