NCG160013_DMR_20220125

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 2021
Individual NPDES Permit No. N
Certificate of Coverage (COC) No. N
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name:
County: Wake
Phone Number:
Outfall No. 001
Fred Smith Company - Holly Springs Asphalt Plant
919 )783-5700
Total no. of SDOs monitored 3
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes ❑ No 0
Yes ❑ No
Yes ❑ No X
REcrn �PD
IAN 3
CENTRAL FILES
DWR SECTION
Parameter, (units)
Total
Rainfall,
inches
TSS, (mg/Q
Benchmark
Date Sample
Collected,
mm/ddlyy
No Discharge
N/A
too
SWU-264 - Generic Annual DMR
Last revised 6/012018

Additional Outfall Attachment
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No W
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, (units)
Total
Rainfall,
inches
Benchmark N/A
Date Sample
Collected,
mm/dd/YY
SWU-264 - Generic Annual DMR
Last revised 6/012018

"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
Date 01/25/2021
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE
450 I -lanes Mill Rd, Suite 300 1617 Mail Service Center
Winston-Salem, NC 27105 Raleigh, NC 27699-1617
[phone] [phone]
AOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
SWU-264 - Generic Annual DMR
Last revised 6/012018

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 2021
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: Fred Smith Company - Holly Springs Asphalt Plant
County: Wake
Phone Number: g( 1g ) 783-5700 Total no. of SDOs monitored 3
Outfall No. 002
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No W r-
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ElNo ❑■ RECFtvFF`
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? ,
JAN
Enough consecutive samples below benchmarks to decrease frequency ❑ 1 %li7i
Received approval from DWQ to reduce monitoring frequency ❑ CENTRAL FILE,
Other ❑
DWR SECTIOr
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■
Parameter, (units)
Total
Rainfall,
inches
Benchmark
N/A
Date Sample
Collected,
mm/dd/yy
-
3
No Discharge
SWU-264 - Generic Annual DMR
Last revised 61012018

Additional Outfall Attachment
Outfall No. 002
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 M
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■
MMM Ill M ill MMMM
.: -- Iff'A
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SWU-264 - Generic Annual DMR
Last revised 6/012018

" 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
Date 01/25/2022
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL OFFICE
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
[phone]
FAVETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
SWU-264 - Generic Annual DMR
Last revised 6/01/2018

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 2021
Individual NPDES Permit No.
Certificate of Coverage (COC) No. N
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name:
County: Wake
Phone Number:
Outfall No. 003
Fred Smith Company - Holly Springs Asphalt Plant
919 )783-5700
Total no. of SDOs monitored 3
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes ❑ No ❑■
Yes ❑ No 9
Yes ❑ No ❑■
RECFIt /?=
JAN J L
CENTRAL FILES
DWR SECTION'
Parameter, (units)
Total
Rainfall,
inches
TSS, (mg/L)
Benchmark
N/A
100
Date Sample
Collected,
mm/dd/yy
03/16/2021
0.47
24
10/29/2021
0.61
19
SWU-264 - Generic Annual DMR
Last revised 61012018

Additional Outfall Attachment
Outfall No. 003
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 0
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■
Parameter, (units)
Total
Rainfall,
inches
Benchmark N/A
Date Sample
Collected,
mm/ddlyy
SWU-264 - Generic Annual DMR
Last revised 6/012018

"1 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 100�_
Date 01/25/2022
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL OFFICE
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
[phone]
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
SWU-264 - Generic Annual DMR
Last revised 6/012018