NCG020467_DMR_20210217

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar. Year „2,o;.7
't= egji,rr ALL 3 FOPMWATER monitorinq data on this form (include 'No flow -/"No Discttargu" aril Btrridils ai3
f_xr,l;� clan�;esi from the previous calendar year to the DEO t)y MARCH 1 of each year
Certificate of Coverage No. NCG02
Facility Name: o - i. r2•
County:
Phone Number: (f z!f ) 4 TV 3 it l q Total no. of SDOs monitored
Certified Laboratory _...-.._,64CIL Lab ft NQ
Lab #f
Stormwater Discharge Outfall (SDO) No. 41A,94,VV.1 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 ❑ R ECE I eI
Yes, received approval from DEMLR to reduce monitoring Frequency ❑ !
No, turbidity benchmark exceedances did not require monthly monitoring ❑ MAR 01 20
Other ❑ CIFNI RAL Pjt
� Ou#fall Na
Total
Rainfall,
inches
TSS,
mgll
SS,
mllt
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O�G, mgil
(VMA)
New
Motor Oil
Usage
allmo.
4 Stormwater
i
Benchmarks
+enhrrru rlc.
FLOW i1
`'r`'"
Bunchmr,b
1 0150
tl 1
"""'
liuncluuarw
50/25110
NIA
Walctr Qualrly
Standard applies
NIA
Water Quality
standard appliva
s5sur"""'� i
rvorage ,e4uur,c
t'i5 and Nw4�u4u
OAG nwititwri"
Date Sample
Collected,
molddl r
�.
x
_
_jkq J2
I
13k. 3
d, I
r
Permit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®0©E
:Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfali? 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 ❑
11 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 excecdance s did not require monthly monitoring ❑
Other ❑
f Total
t)utfail No.
Rainfall,
inches
SiorrrwaterNIA
_Benchmarks j rules �
.e 1tCd4h'
Date Sample
Collected.
molddlyr
, Tcg SS,
rr'gli t ml/l
I
Turbidity,
NTU
Upstream
(U) Turbidity,
y,
NTU
t
Downstreami
(D) Turbidity,
NTU
New
Non- olar
p Motor Oil
O&G, mg/i i Usage
_(VMA) am
� y/dlhnoo..
>55car
i .,ve,age ,r.pum�
15 rSSand Nwi-wAar
06G murYtam
;
1 100/50
uncms,k
0.1 50/25/10
`jn(tj Qual'ty
Sfandafd applies
__
w,l,:, u„rl�ry
stamfarU apphua
f4rIdd-4 riVIL
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ©E©0
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 §122.221
Signature .
Date ;k1
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 10/1/2015 — 9/30/2020
Last Revised 10-2-2015