NCG020463_DMR_ 20210205

DocuSign Envelope ID: 8B63BO56416149FF-BD80-B881D38B2D50
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2020
"Report ALL STORMWATER monitoring data on this form (include "No Flaw"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: Fogleman and Fogleman LCID and Mine
County: Durham
Phone Number: (919 ) 682-0068 Total no. of SDOs monitored
Certified Laboratory Pace Analytical Lab# 37738
Lab #
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
❑
RECEIVED
Yes, received approval from DEMLR to reduce monitoring frequency
❑
FEB 15 2021
No, turbidity benchmark exceedances did not require monthly monitoring
❑
CENTRAL FILES
Other
❑
nwR SECTION
Outfall No.
out
Total
Rainfall,
inches
TSS,
mg/I
SS,
milli
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/l
(VMA)
New
Motor Oil
Usage
(gal/mo.)
Stormwater
Benchmarks
Indicate NO
FLOwiI
a lica6le
circle
B hmark
100/$0
0.1
circle
Benchmark
50/2 rJ/10
N/A
Water Quality
stantlaM applies
N/A
Water Oualiry
Standard applies
15
o'55 gall mn ,
average reculres
Tss and req irear
OdG monitoring
Date Sample
Collected,
mo/dd/ r
6/30/20
Nodischarge
Nodischarge
Nodischarge
12/31/20
No
Nodischarge
Nodischarge
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

DocuSign Envelope ID: 86636056-4161-49FF-BD8D-6881 D3862D50
Certificate of Coverage No. NCG02 K]R]K]M7
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] Docuftned by:
Signature Jal V b'a""-
Date 2/5 1
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