NCG160155_MONITORING INFO_20150910

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE,
❑ HISTORICAL FILE
L�KMONITORING REPORTS
DOC DATE
❑
YYYYM M D D

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 20/5'
Revised 911712014
General Permit No. NCG160000
Certificate of Coverage No. NCG16 O❑© /❑❑5 ❑5
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name: S.T. bA,1L9o=AJ CrOR� �fDvti1G5(//t 1 Ei P/�iLT
County:
Phone Number: (,152j .296 - S9/2 Total no. of SDOs monitored
Part A. Outfall No. _� (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ Now
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No�
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 ❑
0
C
{qu'd�ai't'r���. s �'�i die
Outfall � �j
s'13 �,
I.�.�+ �fi tilt �; E "'
i,Total�Ramfall,l
p
: , {� inches'
'a'�00530 `rif �.•�{�"
1+
�k,I.TSS,rml N
:h6fi'�yi`� frE - uy� : ��s
Benchmark
k/A
50/100'
.
Date Sample'Collected,
mot yr��
LA - � 'uN
c
Pagel

Part B. On -Site Vehicle Maintenance Outfall No.
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 ❑
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 ❑
�Outfall
rTotali amfall,
�" _; inches
00530'
" ,00556 t
4E:,' r r,
„
TSS, mglL t
p
i"
Non polar Oil &'7
Grease m IL z
Benchmark
N/A_
501100.
15 '
IDate Sample Collected,'
€molddly� 3:
r » M6
w
Page12

v
" 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 thepossibility of fines and imprisonment for knowing violations."
Signature
Date 61
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 ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
ASHEV,IELEREGIOMWYOFFICE
FA) REGIONAL'OFFICE
MOORESVILLE'RCGIONAL`OFFICG
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALrIIG11jREG10NAL°OFFICF
WASH1 G REGIONALIOEf IGF,
_
W1L>MINGTLONs`RG6IONAL;OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON SAI;EM REGIONAL
OFr c
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
i
Page 13

STORMWATER DISCHARGE OUTFALL (SDO) FEB 25
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year r�2ol:
General Permit No. NCG160000
Certificate of Coverage No. NCG16HEMaRl
This monitoring report summary is due to the DWQ Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: 095�7-
County:
Phone Number: (0252 ) 296- S`%/Z Total no. of SDOs monitored /
Outfall No.
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 (�
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 ❑
outfall
Total Rainfall, inches
00530
00400
00556
TSS, mg/L
pH, s.u.
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 — 9.0
15
Date Collected Sample
p ,
molddlyr
.1 ..Y.:. �. n. , il:
..!`tr k 1'S r�, �pf
�`'�„§.YJir iS r1+,.ro-»Y
3".�YGn ${.IhmY J�'✓u.P .n�uh fi t(`._,i .
14, a614
33
5.
< 5e0
SWU-250NCG16-051709

Additional Outfall Attachment
Outfall No.
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 ❑
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 ❑
Outfall _ '
Total Rainfall, inches
00530
00400
00556
TSS, mg/L
pH, s.u.
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0-9.0
15
Date Sample Collected
molddlyr
S W U-250NCG 16-051709

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."
Signs
Date
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
Asheville Office ......
(828) 2964500
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
"To preserve. proleci
and enhance
Noah Carolina's wafer..
SWU-250NCG16-051709

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year Roil I j ;, SEP 2 7 2013
General Permit No. NCG160000
Certificate of Coverage No. NCG160❑❑/ ©©❑
This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: -
County: Fi
Phone Number:
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)?
Total no. of SDOs monitored
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 29
Yes ❑ No
Outfall
Total Rainfall, inches -
00530
00400
00556
TSS, mg/L
pH, s.u.
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 — 9.0
15
Date Sample Collected,
mo/dd/yr
„ta^
i
„r,
4 ,. _'
�•"
S W U-250NCG 16-051709

Additional Outfall Attachment
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes Ll No [j
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes E] No El
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency F]
Received approval from DWQ to reduce monitoring frequency El
Other El
Outfall fi;
�Total Ralhfal,Arches;r'
00530,'-'
00400,,,,,"00556
'TSS, n"g' L
-1111:3H,�s-,P,�
,
�TotalPetroleum..
ocarbons;�mg/L,,,
BenBenchmarkMA-
400.
6.0-9.0'
z 15
Date
Mo/ddlyr:"
F,
,;N I In,
SWU-25ONCG16-051709

" 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-iiQformation, including the possibility of fines and imprisonment for knowing violations."
Signature
Date i
Mail Annual DMR"Summary Reports to:
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
1617 Mad Service Center (j o o s3er re
Raleigh NC 27699-1617 DUa w e iAa ,ce,
[phone]
SW U-250NCG 16-051709

STORMWATER DISCHARGE OUTFALL (SDO)�� MAR 13 2013
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)-
Calendar Year //--/z ''
General Permit No. NCG160000
Certificate of Coverage No. NCG 16❑O 1 F§ ®❑
This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: .
County:
Phone Number:
Total no. of SDOs monitored
Outfall No. 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 E
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 ❑
Outtall .,.
Total Rainfall, Inches
--00530
00400
00556
TSS, mg/L .
pH, S.U.
+Total Petroleum
q Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 — 9.0
15
Date Sample Collected
mo/dd/yr
v,
t10
A4P
S W U-250NGG 16-051709

S;M% i I A,tih,
Additional Outfall Attachment
Outfall No.
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 ❑
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 ❑
�-
t
vi .agQC'5+, .rA r�,i .Pe g
... . ,. ._._
,;Total Rainfall, inchesTSS;mg
-. 00530 ."'
00400
>:`00556 s.
ti
Total�Petroleum .......
;
Hydrocarbons, mg/L' '
Benchmark
N/A
.100
6.0—,9.0.
15 '
Date Sample Collected,
mo/dd/yr.
Ys F !
N Y�,
} h•kid
t d} d ��
S W U-250NCG 16-051709

" 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."
Signature
Date a?-,7WI-4
Mail Annual DMR Summary Reports to:
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office ....::...(919)
807-6300
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
',o prose Sri, p nttd
SW U-250NCG16-051709