NCG020156 DMR SW

A
17 Y"I
NO 110
General Permit No. NCG020000
Calendar Year D a1S-
° eporg.ALL: T®R WAFO=R monitoring datao Kthls Than (include "No�Flow"l,No DischargeP�ewd Benchmark -
Excesdances) from the previoks.galendar year to the ,DEQ by;/dtPARCH 9 of eacch year.
Certificate of Coverage No. NCG02 ©®EQ /+
Facility Name: hic»n5on ;uaGr�arAeS '�;a1LQ6' �ScA'-)j l'a"le�
County: >^ n
Phone Number: (qjq ) 3 80 - 2 `7 4 a Total no. of SDOs monitored
Certified Laboratory Ea c.c. A n- I y+, ecJ !ab # W W OF,T]
%-knson e S Lab #12-
Stormwater Discharge outfall (SDO) No.:S Q I VMA Outfall? Yes ❑ N®13
Is this outfall currently in 'tier 2 for any parameter? Yes ❑ Non
Was this outfall ever in Tier 2 during the past year? Yes ® No 0
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency El
Yes, received approval from DEMLR to reduce monitoring frequency 13
No, turbidity benchmark exceedances did not require monthly monitoring
Other
Outfall No.
� - I
Total
Rainfall,
Inches
TSS,
mgll
SS,
MI/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D)Turbidity,
NTU
Nora -polar
O&G, rrt9/1
(VMA)
New
Motor Oil
usage
aymo.
'berbeare NO
!0WIf.
e li able
cimle
"B*Me Marrt
j ()f6 1
_
®.�
®erie'tueweEc
.�®12 1��
— - �'I --
MierQu -
waterCivalfty
Starcdardapp9ies
I p
Nle i
Vftter,QuM
Slmmlardapp9®a
—
_
aSV'gsu --
'-av¢F�g2 iom
'TOSS&otal,Aloro-p�er
OrbGrrconit'2na
Collected,
-
,
Permit Date 10/1/2016 m 9/30/2020
Last Revised 10-2-2015

r
Certificate of Coverage No. NCG02 R2[j1©®
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]
Signature O"L 4 Ct A 6dee!!!)
Date ,Q b(j
Mail Annual Summary Stormwater DMR to the NCDEQ Cental 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