NCG020045 DMR SW (2)

II ANNUAL SUMMARY DMR - STORMWATER II
SENT) TO CENTRAL OFFICE*
STO"WATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
^Report ALL STORMWATER Monttoxii g Bata on tlu's form (including No Flow and No Dzsoharge and Penna Lrrnrt Violations) by MARCf(l of each yeas
CERTIFICATE OF COVERAGE NO. NCG020045 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Arrowood Quarry COUNTY: Mecldenburg
PERSON COLLECTING SAMPLES: John Smith PHONE NO. [phone]
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A• Stonnwater Mon itoi mg Requirements
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly # of Months in Total Flow
Monitoring? Tier 2 (MC)
/n) Sampling
Total Suspended Total Event
Solids Turbidity4 Settleable Rainfall Duration
(mg/1) (NTU) Solids (ml/1) (in)
-
-
- - -
1003'4 See Footnote 3,4 0.1 3
Basins 11,12,13,&14
No Discharge
1/1/15-6/30/15
Basins 11,12,13414
No Discharge
7/l/15-12/31/15
I If "NO FLOW" of "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" fol each outfall hese and the Date Range
2Per NCG02 Tiei 2 Monthly Sampling shall be done until 3 consecutive samples ate below the benchmaik of within the benchmaik range
31f a value is in excess of the benchmark, or outside the benchmaik range (fol pH), you must implement the Teir 1 or Trer 2 responses in the Genetal Permit
4TSS benchmaik values aie 100 mg/1 except in ORW, HWQ, lout, and PNA waters where they aie 50 mg/1
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed 10 NTU for freshwatei sueams, lakes, and tesei vois designated
as trout waters, 25 NTU for all lakes and ieservois, and all salt water, 50 NTU for all other streams and surface waters Tuibidity may be monitored at the SDO
Alternatively, the peimtttee may choose to monitor turbidity in the receiving water, directly upsneam and downstream ofthe SDO
Penna Date 1/1/2010-12/31/2014 Last Revised 01-21-11
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Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since fling the last discharge monitoring report. I further certify that this facility Is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution
Prevention Plan."
Name (Print name)
Title (Print title) /
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PqL, Non -detect, ND, or other similar non,numerical
format. When results are below the applicable limits, they must be reported in the format "<XX mg1V where XX is the numerical value ofthe.detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
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Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES []NOR
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 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 submitted. 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 ppalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
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