NCG020221_MONITORING INFO_20190225

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C& Qa 0aa
DOC TYPE
❑HISTORICAL FILE
VMONITORING REPORTS
DOC DATE
❑ ��� Inj �)ca� O��
YYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
❑ HISTORICAL FILE
DOC DATE
❑
YYYYM MDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- STORMWATER
SUBMIT .TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2 ®t r
'Repor(ALL STORMWATER monitoring data on this form (include "No Ftow"P'No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH I of each year.
Certificato of Coverage No. NCG02
Facility Name: _1,h d rzi c t( tit t.yl i ---
County: r
Phone Number: Qnf) 6if k - Total no. of SDOs monitored —
Certified Laboratory Lab # Lly
Lab #
S#ormwater Discharge Outfall (SDO) No. 1 #S ;2_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 [:3
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
RECEIVED
Yes, enough consecutive samples below benchmarks to decrease frequency
❑
Yes, received approval from DEMLR to reduce monitoring frequency
❑
FEB 2 5 2019
No, turbidity benchmark exceedances did not require monthly monitoring
❑
CENTRAL FlI-ES
Other
❑
DWR SE-CTIO ]
Outfall No.
�►3 L
Total
Rainfall,
inches
TSS
mgll
SS
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Benchmarks
lnrlicafo NO
,F` Kwar
CircStormwater nchm
BBnchmark
100150
Q.1
9unctvnark
"tun
50/25/10
NIA
Water
Standard aplptle.
NIA
ty
Standard apity Water ptl°$
15
>55 a ".41d
Average r°�uir°a
Taac nd � rnA tar
Date Samplerliii�_
Collec�tled,m2tq �! r
liml
mv, 1_Iii
tr ik �
a"�n Ji�..7ia
Permit Date 10/1/2015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 00©Q
Additional Outfall Attachment (make copies as needed for additional outfalis)
Stormwater Discharge Outfall (SDO) No. _sb p-it 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 Ter 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
N
Outfall No.
s p v»
Total
Rainfall,
inches
TSS,
mgh
I
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
ORG, mgll
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Stornrwater
Beneh.r,arks
re,dlGare NO
FGpW it
a lKab44t
Circle
QrI�IGllnlra [k1
[ t}0/50
11 .r
V. 1
Circle
rBGn4)tlmlfM
J01'L 51 0
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
JC
>ssy'umQ.
aVBrajJa /PITVIr@Y
rSS and Nowpolar
OdG monitonn
Date Sample
Collected,
l
;.°-�jiit�,r
„
.ft[ ,L
� � �#
E}:. +ibi
��
�.rY.
- 4}'
'xt
ii�l l
•f � tr �l k.,,
r
h�-t"rd5``rY
$'z
IY
iu�j +�.1�3 "i
4i'-4`t� F.
,tif� •.6, `.
�; 4Moldd/f
•.,r•�t4...t t.
.31 7 1 sv
. 3
n
b
ry/9'
7
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Covcrage No. NCG02 ❑O ©©
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No.-�r�,.�S_ VMA Ouffall? Yes ❑ No ❑
[z this outfall currently in Thor 2 for any parameter? Yes ❑ No ❑
War, this outfall over in Tier 2 during the past year? Yes ❑ No ❑
11 thhei outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consocutivo samples below benchmark;, to decruaso froquoncy
Yes, received approval from DEMLR to reduce monitoring frcquoncy ❑
No, turbidity bonchmarlc excoodanc es did not roquir© monthly monitoring ❑
Other ❑
I
I
Outfall Ale.
Total
Rainfall,
inches
"
TSS,
mg/l
sS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&O, mgfl
(VMA)(gal/Mo.)
New
Motor Oil
Usage
C+
w7 t()��(•t!U�I�fF-r
serrctrrrlarks
hrdl�:rru HD
!°!.!)W 7!
Cfrr,En
fir:i �r:lrnurh
100/5d
0.1
Girele
f3nnrharo]+H
5t)125140
NIA
Wathu' uuality
Slan WOapprira
NIA
Wale, Ouallty
SrandardapOet
>M Sr Kra.
,rygr'1jY01'VNjM„S
1'$5 aw Wwt4KA.w
Date Sample
Collected �
Y17rrldU!
.. a,-F
! t �t•� zt �:�
L i r
�: �
s
��
- s �,
it r' � � r`�' ��.
r t
��,'
/EW
ELE1
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Covcrago No. NCG02 (a❑2 E)[D
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. . e VMA Outfall? Yes ❑ No ❑
Is this outFall currently in Tiar 2 for any parameter? Yes ❑ No ❑
Was this outfall over in Tier 2 during the past year? Yes ❑ No ❑
It thi4 outfali was in Tior 2 last year, was monthly monitoring discontinued?
Yes, enough consomAlvo samples below benchmarks to decrease frequency ❑
Yes, roccived approval from DEMLR to roduco monitoring frequency ❑
No, turbidity bonchmaric oxceedances did not roquire monthly monitoring ❑
Other ❑
{
!
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/l
(VMAj
New
Motor Oil
Usage
g
(gal/Mo.)
StClfYlrwater
_Benchmarks
rr,,,r ; ru NA
FLOW it
lrcr6l�r
Clrr, F.r
�,,:,r,;an,arh
100150
0-1
Circle
Snarhr,�,rh
50/25/10
__..
NIA
wannir Qn,zt,ty
StdUard apwica
NIA
.W"bu ldrra�rty
fi
tandar/1 atrfwa
15
>55 tra it..
IYRr.141Q IC trnm 4
rSS arid Noi-""Aar
f1d{i, morrttrrrin
I)ate
Date Sample
Collected,
m QldW
a
"4r
�'a > �r 5
`� _
L>.
�3T,
3
AVIO
!
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 1FA] [D
/Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. _yg•,_— VIVIA Outfall?
Yes ❑ No ❑
lw this outfall currently in Tior 2 for any parameter?
Yes ❑ No ❑
Was this outfall over in Ter 2 during the past year?
Yes ❑ No ❑
it thls outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, onough consecutive samples below benchmarks to decrease frequency
❑
Yes, received approval from DCMLR to reduco monitoring frequency
❑
No, turbidity benchmark excocdancef: did not require monthly monitoring
❑
i Other
❑
t
Outfall No.
y�_
Total
,Rainfall,
inches
TSS,
m /l
g
SS,
mill
Turbidity,
NTU
_ T
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, m !l
vMAg
# 1.
New
Motor Oil
Usage
allmo.
$ttll77lWc7i+?r
Berwhinarks
_
Ir.dk++ru No
FU)wit
d , tcaula
COO.)
F1unchowh
100150
0.1
circle
ti+;,1MI'midh
50/25/10
NIA
1"10,u,llty
tin.tandird apW103
NIA
Walero,r.,lity
$landard dlr(,ile&
15
�Stitlal%+++o-
.rver:q�o re+iul+'+r-Y
r"M2110
(AG monWWri
Date Sample
r
10
,i,
1 +
7f19.Y
f
Permit Dato 101112015 — 9/30/2020
Last Revisod 10-2-2015

Certificate of Coverage No. NCG 02 2990
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Ou fall (SDO) No. Q L VMA Outfall? Yes ❑ No ❑
Is this outfall currently in "nor 2 for any parameter? Yes ❑ No ❑
Was tni , outfall ever in Tier 2 during the past year? Yes ❑ No ❑
ff this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yea, enough censocutivo samples below benchmarks to decrease froquoncy ❑
Yes, roccived approval from DEMf_R to reduce monitoring frequency
No, turbidity bonchma►1c oxcoodances did not require monthly monitoring ❑
Other 0
f
i
{fit:tfall MO.
._.�.J3..ti
'natal
,Rainfall,
inches
TSS,
rrtgll
SS,
tell!
Turbidity,
NiU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, m 11
9
(VMA)
New
Motor Oil
Usage
allmo.
Slor'rrlwvfter
Benchmarks
rndre��ro NO
F+'f,W rr
d 1 rrf:dLfl!
'�t l
klnnrlunalh
100/50
0.1
Circle
i1e11rhulath
50125110
NIA
swat"' utl'Y
1411daFtJ ayplio:L
NIA
waW, (duall,y
Standard appilus
15
�sstrwrma.
aerer.ryla ler!lamY
rss alw ww4 ji Ir
L!!L{; munttnnn
Date Sample
Collected �
molddl r
.,t �i
'�
i E :i�� 1 .i
aSi
; r
I... R.. !:
♦1'
, , r'
.1 f� Yr
V^F.
.• „r tt r
� •� 1 6,(� 3�i'f
4 5
:_ w r.
�� ,�
`
:F.jtr,
-
l
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No, NCG02 l i!.1LA Ig to
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. sus 3 VMA Outfall? Yes ❑ No ❑
Is this outfall currently In Tior 2 for any parameter? Yes E] No ❑
'liilas this outfall ever in Tier 2 during the past year? Yes ❑ No [j
I this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, onough consccutivo samples below benchmarks to decrease frequency 0
Ye,, received approval from DEMLft to reduce monitoring frequency 0
No, turbidity benchmark oxcocdances did not require monthly monitoring 0
Other O
E—
i
Mo,
7'ota3
Rainfall,
Mintitt>as
TSS,
mg/l
SS,
ml/l
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
DownstreamNew{lutFa#i
(D) Turbidity,
NTU
Non -polar
O&G, mgll
tA1.
Motor Oil
Usage
Jailmo.
StUr'rrl+7vater
Berrchmarks
7„,r�;..t� 7ro
""`" "
� lrCr67�r
4l"'Wj
Nr:rtrlrn�,rh
100/50
0.1
C 11FM
e,r:n,t„n,rw
50/25/t 0
NIA
Watur Quality
Slantlanl ap7fllcs
NIA
W.ilur OwIlly
S,and.ud i.
airlH,u
1
}5S �l7tllnt♦r.
rS5 arwf Non lrq{ar
f}a,(i rnunllrmn
Bate Sample
Collected,
mo(dd/yr�¢f#
r� t,r4
,;
•.z.,�;. '
)v!4 y i• a
;<< g;� 1-'�
}4 k�5i:t(R r4r ��rRr"Al
;;
�:.
rll f -I-
,
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGU ❑O FAIOQ
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 .
Date
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 1011/2015 •- 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE
��� ��� ■ILPL..11.11 P.II.q _
General Permit No. NCG020000
Calendar Year 2,P/7
'Report ALL STORMWATER monitoring data on this fonn {include "No Flow"Mci Discharge" and Benchmark
Exceedances} from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 EaE ®Q
Facility Name:
County'
Phone Number:( Jzj) L jrf, -�3 Iq4 Total no. of SDOs monitored
Certified Laboratory 10AG/- Lab # _ Yo -_
Lab #
Stormwater Discharge Outfall (SDO) No. �� VMA Outfall? Yes ❑ Nolz
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 0
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? RECF:I\
Yes, enough oonsocutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ JAN.2 4 ''10'18
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL F IL S
Other ❑ DWR SECTION
Outfall No.
1K.%
Total
Rainfall,
inches
TSS,
mg/I
SS,
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al/Mo.
Stormwater
Benchmarks
Date Sample
Collected,.��
mo/dJ/ r
hydicala NO
Flowif
a Ucablo
Circle
Benchmaark
100/50
•r
0.1
Circle
benchmark
50125/1 0
.J V
�
NIA
NIA
Water Quality
Standard applies
........ ,
NIA
water Quality
Standard applies
15
k_
-55 U umo.
requires
TSS and Nonyroiar
OE,G ff"Lit0finlL
,«�.i
..x.1
0
3S.01
y
v. Iz
. z117.17
Permit Date 10/1/2015 — 9/30/2020
Lost Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 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, onough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark oxcecdances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al/mocircle.
Stormwater
Benchmarks
lnUlcarp NO
FLOW11
a lfcable
Benchmark
Benchmark
100150
0.1
c'hm
Benchmark
50/25/10
N/A
w""'Qu""`
Standard applies
NIA
water Quality
Standard applies
15
MD-
>55e requires
average regwree
TSSand Nun -polar
ORG rmannonn
Date Sampler
Collected,
m old d! r
l€
,' ��
� r
,�{
�L�
m'{�
y !
a �:
r� '.. �+. -
l
C��
-' D.i'c i`N ?�
�z
x'. 5:.t t' R
t T
r y�.. � ,
-. "l.w
tsa
g.n• Ft�
■
e ,fix
rye, .i� -
S Y qT -
1
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- STORMWATER
-SUBMIT TO CENTRAL OFFICE'
General Permit No. NCG020000
Calendar Year 2 v 17
"Report ALL STORMWATER monitoring data on this form (include `No Flow"/"No Discharge" and Benchmark
E=xceedances) from the previous calendar year to the DECK by MARCH 7 of each year.
Certificate of Coverage No. NCG02
Facility Name: jtg J941
County: Ad2!q t,✓
Phone Number: ( Zx f) j QL - 3yyK Total no. of SDOs monitored
Certified Laboratory YAt-, Z Lab # V o
Lab #
Stormwater Discharge Outfall (SDO) No. ci 4 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfaii ever in Ter 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring ,discontinued?
Yes, enough oonsocutive samples below benchmarks to decrease frequency ❑.
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceBdances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/l
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
1nUlcafa NO
Fcowr!
a flcahfa
n, Circle
fi°nChmdrk
100150
0.1
rcin'ra
` hni
S°nchmark
50/25/10
NIA
Water Quality
Standard app{l°s
N/A
water Quality
Standard applies
15
e'aqui
averapo rayrdrab
TO&G rnelon.�il
QGG m°nitortu
Date Sample
Collected,
molddl r
l
ri a.'•+�t
�r�wf ti, V
:f S ni ;h - ...
ftv
e.�?4 •e !'
512.91111
r
r
y-
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 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 ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark excoedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
ml/l
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Nan -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
• lnA1r•ara NO
F4ow l!
a
BenChnfnchni art!
100150
0.1
cl
Nenchmars
50/25110
NIA
water Ou"'y
Slandard appfles
N/A
Water °u"''ty
Standard applies
15
-55gallnm.
average reQwres
TSS and NonjMar
O&G monitodnDate
Sam le
p
r�
yfkable
% F
fit�_Collected ;ate= �yy
���
'*
4011'1�4
.,� r
,�,
xf ;'0"mo/dd/
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2P17
'Report ALL STORMWATER monitoring data on this Form (include "No Flow"P`No Discharge" and Benchinark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: krX"1lrk ,effi?Aer _
County: _ _1IeZ4►.4,-
Phone Number: 4( .t V } `I& _ jrysf Total no. of SDOs monitored
Certified Laboratory ZfAur Lab # q n
Lab #
Stormwater Discharge Outfall (SDO) No. ,g, VMA Outfall?
Yes ❑ No [5
Is this outfall currently In Tier 2 for any parameter?
Yes ❑ No
Was this outfall ever in Ter 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
❑,
Yes, received approval from DEMLR to reduce monitoring frequency
❑
No, turbidity benchmark exceedances did not require monthly monitoring
❑
Other
❑
Outfall No.
Ste'
Total
Rainfall,
inches
TSS
mg/I
SS
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al/ma.
Stormwater
Benchmarks
Lrdicata NO
FLOW jr
NL'ahlU
cir<`a
Benchmark
100150
0.1
""'"
Benchmark
5fl12511 fl
NIA
wator Quality
Standardd aaµµhas
NIA
Water Quality
Standard apyiios
15
>55 pallmo.
averaya ropuires
SS and Nonyo{ai
O&G nwniytwin
Date Sample
CQII(i��
�1a
rI
,Vi
44t
. � �
:;
t1
I k -
�'V.
.�'knFFM�i
't�'9ftmoldd/
E N•4iir �a
I !
ILE
S
vo
z
Permit Date 10/1/2015 -- 9130/2020
Last Rovis©d 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfiall (SDO) No. 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 ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark oxcocdances did not require monthly monitoring ❑
Other' ❑
Outfall No_
Total
Rainfall,
inches
TSS,
mg/1
SS,
m111
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -Polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
rn�flcaro NO
FLOW it
d l�d6lu
clecle
Benconlark
^/115©
00
0 1
Circle
aencllmatu
cJ�ll25iI
V !
NIA
Water Quality
Standard applies
A
NIA
water Quality
Stanaard appllee
C
J
>55 palhm,.
areraw reftunn3
TSSand Non -polar
O&C munnorin
©ate Sample
Collected,TAW
moldd/yr
>�!
i `°:�
�� ";<
w`.<r=��5f�,"
g; f
a' ;
„ "'Z'E
x.,i'�j . ,Fa
�C+s.jl)yklt�y{
e-'�j;al�tA111,.
fir ��
5C�
�i}lktFF
!
Permit Date 10/112015 — 9/30/2020
Last Revised '9D-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
Genera! Permit No. NCG020000
Calendar Year .2 v v 7
'Report ALL STQRMWATER monitoring data on this form (include "No Flow"!"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: HaOtflCk ,Allen
County, /l.✓S. -
Phone Number:( rz4 )- in- 3 gy q Total no. of SDOs monitored
Certified Laboratory _6 Lab # � p
Lab #
Stormwater Discharge Outfall (SDO) No. 54or !r VMA Outfall?
Yes ® No ❑
Is this outfall currently In Tier 2 for any parameter?
Yes ❑ No ❑x
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. onough oonsocutive 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
❑
Outfall No.
seorb
Total
Rainfall,
inches
TSS,
argil
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
6rdic.11a NA
FLOW if
a NCabla
circle
9onchtnark
100150
0.1
Circle
Benchn�ar►
50/25/10
N/A
wator (Quality
Standard applies
N/A
Water Quality
Standard appilee
15
"itga55 rent°
,.varago roqrdret
r3S and NoejxAjr
d6G rrwnitarin
Date Sample,'y�r
Collected,'
rnolddl r
`;
L
�z•
r'f`z
!a,
'
cr t. t!"�
r:
'';�'
,' ✓,Ff�
« • .
r
;(��•--1:r �'
s V
o
s
7
V.
�0
/O
a
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑E]❑E]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Ter 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 ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedanre✓ did not require monthly monitoring ❑
- - Other., .._ ❑
Outfall No_
Total
Rainfall,
inches
TSS,
mg1!
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg0
(VMA)
New
Motor Oil
Usage
aIL
Sformwater
Benchmarks
4rdlcare NO
FLON i1
a !!cable
Clrcla
ilencnrnarh
100150
0.1
Circle
Benchmark
enchark
50/25110
NIA
wa"' ("ujllt�
Standard applies
NIA
avatar Quality
Standard apolas
15
>55 gallmo.
a,rerape 1"turae
r55 and Non -polar
09G men,ton
Date Sample
Collected
rr►o/dd/ r
-� • r
r5�
h„
t , .;. Y,�';
7 ,1r
?s%�
r :S i F
`
;si' _
t
i`r- ')r ti '.Yt
jti t>�F
r is
.+{. o e 6
4� I
3 r
w r•
r� ti; x �` y;
p` •a
_
•,
t�:, r
E;ri 1
L
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year zo i7
`Report ALL STORMWATER monitoring data on this form (include "No Flow?'No Discharge".and Be»ctunark
Exceedances) fro n the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: I Nrticl[ jI.✓r
County: ldi✓SIr.✓
Phone Number: (fA!!r ) i 8b - 5 r y y Total no. of SDOs monitored
Certified Laboratory T O,Ac iZ _ __ Lab # — e
Lab #
Stormwater Discharge Outfall (SDO) No. S,C3 3 VMA Outfall? Yes ❑ No
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No M
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 ❑•
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
SA 3 —_
Total
Rainfall,
inches
TSS
mgjl
SS
mill
Turgidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Not -polar
O&G, mgil
(VMA)
New
Motor Oil
Usage
allmo.
Benchmarks
f+uticala NO
r-Lowir
a licahlo
c0cStormwater Benchmark
B°nchrnark
100150
0.1
CI It
FlenehmarN
50/25/10
NIA
Water Quailty
Standard applies
NIA
WalarQual[ty
Standard applies
J
15
AI)afhnn.
average requires
TSS and h°n-W�lar
O&G munitoAn
Date Sample
Collected,
r�Qldj
W r
AFt-{ , rs [`
1.�. yc. ��ijJ
F s• �.e�
4�
� A �'
r � .� '
��'S�, rw t ,'tr.-e`�+tK
�a� �9 {2 u � r
�a.' <U�•'��i�v��g51 7#,7
r' .rk'
r„
i' , etaU�i,✓<> !!M
1�..�„ ���.
�r'£!4.`1��,�si..�3'1jR
u��t•e: #'f. ���:. '[�
Ae AQr�
/7
Permit Date 10j112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfali (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Ter 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoririg discontinued?
Yes, onough oonsecutivo 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 ❑
Outfali No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
INTU
Non -polar
O&G, mg/l
(VMA)
New
Motor Oil
1 Usage
al/mo.
Stormwater
Benchmarks
6rUlcary NO
F`ON,"
a 1lcabla
c'AM
flenclnrlartl
100/50
0.1
`"m
1}vhchmarM
50/25/10
NIA
watera�ality
Standard applies
NIA
water Quality
starWard applies
15
>5SCfreq 1
avera�r regU�rde
TSS an" tooniwlar
O&C monitanrr
Hate Sample'
}
COIIFlctPidr
rri0/dW r
.,*s,a#
s�{mil^
l�
� , s.. ..�•�!
r )
.�.�t +�Yi.
4.
�. ��a`.`�.:.rl
Cer
xa h
f :I
2 5�"3 rt 1u`
F "-��w i�+;_'tn t` ^�
,t ¢ Wit°
+r 1k X3SY
+'a:�+ �+;.r,�.iT'1.
�k<`7 yar
F TRS i a
;"� �:��ti;�L�
f"
F :s-w'. t
Permit Date 10/1/2015 » 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT(DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE
General Permit No. NCG020000
Calendar Year pl -7
'Report ALL STORMWATER monitoring data on this Form (include "No Flow'/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEO by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: 1 k
County: _ AA ,i off_ .
Phone Number: (��}fig !sfyy Total no. of SDOs monitored
Certified Laboratory X.4r' Lab #YR
_
Lab #
Stormwater Discharge Outfall (SDO) No. S,aa rvS VIVIA Outfall? Yes ❑ No
Is this.outfall currently in Tier 2 for any parameter? Yes ❑ No (Z
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 oonsocutive 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 ❑
Outfail No.
,fC3ywv ,..
Total
Rainfall,
inches
TSS,
mgjI
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/1
(VNiA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
lndicaro NO
rl.owlf
a llcahlo
"hm
Benchmark
oal a
0.1
Circle
Benchmark
5QI25I10
NIA
water Quality
Standwd applles
NIA
Water Quality
Standard applies
1 c
�l
'S5efequi
arerapo reQuires
TS M. and No4i-wilar
084 manitorili
Date Sample
Collected,
_yr
es
r.�
l.N
Si "
irer
-' ?
rcr,
aArr y x• y. °^ft.:;
E . 11:�.1.-... .
s
i.
a
Ymodd
•u.�&,r.-r •,J is
Af f L
//
—
Permit Date 10/1/2015 — 9130/2020
Last Rcvisad 10-2-2015

Certificate of Coverage No. NCGU ❑❑1]0
Additional Otitfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 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 Tler 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive sample, below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall Na.
Total
Rainfall,
inches
TSS,
mg/l
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
OI&G, mg/I
(Will A)(gal/Mo.)
New
Motor Oil
Usage
Stormwater
Benchmarks
1r1J1Gpr© MO
Ftow r'
a licaUfa
""'e
BcgChmarR
100/50
0.1
Circle
BenChrnarN
50/25/10
NIA
tartar Quality
Standafc! applies
NIA
waterapgtr
Standardd appllea
'$''U"fm"
average regVlle!
TSfi Aral tlpll ar
1�d,G rnoeHtOrlrr
Date Sample
Collected,
moldd/yr
�. t;` i rj
a�1t"
3s a,Y' `
, r
Y- ' �S
,E�
,r =�e i T
f'�iYy
a
r� '
•�
Permit Date 10/1/2015 — 9/30/2020
Last Revised .10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2 v I?
`Report ALL STORMWATER monitoring data on this form (include "No Flow"Mo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEO by MARCH i of each year.
Certificate of Coverage No. NCG02
Facility Name. j.Zr091ei' dyL&y& _
County:
Phone Number (1;Lf ) Are.- a 1f yN Total no. of SDOs monitored
Certified Laboratory 04e- :- Lab # � yv
Lab #
Stormwater Discharge Outfall (SDO) No. 1,Z A. 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 ❑.
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No
Total
Rainfall,
inches
TSS,
mgll
SS,
milt
Turbidity,Non-polatr
NTU
Upstream
(Uy Turbidity,
NTU
Downstream
(DJ Turbidity,
NTU
O&G, mg/l
(VMA)
Now
Motor Oil
Usage
al/mo:
Stormwater
Benchmarks
,ndira,o r,p
F`OWrr
a f1ca6,0
clr°'�
i38nC1lrrtark
100154
0.1
"r°'°
C3ertChrllark
50/25/10
NIA
wale, Quality
Stanndard attplies
N/A
Water Quality
Standard applies
15
sSS paurnq,
avgraQp reul/irY6
T 35 and Noll-lrrla,
O&G maritorin
Date Sample
Collected
moldd/ r
�'p 4 ,� Y
t �t:.>
{
�, kfij }iF`
:,x
i�,t3i':Ni•Rt }1q� 1
,$, �pFti+ y'1i('d1.� �
. ;,.
i kkRJ��h���Ry �ra ri[1ji�Y'tr3i
,• .a �5;r
y��t�� tM�i�,1
r'
�grgVj��� f 4 �'l�yY,+!
i _;x:'.�
`
t[71i''�ir✓� %r ;
s,
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑[][]❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ElIs 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, onough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity bonchmark excoedances did not require monthly monitoring ❑
Other _ _.,.,,. _ ❑
Outfall No.
---------
Total
Rainfall,
inches
TSS,
mgll
SS ,
mi/I
Turbidity,
NTU
Upstream
U Turbidity,
) y.
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, rng11
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
�nUlcafo ND
FLOW if
a lrca6to
cfrc a
Bertcl,marh
OOIrJO
10
0.1
Circle
Bencnmark
JiJILJI �V
NIA
water Quality
SlandarU applies
NIA
water Quality
Standard applies
15
'ra reclus.
ureragc regwres
TSS and Nwi,"ar
06G montlor,n
Date Sample
Collected,
malddlyr
r.
a Tl7thf`�
ii
t r-
�� Y ���
9 i
YrTf, iry l:p\
v }'':
� Y
: i�`:t� -
•j� -
�H �§If t �"a• l
a r ,,•,
A, ({ C ?
��.-. � ;• � ,.
j i�rs
�'�Z �I r -� �t�r. �
,
�' 7 �' ,e J
� t'•� ;L�'
Pcrmit Date 10/112015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑D ©a0
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
Datezr
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 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No.' NCG02 ❑p ©5©
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. ) 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
Date 1
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Centre! 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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — STORMWATER
SUBMIT TO CENTRAL OFFICE`
General Permit No. NCG020000
Calendar Year ;tor b
"Report ALL STORMWATER monitoring data on this form (include "No Flow"rNn Charggjend _ chmark
Exceedances) from the previous calendar year to the DEQ by MARCH ? of each year;; .)
Certificate of Coverage No. NCG02 []p 02 0 l❑ V ;tl'7
ow e` Fret
Facility Name: ytrylvtj< Al►wm- ECTIM0
County: ,Q.✓s..✓
Phone Number. ( !s r ) 6 I - 3 irk N Total no. of SDOs monitored
Certified Laboratory t►r- Lab # Lie
Lab #
Stormwater Discharge Outfall (SDO) No. w a VMA Outfall?
Yes ❑ No Fc]
Is this outfall currently In Tier 2 for any parameter?
Yes 0 No 91
Was this outfall ever In. Tier 2 during the past year?
Yes ❑ No 91
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 exc:eedances did not require monthly monitoring
❑
Other
❑
Outfall Nora
Total ;
xRainfall;
:TSS,+
rngll,
i tSS,r
mlll
�Turhidity,
Upstream �'
�U)Turt�iditji;a'(D)fiji
N TUNTU
Downstream
ilditji,
-
Nonpolar�
0&G, mgli
INew
,1Vlotortill
Usage
{allmo;
Stormwater
Benchmarks
kWkate NO
"oiwol;hA,*/50
BKch mark
.
Circle ,,k
25/10
NIA
sp"aa
NIA
Water �`
VKUM ,�
`
.15
�55 gavmo.
;,,ar,ge �L,ra,
T°"-°a'
0Gff
1DM SaMriple"
3Whk
of 5
13-5
n
z2.3
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional oLftIls)
Stormwater Discharge Outfall (SDO),No. 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 ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedences did not require monthly monitoring ' ❑
Other ❑
$ s
Ouhtfall No ;Rainfall;
, . Total
x, S. ?
rriIIE
9 1 i'�
egg,
`z mlli
Turi itiity,
NjU
Ups'tream
-t y k
. U Turbed
NTU '
r �dLL pp1b5 A
�.n ;ft4'xn?,�
;Downs#ream
D Turbldi
�� MVNTU* 'T-
6
-. f
�,.
�Non4polar�
yOikG mgll
w...
;, , New
Motor CIF!
L Usa e
9.
Storrhwater
Benchmarks
k?dk teNO
F�°,eae;
;.Boxh—fk
160150
Q.1
Bemhnmrk
501251'f0
watNIA
s row"y+aarree
NIA:
Isr.M`a,
{ ;
15
,vq,a,e,*.
"`
Date Sampl@�
Collected t�
51
t
# a
=L
k
n F
fi
a
�w r 4
4
Permit Date.101112015 — =012020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 [da 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 §122.22]
Signature '
Date q
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 10/112015 — 9130/2020
Last Revised 10-2-2015

'r .
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER
SUBMIT TO CENTRAL OFFICE"
General Permit No. NCG020000
Calendar Year 20l6
`Report ALL STORMWATER monitoring data on this form (include "No FloverNo Discharge' and Benchmark
Exceedances) from the previous calendar vear to the DEQ by MARCH i ofceech yeas .
Certificate of Coverage No. NCG02
FEB 2 3 2017
Facility Name: r E 1TQ A I r'LES
County: _ rhli.s.Al DWR SECTION
Phone Number: (g24' ) dg6- ryq _ Total no. of SDOs monitored
Certified Laboratory r° z: Lab # `i0
Lab #
Stormwater Discharge Outfall.(SDO) No. N V,,V' VMA Outta117 Yes ❑ No YJ
Is this outfall currently in Merl for any parameter? Yes ❑ No E]
Was this outfall ever In -Tier 2 during the, past year? Yes ❑ No ®1 RECEIVED
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? FEB 2 3 2017
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ CENTRAL FILES
owR sEcTloN
No, turbidity benchmark exeeedanees did not require monthly monitoring ❑
Other ❑
y t
�utfail No {
r s
r%dr/SRanfall
_'
Total:� F
�;
inches
TSS, �'
Y
t t mg11f
iSS,
mlll
Turbidity,
NTU
Upstream `
(U) Te�rf�idtty,
iVTU
41
"Dawnstream�4New
'(D} yTurb�dity,
Yv�,
NTU
h=r'. � r� �
on polar3
4
O&G �m 1!�
g
�y" `/VMA1S
A"' dl / 1. 3
M6tor:0il
Usage
y/ 1 /�
j£�. � a1/ mMi
Stormwater
Benchmarks
L�dkste NO
a
Circle
,*
I50
0.1
ogle
6enchrturk
�325110.
NIA
"atcr Apu�1S
al
NIA
srd �
'55 DAUM.
average rogLd es
o,wing
Tmop°appi
.�Date�`5ainpl®
3.
1
r
Permit Date 101.112015 — 9130/2020
Last'Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No.- VMA-Outfall? Yes 0 - 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 ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbid'rty.benchmark exceedances did not require monthly monitoring ❑
Other ❑
W 1
a,inche
T
Total-,
tTS5,,�
E7ainfall,G
- .--
zma�,
,. Y
; #SS,
,. fm�.
TurliEdi
; ty�
'NTU
Upstrearrr 'I]ownstreamL`
-{U} Turbidity,
NTU
.F_
` �*
t(D}Turi�rdity,ty-�
�.''� '��
t ,
,� s
Novi-olar `
P„ram ,
_
'O&G 2mgll�
�(►°�?
i�Ner+v
t '
r'Moto��0if'
„ G
Y Usage
allriio.
Stormwater,`
Benchmarks
Indkaw O-'
FLOW rr :
Jcaclo_
8 k
160150
0.1
awmr«
5012511 Q
NIA
wale= cuaary' .
ssana,raapp6es,.
MA
waw Quality
StandardaWiea__
_ 1 rJ
>�
T Nna w
caamonLod
�DateFSample;
r,,.jCollected;��
• ♦ ��
� -�
: ,
�,:. L i
�
U
,• t �
, � ; � t r
-
�;. ;�i �
�
�, � a
", � t, r'�
,..
Permit Date 10/1/2015 -- 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑O ©00
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 '
Date
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -r STORMWATER
11 SUBMIT TO CENTRAL OFFICE* II
General Permit No. NCG020000
Calendar Year ar I b
;Report ALL STORMWATER monitoring data on this form (include "No Flow"Mo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02- QU[ z� i I'N c V tf 1W.0
Facility Name: 890nitk � FEB 2 3 2017
County: .G.vs..✓ CENTRAL FILES
Phone Number: (yA p) 61'L - .3r N N Total no. of SDO'slmariftared��j
Certified Laboratory 2fA G c Lab # q v
Lab #
Stormwater Discharge Outfall (SOO) No. i.8 VMA Outfall? Yes ❑ No j }
Is this outfall currently In Merl for any parameter? Yes 0 No 91
Was this outfall ever imriier 2 during thepast year? Yes ❑ No Of
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 ❑
:�
kOutfailyNo
<'
»
Rainfall"
.
}zTSS,
mglt�
+
I, ySS,
mill
»Turbidity,
NTU
'U stream
P
{U) Tu _tiftty -
r
NTUNT�U
tream
`..Downs.
;(D)xYTurbid ty,,
''
IVon polar,
0G, rng1U
New
'Nlat or Alt
Usage.
Sformw ate r
Benchmarks
kmvcafa NO
'0"'>�
Circle
hmark
150
0.1.
Circle
Benchmark
125110
NIA
st"lana awes
NIA
Water apace
-15 .
a55 gallmo.
—average regLirea
TSS"14 ir. ier
Date Sample
C. te Collecd;
•,;�
��moldd/
1
ar 9
Permit Date 10/1/2016 — 9150/2020
Lasf'Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑[)[]❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. • 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 ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exc:eedances did not require monthly monitoring • ❑
Other ❑
€Outfall No
�� =
eTotal
{ 4 .w
Rainfall,
mches
t
r� �,
TSS
f T
�m'gn; ,
z�
x SSxE
T
> am111 s
A
Turb 11 '
S ty�
�
Upstrea'fii;
( )}. "ty�
T
U Turbidf .„
NTU
-
t
D wnstream
( )` ty Tt
DTurbidi
�!�NTU
� �5 a '
Non' olar
p���
/±
"New
t. k
Moto�011
t "Use e
aVri�o
Stormwater"
Benchmarks
kkOcM NO _
F`ow it
s !k
100150 _.
+,.
.0.1
�hMrk_�
`50125110
NIA,`.;
sra .a
NIA:3,
WM . Qualy
Sfantlard q�pllp ;.
a
15
p -qW ,.
TSS MW NWo-Wjkr
.08a mpgltdtn
i0ate;Sample,
. ►Collected k'
F
_
_
-
{ _
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 000 ![j
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 '
Date 21 f
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 10/112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
'Calendar Year 2016
"Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 7 of each year.
Certificate of Coverage No. NCG02
Facility Name: 9gQrZ1tk
County:
Phone Number: (._p23) 6G_ :Siyy _ Total no. of SDOs monitored
Certified Laboratory xehcic _ Lab # !V v^
Lab #
Stormwater Discharge Outfall (SDO) No. Sd ara► . VMA Outfall?
Yes ❑
No
Is this outfall currently in Tier 2 for any parameter?
Was this outfall ever imTier 2 during the;past year?
Yes 0
Yes El
No ©
NO ® RECEIVED
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
FE$ 2
Yes, enough consecutive samples below benchmarks to decrease frequency
❑
Yes, received approval from DEMLR to reduce monitoring frequency
❑
CENTRAL FILES
WR
DWR SECTION
No, turbidity benchmark exceedances did not require monthly monitoring.
❑
Other
❑
i
SFr 4
Outfall}No'
r ti
,Total r�
�Ra ri�iall;
. TS$;
mgll�
; $S,
mill
�.,"alMid
;,Turbidity!
Ups#reams
{U) Turbidity;a'(D)
<NTU+
�Qownstream�
Turbidityr
NTLJE 4
r
9Non' polar
l a,. �' "
O$G m9
New.
�' Moter Uit
;Usage.
Stormwater
Benchmarks
trrdlcata NO
F`O If
Circle
Berrehmark
0 /50
0.1
circle
Benchmark
25/10
NIA
sta rs
NIA
Water day
_15
'u usuma.
average raqulrae
T� ^, ar
toring
gDate�Sam�le`'
:��Gollec'#eal
moldd! r:
3
.5
AIQ
AV d
AIR
99CAJ4#2Q'f_
rZ
v
Permit Data 10/1/2015 -- 9/30/2020
Last'Revised 10-2-2015

1b
Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Out€ali Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No.! 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 Tler 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 ❑
30utfalltNo: "
x
.
( ;PTO tai
12ainiall,;'mgll�
r ^
inches��
°
;T55,�^
_'
��:x
_
; ;rgg,y
,,mlli,'
�..
�TurEiiditY,
-Upstream,,­Wdffeam,,­2
`N
,(U) Turtird�_P,
NTU
_...
Mownstrea r
m
WhAurviciriy:�
r"NTU'O�G,�m
.�, f
s=*.:��.),.4`x
SNon olar
I? ,
r .. g III
r� A rr
w
Motor 0i1=.
ri�
IJSae
.0
of/mo.
Storniwater y
Benchmarks
,
F,owa _
R kAb16-
G
100150,
0.1
c ,�. ,
.50/25/10,
N/A,-
sin �11i.
NIA
stW&tK Qum
15
w
ro .iw ..
�Date Sample'
�slCcillected;'�
'
t _ '
_
-
i t
permit Date 10/ 112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Qo ®®0
CERTIFICATION
N 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 '
Date 21►o
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

r . -
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year ,z e, I b
*Report ALL STORMWATER monitoring data on this form (include "No Flow"Mo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of%. wy6q ; r
Certificate of Coverage No. NCG02-
FEB 2 3 2017
Facility Name: f frn,2,j.e( .44jAeA CENTRAI FILES
County: AA1-9i11/ WR SECTION
Phone Number 4z 69'A-_3 j9 `1 Total no. of SDOs monitored
Certified Laboratory rAGX Lab # VP
Lab #
Stormwater Discharge Outfall (SDO) No. .S12 e!r- VMA Outfall? Yes 91 No ❑
Is this outfall currently, In Tler 2 for any parameter? Yes E No
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 oonsecutive 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 ❑
r
t w r k
'Outfall�Nor
y D o
.:"
Total
`' -'
yRainfall,a,
irichesL
T"' `
SS,
lL mg113
3
S&,
rnl11
i.Turbtd-ty
.... _ _.
.Upstream �
'(U) Turbidity;'
�NTU `r
��
Downstream
y(l]) Turbidity
�'- �NTU����
.#� ,� r
llVon polar
�08�G mgll
New
1Notor,0il
Usage.
g�.. ;ailrrio
Stormwater„
Benchmarks
nww are rJo
FLOW n
Circle
hr-
(fW50
0.1
cimle
Benthrrrark
25/10
NIA
s'"e:raK*La`rea n,1
NIA
Waterutility&WI
15
>55aavrm.�
aver"* regWrea
Toac „d Non -War
tDate'Sorft
aryl mple
���CQliected
313.7
z ).&
1,23
Permit Date 10/1/2015 — 9/30/2020
LasMevised 10-2-2015

Certificate of coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No., 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 ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedanoes did not require monthly monitoring ❑
Other ❑
x
"Ov tfall No,i'
F`rR> a, infall►`}t
r` `rm�g� ll�,y 'k;4i
SS,
mUl,,�
?
Turpidi ,;
seamt
)T[irrdE
N
it1� ry .d
Rownstreamr,�
(D)Tua dit
ANTU�
a
� ICircle
NKor' p; o`lar?Totaly
Gml
MC
"w o�Nt�oe- rw Oi
i;u
"
sage
5tormwater .
Benchmarks
tndkM- N0
aFCOW_
� : T
100150`
0.1
'50/25HO
NIA
s
NW .
W4WOL.uty
.. StWKU" "Oles
.15
TSS WO Non -polar
._ O&G mpRltarl
Da#e�Sample
olcldlt`M.
is
�,�
Permit Date 10/1/2015 -- 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 00®90
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
Date 4
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR—STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2 e 16
Report ALL STORMWATER monitoring data on this form (include "No Row"rNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02-
RECE ED
Facility Name: ffj=Gk ,uj,yr EEP 9 3 2017
County: AW✓ .r.✓ CENTRAL FILES
Phone Number: (aft ) ,Gg ,- -3 % jK-mrntc .. Total no. of SDOsofi- i-je
Certified Laboratory ✓hell; Lab # t
Lab #
Stormwater Discharge Outfall (SDO) No. 50 3 VMA Outfall? Yes ❑ No
Is this outfall currently in Tern for any. parameter? Yes ❑ No
Was this outfall ever In Tier. 2 during the past year? Yes ❑ No "'RECEIVED
'REEIV
If this outfall was in Tler 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ FEB 2 $ Z 1
Yes, received approval from DEMLR to reduce monitoring frequency ❑ CENTRAL FILES
No, turbidity benchmark exceedances did not require monthly monitoring ❑ DWR SECTION
Other ❑
Ouifail No ,.
Sf3 3�
rases,
„�Totalf
rRainfalEsS; ,
inches
'TS$,
Y
�L mgll,
`SS,
'
MI/I
t.TurblRdity,;
NTU
Upstream ,,
(U)ITurbidity;
tNT'Ut
,.,TI,H.��4Yx;s(1/MA},i
4136Wns6eam
�(D} Tirliiiciity;
r N
NTU
B E`i ,
Nan',polara
�08�Gm !f
9
,
3New
�,IUlotor;011
Usage
p�allmo
Stormwater
Benchmarks
tr ,,,, Wo
FLOWN
ADVkbm
gird:
Benchmark
100150
0.
`�`°
Benchmark
50/25/10
N/A
wQuality
standoU applies
NIA
wdli
Standard
15
gwmo.
' average requires
T
��o
A ate Sample
�:� Col lected
�4-r�j k
Permit Date 10/1/2015 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑Q❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge 0utfall (SDO) No. VMA-Outfall? Yes ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑
Was this outfall ever In Tier 2 during the past year? Yes ❑
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 ❑
No
No ❑
No ❑
ti r 4
,
, Total
Rainiall,�"mgll:
�. ,
TS5
`
�
ASS 'j
ml11'
'Tiurl ldIty,3
Upstream,
(U) t r'b tlty;
NTU
Downstream
i D �Turtiiclt
A"�c�NTU'`°
Non polar,
�08.G,mg/l�
VMA)n
hall'
`Usage
�gallrtio.
Stor►nttiater,�,
Benchmarks
„
FLOk w,:_
`.,
.ym
.100150'
0.1
,
50/25/10 '
N1A
'"se d d � ;
N!A f
su mlar apavw�i.,
t,
1.5
�wSmSmqui;,s .
rO&G mw ftMna
iDate`Sample}
Collected;
J.,A
• i
F
Y
,
E :.
Permit Data 1011/2015 — 9/30/2020
Last Revised f 0-2-2015

Certificate of Coverage No. NCG02 2000
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 '
Date
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 10/112015 - 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DMR - STORMWATER I
0
FEB .2 3 2
.IF SEND TO CENTRAL OFFICE *
CENTRAL FILES
DWR SECTION
STORMWA TER DISCHARGE OUTFALLS (SDO) A
GENERAL PERMIT NO. NCG020000 X,,000
*Report ALL STORMWA TER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I ofeachyear.
CERTIFICATE OF COVERAGE NO. NCG02_ _2 _g
FACILITY NAME: - j4rdlt/1C �1.✓1'' -
PERSON COLLECTING SAMPLES 7-i K 1'yr•i� S
CERTIFIED LABORATORY rArj.- Lab # ytv
Lab #
Part A: Stormwater Monitorins- Requirements
SAMPLE COLLECTION YEAR: 2.aj5 _ 1160
0
COUNTY .A,15 0.✓
PHONE NO. ( 2g)-- LTZ - 3 19 4 -
ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL:
Outfall
No.
Daie Sample
Collected
(mo/dd/ r OR
y t
NO FLOW)
In Tier 2
Monthly
Monitoring?Tier
(y/n)
# of Months in
2
Sampling
Total Flow
(MG)
Total Suspended
Solids
(mg/1)
Turbidity
(NTU)
Settleable
Solids (mlll)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
-
-
-
1003° a
See Footnote3, 5
0.13
9 )S
i✓
8.1q
5
�.07
d
7
IVC9
_3ley
:7
1
,
/ILI
�12.
AdIr
.1
0.07
7
z.s
-A
z WIS
o ,y
1
1
1.
y 2, /s
- , L,
s - r
,
.o
r
. DAr
W-
1
,a
s
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
2 Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 if a value is in excess of the benchmark, or outside the benchmark range (for pl-I), you must implement the Tier 1 or Tier 2 responses in the General Permit.
' TSS benchmark values arc 100 mg/l except in ORW, HWQ, trout, and PNA waters where they are 50 mgfl.
s The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/1/2010-1213112014 Last Revised 02-02-11
Page 1 of 2

Part B: Vehicle Maintenance Activity Mo itoring Re uirements for facilities using > 55 gal of new motor oil/month on average
Outfall
No
Date Sample
Collected
(molddlyr OR
NO FLOW)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
Sampling 2
New Motor
Oil Usage
1a
al/month
Total Flow
G)
TPH using method
1664A SGT-HEM
m l
Total Suspended
Solids
m l
pH
(Standard
Units
Total
Rainfall
in
Event
Duration
minutes
_
_
153
1003.4
6-93
fop
S -v4
r 4 f
sO
1'
✓J
o
�
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:]NO
[�-
HAVE YOU CONTACTED THE REGION? YES ❑ NOD'
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN THIS CERTIFICATION FOR ANYINFORMA TION REPORTED:
"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."
(Signat of Permittee)
Permit ate1/l/2010-12/31/2014
.x 1-11 /,
(Date)
Last Revised 02-02-11
Page 2 of 2

ANNUAL SUMMARY DAJR - STORM[WA' ,ER
II SEND TO CENTRAL OFFICE * II
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
RECEIVED
FEB 12 2015
CENTRAL FILES
*Report ALL STORMJVA TER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year. _I
CERTIFICATE OF COVERAGE NO. NCG02_p Qz SAMPLE COLLECTION YEAR: _ Aol ll
FACILITY NAME: kfidKICK ,,cfIA'1� COUNTY py-5
PERSON COLLECTING SAMPLES T)M Tr lzi5S PHONE NO. (Sxg )fib- 3 S`I `1
CERTIFIED LABORATORY PA oL Lab # Li-0 ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL:
Lab #
Part A: Stormwater Monitorin Requirements
Outfall �
No; .
Date Sample"
; Collected
: "'(mo/dd/yr'OR. '
..NO.FLOW)
' ' "In Tter`2
Monthly _
,�
Monitoring.
.-(yln):.
# of Montbs In,
Tier.!
.Siiutpling?`
Total Flow
{MG).
.Total Suspended,
Solids
- - - 4
Turbidity
(NTU}'
Settleable
=Solids (mVl}'
,Total-
- Rainfall- ,
(in)
Event'
Duration.
(minutes}
-
-
003,4-See
Fattriote
orl
56- vv
212qll
03
5
7.3
R,
g,I
S �l ✓-v5
.Z V I G
r
ay
7: o
Ph 7
v,
v
i1
p 3
$
:3O
Z
z,i 1 i
h1
i;Z,
V, 6
9--,Y,"2
g
s
i
N . `t
.z.
T o 1'
o. P3
I P, Ir
11 'i
,
A,1
7 3
-vF
q1 111
Al
Z
j
% e J'!
3
7,
h.
y
` If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
Z Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmarks or within the benchmark range
3 if a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
TSS benchmark values are 100 mg/l except in ORW, HWQ, trout, and PNA waters where they are 50 mg/i.
5 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permitice may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
IV —
Permit Date: 1/1 /2010-12/31 /2014 Last Revised 0 1 -2 1 -11
Page I of 2

Part B: Vehicle Maintenance Activity 11lonitor(n2 Requirements for facilities using > 55 gal of new motor oil/mouth on average
{
Outfall;`
No.
r,
-� ate Samp e=
I ..v
Collected -
r
{ma/ddlyr OR
°NO FL`OW)F
a In Tier�2�
-:
Monthly
M6intormg,
{yin)' -
# of Months
�m,Tier.2
2.
Sampling:
New:Motor"
OiGiJsage'�,
}-
allinonth
. ,.
'Total Flow
{MG)
� �-
TPI3>usirrg`method.
16641`SGT-HEM
m
Total Suspe"nded
`� _;Solids
ni _
pH
[(Standard
Units
Totah_
;Rainfall'
in ,:,
Event '
` Durati'on' 1
(minutes)-.!
o
HAS YOUR FACILITY HAD 4 OR MORE BENCIFNIARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU CONTACTED TIIE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
7 _
YES ❑ NO
YES ❑ NO
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH 1 OF EACII YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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."
S
(Signatur f Permittee) (Date
Permit Date: 11 U2010-1213112014 Last Revised 0 1 -2 1 -11
Page 2 of 2