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Home My WebLink AboutNCG020180_MONITORING INFO_20190730STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v C� � d I DOC TYPE. El HISTORICAL FILE �. MONITORING REPORTS DOC DATE ❑ 2019 D-I 3 v YYYYMMDD Martin Marietta July 15, 2019 Phillip N. Pressley, PE Sr. Environmental Engineer RECEIVED JUL 3 0 2019 CENTRAL FILES DVVR SECTION NC Division of Water Resources Attn: DWR Central files 1617 Mail Service Center Raleigh, NC 27699 SUBJECT: Martin Marietta Materials, Inc. — Franklin Quarry NPDES Certificate of Coverage No. NCG020180 Notification of Stormwater Turbidity Exceedance and Tier I Response To whom it may concern: Please find enclosed one original signed stormwater discharge monitoring report (DMR) containing a turbidity exceedance. The Stormwater sample was taken on June 13, 2019. Martin Marietta received the sample results, containing the turbidity exceedance, on June 18, 2018. The results triggered a Tier I response for turbidity, as the sample was the first valid sample result of the period and the previous period's sample result was below the turbidity benchmark. Due to field turbidity results, regional environmental staff performed a site review at the time of sampling, on June 13, 2019, to identify and evaluate possible causes of the exceedance. Implementation of actions identified during the evaluation will be completed within one month, as required by the general permit. If you have any questions or need additional information please contact me at (919) 783-4505 orvia email at phillip.pressley@martinmarietta.com. Sincerely, V Phillip N. Pressley, PE Sr. Environmental Engineer North Carolina East District office 2700 Wycliff Road Suite 104, Raleigh, NC 27607 t. (919) 783-4505 f. (919) 787-9577 m. (919) 649-9143 e. phillip.pressley@martinmarietta.com www.martinmarietta.com ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) - STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year 2019 "Report ALL STORMWATFR monitoring data on this form (include "No Flow"1"iVo Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG020180 Facility Name: Martin Marietta Materials, Inc. - Franklin Quarry County: Franklin Phone Number (919) 570-0235 Total no. of SDO's monitored 1 Certified Laboratory Pace Analytical Lab # 12 Lab # Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes No X 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 X 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. Total Rainfall, inches TSS mgll SS, rill Turbidity, NTU Upstream (U) Turbidity. NTU Downstream (D) Turbidity NTU Non -polar O&G, mgll (VI'll New Motor Oil Usage allmo. Stormwater Benchmarks Indicate NO FLOW if a licable Bencrclehmark Benchmark 1 fl 50 0.1 circle Benchmark J„ 25/1 0 NA Watar Quality Standard a lies NA Water Quality Standard apple s 5 average emures 9 Q TSS and Nan -polar O&G monitoring Date Sample Collected, molddlyr W3/2019 3!4" 59.1 ND 81.3 Permit Date 10/1/2015 - 9/30/2020 Last Revised 10/2/2015 e- , . <A Certificate of Coverage No. NCG020180 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 violation." [Required by 40 CFR §122.22] Signature r Date --�- / I,/ r 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 - 9/30/2020 Last Revised 10/2/2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) - STORMWATER SUBMIT TO CENTRAL OFFICE" General Permit No. NCG020000 Calendar Year 2018 *Report ALL STORMWATER monitoring data on this form (include "No FloWTNo Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG020180 Facility Name: Martin Marietta Materials, Inc. - Franklin Quarry County: Franklin Phone Number (919) 570-0235 Total no. of SDO's monitored 1 Certified Laboratory Pace Analytical Lab # 12 Lab # Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes No X 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 X 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 DEMt_f2 to reduce monitoring frequency FEB 2 2 2019 No, turbidity benchmark exceedances did not require monthly monitoring Other p 6! .,! 46f �9tlx Outfall No ° _...n..._...,, i Total m h.�d" s, Raifal I, _.inches . �W �r TSS mgll ¢ .. _I a � 's SS, °'Turbidity;y(Uj'Turbidity �5 mlll A!t � � -,xr �[ gar NTU _ d --. U streamw p �! � - Sit€E0 N"I U a �._,f ° nr IN R �f� Downs re3 al (D)'�Turbidityy"Non-polar,9Motor,0il F NTU e.�4. ... _. ° � ,etc •�`8� r ..° d°'.q }O&G, mgll :::; VMA Y ^ New '�"'7 as atii.� F'Go-' an Usage .: Stormwater Benchmarks Indicate NO FLOW d a lrcadle Bencrclehmark Benchmark ' VO 5U V 0 • Benchmark Benchrmrcleark 5�2511 0 t�lj! NA Wafe! Quality Standard a lies NA Water Quality Standard a lies 15 gaVmo >55erequi average requires TSS and Mon -pillar 08G monitoring Date Sample Collected, molddlyr MEOMMMMM 6/26/2018 0.5 9.5 ND 21.3 12/20/2018 0.8 32.8 ND 34.6 Permit Date 10/1/2015 - 9/30/2020 Last Revised 101212015 Certificate of Coverage No. NCG020180 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 violation." [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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 - 9130/2020 Last Revised 10/2/2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) - WASTEWATER SUBMIT TO CENTRAL OFFICE' General Permit No. NCG020000 Calendar Year 2018 *Report ALL WASTEWATER monitoring data on this form (include "No FloWY'No Discharge" and Limit Violations) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG020180 Facility Name: Martin Marietta Materials, Inc. - Franklin Quarry County: Franklin Phone Number (919) 570-0235 Total no. of outfalls monitored 1 Certified Laboratory Pace Analytical Lab # 12 Lab # Wastewater (WW) Discharge Outfall No. 001 Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes No X Does this outfall discharge WW to SA waters? Yes No X Does this outfall discharge WW to SB or PNA waters? Yes No X Does this outfall discharge WW to HQW or ORW waters? Yes No X If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available Does this outfall discharge WW to Trout jr) designated water: Yes No X Were there any limit violations in the calendar year? Yes No X Outfall No 001 Daily Flow 'Rate, cfsfSU .�:. ; .,; pH,' ' TSS, mgll SS, ; mlllTurbidity; dappllcahie13y'�xNTU r0i§cHair ge' .4.. ,cx Upstream r (U) Turbidity ... n Dowstream ,(D) Turbidity Fecal CoIiform, co11100 ml , SA Effluent Limitations Ave 1 Daily Max. HOW or ORW 50% of 71510 Indicate NO FLOW dapplicable Freshwater 6.0-9. saltwater 6.8-8.5 Industrial 25145 HQW or OR 20130 HOW or ORN and Tr or PNA 10115 s se PNA or any Trout 0.110.2 No Limit Circle Water OLalityStandard �thatt appliesMo. { ,+��p�2.111 V NA Water Quality Standards Applies NA WaterQuaf+ty Standards Applies NA Date Sample Collected, molddlyr RFcF— i Fn h 8 s L 0 i 9 CCN'i -tiA . FILES No Discharge in 2018 0WR SF CTIOid Permit Date 10/1/2015 - 9/30/2020 Last Revised 10/2/2015 0 Certificate of Coverage No. NCG020180 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 violation." [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 (919) 807-6300 Questions? Contact DEMER Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 - 9/30/2020 Last Revised 101212015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) - STORMWATER II SUBMIT TO CENTRAL OFFICE* " %1.-` 1 " - II General Permit No. NCG020000 Calendar Year 2017 pWRIFILE,'') *Report ALL STORMWATER monitoring data on this form (include "No Flow"1"No Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No. NCG020180 Facility Name: Martin Marietta Materials, Inc. - Franklin Quarry County: Franklin Phone Number (919) 570-0235 Total no. of SDO's monitored 1 Certified Laboratory Pace Analytical Lab # 12 Lab # Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes No X 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 X 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 OutfaII No 5: --=------ Total Rainfall, pinches TSS - mgll SS mill.,: Turbidit y, NTU �� QU{pst eam (U) Turbidity h � NTU bownstream (D) Turbidity NTIJ *{ Non -polar O&G,''mgll VMA(gal/Mo.) New Motor, Oil 'Usage . Stormwater Benchmarks Indicate NO . FZowif applicable Circle Benchmark 10 50 0.1 Benchmark Bencrdehmark 5SV25110 NA Water cuality standard a ies NA Water Quality standard a lies 15 averag>55 e mo requires average requires TSS and Non -polar o8G monitoring Date Sample Collected, molddlyr No Discharge in 2017 Permit Date 10/1/2015 - 9/30/2020 Last Revised 10/2/2015 Certificate of Coverage No. NCG020180 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 violation." [Required by 40 CFR§122.22] Signature 1v Date 41 1 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 - 9/30/2020 Last Revised 101212015 7 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) —WASTEWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year 2016 *Report ALL WASTEWATER monitoring data on this form (include ` "NoFlow'?'No Discharge" and Limit Violations) from ew ' the previous calendar year to thE V44 ,nR+✓0 of each year. Certificate of Coverage No. N0002 0180 JAN 2 3 2017 Facility Name: _Franklin Quarry rr-�E2AI. GII,r-S County: _Franklin DWR SECTION Phone Number: (919)_570-0235 Total no. of outfalls monitored _1 Certified Laboratory _Pace Analytical Services, Inc._ Lab # 67 Lab # Wastewater (WW) Discharge Outfall No. _001 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 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 Fecal Daily Flow pH, TSS, SS, Discharge Upstream Downstream Coliform, Outfall No. Rate, cfs SU mgll mill Turbidity, !(U) Turbidity, (D) Turbidity, co11100 ml _ 001 it applicable NTU- } NTU NTU (SA) Industrial Sand Effluent HOW or ORIN 50% of freshwatar 6.0-9.0 25/45 HOW, ORW, No Limit NIA NIA Limitations 7Q10 saltwater HQW orORW 20130 SA, SB, PNA, or any Trout Circle Water Water Quality WalerQualily NIA 6.8-8.5 HQW or ORW . . 01102 Quality Standard that applies: Standard applies Standard applies Mo. Ave I Daily Max. Indicate NO FLOW it appricabra and Tr or PNA 10115 60/25/10 �J Date Sample Collected,` molddlyr No discharge for 2016 ~ e i Permit Date 10/112015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 C1180 " Additional Outfall Attachment (make copies as needed for additional outfalls) 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 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 reported? Yes ❑ No Outfall No Daily Flow Rate, cfs pH, SU TSS, mgll SS, m111 if applicable Discharge Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Fecal Coliform; col/1 00 ml (SA) Effluent Limitations Mo. Ave I Daily Max, HQW or ORW 50% of 7Q10 Indicate NO FLOW Ifapplicable freshwater 6.0-9.0 saltwater 6.g-8.5 Industrial Sand 25/45 HOW erORW 20/30 L !! HQW or ORW and Tr or PNA 1 0115 HOW, ORw, SA, SB, PNA, or any Trout 0 11� 2 No Limit CircloWater Quality Standard That applies: 50/25/10 NIA Water Quality Standard applies NIA Water Quality Standard applies NIA ' Date Sample Collected, molddlyr Permit Date 101112015 - 913012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 0180 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 1/16/17 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 101112015 — 9130/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER ' SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year `2016 "Report ALL STORMWATER monitoring data on this form (include ,No Flow'T'No Discharge" and Benchmark Exceedances) from the previous calendar year to the ElLe yEM�R' HL;of each year. Certificate of Coverage No. NCG02 0180 Facility Name: _Franklin Quarry CENTRAL FILES6 County: Franklin Phone Number: (919)_570-0235 Total no. of SDOs monitored T1— Certified Laboratory Pace Analytical Services, Inc. Lab # _67 Lab # Stormwater Discharge Outfall (SDO) No. _1 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 ❑ Yes, received approval from DEMLR to reduce monitoring frequency ❑ No, turbidity benchmark exceedances did not require monthly monitoring ❑ Other ❑ SDO ONo. _D01 Total Rainfall, inches TSS, mgll SS, mlll Turbidity, NTU Upstreami (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar 0&G, mgll (VMA) New Motor Oil Usage (gailmo.) Stormwater Benchmarks Indicate NO FLOWif a licable circle Benchmark 100/50 0•1 circle Benchmark 50/25/10 NIA waterOuality Standard applies NIA Water Quality Standard applies 15 >55 gallmo. average requires 7SSend Non -polar O&G monitoring Date Sample Collected, moldd/yr No discharge for2016 Permit Date 1011l2015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 0180 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 _1116/17 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10I112015 — 9/30/2020 Last Revised 10-2-2015 II ANNUAL SUMMARY DMR - WASTEWATER II SEND TO _CENTRAL OFFICE PROCESS MINEIDEWATERING WASTEWATER �l,■.... GENERAL PERMIT NO. NCG020000 *Report all f1'asresrarer discharge monitoring data on this form (including No Flow and No Discharge and Perini! Limn 11*iolatiars) by ,WARCH I 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. NCG020180 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Franklin Quarry COUNTY: Franklin PERSON COLLECTING SAMPLES: Harold Williams PHONE NO. (919) 570-0235 CERTIFIED LABORATORY: PACE ANALYTICAL Lab #67 ADD TO LISTERVE? YES NO EMAIL: LIMITS VIOLATIONS? YES �10 INDUSTRIAL SAND[? Ko DISCHARGE TO SA WATERS quo Part A-- Wastewater \lnnitnrinn Renuirements Outfall No. Date Sample Collected' Total Flow Total Suspended Solids' Turbidity Settleable Solids PH Fecal Coliforms mm/dd/vr MG m 11'^ '3 NTU' ml/I Standard' col/n112'a 001 No discharge for 2015 FUR CENTRAL t- L WR .SEL I i 'All mines must monitor W W discharges for TSS. Only industrial sand mine discharges are subject to TSS limts. IIf 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 NfU for freshwater streams, lakes, and reservoirs designated as trout waters; 25 NfU 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 receiveing water, directly upstream and downstream of the discharge_ a Only facilities discharging to SA waters are required to monitor for Fecal coliforms. Permit Date: l/l/2010-12131I2014 Last Revised 0 1 -21 -11 Page 1 of 2 Part A: Continued: Wastewater A1onitoring Requirements OutfalI No. Date Sample Collected' Total Flow Total Suspended Solids' Turbidity3 Settleable Solids pl-1 Fecal Coliforms mm/ddh,r MG m I''2 NTUZ 3 mll12 Standard col/ml2'a 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 (919) 807-6379 YOU MUST SI GN THIS CER TI FICA TIOA' FOR ANY INFORAIA TION 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 surnbitted. 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing violations." 2/3/16 (Signature of Permittee) l� (Date) Permit Date: 111/2010-12/31/2014 Last Revised 0 1 -21 -11 Page 2 of 2 L .t II ANNUAL SUMMARY DMR - STORMWATER II SEND TO CENTRAL OFFICE* STORMWA TER DISCHARGE OUTFALLS (SDO) GENERAL PERMIT NO. NCG020000 'Report ALL STORwIVATFI? Monitoring Data on this forth (including No Flow and No Discharge and Permit Ltnth Violations) by MARCH I ojeach year. CERTIFICATE OF COVERAGE NO. NCG020180 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Franklin Quarry COUNTY; Franklin PERSON COLLECTING SAMPLES: Harold Williams PHONE NO. 919-570-0235 CERTIFIED LABORATORY: PACE ANALYTICAL Lab 467 ADDTO LISTERVE° YES❑ NOD EMAIL: Pan A- Stnrmwatrr Vinnonrina R—iiremrntc Outfall No• Date Sample Collected (molddh'r OR NO FLONV)t In Tier 2 Monthl-v Monitoring'! y1n # of ,Months in Tier 2 Sampling2 Total Flow {\iG) Total Suspended Solids (mgll) Turbidity (NTi1) Settleable Solids (mt/l) Total Rainfall in) Event Duration (minutes) - - - - 100", See Footnote}" 0.1 -, SDOI No discharge Isthalf of2015 N NIA SDOI 9/28/15 N NIA 0.031 15.9 2&2 ND 3.3 8640 SD02 No discharge in 2015 N N/A SD03 No discharge in 2015 N NIA Legend: ND = Not detectable, NIA = Not applicable 'If "NO PLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCIIARGI:" for each outfall here and the Date Range. '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 p11), you must Implement the Teir 1 or Tier Z responses in the General Permit, 4.FSS benchmark values are 100 n,p/l except in ORW, I IWQ, trout, and PNA waters where they are 50 mg/L 5-1-he discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 19 NTU for freshwater streams, lakes, and reservois desipated as trout waters; 25 NTU for all lakes and reservois, and all salt water: 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: 111/2010-12131I2014 Last Revised 01-21-11 Page 1 of 2 Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using> 55 gal of new motor oillmonth on average Outfall No. Date Sample Collected (molddl)'r OR NO FLOW)' In 'Pier 2 Monthly Monitoring? (y/n) 9 of Months in Tier 2 Sampling New Motor Oil Usage (gal/month) Total Flow (MG) TPH using method 1664ASGT-HEh1 (mgll) Total Suspended Solids (mall) pfl (Standard Units) Total Rainfall in Event Duration minutes - 15 s IOU' 6-9 ' No Discharge for 2015 N NIA Legend: ND = Not detectable, NIA = Not applicable HAS YOUR FACILITY I{AD 4 OR MORE HENCII.NIARK E\CEI:DENCES AT ANl' ONE OUTFACE (INCLIJDING 1'F;1{ICLE ,,\4UN"PENANCE):' YES ❑ NO � HAVE YOU CONTACTED TIIF REGION? WHO AT THE REGION I IA\'@ YOU SPOKEN \V1TI I? YES ❑ NO El MAIL ORIGINAL AND ONE COPY OF TIIIS ANNUAL SIENEMARY (INCLUDING ALL "NO FLOI\"' "NO DISCHARGE" & LIMIT VIOLATIONS) BY MARCH 1 OF EACII YEAR'I'O: Division of Water Quality Attn: DR'Q Central Files 1617 Mail Service Center Raleigh. North Carolina 27699-1617 (919) 807-6300 YOU MUST SIGH' THIS CERTIFICATION' FOR ANY IA'FORAIATION 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 sumhitted. 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 imprisionment for knowing ,violations." f f (Signature of Permittee) Permit Date: 111/2010-12/31/2014 2/3/16 (Date) Last Revised 01-21-11 Page 2 of 2 II ANNUAL SUMMARY DMR - STORMWATER II SEND TO CENTRAL OFFICE* STORMWA TER DISCHARGE OUTFALLS (SDO) GENE ,�P,kkR, M NCG020000 *Report ALL STORA4WATER Monitoring Data on this form (including No Flow and No Discharge �dmh Ko7grlons) by XfARCH 1 ofeach year. CERTIFICATE OF COVERAGE NO. NCG020180 ; V03 2fl��3 SAMPLE COLLECTION YEAR: 2014 FACILITY NAME: Franklin Quarry CENTRAL FILES COUNTY: Franklin PERSON COLLECTING SAMPLES: Harold Williams DWR sECTiON PHONE NO. 919-570-0235 CERTIFIED LABORATORY: PACE ANALYTICAL Lab #67 Part A: Stormwater Monitoring Requirements ADD TO LISTERVE? YES ❑ NO ❑ EMAIL: outfall No. Date Sample Collected (mo/dd/yr OR NO FLOR t In Tier 2 Monthly Monitoring? /n # of Months in Tier 2 Sampling Total Flow - (NIG) Total Suspended Solids (mg/1) 'turbidity' (NTU) Settleable Solids (mill) Total Rainfall (in) Event Duration (minutes) too3,4 See Footnote3,4 0.1 3 SDOI No Discharge for 2014 N NIA SD02 No Discharge for 2014 N NIA SD03 No Discharge for 2014 N NIA Legend: ND = Not detectable, NIA = Not applicabIC 'If "NO FLOW" or "NO DISCI IARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range. 2Per NCG02: "Pier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. 3If a value is in excess orthe benchmark, or outside the benchmark range (for pH), you must implement the Teir I or Tier 2 responses in the General Permit_ 4TSS benchmark values are 100 MO except in ORW, HWQ, trout, and PNA waters where they are 50 mgll. SThe discharge shalt not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservois designated as trout waters; 25 NTU for all lakes and reservois, and all salt water; 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 cater, directly upstream and downstream of the SDO. Permit Date: I/112010-12/31/2014 Last Revised 0 1 -2 1 -11 Page 1 of 2 VP! Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oiUmonth on average Outfall No. Date Sample Collected (molddlyr OR NO FLOW)' In Tier 2 Monthly Monitoring? (y/n) 9 of Months in Tier 2 Sampling2 New Motor Oil Usage (gal/month) Total Flow (1[G) TPH using method 1664ASGT-HEM (mg/1) Total Suspended Solids (mgll) pH (Standard Units) Total Rainfall (in) Event Duration (minutes) - - 15, looa 6-9' No Discharge for 2014 N N/A Legend: ND = Not detectable, N/A = Not applicable HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK E\CEEDF.NCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO M HAVE YOU CONTACTED THE REGION? YES ❑ NO p WHO AT T11E REGION HAVE YOU SPOKEN WITH? 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 (919)807-6300 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMA TION 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 sumbitted. 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 imprisionment for knowing violations." C.l�tt�a•.�— , (Signature of Permittee) Permit Date: U112010-12131/2014 (Date) 2/ 1 1115 Last Revised 01-21-11 Page 2 of 2 ANNUAL SUMMARY DMR — WASTEWATER SEND TO CENTRAL OFFICE * . PROCESS MINE/DEWATERING WASTEWATER GENERAL PERMIT NO. NCG020000 RECEIVE[ FES 19 2015 C lvr L fits i=Q *Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year. If _.. � ` =u i-ION 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. NCG020180 SAMPLE COLLECTION YEAR: 2014 FACILITY NAME: Franklin Quarry COUNTY: Franklin PERSON COLLECTING SAMPLES: Harold Williams PHONE NO. (919) 570-0235 CERTIFIED LABORATORY: PACE ANALYTICAL Lab 467 ADD TO LISTERVE? YES NO EMAIL: LIMITS VIOLATIONS? YES NO INDUSTRIAL SAND'? DISCHARGE TO SA WATERS ¢? Part A. Wastewater Monitoring Renuirements Outfall No. Date Sample Collected[ Total Flow Total Suspended Solids' Turbidity Settleable Solids pH Fecal Coliforms mm/dd/vr MG me/l", NI'U33 m1/12 Standard collml2,a 001 No discharge for 2014 'All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limts. 2If 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 receiveing water, directly upstream and downstream of the discharge. °Only facilities discharging to SA waters are required to monitor for Fecal coliforms. Permit Date: 1/112010-12/31/2014 Last Revised 01-21-11 Page 1 of 2 P.I%A: Continued: Wastewater Monitoring Requirements OutfalI No. Date Sample Collected' Total Flow Total Suspended Solids' Turbidity Settleable Solids pH Fecal Cohforms - mmldd/ r MG m 1' 2 NTU''3 m1/1" Standard' col/mlz'' 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 Set -vice Center Raleigh, North Carolina 27699-1617 (919) 807-6379 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 sumhitted. 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 imprisionment for knowing violations." / re,, __ 211 l I1 5 (Signature of Permitte (Date) Martin Marietta Materials P.O. Box 30013 Raleigh, North Carolina 27622-0013 Telephone (919) 783-4505 Facsimile (919) 510-4739 E-Mail: nuwan.wijesuirya@martinmarietta.com Nuwan Wijesuriya Environmental Engineer Certified Mail — Return Recei rt Reguested July 21, 2010 Mr. Danny Smith; Surface Water Protection Supervisor Division of Water Quality Raleigh Regional Office 3800 Barrett Drive Raleigh, NC 27609 Subject: Stormwater Benchmark Exceedance DMR Dear Sir, Please find enclosed a Stormwater Benchmark Exceedance Discharge Monitoring Report for our Franklin Quarry. Sincerely, Nuwan Wijesuriya :11, �_22j� TIER 2 or BENCHMARK EXCEEDENCE. DMR - STORMWATER SEND TO YOUR LOCAL REGIONAL OFFICE* . . STORMWA TER DISCHARGE OUTFALLS (SDO) GENERAL PERMIT NO. NCG020000 (MINING) * Use this form if you have EXCEEDED BENCHMARKS for any parameter or are in Tier 2 Monitoring. Send sample results to D>�Q Regional Office within 30 days of receipt from lab. CERTIFICATE OF COVERAGE NO. NCG02Q L Z .0 FACILITY NAME: PERSON COLLECTING SAMPLES CERTIFIED LABORATORY S Lab # Lab # Part A: Stormwater MonitorinLr Reouirements SAMPLE COLLECTION PERIOD: 1,4 2 ❑ OR MONTHLY: ❑ MONTH COUNTY PHONE NO.C_!�) TOTAL RAINFALL: D_ • 65 INCHES EVENT DURATION: S NUTiUTES. Outfall No: Date Sample Collected (mo/dd/yr OR NO FLOV�t In Tier.2 '.'Monthly Monitoring. (y/n) # of Months in ... Tier 2- 2 ` Sampling Total Flow (MG) Tpta1'Suspended Solids (mg/1)(NTU) .. Turbidity.a .. Settleable Solids (MI/1) - - - - 1001,4 See Footnote.' 0.1. _. 01 cc 1 Q 4b . I ' 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 benchrimark 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 1 or Tier 2 responses in the General Permit. 4 TSS benchmark values are 100 rrig/I 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;SO NTU for all other streams and surface waters. Turbidity may be monitored at the Stormwater Discharge OutfalI. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and' downstream. of the SDO. Permit Date: 1/1/2010-12131/2014 _ 2 I Last Revised 01-19-10 Page 1 of 2 Part B: Vehicle Maintenance Activi MonitorinayRe uirements 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 Months m Tier 2z Sampling New Motor On Usage (gaUmonth) Total Flow. (MG). TPH using method 1664A -SGT--HEM (m /l Total Suspended Solids, mg/l pH, Standard Units - - 15 100 6-93 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES AT ANY ONE OUTFALL (ALL SDOs INCLUDING VEHICLE_ MAINTENANCE)? YES ❑ NO 21 HAVE YOU CONTACTED THE REGION? YES [:]NO WHO AT THE REGION HAVE YOU SPOKEN WITH? USE THIS FORM IF YOUHAVE EXCEEDED BENCHMARKS FOR ANY PARAMETERS SEND THIS DAM TO YO UR LOCAL DWO REGIONAL OFFICE WITHIN 30 DAYS OF RECEIPT OF SAMPLE RESULTS FROM THE LAB: Asheville Regional Office (ARO) Roger Edwards, Surface Water Protection Supervisor 2090 US Highway 70 . Swannanoa; NC 28.7,78 COURIER-12-59-01 Phone: (828) 296-4500 Fax: (828) 299-7043- Fayetteville Regional Office (FRO) Belinda Henson, Surface Water Protection Supervisor 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 COURIER 14-56-25 Phone: (910) 433-3300 Fax: (910) 486-0707 .Mooresville Regional Office (MRO) Rob Krebs, Surface Water Protection Supervisor 610 East Center Avenue, Suite 301 Mooresville, NC 28115 COURIER 09-08-06 Phone: (704) 663-1699 Fax: (704) 663-6040 Raleigh Regional Office (RRO) Danny Smith, Surface Water Protection Supervisor 3800 Barrett Drive ;Raleigh, NC 27609 COURIER 52-01-00 Phone: (919) 791-4200 Fax: (919) 571-4718 Washington Regional Office (WaRO) Al Hodge, Surface Water Protection Supervisor 943 Washington Square Mall Washington, NC 27889 COURIER 16-04-01 Phone: (252) 946-6481 Fax: (252) 946-9215 or (252) 975-3716 Wilmington Regional Office (WRO) Rick Shiver, Surface Water Protection Supervisor 127 Cardinal Drive Extension W�Imington, NC 28405-2845 COURIER 04-16-33 Phone: (910) 796-7215 Fax: (910) 350-2004 Winston-Salem Regional Office (WSRO) Steve Tedder, Surface Water Protection Supervisor 585 visor Street Winston-Salem, NC 27107 ' COURIER 13-15-01 Phone: (336) 771-5000 Fax: (336) 771-4631 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 m 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 th t t e re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." —1 (Signature of Permittee) (Date) Permit Dat6: 1/1/2010-12/31/2014 Last Revised 01-19-10 Page 2 of 2 TIER Z or BENCHMARKEXCEEDENCE-DMR - STORMWATER SEND TO YOUR LOCAL REGIONAL OFFICE* -. . STORMWATER DISCHARGE OUTFALLS (SDO) GENERAL PERMIT NO. NCG020000 (MINING) Use this form if you have EXCEEDED BENCFIMARKS for any parameter or are in Tier 2 Monitoring. Send sample results to DWQ.Regional Office within 30 days of receipt from lab. CERTII+ICATE OF COVERAGE NO. NCG02Q L B LD FACILITY NAME: E 4► cr r PERSON COLLECTING SAMPLES CERTIFIED LABORATORY S Lab # LC�_ Lab # Part A: Stormwater Monitorinn Reauirements SAMPLE COLLECTION PERIOD: 1X 2 ❑ OR MONTHLY: ❑ MONTH COUNTY Tt f � (1X )1 f�, PHONE NO.' q( 15 )D a35 TOTAL RAINFALL: O • ST INCHES EVENT DURATION: 44s MINUTE, Outfall No.' Date Sample Collected (mo/dd/yr OR NO FLOW)" In Tier.2 Monthly- Monitoring. (y/n) # of Months in ... Tier 2' 2 ` Sampling .' . Total Flow (MG) Total'Suspe-nded Solids (mg/1) a Turbidity (NTu} • Settleable Solids (mill) - - - - - 1003,4 See Footnote.' 0.1. of 1a 16b,t '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 implementtheTier 1 or Tier 2 responses in the General Permit. a TSS benchmark values are 100 rrig/l 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 Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO. Permit Date: 111/2010-12'131/2014 L Last Revised 01-19-10 Page 1 of 2 Part B. YeWele Maintenance Activity_ Monitoring Requirements for facilities using > 55 gal of new motor otllmonth 'on average Outfan No. Date Sample Corrected (mo/dd/yr OR NO FLOW)' In Tier 2 Monthly Monitoring? (yin) # of Months in 'Pier 2 Sampling2 New Motor Oil • Usage (gal/month) Total Flow. (MG). TPH using method 1664A SGT--ITEM (MO) Total Suspended Solids, mg/l pH, Standard Units - - 153 1003 6-9 HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES AT ANY ONE OUTFALL (ALL SDOs INCLUDING VEHICLE MAINTENANCE)? YES ❑ NOR HAVE YOU CONTACTED THE REGION? YES ❑ NO 2 WHO AT THE REGION HAVE YOU SPOKEN WITH? USE THIS FORM IF YOUHAVE EXCEEDED BENCHMARKS FOR ANY PARAMETERS SEND THIS DMR TO YO UR LOCAL D ffQ REGIONAL OFFICE WITHIN 30 DAYS OF RECEIPT OF SAMPLE RESULTS FROM THE LAB: Asheville Regional Office (ARO) Roger Edwards, Surface Water Protection Supervisor 2090 US Highway 70 . Swannanoa; NC 28.7.78 COURIER. 12=59-01 Phone: (828) 296-4500 Fax: (828) 299-7043" - Fayetteville Regional Office (FRO) Belinda Henson, Surface Water Protection Supervisor 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 COURIER 14-56-25 Phone: (910) 433-3300 Fax: (910) 486-0707 .Mooresville Regional Office (MRO) Rob Krebs, Surface Water Protection Supervisor 610 East Center Avenue, Suite 301 Mooresville, NC 28115 COURIER 09-08-06 Phone: (704) 663-1699 Fax: (704) 663-6040 Raleigh Regional Office (RRO) Danny Smith, Surface Water Protection Supervisor 3800 Barrett Drive •.Raleigh, NC 27609 COURIER 52-01-00 "Phone: (919) 791-4200 Fax: (919) 571-4718 Washington Regional Office (WaRO) Al Hodge, Surface Water Protection Supervisor 943 Washington Square Mall Washington, NC 27889 COURIER 16-04-01 Phone: (252) 946-6481 Fax: (252) 946-9215 or (252) 975-3716 Wilmington Regional Office (WRO) Rick Shiver, Surface Water Protection Supervisor 127 Cardinal Drive Extension Wilmington, NC 28405-2845 CQURIER 04-16-33 Phone: (910) 796-7215 Fax: (910) 350-2004 Winston-Salem Regional Office (WSRO) Steve Tedder, Surface Water Protection Supervisor 585 Waughtown Street Winston-Salem, NC 27107 COURIER 13-15-01 Phone: (336) 771-5000 Fax: (336) 771-4631 YOUMUST SIGN THIS CERTIFICALION FOR A NY INFORMA TION REPOR TED: "I certify, under penalty of law, that this document and an 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 th9re re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �v 1 (Signature ofPermittee) (Date) Perrnit Date: 1/l/2010-12/31/2014 Last Revised 0l'-19-10 Page 2-o£2