NCG160133_DMR_20211101

NC Department of
Environmental Quality
Received
STORMWATER DISCHARGE OUTFALL (SDO) N10V 0 1 2021
ANNUAL SUMMARY DATA MONITORING REPORT (DM1R)
Calendar Year 2020 Winston-S_ I•em
Revised 9/172014 Regional Chace
General Permit No. NCG160000
Certificate of Coverage No. NCG16❑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 ❑ No P
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 ❑
Other ❑
Outfall 001
Total Rainfall,
inches
00530
TSS, mglL
Benchmark
N/A
501100
Date Sample Collected,
mo/ddlyr
12/14/2020
2.8"
2.5 mg/L
7/8/2021
1 0.00"
0 mg/L No discharge
Page I I

Part B. On -Site Vehicle Maintenance Outfall No.
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 ❑ 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 ❑
Other ❑
Outfall
Total Rainfall,
inches
00530
00566
TSS, mg/L
Non-polar Oil &
Grease, mg/L
Benchmark
N/A
501100
15
Date Sample Collected,
mo/dd/yr
Page 12

N 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."
Sign
Date
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
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
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
L - - -
MIASHINCTONREGIONALOFFICEr WILMINGTON REGIONAL OFFICE
943 Washington Square Mall 127 Cardinal Drive Extension
Washington, NC 27889 Wilmington, NC 28405-2845
[phone] 1 [phone]
Page13