NCG020076 DMR SW (2)

AAAUAL SUMMARY DMR - STORMWATER
SEND TO CENTRAL OFFICE
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWATI;R Monitoring Data on this.form (including No Flow and No Discharge .and Perthit(Limit._Violatioins) by MARCH --I of each year..
CERTIFICATE OF COVERAGE NO. NCG020076
SAMPLE COLLECTION YEAR:
2015
FACILITY NAME: Thomasville Quarry
COUNTY: Davidson
PERSON COLLECTING SAMPLES: Johnny King
PHONE NO. 336-475-9134
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12
ADD TO LISTERVE? YES ❑ NO 0
EMAIL:
Part A: Stormwater Monit rinR Requirements
Date Sample . In Tier. 2
Outfall Collected Monthly # of Months. in Total Flow
Total Suspended
Total Event
No. (mo/dd/yr OR Monitoring? Tier 2 (MG) .
Solids
Turbidity° Settleable
Rainfall Duration
NO FLOW)' /n SamplingZ
(mg/1)
(NTU) Solids (MI/1)
(in)
- - - -
Jan. -Jun. Pit Discharge 6/19/15 N 0.034
1003'4
ND
. See Footnote3'4 0:13
1.6
Jul. -Dec. Pit Discharge 12/3/15 N 0.1
ND
ND
2.4
0.5 2
ND
1.5 24
2 If NO FLOW or NO DISCHARGE, enter NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
3Per NCG02: Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
44 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Teir 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.
`The 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 saltwater; 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 01-21-11
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Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor nil/mnnth on
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FL•OW)t .
In Tier 2
Monthly "
Monitoring?
(y/n)
# of Months in
Tier 2
Sampling2
New Motor
Oil Usage'"
(gal/month)
'Total Flow TPH using method
(MG) . 1664A SGT-HEMSolids
lin0)
153
Total Suspended
(mg/1)
1003
pH Total Event
(Standard Rainfall Duration
Units) (;n
,6-93
Jan. -Jun. Comin led Wate
12.5
Jul. -Dec. Comingled Wate
97.5
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES 0 NO [ —
HAVE YOU CONTACTED THE REGION? .
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑ NO F]
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:
"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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing
�— 1/6/2016
(Signatur f Permi ) (Date)
Permit D e: 1/1/2010- V63112014 ILast Revised 0 1 -21 -11
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