NCG020244DMR SW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
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General Permit No. NCG020000
Calendar Year a U I (o
Y ,, .*e"ort?ALL:STORMWATER rnonitor'�in `data on tHi"s fiorm include"No F ow"'I'No DL,,,a0. 44.6-6 iffro
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Certificate of Coverage No. NCGOann 4 JAN `� 20\I
Facility Name: IAPOESVziil,g- OVAIZIZ‘io 1..F`L S
0,041." 'TION
County: C,(,,A'( D\NRSE
Phone Number: ('ta.t)5',4-5465 Total no. of SDOs monitored 3
Certified Laboratory IPA e,IE Lab# 4o
Lab#
Stormwater Discharge Outfall (SDO) No. 00 I , VMA Outfall? Yes ❑ No [VI
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No gr
Was this outfall 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 0
Yes, received approval from DEMLR to reduce monitoring frequency 0
No,turbidity benchmark exceedances did not require monthly monitoring 0
Other 0
Upstream Downstream New
Total TSS, SS, Turbidity, (U)Turbidity, (D) Turbidity, Non-polar Motor Oil
Outfall No. Rainfall, mgll mil NTU NTU NTU O&G, mgll Usage
DU 1 inches (VMA) (gal/mo.)
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ays gVoi:r
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Permit Date 10/112015-9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 nnoR
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. dO a VMA Outfall? Yes ❑ No gi
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No d
Was this outfall ever in Tier 2 during the past year? Yes ❑ No [V
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 ❑
No,turbidity benchmark exceedances did not require monthly monitoring 0
Other ❑
Upstream Downstream New -
Total TSS, SS, Turbidity, (U)Turbidity, (D)Turbidity, Non-polar Motor Oil
Outfall No. Rainfall, mg/ mu! NTU NTU NTU O&G, mg/I Usage
OOP. inches (VMA) (gal/mo.)
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Date Sample r. �j t :a - _
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Ci011ected, = t;�Sr-, ;f ?'%iii.' £$� ;;�"a�., - .f, ,_,yy'�t ;e„`,:r�k'-:"".r,"y.G- i� =i }},.r- -:
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Permit Date 10/1/2015-9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 ❑O ®R[n
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall(SDO) No. 003 VMA Outfall? Yes ❑ No RI
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No[.f
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 0
No,turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Upstream Downstream New
Total TSS, SS, Turbidity, (U)Turbidity, (D)Turbidity, Non-polar Motor Oil
Outfall No. Rainfall, mgll ml/l NTU NTU NTU O8tG,mg/I Usage
0_03 inches (VMA) (gal/mo.)
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Date Sa �;�,�, +��,y( .,kx., %, _j�Ls..,,�.,1,. a ;�- 'y _ F•;Y'.. :Sc.-- ,-'`.•._ _ F ',
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C llected
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Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 nnn71
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§122.222)
Signature ,�L, `�✓�
Date I be/n//
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 1011/2015—9/30/2020
Last Revised 10-2-2015