NCG190063 DMR SW (2)

STORMWATER DISCHARGE OUTFALL(SDO)
GENERAL PERMIT NO. NCG190000
DISCHARGE MONITORING REPORT(DMR)
SAMPLES COLLECTED DURING CALENDAR YEAR: 2-0 /(o
CERTIFICATE OF COVERAGE NO. NC riP f' EL (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sarjipling results from the laboratory.)
FACILITY NAME L/, 4J 4 40, a/o eXS COUNTY C ifr0 Wt9-,,/
PERSON COLLECTING SAMPLES /bobby 4421/C PHONE NO. (?2 ) ,c122,--7512.3 6,7 23/
CERTIFIED LABORATORY .yvzp4,jyj ®,U6 Lab# /D
Lab#
Part A: Specific Monitoring Requirements
Outfall Date 00530 00400 00556 01119 01104 01094 01114
No. Sample Collected, Total Rainfall, Total Suspended pH, Oil&Grease, Copper2'3, Aluminum2 Zinc2'3, Lead2'3,
mo/dd/yr inches Solids,mg/L Standard units mg/L mg/L ,mg/L mg/L mg/L
Benchmark' - - 100 Within 6.0—9.0 30 0.007 0.75 0.067 0.03
Oco —I ti—/2--/I, .4y ,al %r Z < c. 5
s/Do .2-- y -/2--/ , .C 'f. ,✓ F }- ,-
If a value is in excess of the benchmark, or outside the benchmark range(for pH),you must implement the Tier 1 or Tier 2 responses in the General Permit.
2 Total recoverable.
3 These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L.
Solvent Management Plan Certification:
Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement
Division of Water Quality for managing solvents, I certify that to the best of my knowledge and belief,no leak,spill, or dumping of concentrated
Attn: Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the
1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent
Raleigh,North Carolina 27699-1617 Management Plan included in the Stormwater Po •tion Pr- -:tion Plan." 0 X)
73---1 —<
(Signature o. 'ermittee a*VT -_. Dat
m- ca n
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: E I m r,-,
"I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accorc tfre with ®0
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."
// t / P
4. C
(Signatut� 'erute
(Date
Permit Date: 10/1/2009-9/30/2014 SWU-253-092309
Page 1 of 1

r Y
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year c7.10 /40
General Permit No. NCG190000
Certificate of Coverage No. NCG19nn (O n
This monitoring report summary of the calendar year should be kept on file on-site with the facility
SPPP.
Facility Name: EV TO d/ 047—/.UOzkS
County: CG tt/441/
Phone Number: (2S7.--) 41/42--75/23 € • 23 / Total No. of SDOs monitored: 2
Outfall No.: 600— 1
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No12'
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No Er"
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 ❑
00530 TPH by method 01119 01104 01094 01114
1664(SGT-HEM)
Total TSS, Non-polar Oil Copper, Aluminum, Zinc, Lead,
Outfall .5-06-1 Rainfall, &Grease,
inches mg/L mg/L mg/L mg/L mg/L mg/L
.Benchmark • - 0.010 0.75 - 0.126 0.075
Freshwater nl/A 100 'S (0.005), (0.095) (0.220)
(Saltwater)
Date Sample . . , .
Collected, -
9rio/dd/yr
V 2--//6 • 6 y 7, z < 5 . 002-C , v dSZ. ,o o a d parr.
SWU-250NCG19-060815

f
Additional Outfall Attachment
Outfall No. 5DD • v
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No II
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 ❑
'00530 TPH by method 01119 '01104 ' - 01094 01114
1664(SGT-HEM)
Total Non-polar Oil
TSS; Copper, Aluminum, Zinc; Lead,
OutfallSbi Ali Rainfall, &Grease,
'
inches mg/L mg/L_ , mg/L` mg/L mg/L mg/L
-
'Benchmark 0.010 • 0:75 0.126 0.075
Freshwater N/A ", 100 15
(Saltwater) ,, (0.005) (0.095) 10.220)
Date Sample , : , ...
Collected, •„ s = ..
mo/dd/yr , . -
411.2///6. '6Vi41 ff,3 < 5 poo/0 D iS3 , 66(610 •( oGo5
,
SW U-250N CG 19-060815

' 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."
Signature 4
Date 5/13 /iL
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office . . . [phone] f t',17k
Fayetteville Office [phone] ,/L ,' _ cI 9h
Wa m To
Mooresville Office [phone] r �_, ' 40116. J ft& vn}
}
Raleigh Office [phone] '" v II° °�, ,rte
Washington Office ...[phone] =R ✓
w
Wilmington Office .. [phone] n L" NIPerei
Winston-Salem [phone] F. °» u°
Central Office .... .. .[phone] j�+J
. Wil C ngton
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
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]
RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL OFFICE_
3800 Barrett Drive 943 Washington Square Mall I 127 Cardinal Drive Extension
Raleigh,NC 27609 Washington,NC 27889 Wilmington,NC 28405-2845
[phone] [phone] [phone]
WINSTON-SALEM REGIONAL CENTRAL OFFICE
OFFICE 1617 Mail Service Center
585 Waughtown Street Raleigh,NC 27699-1617
Winston-Salem,NC 27107 [phone]
[phone]
I '
SWU-250NCG19-060815