NCG020789_COMPLETE FILE - HISTORICAL_20190226

STORMWATER DIVISION CODING SHEET
RESCISSIONS .
PERMIT NO.
NClS'V�1U IU�
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ 0 1I N� 0� (o
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
I
General Permit No. NCG020000
Calendar Year L01$
"Report ALL STORMWATER monitoring data on this form (include "No i=loW/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
I
Certificate of Coverage No. N
FacilityName: MEQIDIAW JSRtC4MOIL
County: E
Phone Number: ( 503 ) -n(, - 1 zloD _
Certified Laboratory )ej W L gPz�ATrtl65
M
Total no. of SDOs monitored
tab # h� c S59
_ab ##
Stormwater Discharge Outfall (SDO) No. ^ L 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?
Yes, enough consecutive samples below benchmarks to decrease frequency 0 EL /iF j v
Yes, received approval from DEML f to reduce monitoring frequency ❑
No, turbidity benchmark exceedanoes did not require monthly monitoring ❑ FEB 26 l
Other 1 ❑
r, C/-
Outfall No.
- --
Total
Rainfall,
inches
TSS,
mgll
SS,
mul
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
Indicq;to ND
a ne61
nCircle
Benchmark
100150
----- �;
�
Illl Q.1
Cirok
6enchmarN
50126110
NIA
swna::a ppWa
NIA
uanty
sca�ae.a pp�es
16
y66erequi.
average requires
o&eGmniko"rirQr
Date Sample
Collected,
molddl r
- -
,. ^ -.
- -
-- -
;\I D 5c
ofti
m1M1
F i
W 20
I
I
119 /
�11r�
i
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0C]®[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. I 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]
A
Signature
Date r-Izr
V
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 Y(DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMI R Stormwater Permitting Staff in the Central Office at:
1 [phone]
Permit Date 10M12015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING FER 2 6 Zpig
REPORT (DMR1-- WASTEWATER CFN7-DA, r....
II SUBMIT TO CENTRAL OFFICE* "'"" Z1l~cr+av 11
I Permit No. NCG020000
Calendar Year z o i
"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. NC
Facility Name:
.)
FA
County: UA1100 �
Phone Number: (,q03 ) -N6, I Z&& Total no. of outfails monitored
Certified Laboratory 4a u_1 lab # _AL
Lab #
Wastewater (WW) Discharge Outfall No.
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 SB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No
If so, what is the 7010 flow rate? I or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW tol Trout (Tr) designated waters? Yes ❑ No Ej
Were there any limit violations in the calendar year? Yes ❑ No Ea
Outfail No.
Daily Flow
Rate, efs
pH,
SU
TSS,
mgll
SS,
mill
"°pixable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
SA
Effluent
Limitations
Mo. Ave daily Max.
HOW orORIN
of
7Q10
lndicare NO PLOW
irappfka6la
freahvater
6.0-9.0
saltwater
industrial Sa
126145
Ilow er om
1 z�l��
HOWorORW
] Tr or PHA
110/15
HQW,ORW,
SA, sa, M
or any Trout
0.1/0.2
No Limit
Circle
�thattyapplledard
60/25110
NIA
Water
StattdardappNea
NIA
Waler4uallty
Standardapplke
N/A6.8-8.5
Date Sample
Collected,
mo/dr
dl
v
r.
-
-
- _
;
,.
----------------
o
m D
w
1 OCe u_5
rz�
I
I
I
f
i
I
I
t
f
Permit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. N000Z QOQQ
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. I 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 Z f z
-10iq
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in D WR (not D!<MLR)
N.C. Department of Environmental Quality DEQ
tY � )
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEM1l, R Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9130/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 7 0 I (o
'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 ®Q®❑9
Facility Name: F-oRTt-rz2A S2i&Ae, LLG - M0,trPYr_ Ac.AA.17 + MINE
County: () k, I o-in
Phone Number: (:Iol z & i - z i to o Total no. of SDOs monitored
Certified Laboratory _ K* bU i_aborajor-ves Lab # OC S5`i
Lab #
Stormwater Discharge Outfall (SDO) No. _ j 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?
Yes, enough consecutive samples below benchmarks to decrease frequency Cl
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
I
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.
Benchmarks
indicate NO
FLOWir
applicable
CircleStormwater Benchmark
Benchmark
J
100150
1
pBenchmark
BencCirclehmark
JVILrJ110
J V G
NIA
WaterQuallty
Standard applies
NIA
WaterQuallty
Standard applies
15
>56 a requires
average requires
TSS and Non -polar
O&G monitoring
Date Sample
Collected,
mo/ddl r
MENOMMMM
W 2.-7 I 1(0
ZZ
/-c (
Z C)
4 SS 3"1/m&
Permit Date 10t112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ©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 §122.24
Signature
Date oz f rr
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 10/1/2015 — 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 Zo l(o
"Report ALL WASTEWATER monitoring data on this form (include "No Flow"P'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 °00®FT
Facility Name: EofZ r�_-y_ A (3R-tG e, LZG— 4 yt' , os
County: _JLu.IeN
Phone Number: `70LI Zlal-Z? &(2 Total no. of outfalls monitored
Certified Laboratory LiJ Lab # Iv(- 5.59
Lab #
Wastewater (WW) Discharge Outfall No. I
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑fir
Does this outfall discharge WW to SB 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 jr) designated waters?
Yes ❑
No
Were there any limit violations in the calendar year?
Yes ❑
No
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
irepplca6fe
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
Mo. Ave f Daily Max,
HQW orORW
60% of
7Q10
lndscatpepNO FLOW
freshwater
6.0-9.0
saltwater
6.8'8.5
Ind ustrtal Sand
25145
HQW orORIN
20130
HQWorORW
and Tr or PNA
10115
HQW, ORIN,
SA, Se, PNA,
or any Trout
0.1/0.2
No Limit
Circle Water
Quality Standard
that applles:
50/25/10
NIA
Water Quality
Standard applies
NIA
WaterQuallty
Standard applies
NIA
Date Sample
Collected,
molddl r
�Nmmmmm
F Ri
orgy
Aby%e_
I- WAS
6, DeZOA
s Af `n
s,rr
Permit Date 10/1/2015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 H `!❑®®
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 0 21 r-; f 7t t
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 10t1t2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DMR - STORMWATER rlD
•- f
SEND TO CENTRAL OFFICE 2016
MPR p 2
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000 G�cR
Vd
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year.
CERTIFICATE OF COVERAGE NO. NCG02 0 7 8 9
FACILITY NAME: Hanson Brick - Kendrick Mine (Monroe)
PERSON COLLECTING SAMPLES Jason Smith
CERTIFIED LABORATORY K&W LabQratories Lab # NC 559
I.ab #
Part A. Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: _
COUNTY Union
PHONE NO. (704 ) 261-2160
ADD TO LISTSERVE? l'ES ❑ NO ❑
2015
EMAIL:
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)t
In Tier 2
Monthly
Monitoring?
g.
(y/n)
# of Months in
Tier 2
Sampling Z
Total Flow
(MG)
Tota! Suspended
Solids
(mom)
Turbidity"
(NTU)
Settleable
Solids (ml/l)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
-
-
-
100 '
See Footnote 3.5
0.1
SDO-1
No Discharge
01/01/2015 to
06/30/2015
SDO-1
09/28/2015
N
NA
0..085
24
28
<0.10
0.21
180
5
' 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/1 except in ORW. HWQ, trout, and PNA waters where they are 50 mg/l.
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 SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1 / I /2010-12/31 /2014 Last Revised 01-21-11
Page 1 of 2
207
EMAWN
r*i
C3

Part B:, Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oiVmonth on average
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW}
In Tier 2
Monthly
�
Monitoring.
(y/n)
# of Months
in Tier 2
Sampling'
New Motor
Oil Usage
allmonth
Total Flow
(MG)
TPH using method
I664A SGT--HEM
(m )
Total Suspended
Solids
{m )
pH
{Standard
Units)
Total
Rainfall
(in)
Event
Duration
(minutes)
_
_
15
100
6-9
SDO-1
06/30/2015
N
NA
<55
SDO-1
09/30/2015
N
NA
<55
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCE EDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO FX
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
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certifv, 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
( at
Permit Date: I/l/2010-12/31/2014
Last Revised 0 1 -2 1 -11
Page 2 of 2

9
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2015
*Report ALL STORfd1WATER monitoring data on this form (include "No Flo'/"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 - Kendrick Mine
County: Union
Phone Number: 7( 04 ) 261-2160 Total no. of SDOs monitored 1
Certified Laboratory K&W Laboratories lab # NC559
Lab #
Stormwater Discharge Outfall (SDO) No. 1 VMA Outfall? Yes ❑ No ❑x
Is this ouffall 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 ❑ d 2 'Z�}��1
Yes, received approval from DEMLR to reduce monitoring frequency ❑ t�AR
No, turbidity benchmark exceedances did not require monthly monitoring ❑ [Rk�
Other ❑ GbNR�,�10
Outfall No.
1
Total
Rainfall,
Inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U} Turbidity,
NTU
Downstream
(D} Turbidity,
NTU
Non -polar
O&G, mgli
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
Indicate NO
Fr_owlr
e lica if
mhr
BenchrnaAk
100l50
0.1
�h
Berchmark
50/25/10
NIA
&anddardappUes
NIA
sWater
nd ra vv'
15
a66eregLd
average regWres
roacM0lto�ring
Date Sample
Collected,
-molddlyr
� �
�tr � f.
1011115 to 12J31115
NO DISCHA
GE
<55 galimo
Permit Date 10/112015 — 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 OQ®� •
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 -7-1-1
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (nof D1=MLR)
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 — 913012020
Last Revised 10-2-2015

ANNUAL SUMMARY DMR - WASTEWATER _
F- SEND TO CENTRAL OFFICE* IkE-CEIV ED
PROCESS MINE/DEWATERING WASTEWATER MAR 0 2 2016
GENERAL PERMIT NO. NCG020000 CENfi L FILES
-nkAig�CTiON
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Perurit Limit Violations) by MARCH I of each year. If
you have limit violations, you most also have turned in a Limit Violation DMR to vour local Regional Office within 30 days of receivine sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG02-Q 7 $_ -2-
FACILITY NAME: Hanson Brick - Kendrick Mine (Monroe)
PERSON COLLECTING SAMPLES: Jason Smith
CERTIFIED LABORATORY. K&W Laboratories Lab # NC 55
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Re uirements
SAMPLE COLLECTION YEAR: ,2015
COUNTY: Union
PHONE NO.
ADD TO LISTSERVE? YES ❑ NO❑ EMAH.:
INDUSTRIAL SAND'? [I DISCHARGING TO SA WATERSa. ❑
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity''
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/y'r
MG
mg/l '
NTU '
mIAz
Standard 2col/tnl
'
NA
No Dischar a
01/01/2015 to
03/31/2015
NA
No Discharge
04/01/2015 to
06/30 2015
NA
No Discharge
07/01/2015 to
09/30 2015
No Discharges
from Process IMine
Dewaterin
Occur at This Ir
ite
All mines must monitor WW 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 tern.
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.
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms,
Permit Date: 1 / 112010-12/31 /2014 Last Revised 0 1 -2 1 -1l
Page I of 2

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
mg/1 '
NTU
Mt/1
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 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
Z z 5-0Lql fo
(Elate)
Last Revised 01-21-1 l
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"PNo Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each yeainC-d-,%r- I Ir^ M
Certificate of Coverage No. NCG02 LkjahqJ
Facility Name: Hanson Brick - Kendrick Mine MAR 02 206
County: Union CENTRAL FILES
Phone Number: 7( 04- ) 261-2160 Total no. of outfaIlPWAiWfCdTIqN
Certified Laboratory K&W Laboratories Lab # NC559
Lab #
Wastewater (WW) Discharge Outfall No. 1
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 SB or PNA waters?
Yes ❑
No
Does this outfall discharge WW to HOW 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 (Tr) designated waters?
Yes ❑
No
Were there any limit violations in the calendar year?
Yes ❑
No
Outfall No.
1
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgn
SS,
mill
dappfMare
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
Me. Ave f Daily Max.
HQW0r0RW
50"/0 of
7010
lndicafe NO FLOW
"app `able
freahvoler
6.0-9.0
saltwater
6.8-8.5
MduautalSand
25145
HQWorORW
20130
HQWorORW
ng Tr or PHA
10115
,
SA, SO, PHHQW,ORwA,
orany7rout
0.110.2
No Limit
clrclawater
C%ltyslandard
thatappilaw
5012611(}
NIA
Water Quality
Standardappllea
NIA
WaterQwllty
Standardapplic3
NIA
Date Sample
Collected,
molddl r
�. 1,n,°
ft-i
I�smi
ON
.t
w
1011115 to 12/31/15
NO DISCHARC
ES FROM
PROCESS 1 M
NE DEWAT
RING OCCUR
T THIS SITE
Permit Date 10I1/2015 — 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑[� 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 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 10/112015 -- 9130/2020
Last Revised 10-2-2015

I ANNUAL SUMMARY DMR - STORMWATER I
: NI 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 7 8 9
FACILITY NAME: Hanson Brick - Kendrick Mine (Monroe)
PERSON COLLECTING SAMPLES Jason Smith
CERTIFIED LABORATORY K&W Laboratories Lab # NC 559
Lab #
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: _
COUNTY Anion
PHONE NO. ( 704 ) 261-2160
ADD TO LISTSERVE? YES ❑ NO ❑
2014
EMAIL:
Oulfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(y./n)
# of Months in
Tier 2
Z
Sampling
Total Flow
(MG)
Total Suspended
Solids
Solids
a
Turbidit y
(NTU}
Settleable
Solids (ml/l)
Total
Rainfall
(in)
Event
Duration
(minutes)
minutes
-
-
-
-
-
100"
77-
See Footnote"
0.1'
SDO-1
06/30/2014
N
NA
---
---
--
---
---
---
SDO-1
12/16/2014
N
NA
0.07
8.0
21
<0.10
0.16
120
mt-lutIVtL)
r
CENTRAL FILF
uV."K SEC; i iar
i
' 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
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.
4 TSS benchmark values are 100 nigh 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, 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 pennittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/t/2010-12/31/2014 Last Revised 0 1 -2 1 -11
Page 1 of 2
•o
0.40.

Part B: Vehicle Maintenance Activitv Monitoring Reauirements for facilities usine > 55 L_al of new motor oil/ninth on average
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)
In Tier 2
Monthly
�
Monitoring.
(y/n)
# of Months
in Tier 2
Sampling
New Motor
Oil Usage
(al/month
Total Flow
(MG)
TPH using inelhad
]6t54A SGT-HEM
(m )
Total Suspended
Solids
(m )
pH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
153
too
6-9
SDO-1
06/30/2014
N
NA
<55
SDO-1
12/31/2014
N
NA
<55
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
IIAVE 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 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
(Signat*e of Permittee)
Permit Date: 1/1/2010-12/31/2014
Z. 4, r
(D te)
Last Revised 01-21-1 1
Page 2 of 2

ANNUAL SUMMARY DMR - WASTEWATER I
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 Wolations) by MARCH 1 of each year. If
),on have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office wifhin 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE No. NCG02Q 7 8 9 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Hanson Brick - Kendrick Mine (Monroe) COUNTY: _Union
PERSON COLLECTING SAMPLES: Jason Smith PHONE NO. (7n4 ) -
CERTIFIED LABORATORY: K&W Laboratories Lab # NC 559 ADD TO LISTSERVE? YES ❑ NOD EMAIL:
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑E
Part A: Wastewater Monitoring Requirements
INDUSTRIAL SAND.) ❑ DISCHARGING TO SA WATERS? ❑
Outfall No.
Date Sample
r
Collected
Total Flow
'Total Suspended
,
Solids
Turbidity3
Settleable Solids
pH
Fecal Coliforms
-
mm/ddlyr
MG
mall ,2
NTU-'
ml/l 2
Standard 2
couml '
NA
No Discharge 01101/
014 to 03/31/2C
14
NA
No Discharge 041011
014 to 06/30 2C
14
NA
No Discharge 071011
1014 to 09130 2C
14
NA
No Discharge 101011
014 to 1213112
14
r% C %, ll`
X/F= n
No Discharges
from Process 1Mine
Dewaterin
( ;:&rran
Occur at This E
ite
DVvP lic' f+
4... ,
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.
a Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1/ 1/2010-12/3 1/20t4 Last Revised 01-21-1 1
Page I of 2
10"

Part A Continued: Wastewater Nionitoring Requirement
Outfall No.
Date Sample
Collected t
Total Flow
Total Suspended
Solids'
Turbidity`
Settleable Solids
pN
Fecal Coliforms
-
nnn/dd/yr
MG
mg/i 1,2
N U '1
nm
Standard
collntl '
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)
Permit Date: I/l/2010-12/31/2014
-z- S
(D te)
Last Revised 0 1 -2 1 -11
Page 2 of 2