NCG020232 DMR SW (3)

Y DMR - STORMWATER
SEND TO CENTRAL OFFICE
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Liinit Violations') by.MARC11 L ofe6ch year.
CERTIFICATE OF COVERAGE NO. NCG020232
FACILITY NAME: High Point Quarry
PERSON COLLECTING SAMPLES: N/A
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12
Part A: Stormwater Monitoring Requirements
Date Sample In Tier 2
Outfall Collected Monthly # of Months in Total Flow Total Suspended
No. (mo/dd/yr OR Monitoring?. Tier.2 (MG) Solids
NO FLOW 1 7n Sampling (mg/1)
- 1003.4
Jan. -Jun. No Outfalls Exist
Jul. -Dec. No Outfalls Exist
SAMPLE COLLECTION YEAR: 2015
COUNTY: Guilford
PHONE NO.
ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Turbidity°
(NTU)
See Footnote
Settleable
Solids (ml/1)
0.13
'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.
SThe 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.
TotalI Event
Rainfall Duration
Permit Date: 1/1/2010-1.2/31/2014
Last Revised 01-21-11
Page 1 of 2

Part A: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Date Sample
Outfall Collected
No. (mo/dd/yr OR
NO FLOW)'
In Tier 2'.
Monthly # of Months in New Motor -
Monitoring? Tier 2 Oil Usage
(y/n) Sampling2 (gal/month)
Total Flow TPH using method
(MG) 1664A SGT --HEM
(mg/1)
.153:
Total Suspended
Solids
(mg/0
1003
pH Total Event
(Standard Rainfall Duration
Units) (in)
6-93
Jan. -Jun. No Outfalls Exist
Jul. -Dec. No Outfalls Exist
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES NO
ET—
HAVE YOU CONTACTED THE REGION? YES ❑ NO r-1
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIIMIT
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 a re that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing
violatio
1/6/2016
(Signatu of Perm! e) (Date)
Permit ate: 1/1/2010 2/31/2014 I Last Revised 01-21-11
Page 2 of 2