NCG020351_MONITORING INFO_20110105

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGM OaU3,S
DOC TYPE
Gd'HISTARfV&€itE
DOC DATE
❑ 301101 C6_
YYYYMMDD

Individual NPDES Permit No. N
Certificate of Coverage (COC) No. N
OIVf510N RECEIVED
OF WATER QUALITY
STORMWATER DISCHARGE OUTFALL (SDO) JAN 0 5 2011
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 010 SWP SECTION
or
• •-w+vryAL
This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March I" of the following year.
Facility Name: DW16r Clay C-LEF_R W ATER M r N F_
County: Row n
Phone Number: (7b_f) 636 -Z j r' Total no. of SDOs monitored
Outfall No. i
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [�
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No [�
Total
Rainfall,
inches
Parameter, (units)
YDTit�
i=Gow �6Jr~)
TOTAL
6 cn VChO £ D
S vt,r p 1" i
SErfreoqpLf
t�UL-I D S
Benchmark
N/A
Date Sample
Collected,
mmlddlyy
5 f 7 to
0
No ►�j es 5 e Co h d hat -P 7610v;W SW 1.1-264-Generic-25May= 0
c

"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."
Signature
Date J 4 h �a p
Mail Annual DMR Summary Reports to:
DWO Regional Office Contact Information:
'ASHEVILLE REGIONAL OFFICE_
2090 US Highway 70 -
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL.OFF_ I_C_E
3800 Barrett Drive
Raleigh, NC 27609
[phone]
W!NII TON-SALEM_REGIONAL OFFICE
--- - 585 Waughtown Street- - -
Winston-Salem, NC 27107
[phone]
FAYETTEVILLE R_E_GIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
EWASHINGTON REGIONAL OFFICE_
943 Washington Square Mall
Washington, NC 27889
[phone]
NOORESVILLE REGIONAL OFFICI
610 East Center Avenue/Suite 301
Mooresville, INC 29115
[phone]
WILMINGTON REGIONAL OFFI1
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
CF,NTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617 { ar:d cr ha.
[phone]
SW U-264-Generic-25May2010

PROCESSIMINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A; Facility Information
J '
Samples Collected In Quarter: 1 (all samples shall be reported within 30 days following monitoring period)
;uni) _ •
Certilicate Of Coverage No. ' NCG02 [`1 �SrJ County of Facility ie .Wel %
Facility Name C I ed r kr &% ftr Name of Laboratory
Facility Contact �N'a On Lab Certification
Facility Contact Phone No, ( t0 3 (- � Z yC i
Pari B; Process Wastewater and M1ne Dewatering Wastewater Monitoring Requirements
bate aIf
F1til :0 ``ems
10 404
� OOS38 S r'" °`;;3"4
'� s fi
' . 9$:
f),i'ItPtlilf
i '�
.'4 ea6�ving."�treit •.�Narri , ',,�
1�5
F � y �
,;Snmpl� oil+etted
;.i�jtliy,, lo►vil��1
;pH,
..,'
,Total Sgspcnded,,5olEds
di - �,I
- etklenble.SnUde:
,1LL 1y��Np
ill 4Fs, �
f
1. .'yl + t 5° .5I S � �.F-..I . r,,, •'S p..i r�
•.
1.� Iif"1,;1.1 -$ .,r.4 �.�
1;I.eh hin�i��iVi,: hli'.`
a I;I i
.�
'd . . r.i • dc .�t
,Tµr,.b
: �oiM1 I,,SIi14F{�"�i�-II
" �I - r
f 1
� )y�,'-1 �, ..��- II j:l :t.�l 4 J,' I� ICI.
�'i.
d b•_ ' yy � ,I5
rul' �11� kl�t�{•..•till., }r
i'k
i it II- it I 1 11- r, .,l. },'lt t•iJ
}
•SNTfJ9:
r
U SC
i Measured continuously using a now measuring device or estimated using manufacturer's pump curves and pump loge.
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 pe altles for submitting false Information,
Including the possibility of fines and imprisonment for knowing violations,"
ov
(Signature of Permittee) (Date)
Part D; Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
� LZ NO pISCf+f-2GC S�Gdnf� /-F/}LF 20/U �� �--
SWU-244-012005

Individual NPDES Permit No.
Certificate of Coverage (COC) No.
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year. 2-0/ O
or
This monitoring report summary of the calendar year is due to the DWO Regional Office no later than March ist of the following year.
Facility Name: _
County: R {
Phone Number:
or Cle v LL15-Ar R W ATER MINE
6 ,Z
Total no. of SDOs monitored
Outfall No. 1 4
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [�
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No &4--"
If this outfall was In Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No R/
Total
Rainfall,;
inches
Parameter, (units)
DTR L
FLOW Wv%)
TOTAL
50Li p t"``
5 E tT LC -A LF
-!�OL-i 05
Benchmark
WA
Date Sample
Collected,
mmlddlyy
'
-5/171 i 0
i.
o
No V j SCkC(V es S ifec kid rh u t -P 2-01a 't"' SWU-264-Generic-25NIay2010

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'iniormation, 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."
0 64,t4
Signature . -
Date J n +-c Y 2010
Mail Annual DMR Summary Reports to:
DWO Regional Office Contact Information;
Adj i�ldrl�yltt �,
Ash
.'.. Fayei?evif c.
r s-
i" ikrifelminotan
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL OFFICE.
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE,
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 29115
[phone]
WILMI.NGTON REGIONAI. OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
i,.';.,Y:. ire......
SW U-264-Generic-25May201 C