NCG020202 DMR SW

ANNUAL SUMMARY DMR - STORMWATER
t , SEND TO � (7 , T'RAL OFFICE *.. °
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
$eporfAEL STORLYIWATER Monitoring Data,on this form (including No,Flovt; 'and IVa Discharge, and Pernnl"Lvnit ,Vaolataons) by MARCli,I, of each °year
CERTIFICATE OF COVERAGE NO. NCG020202 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Matthews Quarry COUNTY: Mecklenburg
PERSON COLLECTING SAMPLES: Tom Neely PHONE NO. [phone]
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(/n)
# of Months in
Tier 2
Sampling
Total Flow
(MC)
Total Suspended
Solids
(mg/1)
Turbidity4 Settleable
(NTU) Solids (ml/1)
Total
Rainfall
(in)
Event
Duration
-
-
-
-
-
1003'4
See Footnote 3,4
0.1 3
Outfall 003 Basin 31
Jan - No Flow
Yes
1
Outfall 003 Basin 31
2/10/15
Yes
2
0 034
424
69 5 U / 74.8 Dn
0.5
12
Outfall 003 Basin 31
3/27/15
Yes
3
0.049
2130
960
075
24
Outfall 003 Basin 31
4/17/15
Yes
4
0 034
204
62 2 Up/ 78.0 Dn
05
24
Outfall 003 Basin 31
May - No Flow
Yes
5
Outfall 003 Basin 31
June - No Flow
Yes
6
Outfall 003 Basin 31
Jul - No Flow
Yes
7
Outfall 003 Basin 31
8/19/2015
Yes
8
0.101
35.00
45 4 Up/ 46.6 Dn
1 5
12
Outfall 003 Basin 31
9/25/2015
Yes
9
0 067
33 60
24.0 Up/ 18 6 Dn
1
24
'It "NO FLOW" of "NO DISCHARGE," entei "NO FLOW" of "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 benchmaik of within the benchmaik range
31f a value is in excess of the benchmaik, or outside the benchmaik iange (for pH), you must implement the Tenn 1 or Tier 2 iesponses in the General Permit
4TSS benchmaik values aie 100 mg/1 except in ORW, HWQ, trout, and PNA wateis where they are 50 mg/1
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed 10 NTU for freshwatei streams, lakes, and ieservois designated
as trout wateis, 25 NTU for all lakes and reservois, and all salt water, 50 NTU for all other streams and surface wateis Turbidity may be monitored at the SDO
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO
Permit 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
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) I664A SGT -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? YES ❑ NO ❑
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY QNCLUDING 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 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."
(Signature of Permittee)
Permit Date- 1/1/2010-12/31/2014
(Date)
2/15/16
Last Revised 01-21-11
Page 2 of 2