NCG020007 DMR WW

ANNUAL. SUMMARY ARY
PROCESS-MINE/DEWATERING.& 'ASTEWATRR
GENERAL PERMIT NO. NCG020000
* Report All Wastewafer discharge nionito ing,data on`this form (including No Flow and`No Discharge and Permit Limit Violations) by ALARCHI of eacliyear. If
you have limit violations - ou,must also have turned in a Limi"t VivlatiotiDMR to;. our local Regional Office within 3Q. d s of receiving sam ie results from a lab.
CERTIFICATE OF COVERAGE NO. NCG02L SAMPLE OL ECTiO YEAR 20 1
FACILITY NAME: COUNTY:
PERSON COLLECTING SAMPLESi _ PHONE NO. M c 0 ) I CQ
CERTIFIED LABORATORY:.. Lab # " ADD TO LISTERVE? YES NO❑ EMAIL: .._. ..
Lair,#..
LIMITS VIOLATIONS? YES ❑ NO ❑ INDUSTRIAL SAND"' DISCHARGING TO SA WATERS49 ❑
Part A: Wastewater Monitorit Re uirements
50050 00530 x00400 : 04545 004a0: 31616` '
Date Sample
Total Total Suspended Turbidtty3 p Fecal Colifarrns
Outfall No: t i Se"ttleabfe-$oltds
Collected. Solids
`_ mrNdd/yr'
MG`tng/i NTU:' z rrrl/l Sti�ndard caUmla'
AID
922c
Z
Zo _
All mines must monitor WW iiischa ges for TSS. Only industrial sand -mine discharges are subject to TSS limits.
a If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 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 maybe 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.
a Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: l/1/2010-12/31/201Last Revised 01-05-10
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Part A.Gontinued: wastewater Monitoring Ke''auirements
MAIL ORIGINAL AND''ONE COPX'`OF TRISANNUAL SUMMARY (INCLUDING AIL "NO FLON'V" "NO DISC.L3A;RG)J"&'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
YOU MUST SIGN THIS CERTIFICATION FOR ANYLNFORMATIONREPORTED:
r'!'
ify, under penal of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
s e that qualif pe nn properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
t e persons ctly res o ble for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
war a there a , g ica enalties for submitting false information, including the possib' 'ty f fines and imprisonment for knowing violations."