NCG020089 DMR SW

11 ANNUAL SUMMARY DMR - STORMWATER 11
II SEND TO CENTRAL OFFICE * 11
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWA TER 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. NCG020089
FACILITY NAME: Imerys Mica Kings Mountain, Inc.
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY: Prism Laboratories
Part A: Stormwater Monitorine Reouirements
Lab # _402
Lab #
SAMPLE COLLECTION YEAR: _2015
COUNTY Cleveland
PHONE NO. [phone] Samples collected by Tom Holmes and Mike Henderson
ADD TO LISTSERVE? YES ❑ NO N EMAIL:
[e-mail]
Outfall
No.
Date Sample In Tier 2
CollectedMonthly
(mo/dd/yr OR Monitoring?
NO FLOW) (y/n)
# of Months in
Tier 2 Total Flow
Sampling2 (MG)
Total Suspended
y Turbidit
Solids (NTU)
(mg/1)
Settleable
Solids (ml/1)Rainfall
Total Event
Duration
(in) (minutes)
-
- -
- -
1001,4 35 See Footnote '
0.1
5
No Flow N
0
0.7 180
5
No Flow N
0 0
0
2.2 1200
6
6/27/15 N
0.5
18.00
0.1
0.7 180
6
12/20/15 N
3.2
4.4
brl
2.2 1200
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
Z 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.
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 02-02-11
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Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Date Sample In Tien 2
Outfall
Collected Monthly
No.
(mo/dd/yr OR Monitoring.
NO FLOW) (y/n)
# of Months New Motor
in Tier 2 Oil Usage
SamplingZ al/month
-
Total Flow TPH using method
(MG) 1664A SGT -HEM
(mg/1)
Total Suspended pH Total Event
Solids (Standard Rainfall Duration
(mg/1) Units in minutes
- 153
1003'4 6-93
N/A
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NON
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑ NO
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I 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 arf, significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
v olations."
�►'` �'"�"�"t Ali �i�t�^"`"Y� Cc.c.JY2 � ld-�t l /le
(Signature of Permittee)
Permit Date: 1/1/2010-12/31/2014
(Date)
Last Revised 02-02-11
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