NCG020070 DMR SW (2)

II ANNUAL SUMMARY DMR - STORMWATER II
SEND TO CENTRAL OFFICE
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMPVA TER Momtoung Data on this form (including No Floiv and No Dische ge and Permit Linut Violations) by MARCH 1 of each year
CERTIFICATE OF COVERAGE NO. NCG020070 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Bakers Quarry COUNTY: Union
PERSON COLLECTING SAMPLES: Tom Neely PHONE NO. [phone]
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES ❑ NOD EMAIL:
Part A• Stonnwater Momtorine Requirements
Date Sample
Outfall Collected
No. (mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly # of Months in Total Flow
Monitoring? Tier 2 (M G)
/n) Sampling
Total Suspended Total Event
Solids Turbidity4 Settleable Rainfall Duration
(mg/1) (NTU) Solids (ml/1) (in)
- -
- - -
1003'4 See Footnote 3,40.1 3
Basin E No Discharge
1/1/15-6/30/15
Basin E No Discharge
7/1/15-12/31/15
ilf "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
IIf a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tetr I 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 50 mg/1
5The discharge shall not cause an instantaneous measurement of the tuibidity of the receiving water to exceed 10 NTU for freshwater streams, lakes, and reservois designated
as trout waters, 25 NTU for all lakes and reservots, 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
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) Sampling2 (gal/month)
-
Total Flow TPH using method Total Suspended
(MG) 1664A SCT -HEM Solids
(mg/1) (mg/1)
- 153 1003
pH Total Event
(Standard Rainfall Duration
Units) (in)
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? YES ❑ NO ❑
WHO AT THE REGION HAVE YOU SPOKEN WITH?
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-tl at there are significant penalties for submitting false information, including the possibility of fines and imprisionment for knowing
violations." // ,57
(Signature of/Permittee)
PeunitDate 1/1/2010-12/31/2014
(Date)
2/15/16
Last Revised 01-21-11
Page 2 of 2