NCG020244 DMR SW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — STORMINATER
SUBMIT TO CENTRAL :OFFICE*
General Permit No. NCG'020000
Calendar Year. a0/5
*Report ALL STORMVNATER'nionitoring;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 ❑d �©©
FacilityName: NA`f f_S V LJ t_ 12A 9* R y
County: IN— CLAY
Phone Number: (v 8 ) S14: 5455 Total no. -of SDOs monitored 43
Certified Laboratory PA P, F Lab # 40
Lab #
Stormwater Discharge Outfall (SDO) No. 00 VMA Outfall?
Yes No
Is this outfall currently in Tier 2 for any parameter?
*E]
Yes ❑ No [d
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?
New
Motor Oil
Usage
allmo.
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.
1
Total TSS,
Rainfall, mgll
inches I
SS,
m1/1
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
allmo.
.Stormwater
Benchmarks
Circle
Indicate NO hmark
aF` Kab 0 150
-'
�.
-Circle ,-
Benctimeiic
25/10
NIA
S andard.epplles .,
NIA,
StandarA appll s
S
X66 gallmo.-
averageN gybes
TpgG moMte�nlar
Sample
Collected s
mo/dd/yr
l �r 1Yti
j i�Vbft ?
11�� qq is
��
4Y•
a
� E•` t7
ti.Date
t s �t2 (j
'1 � }(�io�n' .
`4i3Y Sirre� 1
F�1 nei�
iqe —i U:c.
1
{w777 is
;
#.._ 5_�•.p
> Y':- :�nar. ��,��`X�f!•.a'
sk ��J•
c IJ_.
�+`J'. i ..,y{." - , '�rz
nklnt v.
i
5��
YW l'.[Ei' ��r
N iI
F *—
—
iaMis
1. 5 q
5.5
Permit Date 10/1/2015 – 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 MRI®®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. OQ a VMA Outfall? Yes ❑ No Qf
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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Ouo,a .
Total TSS,
Rainfall, mg/l msl
inches
Turbidity,
ty
NTU
Upstream Downstream
(U) Turbidity, (D) Turbidity, Non -polar
NTU NTU 08G, mg/l
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
Clrcle;
Indicate NO Benchmark
FLOW i/ter
rcaere 100/50 D.A.7•
CtrCle,
Benchmanc
50/25/10 ,
N/A NIA
Quality Water Quality.
, Standaraappnes±, Standard applies,, �5
>55 galimo
averagerequlres,
TSS and Non olar-
0&GmonitoAri
Date Sample :
xe
Collected -�`�3•�2��fi,.s��3�: `�,� � .� .,�y ��ii #p�5....,,� �• �'�`� # -�klz
,'� ,LIYc �klt {�� dna �. �� � ���,�
mo/dd/Yr � 1Y.C£7a:bt T+:{�xiaii�aaxFx��,�*tiufz x
��.�,�'Ayx..+��"��``���a •w ��, �'�"4.��{p'Yr;.1y4�+�g4 k � � +.�}p,�., rr ,�2
� }'�F•l��i- lti f 4�Y3y�+$t-,� t�t' v,.,`5''�7jr .�'r� e �`� , �,,.�.•p�t, �`��+.. „�
Yniij�7dY�3: n��r.�`-1+��fhrM
_—
ti
A
Permit Date 10/1/2015 — 9/30/2020.
Last Revised 10-2-2015

Certificate of Coverage No. N0002 U®©©
Additional Outfall Attachment (make copies as needed for additional outfalls)
Sto.rmwater Discharge Outfall (SDO) No. 003 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this ouffall ever in Tier 2 during the past year? Yes ❑ No d
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 DEMUR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
03
Total
Rainfall,
inches
TSS,
mgll
SS, Turbidity,
mill NTU
Upstream Downstream New
(U) Turbidity,, p Turbidity, Non -polar Motor Oil
NTU NTU O&G, mg/I Usage
(VMA) allmo.
Stormtniater
B@rlChinarki
_ - ?
fndreateNO
FLOWS
ficaDfe
Circle '
a mark
9 J.0
circle,
enctimaik
:..
Q-1 _ `5 2`r%/`� Q. -
NIA
WaterQuahty
Standard applles
>6galfmo.
NIA averagerequires.
Water Quality TS8and,Non=polar
Stand'-ard applles; 15 O&G`monitddn .'
Date Sam leG
Collected,
molddl r
tl X �' 3 k '•P �1 C }rt rt Ci FFtr..a� rtR•f -"1' iE ii �. '�
> },�r
Sf A t3 �EE'x�,y .r� f 4ti �h L� 7 4` ..1sP�k�•1 �. t!. .i ta��
Y r #fi-
� s 1 Y'y�f 3{ y �$� s Yt` � 4} � l 3 T. � t Z is f T �S,
'A}+ 1 � o� i b'1 U'�� ! ` 't J di '{J9
- �, r r• t s i ti. ci a
t ���F
'4c._ _F
N N At A
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
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)
Signe
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
161.7 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 10/112015 — 913012020
Last Revised 10-2-2015