NCG190035_MONITORING INFO_20190131

p
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0. oU�
DOGTYPE ❑HISTORICAL FILE
rfr] MONITORING REPORTS
G
DOC DATE ❑ aDl cl 013
YYYYM M D D ""

GEN
STORMWATER DISCHARGE OUTFALL (SDO) JAN 3 1 2019
ANNUAL SUMMARY DATA MONITORING REPORT (DMR
Calendar Year 2. c 1 71-
General Permit No. NCG190000
Certificate of Coverage No. NCG19©❑o0FSI
This monitoring report summary of the calendar year should be kept on file on -site with the facility
SPPP. _
Facility Name:
County:Phone Number: Number: { cl tG ) `3) -.. -7 1 Off_ Total No. of SDOs monitored: t
Outfall No.: i
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 19
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 =
Total
Rainfall,
inches
00530
TPH by method
1664 SGT-HEM
01119
01104
01094
01114
TSS,
mglL
Non -polar Oil
& Grease,
mg/L
Copper,.
mglL
Aluminum,
mglL
Zinc,
mglL
Lead,
mglL
Benchmark
Freshwater
Saltwater
N/A
100
15
0•010
(0.005)
0.75
0.126
(0.095)
t?.075
(0.220)
Date Sample
Collected,
molddlyr
a
tp
< �'
v.Qs
V.; =79
on 043
<0.060
2-70
f
o.
Q. 'Bo
oco-r
0.010
SWU-25ONCG19-060815

Additional Outfall Attachment
t
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
TPH by method
1664 SGT-HEM
01119
01104
01094
01114
TSS,
mglL
Non -polar Oil
$`
mg/L e'
Co
Copper,
mglL
Aluminum,
mg1L
Zinc,
mglL
Lead,
mg/L
Benchmark
Freshwater
Saltwater
N/A
100
15
0.010
(0.005)
0.75
0.126
(0.095)
0.075
(0.220)
Date Sample
Collected,
molddlyr
o
o
o.
SWU-25ONCG19-060815

"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
viotat
Signz
Date
Mail Annual DMR Summary Reports to:
DEMLR Re0ional 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
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FAYETTEVILLE REGIONAL OFF
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON-REGIONALOFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
SWU-250NCG19-060815

STORMWATER DISCHARGE OUTFALL (SUO)
GENERAL. PERMIT NO. NCG190000
DISCHA GE MONI'I'OR1Nt: REI'OR'1' (DMR}
lgvn 3Zn `II -
CERTIFICATE OF COVERAGE (COC) NO.: tNCCT9©OQ� SAMPLE. LE COLLECTION CALL:NDAR YEAR: �o
("phis monitoring report is due at the Division no later than 30 days from
FACILITY NAME, ell-1�r 111�4Z(,�. Qpc—VT Cl-�7 Q the date the facilih receives the sampling results from the laboratory.}
SAMPLE COLLECTION NAM E:�ZI�a� jYlO0(L�
FACILITY COUNTY:
CER"I'IFIED LABORA'I'URY:�jVVtS�;JM�Nrwl G+�a'r�i�L:rb # Lie-'3D3�C{
Lab # PHONE NO.: a 10 ��rL.."� \ �tp
Part A: Specific Monitoring Requirements
Outfall
No.
Sample
Collection Date,
mo/dd/vr•
"Total Rainfall,
inches
00530
1'1111 by method
1664 (SG'I'-IIEM)
111 1 19
01104
01094
01 1 14
"Total Suspended
Solids, mg/L
lion -Polar Oil &
Crease, mgll.,
Copper ' , rtlg/L
Alunliutim mglL
"Zinc ' , mg/L
Lead ' , mg/L
Freshwater
(Saltwater)
Benchmarks
-
100
15
0.010
(o.o05)
0.75
0.126
(().095)
0.075
(0,220)
t
o az tut
0-
e.01j0-
Gp,a�
' II'a value is in excess of the benchmark, you must implement the Tier 1 or Tier 2 responses in the General Permit. 6'� v�'"'
'- Total recoverable metal. QCI 2 4 Wb
a "I'hese benclunarks are water hardness dependant. Values shown based on a hardness of 50 mg/L.
Solvent Manatenlent Plau Certification: NTRAL FILES
Mail original and one copy to: "Bused upon my inquiry of the person or persons directly responsible for inanaghp- ����CJoNhe permit requirement for
Division of Water Resources managing solvents. I certify that to the best of my knowledge and heHef, no leak, s or c umping of concentrated solvents
AIM: Central miles into the stornmater or onto areas which are exposed to rainfall or stortnwater runoff has occurred since filing the last discharge
1617 Mail Service Center monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Management Plan
Raleigh, Norlh Carolina 27699-1617 included in the Slormwater Pollution Prevention
\� �z2� •\p
(Si_ afore ' rmrttec) (Date)
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepares! 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, trite, accurate, and complete. I am aware that there are significant penalties for submitting false information, including file
possibility of fine] and imprisonment for knowing violations."
(Sign trs' rtnittec)
Permit Date: 6/02/2015-5/31/2020
i 0 1'LZ1Q
(Date)
S WU-253-060515
Page 1 of l

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG190000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE (COC) NO.: NCG19MO ❑O 0&I RECEIVED SAMPLE COLLECTION CALENDAR YEAR: �t
OCT 16 20 %is monitoring report is due at the Division no later than 30 days from
FACILITY NAME: -C[;�aLI:7 0, CW -(Z the date the facility receives the sampling results frorn the laboratory.)
SAMPLE COLLECTIO 4 NAME: CENTRAL FILES
DWR SECTION FACILITY COUNTY:
CERTIFIEDLABORA'I'ORV:iaa,r,7--,srr4L CAevtlirS Lab# t1Q-209;FrL
Lab N PHONE. NO.: (9 I Q)
Part A: Specific Monitoring Requirements
Oi tfall
No.
Sariip[e
f..,
Collection Date,
mo/ddl r :
Total Rainfall,
inches'Solids,
00530-
;.
164 SGT-11 EM
-017I9 ,;
Oi 104
01094
Ol 114
Total Suspeaded'
i /I! :'.
Nml To a' Oil"&
Gresse`,�mW
Copper ': , mg/L
Alumrnu'm , R1' /L
: Zinc• , mg/1,
:'Lead ', nigh,
F rishivater
(Saltivatcr)
QCIICIIIiIklYlL5
15
0.0,10
(0.005)
0.75
0.126
(0.095)
0.075
(0.220)
i
04 1251,T
I.L'
i?.7-
<S
0-01-7
a-zSS
O t>14
< Q. k
" If a vaItic is in excess of the benchmark, you must implement the 'Fier I or Tier 2 responses in the General Permit.
2 `fatal recoverable metal.
''These benchmarks are water hardness dependant. Values shown based on a hardness of 50 ml;&
Solvent Management Plan Certification:
Mail original and one copy to: "Based upon my inquiry ofthe person or persons directly responsible for managing compliance with the permit requirement for
Division of Water Resources managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated solvents
Attn: Central Files into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge
1617 Mail Service Center monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Management Plan
Raleigh, North Carolina 27699-1617 included in the Stormwater Pollution Prevention Plan."
' A k
t F7 sir ` l
(Stt re Per "tee) (Date)
YOU MUST SIGN T1[IS CERTIFICATION FOR ANY INFORMATION REPORTED:
"t 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."
Permittee)
. j 0
(Date)
PCCrnit Date: 6/02/2015-5/31/2020 SWIJ-253-060515
}1 )1of1

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year '60.4
General Permit No. NCG190000
Certificate of Coverage No. NCG19❑a ❑-o❑Q❑
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 NamN-UD
U3A-Ta `-C�Y C\i—a
County:
Phone Number: kOo 111-1 % O to Total no. of SDOs monitored
Outf all 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 ❑
Out#all
Total
Rainfall,
Inches
00530
00400
00556
01119
01104
01094
01114
TSS,
mg/L
pH,
S.U.
Grease, '
mg/L
Copper,
mg/L
Aluminum,
mg/L
Zinc, mg/L
Lead,
mg/L
Benchmark
NIA
100
6.0 — 9.0
30
0.007
1 0.75
0.067
0.03
Date Sample
Collected,
molddlyr•
e
�a
�t
.�
_r u t cum
it
SW U-250NCG 19-092309

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
Rain#all,
Inches
00530
00400
00556
01119
01104
01094
01114
TSS,
mglL
p
S.U.rease,'
Oil &
mg/L
Copper,
pp
mglL
Aluminum,
mglL
" Zinc, mglL
Lead,
mg/L
Benchmark
NIA
100.
6.0 - 9.0
30
0.007
0.75.
0.067
0.03
Date Sample
Collected,
r
AL
SW U-250NOG19-092309

"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
Mail Annual DMR Summary Reports to:
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office...
[phone]
Raleigh Office ........
[phone] TJ
Washington Office... [phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
JAS111+V)LL R1+_(A0NA1.O IkI_CE�1fAYETTEVILIl?REIGI[1NAL[)F ICE: MOORMSVILLE REGIONA1 OFFICE.
2090 US Highway 70. i 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa, NC 28778 I Systel Building Suite 714 t Mooresville, NC 28115
[phone] Fayetteville, NC 28301-5043 i [phone]
i [phone]
i j E
1tA1,F.l[ li R!?t;!("1NAl, t)F'Flat: �' W,*.tiH1A[;7'UN REGIONAL OFFICE j 141II.l1tINGTON REGIONAV(uiFI'1C1+_ i
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension y
Raleigh, NC 27609 I Washington, NC 27889 Wilmington, NC 28405-2845
[phone] [phone] [phone]
WIN�i7Y}N:SAI:EM-Rl,:[;I()NAI.,
585 Waughtown Street
i Winston-Salem, NC 27107
[phone]
i
i
i
--- •-----[�1;.NTIrAI, t11;1<-1(,:E;
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
SW U-250NCG 19-092309