NCG020170 DMR SW (2)

II ANNUAL SUMMARY DMR - STORMWATER II
SEND TO CENTRAL OFFICE
STO"WATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
"Report ALL STORUNIA TER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by_MA,RCH I of each Year-
CERTIFICATE
_eaY_
CERTIFICATE OF COVERAGE NO. NCG020170 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Rocky River Quarry COUNTY: Cabarrus
PERSON COLLECTING SAMPLES: Tom Neely PHONE NO. [phone]
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A Storinwater Monitoring Requirements
Date Sample
Outfall Collected
No. (mo/dd/yr OR
NO FLOW)
In Tier 2
Monthly # of Months in Total Flow
Monitoring? Tier 2 (MG)
(hi) Sampling
Total Suspended Total Event
Solids Turbidity Settleable Rainfall Duration
(mg/1) (NTU) Solids (ml/1) (in)
- -
- - -
1003'4 See Footnote3,4 0.1 3
No SW Outfalls Exist on Site
Rocky River Quarry is inactive.
rlf "NO FLOW" of "NO DISCHARGE," enter "NO FLOW" of "NO DISCHARGE" for each outfall lieie 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
31f a value is in excess of the benchmaik, of outside the benchmaik range (for pH), you must implement the Ten 1 or Tier 2 responses in the General Permit
4TSS benchmaik values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/1
5The discharge shall not cause an instantaneous measurement of the turbidity of the ieceivmg water to exceed 10 NTU for fieshwater sheams, lakes, and reservois designated
as trout waters, 25 NTU for all lakes and ieservois, and all salt water, 50 NTU for all other streams and surface waters Turbidity may be monitored at the SDO
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstieam of the SDO
Permit Date 1/1/2010-12/31/2014 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
Date Sample
Outfall Collected
No. (mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in
Tier 2
Sampling
New Motor
Oil Usage
(gal/month)
Total Flow TPH using method
(MG) 1664A SCT -HEM
(mg/1)
Total Suspended
Solids
(mg/0
pH Total Event
(Standard Rainfall Duration
Units) (in)
- - 15 3 100 3
6-9 3
N/A Comm led Water
0
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 1 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."
2/15/16
(Signatur'e'of Permittee) (Date)
Penmt Date 1/1/2010-12/31/2014 Last Revised 01-21-11
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