NCG020082_DMR_20220121 (2)

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMRI — STORMWATER
II SUBMIT TO CENTRAL OFFICE* II
General Permit No. NCG020000
Calendar Year 2021
'Report ALL STORMWATER monitoring data on this form (include "No Flow"I"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: Vulcan
County: Forsyth County
Phone Number: (336
North Quarry
416-1268
Certified Laboratory Lab #
Lab #
Total no. of SDOs monitored 1
Stormwater Discharge Outfall (SDO) No. 003 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? RECEIVE®
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ JAN 3 i ZO21
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other
❑ DWR SECTION
Outfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
*averagorequires
Stormwater
Benchmarks
InFLOWNO
FLOwiI
a licable
Qrde
Benchmark
100/50
0.1
Clmla
Benchmark
50/25/10
WA
water apply
Standard applies
N/A
WatLand rd appli
Standard applies
15
55
toring
OSG monitoring
Date Sample
Collected,
mo/dd/yr
No Flow
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 RIFE 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 _
Date / -
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