NCG020437_DMR_20200227

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 Flow"/"No Discharge" and Benchmark
Exceedances)from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCGO2 0 4 3 7
Facility Name: Meridian Brick- Sampson Mine II
County: Sampson
Phone Number: (803 )786-1260 Total no. of SDOs monitored 1
Certified Laboratory Pace Analytical Lab #
WW-067 Lab#
Stormwater Discharge Outfall (SDO) No. 3 VMA Outfall? Yes ❑ No n
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No n
Was this outfall ever in Tier 2 during the past year? Yes❑ No n
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ RECEIVED
Yes, received approval from DEMLR to reduce monitoring frequency El
No, turbidity benchmark exceedances did not require monthly monitoring ❑ MAR 0 2020
Other ❑ Ci::NTttk+,L t-II.,ES
DWR $ C1'ION
Upstream Downstream New
Outfall No. Total TSS, SS, Turbidity, (U) Turbidity, (D) Turbidity, Non-polar Motor Oil
Rainfall, mg/I ml/I NTU NTU NTU O&G, mg/I Usage
inches (VMA) (gal/mo.)
Stormwater Circle Circle N/A N/A >55 gal/mo.
Indicate NO Benchmark Benchmark average requires
Benchmarks FLOW it 100/50 0.1 50/25/10 Water Quality Water Quality 15 TSS and Non-polar
applicable Standard applies Standard applies O&G monitoring
Date Sample
Collected,
mo/dd/yr
No Discharge 01/01/2019 to 12'31/2019
Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 0 4 3 _ 7
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 02/27/2020
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 [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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2019
*Report ALL WASTEWATER monitoring data on this form (include"No Flow"/"No Discharge"and Limit Violations)from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCGO2 0 4 3 7
Facility Name: Meridian Brick- Sampson Mine II
County: Sampson
Phone Number: (803 )786-1260 Total no. of outfalls monitored 1
Certified Laboratory Pace Analytical Lab #
ww-067 Lab#
Wastewater (WW) Discharge Outfall No. 3
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes n No❑✓
Does this outfall discharge WW to SA waters? Yes ❑ No ID
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No Z
Does this outfall discharge WW to HQW or ORW waters? Yes pi No ✓0
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available U
Does this outfall discharge WW to Trout (Tr) designated waters? Yes No ✓❑
Were there any limit violations in the calendar year? Yesn No�✓
Fecal
Outfall No. Daily Flow pH, TSS, SS, Discharge Upstream Downstream Coliform,
Rate, cfs SU mg/I mi/I Turbidity, (U) Turbidity, (D) Turbidity, col/100 ml
if applicable NTU NTU NTU (SA)
Industrial Sand
HQW or ORW freshwater 25/45 HQW,ORW,
Effluent 50% of 6.0-9.0 HQW or ORW SA,SB,PNA, No Limit N/A N/A
Limitations 7Q10 saltwater 20/30 or any Trout Circle Water Water Quality Water Quality N/A
6.8-$.5 Quality Standard Standard applies Standard applies
HQW or ORW 0.1/0.2 that applies:
Mo.Ave I Daily Max. Indicate NO!`LOW and Tr or PNA 50/25/10
ifapplicable 10115
Date Sample
Collected,
mo/dd/yr
No discharge of process or mine ce-watering 01/01/2019 to 12/31/2019 RECEIVED'
MAR 0 3 2020
ntEC
Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 l0 4 3 7
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 02/27/2020
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 [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