NCG140122_DMR_20200420

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2020
*Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 0 n 2 2
Facility Name: S.T. Wooten Wilson Concrete
County: Wilson
Phone Number: (252 )290-5912 Total no. of SDOs monitored 1
Certified Laboratory Microbac Lab # 11
Lab #
Stormwater Discharge Outfall (SDO) No. 1 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 0
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 D
Other ❑
Non-polar O&G
Total (EPA Method New Motor Oil
Total Rainfall, Suspended pH, 1664Usage (gal/mo.)
Outfall No. inches Solids (TSS), (SGT-HEM)),( ) SU mg/I (VMA) If applicable
mg/I If applicable
Stormwater Circle Benchmark
Indicate NO FLOW if 100/50 6.0-9.0 15 >55 gallmo.average requires TSS and
Benchmarks applicable Non-polar O&G monitoring
Date Sample
Collected,
mo/dd/yr rff
01-15-2020 1 8.50mg/I 8 NA NA
RE(3F 'C
APR 2 0 2020
CCNTRi,L
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Permit Date 8/1/2017- 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 0 1 2 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 4
Date 03-17-2020
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 8/1/2017—6/30/2022
Last Revised 8-22-2015