NCG140143_DMR_20210329

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE* nvlro mental duality
General Permit No. NCG140000 MAR 29 2021
Calendar Year 2020 1 Winston-Salem
*Report ALL STORMWATER monitoring data on this form (include "No Flow"/ No Disch#V%fialQMWark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14
Facility Name: King Plant
County: Stokes
Phone Number: 33( 6 ) g83-2181
Certified Laboratory Prism Lab
Lab # 402
Lab #
Total no. of SDOs monitored 1
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No 0Is 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 E3
Other ❑
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m /I
pH,
Su
Non -polar O&G
(EPA Method
1664 SGT-HEM ,
))001
mg/I (VMA)
Irappli bla
New Motor Oil
Usage (gallmo.)
(/applicable
Stormwater
Benchmarks
lodwarle NOFLOWN
applicable
Circle Benchmark
100150
6.0-9.0
15
>66 gagmo. average requires TSSand
Non -polar OSG monitoring
Date Sample
Collected,
mo/ddl r
3/10/2020
NO FLOW
6/25/2020
NO FLOW
9/29/2020
NO FLOW
12/16/2020
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 ] 1]® 3]
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 �1 a-d-C /��L�
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 8/1/2017 — 6/30/2022
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ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE* Environmental Quality
General Permit No. NCG140000 MAR 2 9 2021
Calendar Year 2020
Winston-Salem
'Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No DischaWjar40WbLmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14
Facility Name: King Plant
County: Stokes
Phone Number: (336 ) 983-2181
Certified Laboratory Prism Lab
Lab # 402
Lab #
Total no. of SDOs monitored
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 0
Yes, received approval from DEMLR to reduce monitoring frequency I]
Other ❑
Outfall No.
oo,
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m /I
pH,
SU
Non -polar O&G
(EPA Method
1664 SGT-HEM ,
( ))
mg/I (VMA)
Ilapphi.ble
New Motor Oil
Usage (gal/mo.)
ll applicn6le
Stormwater
Benchmarks
lodIcale NO FLO Wi/
aPpllcanle
Circle Benchmark
100150
6.0-9.0
15
>55 gallmo. average requires T55 and
Non -polar O&G monitoring
Date Sample
Collected,
mo/dd/ r
3/10/2020
NO FLOW
6/25/2020
NO FLOW
9/29/2020
NO FLOW
12/16/2020
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 0❑ 0E1 3❑
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 §122.221
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 8/1/2017 — 6/30/2022
Last Revised 8-22-2015