NCG020175 DMR WW

y._
ANNUAL SUMMARY DMR - WASTEWATER
- 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 I 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. NCG020175
FACILITY NAME: Hicone Quarry
PERSON COLLECTING SAMPLES: Bill Ashby
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #40
LIMITS VIOLATIONS? YES NO
Part Ae Wastewater Mnnitnrina Renniremnnta
SAMPLE COLLECTION YEAR: 2015
COUNTY: Guilford
PHONE NO. 336-375-7584
ADD TO LISTERVE? YES NO EMAIL:
INDUSTRIAL SAND I? DISCHARGE TO SA WATERS 4?
Outfall No.
Date Sample
Collected'
Total Flow
.Total Suspended
Solids' .
Turbidity3,
Settleable Solids
pH Fecal Coliforms
mm/dd/ r
MG/CFS
m l,1'2
NTU 2,3
ml/12
Standard2 col/m12,4
IQ it Dischar a
2/16/15
0.07
4.1
0.6
ND
6.2
2Q Pit Discharge
4/30/15
0.07
8.7
1.4
ND
6.9
3Q Pit Discharge
7/23/15
0.07
3.9
1.6
ND
6.1
An mines must monitor w w arscnarges tor INN. Unly industrial sand mine discharges are subject to TSS limts.
ZIf an effluent limit is exceeded, the permittee is required io 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 Total Suspended Turbidity3 Settleable Solids pH Fecal Coliforms
Collected' Solids'
mm/dd/ MG m 1''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 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 ANY INFORMA TION REPOR TED:
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 amaw� there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing violations."
c te)
Zs 6
Permit Date: 1/1/2010-12/31/2014 Last Revised 0 1 -21 -11
Page 2 of 2

l..
ANNUAL SUMMARY DISCHARGE MONITORING
RFPnRT inmizi — WAkgTFWAT1=R
9
General Permit No. NCG020000
Calendar Year 2015
•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. NCG020175
Facility Name: Hicone Quarry
County: Guilford
Number: 336-672-1501 Total No. of Outfalls Monitored 1
ed Laboratory Pace Analytical Lab # 40
Lab #
Wastewater (WW) Discharge Outfall No. 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? YesNoTX
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 7Q10 flow rate? NA or Tidally influenced waters, 7010 not available
Does this outfall discharge WW to Trout (Tr) designated waters? Yes a No
Were there any limit violations in the calendar year? Yes NoPfl
Outfall No.,1'
Dally Flow
Rate, cfs'
.
pH SU.
TSS, mgn
SS ml/l'
r. .ar„
.,.
Discharge
TUrblddy NTU
_ .. .. ..
Ps am (U)
Turbidity;
-.
Downstream (D) .
Turbidity NTU
..'. ...
Fecal Coliform,
6011100 ml
Elfluefrt
Limitations Ma
Avg. /.Dairy Max .
HQW or ORW
50% of 7Q10
Indicate NO FLOW if
applicable
Freshwater 6.0
9.0 Saltwater
6.8-8.5
Industrial Sand 25/45
HQW or ORW 20/30SA
HQW or ORW and Tr
or PNA 10/15
HQW, ORW,
, SB, PNA or
any Trout
0.1/0.2
No Limn cud.w.e.
Q-ftsmma—'P'a-.
50/25/10
N/A rraed mwry
s .Ppx.
N/A vwe u,.ftaa,e.m
gpks
.
N/A
Date Sarnple�.J'
Collected, rn&dd/yi
10/20/2015
0.10
6.90
18.60
ND
6.10
N/A
N/A
N/A
Permit nate 10/1/Zu15 — 9/3u/2uZu
Last Revised 10-2-2015
a�

Certificate of Coverage No. NCG020175
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]
Signature
Date 4;4
Mail Annual Summary Stormwater 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, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stonmwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015