NCG020159_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"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 01 -1 5❑ 9❑
Facility Name: Vulcan - Elkin Quarry
County: Surry County
Phone Number: (336 ) 413-6923 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? RECEIVEDYes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ JAN 3 i 7i)!%
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other ❑ DW/R SECTION
Outfall No.
002
Total
Rainfall,
inches
TSS,
m /l
g
SS,
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non-polaril
O&G, mg/1Usage
(VMA).Stormwater
*ave�gerequires
Indicate NO
FLOWi'100150
0irc1v
Benchmark
0.1
Benchmark
nchm
50/25/10
N/A
waterduality
Standardapplies
N/A
SWatertlapplies
tandrd apply
15
resBenchmarks
olar
OS
Date Sample
Collected,
mo/dd/yr
No Flow
Permit Date 10/l/2015 - 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0❑ 1❑ 5❑ E
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 0
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 ❑
Outfall No.
003
Total
Rainfall,
inches
TSS,
mg/I
SS1
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
Intlleafe NO
FLOW it
applicable
Benehmark
Benchmark
100/50
0.1
Benchmark
Benle chmark
50/25/10
N/A
water Quality
Standard applies
N/A
water Quality
Standard applies
1 5
era erequi
average requires
TSS and Non -polar
OBG monitoring
Date Sample
Collected,
mo/dd/ r
No Flow
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 D 1❑ 5❑ 91
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 i -
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, INC 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