NCG190103_MONITORING INFO_20190204

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. IV C& l4t D f03
DOGTYPE ❑HISTORICAL FILE
,E� MONITORING REPORTS
DOC DATE ❑
YYYYMMDD""

STORMWATER DISCHARGE OUTFALL (SDO) FEB 0 A 2019
ANNUAL SUMMARY DATA MONITORING REPORT (D }
Calendar Year 201
General Permit No. NCG190000
Certificate of Coverage No. NCG19®1!1®®
This monitoring report summary of the calendar year should be kept on file on -site with the facility
SPPP.
Facility Name:_��{ 1'YlC�9� LXI��Q�i V 1 Cf L.L�'
County:
Phone Number: (`:i n) yG2 t1k� Total No. of SDOs monitored:
Outfall No.: I T
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;K
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 F-1
Outfall•_ l
Total
. Rainfall,
inches
00530
-
TPH by method
1664 SGT4-IEM
01119
01104
01094
01114
TSS,
m91L
Nan=polar Oil
& Grease, - -
mg/L
Copper,
mglL
Aluminum,
mg1L
Zinc,
mglL
Lead,
mglL
_ . Benchmarks
Freshwater
Saltwater
v
N/A
r -
100
- -
15
a
- - 0:010 —
(OA05)
• 0.75,....- -_
Y -
_--=-0.126'_._ -.
­­(0,995)
-.. 0:075. _:
.(0 220)-
Date Sample��-'
Collected;
molddlYr
_
j4
,
n.'syiu P.a4'
IC12 l
�
o
.000�.1
o
0i
.0
SW U-25ONCG 19-060815

Additional,Outfall Attachment
Outfall'No.
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
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 DWQ to reduce monitoring frequency ❑
Other ❑
Yes ❑ No❑
Yes [] No ❑
Oetfall
Total _
Rainfall,
inches
00530
TPH by method
1664 SGT-HEM
01119
- 01104
01094,jL�,'
_ 01114 •-
TSS;
mglL
Non -polar Oil-
& Grease,
mg1L,
_ Copper,-
mglL
Aluminum—
mglL
---Zinc;
._..mglL _
Lead,
�•'' mg11'�-
:Benchmarir-
' Freshwater' '
•
Saltwater °,_
N/A
:.,
-..'.a,
-100 °� +
.`_j '_},.,... sw,•7'A'
: "•= ; 95 �`= ,
C't"Py s._.- s t -`'4-
r , 0 010 > i
(() 005)
-:a'Ge�y2ch? �.. 4"�tr.:.
t 0.75,, r
,, . rt: �. :.
0 12q_
{U 09s)
- _.�;:_�
, 0,075-j .r
(0 220)
Date Sample
Collectr/e.*k'y.�
molddy-d,
-! r
K�
014. r.
SW U-250NCG 19-060815

I
ir - ,-,r
"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."
Signz
Date
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
A_SHE�ILI E REGI01\AL.OFFICE
_
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FAYETTEVILLKR_EGIONAL`OFFICE _ MOORES�?ILLE�REGIONAL`_QFFIG]
T 225 Green Street 610 East Center Avenue/Suite 301
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
Mooresville, NC 28115
[phone]
WASHINGTQN REGIONAL;OFFICE WILMINGTO_N�REGIO_NAUOFFP
943 Washington Square Mall 127 Cardinal Drive Extension
Washington, NC 27889 Wilmington, NC 28405-2845
[phone] [phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
SW U-25ONCG 19-060815