NCG020701 DMR WW (2)

ANNUAL SUMMARY DMR -WASTEWATER � PDX i -
PROCESS
SEND .TO CENTRAL OFFICE*
MINE/DMATERING WASTEWATER 5'
GENERAL PERMIT NO. NCG020000
*Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge .and Permit Limit Violations) -by MARCH 1 of each year. If
you have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving sample results from a.lab.
CERTIFICATE OF COVERAGE NO. NCG02 ©_:- a / SAMPLE COLLECTION YEAR: 1657
FACILITY NAME: 13014mrK A xi o lf% 5,4fw 66 COUNTY: dU AP4 rVC kr
PERSON COLLECTING SA LES: R. 4b* -am* PHONE NO. (75-A
CERTIFIED LABORATORY: _ - l/ UcA L✓' Lab # 1)A—QCV ADD TO LISTERVE? YES' ❑ NO❑ EMAIL: RA4ra [.D �d/WS OF 1¢01-1697
Lab #
LIMITS VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
INDUSTRIAL SAND19 ❑ DISCHARGING TO SA WATERSQ? ❑
Date Sample
Outfall No. 1
Collected
50050
Total Flow
00530 00400-, 00545 004061 '` 31616 "
Total Suspended Turbidity
Settleable Solids' pH,,'- Fecal-C61iforms
Solids'-,
- mm/dd/yr
MG
mg/1112 NTU2'3 ml/12 `_-,Standard2 - __ : V -- col/n&4
�ml o F o 0
�r4-
PLUS Tit'
' All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject -to TSS -limits.
2 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 may be 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.
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1/1/2010-12/31/2014 Last Revised 01-05-10
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Part A Continued: Wastewater Monitorim Requirements
Date Sample
Outfall No. 1
r Collected
50050 00530 00400 00545 00400 31616
Total Flow Total Suspended Turbidity3-
1 Settleable Solids, -pH Fecal'Coliforms
Solids
- mm/dd/yr
MG mgnl,2 NTU2,3 mW Standard2 coUm12,4
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
YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMATION 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 submitted. Based on my inquiry of the person or persons -who manage:the system, or
those per ns directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am a that t enalties for submitting false information, including the possibility of Imes and imprisonment for knowing violations."
/!
rnat Permittee) (Date)
Permit Date: 1/1/2010-12/31/2014 Last Revised 01-05-10
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