NCG020096 DMR WW

II ANNUAL SUMMARY DMR - WASTEWATER II
SEND TO CENTRAL OFFICE*
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
*Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year. if
you have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG020096
FACILITY NAME: Salem Stone Quarry
PERSON COLLECTING SAMPLES: Barry McConnell
CERTIFIED LABORATORY: PACE ANALYTICAL Lab # 12
LIMITS VIOLATIONS? YES NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2014
COUNTY: Forsyth
PHONE NO. 336-769-3803
ADD TO LISTERVE? YES NO EMAIL:
INDUSTRIAL SAND19DISCHARGE TO SA WATERS49
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
Turbidity3
Settleable Solids
pH Fecal Coliforms
-
mm/dd/yr
MG
mg1l''2
NTU 2,3
ml/12
Standard col/ml2,4
Pit Discharge
3/24/14
0.7392
14.0
16.6
ND
8.0
Pit Discharge
4/29/14
0.1056
ND
21.4
ND
7.0
Pit Discharge
9/5/14
0.4224
3.7
3.8
ND
7.0
Pit Discharge
10/24/14
0.2112
ND
3.7
ND
8.1
riu mines must momtor w w aiscnarges for i s5. vmy maustnai sans mine discharges are subject to T55 limts.
2 I an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3The 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
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiveing water, directly upstream and downstream of the discharge.
°Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1/1/2010-12/31/2014 Last Revised 0 1 -21 -11
Page 1 of 2

Part A: Continued: Wastewater Monitoring Requirements
Outfall No. Date Sample Total Flow
Collected I
Total Suspended Turbidity3 Settleable Solids pH Fecal Coliforms
Solids'
- mm/dd/ MG
mg/I1'2 NTU2,3 ml/12 Standard col/m12,4
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW" "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 sumbitted. 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 imprisionment for knowing violations."
A-< /,
(Signa re of P mittee) (Date)
Permit Date: 1/1/2010-12/31/2014 Last Revised 01-21-11
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