NCG020044 DMR SW

II ANNUAL SUMMARY DMR - STORMWATER II
SEND TO CENTRAL OFFICE*
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORNIPVATER Monitoring Data on thus form (including No'Flow• and No Discharge and Perinrf Luno Violations) by MARCII I of each vear
CERTIFICATE OF COVERAGE NO. NCG020044 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Kings Mountain Quarry COUNTY: Cleveland
PERSON COLLECTING SAMPLES: Jimmy Hatzi PHONE NO. [phone]
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A. Stonnwater Monitoring Requirements
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly # of Months in Total Flow
Monitoring? Tier 2 (MG)
(y/n) Sampling
Total Suspended Total Event
Solids Turbidity° Settleable Rainfall Duration
(mg/1) (NTU) Solids (mUl) (in)
-
-
- - -
1003'4 See Footnote 3,4 0.13
Outfall 003
No Discharge
1/1/15-6/30/15
Outfall 003
No Discharge
7/l/15-12/31/15
I If "NO FLOW" or "NO DISCHARGE," entei "NO FLOW" of "NO DISCHARGE" foi each outfall here and the Date Range
'Pei NCG02 Tier 2 Monthly Sampling shall be done until 3 consecutive samples aie below the benchmaik or within the benchmark range
3 i a value is in excess of the benclimaik, of outside the benchmaik range (fol pH), you must implement the Teir 1 or Tier 2 iesponses in the General Permit
4TSS benchmaik values aie 100 mg/I except in ORW, HWQ, trout, and PNA wateis wheie they are 50 mg/I
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving watei to exceed 10 NTU for freshwater streams, lakes, and ieservois designated
as trout waters, 25 NTU foi all lakes and ieservois, and all salt water, 50 NTU foi all other streams and surface waters Tuibidity may be monitored at the SDO
Alternatively, the permittee may choose to monitor turbidity in the receiving watei, duectly upstream and downstream of the SDO
Peimit Date 1/1/2010-12/31/2014 Last Revised 01-21-11
Page 1 of 2

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)'
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 SGT -HEM
(mg/0
- 153
Total Suspended
Solids
(mg/1)
1003
pH Total Event
(Standard Rainfall Duration
Units) (;n)
6-93
N/A Comm led Water
N/A Commgled Water
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]
YOU 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 N
2/15/16
(Signature of Permittee) (Date)
Penmt Date I/1/2010-12/31/2014 Last Revised 01-21-11
Page 2 of 2