NCG020504 DMR SW (2)

ANNUAL SUMMARY DMR - STORMWATER
II SEND TO CENTRAL OFFICE * II
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year.
CERTIFICATE OF COVERAGE NO. NCG02 0 5 0 4 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Hanson Brick - Gulf Mine 3 COUNTY Chatham
PERSON COLLECTING SAMPLES Jack Garvey PHONE NO.(, 919 ) 380-2746
CERTIFIED LABORATORY. Pace Analytical Lab # WW -067 ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL:
Lab #
Part A: Stormwater Monitoring Requirements
Date Sample
Outfall Collected
No. (mo/dd/ Y r'OR
NO FLOW)t
" In Tier 2
'Monthly
Monitoring?
g.
(y/n)
# of Months in
Tier 2
Sampling 2
Total Suspended
Total Flow
Solids
(MG) (mg/1)
a Total Event
Turbidity Settleable Rainfall Duration
(NTU) Solids (mIA) (in) (minutes)
- -
-
- 1001,
- _0 0.1
3- No isc are
0 '/0 0 5 0
06/30/2015
3B - No Dischar e
07/01/2015 to
09/30/2015
-r L FILE
WR
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
2 Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
4 TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
5 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 SDO
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/1/2010-12/31/2014 Last Revised 0 1 -2 1 -11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on averaee
I . Date Sample
Collected
Outfall (mo/dle r OR
No., yin
1
NO FLOW)
In' Tier 2.
Monthly
Monitoring?#
(y/n) .
RI
"
of Months
Tier 2
Samplings
_ . _
New. Motor
Oil Usage
(gal/month)
..
Total Flow
(MG)
.. .
TPH usingmethod
1664A SGT -HEM
(m )
.. . ,
Total Suspended
p
Solids
. (m !-
1.
.
pH Total Event
(Standard Rainfall Duration
Units) (in) (minutes)
15
100-
6-9
NA - VE ICLE MAINTEN
NNCE ACTIVITY
DOES NO
OCCUR AT
HIS SITE
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑X
HAVE YOU CONTACTED THE REGION? YES ❑INO
WHO AT THE REGION HAVE YOU SPOKEN WITH?
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
fure of Permittee)
Date: 1/l /2010-12/31 /2014
Z z'S Zn1 io
(Date)
Last Revised 0 1 -2 1 -11
Page 2 of 2

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2015
'Report ALL STORMWATER monitoring data on this form (include "No Floud'/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each vear.
Certificate of Coverage No. NCG02
Facility Name: Hanson Brick - Gulf Mine 3
County: Chatham
Phone Number:9( 19 ) 380-2746 Total no. of SDOs monitored 1
Certified Laboratory Pace Analytical lab # WW -067
Lab #
Stormwater Discharge Outfall (SDO) No. 3B VMA Outfall? Yes ❑ No [?g
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No `,
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? CEIVELE)
E®
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ MAR 0 2 2016
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other
❑ DWR SECTION
Outfall No.
36
Total
Rainfall,
inches
mS 11
g
SS,
ml/I
Turbidity,U
NTU
Upstream
( ) Turbidity,D
NTU
Downstream
( ) Turbidity,
NTU
Non -polar
O&G, m I
9/
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
/.&,at.NO
appo eta
Circle
Benchmark
100150
0.1
Circle>6IS
Benchmark
50/25/10
N/A
standerdapplliies
N/A
standard pp
15
gaurm
averageregiires
TSS
08G mon torNon-polar
Date Sample
Collected,
mo/dd/ r
: ----
—
I r
— - -- -
-
NO DISCHARGE 10/1/2015 to 12/31/201
<55 gal/mo
Permit Date 10/1/2015 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®M®®
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 §122.221
Signature _
Date I— 2 S
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