HomeMy WebLinkAboutNCG020187_MONITORING INFO_20190107STORMWATER DIVISION CODING SHEET �
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ UI I U
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"Mo Discharge" and Limit Violations) from the previous calendar year to the
DEQ by MARCH i of each year.
Certificate of Coverage No. NC6020187
Facilitv Name: Central Rock Quarry
County: Guilford
Phone Number: 336-674-0836 Total No. of Outfalls Monitored 1
Certified LaboratorN Pace Analvtical La # 663
Lab #
Wastewater (WW) Discharge Outfall No. 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes No X
Does this outfall discharge WW to SA waters? Yes No X
Does this outfall discharge WW to SB or PNA waters? Yes No X
Does this outfall discharge WW to 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 a No eX
Were there any limit violations in the calendar year? Yes No X
C E I G H F
Outall No. 1
Daily Flow
Rate, cfs
pH, SU
TSS, mgll
SS, mill
,,,w, �,,,,
Discharge
Turbidity, NTU
Upstream (U)
Turbidity,
,
Downstream (D)
Turbidity, NTU
Fecal Coliform,
col(SA) ml
(SA)
Effluent
Lela fations Mo.
Avg.Indinle.SOFLOWif
/Dai Max.
I]Q�:' or ORSS
of 7 ] 0
applicable
Freshwater 6.
9,0 Saltwater
6.•5
Industrial Sand 25/45
FIQH' or ORN' 20130
EI50% QW or ORN' and Tr
or PNA 10115
'
EI N4, ORR,No
SA. SR. PNA or
Any Trout
0.1/0.2
Limit cwa. w.,..
o�,.ny r.�w�aA,.e,aya.,:
60/26/10
NIA w. ou..r
"' d-pp.,
N/A wr a �.a �...
" `.
NIA
Oale Sample
Collected, molddlyi
4/23/2019
1.15
8A
ND
ND
2.7
10/25/2018
1.47
7A
7.3
ND
12.7
Permit Date 10/112015 — 8130/2020
Last Revised 10-2-2015
T�
i
Certificate of Coverage No. NCG0201B7
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: 5�77
Date: 1/7/2019
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:
(919)707-9220
Permit Date 10/112015 — 9130/2020
Last Revised 10-2-2015
I
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMINATER
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 1 of each year.
Certificate of Coverage No. NCG020187
Facility Name: Central Rock
County: Guilford
Phone Number: 336-674-0836 Total No. of SDOs Monitored 2
Certified Laboratory Pace Analytical Lab # 40
Lab N
Stormwater Discharge Outfall (SDO) No. I I VMA Outfall? Yes No X
Is this outfall currently in Tier 2 for any parameter? Yes No X
Was this outfall ever in Tier 2 during the past year? Yes No X
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, received approval from DEMLR to reduce monitoring frequency
No, turbidity benchmark exceedances did not require monthly monitoring
Other
B 17 K NI i
Total
Upstream (U}
Downstream (D)
Non polar 08G,
New Motor Oil
Outfall No. 1
Rainfall,
TSS, mgll
55, mill
NTU
NTU
Turbidity, NTU
Turbidity, NTU
mgll (VMA)
Usage
inches
(gallMo.)
Stormwater
r dkl NO FLOW#
Circle
8-.h—lk
0.1
clrcM
p.nchm.h
NIA
WA
15
>65yWma
.wrtp. ,pWrte
Benchmarks
ippAb"'
100150
50/25/1D
wn.,aary
grW.d.pph.,
WW,
sr..a.a.pp..
io`pk"°o°d°k'
Date Sample
Collected, molddlyr
M
M
E
3/5/2018
0.3
NU
ND
1.4
12/20/2019
0.8
9.3
ND
10.6
Stormwater Discharge Outfall (SDO) No. 2 VMA Outfall? Yes X No
Is this outfall currently in Tier 2 for any parameter? Yes No X
Was this outfall ever in Tier 2 during the past year? Yes No X
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, received approval from DEMLR to reduce monitoring frequency
No, turbidity benchmark exceedances did not require monthly monitoring
Other
Total
New Motor Oil
Turbidity,
Upstream {U)
Downstream {D)
Non -polar 081G,
Outfall No. 2
Rainfall,
TSS, mg/1
SS, m!!I
NTU
Turbidity, NTU
Turbidity, NTU
mg/1 (VMA)
Usage
inches
(gal/Mo.)
Stormwater
MrtNO FLOWM
Grck
letlmk
01
`lrc`
hn
N/A.
We.rounq
NIA
weer waty
15
-53 I.V
quns
Benchmarks
50/25/10
alnd.rd.pp.
St..drd.pplk.
T$5.4 Noykt100I50
L„c „e„r.d
Date Sample
Collected, molddlyr
-
-
■
-
_
_
-
1/18 - 6/18
No Dischar gc
6118 - 12118
No Discharge
Permit Date 1011/2015 — 9/3012020
Last Revised 10-2-2015
,4h.
Certificate of Coverage No. NGG020187
CERTIFICATION
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
[Required by 40 CFR §122.221
Signature: ~
Date: 1 /7/2019
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct- Central Files is housed in DWR (not DEMLR)
N.C., Department of Environmental Quality (DEQ)
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2017
'Report ALL STORMWATER monitoring data on this form (indude'No Flow /'No Discharge' and Benchmark
Exceedances) from the previous calendar year to the CEO by MARCH f of each year.
Certificate of Coverage No. NCG020187
Facility Name: Central Rock
County: Guilford
Phone Number: 336-674-0836 Total No. of SDOs Monitored 2
Certified Laboratory Pace Analytical Lab # 40
Lab #
Stormwater Discharge Outfall (SDO) No 1 VMA Outfall? Yes No X
Is this outfall currently in Tier 2 for any parameter? Yes No X
Was this outfall ever in Tier 2 during the past year? Yes No X
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, received approval from DEMLR to reduce monitoring frequency
No, turbidity benchmark exceedances did not require monthly monitoring
Other
u n u tr r
ED
JAN 2 9 2018
CENTRAL FILES
DWR SECTION
Total
Turbidity,
Upstream (U)
Downstream (D)
Non -polar O$G,
New Motor 011
Outfall No. 1
Rainfall,
TSS, mgll
SS, mill
NFU
Turbidity, NTU
Turbidity, NTU
mg11(VMA)
Usage
inches
(gallmo.)
Stormwater
a aysxateows
.
0.1
CWCM
�, ,*
A
NIA
a
Benchmarks
"'"'°'°"
100150
50/26110
+ftw auwy
.�. d
'm
Date Sample
Collected,
d
6/21/2017
0.21
11.5
ND
IZ,7
9/6/2017
0.3
2.9
ND
6,9
Stormwater Discharge Outfall {SDO) Noi 2 1 VMA Outfall? Yes X No
Is this outfall currentiv in Tier 2 for anv parameter? Yes No X
Was this outfall ever in Tier 2 durino the oast vear? Yes No X
If this outfall was in Tier 2 last vear. was monthiv monitorina discontinued?
Yes. enough consecutive samples below benchmarks to decrease freauency
Yes. received aDDroval from DEMLR to reduce monitoring frequency
No, turbiditv benchmark exceedances did not require monthiv monitorina
lOther
it r l K M 1
Total
{U}
Qownstream {D)
Non -polar 08G,
New Motor Oil
Outfall No. 2
Rainfall,
TSS, mgA
SS, mill
NTU
NTU
Turbidity, NTU
Turbidity, NTU
mgll (VMA)
Usage
Inches
(gallmo.)
Stormwater
.d,m„oRo,,,.,�
NIA
NIA
Benchmarks
100150
0.1
50125110
e�,.,°
s= '
15
Date Sample
Collected,
I117 - 6117
No Disch
6117 - 12117
No Discharge
Permit Date 10/112015 — 9/3012029
Last Revised 10-2-2015
Certificate of Coverage No. NCG020187
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 an ent for knowing violations."
jRequired by 4D CFR 22,221
Signature
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Nate the address is correct — Central Files is housed in DWR ( not DEMLR)
N.C. Department of Environmental Quality (DEQ)
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 Flovdl"No Discharge" and Limit Violations) from the previous calendar year to the
DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG020187
Facility Name: Central Rock Quarry
County: Guilford
Phone Number: 336-674-0836 Total No. of Outfall5,Pslonitored 1
Certified Laboratory Pace Analytical Lab # 663
LHI) #
Wastewater (WW) Discharge Outfall No. 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes H No X
Does this outfall discharge WW to SA waters? Yes No X
Does this outfall discharge WW to SB or PNA waters? Yes No x
Does this outfall discharge WW to HQW or ORW waters? Yes No x
If so, what is the 7Q10 flow rate? NA or Tidally influenced waters, 7Q10 not available
Does this outfall discharge WW to Trout (Tr) designated waters? Yes E
No Mx
Were there any limit violations in the calendar year? Yes No
C G I C. it F
Outfall No. 1
Oahe Flow
Rate, cfs
pH, SU
TSS, mgll
SS, mill
•
Discharge
Turbidity, NTU
Upstream (U)
Turbidity,
NTU
Downstream (U
Turbidity, NTU
Fecal Coliform,
c011100 ins
(SA)
FfRuert!
Limitations Mo.
Avg.Itla!ly Max.
HQW or ORW
50%of7Ql0
Indirar NO FLOW if
appSr.hle
Freshwater 6.
9,0Saltwater
6,1f-8.5
Industrial Sand 25145
yQW nr ORW 20I30
HQW orORW and Trt
ar PNA 10I15
r{QW, ORW,
SA, SR, PNA or
any Trout
0,110,2
No Limit ck w—
w.wpr a.nm..nvr..:
50125110
NIA wr.n�ua
. v.a,...p,.�.
NIA w�a+,s�a
NIA
Dale Sample
Collected, mo7ddlyr
"TM
2/1/2017
1.47
7.5
ND
ND
1.2
7/13/2017
0.82
7.2
9.6
ND
6.3
`
Perm it Date 10/1/2015 — 9130/2020
Last Revised 10-2-2015
Certificate of Coverage No. NCG020187
! CERTIFICATION
-I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those
persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by Io CFFR § 122.221
G. Signature
Data 457 -/,?
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 (DEG)
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 -- 9/3012020
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 i of each year.
Certificate of Coverage No. NCCO20187
Facilitn• Name: Central Rock Quarry
County: Guilford
Phone Number: 336-674-0836 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)? Yes No X
Does this outfall discharge WW to SA waters? Yes No X
Does this outfall discharge WW to Se or PNA waters? Yes No X
Does this outfall discharge WW to HQW or ORW waters? Yes No X
If so, what is the 7Q10 flow rate? NA or Tidally influenced waters, 7Q10 not available
Does this outfall discharge WW to Trout jr) designated waters? Yes a No FX
Were there any limit violations in the calendar year? Yes No X
C E I G H jr
Outfall No. 1
Daily Flow
Rate, cfs
PH, SU
TSS, mgll
SS, mill
,a,
Discharge
Turbidity, NTU
Upstream (U)
TuNTUty,
Downstream {D}
Turbidity, NTU
Fecal Coliform,
co1I100 ml
(SA)
Effluent
Limitations Mo.
Av .IDa! Max.
9 rY
nQN' or 0RlF
50%of 7QIO
InJicalr NOFLOWU
appficamr
atcr fi.f1
9.0 Salt a[er
6.8.8.5
Industrial Sand 25145
nQN' or [1 R!!' 201311
IIQWor0RWand Tr
or l'NA I Off 5
11Q%V, 0RN',
SA SR, PNA or
an, Trout
O,Ilfl.2
No Limit c,w..—
ouanr U.--.yawn
50125110
NIA w,i«auaar
s�.rww wNw•
NIA w,w a—, annaw
www•
NIA
Date Sample-
Co]ICCSCJ, moldaN
1/12/2016
1.31
7.4
ND
ND
2A
4119/2016
0.98
6.9
-ND
ND
1,8
7/20/2016
0.16
7.1
44.2
ND
41.3
1015/2016
0.82
7.4
ND
ND
2
i�
..ENTR
IJM
-
Permit Date 10/112015 — 9/30/2020
Lasl Revised 10.2-2015
Certificate of Coverage No, NCG020187
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 a0 CFR § 122.221
Signature
Date rz `�Q-7�G
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) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2016
"Report ALL STORMWATER monitoring data on this form (include `No Flow"!'No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ b MARCN 1 of each year.
Certificate of Coverage No. NCG020187
Facility Name: Central Rock
County: Guilford
Phone Number: 336-674-0836 Total No. of SDOs Monitored 2
Certified Laboratory Pace Analvtical Lab # 40
Lab #
Stormwater Discharge Outfall (SDO) Nol 1 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
R 1) K M
Total
Turbidity,
Upstream {Uj
Downstream (D)
Nan -polar 08G,
New Motor Oil
Outfall Na. 1
Rainfall,
7SS, mgll
SS, mill
Usage
NTU
Turbidity, NTU
Turbidity, NTU
mgll (VMA)
inches
(gallMo.)
Stormwater
Mtlfc.I.NOFLOW,/
e„Kl,n�."
0.1
e.n«ma"
NIA
NIA
�$
°". °
.,x�,,.a�,.a
Benchmarks
"°"°'
100l50
50125110
w. cl—llry
9untlaM appN,a
w.ur Pym
Suntl.rtl apple..
TSS.ntl Hon pd'r
Date Sample
Collected,
-M
E
=
moldd! r
411212016
0.1
ND
ND
2.8
11/14/2016
0.19
ND
ND
3.8
Stormwater Discharge Outfall (SDO) No 2 VMA Outfall? Yes X No
Is this outfall currently in Tier 2 for anv parameter? Yes No NX
Was this outfall ever in Tier 2 during the past year? Yes No
If this outfall was in Tier 2 last vear. was monthly monitoring discontinued?
Yes, enouqh consecutive samples below benchmarks to decrease frequency
Yes, received approval from DEMLR to reduce monitorinq frequency
No, turbidity benchmark exceedances did not require monthly monitorinq
R I) K M J
Total
Turbidity,
Upstream (U]
Downstream (Dj
Non -polar 08G,
New Motor Oil
Outfall No. 2
Rainfall,
TSS, mgll
5S, m111
Usage
NTU
Turbidity, NTU
Turbidity, NTU
mgll (VMA)
inches
(gallmo.)
Stormwater
NIA
NIA
Benchmarks
IndICM,NOFLOWI!
'PP "°
e..�nm."
100150
0.1
B.,Kn,n."
50125116
waa,.i
r,
w,n,q„x
15
TSS.ntl N.npo
,,,„-G— ,
,,,„tl„Q,pp;,
DCole
lectedl
1116 - 6r16
No Discharge
6116 - 12/ 16
No Discharge
rermn uate iurtrsuto —t swzuzu
Last Revised 10-2-2015
Certificate of Coverage No. NCG020187
CERTIFICATION
°I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
[Required by 40 CFR §12
Signature �....-�y
Date -i
Mail Annual Summary Stormwater DMl2 to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (no Dl=MLR)
N.C. Department of Environmental Quality (DEQ)
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 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG020187
FACILITY NAME: Central Rock Quarry
PERSON COLLECTING SAMPLES: Bill Ashby
CERTIFIED LABORATORY: PACE ANALYTICAL Lab 440
LIMITS VIOLATIONS? YES NO
Part A! Wastewater Manitorin¢ Rennirements
SAMPLE COLLECTION YEAR: 2015
COUNTY: Guilford
PHONE NO. 336-674-0836
ADD TO LISTERVE? YES NO EMAIL;
INDUSTRIAL SAND'? DISCHARGE TO SA WATERS4.
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
Turbidity
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/ r
MG/CFS
M&2 1'2
NTU41
MIA
Standard'
col/m12''
IQ Pit Discharge
2/16/15
0.11
ND
1.6
ND
7.3
2Q Pit Discharge
4/30/15
0.11
ND
1.8
ND
8.3
3Q Pit Discharge
7/23/15
0.11
ND
1.8
ND
6.0
i1i
�■•
'
1
r 1 V 1= L
r`C'titr�
ht .R.
n
'All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limts.
21f an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
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 Outfail. 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: 1/1/2010-12/31/2014 Last Revised 01-21-11
Page 1 of 2
C�3
aw0
w01C
Part A: Continued: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity'
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/
MG
mo 1.2
N1,0.3
ml/l'
Standard'
col/m124
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(919)807-6379
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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."
natu
Permit Date: 1/l/2010-12/31/2014
( te)
Last Revised 61-21-11
Page 2 of 2
ANNUAL SUMMARY DISCHARGE MONITORING
RFPnRT tnmR,i_ WASTFWATI=R
General Permit No. NCG020000
Calendar Year 2015
'Report ALL WASTEWATER monitoring data on this form (include 'No Flow"I'No Discharge" and Limit Violations) from the previous calendar year to the
DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG020187
Facility Name: Central RockQuarry
County: Guilford
Phone Number: 336-672-1501 Total No. of Outfalls Monitored I
Certified Laboratory Pace Anal ticaI Lab 4 40
Lab #
Wastewater (WW) Discharge Outfall No. 1 aa"
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yea No X
Does this outfall discharge WW to SA waters? Yes No X
Does this outfall discharge WW to SB or PNA waters? Yes No X
Does this outfall discharge WW to HQW or ORW waters? Yes No X
If so, what Is the 7Q10 flow rate? NA or Tidally influenced waters, 7Q10 not available
Does this outfall discharge WW to Trout (Tr) designated waters? Yea ElNoFXK1Were there any IimIt violations in the calendar year? Yea No
Outfall No. 1
Daily Plow
Rate, eft
pH. SU
TSS, men
gg m�
•+w.�•
Discharge
Turbidity, NTU
Upstream (U)
Turbidity,
Downstream {D}
Turbidity, NTU
Fecal Ilform,
cv11100 ml
($A)
EffluentFrnhweler
Llmitaflons Ma
Avq. / Ually Max.
f{QW or ORW
50% of 7Q10
radiate NO FLOW if
appflabk
6.0
9 0 Saltwater
6.8-8.5
lodustrial Sand 25145
HQW or ORW 20f30
HQW or ORW and Tr
or PNA 10115
HQW, OAW.
Sm PNA or
airy Trout
0.110.2
No Limit
o.ra atma.a ea wn�...
60/25110
WA w Q w
"n°~'0"
NIA wo. ora,awa.s
wpa
NIA
Fate Sample
Callmied, molddNrFew
10/20/2015
0.16
7.20
11.00
ND
5.80
NIA
NIA
NIA
Permit Uate 101112915 — 913012020
Last Revised 10-2-2015
e vI
Certificate of Coverage No. NCGO20187
CERTIFICATION
"t 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."
IR"wred by 40 CFR § 722.221
Signature
Date F
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone (919) 807-6300
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
(919)707-9220
Permit Date 10/1/2015 — 9/3012020
x- Last Revised 10-2-2015
- STORMWATER
SEND TO CENTRAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALf. STORXIlfrl'1'ER Monitoring Data on this form (including No Flow and A'o Discharge and Permit Limit Violations) by WARCl1 1 of each year.
CERTIFICATE OF COVERAGE NO. NCG020187
FACILITY NAME: Central Rock Quarry
PERSON COLLECTING SAMPLES: Tim Hipps
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2015 13"
COUNTY: Guilford
PHONE NO. 336-674-0836
ADD TO LISTERVE? YES El NO ❑ EMAIL:
crmj
Outfatl
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLO t
In Tier 2
Monthly
Monitoring?
/n)
# of Months in
Tier 2
Sampling
Total Flow
(MG)
Total Suspended
Solids
(mg/l)
Turbidity`
(NTU)
Settleable
Solids (ml/1)
Total
Rainfall
(in)
Event
Duradon-9
(hrs)
-
-
-
-
-
1003'4
See Footnote3'4
0.1 3
Jan. -Jun. Pit Discharge
6/25/15
N
0.034
3.3
0.97
ND
0.5
1
Jul. -Dec. Pit Discharge
12/14/15
N
0.013
ND
1.8
ND
0.2
6
If"NO FLOW" or "NO DISCHARGE," enter "NO FLAW" 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 values arc 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mgA.
`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 permittce 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 O
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in,New
Tier 2
SamplingZ
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
-
-
153
1003
6-93
Jan. -Jun. Haul Road Basin
No Discharge
25.0
No Dischar e
Jul. -Dec. Haul Road Basin
No Discharge
40.0
No Discharge
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES NO 2—
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 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. aware that there are significant penalties for submitting false information; including the passibility of fines and imprisionment for knowing
violati h
(SignaJttfre of P�{mittee)
Permit ate: 1/1 010I2/3l/2014
(Date)
1 /6/2016
Last Revised 01-21-1 t
Page 2 of 2
ANNUAL SUMMARY DMR - STORMWATER
SEND TO CENTRAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SDO)
E❑
JAN 2 1 Z015
GENERAL PERMIT NO. NCG020000 CENTRALFILES
Xir)N
*Report ALL STORMWATER Monitoring Data on this form (incIuding,4o Flow and No Discharge and Perniii Lintii Violations) by MARCli l ofeach year. N
CERTIFICATE OF COVERAGE NO. NCG020187 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Central Rock Quarry COUNTY: Guilford
PERSON COLLECTING SAMPLES: Tim Hipps PHONE NO. 336-674-0836
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #f 12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A: Stormwater Monitoring Requirements
Outfall
No.
Date Sample
Collected
(nto/ddh'r OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(v/n)
## of Months in
Tier 2
Sampling
Total Flow
(MG)
Total Suspended
Solids
(mg/1)
Turbidity'
(NTU)
Settleable
Solids (ml/l)
Total
Rainfall
(in)
Event
Duration
-
-
-
-
-
1003,4
See Footnote.3,4
0.1 s
Pit Discharge
6/24/14
N
0,007
ND
2.5
ND
0.1
0.33
Pit Discharge
12/16/14
N
0.015
ND
ND
ND
0,25
l
Tif "NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" far each outfall here and the Date flange.
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 henchmark values are 100 mg/l except in ORW, H WQ, trout, and PNA waters where they are 50 mgll.
s'I he 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 a0 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 Datc: 1/l/2010-12131/2014 Last Revised 01-21-11
Page 1 of 2
mart 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/1)
Total Suspended
Solids
(mg/1)
pH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
-
-
153
I003
6-93
Haul Road Basin
No Dischar e
25.0
Haul Road Basin
No Discharge
58.5
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 p
WHO AT THE REGION HAVE YOU SPOKEN NVITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(919)807-6300
YOU MUSTSIGN 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, trite, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the possibilih, of fines and imprisionment for knowing
viol, do "
(Signa�t a of P mittee)
Pennit,6;ste: !I-010-12131/2014
(Date)
1 /2/2015
Last Revised 01-21-11
Page 2 of 2
V
ANNUAL SUMMARY DMR - WASTEWATER
-' SEND TO CENTRAL OFFICE
PROCESS MIN E/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
'Report All Wasrewaterdischarge monitoring data on this fonn (including No Flog and No Discharge and Permit Lmail Violations ) by MARCH I of each year. If
lou 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. NCG020187
FACILITY NAME: Central Rock Quarry
PERSON COLLECTING SAMPLES: Josh Turner
CERTIFIED LABORATORY: PACE ANALYTICAL Lab 412
LIMITS VIOLATIONS? YES NO
Part A: Wastewater Nlonitorin2 Requirements
SAMPLE COLLECTION YEAR: 2014
COUNTY: Guilford
PHONE NO. 336-674-0836
ADD TO LISTERVE? YES NO EMAIL:
INDUSTRIAL SAND'? DISCHARGE TO SA WATERS'?
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
Turbidity;
Settleable Solids
pH
Fecal Coliforms
-
mm/ddl r
MG
mg/I' 2
NTU2,3
ml/I2
Standard
col/ml2'4
Pit Discharge
3/24/14
0.6336
ND
3.0
ND
7.6
Pit Discharge
6/3/14
0.6336
ND
3.0
ND
8.0
Pit Discharge
9/3/14
0.0528
4.0
2.1
ND
7.7
Pit Discharge
10/24/14
0.6336
ND
1.6
ND
7.3
'All mines must monitor W W discharges for TSS. Only industrial sand mine discharges are subject to TSS limts.
21f 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, 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
Stonnwatcr Discharge Outfull. Alternatively, the permittec 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 colifonns.
Pennit Date: 111/2010-12/31/2014 Last Revised 0 1 -21 -11
Page 1 of 2
E Part A: Continued: Wastewater Monitoring Requirements
S,
utf¢iIie No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
3
Turbidity
Settleable Solids
pH
Fecal Coliforns
mm/dd/ r
MG
mgjl' -
NTU''3
ml/l2
Standard
col/ml2.4
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) 807-6379
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION RF_PORTED:
"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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing violations."
(SignptCtre
(DalAs :^
te}
Pennit Datc: l/l/2010-12/31/2014 Last Revised 0 1 -21 -11
Page 2 of 2
PROCESSIIVIINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original and One Copy to Mailing Address Below
GENERAL PERM -IT NO. NCG020000
Part A: Facility Information
Samples Collected in Quarter:
Certificate of Coverage No.
Facility Name
Facility Contact
Facility Contact Phone No.
1020 3Q 4Q� (all samples shall be reported within 30 days following monitoring period)
(Circle One}—
NCG020187
BUCHANNAN QUARRY
DAVID THORNE
(336) 674-0836
Part B: Process Wastewater and Mine Wastewater Monitoring Requirements
County of Facility
Name of Laboratory
Lab Certification #
GUILFORD
PACE ANALYTICAL
12
Outfall
g Number
Receiving'Stream Name
Date
Sample Collected
50050
00400
00530
00076.
00545
.17aily Flow'
pH
Total Suspended Solids
Turbidity
Settleable Solids
mo/dd/
MGD -
unit
m :
: NTUs
ml/l
001
Little Alamance Creels
11/30/09
0.02
7.30
ND
ND
1 Melsured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump logs.
Part C: Certifrcation
"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 violation."
O1 25/10
( ature of Pcrmaw— (Date)
Pnrt D; Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, N.C. 27699-1617
SWU-244-012005
PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original and One Copy to Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected in Quarter:
Certificate of Coverage No.
Facility Name
Facility Contact
Facility Contact Phone No.
1 2 4 (ail samples shall be reported within 30 days following monitoring period)
(circle one)
NCG020187 County of Facility
BUCHANNAN QUARRY Name of Laboratory
DAVID THORNE Lab Certification #
(336) 674-0836
Part B: Process Wastewater and Mine Wastewater Monitoring Requirements
GUILFORD
PACE ANALYTICAL
12
Ouffa
umber
llliLlieceiving Stream ameSam
]e
iffle
�SOOVM
ally low
NNNG-15=
0.46
ILQ04QOJ
p
KMV
7.30
0053D
otal Suspende Solids
mga
Nj0001760
urbidity
0054'5�
Settleable So ids
001
mo/,dd/ ,
8/25/09
Little Alamance Creek
2.2
ND
1 Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump logs.
Part C: 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 violation."
122/09
S g ture of Permi (Date)
PartD; Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, N.C. 27699-1617
SWU-244-012005
PROCESS/M1 NE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original and One Copy to Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected in Quarter:
Certificate of Coverage No.
Facility Name
Facility Contact
Facility Contact Phone No.
1 2 40 (all samples shall be reported within 30 days following monitoring period)
(Circle one)
NCG020187 County of Facility
BUCHANNAN QUARRY Name of Laboratory
DAVID THORNE Lab Certification #
(336) 674-0836
Part B: Process Wastewater and Mine Wastewater Monitoring Requirements
GUILFORD
PACE ANALYTICAL
12
Outfall
Number
x, +a
ff?ii.,tRing Sfream amen r;
Samle CollectedDai1F1'ow
5005OZA
KOQ4001
,� 005301i�t ;d
L*! 00017,693
ri 00545G` -
t
Y g� _
pTotal
rM7r t
Susended SolidsiTirbtdttySet#leableSol�ds
'M+a!�-'.c1F 'Yr
rw_..��+4
�_ .'-`�
��.-.t:.�. �„ c,�r;_•.r;�; �. •s✓�
�f-"�mold`cl/.yr� .�
�'-.�MGTI�'�
��unttx�
�......� �!mg/1�::.� x�-�
�-.1Nr � s
�':r"--:' _ �mi/l >r
001
Little Alamance Creek
5/19/09
0.46
7.60
ND
ND
I Measured continuously using a flow measuring device or estimated using manufacturers pump curves and pump logs.
Part C: 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 violatio4ig
�( 07/21 /09
of Permitee) (Date)
Part D; Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, N.C. 27699-1617
SWU-244-012005
PROCESS/NIINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original and One Copy to Mailin Address Below :3
Part A: Facility Information
Samples Collected in Quarter:
Certificate of Coverage No.
Facility Name
Facility Contact
Facility Contact Phone No.
GENERAL PERMIT NO. NCG020000
1 2 3Q 4 (all samples sliall be reported within 30 days following monitoring period)
(circle one)
NCG020187 .
BUCHANNAN QUARRY
DAVID THORNE
(336) 674-0836
Part B: Process Wastewater and Mine Wastewater Monitoring Requirements
County of Facility
Name of Laboratory
Lab Certification 4
GUI LFORD
PACE ANALYTICAL
12
P. Outfall
tpumber
P�..Jying Stream amne.
= Yste t--`
Sample Co lected
6,7-*15.0050K0
ft00:400j
" 0053.0
ft00017,6YA
kSM-ROD54'5j
sly low'
p
Total Suspended Solids
Turbidity
Settleable Soli s
-..��--.- '
"`-� mo/dd/.yr� _..
.MGD
= uni
x�i; m .1:-' •;•
Nr�LT
s��::; ml/,l
001
Little Alamance Creek
2/17/09
0.46
7.60
ND
ND
1 Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump logs.
Part C: 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 violation." A t /�
/ 14/09
'—(Stgdature of Perms ee (Date)
PartD; MailingAddress
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, N.C. 27699-1617
S WU-244-012005