NCG020437 DMR WW

ANNUAL SUMMARY DMR - WASTEWATER
II SEND TO CENTRAL OFFICE* II
PROCESS MINEMEWATERING 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 1 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. NCG02 0 4 3 7
FACILITY NAME: Hanson Brick - Sampson II Mine
PERSON COLLECTING SAMPLES: Martin Brown
CERTIFIED LABORATORY: K&W Laboratories Lab # NC 559
Lab #
LIMIT VIOLATIONS? YES ❑ NO X❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2014
COUNTY: Sampson
PHONE NO. ( al n) 52,c;-4198
ADD TO LISTSERVE? YES ❑ NO❑ EMAIL:
INDUSTRIAL SANDt? ❑ DISCHARGING TO SA WATERS°. ❑
Outfall No.
Date Sample
I Total Flow
Collected %
Total Suspended Turbidity3
Settleable Solids pH
Solids
Fecal Coliforms
-
mm/dd/yr,a MG
mg/1 ' NTU mUl Standard
coUml '
NA
No Discharge 01/01/ 014 to 03/31/2
14
NA
No Discharge 04/01/ 014 to 06/30 2C
14
r
NA
No Discharge 07/01/ 014 to 09/30 2
14
NA
No Discharge 10/01/ 014 to 12/31/2
14
FEB
2uib
CFN'rPAI ,-o,
No Discharges from Process / Mine Dewatering`�
Occur at This E ite
v e
' All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 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 receiving water, directly upstream and downstream of the discharge.
4 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 -2 1 -11
Page 1 of 2

Part A Continued: Wastewater Monitoring Requirements
Date Sample
Outfall No. Collected 1 '
Total Flow Total Suspended Turbidity' ..
Solids I Settleable Solids pH Fecal Coliforms
- mm/dd/yr }`
MG mg/1 1,2 NTU min Standard 2 col/ml
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL `ANO 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 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."
(Signature of
Permit Date: 1/1/2010-12/31/2014
Zq Arbs
(Date)
Last Revised 01-21-11
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