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NCG020503_MONITORING INFO_20190115
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE ❑HISTORICAL FILE th MONITORING REPORTS DOC DATE ❑2 d I q flI I S YYYYMMDD ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) - STORMWA_TER SUBMIT TO CENTRALDFFICE` General Permit No. NCG020000 Calendar Year 2011 *Report ALL STORMWATER monitoring;data,onl.this•form,(include "No Flow7No Discharge" and'Benchmark Exceedances) from the previous calendar year to theiDEQiby MARCH 9 of each year. Certificate of Coverage No. NCG02 Facility Name: GH F- go K EF, Co Qu AiZRY County: GH Fa K E w Phone Number: (Sa%) SSA 64-SS Total no. of SDOs monitored 3 Certified Laboratory PNGc Lab # y 400 Lab # Stormwater Discharge Outfall (SDO) No. f 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 [� RICEIVED Jo zz" :F l';_E`: Outfall No. Total Rainfall, inches I TSS, mg/1 SS, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mgll (VMA) New Motor Oil Usage allmo. $fO1711 Wfiter BerichmarkS, ' radlcareNO .FLOWift e kablo circle B arks 0 50` 9 " fl•1 .. = � Circle 'Benchmark 26110 ' NIA . wa;er.t}uanty lSiandard applies, NIA. - waterOaaflty. Standard appnes . .15 :.: 'a5 gaUmo, - avema erequlres �rssandNon-polar r Ipap monpodn ` Date Sam pie. Collected,+ , ,. ., �> r�. o „ 0 111 .5 a S. a <o I I . I� nlla to 1 I 1% e. (P 4 A.S .7 N Permit Date 10/1/2015 — 9130/2020 Last Revised 10-2-2015 Certificate of Coverage No Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. a 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 DEMbR to reduce monitoring frequency ❑ No, turbidity benchmark exceedances did not require monthly monitoring ❑ Other ❑ NCG02 ❑0 5❑❑0 No [� No No [� Total Rainfall, inches Purp,f NTU• Upstream Downstream •Non-1 : . New Motor Oil Usage .. Standard apptle Standard ap�116S. MEN llect-.,j Permit Date/011/2015 — 913012020 Last Revised 10-2-2015 Certificate of Coverage No. N0002 ®5❑©© Additional Outfall Attachment (make copies as needed foradditional outfalls) Stormwater Discharge Outfall (SDO) No. 3 VMA Outfall? Yes ❑ No [� Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [J� Was this outfall ever in Tier 2 during the past year? Yes ❑ No d 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 ❑ I ■ Total Rainfall, Inches Pu r .. NTU / • • Downstream r • •Non -polar ■. (VMA) . Oil Usage .. • i Standard appil-as Collected, Permit Date 10/112015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. N0002 �©E[3. 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 I I 1 14 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 1011/2015 — 9130/2020 Last Revised 10-2-2015 HARRISON January 9, 2018 NC Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RE: Annual Summary Stormwater Report DMR NCG020503 Harrison Cherokee Co Quarry Murphy, NC Cherokee County To Whom It May Concern: Please find accompanying this letter, one original and one copy of the Annual Summary Stormwater DMR for the above referenced location. If you have any questions or need more information, please contact me at Harrison Construction Company Division of APAC Atlantic Inc. P.O. Box 449 Franklin, NC 28744 or call me at (865)-279-6374. Sincerely, Jeffrey Arnette Environmental Compliance P.O. Box 449 (28744) . 136 Rock Quarry Road • Franklin, NC 28734 . Tel; 828-524-5455 • Fax: 828-524-9314 A Division of APAC-Atlantic, Inc. An Equal Opportunity Employer ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER it SUBMIT TO -CENTRAL OFFICE* 11 General Permit No. NCG020000 Calendar Year o,()1-7 'Report ALL STORMWATER monitoring data on this form (include 'No Flow"rNo Discharge" and Benchmark Exceedances) from the previous calendar year to the.DEQ by MARCH i of each year. Certificate of Coverage No. NCG02 9©F6_1 FacilityName: County: CHEIZO KEE Phone Number: 455 Total no. of SDOs monitored -- Certified Laboratory 2&; e Lab # . 40 Lab # Stormwater Discharge Outfall (SDO) No. _1 VMA Outfall? Yes ❑ No Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [v� 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, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mgll (VMA) New Motor Oil Usage allmo. Stormwater Benchmarks Date Sample Collected, mold r` bdfcare NO Fc x.exro 1t5 r Circle a hmark 10 50 �{g;;'�� 4.1 Circle enchmerk 15�l25110 ;NIA Standard opp ea l NIA n.aiE stadrppla 15 ?56 gaBm ; , overage requlrea T0muqlAnlef G a I-7 0 40.1 Ho.5 1a ao r7 .$ q.4 x-0.1 ! A 7 Permit Date 101112015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. N0002 ©Q®© Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. 2— 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 ❑ Noy 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, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar 08G, mgll (VMA)(gal/Mo.) New Motor Ofl Usage Stormwater Benchmarks. ,ndicalsNO' F� k b . Circle a mark 10 6J0 0.1 . Gcla - -. enarunerx. Jsm 0 NIA Q1 glanderd appllifities - NIA Water Quality� Standard applieswater J a6b gallmo. avmger*quiraa iS9 and Nan�ofar. 0&0 monllodrr Date Sample Collectedr• molddl r ` .• x .; I ;• r r. t f Al� mll� � 4 1-7 0. G 1I•q 40.1 I At la ao 1-7 0. 5-0.1 A! A Permit Date 1011/2015—913012020 Last Revised 10-2-2015 Certificate of Coverage No. N0002 SE]5 Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. VMA Outfail? Yes ❑ No [2f 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 exoeedances did not require monthly monitoring ❑ Other ❑ • • Rainfall,SIP", Inches UpstreamDownstream • • • • • • • • • r • r Oil • . •: • -Si • r r M r i •, memo Date Sampi moldcVyr ah ; y,� i A� ^� ii �1`rr.. ,yy �F�'-'' '4 d,k,.j �1�1 Vr'L� �YL� �� 1{l.'il •� www,g* Permit date 10/1/2015 — 9130/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCGU UE�N© 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 § f 22.22] Signature Date 1 Malt 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 Envlronmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015—9130/2020 Last Revised 10-2-2015 ANNUAL SUMMARY DISCHARGE MONITORING REPORT DIVIR - STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year ajZ "Report ALL STORMWATER monitoring data on this form (include'No Fiovi'/"No Discharge" and Benchmark Exceedances) from the previous calendar year to'the DEQ by MARCH 1 of each year. Certificate of Coverage No, N0002 O❑©©© Facility Name: Ctlf,__QOKfr CO County: GH E a Phone Number: Total no. of SDOs monitored Certified Laboratory p�L'�� _ Lab # 40 Lab # Stormwater Discharge Outfall (SDO) No. IVMA Outfall? Yes ❑ No F� Is this outfall currently in Tier 2 for any parameter? Yes ❑ No W Was this outfall ever in Tier 2 during the past year? Yes ❑ Nov 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, mg/1 SS, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mg/1 (VMA) New Motor Oil Usage alfmo. Stormwater Benchmarks Date Sample CollectedRIM moldd rr`c lndhale rro aFLO W Af : Circle 9 hrnadt 0Q 50 0.1 Circle enchtnark JP25/10 � NIA Standard ■ppllcy NIA Standard oppliaa 1 `� - >65 gaurno. average roqulrn To6o mon Non -polar 1 a 1'I Z0.1 I(o.5 WA Ia as I7 b. g 9.9 4-0. ► 14.4 A Permit Date 1011/2015 — 9/3012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ©s❑®© 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 d 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, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar OBG, mg/1 (VMA) New Motor Oil Usage allmo. Stormwater Benchmarks Indke1eNO aF„ ;ola Clrcla B mark 10 0 0.1 'Clrcls enchmark �25l1 0 N/A S endard appiles N/A Randard applies 1 `� >55 .IUmo. averapsraqulna T080 monitodnlar Date Sample Collected, moldd!r ��?ir f7t;r',r�,r,r f a �a." r lz} �zsacn�-, P, fr �,�� `. r w� 1.14, M r .' it -A Co.l MISnl la ao l"7 0. Ig 5-0.1 AI A Permit Date 10/1/2015 - 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. N0002 ©©DO Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. 3 VMA Outfall? Yes ❑' No V Is this outfall currently In Tier 2 for any parameter? Yes ❑ No [+� Was this outfall ever in Tier 2 during the past year? Yes ❑ Not J 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 Na. Total Rainfall, Inches TSS, mgll SS, m1/1 Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mg/l (VMA) New Motor Oil Usage allmo. sf_. - .. ormtwater - lndicefeNO a` ,k Circle Benchmark 100150 - 0: i 'Circle .. Benchmirk 50125L10 NIA " g endi�d ipplles; . , NIA walorqualitBenchmarks 5 andard app!]e. i 5 >6b paumo. averagaraqufres ream°ro�ofar. Date Sample Collected molddl r 1S o Fcc,W u o -c.o Permit Date 10/1/2015 — 9/3012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 0] 1 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 k 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10i112015 — 9/30/2020 Last Revised 10-2-2015 - 14 0- ' ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) —STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year & jqf�oLIV - 'Report ALL STORMWATER monitoring data on this form (include "No Flow"1" No19ischfr� a sand Benchmark from the previous calendar year to the DEQ by MARCH -71 of e�chtyear. Certificate of Coverage No. NCG02 SECTION Facility Name: T Q U County: LHj;R()KkF, Phone Number: (US )5a4-5455 Totaf no. of SDOs monitored 3 Certified Laboratory Pqc F- Lab # 4(.) Lab # Stormwater Discharge Outfall (SDO) No. Z— 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 RECEIVED E❑ If this outfall was in Tier 2 last year, was monthly monitoring discontinued? RECEIV Yes, enough consecutive samples below benchmarks to decrease frequency ❑ JAN 2 b 2017 Yes, received approval from DEMLR to reduce monitoring frequency ❑ No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES Other ❑ DWR SECTION Outfall No. �--- Total Rainfall, inches I TSS, mg►I SS, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar 08G, mgll (VMA) New Motor Oil Usage allmo. Benchmarks IndlceloNO ROWN e kable CirclStormwater aClim hmark )O 0 0.1 Circle nchinark 2.t111O ��.YY" _ NIA Water Quality Standard applies NIA Walarouellty standard appllaa 1� 'egerequl avereperequlroa TSS and Non -polar QSO monitories Date Sampler,aI Collected molddI r d_r .n l $.�E .•�1`t' '.. R. y# i�4},r�� eer. €:.. �,�'ix_Y�rxr rKh 1' 1 Ix'�.il.. .rs.. `�...� �i"�#"�7: f4.# i �lH*J %+�_•f.-. _a�YSZi r /Ne C 'Lew 42 to f (n ! .I clill. fo a 0. I IWA N Permit Date 10/112016 - 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 0 215 Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No [✓r 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 [lf 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 I SS, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mgll (VMA) New Motor Oil Usage allmo. $tormwa ter Benchmarks lndlcala Np a 1OWY kablo Circle B rtchmark 10 50 0' 1 .Circle [ 9eenohmeik `Y' 2`611 0 NIA 5 andard applies NIA Standard applies - 1 rJ >55pe1lmo. average requires lar TO and monitoring Date Sample Collected, moiddtyr k �' 1 , v. A, • z� •� a _ ,. 010 No F is 1 1:0 1. I 0.1 0.1 so. ,4 N 1A 1AN Permit Date 101112015 — 913012020 Last Revised 10-2-2015 Certificate of Coverage No. N0002 ❑O ®O❑® Additional Outfall Attachment (make copies as needed for additional outfalis) 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 exceedances did not require monthly monitoring ❑ Other ❑ Outfall No. 3 - Total Rainfall, Inches TSS, mg/l SS, mlli Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (0) Turbidity, NTU Non -polar O&G, mg/l (VMA) New Motor Oil Usage Igallmo, Stormwater Benchmarks l,,dicara NO aF`acaee, crier. .Blencnhmark Lw/ba �•� ctrcla Benchmarkwitar �01251i,10,' NIA - 'Sandardappfles .N1A St3hdardapplies_ 1`� e68gahmo. sverape requlres TOs6and monitoring Date Sample r 6 �rx 3 r .�9 t'molddl ` �iY °rr,s � ,r?�Ci,�� a1-1 ,, ,Collected,, 1 n.-.� # ' 3atiY.:. ue,• x�ier $�����li:��.41�fi':� 've# ��b s� M1a5r� i / u+- No Permit Date 10/112015 — 9/3012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 A©()❑© 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 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/1/2015 — 9130/2020 Last Revised 10-2-2015 M IAA R.1 S-ON Harrison Construction Division APAC-Atlantic, Inc. Hwy. 64 West • P.O. Box 449Franklin, North Carolina 28734 (828) 524-5455 • FAX (828) 524-9314 December 17, 2015 Central Files, NCDENR Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RE: Annual Summary DMR-Stormwater NCG020503 (Cherokee County Quarry) To Whom It May Concern: RF ED CEC 21 Z015 CENTRAL FILES nW R SEA Please find accompanying this letter, one original and one copy of the Annual Summary DMR-Stormwater for the above referenced location. If you have any questions or need more information, please contact me c/o Harrison Construction Company Division of APAC Atlantic Inc. P.O. Box 449 Franklin NC 28744 or call me at 828-421-0448 SA erely ours Do Mason Environment I Compliance Ir . ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG020000 Calendar Year o i 5 *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 1 of each year. Certificate of Coverage No. N0002 Facility Name: CggfoY K County: G tt [{OKE Phone Number: ( ) �a4 �j �Total no. of SDOs monitored Certified Laboratory PACT Lab # Lab # Stormwater Discharge Outfall (SDO) No. OO l 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, mlll Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mgll (VMA) New Motor Oil Usage allmo. Stormwater Benchmarks l,,dicat. No FLOWN100, applicable Circle aenchm 0• I Circle enchmark 5 25110 NIA avatar quality Standard applies NIA Water Quality Standard applies +� >55 gaVrno. average requires TSS and Non -polar 0&G monitoring Date Sample Collected, molddl r J A)O FLOW --- A11A I R a Permit Date 10/1/2015 — 9/3012020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 ❑0 ©00 30 Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. oo a VMA Outfall? Yes ❑ No V 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 mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mgll (VMA) New Motor Oil Usage allmo. Stormwater Benchmarks Indicate NO applicable Circle Benchhm DV 0 nn v•1 Circle en�clhrmark 2511 0 NIA Water Quality Standard applies NIA Water Quality Standard applies C `� >55 gallmo. average requires SS and Non -polar TO&G monitoring Date Sample Collected, molddlyr 111 . 3 ao.9 NIA IU Permit Date 10/112015 — 9/30/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 []0 5❑QQ Additional Outfall Attachment (make copies as needed for additional outfalls) Stormwater Discharge Outfall (SDO) No. 00 3� VMA Outfall? Yes ❑ No [r j Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [d 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 ❑ Outfall No. — Total Rainfall, inches TSS, mgll SS, mill Turbidity, NTU Upstream (U) Turbidity, NTU Downstream (D) Turbidity, NTU Non -polar O&G, mgll (VMA) New Motor Oil Usage al/mo. Stormwater Benchmarks Indicate No FLOW if applicable Circle Benchmark 100150 0.1 Circle Benchmark 50/25/10 NIA Water Quality Standard applies N/A Water Quality Standard applies 15 >55 gallmo. average requires TSS and No"olar O&G monitoring Date Sample Collected, molddl r .r, N -SJ !!L0w ------------ ._ Permit Date 1011/2015 — 9130/2020 Last Revised 10-2-2015 Certificate of Coverage No. NCG02 A©EI© . I . 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 1 , Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (not Dr=MLR) 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 (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 10/112015 — 9/30/2020 Last Revised 10-2-2015