NCG020109 DMR SW (2)

ANNUAL SUMMARY DMR - STORMWATER
SE1VD TO :CENTAL .OFFICES
STORMWA TER. DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO.. N.CG020000
*Report iLL STORMWA TER Monitoring'Data"on this form.(including'No;Flow'.and Nd Dischdrke-and;permit-Limif Violdtiohi).by,MARCII.4'ofeach year
CERTIFICATE OF COVERAGE NO. NCG02010.9 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Statesville QuarryCOUNTY: Iredell
PERSON COLLECTING SAMPLES: Scott Rogers PHONE NO. 704-873-8191
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES O NO ❑ EMAIL:
Pati A• StnrmwatPr Mnnitnr;nn Ron,,;>•o,,,e«�� "
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO'FL t:
In Tier 2
Monthly # of Month's in Totai.l-Flow
.-Monitoring? Tier 2 (MG)
jn . Simphng�.
Total Suspended Total Event
Solids Turbidity° Settleable Rainfall Duration
(►nP,/►)(NTS ' Solids (ml/1) .
(in).
Jan. -Jun. No Outfalls Exist
:- See FOoinote3 4 0 1 3
Jul. -Dec. No Outfalls Exist
If"NO FLOW" nr "NO nrCru A WIT7 ° -t- 1TMri rT n\v, _ wrn nronrr . n� cii �
- - - -- - _ --'. "--' --.-..-.. .,,. ,................. .....c aaau we ✓aw natyc,
ZPer 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.I 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.
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reseryois 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: 1/1/2010-12/31/2014
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/month on nvP�aoP
Outfall
No.
Date Sample
. Collected
(mo/dd/yr OR
NO FLOW)'.
In Tier 2'.
Monthly # of Months in
Monitoring? :.'Tier 2
(y/d) . Sam ling
New Motor
Oil Usage'.
(gal/moiith)
Total Flow TPH using, method
(MG) 1664A SGT --HEM
(mg%I)
_ ag31003
Total. Suspended
Solids
(mg/1)
pH Total Event
(Standard Rainfall Duration
Units) (in)
6'93
Jan. -Jun. Comin led Water
Jul. -Dec. Comingled Water
20''
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES NO ET—
HAVE—
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES p NO p
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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment.for knowing
violati _
1*--- -�� — s — 1/6/2016
(Signatur f Permi ) (Date)
Pennit e: 1/l/2010 /31/2014 Last Revised 01-21-11
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