NCG140339_DMR_20210329

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
11 SUBMIT TO CENTRAL OFFICE* NC Department of II
General Permit No. NCG140000
Calendar Year 2020
MAR 2 9 2021
'Report ALL STORMWATER monitoring data on this form (include "No Flow"/'No Dis6a M1 Blsm"ark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of et Wlllhl off ce
Certificate of Coverage No. NCG14 0❑ 3❑
Facility Name: Lowery Street
County: Forsyth
Phone Number: 33( 6 )
Certified Laboratory Prism Lab
Lab # 402
Lab #
Total no. of SDOs monitored 3
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 ❑
Outfall No.
001
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m /I
pH,
SU
Non -polar O&G
(EPA Method
1664 (SGT-HEM)),
mg/I (VMA)
Ifappllctrla
New Motor Oil
Usage (gal/mo.)
lfapplicahle
Stormwater
Benchmarks
Indicate NO rfOwa
applicable
Circle Benchmark
100/50
6.0-9.0
15
>65 gallmo. average requires T55 and
Non -polar O&G monitoring
Date Sample
Collected,
mo/dd/ r
1/14/2020
NO FLOW
6/30/2020
NO FLOW
9/3012020
NO FLOW
/12/22/2020
NO FLOW
Permit Date 811/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14
Additional Outfall Attachment (make copies as needed for additional outfal(s)
Stormwater Discharge Outfall (SDO) No. 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 CI
Yes, received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall No.
0D2
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m /I
pH,
SU
Non -polar O&G
(EPA Method
1664 (SGT-HEM)),
mg/l (VMA)
Hdpplicable
New Motor Oil
Usage (gal/mo.)
Happ/icable
Stormwater
Benchmarks
mC;nale NO FLOW
appliwDle
Ckcle Benchmark
100/60
6.0-9.0
15
>SS gallmo.average requires ng and
Non -polar 08G moniroring
Date Sample
Collected,
mo/ddlyr
6/30/2020
NO FLOW
9/30/2020
NO FLOW
12/22/2020
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 OQ 3❑ 30 ]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 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
Outfall No.
w3
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
mg/I
SU
SU
Non -polar O&G
(EPA Method
1664 (SGT-HEM)),
mgll (VMA)
New Motor Oil
Usage (gallmo.)
Stormwater
Benchmarks
Indicate NoX
applicable
Clecle Benchm ,i,
100150
..
60-90
15
>55 g allmo.average regWres Tand
Non -polar 08G monitoring
Date Sample
Collected,
mo/ddlyr
6/30/2020
NO FLOW
9/30/2020
NO FLOW
12/2212020
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 ] j] 3❑ 9❑
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]
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