HomeMy WebLinkAboutNCG020200_MONITORING INFO_20190222STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V Cc"A a 00
DOC TYPE
❑HISTORICAL FILE
R� MONITORING REPORTS
DOC DATE
o cl i 5 o aaa
YYYYMMDD
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 Flovd'P'No Discharge" and Benchmark
Exceedances) from the previous calendar -Year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG020200
Facility Name: Martin Marietta Materials, Inc. - Pollocksville Qua
County: Jones
Phone Number (910) 743-6471 Total no. of SDO's monitored 0
Certified Laboratory Pace Analytical Lab # 12
Lab #
Stormwater Discharge Outfall (SDO) No. NIA 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
- t ,
Outfall No
_.. .
,i4� �
Total
Rtamfall,m
SEe :�u S
`;TSS
mgll
! t
SS,
,� �
�, Eaj6v, i 6�
Turbidity,[U)
�NTU�
f1w
Upst ream :
.�y�s'�c"�,e��
Turbidity(D)Turbidity
�'4 "yNTU�'"'
�: _ ,
Dw`.
" nstr eam
�NTU, a�'FI;�
.... �:.:: t .a.. •.�_
��'�d, �w'� Eu�t
Non polar
O&G,mgllt
.fr
VMA . _...,
bf, hJ
l a�New
Motor Oil .�
al'aUsage'
allma
Stormwater
Benchmarks
Indicate NO
FLOW f
a
applicable
circle
Benchmark
10
0.1
rcle
Benchmark
Benchmark
S�Y2511 0
NA
Water Quali y
StandaM a lies
NA
Water Quality
standard applies
15
lYrno
>ra a requ[
average requires
T55 and Nan -polar
OSG monitoring
Date Sample
Collected,
molddlyr
• •
,�.�_� V L
•lJ
DEB 2 2
a
No Observed Discharge in 2018
rr.
r 4 -,-, ...
D
VR 5:r:rr
Permit Date 10/1/2015 - 9/30/2020
Last Revised 101212015
Certificate of Coverage No. NCG020200
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 7 hZc)! f
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 - 9/3012020
Last Revised 101212015
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 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. NCG020200
Facility Name: Martin Marietta Materials, Inc. - Pollocksville Quarry
County: Jones
Phone Number (910) 743-6471 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 SS 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, 7010 not available
Does this outfall discharge WW to Trout (Tr) designated water: Yes No X
Were there any limit violations in the calendar year? Yes No X
Outfall,No
001;
Daily Flow
Rate,'cfs :
:. ;.,:
pH,
SU
-.-.-,
:�
TSS'.
` g'- :
mgll
"� ,�s ... -.
1SS,
mlll`°
f,aPPGcable
Discharge
Turbidity
NTU :.
t
` Upstream
f pit
{U) Turbidity
.,., NTU,-�.°r
s °
c !
Downstream
� P
(D)"Turbidity
,.t;_
NTU _'
t Fecal
Cohform,
; ; co11140 ml
... .
SA
Effluent
Limitations
Mo. Ave I Daily Max,
HQWor OF{W
50%of
7Q10
Indicate NO FLOW
ilapplicable
Freshwater
6A-9.
Saltwater
6.8-8.5
U
Indusvial
25145
HOW or OR
20130
HOW °r OR
and Tr or PNA
10115
HOW
se.PrRA
orany Trout
0.110.2
No Limit
Circle Water
Quality Standard
that applies
Ir
( 1O2511 l}
NA
Wa,arQuality
Standards Applies
NA
Water Quality
Standards Applies
NA
Date Sample
Collected,
molddlyr
_
R F__. G, tz IVt:L)
a r- u
J
No Discharge in 2018
Ukil;l i',1 1l
"l•':
Permit Date 101112015 - 9/30/2020
Last Revised 101212015
W.
Certificate of Coverage No. NCG020200
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, of
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 Ca§ 122.22]
Signature ly'
Date
Mail Annual Summary Stormwater DM 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 10/112015 - 9/30/2020
Last Revised 10/2/2015
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER RFC EIVED
SUBMIT TO CENTRAL OFFICE* rrR ry 9 201�
General Permit No. NCG020000 CENTRAL FILES
Calendar Year 2017 DWR SECTION
"Deport ALL STORMWATER monitoring data on this form (include "No Flow"Mo Discharge" and Benchmark
Exceedancesyfrom the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG020200
Facility Name: Martin Marietta Materials, Inc. - Pollocksville Quarry
County: Jones
Phone Number (910) 743-6471 Total no. of SDO's monitored 0
Certified Laboratory Pace Analytical Lab # 12
Lab #
Stormwater Discharge Outfall (SDO) No. NIA 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
Outfal1 14
- - --
Total
Rainfall,
inch X.
TSS
mgll=
v
^.
SS,
`mill
Turbidity,_
NTU
s
Upstream ,.<
(U)�Turbidity
NTU
r
Downstream
(D);',Turbidity
.`NTU ,
4-.
Non polar
�O&G, mgll
VMA
New: ;
t Motor,Oil
Usage.
allmo.
Stormwater
Benchmarks
Indicate NO
ROWif
a livable
circle
Benchmark
10 50
0
0.1
Circle
Benchmark
5 25/10
NA
VVaterOuahty
Standard applies
NA
WaterOuality
Standard applies
15
>55 gallmo,
average requires
TSS andNon•polar
O&G monitoring
Date Sample
Collected,
molddlyr
No Discharge in 2017
Permit Date 1011/2015 - 9130/2020
Last Revised 10/2/2015
Certificate of Coverage No. NCG020200
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
Perm it Date 1011 t2015 - 9/30/2020
Last Revised 1 &2/ 015
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
Generai rermit No. NC"020000
Calendar Year 2016
*Report ALL WASTEWATER monitoring data on this form (include "No Flow" 1"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 0200
Facility Name: _Pollocksville Quarry
County: _Jones
Phone Number: (919)_781-4550 Total no. of outfalls monitored _0
Certified Laboratory Pace Analytical Services, Inc._ Lab # 67
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 SIB 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
Outfall No.
Daily Flow
pH,
TSS,
SS,
Discharge
Upstream
Downstream
Coliform,
Rate, cfs
SU
mgll
mill
Turbidity,
(U) Turbidity,
(D) Turbidity,
co11100 ml
If applicable
NTU
NTU
NTU
(SA)
Industrial Sand
Effluent
HQW or ORIN
50% of
freshwater
6.0-9.0
25/45
HOW. ORW.
No Limit
NIA
NIA
Limitations
7Q10
saltwater
HQW orORIN
•f0l3A
G 0
SA, SB. PNA,
or any Trout
Circle Water
Water Quality
Water Quality
NIA
6.$-$.5
V 5
HQW or ORW
r
110 2
Quality Standard
that applies:
Standard applies
Standard applies
Mo. Ave I Daily Max.
Indicate NO FLOW
if applicable
and Tr or PNA
1 011 5
50/25/10
L
Date Sample
Collected,
mo/ddlyr
No
discharge
3
for 2016
JA ',
3 ZUI/
C I G
DWR
FCTION
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015
Certificate of Coverage No. NCG02 0200
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 10/1/2015 - 9/3012020
Last Revised 10-2-2015
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
11 1, SUBMIT TO CENTRAL OFFICE' 1
M
General Permit No. NCG020000
Calendar Year _2016
*Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 0200
Facility Name: _Pallocksville Quarry
County: Jones
Phone Number: (919)^781-4550
Certified Laboratory Pace Analytical Services, Inc._
Lab #
Total no. of SDOs monitored _0
Lab # _67
Stormwater Discharge Outfall (SDO) No. 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 ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg/1
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
' (VMA)
New
Motor Oil
Usage
(gallmo.)
Stormwater
Benchmarks
indicate NO
FLOWit
applicable
Circle
Benchmark
100150
L!J
1
Benchmark
Benchmark
50/25/1 �
J 1 LJ! V
N/A
Water Quality
Standard applies
NIA
Water Quality
Standard applies
1G
J
�55 a requires
average requlras
TSS and Non -polar
08G monitoring
Date Sample
Collected,
molddlyr
MEEM:===M
No
discharge
for 2016
grc wi=
t 2017
CENTRAl PH
Pq
DWR SECTION
Permit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015
Certificate of Coverage No. NCG02 0200
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 /16117
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 1011/2015 — 9/30/2020
Last Revised 10-2-2015
II ANNUAL SUMMARY DMR - WASTEWATER II
SEND TO CENTRAL OFFICE
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
*Report All Il'asiewater discharge monitoring data on this form (including Xo F'low and A'o Discharge and Permit Limit Violations) by MARCH 1 of each year. If
you have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG020200 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Pollocicsville Quarry COUNTY: Jones
PERSON COLLECTING SAMPLES: PHONE NO. 919-781-4550
CERTIFIED LABORATORY: PACE ANALYTICAL Lab 967 ADD TO LISTERVE? YES NO EMAIL:
LIMITS VIOLATIONS? YES (S�) INDUSTRIAL SAND'? NQ DISCHARGE TO SA WATERS? to o
Part A_ Wastewater R4nnitarin¢ Renuirements
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
Turbidity3
Settleable Solids
pH
Fecal Colilorms
mm/dd/ yr
MC7
nig1l''2
NTU2,3
ml/12
Standard
col/mh'`
No discharge for 2015
Site is not in operation
This is a Ereenfield site
II
IC C
-
r ctii
`All mines must monitor WW discharges for'I'SS. Only industrial sand mine discharges are subject to TSS lints.
ZIf an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit ienn.
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 Nratcrs; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity maybe 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.
4Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: I/l/2010-1213112014 Last Revised 0 1 -21 -11
Page 1 of 2
Part A: Continued: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids`
Turbiditv3
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
m It"
NTU2.3
MI/I`
Standard
col/ml'4
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY illARCH 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 i11UST 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 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 knowled;e and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing violations."
(Signature of Permittee),
Permit Date: 1/ 1/2010-12/3112014
(Date)
2/3/16
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
*Report All fi asrewarer discharge monitoring data on this form (including Ro Flow and No Discharge and Permu Linrrr Violarions) by MARCH 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, NCG020200 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Pollocksville Quarry COUNTY: Jones _
PERSON COLLECTING SAMPLES: PHONE NO. 919-781-4550
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #67 ADD TO LISTERVE? YES NO EMAIL:
LIMITS VIOLATIONS? YES <0) INDUSTRIAL SAND? DISCHARGE TO SA WATERS49
Part A: Wastewater Manitorinfx Renuirements
OutfalI No.
Date Sample
Collected[
Total Flow
Total Suspended
Solids'
Turbidity
Settleable Solids
pH
Fecal Coliforms
mm/dd/vr
MG
mgll1,2
NTU Z 3
ml/I2
Standard
collml2,4
No discharge for 2014
Site is not in operation
R
E C Li
This is a greenfield site
rn
L FILES
rr�
uv nor-. �el,4
'All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limts.
21f 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.
4Only facilities discharging to SA wafers are required io monitor for Fecal coliforms.
Permit Date: 1/112010-12/31/2014 Last Revised 0 1 -21 -11
Page i of 2
Part A: Continued: Wastewater Monitoring Requirements
ii
GutfaiI No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
Turbidity3
Settleable Solids
PH
Fecal Coliforms
-
inm/ddlvr
MG
mg/l''3
NTU'"3
ml/I2
Standard"
col/ml'4
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 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 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."
(Signature of Perm
Permit Date: M/2010-12/31/20W
(Date)
2/1 1/15
Last Revised 0 1 -21 -11
Page 2 of 2
II ANNUAL SUMMARY DMR - STORMWATER
SEND TO CENTRAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
-Report ALL STORAlWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 ofeach rear.
CERTIFICATE OF COVERAGE NO. NCG020200 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Pollocksville Quarry COUNTY: Jones
PERSON COLLECTING SAMPLES: NIA PHONE NO. 919-781-4550
CERTIFIED LABORATORY: PACE ANALYTICAL Lab ##67 ADD TO LISTERVE2 YESO NO❑ EMAIL:
Part A: Stormwater Monitoring Reouirements
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)[
In Tier 2
Monthly
Monitoring?
y/n
P of Months in
Tier 2
Sampling
Total Flory
(MG)
Total Suspended
Solids
(mg/1)
Turbidity4
(NTU)
Settleable
Solids (ml/1)
Total
Rainfall
(in)
Event
Duration
-
-
-
-
-
1003'4
See Footnote3'1
0.1 3
No discharge for 2015
N
NIA
Site is not in operation
Le Bend: ND = Not detectable- NIA = Not applicable
'if"NO FLOW" or "NO D1SCHARGE," enter "NO FLOW" or "NO DISCI-IARGF" for each outfall here and the Date Range.
2Per NCG02: Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range_
31f a value is in excess of the benchmark, or outside the benchmark range (for pli), you must implement the Teir 1 or Tier 2 responses in the General Permit.
4TSS benchmark values are 100 mJ] except in ORW, 11WQ, trout, and PNA waters where they are 50 mgfi.
$The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoir designated
as trout waters; 25 NTU for all lakes and reservoir, 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: 1/112010-12131/2014 Last Revised 0 1 -21 -11
Pagel of 2
Pan A: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in
Tier 2
Sampling`
New Motor
Oil Usage
(gal/month)
Total Flow
(mG)
TP11 using method
1664A SGT-REA1
(mgll)
'Total Suspended
Solids
(mg/1)
pH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
-
-
is
1003
6-93
No discharge for 2015
N
NIA
Site is not in operation
Legend: ND = Not detectable, NIA = Not applicable
IIAS YOUR FACILITY HAD 4 OR MORE BENCHMARK E\CEFDE;NCF,S
AT ANYONE OUTFALL (INCLUDING YEIIICI.E MAINTENANCE)? YES ❑ NO p
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑ NO
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY {INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) Bl' 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 M UST SIGN THIS CER T►FICA TION FOR ANY INFORMA TION REPOR TED:
"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 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."
2/3116
(Signature of Permfttee) (Date)
Pcrmit Dace: 1/1/20t0-12/31/2034 Last Revised 01-21-11
Page 2 of 2
II ANNUAL SUMMARY DMR - STORMWATER it
SEND TO CENTRAL OFFICE
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL-STORMWATF_R Monitoring Data on this form (including No Flow and No Discharge and Permil Limit Violations) by rt1ARCH I ofeach rear.
CERTIFICATE OF COVERAGE NO. NCG020200 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Pollocksviile Quarry COUNTY: Jones
PERSON COLLECTING SAMPLES: NIA PHONE NO. 919-781-4550
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #67 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A: Stormwater onitoring Requirements
Outfall
No.
Date Sample
Collected
(molddlyr OR
NO FLO\N)t
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in
Tier 2
Sampling
Total Flow
(NIG)
Total Suspended
Solids
(mg/1)
Turbidity
(N"f U)
Settleable
Solids (MI/1)
Total
Rainfall
(in)
Event
Duration
-
-
-
-
-
100313
See Footnote3�
0.1 3
No dischar e for 2014
N
NIA
Site is not in operation
Legend: ND = Not detectable. NIA = Not applicable
I1f "NO FLOW" or "NO DISCHARGE," enter "NO PLOW" or "NO DISCI-[ARGF" for each outfall here and the Date Range.
ZPer NCG02: Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
31f a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Teir I or Tier 2 responses in the General Permit.
°TSS benchmark values are 100 mg1! except in ORW, H WQ, trout. and PNA waters where they are 50 mg/l.
SThe discharge shall 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 perminee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/1/2010-12/31/2014 Last Revised 01 -2 1 -11
Page 1 of 2
Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oillmonth on average
OutGill
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly
sllonitoring?
(y111)
# of Months in
Tier 2
SamplingZ
New Motor
Oil Usage
(gallnlontli)
Total Fluty
(,NIG)
'1'11111 u.vhrr method
166414 SGT-IIEAf
(mg/l)
TWA Suspended
Solids
(mg/1)
pll
(Standard
Units)
Total
Rainfall
(m )
Event
Duration
-
-
153
1003
6-93
No discharge for 2014
N
NIA
Site is not in operation
Leuend: ND = Not detectable, N1A = Not applicable
IIAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO p
HAVE VOL) CONTACTED TIIE REGION? YES ❑ NO
WHO AT'rf1E REGION HAVE YOU SPOKEN WITII?
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 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 qualirted 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."
�ss�yv�
(Signature of Permitte
Permit Date: 11112010-1213112014
(Date)
21l l/15
Last Revised 0 1 -2 1 -11
Page 2 of 2