NCG020199 DMR SW

II ANNUAL SUMMARY DMR - STORMWATER II
SEND TO CENTRAL-- OFFICE*
STO"WATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
ReportALL STORMWATER Monitoring Data on this toren (including No Flow and No Discharge' and Pernut Lunit Violations) by MARCH I of each year
CERTIFICATE OF COVERAGE NO. NCG020199 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Gaston Quarry COUNTY: Gaston
PERSON COLLECTING SAMPLES: N/A PHONE NO. [phone]
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A Stonnwater M nitoring Re uirements
Outfall
No.
Date Sample In Tier 2
Collected Monthly # of Months in Total Flow
(mo/dd/yr OR Monitoring? Tier 2 (MG)
NO FLOW)' /n) Sampling
Total Suspended Total Event
Solids Turbidity4 Settleable Rainfall Duration
(mg/1) (NTU) Solids (ml/1) (in)
-
- - - -
1003'4 See Footnote 3,4 0.13
No SW Outfalls Exist
on Site
No SW Outfalls Exist
on Site
Gaston Quarry is inactive
If "NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range
2Pei NCG02 Tier 2 Monthly Sampling shall be done until 3 consecutive samples aie below the benchmark m within the benchmaik range
IIf a value is in excess of the benchmaik, or outside the benchmaik range (foi pH), you must implement the Teu• 1 or Tiei 2 iesponses in the General Permit
4TSS benchmaik values are 100 nig/I except in ORW, HWQ, trout, and PNA wateis where they aie 50 mg/1
5The discharge shall not cause an instantaneous measurement of the tubidity of the receiving water to exceed 10 NTU for fieshwater streams, lakes, and ieservois designated
as trout waters, 25 NTU foi all lakes and reservois, and all salt water, 50 NTU foi all other streams and surface waters Turbidity may be monitored at the SDO
Alternatively, the pennittee may choose to monitor nubidity in the receiving water, duectly upstieam and downstream of the SDO
Permit Date 1/1/2010-12/31/2014 Last Revised 01-21-11
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Part A. Vebicle 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) Sampling (gal/month)
-
Total Flow TPH using method
(MG) 1664A SCT -HEM
(mg/1)
- 15 3
Total Suspended
Solids
(mg/1)
100 3
pH Total Event
(Standard Rainfall Duration
Units) (in)
6-9 3
N/A
N/A
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]
YO U 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 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing
violations." .,n
2/15/16
(Signature of Permittee) (Date)
Permit Date I/1/2010-12/31/2014 Last Revised 01-21-11
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