NCG020884_DMR_Wastewater_20200406

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATFR
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 = 4 �I
Facility Name: M & L SAND MINE
County: Perquimans
Phone Number: ( 252 ) 426-3655 Total no. of outfalls monitored
Certified Laboratory Envirochem Lab # DWQ 94
Lab # DLS 37729
Wastewater(WW) Discharge Outfall No. I
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑Q
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No El
Does this outfall discharge WW to HQW or ORW waters? Yes E No 17
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available El
Does this outfall discharge WW to Trout (Tr) designated waters? Yes El No [
Were there any limit violations in the calendar year? Yes ❑ No n
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
6.8-8.5 HQW or ORW 0.1/0.2 Q that appl esa� Standard applies Standard applies
Mo.Ave t Daily Max. Indicate NO FLOW and Tr or PNA 50/25/10
if applicable 10/15
Date Sample
Collected,
mo/dd/yr
3-25-19 No Flow t�
6-12-19 No Flow RECEIVE.y
9-3-19 No Flow
12-15-19 No Flow
CENTRAL FILE
DWR S_CTI01`.'
Permit Date 10/1/2015-9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 0 8 l 8 4
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] Digitally signed by Ken Elliott
DN:CN=Ken Elliott O=Elliott Consulting,
Ken Elliott E=ken@kenobx tom
Reason: attest to the accuracy and integrity
Signature of this document
Location.CII:..t Ca.e.,It:.,g
Date April 1, 2020 Date 2020.04-Ot 0 8:4t
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