NCG140141_MONITORING INFO_20190305

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
J MONITORING REPORTS
DOC DATE
❑ J 02 5
YYYYM M DD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE* error
General Permit No. NCG020000 MAR 0 5 2019
Calendar Year 2 0/9
GL-N I r r FILES
'Report ALL STORMWATER monitoring data on this form (include "No Flow"P'No Discharge' ar&berichm`arVN
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. N0002 2©©0
Facility Name: Tox �_o vc2FTC— — �4SHIC—az-S
County: 7,tC ASa--
Phone Number: (_0� 532 —9 2 2 5/ Total no. of SDOs monitored
Certified Laboratory titi✓rRo.v eC—t%f £L Z.vc, Lab# SOyD
I Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑i
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No o
Was this outfall ever in Tier 2 during the past year? Yes ❑ No t�
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? ECEI�f E t•••r
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ MAR 0 5 2019
Yes, received approval from DEMLR to reduce monitoring frequency ❑
CENTRAL FILES
No, turbidity benchmark exceedances did not require monthly monitoring ❑ DWR SECTION
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/1
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
Indicate NO
FLOWN
a Ikabe
Circle
Benchmark
100150
.
circle
Benchmark
50125/
N/A
arali
sndadd pps
NIA
Water
Stndard appl es
15
>56 gallmo.
average requires
namnnlar
Oacmng
Date Sample
collected,
mo/ddl r
in,
wo
illimim
_
a
:rol2rin
i
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ❑❑❑❑
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 Cl
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No. -
Total
Rainfall,
inches
TSS,
mg/I
SS
ml/I
Turbidity,
N fU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU -
Non -polar
#O&G; mg/I
(VMA)
New
Motor Oil
-° Usage
al/mo.
Stormwater
Benchmarks
Malcan NO
F01°i'
a ixaCle
Cimle
Benchmark
100/50
0.1
Circle
Benchmark
50/25/10
NIA
water Quality
Standard applies
NIA
water Quality
Standard applies
15
ssgaume.
avenge requires
TSS and Nonpolar
OaG monitodn
Date Sample
Collected,
mo/dd/ r
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ❑❑❑❑
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 exceedances did not require monthly monitoring ❑
Other ❑
Outfall No. '
Total
'Rainfall;
inches
TSS,
mgll'
SS,
ml/I
Turbidity,
"NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/1
(VMA)
New
Motor Oil
"`Usage..
al/mo.
Stormwater
Benchmarks
InFLO NO
a `icable
`""°
Benchmark
100/50
0.1
nc`n
9enchmark
50/25110
N/A
s endard appQuali� s
N/A
S andaM appliWater es
15
>66..4.1
average .nu .la
Tosc°m n° ring
Date Sample
Collected,
mo/dd/yrWMMM=�M=
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [EE RQ
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) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2 O/,S/
"Report ALL WASTEWATER monitoring data on this form (include "No Flow"/"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. N0002 LJUUW
Facility Name: TO X a 0 o L -e /-c [_ 9
County: -) a c KScn
Phone Number: ( 9L-) 5 57-tt 42-5, Total no. of outfalls monitored )
Certified Laboratory G ilv,' u,, l T✓r! Lab # .5696
Lab #
Wastewater (WW) Discharge Outfall No. a
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7010 flow rate? or Tidally influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout jr) designated waters? Yes z No ❑
Were there any limit violations in the calendar year? Yes ❑ No,❑
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/1
SS,
ml/I
ifappilerbio
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
(SA)
Effluent
Limitations
Mo. Ave I Daily Max.
HOW orORW
50%of
7Q10
lookers NO FLOW
dappilcable
freahwaler
6.0-9.0
saittwa
6.8-8.5
Indus[del Sand
25145
HOW or ORW
20130
HOWorORW
and Tr or PNA
10/15
HOW, ORW,
SA, SB,PNA,
or any Trout
0.1/0.2
NO Limit
ClroleWater
Quality Standard
thaapplieeter
50125/10
NIA
Water Quality
Standard applies
N/A
Water Quality
Standard applies
N/A
Date Sample
Collected,Mon
mo/dd/yr
o. a. ar Z
No G ialy
0.o, S'
/✓d Flaw
01,.&Itlol Lfti
F- la
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7010 not available ❑
Does this outfall discharge WW to Trout jr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No ❑
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
in1/1
,reppflcable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
(SA)
Effluent
Limitations
Mo. Ave/Daily Max.
HQW or ORIN
50%of
7Q10
indicate NO FLOW
tlappficame
freshwater
6.0-9.0
saltwater
Industrial Band
25/45
HQWarORW
20/30
HQWorORW
end Tr or PNA
10/15
HQW. oRW,
SA, SB,PNA,
orany Trout
0.110.2
No Limit
Circle
Qua ia
that applies:
50125110
N/A
Water ll
Standard
NIA
Standard ll
N/A
Date Sample
Collected,
mo/dd/yr
-
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SIB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No ❑
Outfall No.
Daily Flow
Rate, cfs
pH,
SU,
TSS;
mgll
SS,
mill
,rapplicable
Discharge
Turbidity,
INTO
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100.ml.
SA
Effluent
Limitations
Mo. Ave l Dally Max.
HOW or ORW
50% of
7Q10
Indicala NO FLOW
rlappllcable
Ireshwater
6.0-9.0
saltwate,
6.8-8.5
Industrial Sand
251455
HOW or ORW
20/30
HOW or ORW
and Tr or PNA
10/15
HOW, ORW,
SA, SB,PNA,
or any Tfout
0.1/0.2
No Limit
Circle Water
Qualit
that appli eStandard
50125110
N/A
Water Duality
Standard applies
N/A
Waterouality
Standard applies
N/A
Date Sample
Collecte
mo/ddl r
M1
Is
In
N
M
1 N"7.,
In
ffn
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGU QI©❑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
Mail Annual Summary Wastewater 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