NCG020076 DMR WW 20210204

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMRI —WASTEWATER
General Permit No. NCG020000
Calendar Year 2020
'Report ALL WASTEWATER monitoring data on this form (include'No Flow,rNo Discharge' and Limit Violations) from the previous calendar year to the
DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG020076
Facility Name: Thomas✓illeQuarry
County: 336.476.9134
Phone Number: Davidson Total No. of OutfallsMonitored 1
Certified Laboratory Pace Analytical Lab# 40
Lab#
Wastewater (WW) Discharge Outfall No. 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes No X
W rs Does this outfall discharge W to SA wate? Yes No X
Does this outfall discharge W W to SB or PNA waters? Yes No X
Does this outfall discharge W W to HQW or ORW waters? Yes No X
If so, what is the 7010 flow rate? NA or Tidally influenced waters, 7010 not available
Does this outfall discharge W W to Trout (Tr) designated waters? Yes B No
Were there any limit violations in the calendar year? Yes No X
C E I G H F
OUNaII No. 1
Daily Flow
Rate cfs
pH, SU
TSS, mgll
51
Discharge
Turbidity, NTU
upstream (u)
Turbidity,
NTU
Downstream (D)
Turbidity, NTU
Fecal Colifonn,
co0100 ml
(SA)
Effluent
Limitations
Mo. Avg.(Dail v
Max.
HQWar ORW
50°/oF 7Q10
Indicate NOFLOWIr
applicable
Fresinvater6.0
9.D $altWat9
6.8-8.5
Induatrlal Sand 25/45
HQWcr ORW20/30
HQW a ORW and Tr
or PNA 11y15
HQW,ORW,
SA SB, PNa or
an Trout
Y
0.1/0.2
No Limit cee. w..
+II'Y6D/2fi/10 nm
u012611
N/Aw+.., o.+�.,
aueu+i.nppu..
N/A w.,.,oW�n, e.�,�d
+Poly,
NIA
Date Sarlple
Collected Mo/( r
I
619/20M
0.98
7.5
2.8
< 0.10
5.2
7rM2020
0.16
8.4
2.5
< 0.10
2.6
cr—
Permit Date 1 u/11zu16 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG020076
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"
(Requlree by 40 CFR §122.n)
Signature
n„e Sri ri 8S'i
Mail Annual Summary Stonmwater 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]
Pennit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015