NCG140292_DMR_20210329

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER NC D
SUBMIT TO CENTRAL OFFICE* Rece vedQuality
General Permit No. NCG140000 MAR 29 2021
Calendar Year 2020 Winston-Salem
'Report ALL STORMWATER monitoring data on this form (include "No Flow"if"No Disch rge 6Achmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14
Facility Name: ccl-Edwardia Plant
County: Guilford
Phone Number: 33( 6 ) 996-2841
Certified Laboratory Research and Anallytical
Lab # 402
Lab #
Total no. of SDOs monitored 2
Stormwater Discharge Outfall (SDO) No. 001 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
Yes, received approval from DEMLR to reduce monitoring frequency l]
Other ❑
Outfall No.
coy
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m /l
pH,
SU
Non -polar O&G
(EPA Method
1664 (SGT-HEM)),
mgll (VMA)
napplicaele
New Motor Oil
Usage (gal/mo.)
llappricabie
Stormwater
Benchmarks
indicate NO FLOWir
applicable
Circle Benchmark
100/50
6.0-9.0
15
>55 gallmo. average re,ulas TBS and
Non -polar O&G moniloring
Date Sample
Collected,
mo/dd/yr
1/1412020
NO FLOW
6/5/2020
NO FLOW
9/30/2020
NO FLOW
11/30/2020
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 0❑ 2❑ 9❑ 2❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 002 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 ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
mg/I
pH,
SU
Non -polar O&G
(EPA Method
1664 SGT-HEM))'
mg/l (VMA)
gapplicable
New Motor Oil
Usage (gal/mo.)
Mapplicable
Stormwater
Benchmarks
Indicate NO FLOW A
applicable
Circle Benchmark
100/50
6.0-9.0
15
>55 gallmo. average requires TSS and
Non -polar 08G monitoring
Date Sample
Collected,
mo/dd/yr
1/1412020
NO FLOW
6/5/2020
NO FLOW
9/30/2020
NO FLOW
11/30/2020
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 1219❑ 2❑
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 (/�tC
Date 3
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 8l1/2017 — 6/30/2022
Last Revised 8-22-2015