NCG140392_DMR_20210329

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER NC De artmpnt qq
Lttvtlun �nial quality
SUBMIT TO CENTRAL OFFICE* Received y
General Permit No. NCG140000 MAR 2 9 2021
Calendar Year 2020
*Report ALL WASTEWATER monitoring data on this form (include "No Flow"/"No Discharge" oL i uNii lateons)from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 0 3 9 2
Facility Name: Winston-Salem
County: Forsyth
Phone Number: (336 )996-2841 Total no. of outfalls monitored 1
Certified Laboratory Research &Analytical Lab Lab #
Lab #
Wastewater (WW) Discharge Outfall No. 001
Does this outfall discharge WW to SA waters? Yes ❑ No �✓
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ✓❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ✓❑
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 ✓❑
Were there any limit violations in the calendar year? Yes ❑ No ✓❑
Outfall No. Daily Flow Rate, pH, TSS, SS, Non-Polar O&G (EPA Method 1664
001 cfs SU mg/I mI/I (SGT-HEM)), mg/I
if applicable
Standard
HOW or ORW freshwater 30 HOW,ORW,SA,
Effluent 50% of 7Q10 6.0-9.0 How SB,PNA,or any No Limit
Limitations 20 Trout
Indicate NO FLOW d saltwater Samples above Benchmark
5
applicable HOW/ORW and Tr,or subject to Tiered Responses
Daily Maximum
6.8-8.5 PNA 15
10
Date
Sample
Collected,
mo/ddlyr
3/27/2020 NO FLOW
6/26/2020 NO FLOW
9/30/2020 NO FLOW
12/31/2020 NO FLOW
Permit Date 8/1/2017—6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 onn 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] n
•
SignatureQyt.A.A:cde ,/JO/L.. ' / �i�
Date j—i-04
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 8/1/2017—6/30/2022
Last Revised 8-22-2017