NCG020548_COMPLETE FILE - HISTORICAL_20170217

STORMWATER DIVISION CODING SHEET
RESCISSIONS,
PERMIT NO.
�n t) ba�J"I D
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ Amo3lq
YYYYMMDD

w
r' ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR)— STORMWATER
fl SUBMIT TO CENTRAL OFFICE* 11
General Permit No. NCG020000
Calendar Year z o 1(a
"Report ALL STORMWATER monitoring data on this form (include "No Flow"Mo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: Foglgo?-R.flSauc4-e, LLC - 14u-) ZL A y7e5
County: _ jw�oO
Phone Number: 70L4 Z(, l - Z I (O Total no. of SDOs monitored 2
Certified Laboratory K* W _Lc,6a1-1410ntr5 Lab # N0 ss-9
Lab #
Stormwater Discharge Outfall (SDO) No. 16 � 11 VMA Outfall? Yes ❑ No 0
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
:Outfall No..
I'7
Total
Rainfall,
inches
= -TSS,
mgll
SS;
mill
Turbidi
NTU
Upstream,
u ty
NTU
Downstream.-
'(D) Turbidill
NTU .
'
=Non -polar•
O&G,,mgl�
(VMAjr `
New -
Motar.,0il;.
Usage
: wallmo.
Stormwater
Benchmarks
Indicate NO
FLO applicable`
Benchmark
100150
0.1
circle
Benchmark
60/25/10
NIA
Qualft
Standard applies
NIA
Water es
Standard ppllWater
`�
a6fi gaUmo.
average requlraa
T08GSS nmonttorinfar
Date Sarmple .
,Collected,
molddl r
I MW
b i 10
l 6
0& 30
j(v
5'S 9quy
N0 Dr
E of 01
lO
Ofo 30
lb
c SSTd
O'7 o'
ra 37
r(o
'r S S Sar
701) Dr
wi vt
I6
z ;�w)AP
rot
Permit Date 10/1/2015 -- 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ®0©®
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
Date n?
0"---
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

-+
>' ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year Zdib
*Report ALL WASTEWATER monitoring data on this form (include "No Flovv"P`No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year,
Certificate of Coverage No. N0002
Facility Name: Fpp—jM[tA (3fz]U< 1 L.Lir - I-kU) 2L /j 4C-5 % Z 3
County: &150A1
Phone Number: -ioz4 2io I -Zlido Total no. of outfalls monitored Z
Certified Laboratory k f R-) k e hotA 4 c )-e� s Lab # tV G 5T9
Lab #
Wastewater (WW) Discharge Outfall No. I w , 1-7
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to S13 or PNA waters?
Yes ❑
No El
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No
Were there any limit violations in the calendar year?
Yes ❑
No
Outfall No.
�-I
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
Happ,;ceb,e
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
Mo. Ave, Daily Max.
HQW orORW
50% of
7Q10
Indicate NO FLOW
ifaPPlicab,e
freshwater
6.0-9.0
saltwater
6.8-8.5
Industrial Sand
25145
HQW or ORW
20130
HQW er ORW
and Tr or PNA
1 011 e
7
HOW, ORW,
SA, S13, PNA,
or any Trout
0.1/0.2
No Limit
Circle Water
Quality tha that
rJ0125110
NIA
WaterQuallty
Standard applies
NIA
Water Quality
Standard applies
NIA
Date Sample
Collected,
molddl r
AID c
F
oc.35
MIAIC
- a l
3
5 SIrE
Permit Date 10t1i2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 Q❑S Q®
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 §122.22)
Signature
Date _z.j t -I =
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DMR - STORMWATER .�
SEND TO CENTRAL OFFICE MAR 0 �ECEIVED
STORMWA TER DISCHARGE OUTFALLS (SDO)
CENTRAL FILES C=
GENERAL PERMIT NO. NCG020000 DWR SECTION t w
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year. Mac
CERTIFICATE OF COVERAGE NO. NCG02 0 5 4 8
FACILITY NAME: Hanson Brick - Howell Mines
PERSON COLLECTING SAMPLES Jason Smith
CERTIFIED LABORATORY .Ke&VV Labg[atodes Lab # NC 559
Lab #
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: _
COUNTY Anson
PHONE NO. (704 ) 261-2160
ADD TO LISTSERVE? YES ❑ NO ❑
2015
EMAIL:
Outfall
No.
Date Sample
Collected
(mo/ddlyr OR
NO FLOW(y/n)
In Tier 2
Monthly
Monitoring?
# of Months in
Tier 2
Sampling z
Total Flow
(MG)
Total Suspended
Solids
(mom)
a
Turbidity.
(NTU)
Settleable
Solids (tnUl)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
-
-
-
100"
See Footnote 3,50,1.
SDO-16
No Dlsqha[ge
Q O
SDO-17
No Discharge
01/01/2015 to
06/30/2015
SDO-16
No Dischar e
07/01/2015 to
09130Y2015
SDO-17
No Discharge
07/01/2015 to
09/30/2015
' If "NO FLOW" 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
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
/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: 1/]/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
Outfall
No.
Date Sample
Collected
(mo/ddlyr OR
NO FLOW)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
SamplingZ
New Motor
Oil Usage
(gal/month)
Total Flow
(MG)
TPH using method
I664A SGT-HEAT
(m )
Total Suspended
Solids
(m )
pH
(standard
Units)
Total
Rainfall
(in)
Event
Duration
(minutes)
_
15
100
6-9
SDO-16
01/01/2015 to
06/30/2015 -
No Discharge
<55
SDO-17
01/01/2015 to
06/30/2015 -
No Discharge
<55
SDO-16
07/01/2015 to
09/30/2015 -
No Discharge
<55
SDO-17
07/01/2015 to
09/30/2015 -
No Discharge
<55
HAS YOUR FACILITY HAI) 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑X
HAVE YOU CONTACTED THE REGION? YES ❑ NO Pq
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 inquire 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."
(Sig#ature of Permittee)
Permit Date: l/l/2010-12/31/2014
7-1E
( at
Last Revised 0 1 -2 1 -11
Page 2 of 2

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2015
"Report ALL STORMWATER monitoring data on this form (include "No Flow"I"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: Hanson Brick - Howell Mines
County: Anson
Phone Number: ( 704 ) 261-2160 _ Total no. of SDOs monitored 2
Certified Laboratory K&W Laboratories lab # NC 559
Lab #
Stormwater Discharge Outfall (SDO) No, 16 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? RECEIVED
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ MAR 0 2 2016
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other ❑ DWR SECTION
Outfall No.
16
Total
Rainfall,
Inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
U
( ) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo,
Stormwater
Benchmarks
ind[aiaN
FLow;r
applicable
eq Bnchmark
100150
0.1
liercltunark
50/25/10
NIA
Water Quality
slandard appttea
NIA
water Quality
Standardapplaa
15
averagcreq res
TSS and Nonpotar
aaGm nlmHnn
Date Sample
Collected
molddl r;�,
r s
WI
�,
I E z
r , t
��
K, .
;
Man
'�
,a
1011/15 to 12/31/1E
NO DISCHARGE
<55 gallmo
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0❑0®®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 17 VMA Outfall? Yes ❑ No 0
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
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 exoeedances did not require monthly monitoring ❑
Other ❑
Outfall No.
17
Total
Rainfall,
inches
TSS
mg1l
SS,
mlll
Turbid'
�Y,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D)Turbidity, Turbidity,
NTU
Non -polar
O&Gr mg1I
(VMA)
New
Motor Oil
Usage
aUmo.
Stormwater
Benchmarks
IndicateHO
FLOWN
L kWau.
Circle
Bencr�hmrark
Q VIi70
0.1
Circle
aenclrmark
rJU/2511 t]
NIA
5tarndard pp c9
NIA
StaterQuality andard applies
`�
>55 gaumo,
averageregWres
rSS and &G mDHnWorlrl�lar
Date Sample
Collected,
mo/ddl r
� .
}:F
i
10/1115 to 12l31115
NO DISCHA
GE
<55 gallmo
Permit Date 10/112015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No, NCG02 ❑D ®©®
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, 22)
Signature
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DMR - WASTEWATER
SEND TO CENTRAL OFFICE` MARCENa 2 201�
DWOW" - ON
PROCESS MINEMEWATERING WASTEWATER R
GENERAL PERMIT NO. NCG020000
* Report All Wastewater discharge monitoring data on this form (including No Flog and No Discharge and Pennit Limit Violations) by MARCH 1 of each vear. 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 4 8 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Hanson Brick - Howell Mines COUNTY: Anson_
PERSON COLLECTING SAMPLES: Jason Smith PHONE NO. ( Ind )261-21 fin
CERTIFIED LABORATORY. K&W Laboratories Lab # NC 559 ADD TO LISTSERVE? YES ❑ NOD EMAIL:
Lab #
LIMIT VIOLATIONS? YES LINO © INDUSTRIAL SAND? ❑ DISCHARGING TO SA WATERS"' ❑
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/I
NTU
rtm2
Standard
col/m12,
016
No Discharge
01/01/2015 to
03/31/2015
017
No Discharge
01/01/2015 to
03/31/2015
016
No Discharge
04/01/2015 to
06/30 2015
017
No Discharge
04/01/2015 to
06/30/2015
016
No Discharge
07/01/2015 to
09/30 2015
017
No Discharge
07/01/2015 to
09 /2015
No Dischames
from F
rocess 1 Mine Dew
itering
Occur at
This Site
1 All mines must monitor %NIW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
Z if an effluent limit is exceeded, the permittee 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
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 Date: 1/1/2010-12/31/2014 Last Revised 01-21-1 1
Page I of 2

Part A Continued: Wastewater Monitorine Reuuirements
Outfall No.
Date Sample
Collectedt
Total Flow
Total Suspended
Solids'
Turbidity3
Settleable Solids
pH
Fecal Colifnrms
-
mm/dd/yr
MG
mg/1 1.2
NTU
mill
Standard 2
col/m! 2.
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 penally 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)
Permit Date: 1/1/2010-12/31/2014 Last Revised 01-21-11
Page 2 of 2

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2015
'Report ALL WASTEWATER monitoring data on this form (include "No Flow'/'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. N0002
Facility Name: Hanson Brick - Howell Mines
County: Anson
Phone Number: (704 ) 261-2160 Total no. of outfadR f ro' l—
Certified Laboratory K&W Laboratories lab # NC559
Lab# MAR 0 �Ui�l
Wastewater (WW) Discharge Outfall No. 016 NTRAL FILES
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑
Does this outfall discharge WW to SA waters? Yes ❑ No x❑
Does this outfall discharge WW to SB or RNA waters? Yes ❑ No
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No
If so, what is the 7010 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters? Yes ❑ No
Were there any limit violations in the calendar year? Yes ❑ No El
Outfall No.
016
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
Il applicabro
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 mi
SA
Effluent
Limitations
Me, Ave) Daily Max,
HQW or ORW
50% of
7Q10
Indicate al0 FLOW
0apocable
frcahMter
6.0-9.0
saltwater
6.8-8.5
mdustrul sarxi
26145
MQWorORW
20130
HQWor ORW
MW Tr Or PNA
10115
HQW, oRW,
SA. se,PNA,
orenyTraut
0•110•2
No Limit
Q �llr�s.�tdard
that applies:
50I251 1 0
NIA
staa�ra pp�a
NIA
Standardapplis
NIA
Date Sample
Collected,
1'
""A�
'ref'
HMal
I
*' '
�.
, ,T
10l1115 to 12/31/15
NO DISCHARG
S FROM RROCESS1W
E DEWATEI
flNG OCCUR A
THIS SITE
...
•
ENS
LJVVt-
Permit Date 1011/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 OEM]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No. 017
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No Zj
Does this outfall discharge WW to SA waters? Yes ❑ No
Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HOW or ORW waters? Yes ❑ No
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No
Were there any limit violations in the calendar year reported? Yes ❑ No
Outfall No.
017
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
d app'"awe
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
No. Ave I Daily Mai.
HQWorORW
50% of
7Q10
lndicMo NO FLOW
d apokanle
freanwater
6.0-9.0
saltwrater
.8-�.�
industrial Sand
25145
HOworORW
2p130
HQWar ORW
= Tr or PNA
10115
SA,,s °Ply,
or anyTro,
0.110.2
No Limit
Circle Water
Quality Standard
that applies:
50125I10
NIA
WatorQuality
Standardapplea
NIA
WalerQuallty
Standard applies
NIA
Date Sample
Collected,
moldcU r
1011115 to 12/31/15
NO DISCHAR
S FROM RROCES&MIPIE
DEWATE
ING OCCUR A
THIS SITE
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 0 500®
CERTIFICATION
" I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in acoordanee 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 §122221
Signature
Date 'Z/
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 101112015 — 9/3012020
Last Revised 10-2-2015

• f 'L ANNUAL SUMMARY DMR - WASTEWATER
IL SEND TO CENTRAL OFFICE`
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year. If
you have limit violations, you must also have turned in a Limit Violation D1tMR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG02Q 5 .4,8� SAMPLE COLLECTION YEAR: _2014
FACILITY NAME: Hanson Brick - Howell Mines COUNTY: Anson
PERSON COLLECTING SAMPLES: jaSjon Smith PHONE, NO. (704__) 2611_9160
CERTIFIED LABORATORY: K&W Laboratories Lab # NC 559 ADD TO LISTSERVE? YES ❑ NO❑ EMAIL:
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑X
Part A: !Wastewater Monitoring Requirements
INDUSTRIAL SAND'? ❑ DISCHARGING TO SA AVATERS'? ❑
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity'
Settleable Solids
pH
Fecal Cvliforms
-
mm/dd/yr
MG
mg/I 1,2
NTU"
m1/1
Standard
col/ml '
016
No Discharge 01/01
2014 to 03/31/2
14
017
No Discharge 01/01
2014 to 03/31/2
14
016
No Discharge 04/01
2014 to 06/30 2
14
V L_ � .I?
017
No Discharge 04101
2014 to 06/30/2
14
1
Gtf I 12f,,R
016
No Dischar a 07101
014 to 09/30 2
14-
017
No Discharge 07/01
014 to 09/30/2
14
I)Ir`
ryt; ILLS
016
No Discharge 101 1
2014 12 1 2
14 No Discharges
from Process 1 M
ne Dewaterin
`'' f itJPJ
Occur at This E
ite
' All mines must monitor Vl'W 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.
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 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 Elate: 1/1/2010-12/31/2014 Last Revised 0 1 -2 1 -11
Page 1 of 2
2
Im

Part A Continued: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids'
Turbidity;
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mgll '
NTU '
ml/l
Standard
col/ml '
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARC_H_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 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."
(Signature of Permittee)
Permit Date: 1/1/2010-12/31/2014
(Date)
Last Revised 01-21-11
Page 2 of 2

ANNUAL SUMMARY DMR - ST'ORMWAT'ER �/
11 SEND TO CENTRAL OFFICE
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMIhATER 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 5 4 -8 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Hanson Brick - Howell Mines COUNTY Anson
PERSON COLLECTING SAMPLES Jason Smith PHONE NO. ( 704 ) 261-2160
CERTIFIED LABORATORY K&W Laboratories Lab # NC 559 ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL:
Lab #
Part A: Stormrti-ater Monitoring Requirements
Oulfall
No.
Date Sample
Collected
(moldd/yr OR
NO FLOW)
In Tier 2
Monthly
Monitoring?Tier
(3•In)
# of Months in
2
Sampling z
Total Flow
(MG)
Total Suspended
Solids
(nig/1)
Turbidity
(NTU)
Settleable
Solids (ml/1)
Total
Rainfall
in
( )
Event
Duration
minutes
(minutes)
See Footnote"
0.1
No Dischar e 0
201to06/30,2014
-SD0-16
SDO-17
No Discharge 0
/01/2014 to 06/30
2014
SDO-16
No Discharge 0
/01/2014 to 12/31
2014
SDO-17
No Discharge 0
/01/2014 to 12/31
2014
_8
V L
Q(/l
rv1L FILES
- `-urtvfy
'If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfalI here and the Date Range.
2 Per NCG02: Tier 2 Monthly sampling shall he 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 I or Tier 2 responses in the General Permit.
TSS benchmark values are 100 ntg/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: 1/l/2010-12/31/2014
Last Reviscd 01-21-11
Page 1 of 2

Part It: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Outfall
No.
Date Sample
Collected
(mo/dd/vr OR
l
NO FLOW)
In Tier 2
Monthly
Monitoring?
(yln)
# of Months
in 'Pier 2
Samplings
New Motor
Oil Usage
(allmonth)
Total Flow
(A7G )
TPH using iuelhod
I664A SGT-HEAI
(m )
Total Suspended
Solids
(m )
pH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
_
153
100
6-9
SDO-16
01/01/2014 to
06/30/2014 -
No Dischar a
<55
SDO-17
01/01/2014 to
06/30/2014 -
No Discharge
<55
SDO-16
07/01/2014 to
12/31/2014 -
No Discharge
<55
SDO-17
07/01/2014 to
12/31/2014 -
No Discharge
<55
HAS YOUR FACILITY HAI) 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]No ❑X
HAVE YOU CONTACTED THE REGION? YES ❑ NO Pq
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALI, "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 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 hest of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signatuee of Permittee) -
Permit Date: 1/1/2010-12/31/2014
z
(D e)
Last Revised 0 1 -2 1 -11
Page 2 of 2