NCG020152 DMR WW

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i
`- 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 AMRCH 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. ofreceiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG020152
FACILITY NAME: Jamestown Quarry
PERSON COLLECTING SAMPLES: Dennis Cobb
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #40
LIMITS VIOLATIONS? YES NO
Part A! Wastewater Mnnitarino Remuiremente
SAMPLE COLLECTION YEAR: 2015
COUNTY: Guilford
PHONE NO. 336-886-5015
ADD TO LISTERVE? YES NO EMAIL:
INDUSTRIAL SAND'? DISCHARGE TO SA WATERS 4?
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
Solids'
Turbidity3
Settleable. Solids
pH
Fecal Coliforms
-
mm/dd/
MG/CFS
mg/1 1,2
NTU2,3
mU12
Standard
c0l/m12,4
1Q Pit Discharge
1/28/15
0.24
3.6
6.6
ND
7.2
2Q Pit Discharge
4/6/15
0.12
ND
2.1
ND
7.0
g dED
3Q Pit Discharge
7/23/15
0.06
ND
1.2
ND
7.9
T
F.
CEN I Fvz
' -
u zkal 1Q114
f,u mines must monitor w w mscnarges mr i 6,j. umy mausmai sana mine discharges are subject to I SS lents.
21f 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
40nly facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1/1/2010-12/31/2014 Last Revised 01-21-11
Page 1 of 2

Part A: Continued: Wastewater Monitoring Requirements
Outfall No. Date Sample Total Flow
Collected'
Total Suspended Turbidity3 Settleable Solids pH Fecal Coliforms
Solids'
- mm/dd/ MG
m 1''z 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]
YOU MUST 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing violations."
l�
Permittee
Permit Date: 1/1/2010-12/31/2014
is 6
Last Revised 01-21-11
Page 2 of 2

ANNUAL SUMMARY DISCHARGE MONITORING ,
REPORT DMR — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2015
`Report ALL WASTEWATER monitoring data on this form (include "No Flovel'No Discharge' and Limit Violations) from the previous calendar year to the
DEQ by MARCH 1 of each year
cate of Coverage No. NCG020152
y Name: Jamestown Quarry
V: 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)? YesNo X
Does this outfall discharge WW to SA waters? Yes No X
Does this outfall discharge WW to SB or PNA waters? Yes No X
Does this outfall discharge WW to HQW or ORW waters? Yes No X
If so, what is the 70110 flow rate? NA or Tidally influenced waters, 7Q10 not available
Does this outfall discharge WW to Trout (Tr) designated waters? Yesa No R"I
Were there any limit violations in the calendar year? Yes No
OtitfalL No 1
Daily Flow
Rate, cfs. ';
pH,' SU TSS, mg/l`
'
SS mUl '_
r.d. ,
Oischa r9e
Turbidity NTU
.. .. - ..
Upstream (Uj"
Turbidity,
... TU
..
Downstream (D)
Turbidity NTU
~. -.
Fecal Colfor
coU100 mf
(SA)_.
.
Effluent
Limitations Mo.
Avg. /Daily Max
HQW or ORW
50% of 7Q10
Indicate NO FLOW if
nppli able
Industrial Sand 25/45
Freshwater 6.0 HQW or ORW 20/30
9.0 Saltwater HQW or ORW and Tr
6.8-8.5 or PNA 10/1$
HQW, ORW,
SA, S% PNA or
any Trout
0.1/0.2
No Limit � w.e.
al.nber.�m.as,nn�pier.
60/26/10
WA wma.0 r
smi q*°
NIA w o ftsa
'ern"
.. .
N/A
- ' Date Sample.,,"
Collected,m'o/dd/yr
10/14/2015
0.19
7.70 6.50
ND
12.20
N/A
N/A
N/A
V=11111L UCAM IV11/GV 10 — VIOVlGVGV
Last Revised 10-2-2015

Certificate of Coverage No. NCG020152
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 property 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."
(Requited by 40 CFR §122.22]
Signature
Date GJ v
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 Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015