NCG020109 DMR WW (2)

7 ANNUAL SUMMARY DMR - WASTEWATER
r - SEND. TO CENTRAL OFFICE*,
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020,000
*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 NCGO20109 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Statesville quarry COUNTY: Iredell
PERSON COLLECTING SAMPLES: Scott Rogers PHONE NO. 704-873-8191
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #40 ADD TO LISTERVE? YES NO EMAIL:
LIMITS VIOLATIONS? YES NO INDUSTRIAL SAND'? DISCHARGE TO SA WATERS49
Part A- Wastewnter Mnnitarina RPnnirPmPntc
Outfall No.
Date Sample J-
Collected)
Total Flow
Total Suspended'.
Turbidity3
Settleable Solids-
pH
Fecal Coliforms
mm/dd/
MG/CFS.
to 11`2. ..
NTUZ'3 ;
ml/1z ... .. .:.::
Standard2
col/ml?'4
IQ Pit Discharge
1/30/15
0.16
ND
1.0
ND
7.3
2Q Pit Discharge
5/15/15
0.11
ND
3.7
ND
8.0
1
3Q Pit Discharge
9/22/15
0.11
ND
ND
ND
7.9
FEB
r v:i l I. ES
_L TION
An mines must monitor w w aiscnarges ror,i aN. umy industrial sana mine discharges are subject to TSS hints.
21f an. ffluent 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.
4Only 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 Total Suspended Turbidity' Settleable Solids pH Fecal Coliforms
Collectddl Solids' .
mm/dd/yr MG me 1.2 NTW" 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."
Permit Date: 1/1/2010-12/31/2014 Last Revised 01-21-11
Page 2 of 2
10

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT IDMRI _ WA_RTl=WATFR
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. NCG020109
Facility Name: Statesville Quarry
County: Iredell
Phone Number: 336-672-1501 Total No. of Outfalls Monitored 1
Certified Laboratory Pace Analytical Lab # 40
- - Lab# _
Wastewater (WW) Discharge Outfall No. 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes No 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 7Q10 flow rate? NA or Tidally influenced waters, 7Q10 not available
Does this outfall discharge WW to Trout (Tr) designated waters? Yes B No FqxWere there any limit violations in the calendar year? Yes No
Outfall No 1
Daily
Dail Flow
pH SU '.
TSS mg/l'.
SS min
Discharge
Upstream (U)
Turtiidlty
Downstream (D)
Fecal Conform;
Rate:cfs
n.,,o<.m.
Turbidity NTU,.
'NT
; Turb,dity
c 1110 ml. -'
w
(SA)
Industrial Sand 25/45
Effluent
H W or ORW
Q
50% of 7Q10
Freshwater 6.0
HQW or ORW 20/30
HQW, ORW,
SA, SB, PNA or
No Limit a�.w..
Clr►►Itailon5 Mo.
-
to NO FLOW if
9.0 Saltwater
HQW 6rORW and Tr
eo Trout
n�.uosmm,aeut+a :
NIA W._o r
sraaw.cnse.
NIA w,e nmp sr.�a.a
.ypo
NIA
Avg. /Dally Mex
applicable
6.8-8.5
or PNA 10/15
.
0:1/0.2
50!25/10
Date Sample-
Collected„`mo/dd/yr;
10/20/2015
0.02
7.90
ND
ND
ND
N/A
N/A
N/A
rermit uaze iunrzuio — a/3uizuzu
Last Revised 10-2-2015

Certificate of Coverage No. NCG020109
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."
(Requned by 40 CFR §122.221
Signatur�
Date Yi^
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