NCG160133_DMR_20191031

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2019
Revised 9/17/2014
General Permit No. NCG160000
Certificate of Coverage No. NCG 16 0 1 3 3
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name: Piedmont Asphalt, LLC - Pelham Plant
County: Caswell
Phone Number: (434 ) 799-4151 Total no. of SDOs monitored 1
Part A. Outfall No. 001 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes n No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency n
Other n
00530
Total Rainfall,
Outfall 001 inches TSS, mg/L
Benchmark N/A 50/100
Date Sample Collected,
mo/dd/yr
12/17/18 0.04" 3.0 mg/L
06/21/19 1.40" 38.5 mg/L
Page 1

Part B. On-Site Vehicle Maintenance Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes (1 No n
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes E No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency
Received approval from DEMLR to reduce monitoring frequency Li
Other
00530 00556
Outfall Total Rainfall, TSS, mg/L Non-polar Oil &
inches Grease, mg/L
Benchmark N/A 50/100 15
Date Sample Collected,
mo/dd/yr
Page 12

"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."
Signature cam yi4
Date 10/31/19
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office [phone]
Fayetteville Office [phone] , 1,, r, ',al gh
Mooresville Office [phone] I
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Raleigh Office [phone] -
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Washington Office ...[phone] ;, . ,a 4.?
Wilmington Office [phone] t
Winston-Salem [phone] f`F, ' "'��°`
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ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa,NC 28778 Systel Building Suite 714 Mooresville,NC 28115
[phone] Fayetteville,NC 28301-5043 [phone]
[phone]
RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFIC rr WILMINGTON REGIONAL OFFICE
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh,NC 27609 Washington,NC 27889 Wilmington,NC 28405-2845
[phone] [phone] [phone]
MEM
585 Waughtown Street
Winston-Salem,NC 27107
[phone]
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