NCG020039 DMR SW (2)

ANIV UAL SUMMARY DMR - STORMWATER
SEND TO CENTRAL OFFICE
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMFVATF_R Monitoring Data on this form (incldding No Flow and No.Discharge and Permit Limit Violations) by MARCH 1 of each yem•.
CERTIFICATE OF COVERAGE NO. NCG020039
FACILITY NAME:
Caldwell Quarry
SAMPLE COLLECTION YEAR:
2015
PERSON COLLECTING SAMPLES:
Scott Rogers
COUNTY: Caldwell
CERTIFIED LABORATORY: PACE ANALYTICAL
Lab #12
PHONE -NO. 828-754-3077
. _
ADD TO LISTERVE? YES p NO ❑
EMAIL:
Part A: Stormwater Monitoring Requirements
Date Sample
In Tier 2
Outfall Collected
Monthly
#'of Month's in Total Flow
Total Suspended
Total Event
No. (mo/dd/yr OR
Monitoring?
Tier 2 (MG)
Solids
Turbidity° Settleable
Rainfall Duration
NO FLOW)'
( /nL
Sampling2
(mg/1)
(1VTU) Solids (ml/I)
_
..
(in
-
Jan. -Jun. Existing Sediment Basin 6/30/15
N
- -
1003'4
See Footnote3'4 0.1 3
Jul. -Dec. ExistingSediment Basin 12/31/15
N
No Discharge
Jan. -Jun. Sediment Basin #1 6/30/15
N
No Discharge
Jul. -Dec. Sediment Basin #1 .12/31/15
N
No Discharge
Jan. -Jun. Sediment Basin #2 6/30/15
N
No Discharge
Jul. -Dec. Sediment Basin #2 12/31/15
N
Discharge
2 If "NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
'Per NCG02: Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
'If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Teir for Tier 2 responses in the General Permit.
'TSS benchmark values are 100 mg/I except in ORW, HWQ, trout, and PNA waters where they are 50 mg/1.
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservois designated
as trout waters; 25 NTU for all lakes and reservois, and all salt water; 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: 1/1/2010-12/312014
I
Last Revised 01-21-11
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Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/mnnth nn —ap
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly. .
Monitoring?.
(y/n)
# of Months in
Tier 2
Sampling
New Motor. Total Flow
Oil Usage . (MG)
(gal/month)
- -
TPH using method Total Suspended
1664A SGT --HEM Solids
(mg/t) (mg/1)
159 . IOUJ
pH Total Event
(Standard' Rainfall Duration
Units) (in)
69J
Jan. -Jun. Comin led Water
Jul. -Dec. Comingled Water
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES D NO (�
YES ❑ NO D
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 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 are that there are significant penalties for submitting false information, including the possibility of tines and imprisionment for knowing
violations."
1/1/201012/31/2014
(Date)
1/6/2016
Last Revised 0 1 -21 -11
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