NCG020313_MRO Copy MONITORING REPORT_20210218

t"= Stormwater NPDES Permit Data Monitoring Report
NUIt f N C A'n'fJL IN!
(DMR) Upload
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Permit and Facility Information:
Please enter the permit number and other details for this upload.
.................................................................................................................................................................
IMPORTANT.• Until the eDMR system is implemented for DEMLR Stormwater Program permits, an original signed
hardcopy of the DMR MUST be mailed to the address in your permit, in addition to this electronic upload.
Fields marked with a red asterisk * are required.
Permit Number* Enter COC or Individual Permit Number (NOT General Permit number with all ©'s)
NCG020313
Must begin with NCS or NCG
Facility Name:* Kluttz Mine
County: * Cabarrus
After uploading here, the original signed hardcopy must be mailed to:
DEQ Mooresville Regional Office
Attn: DEMLR Stormwater Program
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Further contact details at https://deq.nc.gov/contact/regional-offices/mooresville
Monitoring Period Information:
Monitoring Period what is the YEAR of the sample date(s)?
Year:* 2020
Multiple DMRs from sampling periods within the same year can be uploaded together, but please upload different years
with a new submittal form.
Also, copies of the lab results and qualitative (visual) monitoring should NOT be submitted unless specifically
requested by DEQ staff. Only upload the completed and signed DMR forms.

DMR Upload* Click the upload button or drag and drop files here to attach document.
2020 NCG020313 DMR.pdf 1.35MB
Only PDFs are accepted.
Comments:
* By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this Data Monitoring Report (DMR) upload form is a "transaction" subject to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the same
way as a written signature; AND
• I intend to electronically sign and submit this DMR upload form.
Full Name:* David L Miller
Name of person submitting this form
Email Address: * davidmiller28071 @yahoo.com
Phone Number:* 7042795309
Signature: *
Date: * 02/16/2021

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) ® STORMWATER
II SUBMIT TO CENTRAL OFFICE* II
General Permit No. NCG020000
Calendar Year 2020
*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. NCG02 0® 1❑®
Facility Name: Kluttz Mine
County: Cabarrus
Phone Number: (704 )279-5309 Total no. of SDOs monitored 1
Certified Laboratory Statesville Analytical Lab # 4'1-�
Lab #
Stormwater Discharge Outfall (SDO) No. 1 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 Q
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 ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
Indicate NO
FLOWif.
a lica6le
circle
Benchmark
100/50
®•1
Circle
Benchmark
50/25/10
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard applies
15
�55 gae
average requires
TSS and Non -polar
O&G monitoring
Date Sample
Collected,
mo/dd/yr
06/16/20
.40
36.0
0.1
46.1
N/A
N/A
N/A
N/A
11/30/20
1.10
9.577
<0.1
30
N/A
N/A
N/A
N/A
Permit Date 10/1/2015 m 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 1 :111 30
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ® No Ej
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 11
Yes, received approval from DEMLR to reduce monitoring frequency El
No, turbidity benchmark exceedances did not require monthly monitoring El
Other
Outfall No.
Total
Rainfall,
inches
TSS,
mg/l
SS,
ml/l
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, ing/I
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
Indicate NO
FLOW ��
a licable
Circle
Benchmark
100/50
®• 1
Circle
Benchmark
50/25/10
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard applies
15
>55 gal/Mo.
average requires
TSS and Non -polar
O&G monitoring
Date Sample
Collected,
mo/dd/yr
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0❑ 3❑ 1❑ 3❑
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
Outfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
Indicate NO
'O"
a licable
Benchmark
Bencrclehmark
100/50
0.1
Circle
Benchmark
50/25/10
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard applies
1 5
>55 a requires
average requires
TSS and Non polar
08G monitoring
Date Sample
Collected,
mo/dd/yr
Permit Date 10/1/2015 ® 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 E13010 3❑
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 ! -� �- =1
Date 02/16/2021
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