NCG020135 DMR SW

II ANNUAL SUMMARY DMR - STORMWATER II
VENP
STO"WATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
Rt po'rC ALL STOR 1lYYATER Moi}rtonng Data, on`this form (mcfddtngNo Flow and No Discharge and Pcrmit Lunit Vaolatzons )'by MARCH, :I,of'each.year
CERTIFICATE OF COVERAGE NO. NCG020135 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Bessemer City Quarry COUNTY: Gaston
PERSON COLLECTING SAMPLES: Ronald Borum PHONE NO. [phone]
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A Ctnrmwnter Mnnitnrmv Remnrementc
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly # of Months in Total Flow
Monitoring? Tier 2 (MG)
(/n) Sampling2
Total Suspended Total Event
Solids Turbidity4 Settleable Rainfall Duration
(mg/1) (NTU) Solids (ml/1) (in)
-
-
- - -
1003'4 See Footnote 3,4
0.1 3
Outfall 003
No Discharge
1/1/15-6/30/15
Outfall 003
No Discharge
7/1/15-12/31/15
'If "NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range
2Per NCG02 Tier 2 Monthly Sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark Lange
'If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Terr 1 or Tier 2 responses in the General Permit
4TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/I
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed 10 NTU for freshwater streams, lakes, and reservors designated
as trout waters, 25 NTU for all lakes and reservors, and all saltwater, 50 NTU for all other streams and surface waters Turbidity maybe monitored at the SDO
Alternatively, the permittee may choose to momtor turbidity in the receiving water, directly upstream and downstream of the SDO
Permit Date I/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 oil/month on average
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)i
In Tier 2
Monthly # of Months in
Monitoring? Tier 2
(y/n) Sampling
New Motor Total Flow TPH using method Total Suspended pH Total Event
Oil Usage (MG) I664A SGT -HEM Solids (Standard Rainfall Duration
(gal/month) (mg/1) (mg/1) Units) (in)
- - 153 1003 6-93
Outfall 002
No Discharge
Outfall 002
No Discharge
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑ NO ❑
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]
YOUMUST SIGN THIS CER TIFICA TION FOR ANY INFORMA TION REPOR TED:
"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
violations." ,,)
0�-®��/ " ® N- 2/15/16
(Signature 'of Permittee) (Date)
Permit Date 1/1/2010-12/31/2014 Last Revised 0 1 -21 -11
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