NCG020695_2021 DMR_20220128

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discnarge Monitoring Report (DMR) Form for NCG020000
Active and Inactive Mining Sites
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG02 0695
Person Collecting Samples:
Facility Name: Black Ankle Quarry
Laboratory Name: Pace Analytical Services
Facility County: Montgomery
Laboratory Cert. No.: 633
Discharge during this period: Yes ❑✓
No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?E]Yes No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deg.nc.gov/Forms/SW-DMR Yes No
Date Uploaded: 1/28/2022
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in
Parameter
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
C
C
C
C
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
00070
Turbidity of discharge**
-
Turbidity downstream of discharge
-
Turbidity upstream of discharge
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
Estimated New Motor/Hydraulic Oil
NCOIL
Usage in gal/month
00552
Non -Polar Oil & Grease in mg/L
Additional parameters for Clay Mines
Aluminum, total in mg/L (0.75 FW,
01105
0.24 SW)
Zinc, total (as Zn) in mg/L (0.126 FW,
01092
0.095 SW)
00951
Fluoride, total in mg/L (6.0)
00900
Hardness, total
pH, in standard units (6.0-9.0 FW,
00400
6.8-8.5 SW)
Antimony, total in mg/L (0.34 FW,
01097
N/A SW)
Arsenic, total in mg/L (0.15 FW, 0.069
01002
SW)
Chromium III in mg/L (0.905 FW, N/A
C0034
SW)
Additional parameters for Feldspar Ore Mines
Aluminum, total in mg/L (0.75 FW,
01105
0.24 SW)
Zinc, total (as Zn) in mg/L (0.126 FW,
01092
0.095 SW)
00951
Fluoride, total in mg/L (6.0)

Additional parameters for Lithium Ore Mines
01105
Aluminum, total in mg/L (0.75 FW,
0.24 SW)
00951
Fluoride, total in mg/L (6.0)
Additional parameters for Phosphate Mines
00951
Fluoride, total in mg/L (6.0)
39344
Alpha, Gross Particle Activity
Additional parameters for Industrial Sand Mines
00951
Fluoride, total in mg/L (6.0)
C00334
Chromium III in mg/L (0.905 FW, N/A
SW)
39344
Alpha, Gross Particle Activity
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
** See F-5 of the NCG020000 General Permit for turbidity requirements.
FW (Freshwater) SW (Saltwater)
Notes (optional):
"I certify by my signature below, 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
falsRjrAormation, including the possibility of fines and imprisonment for knowing violations."
Signature olPermittee or Delegated`A"hthorized Individual
[e-mail]
Email Address
1 /28/2022
Date
[phone]
Phone Number