NCG020513_MONITORING INFO_20160315

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
GY MONITORING REPORTS
DOC DATE
a �01 � 0 3 ►J
YYYVMMDD

LAU
4 1 ANNUAL SUMMARY DMR - STORMWATER
:.. I -� 11 SEND TO CENTRAL OFFICE
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year.
CERTIFICATE OF COVERAGE NO. NCG02 0 -S % 3
FACILITY NAME: /✓o.RTiSt LARaLlrq GR/�N.�-?__f�D. __
PERSON COLLECTING SAMPLES WE5 LCY C Ro-r-T-3
CERTIFIED LABORATORY sA L Lab # _ 3-64
Lab #
Part A: Stormwater Monitorine Requirements
SAMPLE COLLECTION YEAR: a d - 5
COUNTY _S' RR ��vC�D
PHONE NO.
ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL: MAR 15 7016
CENTRAL FILES
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)l
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in
Tier 2
z
Sampling
Total Flow
(MG)
Total Suspended
Solids
(mom)
a
Turbidit y
(NTU)
Settleable
Solids (ml/I)
v vMv
Total
Rainfall
(in)
Event
Duration
(minutes)
100 '
See Footnote"
0.1
< 5.o
3. 83
<1 D.!
o
< v
D
< 1
' If "NO FLAW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
2 Per 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 Tier 1 or Tier 2 responses in the General Permit.
TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/1.
5 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, takes, 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 SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/l/2010-12/31/2014 Last Revised 0 1 -2 1 -11
Page 1 of 2

- Part B: Vehicle Maintenance Activity Monitoring Re uirements for facilities using > 55 gal of new motor oil/month on average
:r]utfall
No.
Date Sample
Collected
(mo/ddlyr OR
NO FLOW)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling'
New Motor
Oil Usage
at/month
Total Flow
(MG)
TPH using method
1664A SGT-HEM
(m )
Total Suspended
Solids
(m )
pH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
(minutes)
_
15"
100
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑ NO
YES ❑ NO
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" & LIMIT
VIOLATIONS BY MARCH 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST 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 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
(Signature of P mittee) ---
Permit Date: 111 /2010-12/31 /2014
(Date)
Last Revised 0 1 -2 1 -11
Page 2 of 2

ANNUAL SUMMARY DMR - WAS' ' 1,WATER
RECEIVE®
SEND TO CENTRAL OFFICE* MAR-1 b 2016
PROCESS MINE/DEWATERING WASTEWATER CENTRAL FILES
GENERAL PERMIT NO. NCG020000 DWR SECTI
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by Mt1RCH 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. NCG02 0 -5 —L a n
FACILITY NAME: JAI /�R 6z-I A2r — [�
PERSON COLLECTING SAMPLES: 6T`7-5
CERTIFIED LABORATORY:--d i 4L.4z S Lab # f
Lab 4
LIMIT VIOLATIONS? YES ❑ NO 4
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: � 4 J ,4 J ,
COUNTY: .Su R R V
PHONE NO. f;33G) 7 �G
ADD TO LISTSERVE? YES 0 NO EMAIL:
INDUSTRIAL SAND? ❑ DISCHARGING TO SA WATERS'? ❑
Outfall Na.
Date SampleSolids
Collected
Total Flow
Total Suspended
Turbidity3
S ettleable Solids
pH
Fecal Coliforms
-
mmldd/yr
MG
mgll''
NTU '
mill
Standard
col/ml '
F
o/ - /S
J12
0, 1
9.1
"SrLA-
Q/ - /
35'
OMV5rM
01-a6-6
i : 9 r
f-FF 1
r; -IS - 1
1
0, I
STRFrn
6- r -IS
6.30
WN
-IP- 1
S.()O
t^ FF,
- 1-5
0.
u P,5 Ttz R M
Cl 1
`I
i.
IF
r �
- !r
All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 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
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving 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 02-02-11
Page 1 of 2

s'
1
Part A Continued: Wastewater Monitoring Requirements
Outfall Na.
Date Sapple
-t"uliectedt
Total Flow
Total Suspended
Solids'
Turbidity
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/1'
NTU '
ml/l
Standard
col/ml '
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 AI UST SIGN THIS CERTIFICA TION FOR ANYINFORMATIONREPORTED: .
"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 ary significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signat a of Permitt (Date)
Permit Date: 1/l/2010-12/31/2014 Last Revised 02-02-11
Page 2 of 2

r Q Rz Gz gL-
ANNUAL SUMMARY DMR - STORMWATER
SEND ' T O CENTRAL OFFICE *
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year.
CERTIFICATE OF COVERAGE NO. NCG02 0 S L 3
FACILITY NAME: WCTI AFT(Jnrf# G N;r TC L;D A
PERSON COLLECTING SAMP 5 ES Lr ' S
CERTIFIED LABORATORY f Lab #
Lab #
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR:
COUNTY -S• Li € A Y
PHONE NO. ME)� 16 1/ ,
ADD TO LISTSERVE? YES ❑ NO ❑ EbIAIL: W C� LFV �II�CA/q=! E , CD/n
Outfall
No.
Date Sample
Collected
(mo/dd/ r OR
y
NO FLOW)t
In Tier 2
Monthly
Monitoring?
g?
(y/n)
# of Months in
Tier 2
Sampling z
Total Flow
(MG)
. Total Suspended
Solids
(mom)
4
TurbiditySettleable
(NTU)
Solids (mlA)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
-
-
-
100 '
See Footnote 3,50.1
f
to.s
14-3
<o.I
L4d
O �A-S-
JNp
TT.
QV c�
ES
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
z Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
S 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 SDO
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO,
Permit Date: l/1/2010-12/31/2014 Last Revised 01-21-11
Page 1 of 2

Part B: 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 MonthsEal/ni
in Tier 2
Sampling 2
Usage
Total Flow
MG
( )
TPH using method
I664A SGT-HEM
(m )
Total Suspended
Solids
(m A)
pH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
153
100
6-9
N
, 1
�s.�
< .a
Z. 45
• t
4
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EYCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES []NO V
HAVE YOU CONTACTED THE REGION? YES ❑ NOI
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 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 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 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." , A 1 _
(Signature of Pe'rmittee)
Permit Date: 1/1/2010-12/31/2014
3- i
(Date)
Last Revised 0 1 -21 -11
Page 2 of 2

OU6:�dR I-
Stormvwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out'this form, please visit: htto://h2o.enr.state.nc.tts/su/F'orms Documents.htm#miscforms
Permit No.: NICI 1.
.Facility Name:
County: <.,I DR
Inspector:
Date of Inspection: _
Time of Inspection:
Total Event Precipitation (inches):
of Coverage No..: NIC/G/01�210151 //I/
Was this a Representative Storm Event? (See information below) ® Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. —A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature.of Pew6ttee or Designee)
L Outfall Description:
Outfall No. Structure
Receiving Stream: IWMT
Describe the industrial activities that-oc,
ditch, etc.) Psoc
Within the outfall drainage area: _
V-reA 7--r6A' CA- (i
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _._ L G .T 81-AL-W
3. Odor: Describe yan distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): 41 I C
Page 1 of 2
5WU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
10 2 3 4 5.
r
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where i is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended'Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 0
S. Is there an oil sheen in the stormwater discharge? Yes INoS
9. Is there evidence of erosion or deposition at the outfall? Yes (No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-242- l 12608

COO
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring ]Deport
For guidance on filling out this form, please visit: httn://h2o.enr.stat6.nc.us/su/Forrns Documents.htm#miscforms
Permit No.: N/Cl 1 1 I II 1 I or Certificate of Coverage No.: NIC/GI N d I0151 1131
Facility Name: ` 4 " ^j _ _� O L -1 R . 1?Ai'r1-,6 CZC --p
County:. ' ' E Phone No. 3 b 7 S (- -
Inspector: LEV Rt' S�
Date of Inspection: _3 /2 '
Time of Inspection: 9 15 ^ -'M
Total Event Precipitation (inches):
1i
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0:1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature.of Pe4ittee or Designee)
1. Outfall Description:
Outfall No.
Receiving Stream:
Structure (pi e, ditch, etc.)
l�rl%f�'
Describe the industrial activities
pzf
thin the outfall drainage area:._
reA T-r,6,%,' Z)/'-- ti
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L XGUI T [38L [W
3. Odor: Describe an distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /V 01V'C
Page 1 of 2
S WU-242-1 t 2608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
(D 2 3 4 - 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes INo]
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5 WU-242- I l 2608

ANNUAL SUMMARY DMR - WASTEWATER
ORI Gs t,ML
11 SEND TO CENTRAL OFFICE * . II
PROCESS MINEIDEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
* Report All tPasteivater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by A14RCH 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 COVERACAE NO. NCG02 0 $ —L,-
FACILITY NAME:/'/ L-TIV
PERSON COLLECTING SAMPLES: L
CERTIFIED LABORATORY: 94Lab # JYC 3'
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitorinp_ Requirements
SAAR'LE COLLECTION YEAR: -?o/
COUNTY: _ .S"ROR
PHONE NO. (334)
ADD TO LISTSERVE? YES K NOD EMAIL: 111/ESLI:y ®/Jl G—/77 M
INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATERS'? ❑
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity'
Settleable Solids
pH
Fecal Coliforms
-
mm/ddlyr
MG
mg/i '
NTU '3
ml/1
Standard
co1/ml '
E F
.3-17-.2DIq
5.0
{ o. c77
qde5VCM
17'2DI
q.oS
o ov-5T
3 - a- zo1
EFF
5 -z7. 2ot(1
$.0
<0
8.91
sz"m
"-a7 • 0 a1/-
1.70
mow- h6qt-ti
- 7 - ao15�
21.53
Fir
-1-al --�0!
[�
1 �a
�O• �.
$.
EA
-1
Q.57
DD4CW3 M
-t -ai - �1�
Q, 51
t=r-
w
, 'Cf
t
S .
u.P�T
1 t -3 - 1�01 iP
11 -3
' All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 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 dll 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 receiving 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 02-02-11
Page I of 2

1'frt-A'Condnued: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected)
Total Flow
Total Suspended
Solidst
Turbidity'
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/1 '
NTU
MI/12
Standard
col/ml '
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 AIUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information 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."
(Signatur+ of Permittee)
3 - / 7-/1�1
(Date)
Permit Date: l/1/2010-12/31/2014
Last Revised 02-02-1 1
Page 2 of 2

ANNUAL SUMMARY DMR - WASTEWATER
SEND TO CENTRAL OFFICE*
PROCESS MINEMEWATERING 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 AMRCH 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. NCG02 D 5 13 SAAU"LE COLLECTION YEAR: �?O/_y
FACILITYNAME:i%_/J29hDLzJy (s ANXr6 er),Rp. COUNTY: SL1A,A
PERSON COLLECTING SAMPLES: — l� T PHONE NO. (;3�} '7 $L- --, S� 1
CERTIFIED LABORATORY: .} Lab # 4VC 3� ADD TO LISTSERVE? YES 9NO❑ EMAIL: we_Q.EV ©me � -�IrI
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑ INDUSTRIAL SAND? ❑ DISCHARGING TO SA WATERS'? ❑
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sampyle
Collected
Total flow
Total Suspended
Solids
Turbidity'
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/l,'
NTll '3
ml/l
Standard
co11m1 '
o. t
S'
�17-2-Di�
PQrdjJJJPX-A3
17 - 7-01 Y'
EFr
5 -27. 2001
$,p
UPS TIZZ-M
. a7 ---;on,
off.. 70
aal
.53
-.201
5 F..AM
-1
a2 S`7
Dv�Jrs rkeut
-i -at -
Q , S/
tW.5Tf�FP qi
it. -3
L t
4�5
Ali mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
a If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 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
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
' Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: I/1/2010-12/31/2014 Last Revised 02-02-11
Page 1 of 2

t A Colitinued: Wastewater Monitoring Requirements
Outfall No.
Date SampIle
Collected
Total Flow
Total Suspended
Solids
Turbidity
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/1'
NT u213
ml/l
Standard
col/ml '
MAIL ORIGINAL AND ONE COPY OF TFIIS 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 INFORMATION REPOR TED:
"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."
GJ 3
(Signatur6 ofPermittee) (Date)
Perniit Date: 1/l/2010-12/31/2014
Last Revised 02-02-1 1
Page 2 of 2

ANNUAL SUMMARY DMR - STORMWATER
SEND TO CENTRAL OFFICE L_ j . °, t:0
LN.CM
Y 2
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000g aai or,;
*Report ALL STORMWATER Monitoring Data on this form (including NoFMA Iow and No Discharge and Permit Limit Violations) by AMR CH 1 of each year.,
CERTIFICATE OF COVERAGE NO. NCG02 O S f
FACILITY NAME:. li(� _ Yarlr. t7 J
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY _ 6J4 r4 "?IS Lab # �1 C�
Lab #
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 7, 4 10
COUNTY JTUyy'
PHONE NO.Zj
ADD TO LISTERVE? YES ❑ NO ❑ EMAIL: _ �av; el' �J G gYk
TOTAL RAINFALL a INCHES
EVENT DURATION: MINUTES
Outfall No:
Date Sample
Collected
NO FLOW)'
In Tier Z
Monthly
Monitoring?
# of Months in
Tier 2
Sampling
Total Flow_
(MG) (MG)
M
Total Suspended
Solids
(mg/I}
AAM
a
Turbidity
(NTU)
r•,
'Settleable-Solids
` (h`
}
-
-
-
-
-
1003' °
See Footnote • s
It "NU FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfail here and the Date Range.
z Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 If a value is in excess of the benchmark, or outside the benchmark range (for ply, you must implement the Tier I or Tier 2 responses in the General Permit.
` TSS benchmark values are 100 mg/l except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
5 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 SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 111/2010-12/31/2014 Last Revised 01-19-10
Page 1 of 2

Part B. Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Ou ..
Noo.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)
In Tier 2
Monthly
Monitoring.,
(yln)
of Months
in Tier 2
Sampling.2 .
New Motor Oil
Usage _
(gal/month).
Total Flow
(MG)
v
TPH using.
method I664A
SGT-HEM
(mg/1)
v
Total Suspended
Solids,
(mg/1)
v
pH,
(Standard
Units)
-
-
153
1003
6-9
3.
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]No ❑
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
YOUMUST.SIGNTHIS CERTIFICATION FOR ANYINFORMATIONREPORTED: - _
"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
(Signature'of Permittee)
Permit Date: 1/1/20I0-12?31/20I4
'-,: s =10
(Date)
Last Revised 01-19-I0
Page 2 of 2

OPERATIONAL CONTROL
05032010
DUE TO LAB RESULTS ABOVE THE SETTLEABLE SOLIDS 0.1 mlll PARAMETER, THE FOLLOWING
OPERATIONAL CONTROL HAS BEEN ADDED TO SAMPLING PROCEDURE,
PRIOR TO SAMPLING FOR STORMWATER EVENTS, THE SAMPLE BOTTLES WILL BE PREMARKED IN
ORDER TO SPEED THE SAMPLING TIME FRAME. THE BOTTLES BEING PREMARKED WILL ALLOW THE
PERSONNEL COLLECTING SAMPLES TO GET TO THE SITE FASTER. THE SAMPLES CAN BE TAKEN
EARLIER IN THE THIRTY MINUTE WINDOW.
AN INSPECTION WAS DONE ON MAY 25, 2010 TO EVALUATE POSSIBLE CAUSES FOR OUR LAB RESULTS
BEING ABOVE THE SETTLEABLE SOLIDS BENCHMARK VALUE OF 0.1 mill.
OUR FACILITY HAS MOSTLY UNPAVED ROADWAYS AND PARKING LOTS. THE SAMPLE WAS TAKEN FROM
A .8 INCH STORM EVENT. THE -SAMPLE WAS TAKEN NEAR THE END OF THE THIRTY MINUTE WINDOW FOR
SAMPLING. THE DATE OF THE SAMPLING WAS MAY 3, 2010 THE LAB RESULT WAS .246 mlll. I DIDN'T FIND
ANY UNUSUAL LAND DISTRUBANCE THAT WOULD HAVE ADDED TO THE SETTLEABLE SOLID RESULT.
vATE
DAVID L. VERNON - ORC

RESEARCh & ANA[yTICA1
LAbORATORVS, INC.
Analytical/Process Consultations
North Carolina Granite (551)
Lack Dr%?ar 151
Mt'. Airy, NC 27030
Attn: David Vernon
Date Sample Collected 08/30/10
Dale Samr,lc Receiv^d 0!'/31/10
Date Sample Analyzed 06/31/10
Date of Report 09/09/10
Analyses Performed by YJ
Z C'o +� r
0 C1.
Z.
+•
M
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C'tb�•• .`Gs ```
I ,r•'
Lab Sample Number Lab Sample Number L=b Sample Nunioe�r
682130 682131 682132
P.=,rafneter Storet # Results Results Results
Sctt:.Mjt:er (00545)
(00530)
Turbidity (000;6)
<0.1 ml/l
18.0 mg/L
18.3 NTU 15.08 NTU
Clients Sample Source EFFLUENT UPSTREAM UJWNSTREAM
Number 3RD QUARTER WATE WAT
Time: Collected (Hrs) 1036 1043 1055
P.O. Box 473 • 1 O8 Short Street • Kerners0le, North Carolina 27284 • 336-996-2841 .Fax [phone]
www.randafebs.com

ANNUAL SUMMARY DMR - WASTEWATER
- SEND TO CENTRAL OFFICE* . A
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. NCGO2 0 5 l 3
FACILITY NAME: M C G-R 19 IJ -W TG C DP — —
PERSON COLLECTING SAMPLES: V,l0,5 Z Ka� CR o -rT S
CERTIFIED LABORATORY: R + A 1..4l0 5 Lab # A(C
Lab #
LIMITS VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Renuirements
SAMPLE COLLECTION YEAR: at] /O
COUNTY: .5QAA X
PHONE NO. (D& ) 7 g4- :51gJ
ADD TO LISTERVE? YES [-]NO[-] EMAIL: Dfl+l�9 /4 C Oitgt, S,-C • Go
INDUSTRIAL SAND'? ❑ DISCHAARGMG TO SA WATERS'? ❑
Outfatl No.
Date Sample
t
Collected
50050
Total flow
00530
Total Suspended
C�tF Saiidsl..:.
00400'
Turbidity3
00545
Settleable Solids:
-00400
pH
31616
fecal Coliforms
-
mm/dd/yr
MG
mg/1''2
NTU:
mill
Standardz
eol/ml2,4
!
03 og ro
.3
aa. g
T $g
D
6 7 1
know �l
Q 7
n
3
8.0
owry
g- jo- 10
l 5. D8
' All mines trust monitor WW discharges for M. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: I ON"TU 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 receiving water, directly upstream and downstream of the discharge.
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Datc: 1/l/2010 12/31/2014 Last Revised 01-05-10
Page 1 of 2

North Carolina Granite (551)
Lock Drawer 151
Mt. Airy, NC 27030
Attn: David Vernon
Date Sample Collected 05/03/10
Date Sample Received 05/04/10
Date Sample Analyzed 05/04/10
Date of Report 05/17/10
Analyses Performed by YJ
U Z A1�s
r
0do
" sco NCB z� N
r � j
,•e'+�'4��l�E��AK
Lab Sample Number Lab Sample Number Lab Sample Number
r
672762 672763 672764
Parameter Storet # Results Results Results
TSS (00530) 71.3 mg/1
Turbidity (00076) 93.5 NTO
Sett.Matter (C0545( 0.246 ml/1
Clients Sample
Source
- 1A le
1C
Number
"VEHICLE MAINT.
VEHICLE MAINT,
Time Collected
Mrs)
0829 0829
0829
P.O. Box 473 • 106 Short Street • Kernersville, North.Carolina 27284 • 336-996-2641 • Fax•336-996-0326
www,randalabs.com

%qj►IR1111g#
RESEARCH & ANA[yTICAL ,.�`',t,�+��..r/'''•r,
�LkORATWES ANC. . c
N
� cc 0 CA
NC
Analytical/Process Consultations
101144161010
North, Carolina Granite (551) Drca Sample Collected 03/09/10-03/16j10
Lock Drawer 151 Dare Sample Received 03/10/10
Mt. Airy, NC 27030 Date Sample Analyzed 03/10/10
ACtn: David Vernon Date of Report 03/17/10
Analyses Performed by YJ
Lab Sample Number Lab Sample Number Lab Sample Number
668695 668696 668697
Parameter Storer 4 Results Results Results
Sett.Matter (00545) 0.2 ml/l
TSS 100530) 22.8 mg/1
Turbidity (00076)
Clients Sample Source
Number
Time Collected Mrs)
2.94 NTU 7,C9 NTU
-------------------- -------------------- ------- — -----------
EFFLUENT UPSTREAM DOWNSTREAM
0922
0941
0950
P.0, Box 473 , 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

�52w'1i5:'siY.l' �vae'.cwi� � � ■ ■ ■
North Carolina Granite (551)
Lucr_ ;rawer 151
Mt. Airy, NC 27030
Attn: David Vernon
Date Sample Colleted 05/03/10
Date 5amp._w RtrCi-wen OS/0s/10
Date Sample Analyzed 05/04/10
Date of Report 05/17/10
Analyses Performed by YJ
Lab Sample Number Lab Sample Number Lab Sample Number
672762 672763 672764
Parameter Strret it Results Results Results
TSS {00530) 71.3 mg/l
Turbidity (00076) 93.5 NTU
Sett.Matter (00545) 0.246 mg/l
Clients Sample
Sourc,!
-----------------'----------------------
1A 113
--------------------
Ic
Number
VEHICLE MAINT.
VEHICLE MAINT.
Time Collected
Mrs)
0829 0829
0829
P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

RESEARCh & ANA[yTICA[ ••' A► cr iii
I-AbORATORIES, INC. a'. �+
0Cn
5 :`n NCB Z. ' =
49�*Analytical/Process Consultations W
••'P to
i i� l�ED A �1�,
North Carolina Granite (551) Date Sample Collected 05/03/10
Lock Drawer 151 Date Sample Received 05/04/10
Mt. Airy, NC 27030 Date Sample Analyzed 05/04/10
Attn: David Vernon Date of Report 05/17/10
Analyses Performed by.: AA
Lab Sample Number
--------------------
672766
Parameter Storet # Results
oil L Grease (00556) <5.0 mg/1
--------------------
Clients Sample Source 5
Number VEHICLE MAINT
Time Collected (Hrs) 0829
P.O. Box 473 • 106 Short Street - Kernersville, North Carolina 27284 • 336-996-2841 • Fax [phone]
www.rand alahs,com

North Carolina Granite (551) Date Sample Collected
Lock Drawer 151 Date Sample Received
Mt. Airy, NC 27030 Date Sample Analyzed
Attn: David Vernon Date of Report
Analyses Performed by
Lab Sample Number
--------------------
672765
Parameter Storet # Results
TSS
(00530)
Clients Sample Source
Number
Time Collected (Hrs)
42.7 mg/l
--------------------
2A
VEHICLE MAINT
0829
`` � 2�� U CJyq�, ••`.
NCB
w
w ti
w : i
05/03/10
05/04/10
05/04/10
05/17/10
YJ
P.O. Box 473 • 106 Short Street • Kernersvifle, North Carolina 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

RESEARCh & ANA[yTICA[ , `�r+`''0
Ab®RAT®RIES, INC.``�-.�� "4do
�'
o: cn
Analytical/Process Consultations M MC �i3� z
cs .
THE N.C. GRANITE CORP Date Sample Collected 06/07/10
PO CO:. 151 Cate Sar,ole Received OE/06/10
MOUNT AIRY, NC 27030 Date Sample Analyzed 06/08/10
Attn: DAVID VERNON Date of Report 06/17/10
Analyses Performed by YJ
Lab Sample Number Lab Sample Number Lab Sample Number
675512 675513 675514
Parameter Strret 4 Results Results Results
Sett.Matter {OU545)
TSS {00530)
Turbidity (00076)
Clients Sample Source
Number
Time Collected (Hrs)
'0.1 ml/l
32.8 mg/1
19.8 NTU 26.0 NTU
EFFLUENT UPSTREAM DOWNSTREAM
1005 1010 1025
P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996.2841 • Fax [phone]
www.randalabs.com