NCG160133_DMR_20221107

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2021 NC Department of
Revised 9/17/2014 Environmental Quality
Received
General Permit No. NCG 160000 NOV 0 7 2022
Certificate of Coverage No. NCG 16 0 1 3 3 Winston-Salem
This monitoring report summary is due to the DEMLR Regional Office no later than 10e►�oer T of
each year.
Facility Name: Piedmont Asphalt, LLC - Pelham Plant
County: Caswell
Phone Number: (434 ) 799-4151 Total no. of SDOs monitored 1
Part A. Outfall No. 001 (use multiple sheets for multiple outfalls)
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 0
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 DEMLR to reduce monitoring frequency n
Other
00530
Outfall 001 Total Rainfall, TSS, mg/L
inches
Benchmark N/A 50/100
Date Sample Collected,
mo/dd/yr
N/A-2021 N/A No discharge
N/A-2022 N/A No discharge
Pagc 1

Part B. On-Site Vehicle Maintenance Outfall No.
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 ❑
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 DEMLR to reduce monitoring frequency ❑
Other ❑
00530 00556
Total Rainfall, Non-polar Oil &
Outfall inches TSS, mg/L Grease, mg/L
Benchmark N/A 50/100 15
Date Sample Collected,
mo/dd/yr
Page 12

"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 10/31/2022
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
,e\)
Asheville Office [phone] Win °"Sol
Fayetteville Office [phone] L '"vs,01 gh
t
Mooresville Office [phone]
Raleigh Office [phone] �. P o►
Washington Office [phone] ; ., — `
Wilmington Office [phone] __
Winston-Salem [phone] -JF(aye tt7IIIO1
ngfon
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa,NC 28778 Systel Building Suite 714 Mooresville,NC 28115
[phone] Fayetteville,NC 28301-5043 [phone]
[phone]
RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL OFFICE
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh,NC 27609 Washington,NC 27889 Wilmington,NC 28405-2845
[phone] [phone] [phone]
WINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13

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STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2021
Revised 9/17/2014
General Permit No. NCG160000
Certificate of Coverage No. NCG 16 0 1 2 0
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name: Piedmont Asphalt, LLC - Reidsville Plant
County: Rockingham
Phone Number: (434 ) 799-4151 Total no. of SDOs monitored 1
Part A. Outfall No. 001 (use multiple sheets for multiple outfalls)
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 DEMLR to reduce monitoring frequency n
Other
00530
Outfall 001 Total Rainfall,
inches TSS, mg/L
Benchmark N/A 50/100
Date Sample Collected,
mo/dd/yr
N/A-2021 N/A-2022 No discharge
N/A-2022 N/A-2022 No discharge
Page I 1

Part B. On-Site Vehicle Maintenance Outfall No.
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 U
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 DEMLR to reduce monitoring frequency ❑
Other
00530 00556
Total Rainfall, Non-polar Oil &
Outfall inches TSS, mg/L Grease, mg/L
Benchmark N/A 50/100 15
Date Sample Collected,
mo/dd/yr
Page 2

"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 informatio including the possibility of fines and imprisonment for knowing violations."
Signature Date 10/31/2022
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Win . iSai
Asheville Office [phone]
.
Fayetteville Office [phone] ' al
Mooresville Office [phone]
Raleigh Office [phone] 11,Washington Office ... 252 946-6481 lY�cor -
Wilmington Office 910 796-7215
Winston-Salem [phone] \F• e141v00e\ �_;� -- •✓
ngton
ASHEVILLE REGIONAL OFFICE i FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115
[phone] Fayetteville,NC 28301-5043 [phone]
[phone]
RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL OFFICE
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845
[phone] [phone] [phone]
WINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13

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