NCG020005 DMR WW (3)

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR —WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2015
*Report ALL WASTEWATER monitoring data on this form (include "No Flow'T'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 0005
Facility Name: Belgrade Quarry
County. Onslow
Phone Number: [phone]
Certified Laboratory _Pace Analytical Services Inc.
Total no. of ou monitored _1
Lab #67 CE/VE D
Lab # FER 9 A ,,,
Wastewater (WW) Discharge Outfall No. _001
Daily Flow
Rate, cfs
CENTRA F/LES
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes Elmcno,
Discharge
Turbidity,
NTU
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No
Were there any limit violations in the calendar year?
Yes ❑
No
o.
Outfall No.
oQ `
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
ml/I
if applicable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
(SA)
Effluent
Limitations
Mo Ave I Daily Max.
HQW orORW
50% of
7Q10
Indicate NO FLOW
ifappbcable
freshwater
6.0-9.0
saltwater
6.8-8.5
Industrial Sand
25/45
HQW orORW
20/30
HQW or ORW
and Tr or PNA
10/15
HQW, ORW,
SA, SB, PNA,
or any Trout
0.1/0.2
No Limit
Circle Water
Quality Standard
that applies,
25/10
NIA
Water Quality
Standard applies
N/A
Water Quality
Standard applies
NIA
Date Sample
Collected,
12/17/2015
33.43
7.8
22.7
N/A
19
n/a
n/a
n/a
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2095

Certificate of Coverage No. NCG02 0005
CERTIFICATION
"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 submitted. 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 imprisonment for knowing violations."
[Required by 40 CFR §122.22]
Ir
Signature __1z
Date _2/3/16
w,
Mail Annual Summary Wastewater DMR to the, NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015