NCG020052_DMR WW_20210208

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT if —WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 202 0
'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. NCG02
Facility Name: Hanson I aV*e 5 - Q-pa�(,ee Q4acry
County: _ WQkl--
Phone Number. ( 914 ) 3SC -Arl Ll G Total no. of outfails monitored j
Certified Laboratory??aae naly+)cnl.5ecv;cef> lab# 633}F�
p` Lab # I a , 0-ha loi"1e
Wastewater (WW) Discharge Outfall No. Om 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)7 Yes ❑ No Pq
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, 70110 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
Outfall No.
d©1
Daily Flow
Rate, cis
pH,
SU
TSS,
mgn
SS,
mul
"aw"ca""
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
SA )
Effluent
Limitations
Mo. Ave / oily Maz
HQwwom
60%Of
7010
attlln C pow
iroahvwlar
6.0-9.0
'a"W"ef
6.8-8.5
.FWTR
26/45
HQW.rORW
20/30
How.,oRW
M Tr or PM 10/15
HQW, 0m,
M.SRe P ,
oranyTrout
0.1/0.2
No Limit
ctrclewaler
Ou,�nnftrd
50/25/10
WA
WSW Qua ty
8h Apon
NIA
wakrQuaury
Standardapppn
NIA
Date Sample
Collected,
mo/dd/ r
Dip
Act
R
1r
uc
erni_
t am
1:
a
'-F O
N/A
S. 12
N/A 1
ry A
N/A
0 0
rv�0+
?H 5q
le s we,
rc rQ I le.cej
s n
i
w
1
.vl
fa
e•
� O m
L..
7 _O
4 p.a
N/A
.41
rs/A-
r4X
NIA
$45,
4 5.
L
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015
I -Lb 2 3 2021
GEN 1 t'Vr L TILES
©WR 5[CTI(1

Certificate of Coverage No. N0002 ❑O Q SQ®
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]
Sign,
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, INC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 101112016 — 9/30/2020
Last Revised 10-2-2015