NCG020231_MONITORING INFO_20190218

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C& 0c) ()a?j I
DOC TYPE
❑HISTORICAL FILE
Oi MONITORING REPORTS
DOC DATE
❑ U r � 0 � j U
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year io t ey
Report ALL STORMWATER monitoring data on this form (include "No Flow"1"No Discharge" and Benchrnark
Exceedances) from the previous calendar year to the DEQ by MAPChl 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: a A
County, Al c Vv ► ); LL__-
Phone Number:( t;_f )Alb ` 3QV y _ Total no. of SDOs monitored l�
Certified Laboratory &LIZ,_ __ Lab # !jg_
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfalt? 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? RECEIVED
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ FEB 1 Z�Tg
No, turbidity benchmark exceedances did not require monthly monitoring ❑ GENTIWiL F,'Lc:3
Other
❑ QWR si,C-i-ioN
Outfali No.
----
Total
Rainfall,
inches
TSS
mg/1
SS
m[fI
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/l
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
Date Sample
r..
ber!lcatu NO
``°w"
a fleabG,
��vl :..,t,
�„{ oil
.Clro':
8onrhmark
100/50
�. x �,m-..•
0.1
I _ :�
cl"'"
benchmark
50/25/10
r4�,��
x•
NIA
water Quality
Standard apjAW5
g� � r x
"� r
NIA
water Quality
Standard aPPlles
�+P
5
15
�xM rW4�'��;{Colly�.7]�;.r tmolddl
¢c...,..c
ASK psilmq.
average rertulroa
TSS and Non-{rnlar
GAG n�urturtu
w, .Jr„31:,. is+ . s•
0
Ti'-
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 QO QQQ
Additional Outfall Attachment (make copies as needed for additional otttfalls)
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
Total
inches
TSS,
mgfl
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
ORG, mgll
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Storniwater
8enchrrrarks
Lrdlcalp Np
Ff AW iJ
a Ncdplu
circle
HaelcNmarF
100150
0.1
""`
Hgnc11n1arF
50/25/10
NIA
wafar au""ty
Standard aplAles
NIA
water Quality
Standard applias
15
'S'qui
avera(JetPgelne9
i55 and Non-,wlar
OdG nwultonn
Date Sample
Collected,
molddlyr
;t t',, � y
s17� r;h
i5. ".e r,
t r `
� v.r
; � ,�
✓ In rc
?�°
� . �; : , v.
a
nt � 4 � * L a ._tnj
f .s t r
:
t
' ,
3
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®©©[--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 §122.221
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