NCG020776_MONITORING INFO_20200113

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v t)
DOC TYPE
❑ HISTORICAL FILE
CY MONITORING REPORTS
DOC DATE
❑ 0 0a 0 b 3
YYYYM M D D

DOC TYPE I ❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE 1 ❑
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2019
'Report ALL STORMWATER monitoring data on this form (include 'No FloWrNo Discharge' and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 0776
Facility Name: Madeline Hall Mine
County: Hamett
Phone Number: 9( 19 ) 499-9322 Total no. of SDOs monitored 2
Certified Laboratory N/A Lab #
Lab #
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? RECEIVED
cC
Yes, enough consecutive samples below benchmarks to decrease frequency [I�'�CC
p
Yes, received approval from DEMLR to reduce monitoring frequency ❑ 2020
No, turbidity benchmark exceedances did not require monthly monitoring ❑ NTPAL FILES
Other ❑ " SECTIOni
MH 1 it N .
Total
Rainfall,
inches
TSS,
mgn
SS,
ml/1
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbid'
NTU �
Non -polar
O&G, mgfl
(1/AAA)
New
Motor Oil
Usage
al/mo.
c
Stormwater
Benchmarks
„a,M,,,, O
FO1 °
r
100/50
0.1
r
50/25/10
NIA
Sfa appl-
NIA
S m,�
15
�
Date Sample
o/d , mo
MH4
No Flow
MI-2
No Flow
Permit Date 101112015 - 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0776
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."
m
Sign,
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct - Central Fdes is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mad Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 101112015 - 9130/2020
Last Revised f 0-2-2015