NCG020889_MONITORING INFO_20180320

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v U& OD -b
DOC TYPE
E HISTORICAL FILE
MONITORING REPORTS
DOC DATE
jo�� o3oo
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2017
*Report ALL WASTEWATER monitoring data on this form (include "No Flow"/",No isc arge
and Limit Violations) from
the previous calendar year to the DEQ by MARCH Vp I
Certificate of Coverage No. NCG02 EF±]E]E] MAR 2 0 20)b
Facility Name: Robert White Sand Mine eEINTFR.`,�: PIL"
County: Pasquotank DWR SECT16W
Phone Number: ( 252 ) 330-4-i8� Total no. of outfalls monitored 1
Certified Laboratory Envirochem Lab#-]DwQ 94
Lab # DLS 37729
Wastewater (WW) Discharge Clutfall No. I
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes
No El
Does this outfall discharge WW to SA waters?
Yes El
NoM
Does this outfall discharge WW to SIB or PNA waters?
Yes E]
No [E
Does this outfall discharge WW to FICIW or ORW waters?
Yes []
No ED
If so, what is the 7C11 0 flow rate? or Tidally influenced
waters,
7Q10 not available Ej
Does this outfall discharge WW to Trout jr) designated waters?
Yes []
No [E
Were there any limit violations in the calendar year?
Yes E]
NoM
Clutfall No.
Daily Flow,,
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
ml/l
it appli"ble
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D)Turbidity,
NTU
Fecal
Coliform,
col/100ml
(SA)
Effluent
Limitations
Me A�. I Daily M..�
HOW or ORIN
50% of
7Q10
Indleat. NO FLOW
Happik.1n.
fienhanit.r
6. 0-9-0
..It.ate,
6.M.5
Industrial Sand
25/45
HQW.rORW
20/30
HQWorORW
and Tr or PNA
10/15
SA, SI3, PNA.
or ..yT,out
0.1 0.2
No Limit
Cird- Water
Quality Standard
that applies:
50/25110
N/A
water Quality
Standard applies
N/A
water Quality
Standard ,Iku;
NIA
Date Sample
Collected
moldd/yr
1�— i If
I..
A
12 -2"7 - 17
No Flow
10-02-17
No Flow
6-27-17
No Flow
3-29-17
No Flow
Permit Date 10/1 /2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02D[EFD1-91
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 b;lief, 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 L�
Date—Harch 7, 2018
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (Lot 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