NCG020058DMR SW & WW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER
-_=-� - -== curs^ __ - n r� u=-- �� - 5 - "?�''_ _£=_� - =phi .{�--� r.-'' 4,- 71-i_
General Permit No. NCG020000
Calendar Year 2016
-_— Re ort=AL'L STO�RM\NNATEfi-m_Onito9n etas on-this fo�rrr,����inc_lude��No-Ftow 1 N:vLDislcih�a*Z:0�nd,,,B,en�e radar*.E�=
-- 14_-%t''E*eeeda�nces)frame the previous tate-10er yearto_the-P:E'Q by ARCH 1-of�each y=ear ' =_
Certificate of Coverage No. N0002:0.05'8
Facility Name. _Person QuarryC .�\.I
R
County: _Person JAN 3 2017
Phone Number: (919)_781-4550 Tot Ln o- ,s monitored _O
IN 11
Certified Laboratory_Pace Analytical Services, Inc. Lab#_JcN1 SECTION
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No r
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 //
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 ❑
No,turbidity benchmark exceedances did not require monthly monitoring ❑
Other 0
..
` ° Upstream . Downstream - New
' . Total- . TSS, . SS, = Turbidity,,, (U) Turbidity,' (D) Turbidity, Non-polar Motor Oil,
Outfall No. Rainfall, ,mg/i mill NTU NTU NTU, - . P&G, mgil Usage
-- .. ' , .inches = (VMA)` (gal/mo.)
StormwaterCircle Circle A t!A N/A >55 gal/mo
Ind,cateNO Benchmark Benchmark N/A !V P! average requires
L, FLOW i/ q 0.1 water Quality Water Quality 15 TSS and Non-polar
5 ei1C/7I a /f$ apphcabfe 1 OO/JO 50/25!1 O Standard applies Standard applies O&G monitoring
Date Sample --,° =w _ :-'-',,,„,':,,'*z--- T -in:,;-, y _ "z .-,,,,,,';',7 ,:-:,:," _ = _-
Collected, = _ "
mo/dd/yr- _',- a ` , .. ._ ,„ - - __ z , :?„ ,:.:::..] , ,„,-.1,- . y . , -,•!---:-2_ _
No
discharge
for 2016 '
Permit Date 10/1/2015-9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 0058
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 Z
�,�v`
Date 1/16/17 v
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
� __ ,�_S?,.n�,�'ov�.�'-=!��3•�i_"��'-`�S, --�":�:, -.a:L�d .A='-rte. __ �`,'�_ ��i'•;�' r;t T-T�n-ras�.�.ec L`�s`'u�'r3--- _�=���,rtr"?'��7!i.. ,2a':.�V F.'�m 9�'�„s'��
a 4'µ4.�'ng n of i;_�. .�.. e tii','.b” , "u"t`tea y , r," . _ .tkA _�v �'a' �.� , .a`r`t ,Aw,;. r'i , =�ar ;ti r,,:_`t- ;.. : 'Y ;
,,„ r ' . -7, ' s-u snrrr!T-_ -o C�Fnr,, ka$ ro F crE ,, ,. ),:.'' _r- _ 1,'� -ti
General Permit No. NCG020000
Calendar Year 2016
_ � i__ -_ _'`_-- -> - - - �,u --= ___-_ --�IPi _ ----lf�lpi\[rry '- ..DI;___ _ - ___- - 1p.A'�"� -- _
-,� �_. _-=_ ., ER:; oTiltorin�=,data•on this;forrm:19e1udie, ��N,c5-��Florvk�l N�oy�,,isc, atge, a� �� 0631*,040,x;,01*.i*
' Repo r�:.�'1LL;IJ��I�STJ�',W�I'�;f, _ �9- -�-_�-- - ( r. .._ ,� � �I�.,. --- �.�<,) ,
�i -- :,"-1W4 ,jhe_preVid,Cisca'IeerieW year to t'� EQ'�iy'1M9A R,C 11.6:e cisiYearn ': -_ ,' _s';'- '` _ 1
q:=hi
-Certificate of Coverage No. NCG•02-0058' _
Facility Name: _Person Quarry •
County: _Person
Phone Number: (919)_781-4550 Total no. of outfalls monitored _0
Certified Laboratory_Pace Analytical Services, Inc._ Lab# 67
Lab#
Wastewater(WW) Discharge Outfall No._
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No
Does this outfall discharge WW to SA waters? Yes ❑ No El
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No El
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No IZI
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout(Tr) designated waters? Yes ❑ No El
Were there any limit violations in the calendar year? Yes ❑ No El
- Fecal
Outfall No. Daily Flow 'pH, ,_TSS, , SS, 'Discharge Upstream Downstream Coliform,
Rate, cfs _ SU - mg/I - ml/I . Turbidity, (U) Turbidity, (D) Turbidity, col/100 ml
if applicable _ NTU - NTU, - NTU- -(SA)
Industrial Sand
HOW orORW freshwater
Effluent25/45 NOW,ORW, No Limit N/A NIA
50% HQW or ORW SA,SB,PNA,
of 6.0-9.0 ,
Limitations 7Q10 saltwater 20/30 or any Trout Circle Water Water Quality Water Quality wl/A
Quality Standard Standard applies Standard applies N
6.8-8,5 HOW or ORW 0.1'10.2 that applies.
; Mo.Aye 1 Daily Max Indicate NO FLOW and Tr or PNA 50/25/10
if applicable
10/15
Date Sample
Collected, _
mo/dd/yr - _ p _,- • = _ Q` A b`t;
No
discharge
for 2016 RECEIVED
JAN 2 3 2017
CENTRAL FILES
DWR SECTION
Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 0058
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 �"``��%
Date 1/16/17 U
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