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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
DOC TYPE
q�rHISTORICALFILE
❑ MONITORING REPORTS
D06 DATE
❑ Qu/ �) I J a
YYYYMMDD
North Carolina Department of Environmental Quality
Pat McCrory
Governor
Gregory Taveras
The Quartz Corp USA
P.O. Box 309
Spruce Pine, NC 28777
Dear Mr. Taveras:
November 19, 2015
Donald R. van der Vaart
Secretary
RECEIVED
NOV 2 3 2015
CENTRAL, FILES
DWR SECTION,
Subject: General Permit No. NCG020000
The Quartz Corp USA -
Beaver Creek Mine
COC NCG020710
Mitchell County
In accordance with your request for renewal of a discharge permit received on June 30, 2014, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general
permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and
the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency
dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Energy, Mineral, and Land Resources. The Division may require modification or revocation and
reissuance of the certificate of coverage (COC).
Please be advised that EPA Region 4 staff who performed a Compliance Sampling Inspection (CSI) at
the end of March 2015 and follow-up sampling in June 2015 at other industrial mineral mines in North
Carolina raised concerns about metals levels in the discharges. The Stormwater Permitting Program
identified mines like this one that have similar activities. During the term of this General Permit, this site may
be evaluated further for an alternative permitting action, such as applying to the Division of Water Resources
(DWR) for an individual NPDES discharge permit (or modification of its existing wastewater individual permit)
prior to the expiration of this General Permit in 2020.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mineral, and Land Resources, or permits required by the Division of Water Resources
(DWR), Coastal Area Management Act, or any other federal or local governmental permit that may be
required. If the conditions as stipulated in the COC are unacceptable to you, you may apply sooner for an
individual NPDES discharge permit.
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
512 North Salisbury Street, Raleigh, !North Carolina 27604 - Internet: http://portal.ncdenr.org/web/Ir/
Mailing Address: 1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 / FAX: 919-715-8801
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper
NCG020710 Renewal COC
November 19, 2015
Page 2
If you have any questions concerning this permit, please contact Bradley Bennett at telephone number
(919) 807-6378, or Bethany Georgoulias at telephone number (919) 807-6372.
Sincerely,
for Tracy E. Davis, P.E., CPM
cc: Toby Vinson, DEMLR Land Quality Section
Tom Belnick, DWR Water Quality Permitting Section
Stan Aiken, DEMLR Asheville Regional Office RE
Linda Wiggs, DWR Asheville Regional Office
Kip Tyler, EPA Region IV NPDES Permitting and Enforcement Branch
Stormwater Permitting Program Files
DWR Central Files
Certificate of Coverage
Page I of I
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020710
STORMWATER AND WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
The Quartz Corp USA
is hereby authorized to discharge stormwater and/or wastewater, as provided in the original Certificate of
Coverage (COC), or subsequent COC modification, from a facility located at:
Beaver Creek Mine
Pink Mine Rd
Spruce Pine
Mitchell County
to receiving waters designated as Beaver Creek, class C;Tr water(s) in the French Broad River Basin(s) in
accordance with the stormwater pollution management requirements, monitoring and reporting
requirements, and other conditions set forth in Parts I, 11, 111, 1 V, V, and VI of General Permit No.
NCG020000 as attached.
This Certificate of Coverage shall become effective October 1, 2015.
This Certificate of Coverage shall remain effective for the duration of the General Permit.
Signed this day October I, 2015.
-?t4l �Z�
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission
http://portal.ncdenr.org/web/1r/2015-erenewaI I I /19/2015
North Carolina Department of Environmental Quality
Technical Bulletin for N.C. General NPDES Permit NCG020000 (Mining
Environmental Activities) Division of Energy, Mineral, and Land Resources
Quality
Technical Bulletin for NCG020000 (Mining) Last Revised 10/812015
What activities are covered by this general permit?
NCG020000 coverage authorizes:
• Stormwater discharges associated with mining and quarrying of non-metallic minerals (except fuels),
mine excavation, processing, and vehicle maintenance activities (VMA) at mine sites.
• Wastewater discharges (dewatering, process wastewater, wastewater recycle system overflows).
• Operation of wastewater treatment systems (Authorization to Construct no longer required).
NCG020000 coverage is NOT APPLICABLE to:
• Borrow Pits covered by the NC DOT statewide stormwater permit.
• Peat mining, coal mining, metal mining, or oil & gas extraction operations.
• Wastewater not specifically identified by the general permit.
What are key stormwater requirements?
NCG020000 requires periodic discharge monitoring and a Stormwater Pollution Prevention Plan (SPPP):
. Develop and implement an SPPP, and update it at least annually.
• Inspect Stormwater Best Management Practices (BMPs) once every seven (7) calendar days.
• Semi-annual analytical monitoring and qualitative (visual) monitoring.
• Report stormwater monitoring data once a year by March 1 st to DEQ Central Office.
• Report benchmark exceedances or Tier 2 monitoring to the DEMLR Regional Office within 30 days.
• Respond to benchmark exceedances according to Tier response requirements.
What are key wastewater requirements?
NCG020000 stipulates wastewater treatment facility operational requirements and periodic discharge
monitoring:
• Notify DEQ if facility fails to perform satisfactorily or creates nuisance conditions.
• Only DEQ-evaluated flocculants may be used, if administered according to maximum application doses.
• Quarterly analytical monitoring for first year, or until four consecutive samples comply with all limits (then
semi-annual monitoring allowed). Quarterly monitoring schedule resumes upon any limit violation.
• Settleable solids (SS) monitoring applies to discharges to HQW, ORW, SA, SB, PNA, or Tr designated waters.
. Total Suspended Solids (TSS) limits specific to industrial sand mines, and to any mine discharging to HQW.
• Report wastewater effluent monitoring data once a year (by March 1 st) to DEQ Central Office.
• Report effluent limitation violations to the DEMLR Regional Office within 30 days.
• Effluent turbidity levels above the water quality standard prompt upstream and downstream monitoring.
What has changed from the previous permit?
Some changes specific to Stormwater:
• Reduced BMP inspections (weekly) for active
mines; additional allowances for inactive mines
that quality for "dormant status."
• Changes to SPPP Annual Update.
• "Measureable storm event" (any size that results in
a discharge) replaces "Representative" event.
• New benchmarks and Tiers specific to turbidity.
• Total Flow and event duration no longer required.
• pH removed from VMA monitoring.
Some changes specific to Wastewater:
• May drop to semi-onnual WW monitoring after four
quarterly samples that comply with all limitations.
• Turbidity instream monitoring is required if effluent
levels above the water quality standard.
• SS monitoring for sensitive waters only (HQW, etc.)
• TSS limits apply to industrial sand mines and HQWs.
Changes from the last permit are detailed in the
"Response to Comments and Summary of Changes"
Document for the 20 i 5 NCG02 GP on our websife.
PAGE 2 TECHNICAL BULLETIN FOR N.C. GENERAL NPDES PERMIT NCGO20000 (MINING ACTIVITIES)
Frequently Asked Questions
What if my mine is inactive?
The permit makes allowances for
Inactive mines that have sus-
pended all industrial activities
and that certify to DEMLR that
the site has been stabilized. If
approved for "dormant status,"
these operations qualify for re-
duced BMP inspections and may
be exempted from outfall moni-
toring by the Regional Engineer.
Do I have to monitor all
outfalls?
Yes. However, you may request
Representative Outfall Status
(ROS). If approved, ROS allows
monitoring at fewer outfalls. To
request ROS, submit an ROS Re-
-quest Form to the DEMLR Region-
al Office. The form is available
on our website (below).
Also, the Regional Office may
exempt mines with "dormant sta-
tus" from analytical and/or quali-
tative monitoring.
What if I sell my business, or
the name changes?
You are required to notify DEMLR
of those changes in writing, and
continuation of permit coverage
is subject to the Director's ap-
proval. Please submit the Name/
Ownership Change form located
on our Program website.
What do I do when my permit
expires?
Permitees are not required to sub-
mit an application for renewal un-
less directed by the Division. The
permittee should continue to
abide by this general permit if it
expires and renewed coverage
has not yet been issued.
What is wastewater, and what
is stormwater at a mine site?
Any water contacting an actively
mined area, water used to pro-
cess mined materials, and mine
dewatering water are all consid-
ered "wastewater." For some
mines, "mine dewatering" also
means wet pit overflows, and not
just pumped -out water. Any
stormwater that commingles with
these waters is "wastewater."
"Stormwater" includes runoff from
areas related to mining, pro-
cessing, or raw material storage
areas, such as haul roads or pro-
cessing plant areas at the mine.
Sometimes the answer is not clear
because of how broad the defini-
tions are. For example, N.C. con-
siders runoff from areas that con-
tain overburden only (no mined
or processed material), and that
does not commingle with
wastewater (including runoff from
the mine), to be stormwater. If
you are unsure about discharges,
please contact the DEMLR Re-
gional Office for assistance.
Does a certified lab need to
analyze my samples?
Monitoring under NPDES permits
must be conducted in accord-
ance with test procedures ap-
proved in federal regulations in 40
CFR § 136. All labs certified by
LAST REV. 101W I S
North Carolina perform analysis in
accordance'with those proce-
dures. While N.C. certification re-
quirements do not apply to testing
stormwater-only discharges, data
gathered under an NPDES permit
must still conform to federal re-
quirements. Using a North Caroli-
na certified lab is one way to en-
sure compliance. A list of certified
labs is available from: http://
portal.ncdenr.org/web/wq/lab/
cert/
What if I pull samples for my
analytical monitoring, and I'm
unable to get a sample or valid
results for a parameter? .
If this happens, please sample for
the missing parameter during the
next measureable storm event or
wastewater discharge.
If I sample my discharge, do I
have to do visual monitoring at
the same time?
You may, but it is not necessary
under NCG02. Some other gen-
eral permits require. it, however.
What if there is no flow for a
period between two samples
that exceed a benchmark? Are
those consecutive exceedances?
Yes. This scenario still puts you in
Tier 2. The new permit is more
clear about how the Tier 2 trigger
omits periods of no discharge.
Who can help me with questions?;
Your questions about stormwater permit requirements
can be addressed to the DEMLR Offices:
Asheville Office........... (828) 296-4500 Washington Office ....... (252) 946-6481
Fayetteville Office....... (910) 433-3300 Wilmington Office........ (910) 796-7215
Mooresville Office....... (704) 663-1699 Winston-Salem Office... (336) 776-9800
Raleigh Office ............ (919) 791-4200 Central Office ............. (919) 707-9220
Helpful Link:
DEMLR Stormwater Permitting Program:
http://portcjl.ncdenr.org/web/ir/stormwater
G
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR—STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year
*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 ❑❑❑❑
Facility Name:
County:
Phone Number: Total no. of SDOs monitored
Certified Laboratory 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?
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 ❑
�'`, ' Y .
r>
Outfall No
�. h
' Z� ; .
x To#aI'
Rainfall
incliesA ,
! r'f
TSS,
,ing/l
♦. k r
-,SS;
mlli
_ �` U
�t `�t
Turbidit Yr
NTU ' -
. ��w
I 1 . '.'} 'i \: �. i,
Upst'ream '
{U) Turbidity;
�tNTU wit
.t `` 4K!.,i�.
�fn .1'_X * t •�T i A /f
Downstream
{D}',Turbidity,
„ , NTUu,
E j - )i.� St
Non olar
P
O$�G m 11
g
�'Tw{VMA}
- .
' ,'.I :M .V - ,Jr
New vN
``
Motor Qil�
k.
:,..Usage. .
4i allmo.
Stormwater
Benchmarks
'
tndkate NO
,FL°�b�
Circle
Benchmark
100150
Circle
Benchmark
501251.10.
NIA
Water0.1
Standard applies
NIA
-standard app be
15
>55 gauma.
average requires
T nrd�Nrpe n ar
Mate,.Sample,.
:'.Collected, .�E
` '-moltldl�r
M
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015
Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
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 Cl
Outfall No.
�.. {
�{
Total .
Rainfall -
inches
' U' treaiti Downstream - New i
TSS, ' '.,SS,� . Turbidity, (U) Turbidity, (D) Turbidity, Non=polar. Motor Oil
NTU _ O&G 'm 11
mgll ' : mlll : NTU NTU„, 9 Usage
a __(VMA) allmo.
Stormwater
Benchmarks
mdrearo Apo
aFiriicaabfe
' Circle - Circle - >55 gatfmo-
Benchmark Benchmark NIA NIA avwa� requires
100150 0.1 50/25/10 standard applies Standardapplies 1'� rSS and O&G monitoring
Date Simple:.
v Collected"
moldd/yr;
Permit Date 1011/2015 — 9130/2020
Last Revised 10-2-2015
Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
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
❑
Yesjeceived approval from DEMLR to reduce monitoring frequency
❑
No, turbidity benchmark exceedances did not require monthly monitoring
❑
Other
u
Qutfall.No`
'
Total
Rainfall,.
inches
:TSS,'
mgll -
!:
r ,'Upstream ` Downstream J
SS,'" Turbidity, (U) Turbidity, {DJ Turbidity, Non-Aolar.
, mlll - NTU, - NTU.- NTU '. O4G, mgll
i (VMA)
. _ A• - -
y New ` r
Motor Oil '
Usage--, .
allmo. .
Stormwater
Benchmarks
hrdlcate NO
aFtow
Circle
Benchmark
100150
- Cirria
Benchmark NIA NIA
Water
0.1 50/25/10 Standard applies standard applies 15 water au�llty
>55 gall nw-
average requires
rs6Gm nen�ar
Date Sample,
�.Callected; ,
malddl 'r
Permit Date 1011/2015 - 9/30/2020
Last Revised 10-2-2015
Certificate of Coverage No. NCG02 ❑❑0❑ z
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
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 10-2-2015
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR -WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year
+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 year.
Certificate of Coverage No. NCG02
Facility Name:
County:
Phone Number: ( ) Total no. of outfalls monitored
Certified Laboratory Lab #
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? or Tidally influenced waters, 7010 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 ❑
1
Outfall No::,Di
jRate,
.77
Daily Flow
cfs
pH, 4
SU
TSS;o
mgll
SS,
mlll `'
lfaPPilCable•
h
sc ergs`
Turbidity,..
NTU.t`
U tre .; :,.bow
�` ps ern'
(U) Tbrbidity,,.
~NTU , r.•
r` am.
wnst'e 7
(D) Turbidity,•:
NTU,`.
fecal
C li rm ,
o fo,
co11100 mf
•
Effluent
Limitations
610, Ave! Oally Max.
HQW or ORW
500/0 of,
7Q1 0
• -
indlcato NO FLOW
Aappllcabta -
freshwater
6.0-9.0
saltwater
o n
6.84.5
Industrial Sand
25145
HQW or ORW
�1 ft
20130
--HQWorORW-
it or PNA
HQW, ORw,
SA, SB, PNA
oranyTrout
0.1/0.2
-
No Limit
circle Water
Quality Standard
- thatapppiiesi
50/25/1010115
NIA
Water Quality
Standard applies
-
N/A,
Water Quality
Standard applies
-
NIA
,136W.Sample
d
Collected,,MIN
,;;molddLF r
M
E
MIMIMIM
Permit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015
Certificate of Coverage No. NCG02 ❑❑Q❑
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 outfail discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SS 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? 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 reported? Yes ❑ No ❑
:Outfall No. .
Daily flow pH,
Rate,-cfs SU
TSS, SS,'
"mill
_ NaPPUcabte
Discharge Upstream :
Turbidity, • (U) Turbidity,
NTU- NTU ...
Fecale
Downst"ream` Coliform;'
(D) Turbidity,.. coil/ 100 ml
" NTU'
Effluent
[,imitations '
Mo, Ave / Daily Max.
HOW or ORw Nealnvater
50% of 6.0-9.0
7Q10 'a" ""a'°r
6.8-8.5
Indicate NO FLOW
llappflcable
Industrial Sand
25145 HQW, ORw,
HQworcaw SA, St3,PNk
20130 or any Trout
HQw o, OR, 0.110.2
Md Tr or PNA
1 all5
No Limit NIA
ouaircle lity Standard Standard applter ies
that applies:
rA I�f ill 0
�7V1L
NIA ;
Standard aplptlas NIA
Date Sample
.Collected,,
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015
Certificate of Coverage No. NCG02 ❑❑❑❑
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 outfail 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 (Tr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No ❑
Outfall. No. ;`
Daily Flow pH, TSS; SS' 'Discharge
..Rate, cfs SU"` ° m 11 mill Turbidit
y, ty,
Napprtcat,re ' _ NTU
Upstream
(U) Turbidity,.
NTU
Fecal,,;:
Downstream Collforrri,
(D) Turbidity, 'co11100.MI.
NTU- 5A
Effluent
Limitations
Mo. Ave 1 Daily Max.
Industrial Sand
HOW or ORW trashwater 25/45 HOw, ORW,
50% of 6.0-9.0 HOW or ORW SA, sa; PNA No Limit
7Q10 saltwater 20/36 °' any TTetri Quality Water ndard
' 6.8-8.5 HOW orORW 0.110.2that applies:
lndlcato NO FLOW ADQ Tr or PHA ri
lrappllcaaro 5A12511 10115 V 0
NIA
Standard applies
NIA
Standard appity
lies NIA
rDate Sample
Collected;E
molddl r
Mimi
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015
Certificate of Coverage No. NCG02 ❑❑Q❑
CERTIFICATION
N 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
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 1011/2015 — 9/30/2020
Last Revised 10-2-2015
BENCHMARK EXCEEDANCE or TIER 2 DISCHARGE MONITORING REPORT (DMR) — STORMWATER
SUBMIT TO REGIONAL OFFICE*
General Permit No. NCG020000
*Use this form if any stormwater,samples have EXCEEDED A.BENCHMARK or if the facility is in TIER 2 MONITORING for any parameter
(including TIER 2 for Turbidity).. Send sample results to the DEMLR Regional Office within 30 days of receipt from the laboratory.
Certificate of Coverage No. NCG02
Facility Name: Sample Collection Period: Period 1 ❑ Period 2 ❑ Calendar Year
County: For Monthly Monitoring: Month
Phone Number: (� Person Collecting Samples:
Certified Laboratory: Lab #
Lab #
Has this facility had 4 or more benchmark exceedances for any single parameter, at any one SW discharge outfall (SDO)? Yes ❑ No ❑
Have you contacted the Regional Office? ' Yes ❑ No ❑
Whom at the Region did you speak with?
Part A: Stormwater Monitorina Reauirements (no VMA. see next oaae for outfalls with VMA)
hw•���a.r-x. -�.+�:
Ou'tfall :,
No
., R� _ •.j.4�
Da#e;Sample
Collected
molddlhyr
--vN •ice-,_5,--,1•+i _ -
-'Total
..
Rainfall _
inches
`V� ..%.+t y, ..°e--+r..x
Is, this. SDO
_
+n�Tier_2?
YIN
TOta 1.
SuspendedSettleable
Solids (TSS),
mgll
- 100
50 (QIiW,HQW,Tr,PNA)
Solids,
mill >
0.1
-
a Turbldi�f NTU
�_., `7r.
_
so
25 (lakes,resemirs,saRwaters)
10 (freshwater Tr designated
-
sb—ms, lakes and reservotni
Upstream.(U)
'Turbidity, :
>; __ NTU
NIA
WaterQualityWaterQappli
Standard appges
Downstream iD1
Turbidity,
NTtJ
NIA .
uality
Standard applies
Permit Date 10/1/2015 — 9/3012020 Last Revised 10-2-2015
Page 1 of 3
Certificate of Coverage No. NCG02 ❑❑❑❑
Part A: Stormwater Monitoring Requirements (no VMA), cant.
Outfall �-
No
Date Sample
F : Collected
Y _Tots! ,,
�.
' Rainfall"' `
Is, this SDO
in Tler' 2?"
'Total
Suspended-
{ SS),.;,
Sc lids T
mg li
..
'. Solids,•
mill:
-: -
Turhi_dity, NTU
-
_ _
-Upstream (U) -
Turbidity,
=K NTU
`Downstream',(Dj:
Turbidity;
NTU t,
f*
' Tmolddlyr y
��� i irk
or NO FLO.,■•
in hes
x'g
- Y/N
-
- 100
e
50 (ORW, HCW, Tr, PNA) .
0.1
-
50
25 (takes,rese�irs.sanvetem)
_ 10 (freshwater Tr designated
streams lakes and rsserwirs
-NIA
_ Water Quality
standard applies
NIA
Water Qualify
Standard applies
Part B: Stormwater Monitoring Requirements for SDOs with Vehicle Maintenance Activities (VMA) where facilities use > 55 gallons of new
motor oil a month if averaged over the calendar year. NOTE. Other parameters only for outfalls that include both mining activities and VMA.
"-. %�-=� ,�
Outfall r ;
Nix"
F ""` - � ~�, • �. ,
- Date, Sample
� +Collected : » '
.., t _
Total
Rainfall
;.,VMA
'� ,.
TSS,'
, .ngll -'
VMA. only,
`,`
w Non polar
O&G; rrigll '
VMA-only �_
-
New Motor
Oil Use`'
If'applicable
�
�: SS, ~,
milli;
If applicable
_ -,
Turbidity,
v. NTU"
If applicable
• -
Upstream`(U)
`,Turbidity; °
NTU
If applicable'
= :: � . , �, ; :� .
Downstream;(D)
Turbidity,
NTU,
-or."NOFLOW"
i Finches
100150
15
55
0.1
50125/10
NIA
NIA
Permit Date 10/112015 - 9/30/2020 Last Revised 10-2-2015
Page 2 of 3
r,
Certificate of Coverage No. NCG02 ❑❑❑❑
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
Mail Benchmark Exceedance/Tier 2 DMR to Your DEMLR Regional Office Land Quality Section:
ASHEVILLE`REGIONAL OFFICE I FAVETTEVILLE REGIONAL -OFFICE MOORESVILLE REGIONAL'OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115
(828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 -
(910) 433-3300
RALEIGH REGIONAUOFFICE
WASHINGTON"REGIONAL�OFFICE
WILMINGTON REGIONALOFFICCE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
(919)791-4200
(252)946-6481
(910)796-7215
W1NST__ ON-SALEM REGIONAL
CENTRAL OFFICE
jIF
450 Hanes Mill Road Suite 300
'
Questions for The Central Office
��
Winston-Salem, NC 27103
(336) 776-9800
Stormwater Permitting Program?
(919) 707-9220 I
I Y
Permit Date 101112015 — 9/30/2020
Last Revised 10-2 2015
Page 3 of 3
LIMIT VIOLATION DISCHARGE MONITORING REPORT DMR — WASTEWATER
SUBMIT TO REGIONAL OFFICE*
General Permit No. NCG020000
"Use this form if any wastewater samples have EXCEEDED A WASTEWATER LIMIT for any parameter.
Send sample results to the DEMLR Regional Office within 30 days of receipt from the laboratory.
Certificate of Coverage No. NCG02 ❑❑❑❑
Facility Name: Sample Collection Period: Qtr 1 ❑ Qtr 2 ❑ Qtr 3 ❑ Qtr 4 ❑ Calendar Year
County: If Monthly Monitoring: Month
Phone Number: (� Person Collecting Samples:
Certified Laboratory: Lab #
Lab #
Is this an industrial sand mine?
Yes ❑
NO ❑
Discharge to HOW or ORW waters? Yes ❑ No ❑
Discharge to SA waters?
Yes ❑
No ❑
Discharge to Tr (Trout) waters? Yes ❑ No ❑
Discharge to SB or PNA waters?
Yes ❑
No ❑
If HOW, what is the 7Q10 flow rate? or Tidal, 7Q10 not available ❑
Wastewater Monitorina Reauirements
...r:�
_Date�Sample'a
Daily, Flow;'
�pH,; Y
�} Suspende_d. '
Settleabie
Discharge
(U)
Downstream.
.-Fecal-
Outfall
' 'Collected
Rate, cfs
SU*
�`;Solids [TSS),.
Solids,
- Turbidity, NTIJ '
_Upstream
RTu�bidity,
(D) Turbidity,
Coliform,
No
'
`
_ rn--
;• mgll
rii�ll
.. F _
'r•
NTW
NTU .
6611100 rilil.
.,.....'
..._.«
w _ , ; ,
�.�...v,.�c..., _. o.
_' !f applkablo "Y
fir..-'. ...sr.
; ..,r
_ •
CA ,
`
_
-
red
F
r •;
, ti9t00
�'
_ .
HQWorORW
T.
freshwater
IndustrialSand
25145 _
Haw,ORw,sase
-
NO Limit
NIA
NIA
,. _.
rrialcf_dlyr
50°/; of
6.0-9.0
HQW or ORW
PNA, or any Trout
OC "NO FLOW"
- 7010
saltwater
-
0.110.2
Clrcla w« ppplies:lty Standard
Quality
NIA
6.8-8.5
.20130
Standard appplles
Standard
HQWoroRWan Tr or PNA
60/25/10
lndkata NO FLOWN
'10116
of -applicable
Permit Date 10/1/2015 — 9/30/2020 Last Revised 11-18-2015
Page 1.of 3
Certificate of Coverage No. N0002 ❑❑❑❑
wastewater
-monitoring requirements,
cons.
a
Outfali
: ,Date. Sample _
3- ,Collected
: Daily Flpw
=Rate, cfs
pH
°, SU_
S Y nded:' , Seftleable
Solids (TSS), Solids,
ti ~ mgll itmUl
Discharge:-
:=T! rl01 ity,;NTU
Upstream (U)•
;Turbidity;
ATU
Doinrnstream
(Dj Turbidity,
NTU
Fecal
Caliform,
'co11100'ml:..
SA ,.
molddlyr
"
- -
HQW orORW
50%' Of -
.7Q10
!ndleete NO FLOWIF
rxebre
-
freshwater
6.04:0
n
6.$'$.5
Industrial Sand . .
2514& .HOW, ORW, SA, SIM,
HQWorORW PHA, or any Trout
20/30 0.110.2
HOW orORWgryQTrorPHA
10115 -
No Limit
CircleWa,Qplity Standard
hapllm.
50I25/10
N/A
WatarQuallty
Standard
NIA
Standard
daliO
NIA
Permit Date 10/1/2015 — 9/30/2020 Last Revised 11-18-2015
Page 2 of 3
Certificate of Coverage No. NCG02 ❑❑❑❑
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
Mail Limit Violation DMR to Your DEMLR Regional Office Land Quality Section:
2090 US Highway 70
Swannanoa, NC 28778
(828) 2964500
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
(919) 7914200
kW_ NSTON7,SALEM REGIONAL
OFFICE
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27103
(336) 776-9800
Permit Date 10/1/2015 — 9/30/2020
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
(910) 433-3300
'ASHINGTON REGIONAL OFF1
943 Washington Square Mall
Washington, NC 27889
(252) 946-6481
Questions for The Central Office
Stormwater Permitting Program?
(919) 707-9220
610 East Center Avenue/Suite 301
Mooresville, NC 28115
(704)663-1699
LM1NGT0N:REGI0NAL OFFI+
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
(910) 796-7215
Last Revised 11-18-2015
Page 3 of 3
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: hip f J_pQrtal.ncdenf,grg/we /ir/npAcs gor.mwater/
Permit No.: iY/�/_/_/_ /_/_/_/T/ or Certificate of Coverage No.:
Facility Name:
County: _
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Phone No.
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a.storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SVVU-242, Last modified 7/31/2013