NCG020313 DMR SW (3)

Report ALL STORMWATER Monitoring data -fornijindlude No 1716VNo Discharge, and. Benchmark.
:on,this
Exceedances):frorn the S! calendar year to. the'DE by'MARCH 1 of each year.
. — , ­ TI
Certificate of Coverage No. NCG02 FO-1IQQ
Facility Name: rA'
County: - ­ Ca,:&Pr r -R. Lk:S
Phone Number: (:ZoY -L-1 11 - IT 3 c3fk Total r o. of SDOs monitored
Certified Laboratory J v,) A,�,r, I:X Lab #' !,E4V
Lab #
[0,
-Stormwater Discharge Outfall (f>DO) No. -0 ► VMA Outfall? Yes Ej 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 belqw benchmarks to decrease frequency 0
Yes,_ received approval from DEMLR to reduce monitoring frequency 0
FEB 03 2016 1
No, turbidity benchmark exceedances did not require monthly monitoring' 0
Other ❑ C NTRALFILES
Ljvvrk Ott., I IUN
No.
Total
inches-,
TSSi,,
mg/1,
�S&.,,-
jTjI/I
Upstream
Turbidity, �'(V)--Turlbidity,
NTU­ -NTU
Downstream
yj
(D) Turbidity;
­-NTU
7
-Noinerpolar..
(VM
New
--Motor 04,!
.UsagOutfall
S' le.,
e..
Stof7riwater
Benchmarks
Indicate NO
FLOAfif
applicable
Circle
Benchmark '
100/50
0.1
Circle
Benchmark
50/25/10
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard,apVies
15
>55 gal/rno.
average requires
TSS and Non -polar
O&G monitoring
.,Da
CoI1,qc;R;I" I -,A
V-
moldd/yt
t;
0.
0, 1
4116
AJIA
Jij ZA-
IWA
/17.
rA-
Permit Date. 101.112015- 913012020
Last Revised 10-2-2015

Permit Date 10/1%2015— 9/30/2020
Last Revised 10-2-2015
J
Certificate of Coverage No. NCG02 ®®�0
Additional Outfall Attachment (make copies as needed for additional outfalls)
StorrnWater Discharge Outfall (SDO) No. U 2- ' VMA Outfall?
Yes ❑ No
Is this outfall currently in Tier 2 for any parameter?
Yes ❑ No Q�
Was this outfall ever in Tier 2 during the past year?
Yes ❑ No Q�
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
❑
Upstream
Downstream
New .
Total TSS, SS, Turbidity, (U) Turbidity,
(D) Turbidity, Non-polar
Motor oil
Outfall No. Rainfall, mg/l MIA NTU NTU
NTU O&G, mg/I
Usage
U " inches
(VMA)
gal/mo.
Circle circle N/A
Stormwater indicate NO Benchmark Benchmark
Water Quality
FLOWil' 0.1 50/25/10
Water Quality 15
>cs gaumo.
average requires
TSS and Non-polar
Benchmarks aIrcable 100/50 Standard applies
Standard applies
08G Monitoring
_
Date Sample.
Collected, E
s.:
mo/dd/ r
Permit Date 10/1%2015— 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 r000®
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]
Sign
Date
2
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Centra! 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