NCG020096_DMR_20210203

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ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMRI — WASTEWATER
General Permit No. NCG020000
Calendar Year 2020
'Report ALL WASTEWATER monitoring data on this form (include "No Flow"PNo Discharge" and Limit Violations) from the previous calendar year to the
DEQ by MARCH 1 of each year.
Certificate of Coverage No. NC6020096
Facility Name: Salem Stone Quarry
County: 336-375-7584
Phone Number: Forsyth Total No. of Outfalls Monitored 1
Certified Laboratory Pace Analytical Lab N 663
Lab N
Wastewater (W W) Discharge Outfall No. 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes NoNXDoes this outfall discharge W W to SA waters? YoDoes this outfall discharge W to SB or PNA waters? Yes
W NoDoes this outfall discharge W to HQW or ORW waters? Yes No W
If so, what is the 7Q10 flow rate? NA or Tidally influenced waters, 7Q10 not available
Does this outfall discharge W W to Trout (Tr) designated waters? Yes a No
Were there any limit violations in the calendar year? Yes No LLJ
C E 1 G H F
Outfall No. 1
Daily Flow
Rate, cfs
pH, SU
TSS, mgll
SS, m01
n..wr,.
Discharge
Turbidity, NTU
Upstream (U)
Turbidity,
NTU
Downstream (D)
Turbidity, NTU
Fecal Collform,
calif ml
(SA)
Effluent
Limitations
.No.A,,1Deily
Alan
Date Sample
Colleted, moldd/yr
2/5/2020
HOW or ORW
50% of7 IO
Indicate NO FLOW if
spPlirabie
0.49
Frmhwter&0
9.OSalnrater
6.8-8.5
7.4
Industrial Send 25/45
HQW'or QRW20130
uQWor OR\Vand Tr
or PNA 10/15
13.4
IIQW'ORW,
SA, Sa, PNA or
an v Trout
0.1/0.2
<0. 10
No Limit.,— ..
o�+a v.,eawsw..
60/25/10
20.2
N/Avw..o.m.,
suw�e.ow..
N/A
.n,...
N/A'
6262020
0.33
7.4
13.2
<0. 10
8.5
7/17/2020
0.33
7.0
T8
<0.10
4.1
Permit Date 10/712015 — 9/30/2020-
Last Revised 10-2-2015

Certificate of Coverage No. NCG020096
CERTIFICATION
"I cergfy, 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, We, 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."
tRequlreC by 40 CFR §122.221
Signature (3441
Cate 2/3/2021
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