NCG020273 DMR WW

11 ANNUAL SUMMARY DMR - WASTEWATER 11
SEND ,TO CENTRAL -_OFFICE
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
RECEIVE®
MAR 11 2015
CENTRAL FILES
DWR SECTION
Report All Wastewater discharge, monitoring data on this form.(including No Flow and No Discharge and Permit Limit ,Violations) by MARCH 1 of each year. If
you have limit violations, youmust also have turned in a Limit Violation DMR to your locale Regional-Offlcewithin 30, days ofreceiving sample results from a lab.
CERTIFICATE OF COVERAGE NO.y SAMPLE COLLECT GIQN TEAR: -,7-0 r y
FACILITY NAME: (UlUA fo i NE i r . COUNTY: r (��e �/
PERSON COLLECTING SAMPLES: vi 'W . oK PHONE NO. Zg (p 1�/2 3
CERTIFIED LABORATORY: �?„.x wn. s, Lab # / Sy ADD TO LISTSERVE? YES NO EMAIL:r.Co [An ��• r1. cw �.
J*J dro&r Oo��� o�� Lab #
LIMIT VIOLATIONS? YES L NO
Part A: Wastewater Monitorine Requirements
INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATERS"? ❑
Outfall No.
Date Sample
- Collected
Total Suspended
Total Flow Solids'
Turbidity3
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG mg/l '
NTU '3
MIA2
Standard
eol/ml '
Q.0 0.0
-7 -LI
L®.
0
01091 Ol I /Y
9.7
< 0.1
•%
f
01
0f 2,2
d. 0720 0.0
2.7
6q
01
N-114
0• -20 .0
1.2-
-IS
1 All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1/1/2010-12/31/2014 Last Revised 02-02-11
Pagel of 2

Part A i nutiuued: Wastewater Monitoring Reouirements
r
Outfall No. Date Sample
Collected
Total Flow Total Suspended Turbidity3
Solids
Settleable Solids pH Fecal Coliforms
- mm/dd/yr
MG mg/1 ' NTUZ'3
ml/I Standard 2col/ml '
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 ANYINFORMATION REPORTED:
"I certifAre
under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assurealified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
thosedirectlF(reo sable for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
Iamaat thernificantpenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
3 191i
(Date)
Permit Date: 1/1/2010-12/31/2014 Last Revised 02-02-11
Page 2 of 2