NCG020076 DMR SW

II ANNUAL SUMMARY DMR - STORMWATER II
SEND TO CENTRAL OFFICE* FRECLIVED
STORMWA TER DISCHARGE OUTFALLS (SDO) JAN 21 2015
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWA TER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year. NTRo� ES
SWR SECTION
CERTIFICATE OF COVERAGE NO. NCG020076 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Thomasville Quarry COUNTY: Davidson
PERSON COLLECTING SAMPLES: Dennis Cobb PHONE NO. 336-475-9134
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES❑ NOD EMAIL:
Part A: Stormwater Monitoring Requirements
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly # of Months in
Monitoring? Tier 2
(/n Sampling2
Total Flow
(MC)
Total Suspended
Solids
(mg/1)
Turbidity°
(NTU)
Settleable
Solids (ml/1)
Total
Rainfall
m
Event
Duration
-
-
- -
-
1003'4
See Footnote3'4
0.1 3
Pit Discharge
6/19/14
N
0.034
4.2
5
ND
0.5
2
Pit Discharge
11/17/14
N
0.034
ND
ND
ND
0.5
2
IL VI 1`IV VIJI.fIARU C, CalCr IVv rLvw- or --IVV U1J1L r1HKUt' for eacn outtau neve ana the tate Kange.
2Per NCG02: Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
}If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Teir I or Tier 2 responses in the General Permit.
4TSS benchmark values are 100 mg/I except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservois designated
as trout waters; 25 NTU for all lakes and reservois, and all salt water; 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
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Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly # of Months in
Monitoring? Tier 2
(y/n) Sampling2
New Motor
Oil Usage
(gal/month)
-
Total Flow TPH using method
(MG) 1664A SGT -HEM
(mg/1)
- 153
Total Suspended
Solids
(mg/1)
1003
pH Total Event
(Standard Rainfall Duration
Units) (in)
6-93
Comin led Water
22.5
Comingled Water
22.5
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
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 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOUMUST SIGN THIS CERTIFICATION FOR ANYINFORMA TION REPORTED:
"1 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
viol ati
1/2/2015
(Sign re of P ittee) (Date)
Pe�t Date: I/ 010-12/31/2014 Last Revised 01-21-11
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