NCG020430_MONITORING INFO_20190218

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV Cc,:�,
DOC TYPE
El HISTORICAL FILE
�C MONITORING REPORTS
DOC DATE
❑ � � I CI U �' "
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year go 1 !'
Report ALL STQRMWATER monitoring data on this form (include "No Flow"1"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: _ 162ll
County: _MG_4Z.71, j2AI1frz I
Phone Number: ( fj,S) .. jf1j, - 34 it i1 Total no. of SDOs monitored �6
Certified Laboratory Lab # 4y
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfatl? 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? FEB IS
Yes, enough consocutive samples below benchmarks to decrease frequency ❑
ccNTf,
Yes, received approval from DEMLR to reduce monitoring frequency ❑ D � -
' SEC C10
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other
u
Outfali No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,(U)Turbidity,(D)Turbidity,
NTU
Upstream
NTU
Downstream
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
4,Uicate NO
rLOW 11
a llcakla
Benchmark
6°°chmark
100150
0.1
`lr`I"
Benshn,ark
50/25/10
NIA
water Quality
Standard applies
NIA
water Quality
Standard applies
15
�55 a requires
averay° requires
TSS and rion,ula,
;
066 nwititorin
Date Sample
Collected,
molddl r
1"':^t�.�
r
l
��
'Fib J.A. 'a•' l
FIR.,YZ
r
i� f
]�yx
Fd,eIS
,`az�s
er �,
� x YS41
s i
5 rt...�! el .�r
"
� d y �
�r. �}' .d^�•fd
��t Fri
:t = 'j I�t`�
. ! i fi%"�,S.i t'�..
�:�^G'
1!
;
7�!>"•%� '�'! i� 3. =
•f �t1,�r
�Yp •�,
_ F.Y '�)
1,';rf,
i t
L I-
L x ;,
�urk.+�,�7�y E S�'i1.n
k'L.,�,7�, r
Permit Date 101112015 — 9130/2020
Last Revisod 10-2-2015

Certificate of Coverage No. NCG02 2 .t d10
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 excecdances did not require monthly monitoring ❑
Other ❑
Outfall Na.
Total
Rainfall,
inches
TSS,
mgll
SS,
ml11
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, rngll
(VMA)
New
Motor Oil
Usage
allmo.
Senchrriarks
rndkafe NO
ftowu
a 1fcdGfe
C110Stormwater ricj'n
[3encnnwrk
100/50
0.1
l3r:nctunarN
`chin
50/25/10
NIA
water Qumity
Standard appries
NIA
water ouarity
Standard apprtes
15
""ereclI
average regmres
TSS and Non-g."ar
OdG monitory
Date Sample
rnolddlyrl'
Y' !
�, �,
1.. P � f?
F0:4xrr°l`
�ri.}�
. C #T(
-1
x
As'
1. 1
Y
3
w °Y
tt.�i f,
'X
R
i i° J �� 1 i SS,i
_ f",
`j+if
ywf .'A1 i, 4
.ht , 1,r/
b 41iM �i" 5�f'
%J R�? Y
.l+ '. »T.:d"V S ..Ziiflfb
'N"E"
C T
'�,Collected
.�ix
rr',
�{�C.
S4.
r
f
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 2©00
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 J, n
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