NCG020199 DMR SW (2)

II ANNUAL SUMMARY DMR - STORMWATER II
SEND TO CENTRAL OFFICE*
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Repoij ALL STORM PVATER Monitoring Data on this form (including No Flow and No Discharge and Permit Lunrt Violations ) by MARCH I of each year
CERTIFICATE OF COVERAGE NO. NCG020199 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Gaston Quarry COUNTY: Gaston
PERSON COLLECTING SAMPLES: N/A PHONE NO. [phone]
CERTIFIED LABORATORY: PACE ANALYTICAL Lab #12 ADD TO LISTERVE? YES ❑ NO ❑ EMAIL:
Part A: Stormwater Monitoring Requirements
Outfall
No.
Date Sample In Tier 2
Collected Monthly
(mo/dd/yr OR Monitoring?
NO FLOW)' (/n)
# of Months in Total Flow
Tier 2 (MG)
Sampling
Total Suspended Total Event
Solids Turbidity4 Settleable Rainfall Duration
(mg/1) (NTU) Solids (ml/1) (in)
-
- -
- -
1003'4 See Footnote3'4 0.1 3
No SW Outfalls Exist
on Site
No SW Outfalls Exist
on Site
Gaston Quarry is inactive
IIf "NO FLOW" or "NO DISCHARGE," enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range
2Pei NCG02 Trer 2 Monthly Sampling shall be done until 3 consecutive samples aie below the benchmark or within the benclunark range
IIf a value is in excess of the benchmark, o outside the benchmark range (fo pH), you must implement the Tenn I or Tier 2 responses in the General Permit
4TSS benchmark values are 100 mg/l except in ORW, HWQ, trout, and PNA waters where they are 50 mg/1
5The discharge shall not cause an instantaneous measurement of the turbrdrty of the receiving water to exceed 10 NTU for freshwater streams, lakes, and reservors designated
as trout waters, 25 NTU for all lakes and reservors, 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/I/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/inonth on average
Outfall
No.
Date Sample In Tier 2
Collected Monthly # of Months in New Motor
(mo/dd/yr OR Monitoring? Tier 2 Oil Usage
NO FLOW)' (yhi) Sampling (gal/month)
-
Total Flow TPH using method
(MG) 1664A 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 (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]
YOUMUST SIGN THIS CERTIFICATION FOR ANYINFORMA TION 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 0 1 -21 -11
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