NCG020115_DMR_20220121 (2)

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2021
*Report ALL STORMWATER monitoring data on this form (include "No Flow"PNo 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- East Forsyth Quarry
County: Forsyth County
Phone Number: 3( 36 ) a13-8032 Total no. of SDOs monitored 2
Certified Laboratory Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. 002 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? Rl= C E I V E D
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency
Cf:r`Ii'W;L FILES
No, turbidity benchmark exceedances did not require monthly monitoring ❑ DWR SECTION
Other n
Ouutfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
m1/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non-polarl
O&G, mg/I
(VMA)
*averagarequsres
Stormwater
Intlicafe NO
F0'n
licahle
`Irc1
Benchmark
100/50
0.1
01r1
Benchmark
50/25/10
N/A
water Quality
Standard applies
N/A
water Ouali
Standard applies
15
ar
sBenchmarks
O&G inua do
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 Q j] :] 5❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 003 VMA Outfall? Yes ❑ No ❑✓
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 21
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 ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring
Other
9
Outfall No.
003
Total
Rainfall,
inches
TSS,
mg/l
SS
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
O&G, mg/Isage
Non-polar;average
(VMA)al/Mo.
New
tor Oil
Stormwater
Benchmarks
Intimate NO
F`OwI`100150
applicable
circle
Benchmark
0.1
circle
Benchmark
50/25/10
N/A
waterduality
Standard applies
N/A
Waler Quality
Standard applies
15d
gallmo.
requires
Non polar
O&G monitorin
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 0❑ 1❑ 1❑ 5❑
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