NCG020676 DMR WW (3)

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER-
SUBMIT`TO-cE TRArL.O,F F c' _
'::_- __-!
General Permit No. NCG020000
Calendar Year_2016
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Certificate of Coverage No. NCGO2 0676
CERTIFICATION
"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 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 penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR§122.22]
Signature 4 jj-4—'
Date 1/16/17,
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct- Central Files is housed in DWR(not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015-9/30/2020
Last Revised 10-2-2015

)
4 - A ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
r- '- __— �y y,- t k,��,py !F A i- — {per_-�i_- _— _ S}
General Permit No. NCG020000
Calendar Year 2016
-_---F'e ,oirk-ALL,STORMW`ATE,R-mitn1torin. Fdatfa-on this Botnalincl,u,d'e Ngo Elow 1 Ido_Dischrarg'e, ,, i13:1,0nchmi,ark
_, - -_-- Exceeda,nces freamtthe previous c6lendar_= ear to,the _EQ b; ikilARC/-I_I of each,year*`� = _ ,7-_-- j
Certificate of Coverage No. NCGO2 0676 JAN 2 3 2017
Facility Name: _Cumberland Quarry
CENTRAL F-]LES
County: _Cumberland MLR SECTION
Phone Number: (910)_495-1440 Total no. of SDOs monitored _0
Certified Laboratory_Pace Analytical Serivces Lab#_67
Lab#
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No /1
Was this outfall ever in Tier 2 during the past year? Yes ❑ No r
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency 0
Yes, received approval from DEMLR to reduce monitoring frequency 0
No,turbidity benchmark exceedances did not require monthly monitoring 0
Other 0
- Upstream . Downstream . ° New
, Total TSS, SS, ° Turbidity, (U) Turbidity,, '(D) Turbidity; -Non-polar- Motor Oil
:Outfall No., Rainfall, mg/l_ mill _ NTU - NTU: ° ° NTU. O&G, mg/I:° Usage
° inches-_' ° T , , (91MA) ° . , (gal/mo.)
Circle Circle N/A N/As55 gal/mo
Stormwater Indicate NO Benchmark Benchmark average requires
FLOW if ry tt�� q Water Quality Water Quality 15 TSS_and Non-polar
Benchmarks applicable 1®a/5N 0'1 01251 10 Standard applies Standard applies O&G monitonng
'Date-5,, ;;;:t..44:::::7,--;,':; - :1„ - ,:',,;:;4:4,i'-:,-,1: .. ° -
Collected, _ _ _
„_ � - z. z; _ - -
• mo/dd/yr' : __ - __ . . _ �e :: _ ' „ n _. ° _ .= . . 4:t- ,it•, '‘.---',-it,,
No discharge
for 2016
Permit Date 10/1/2015-9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 0616' A
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (500) No. VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No /A
Was this outfall ever in Tier 2 during the past year? Yes ❑ No IZ
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency 0 _
Yes, received approval from DEMLR to reduce monitoring frequency 0
No,turbidity benchmark exceedances did not require monthly monitoring 0
Other 0
. Upstream Downstream New
Outfall No. Total TSS, SS, Turbidity, (U) Turbidity, (®)Turbidity, Non-polar Motor Oil,.
Rainfall, mg/I mI/I NTU NTU, NTU' O&G, mg/I Usage
inches (VMA) _ (gal/mo.)
Stormwater
Circle Circle N/A N/A >55 gal/mo
indicate NO Benchmark Benchmark
Benchmarks FLQWif 100/50 0.1 50125/1 WaterQualit WaterQualit 1 average Non-polar Y i TSS and Non- ng
aprlica6le Standard applies Standard applies O&G monitoring
Date=Sample = _ _ = d _ _
Collected, - a _ ;
mo/dd/yr m° , � ,
No discharge
for 2016
Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

5
Certificate of Coverage No. NCGO2 0676
' Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency 0
Yes, received approval from DEMLR to reduce monitoring frequency 0
No,turbidity benchmark exceedances did not require monthly monitoring 0
Other 0 -
Upstream Downstream New
Total " TSS, SS, Turbidity,' (U) Turbidity, (0)'Turbidity, Non-polar Motor Oil
Outfall No. Rainfall, mg/I ml/l NTU NTU NTU O&G, mg/I Usage
inches (VMA) (gal/mo.)
Stormwater Indicate
Circle N/A N/A >55 gal/mo
Indicate NO Benchmark Benchmark �V average requires
Benchmarks FLOW,f 100/50 0.1 50/25/10 Water Quality Water Quality 15 TSS and Non-polar
applicable Standard applies Standard applies O&G monitoring
Date Sample
Collected,
mo/dd/yr . , : e
Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 0676`
CERTIFICATION
"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 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 penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR§122.22)
Signature 47-•"--iair.-4-9,--___Date 1/16/17
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct- Central Files is housed in DWR(not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015-9/30/2020
Last Revised 10-2-2015