NCG020266_MONITORING INFO_20180810

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG= QClQa L 6
DOC TYPE
eNicTnMrnL FnG
�Yib(li�2in tl¢'I� .
DOC DATE
B' �VIOOFSI��
YYYYMMDD

STORMWATER 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 Calendar Year: Q (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 `� County. of Facility p A �✓
Facility Name S j ig- -e t) i f l c— �� r c �= Name of Laboratory s µ f! h'y y
Facility Contact S -� u YY]ObS l� Lab Certification #
Facility Contact Phone No. (%cl r. -2,' —
Parr B. bind Disturbance and Process Area Monitoring Requirements Pan C: Vehicle Maintenance Monitoring Requirements
J.i.T•;4
i:it„Ovtfall
{ D�te
1y7
1I 00076
00545�
„$Oti50,
�04530.u,
L.�
e[E, b�, •,.r `.:Jtt..C+..�Li
,i«; (, R 99
�,
-Sul. ?'.�•'
l-`y t4.
i -f 'r
;, c. T i4 r
.-'1-o is r
to
AFr
Totai.Flow
5uspended'r
!
Ttir illlty .
�
.V'.-�j:
Settleable`Solitls'
Colected;{
::
3
;m:
m6ldd1jr
MG
: m''
IYTiJs
r.
ritllli ',..r,
7 7vAR
/ 333
Footnote 1 identify the receiving stream: �F, ; iY = � Ch Ce— �2=
Part_D: Storm Event Characteristics
Total Event Precipitation (inches):. �/ U
Event Duration (hours):
Part F: Certification
Outfall
,}
NA�`Dat�
'N, 'Yt'Kr-w
,alSWS��
Itl fr: 3�
045�6;N
ikNrl fi't 3l.l.t �l
- !,1
'�° �4QSAS 1T� R
i,r : •, F`:
100400 ;,
tt b};.�_
Noy "
j' � �; r ::'��
e,� p i
; ',Callec'fi� !+°Tatel
r�? I.f•{: tr. 3 �
*�s �?,Gr; ►3.
Flour
)'r '.,a
l E+a?j '?krtr
�Oilland?
GT+eas�e
�r411%r.?;4i,'^
�3;� y I anal `�rry l
�Suspenaed l+�YpH
�iSfi Su11d§ tax ;
a ri r-rc
,
?.. ,`
GEIVED
AUG 10 2018
CCNTfRAL FILE -Total Event Precipitation (inches):
K)VVR SECTIONEvent Duration (hours):
(if a separate storm event is sampled)
"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 '
(Signature of,Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699.1617
SWiJ-241-120199 '

Analytical Results
�esville Brick Company
'Box 471
NC 28687
,Statesville,
1
Receive Date: 07/24/2018
Reported: 07/30/2018
For: Gold Hill Mine
Comments:
Sample Number Parameter Sample ID
Result
Unit
Method
Analyzed
Analyst
180724-24-01 Settleable Solids OF1
0.1
mI/L
SM254OF-2011
07/24/2018
CL
180724-24-01 TSS OF1
15.333
mg/L
SM25400-2011
07/27/2018
WC
180724-24-01 Turbidity OF1
13-
NTU
EPA 180.1
07/25/2018
MD
180724-24-02 Settleable Solids OF2
0.1
ml/L
SM254OF-2011
07/24/2018
CL
/
180724-24-02 TSS OF2
14.667
mglL
SM2540[3-2011 '
07/27/2018
WC
180724-24-02 Turbidity OF2
13,
NTU
EPA 180.1
07/25/2018
MD
180724-24-03 Settleable Solids OF3
0.1
ml/L
SM2WF-2011
07/24/2018
CL
180724-24-03 TSS OF3
15
mg1L
SM25401)-2011
07/27/2018
WC
180724-24-03 Turbidity OF3
16
NTU
EPA 180.1
07/25/2018
MD
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

STORMWATER DISCHARGE MONITORING REPORT (DMR) . -
Please Nfiil Origiriai.And One Copy'.To Mailing Address"Below'
GNERAL PERMIT NO. NCG020000
Part A: Facility Information RECEIVED
o i MAR 21 2018
Samples Collected In Calendar Year: (all samples shall be reported�within 30 days foilowing'monitoring perlod)`
Certificate Of Coverage No. NCG02 19t C County of Facility CEN ! R�L Fil'
Facility Name S i4A K 5 v I I C. V� 2,ci'- Name of Laborator -WR Q C6
Facility Contact Lab Certification # e9
Facility Contact Phone No. 70 g 7 Z - �✓ I !,
Part B. Lmtd Di.mirhance and Process Area Monitorine Reauirements Part C: Vehicle Maintenance Morirtorin.e Reauirenients
1t - 3x {. I !1 1
�Qatfalit�'
fi:K]I
950W..,
Da
_j -U 1 J� nrS rt�
3 - 4 •'J '} $,.ji
i
- ' Sf 1 4.itt1
1i 0007E„r
f il-e�:r 1 - _i"'Y5 eS Ali i ::
�.00545"iii�rir'
a ia.:w,1;5i10500�
�i!;�,}OQ530fr�
K,
l r7,'I.
_i� CIF i.lr'
�t
I��� �jl:u •I. � li
lit4!
y F; �� ? !.. 11J
T°tal flow+
Suspended
Turbidity,
;Settled Mlle Sondse.
Colle led
ino/dii! r
MIG
in`
NTUs
mllf 1.
Footnote I Identify the receiving stream: K i l �— _C- h « I
Part"D: Stann rveut Characteristics
Total Event P.reclpltqtion (inches): 3�U
Event Duration (hours): ,A,, ,
Part E: Certification
. its.
t KOutfall
:1r' • • 71�:5'{�t:.a Vie.
Fl rt.
11 1:17ate3r:
,� �:7r.Yt �nvq.
<d I.
I: 50050�
`
Y;
ty�
'ik+C'r:.: r'llar'fp;
�.. ,�
0056
!¢�. aC,a ,.r, T. �
11
las'.a-•:'V ;
eau s.,an.:.k
YVvr:•w f•„1� �IS.�111
-F 1_•.0 a�xi:
�. i$a�i;.:l.
I 7
t
;yie;SrG�� I jt' 3�
r�'��'�t�
° I �FYI•g�il.`i;11�'
jSam leY.� I
'J .i' I, ?`•.
is���r,�rt�bA�
1' �;l•.`t,Yl{er
IQil�andt;�
r .. "�4?.Total i'w
������ �;!
f: �r
CollecteciE
;,Totahkl6wr
�j ?9 J�
Gr'easer
,��, �,..,
''#..
r
� li dS:!14k]
I��i3t;.S t}
111 .F���f(wail Ir�l
t�ii C.I. YIl�4,t.`�[
�15 ��1'=I'll
ffl�,'il t "• It
lA i�
?tr cl
:,mddd/ ref.J.
MGN.s
rl :m �..,
,i..m
ualt'i
Total Event Precipitation (inches):
Event Duration (hoiirs):
(if a separate storm event is sampled)
i
"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 "
(Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-120199

Analytical Results
Company
28687c
02/26/2018
03/05/2018
- Gold Hill
Parameter Sample ID Result
BQ226�1,6 0O e- Settleable Solids
OF1
<0.1
Sp22fi16-01 • >_ TSS
OF1
<3.448
180226 ,1»6-01: Turbidity
OF1
2.6
Settleable Solids
OF2
<0.1
=- 980226=_16 D2' tSS
OF2
13.833
cif 3s`z`tiY`�'•� y'-
180226:16-02 Turbidity
OF2
,
9.1
160226-16-03 Settleable Solids
OF3
<0.1
18022&16-03 TSS
OF3
14.963
80226-16-03 Turbidity
OF3
8.1
f
s`Respectfully submitted,
' Dena Myers - .
"
NC Cert #440,
NCDW-Cert #37755,
' EPA #NC00909 -
Unit Method Analyzed Analyst,
ml/L
SM254OF-2011
02/26/2018
WC
mg/L
sM25QG-2011
03/02/2018
WC
NTU
EPA 180.1
02/28/201 a
M D
ml/L
SM254CF-2011
02/26/2018
WC
mg/L
5M25400-2011
03/02/2018
WC
NTU
EPA 160.1
02/28/2018
MD
MlIL
SM254OF-2011
D2/26/2018
WC
mg/L
SM25400-2011
03/02/2018
WC
NTU
EPA 160.1
02/28/2018
MD
0
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

Part A: Facility Information
C.7,oIPVM
STORMWATER DISCHARGE MONITORI i G REPORT (DMR)
Please Mail Original And One Copy To Mailing,Address.Below
GENERAL PERMIT NO. NCG020000 RECO ED
SEP 0 6 2017
CENTRAL FILES
I Samples Collected In Calendar Year: (% (all samples shall be reported within 30 days rollawing monitoring periocL)WR SECTION
Certificate Of. Coverage No. NCG02; 0";; 6 6' _ County of Facility
I Facility NameName of Laboratory
Facility Contact 5�� `-2 /� o �� _ Lab Certification #
Facility Contact Phone No. 7(_ 4 Y) k 7Z- `„y/2 7 T�
Part B: Land Disturbance and Process Area Monitoring Reauirements
''Out[ali `
t llate ,
r 73.-
v --5N501' A
�,� i�
,00530 F,.
7:;` -.�.wv
l!l-ON76 *
of _I,{ ••.a. '- 'ry: a!e� y,
�� � 0i15457�9g�rt
v
�
.3i„
iVo1,
5ampie+
in
Total Flowi
Suspended!
Turb>Idtty!
Settteable Solids
Collected ;^
1�
•'Solids
nuad/ r
MG
in
ml/l i
'F/ ;7//
5,
g
011
Z
2/17
.�
R/7/17
Footnote ] Identify the receiving stream: JP-i I c e. e 17 cc l:
Part D: Storm agent Characteristics
Total Event Precipitation (inches): / r�
Event Duration (hours): y
Part E: Certification
Part r- Vehirlp. Mnintenanre Mnnitnrinp Renatrement.r
yyi ; tn/ e—
vA'.. -{���
bOutfall++55
t"'y.:�', t�"
D'
i10." '::r, u.^ ^-� •
40P
2a M1ol s, larc'sc+.1'77
/ii.r anv!- x
aS
Kr_imF�i«
4`i,-. M'i vticrz.0 al
l:h'= ,k�-.
R.
`4`z:i1.T','�Ic,!F.�..
�
, Oil�and
4,1�f:„y,Coliecteat{.ice�c�
+:TotaitFlotvf.
M" ;�w t
tp'.SuspendeiirPIi.,.
fl
IN
(Grease
+ --'.n•?,1+_.
F.�Si ;.Mr�..
,�t�f`1 F-
sl! V?n:rT�.lf« '.i
_:.�.; }
!1�
MGI
Ja&dd/ r
F a„ .14�
IF::'m
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"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 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.'
(Signature of,Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-12019

Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
170807-13-01
Settleable Solids
•TSS
OF#1
0.1
ml/L
SM254OF-1997
08/07/2017
CL
170807-13-01
OF#1
5.5
mg/L
SM2540D-1997
08/11/2017
WC
170807-13-01
Turbidity
OF#1
9
NTU
EPA 180.1
08/08/2017
MD
170807-13-02
Settleable Solids
OF#2
0.1
ml/L
SM254OF-1997
08/07/2017
CI_
170807-13-02
TSS
OF#2
7.875
mglL
SM2540D-1997
08/11/2017
WC
170807-13-02
Turbidity
OF#2
3
NTU
EPA 150.1
08/08/2017
MD
170807-13-03
Settleable Solids
OF#3
0.1
ml/L
SM2540E-1997
08/07/2017
CL
170807-13-03
TSS
OF#3
9.5
mg/L
SM254OD-1997
08/11/2017
WC
170807-13-03
Turbidity
OF#3
3
NTU
EPA 180.1
08/08/2017
MD
Respectfully submitted,
Lp"';V , O-k-6t
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page t of 3

1SCI-IARGE MONITORING REPORT {DMR} ;. . STORMWATrR D .
Please Mail Original And One Copy.To Mailing'Address Below
G (NEliAL PERMIT NO. NC6020000'
PrudA: Facility Info) -ilia Iiari C)-
Samples Cblietted Iii Calendar Yeat':.� /� M.(all suuiplcs §hail he reported within 30 days fol[owing.inoinit6rhrg period)
Ccrtlficatc.Of Cove> nge Na NCG{12t� County o€Facility :.'0 �—✓' :t�/ ..:
h:icility Name N �l�lle�- P��Z_ 1�t; . Name of L•abnratnry 5i A �S`�/%L1�` ifzAl' .e— ,
Tacilify Cnift:ict _ • u� .z7 Lail Cerilficatin�i # :. � . G r✓, f^•.` ,,���
Facility Contact Phone'No . 70. f-1/-2— 'S
Part B. Lrnid 'DisiurGance and Process Area Moniiorin' Re uireip enls ..
Part C; .Vehicle Mduitenruiice Moniloi•in Re uirehients
Q9K,
s
5slropieSell
I
..;,�
b�.�
l`r�'s I�
t]ntfafi!
Reeelvit>,g titi}i:ain
S I
Al
1:� �h•.s [AI71,,��•:,
7.
Gcv,
I1'
q 5 rL
I
13
G v
I
'+1 r. a y
: r�.Y �
('' n+ �I i �
'r
rr. t �,
a+,1 i [?I»s•I r
� ,.,,: - �, I,=
S'
a <,
I I
I
�Il
�
+.+
...fl q A(I
:'i ain't s
F rla,:l,l�
,{hut Ali
��- r• � � G„1 ��II,�I+Y)
, e ' h► r ai
SS v,
i:.., t
!.f IaI� t
I
j r
f
I. ��!
sSll na cle
..:,,�1,;
; .:i.:t�li.`•;=i31:!cll.l:4>�i.[ .s.IR
, cI 1
{!liid
.
a?�r2
rid!.liJ;l+':�fr�rl.+�,�l�ll,:r>:,,j;I
-il' :;�
,! ; i i vY ,r�,:
�:. � l.���•I ,.�}r.;,.
�I7;,',• =Ir.ssa'4:+' -~tiro
.l.l"i 'w„+.,;;1 '1'1,
Ali., j';� ��,rt ttt�,�Fr}�;j� ba i"
S ylri ,r
�!
�,a�ll�° f� I, �
+I�„ •v.-
, it
`jt� , :- CIS:
n:
�I'' 1} � ,
i ��1�, ��. ,�,
I, ,,y-,.
pa,,.d;;:6�, ,,j
I� � F.;x . u i
,.;., .,:�
.:P•.,;
� , �':
I
ti�;lt
, ..Parr D• Starm,Dveni Clfaracterfstfcs ..
Total Invent Precipitation (incites) : �� Total Event Preci01t11 11(111c11es)
Event Diiration'(hours Event Duratloli {hour;¢)'
(if a separate storm�e'sm
ta r a
r+' f , . .
Part C: Certifrcatiotr "w
'!I certify, tinder penalty of, laiv, tliat�this dociimeut and all attachments ivere prepared illider my ifirectton or supervi`stoil;ln'accor"clai>Ice lvitli .11
systeti� iiesigned to assui c tl►at qualified pc`rsonnel,prdperly gather �ii�d evaluate the information siibmttted. Based on my [141fl y of tkic person .
-or:persons.ivho manage the'system,.oe those persons directly msponsll le forgathering the information, the information "submitted is; to. the Best
of'my knowledgeand. belief, true,'acctirate, and cnmlilefe.-I anraWare that there are significant penalties for submitting fafse'information,
includifig the.possibility of fines and imprisonment for knowing violations /
_ (Signature of 1'erniittee} : (Date) "
Part F,• Mailing Address
Attiit, Ceititra!'i+iles, DENR, N.C,: Division of Water Quality, I617 Mail Service Center, Raleigh, NC 27699-1617

Analytical Results
pick Company d �j�,(p
.a
09/30/2016
d
Gold Hill
• --
RECEIVED
OCT 2 I .2016
CENTRAL FILES
1)"R SECTION
, ii- Parameter Sample ID Result Unit Method
g330-09 0i Settleable Solids
Outfalf#1
l60930-09=01: TSS
Outfall#1
y 60930-09-(31: Turbidity
0utfall#1
--W":8093a09-02 Settleable Solids
Outfall #2
"- 360930-09-02 TSS
Outfall 92
�1160930-09.02 Turbidity
Outfall #2
r160930-09-03 Settleable Solids
Outfall #3
,yam_
16093M9-03 TSS
Outfall #3
"i60930-09-03 Turbidity
Outfall #3
N spectfully submitted,
_ Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
<0.1
11.757
23
<0.1
8
13
<0.1
15.753
24
ml/L
SM2540E-1997
mg/L
SM254OD-1997
NTU
EPA 180.1
mI11-
SM254OF-1997
mg/L
SM254OD-1997
NTU
EPA 180.1
ml/L
SM254OF-1997
mg1L
SM254OD-1997
NTU
EPA 180.1
Analyzed Analyst
09/30/2016 MD
0913012016 C R
09/30/2016 MD
09/30/2016 MD
09/30/2016 C R
09/3012016 MD
09/30/2016 MD
09/30/2016 C R
09/30/2016 MD
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Pagel of 3

STORMWATER DISCHARGE MONFFORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below �NE®
GENERAL PERMIT NO.
NCG020000 .
OUT Z 4 2015
Parr A Facility Information
CENTRAi FILES
DWR SECTION
SAmples Collected In Chleudar
Year: a D ! (fill samples -shall be reported within 30 (lays
following monitoring perlod)
Certificate Of Coverage No.
,y y d NCG02 0 1-
County of facility
w'9
Moo .,
Facility Nanie
S ' CSf r
iVame. of Laboratory .. S
c ; IC firvf!
Facility Contact
/? op
Lab Ccrlificatlon
..Facility Contact Plume NO'.
v
-Part B: Land Distur•hance 4nd
Process Area Moniiori ig Requirements Part
C: Vehicle Mciinlenance Monirorin
Re rurerrrenrs
1)nte'.
5(�0,$0
Od5li;
gJI.;tIa:QSa.:-`
,t1U07¢
'
rr l,{,I'.j';h;�''
ru.l,aOutfall'. rl4(tirUa
�,'U
tt les}li1l•Ie�+
e{vitp S(icain
ReeNa.rile '
No
CSOR(llineejl.lieeS+
FiOS'a
I+'C�otNah
, I!
BI
1 ryl f}�+l'
Sr�nll sfi,'T
:F,SoI�[lsi I4
' N
;t i-I i:;-1:
,il, t
.,t- f -.r. i•':
,All. r II
? r; (' �
I I'i •III -4
i Nk-9f"'r• 5 l.��t IY''
',,.,,1� t{ : 1 i : l
�I
E. I I I S
j i+.:i III:"rl,-
t"i 'f!
,t 1,r '�nJ I !
�!t<�:.'
1 o�llill r
::,rM�„ „
i��ii '.,
,1.1� t 1.� .1:^:I•�si,,
• /
''�r S -•.%IPA !�.
/UL �.
� 1
�.. � -
GD. I
ICI, ryiall,;'
DIi
�,.
oQ 0
0�5�SG
0)153QI'
Q4t10',
- I:t, +�1i41r��'��I
ypLll tl .i
}ri3�"� 1, s�>�i
�11 s.l 1?��`
lr,,lr r'r.Y Le 1:i
a�. ., .:n:•:
.-•
.On#fail
� _,r
is ,Id ,I .IIt,
Rice v11r aln
•:t � , :�.� ,t`Y :;,;g0[hIA
},�(-'rI�• /nt�.,,�,;�•.�I,
„ S, n [x
^�o'IcC
.�i
!!
t�,l ',, Nri,
r+ i,4 I
ld:r'•'"
r. 0 I I
it r, T tall
�7r',
Ir,
�
a. r;r f Iil�-.lit I
V{.t�s
•.�� x
e,
�A
,fir• (
'1: S
d»,t, ;{s0A
Ga�•yc
S'tls Mende
l..
�.
p. If
,
t
..�•. irl.�. >; I: •a�. 1
5 �'�
IN
�I.,.SiMI, .I W'frik.
IfI
.,Y•..5
tl !�i
.,-'g Pr' `ii
i.�F I,. t'i
"If `� .: ;)
f 1 + n I
I i .,;{,:..;n
1 { ( j
�y���Ir2 !r
fyI,
!•
Ji-h r I r•d"
�gI"fs, i. ,s
�
,, •, 1p
liII':
.I,
•rrrtF •�!--+
III}
!`•'-'
1`';'
w , I ',II
t7. }��:,�Iljllfl I' I• si � ;;:�SS et
F��l��lf�ll �'r
� `ikl t'f '
� '
'i� tpl (i.`..
r' :ll +ill
ilrll(Y.'
' J'ar t D.. S10r'nr'Event dChai'acterisries ,
;Total' Event Iliecipitallon (inches): D , 7i. Total .:veld Precipitation (inches):
Event Dirr•atfon`(liours): . 4�5_.,� i ug Event Duration (hours):
(if a separate 'storm event is sampled)
Parr C: Certification
"T certify; under penalty of law, that this document and attaclnneI were prepared antler my direction or supervision Irrnccbrd I' with a
systeimdesigued to assure that qualified liersoinlcl properly gather and evaluate the Information sibmitted., Based oil my hi4uiry of the persou.,.
or persops'who manage:the system, or tllose,persons directly responsible for gathering the inforliiation, 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 faIsforiilatiou, '
includiing the possibility of dries and imprisonrineut for .lcilowfng.violation .t' zz/
. .. - (Signature of Peruiittee). . (Date)
PmfF: MdilingAddiess
. Attn: Ceilh aITiles, DENR, N.C. Division 'of WaterQuality, 1617,Mail Service Center, Raleigh, NC 27699-1617

s
-Analytical Results
/sville Brick Company
Box 471
tesville, NC 28687
Receive Date: 10/02/2015
Reported: 10/05/2015
For: Gold Hill Mine Site
Comments:
Sample Number Parameter Sample ID Result Unit Method
151002-02-01
Settleable Solids
Outfall 1
151002-02-01
TSS
Outfall1
151002-02-01
Turbidity
Outfall1
151002-02-02
Settleable Solids
Outfall 2
151002-02-02
TSS
Outfall2
151002-02-02
Turbidity
Outfall2
151002-02-03
Settleable Solids
Outfall 3
151002-02-03
TSS
Outfall3
151002-02-03
Turbidity
Outfall3
Respectfully
submitted,
U
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
Analyzed Analyst
<0.1
ml/L
SM254OF-1997
10/02/2015
CL
6
mg/L
SM254OD-1997
10/02/2015
WL
6
NTU
EPA 180.1
10/03/2015
MD
0.1
mill-
SM254OF-1997
10/02/2015
CL
6.483
mg/L
SM2540D-1997
10/02/2015
WL
10
NTU
EPA 180.1
10/03/2015
MD
<0.1
mI/L
SM2540E-1997
10/02/2015
CL
9.25
mg/L
SM254OD-1997
10/02/2015
WL
14
NTU
EPA 180.1
10/03/2015
MD
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original. And. One Copy To Mailing Address Below
for
GENERAL PERMIT NO, NCGO20000
Prr -1 �, Facility Information
CIO
Samples Collected In Calendar Year: O (ail samples -shall be reported within 30 days following monitoring period)
Certlficafe Of Cover•irge No. NCG02 02 fa Ca County of Facility
Facility Name 1 �- r �' Name of Laboratory sg. rSy, 11 . �9'iV.4 Y�i c� f
.'Facility Contact Lab.Certificatlon !1.
: Facility Contact Phone No. (2/ 1 -2
Part R: Land Disturbance and Process Area Monitoring Requiremehis Part C: Vehicle Mainieirarice Monitoring Re uirements '
• I
t,
r ,J
,
,On1Vtaf
`4oWal
i
• I II
llf4P,
I
� S'I>'w.,t,•tlI est�b
{
all..
IteaelWit� Streain
1V �
r
GSoitrineetlec
i,
< '
�
1
`++1,11,
,#�'e�+�s`
�L!r
I:�. � . I r„
i 5 � ,.
i ,-re:r � 1lrr
.I ,I•;So.11da'I.,�I�
I`' -:i,. y}, li ��
s:ll-. �L�- r:.Y,ti•.i
I�
� :n•. r,
.I j .!.
v
I � }"''i,lr:
r
i"t:�, 'Ili
`.ifi{ rO4�rry
(- rr{{
r
lltiY 1
rifll{{I
r rn �•r,.p�1
�; 9:.rgrif; i;
r}F��Irrlli'. { f31,{�
I,Ail,`il
:U.
,.
I. .,„rnlll #t.•.
}� I r
'O: 1,
Z, 72S
oZ0..
Dr
Z
A✓i v�' CQNrl.
t I
d,
D
3" ..
cl;' C yeA
� r
D: j
S141gif
�E1 " I, i �`t{'
� ':
11FSi' {rJ,W�+ , T
l�A+I'IF„ �
I,11N„+�
�l,a,
'•'l:1:1 r�l..,�l'. I'.
�',I I rr.
it:,V,.
h
,ti�,r,u,,l jrp[�III�I
, I, IMI
l..
�r
frJA„ r ;ill„
,� I ,�!�,,,>'
r
i 'ill'{
.I ,_4,`:
{
f,
: ,4I,.
r r�,i•,� , n.
'.�,•, .i:,riVrl ti14.,LNn�����'IFr'I Ir.r
I
-�u'� 4ti
€ u
f.41��1�'��fil,,:s
h,..�7.�1i�ti�'lil„
t 1.1'.
r
'.
t4 ill si',1,:13;
��
�lf.'�.
`,I i
.}'if��fjil�tf �1 k.d�
iri�ijdl ,(
-�li��, �
'rir)nr
+[?I' . �ii I I.
.Ifni}'r•
-,Part D:. Sroi:m Event Cha?;acter'istics ,
C C D W
Total kvent Precipitation (inches): / Total Event Precipitation (InCS clies): I1
Event Duratiou'(Iiour•s):. Event Duration (hours):UUUI!
(ifa separate stonn event is sampie.d) APB 1. 2015 '
Part C: Cer't feation ,
DENR-WATER RESOURCES
401 & BUFFER PERMITTING
"I certify, under penalty of la1v, that this document and 'all attachments iver'e prepared under my direction or supervis on n accorc ance ry th a
System designed to assure that qualified personnel properly gather niul evaluate the Informatloli s0hiidtted. Based on my inquiry of the person
or persons who manage the system,,or those persons dh•ectly responsible for gathering the information, the information submitted is, to tine best
of my lasowleclge and belief, true; accurate, and conrlilete. i ain aware tkat there are significant penalties for submittirig,talse Information,
including fire possibility of fines and imprisonment for knowing violati rs."
(Sigruature of Permittee) . (Date)
:.. Pun! F. Mailing Address
Attu:' CentrafFile's, DENR, N.C. Division'of Water Quiality,'1617,Nlail Service Center, R;ileigh, NC 21699-1617

Analyt!gAI Resu fs
z7.�..
Statesville Brick Company`-
PO Box 471
- Statesville, NC 28687
Receive Date: 03/25/2015___:_
Reported:
03/27/2015
r
For:
C�utfalls-Gold
HiEi
'
3 s
, �=r r
Comments:
Sample Number
Parameter
Sample ID Result Unit
Method
Analyzed Analyst
150325-22-01
Settleable Solids
OF#1
0.5 mI/L
SM254OF-1997
03/26/2015 MD
150325-22-01
TSS
OF#1
32.125 mg/L
SM254OD-1997
03/26/2015 WL
150325-22-01
Turbidity
OF#1
20 NTU
EPA 180.1
03/26/2015 MD
150325-22-02
Settleable Solids
OF#2
0.1 ml/L
SM254OF-1997
03/26/2015 MD
150325-22-02
TSS
OF#2
17 mg1L
SM254OD-1997
03/26/2015 WL
150325-22-02
Turbidity
017#2
5 NTU
EPA 180.1
03/26/2015 MD
150325-22-03
Settleable Solids
OF#3
<0.1 ml/L
SM254OF-1997
03/26/2015 MD
150325-22-03
TSS
OF#3
3.444 mg/L
SM254OD-1997
03/26/2015 WL
150325-22-03
Turbidity
OF#3
8 NTU
EPA 180.1
03/26/2015 MD
Respectfully
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
i 57
-
'�-
PO Box 228 •Statesville,
NC 28687 • 704/872/4697
xY _
Page i of 2