NCG020039 DMR WW (2)

s 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. NCG020039 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Caldwell Quarry COUNTY: Caldwell
PERSON COLLECTING SAMPLES: Scott Rogers PHONE NO. 828-754-3077
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #40 ADD TO LISTERVE? YES NO EMAIL:
LIMITS VIOLATIONS? YES NO INDUSTRIAL SAND? DISCHARGE TO SA WATERS 4?
Part A- Wastewater Mnnitnrina Rnnniramante
Outfall No.
Date Sample
Collected'
Total Flow
Total Suspended
...Solids'
Turbidity'
Settleable Solids
pH Fecal Coliforms
-
mm/dd/
MG/CFS
m il,2
NTU2,3
ml/lZ .
Standard col/M,2,4
1Q Pit Discharoe
1/30/15
0.02
ND
2.6
ND
7.7
2 Pit Dischar
5/15/15
0.02
ND
3.7
ND
7.0
3 Pit DischarNo
Discharge
RB
QPNITIR4n
DWR
"All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS hints.
ZIf an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
'The 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
Collected'
Total Suspended
Solids'
Turbidity3 Settleable Solids pH Fecal Coliforms
- mm/dd/ r MG
MO 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]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were preparedunder 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
zs 6
(DAte)
Last Revised 0 1 -21 -11
Page 2 of 2

,;
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT /DMR1 _ W®_-qTl=WAT1=P
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. NCG020039
Facility Name: Caldwell Quarry
County: Caldwell
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? Yesa No MXX
Were there any limit violations in the calendar year? Yes No
Outfall No. 1 'TPil�IFI
SV
TSS, mg/I
SS mUl .
a .e+.
Discharge
Turbidity, NTU
Upstream (U) "
Downstream (l))pH,
Turbidity, Turbidity, NTU
NTU..
Fecal Coliform;
coU100, ml
Mo.9.0
Avg / Daily Max.
Indicate NO FLOW if
aPPsenk -
6.
Saltwater
6.8 8 5
Industrial Sand 25/45
HQW or ORW 20/30
HQW orORW and Tr
or PNA 10/I S
HQW, pNAEffluentFreshwater
SA, SB, PNA or
any Trout
U.1/0.2
NO LimnL/mitaUOns
owoerseamaaun.,quea:
50/25/10
N/A wm.00uq N/A wmonnrysanma
sma,.ago" aoao
NIA'
v
Date Sample.--
Collect4 mo/dd/yr
-
-
No Discharge
N/A N/A
N/A
rertrttt Uate lut Ilzu-10 —ytsutzuzu
Last Revised 10-2-2015

J
Certificate of Coverage No. NCG020039
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."
[Requited by 40 CFR §12222]
Signature0'... ), — - -- -
Data
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