NCG140305_DMR_20220329

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMATER
IF
SUBMIT TO yCENTRAL OFFICE` .`
General Permit No. NCG140000
Calendar Year 2021
*Report ALL'STORMWATER nrionitoring,data 'on-,thi's,form (include ;`No Flow"/ No Discharge" and.;Benchmark ,
Exceedarices). from the previous calendar year to the DEQ by MARCH 1 of each year
Certificate of Coverage No. NCG14 133 0❑ 50
Facility Name: Stokesdale Plant
County: Guilford
Phone Number: (704 529-6364 Total no. of SDOs monitored
Certified Laboratory Waypoint Analytical Lab # 402
Lab #
Stormwater Discharge Outfall (SDO) No, 001 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? ,
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, received approval from DEMLR to reduce monitoring frequency
Other ❑
'
Non polar OG* t
w
x
%
Total
z f
(EPA IVlethod °
* New Illlotor Oil
.,Total Rainfall,
Suspended
pH,
1664 SGT HEM
( ))
Usage (gallino )
Qutfall No
-
inches r
Solids;(TS�),�
-Su:rrigll
(VMa)
Ir %abre
sPP
oo,
w
s;
Stormwater
Indicate NO FLOW if
Circle Benchmark
100l50
6 0 9.0
15 -
'
>§S gallmo a4voge requites TSS,and
Benchmarks ,
applicable
: �
.. , .�
Non-polar0&G-monitodng
'Date Sample
LL5ca
y �ilh :w { F
x9� vL
��.� d.��2 �°�T-C e2 �'t
7n 3�
� t�'`K.y� ;,. "�
Ky7 4{2
C`9-": `"c�`[", {._. •.. fiiy`Z �. '6
T �� T dM 2
„��k�` a, y� . �'✓','4 � ��"`1��`^k'�`h 4
6 '`"s.✓`a Pity `°`
➢ryM1ar '`,� d`S
`{...�' ¢ ht.�.4'"
;A�' +4�
',Yrs`
q� ?
riw, h rtk
�Lkk: q a
p �`M'rt-
`.b. A En.
"�*3 x 'irk 1'
3/31/2021
NO FLOWKtGFIVED
6/28/2021
NO FLOW
C�E:NT
r-
9/30/2021
NO FLOW
R
SECTION
12/29/2021
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 00 3❑ OQ 50
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 informatii
[Required by 40 CFR §122.221
Signature I]�
Date `)yLM -- V
including the possibility of fines and imprisonment for knowing violations."
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 8/1/2017 — 6/30/2022
Last Revised 8-22-2015