NCG020354 DMR WW

So.
ANNUAL SUMMARY - VVIR - WASTEWATER
SEND TO CENTRAL OFFICE* -J
PROCESS MINEIDEWATERING 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. NCG020354
FACILITY NAME: _Brickhaven
PERSON COLLECTING SAMPLES: _Glenn P
Amey
CERTIFIED LABORATORY: NA
Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Require ents
SAMPLE COLLECTION YEAR: _2015
COUNTY: Chatham
PHONE NO. (_502__)_552-8308
ADD TO LISTSERVE? YES ❑ NOD EMAIL:
INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATERS" ❑
Outfall No.
Date Sample
Collected
Total'Suspended
Total Flow Solids'
Turbidity3
Settleable Solids-
PH
Fecal Coliforms
-
mm/dd/yr
MG mg/I1.2
NTU','
ml/!'
Standard'
col/m Il"
1
3-31-2015
No Flow NA
NA
NA
NA
NA
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' Ail mores must monitdf W W discharges for TSS. Only industrial sand m ne discharges are subject to TSS limits.
If 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 receiving water, directly upstream and downstream of the discharge.
Pen -nit Date: 1/1/2010-12/31/2014 Last Revised 02-02-11
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Outfall No.
('Y�
wastrwatef IVIURIIWL1u
Date Sample
Collectedl
,.c Y■l Y,YJ
Total Flow
Total Suspended
Solids'
Turbidity3
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
oe; z 5
MG.
►U�.'
mg/l1,2
A
NTU2,3
mVIZ ..
Standard'
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col/mlIA
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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 th-I ne 1 or submitting false information, including the possibll• y of fi es and imprisonment for knowing violations."
(Signaturf Permittee) (Dat
Permit Date: 1/1/2010-12/31/2014 Last Revised 02-02-11
Page 3 of 2

in A t-onrinued:
Outfall No.
Wastewater IVlonitormg
Date Sample
Collectedt
Re uuemen s
Total Flow
Total Suspended Turbidity' Settleable Solids
Solids'
pH Fecal Coliforms
-
mm/dd/yr
MG
mg/1' 2 NTUZ•' ml/IZ
Standard col/m12,4
M
t4i!x
-
-
0 r-UUVjtj
OID re'1`
pit IlUA)-j.
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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:
"l 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.
1 am aware rhe++ho— —P .cignifrgant pe allies for sub ittmg f infor tion, including the possibilitv of fines and imprisonment for knowing violations-"
(Signaturen Permi� tree) (Date)
Permit Date: 1/1/2010-12/31/2014 Last Revised 02-02-11
Page 3 of -2

•
in A Continued:
wastewater ivionriorii
Date Sample
P1
Collected
mm/dd/yr
g me uirenicuLs
Total Flow
IVIG
Total Suspended
Solids'
mg/I' 2
Turbidity'
NTU24'
Settleable Solids
ml/I'
p H
Standard'
-- -
Fecal Coliforms
col/m12,4
Outfall No.
r— -
AJ
1 Z
—
1V1 Q d10_a
Mn
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tpvr�v POits
0U
9.AJ
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or
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--- W I -- 1
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
Atte: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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 ale sign± ' ant e es for si mitting false infoy9tiation, inc is he possibility of fines and imprisonment for knowing violations."
(Signature of Perm±ttee)
Permit Date: 1/1/2010-12/31/2014
l®�Z'
(Date)
Last Revised 02-02-11
Page 3 -of 2

Pa
art A Continued: Wastewater Monitorm2 Requirements
Date Sample Total Flow Total Suspended Turbidity' Settleable Solids pH Fecal Coliforms
Outfall No. Collected) Solids'
- mm/dd/yr MG mg/11,2 NTU2.' m1/I2 Standard' col/ml"'
%Jt Nb N
A) �►
EVE
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
617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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.
1 am aware that t P are si Gaant pe al>~ies ubmitting false information, including the possibil'ty of tines and imprisonment for knowing violations."
(Signature f Permittee) (Date)
Permit nate: 1 / I /2010-12/31/2014 Last Revised 02-02-11
Page 3 o 1-2
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
617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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.
1 am aware that t P are si Gaant pe al>~ies ubmitting false information, including the possibil'ty of tines and imprisonment for knowing violations."
(Signature f Permittee) (Date)
Permit nate: 1 / I /2010-12/31/2014 Last Revised 02-02-11
Page 3 o 1-2

P.
•
u•t A continued: wastewater Iviolitly, it
I�
............
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids'
Turbidity3
Settleable Solids pH Fecal Coliforms
m1/12 Standard2 col/m12A
_
mm/dd/yr
MG
mg/I',2
NTU2,3
Fto
U
JN0
NO 01 C/O
_ 061 - 1 , -1S
At —
— � R
—�L--
Al
--
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH /.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
the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
those persons directly responsible for gathering the information,
l am awar hat thorP fWP ���*^��'^ ^r --n4t es for submitting'false information, including the possibility of fines and imprisonment for knowing violations."
(Date)
i nature of Permittee)
Last Revised 02-02-11
Permit nate: I/ 1 /2010-12/31/2014
Page 3 of 2

Pa
A Continued:
Wastewater Monitormg
Requirements
Outfall No.
_
Date Sample
Collected
mm/dd/ r
y
Total Flow Total Suspended
Solids'
MG mg/1'•Z
Turbidity'
NTUZ•3
Settleable Solids
ml/12
pH Fecal Coliforms
Standard'- col/mlIA
N QLD A/
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AN _
MAIL ORIGINAL AND ONCOPY OF THIS ANNUAL SUMMARY tNCLUDING ALL "NO FLOW" "NO DISCHARGE" & LIMIT
E
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
(91g) 907-6379
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 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 t t the a sign' nt pea '' for submitting false information, including the possibilit_ off nes and imprisonment for knowing violations."
t!��
(Sign t ire of Permittee) (Date)
Permit Date: 1/1/^010-12/31/2014 Last Revised 02-02-11
Page ol•2

in A Continuer[:
Outfall Nm
-
wastewater ivnonituri
Date Sample
t
Collected
mm/ild r
2 �
L
4
X KC U11 C111VULa
T641; -Flow Tota 'Suspended
Solids'
MG' hz:.
-
11I �
Turbidity'
NTU23.
---
Settleable Solids pH Fecal Coliforms
mIA2 .. Sta.ndard' col/mil"
n 4.- �r
11f�
2 Z
/1/ A-'
''''
N aIJA
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.c T
V
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1,
V
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:
"1 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 away f thvrP %re siun' t pe al es fors mitting false information, including the possibility of fines and imprisonment for knowing violations."
l I
(S' n ture of Permittees (Date
Permit Date: 1/ 1 /2010-12/31/2014 Last Revised 02-02-11
Page 3 of 2