NCG020548 DMR SW

ANNUAL SUMMARY DMR - STORMWATER
11 SEND TO CENTRAL OFFICE
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH / of each year.
CERTIFICATE OF COVERAGE NO. NCG02 0 5 4 8
FACILITY NAME: Hanson Brick - Howell Mines
PERSON COLLECTING SAMPLES Jason Smith
CERTIFIED LABORATORY K &W Laboratories Lab # NC 559
Lab #
Part A: Stormwater Monitoring Requirements
Date Sample In Tier 2
Outfall Collected Monthly # of Months in
No. (mo /dd/yr OR Monitoring? Tiepr lin ng2 Total F) w
Sam
NO FLOW)' (y /n) MG
SDO -16 No Discharge 01/01/2014 to 06/30.2014
SDO -17 No Discharae 01 /01 /2014 to 06/30,2014
SDO -16 No Discharqe 01 /01/2014 to 12/312014
SDO -17 No Discharge 01 /01/2014 to 12/312014
SAMPLE COLLECTION YEAR: 2014
COUNTY Anson
PHONE NO. ( 704 ) 261 -2160
ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL:
Total Suspended Turbidity° Settleable Total Event
Solids (NTU) Solids (ml/I) Rainfall Duration
(mg/1) (in) (minutes)
1003,4 See Footnote '• s 0.13
Fj Pq
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW ' or "NO DISCHARGE" for each outfall here and the Date Range.
2 Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
° TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
5 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/1/2010- 12/31/2014
Last Revised 01 -21 -11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for faci ities using > 55 gal of new motor oil/month on average
Outfall
Date Sample In Tier 2 # of Months
Collected Monthly
New Motor
Total Flow TPH using method
Total Suspended
pH Total Event
No.
in Tier 2
(mo /dd/yr OR Monitoring?
Oil Usage
(MG) 1664A SGT -HEM
Solids
(Standard R (;nall
f Du
SamplingZ
NO FLOW) (Y /n)
(gal/month) )
(mg/I)
(mpJl
Un) (in) (minutes)
-
_ 153
100
6 -93
SDO -16
01/01/2014 to 06/30/2014 - No Discharge
<55
SDO -17
01/01/2014 to 06/30/2014 - No Discharqe
<55
SDO -16
07/01/2014 to 12/31/2014 - No Discharge
<55
SDO -17
07/01/2014 to 12/31/2014 - No Discharge
<55
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑X
HAVE YOU CONTACTED THE REGION? YES [:]NO
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW'. "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH l OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699 -1617
(919) 807 -6300
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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."
Wig z
(Signatu a of Permittee) ` (D e)
Permit Date: 1/1/2010 - 12/31/2014 Last Revised 01 -21 -11
Page 2 of 2