NCG160054_MONITORING INFO_20150910

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
w 0 �y
DOC TYPE
❑ HISTORICAL FILE
-V MONITORING REPORTS
DOC DATE
❑ 0 0 � 5 0� i o
YYYYM M D D

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year . e20is
Revised 911712014
General Permit No. NCG160000
Certificate of Coverage No. NCG16�❑O
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name /(�DT�JV �%lP. /���t/DEPSa ✓ /7SP//a2L��
County:
Phone Number: (2.59) 290-57q/2 Total no. of SDOs monitored
Part A. Outfall No. (use multiple sheets for multiple outfalls)
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 DEMLR to reduce monitoring frequency ❑
Other ❑
�Q
i .'f-l00530
If l� �� t I, .. �
X.,. � "
Outfall
•''i3jt �})�ii.'I �
uT4taPRainfall
, inches'.>f
1f' 1
� �w1 9�4'��I�1
)� TSS, mg/L
Benchmark
N/A':,q
50/100'
Date,Se
dampl)Collecetd;
rtioldl/` �
< /}
- - c2o/s
.o
/2
1
z.-
ni
4i
Page I 1

Part B. On -Site Vehicle Maintenance 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 DEMLR to reduce monitoring frequency ❑
Other ❑
'� 4i ff t� till }� �2 Ji `•tf)'h }
Outfall ff
is } 11 5 F}��1� �f S
ITTY
otal Rainfall
a f
q r inches f
let ,.
I e f L - I Y
K t ! a
,Q�
r TSS,` m9/L ,s
,;`,
{ ti i � j1
MS -ar 4
Non olar
,i p I,.
,.� Grease inglL
,.
Benchmark
N/A
501100
15`
DatetSample' Collected„
•�n ,,•
o/dd/yr
m01
Page12

" 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 injaRation, including the possibility of fines and imprisonment for knowing violations."
Signature
Date G
Mail Annual DMR Summary Reports to:
DEMLR Regional 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]
ASIIEVILLE'REGIONAL'OFFICE
FAYETTEVICLE�KEGIONALOFFICE
4OORESVILLEiREG10NA1``0F17WE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH!RECIONAL'OFFICG
WASHINGTON=RFG10NAti'OFFICE
WILMINGTONiREG10NA-L+OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
1 [phone]
I
I
[phone]
WINSTQNL L,rMsJREGIONA�L
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
— ----
Page 13

-�' STORMWATER DISCHARGE OUTFALL (SDO)
° ANNUAL SUMMARY DATA MONITORING REPORT-(DMR)""'ff-Zi' 1.
Calendar Year
General Permit No. NCG160000
9 ❑❑❑�©
Certificate of Covera a No: NCG16 0 0 0
- � NC GFNR Palaigh Re4iona10ffice
This monitoring report summary isrdue.fo ihe. 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 Name: iit)0072EAZ 1761PEWS64 APs 7-
County:
Phone Number: E2J 290 - S9/2— Total no. of SDOs monitored.;: . z
off
-Data Samole lie L.
�.
BE
gX
SWU-250NCG16-051709

Additional Ouffall Attachment,
7
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? YesEl No P�
Was this outfall ever in Tier 2 (monitored monthly) I during the past year.? Yes.M No M'
If this outfall was in Tier 2 last year, why was monthly monitoring' discontinued?
Enough consecutive samples below benchmarks to de ' crease frequency ❑
Received approval from DWQ'.t6 reduce monitoring frequency
Other
m6lddtyr
1%F
SWU-250NCG16-051709

Al
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 fats rmation, inpluding she possibility of fines and imprisonment for knowing violations."
Signature
Date 5
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
Asheville Office ......
(828) 2964500
Fayetteville Officemr(910)
433-3300
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
ASHFVILLTIREIr ONAL� 10 FFIGti
FAiVNI TEV L"LE)RECIQNAI U. Hfi1 E�1
11'(]QRESIi LL E RFG�QNAIi;OF.F1 ^F
610 East Center Avenue/Suite 301 I
2090 US Highway 70
225 Green Street .
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043 .
[phone]
[phone]
ALEIGII,RE' _GI(YWLOFFICL
WC8jfiCSi_TNGATON.(RFOiITNA7C.
I 943 Washington Square Mall
WNMING7,ON%_fq_k „AL)QNF:ICF.
127 Cardinal Drive Extension
3800 Barrett Drive
j Raleigh, NC 27609
,', Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]'
5Tt))N pL Mi1tE IONAC
XNTRAL OFFICE
585 Waughtown Street
1617 Mail Service Center•
Raleigh, NC 27699-1617—�nd
e b rnoe II
Winston-Salem, NC 27107
[phone]
�MDrfhCaroliira s water
[phone]
.....
SWU-250NCG16-051709

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year a01,�l
General Permit No. NCG160000
Certificate of Coverage No. NCG16❑O O❑ OW]
This monitoring report summary is due to the DWO 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 Name:
County: --A
Phone Number:
Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No g]C
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 ❑
a
outfall iiL?otal
„
., Rainfall, inches
00400
00556
TSS, mg/L
pH, S.U.
"Total Petroleum
Hydrocarbons,mg/L
Benchmark
N/A
100
6.0 — 9.0
15
Date Sample Collected,
mo/dd/yr
a
-
-19-1
5 0
SW U-25ONCG16-051709

Additional Outfall Attachment
Outfall No. 2
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 DWO to reduce monitoring frequency ❑
Other ❑
OuHall
Total Rainfall, inches
00530 ':
00400 •'
00556
TSS, mg/L
„
s pH, s u
Total Petroleum
Hydrocarbons, mg/L,
Benchmark
N/A
100
6.0 — 9.0
15
Date Sample Collected
roo/dd/yr
On,fy.�µo
t
1.nfe •`t� t a Y`.(ii. t,
'7S
S
8.
G o0
S W U-250NCG 16-051709

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, includjng the p/sibility of fines and imprisonment for knowing violations."
Signature
Date J
Mail Annual DMR"Summary Reports to:
DWO Regional 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
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
f� 'dopres2r-�e,:prctee
[X(�. � aiidenhaJrc�
i..NO!til'C@JDrN7a$ �:8ffiC.."
S W U-250NCG 16-051709

f
STORMWATER DISCHARGE OUTFAy
ANNUAL SUMMARY DATA MONITORING RE
Calendar Year0/3
General Permit No. NCG160000
Certificate of Coverage No. NCG1600©©❑
(SDO) ;
PORT-(DMR)-- -
1;11 SEP 2 7 2013, , 'l
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 Name: 5,7-y07ZA1 A6�c71Soa✓ 4SD+1A 7—
County: 9/ W 'C 6
Phone Number: (.2S2) .290- S9iZ Total no. of SDOs monitored
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 Fel
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
00400
00556
TSS, mg/L
pH, s.u.
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0-9.0
15
Date Collected Sample
P
moldd/yr
! ,t�. w• X �l,w
anir !rr$tth"
"� �`�
z^.i1fi�Yi{:..^
1�'�} T ,dsb,
� dCo"��
t dH 5 '��! "(4 �f'z�� j
t',iray4jk4t 'Eiji! �iGyu
�- 9-aois
5
No
S
SW U-250NCG 16-051709

Additional Outfall Attachment
Outfall No.. oC
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Pq
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ NoZ
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 2
Total Rainfall, inches
00530
00400
00556
TSS, mg/L
pH', s.u.
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 — 9.0
15
Date Sample Collected,
moldd/yr
` p { k:
n.
(j
t YY
c „
b Yi K,� ( A P C'jy i 1
-. .
-/9-aoi3
A S
p
SW U-250NCG 16-051709

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:
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
SWU-250NCG16-051709

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (
Calendar Year ,//- /Z
General Permit No. NCG160000
Certificate of Coverage No. NCG16[9Z ®❑
MAR 13 2013
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 Name: ST,. (dfi6josor/ ASPNArr
County: ✓&ICE
Phone Number: o?( S? 1 990 - 59/2 Total no. of SDOs monitored
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
If this outtall 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 1
Total Rainfall, inches
00530
00400
00556
TSS, mglL
pH, S.U.
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0-9.0
15
Date Sample Collected,
Pki
molddlyC
5 y� +�Trtx4
id a° tf�h _q$r
S_....., .. ...._..... .�, .. x, .
y
Si r� dt ��5y7✓ :t
n
..
i� dfl3ii
n y pmid4
p{Kir
,.. �. -w �.
Am b to°.1)kE'+d flf , m;+3P iS1Y AV,!
4y"� s {� ref, + y r a �ry�
kfb`lif % i9 it°
a..T ¢?i.k's 1.., .�:,r. 4. 5tt: •G ....3t4u. ,..
.9 lz
; 7S-
.vo
718
No
SW U-250NCG 16-051709

Attachment
Outfall No. _ 'Z
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
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 ❑
Yes ❑ No
Yes ❑ No Rr
Outfall a
Total Rainfall, inches
00530
00400
00556
TSS, mg/L
pH, s.u.
Total PetroleumHydrocarbons, mg/L
Benchmark
N/A
100
6.0 - 9.0
15
Date Sample Collected
molddtyra�"I
ry,,
....il1k irrfv1}Ft
(.'!�
-ay-12-
s
aoZed
6113
SWU-250NCG16-051709

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 falserformation, includinWhe possibility of fines and imprisonment for knowing violations."
Signature
Date 3a� -
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
,ast Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
To preserve protect
Ip�l and enhance
� North Carolinas water.. "
SWU-25ONCG16-051709