NCG200350_MONITORING INFO_20150302

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV UC o oo 3 5 b
DOC TYPE
❑ HISTORICAL FILE
Y MONITORING REPORTS
DOC DATE
❑ aol 5\-D 3 o a
YYYYM M D D

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
L HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ ao I b b (9 b
YYYYM M D D

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG200000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE N�4 NCG20g[ ©©
FACILITY NAME i3irwe S 3;, a,% • :NCf4L y r•'C"
PERSON COLLECTING SAMPLES 1� ✓ r• 4tc
CERTIFIED LABORATORY Lab #
Lab #
COUNTY &ASriiy,^
PHONE NO.( -70-1) 9&H 3to7 1
Part A• Cnnrit,, Mnnitndno Rwn nirnmantc
Mail original and one copy to:
SAMPLES COLLECTED DURING
Division of Water Quality
CALENDAR YEAR:
Attn: Central Files
(This monitoring report is due at the Division no
1617 Mail Service Center
later than 30 days from the date the facility
receives the sampling results from the laboratory.)
Raleigh, North Carolina 27699-1617
ICIo (=)vLj
Outfall —
No. _
001
Date W
Sample
Collected
mo/dd/yr
Total —
Rainfall
inches
00530
00340
00556
00400
01113
01119
00980
01114
01094
Total Suspended
Solids
m0A
Chemical Oxygen
Demand
m
Oil & Grease
m
pH
s.u6
Cadmium
m
Copper'
m
Iron
m
Lead
MgA
Zinc
m
Benchmark
100
120
30
6.0 — 9.0
0.001
0.007
N/A
0.03
0.067
' If a value is in excess of the benchmark, or outside the benchmark range (for PH), you must implement the'l ter 1 or 1 ter 2 responses in the Generat rermtt. f EE
2 Total recoverable. K tU E I VE
Only complete Part B if this facility uses more than 55 gallons of new motor oil per month.
Part B: Vehicle Maintenance Activitv Monitoring Reouirements
Outfall
No.
Date
Sample
Collected
mo/dd/yr
Total
Rainfall
inches
New Motor Oil
Usage
al/month
00530
00400
00556
Total Suspended
Solids
pH
S.U.
Oil & Grease
m
Benchmark
-
100
6.0 — 9.0
30
MAR 0 2 2015
CENTRAL_ FILES
DWR SECTION
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 andjmprisonment for knowing violations."
(Signature of
NCG200000 DMR
7-Ad-IT-
(Date)
Form SWU-256
Page 1 of I

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year Z o)g
General Permit No. NCG200000
Certificate of Coverage No. NCG200[O©©9
This monitoring report summary is due to the DWO Regional Office no later than March 15r of each
calendar year.
Facility Name: 13rLJCPS TA_ {�(�'(q� 2rC
County: ✓h i
Phone Number: -704 SU4 ?&I I
Total no. of SDOs monitored 3
Outfall No. ODD Il F/0wJ
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 ❑
ra' y
Y+
fOutfall,�"
Total
°Rainfall;
Inches°
�005300
!�00340
`-,00556
00¢00
01413 ',
+'!O1119
=00980
^01114
01094'"`:
TSS
. ,,,;;
' COD
m:.`
:-`Oil,
Grease
„ m"�
pH '
r''s.u.
Cadmmm
m
Copper
m r +,.,
Iron
;;n
=
-,m
Lead°
,,,•
-m ., ,
Ztric
�,.
-'m
Benchmark
WA r
.`: 100
"'A20
30''
'6.0'-9.0'
';'0.001:
0.009
N/A*
0.03
0.067
DaterSample
Es'
u `*1r s
1. r
Iron benchmark was removed due to variable ambient in -stream concentrations throughout State. However, 90% of ambient monitoring data collected
since 2004 by DWO show background iron concentrations less than or equal to 2.1 mg/I. Stormwater discharge iron concentrations greater than 2.1
mg/I may be contributing iron above background levels.
SW U-250NCG20-11.16.09

Additional Outfall Attachment (make copies as needed for additional outfalls)
Outfall No. Gb2,003
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No p'
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 ❑
?
Total
Ralnfall,
inches
,'100530 '
00340
;c00556
+i00400 -
` N 01113
01119F0'0ji9!
01114
TSS
`}
a COD
,m
Oil&
Gease
iri
pH
r
s.
Cadmmm,
..: >
'"Copper
„
gh
Leadr `
ZmcOutfall
rVC
Benchmark
N/A
F 300
.120 ,,
30 :
';6.0=9Q:
0:001
.0.007
0.03'
0.067
�
.��
o
.
�<,
,r
an
YMw
tr.r N
vtekSample:
`Iron benchmark was removed due to variable ambient in -stream concentrations throughout State. However, 90 % of ambient monitoring data collected
since 2004 by DWQ show background iron concentrations less than or equal to 2.1 mg/I. Stormwater discharge iron concentrations greater than 2.1
mgA may be contributing iron above background levels.
SW U-250NCG20-11.16.09

"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 infMmapqn, iWluding the possibility of fines and imprisonment for knowing violations."
Signature
Date
Mail Annual DMR Summary Reports to Your Regional DWQ Office:
DWQ 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
45HEV!=VIREGIONAL"OFFICE
FAYETTEVItiLE�REGIONAE''fOFFICE
M00RE9VILEEi1"GIONAL�OFFLCE
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]
RAL^EIGHfREGIONAL`"OFFICE
3800 Barrett Drive
WAS GTINH O aN REGION, A OFFICE
W,-i—L, iNG.T,ONiREGIONA'L''"OFF.ICE
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
Wi7ySTON'SdLEM�REGIONAL
OFFIFFI CE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
CEN,TRALSOF.FICE
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
"To preserve, prolecl �M
°d {wand enhance ,'
NorihjCarolma s water i
-
SW U-250NCG20-11.16.09