NCG020535 DMR SW (3)

II ANNUAL SUMMARY DMR - STORMWATER II
SEND TO CENTRAL OFFICE*
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year
CERTIFICATE OF COVERAGE NO. NCG020535
FACILITY NAME: Wilson Quarry
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #67
Part A: Stormwater M itoring Requirements
SAMPLE COLLECTION YEAR: 2015
COUNTY: Wilson
PHONE NO. 252-293-7841
ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
;y
Date Sample In Tier 2
Outfall Collected Monthly
No. (mo/dd/yr OR Monitoring?
NO FLOW)' /n
# of Months in Total Flow
Tier 2 (MG)
Sampling2
Total Suspended Total Event
Solids Turbidity4 Settleable Rainfall Duration
(mg/1) (NTL)) Solids (ml/1) (in)
- - -
- -
1003'4 See Footnote 3,40.1 3
No discharge for 2015 N
N/A
Legend: ND = Not detectable, N/A = Notapplicable
'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 range
3 I a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Teir 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 56 mg/1
SThe discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed 10 NTU for freshwater streams, lakes, and reservois designated
as trout waters, 25 NTU for all lakes and reservois, 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 downstream of the SDO
Permit Date 1/1/2010-12/31/2014 Last Revised 01-21-11
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Part A: Continued: Wastewater Monitoring Requirements
Outfall No. Date Sample Total Flow Total Suspended Turbidity' Settleable Solids pH Fecal Coliforms
Collected' Solids'
mm/dd/ r MG m 1''Z NTU2'3 ml/IZ Standard col/M12,4
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 ANYINFORMATIONREPORTED:
"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."
gnature of Permittee)
2/3/16
(Date)
PermitDate 1/1/2010-12/31/2014 Last Revised 0 1 -21 -11
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