NCG020747_MONITORING INFO_20190203

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv Cc
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ ��%l � D off' u
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2 0 l
'Report ALL STORMWATER monitoring data on this form (include "No FlownMo 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: A4'rµ1S Q 044& Y —
County: W )Ly45i 5
Phoney Number: 33 9 8 f - 4010 Total no. of SDOs monitored 3
Certified Laboratory Sr-4rA�IjLe An�4LY)V _ Lab # U�
Lab #
Stormwater Discharge Outfall (SDO) No. 1 -- VMA Outfall? Yes ❑ No ['
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No R'
Was this outfall ever in Tier 2 during the past year? Yes ❑ No 2-
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? RE-CEI ED
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ F� a 219
No, turbidity benchmark exceedances did not require monthly monitoring ❑ 1-0L FILE a
Other ❑ uW SE;CTIOA!
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
m1/1
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Benchmarks
fndketeNO
Wif0.1
eF�fk:fJla
circle
Beh Fk
0 50
nhma*
5 5110
NIA
sa ward ppil.
NIA
s �ro v°�
15
�raLdStormwater
„gegra,
TO&G monhoSS and �ku
Date Sample
Collected,
-
Y�
•d,
Y
mawL�_
1-13 -/V
ae r
/V /
/11
Permit Date 1011/2015 — 9/3012020
Last Revised 10-2-2015

t a
l�

Certificate of Coverage No. NCG02 00®121
Additional Outfall Attachment (make copies as needed For additional outfalls).
Stormwater Discharge Outfall (SDO) No. -- VMA Outfall?
Yes 0 No
Is this outfall currently in Tier 2 for any parameter?
Yes ❑ No 2-
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,
mg/1
SS,
mI/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/i
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
krdicareND
ap kahte
Circle
rx
rJ0
n
V'1
Clrela
(� Apoeftnark
�1 t7
NIA
Standard applies
NIA
Standa applies
a
' a
>55 gaUmo.
aya,yge,aqW,g,
TO&G m nlloSS and A�ar
ng
Date Sample4,
Collected
7
m old d! r
--•"t.
C�y� y v'i-
+�
'EV��'} '� `..Y..
�.n,a.:.g^x'r `
.1
r��
4+
'' kyL'N
%'"'..rZ"w�'t.
rY !�
+r T i
��Tfi;
n
if \.;fT-
Y]-.�G..1,sf
�::. .-I a'�-w
„Wi''- rwTd yew.
'�v�.Fn. 1:a"'i
�.Y •�" !
4"Y"i
`.. v'� `194 f y� 1
' � 'S+
F`{e1?a�i
�'i ..Nya��L} ft•'^.._
:.� �.;.r�x':'.'.
ai'.+;"'4"•��
y _
't: ^�"i?,.��i,. tim N,:
2- I
,2 "
o,l
AI
t -/3-/
LV•1
2, 0
N/,4
iV/.4
AIM
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 QE]®o
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. _. 3 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,
mill
Turbidity,
ty,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
p
O&G, mg/I
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
Indkate NO
s k; ;e
Circle
hmark
10 50
0.1
Circle
Benchmark
25/10
NIA
�;ndard 'p'
NIA
standard p°p
1 S
>" gaumo.
average roqulrea
o and Non"lar
Date Sample
Collected
r
r_'+-x.'.xr�
�+
:Y_�mo/ddI
ru��
a....vL
Y.""€••-..+4
_�:
}tt `F.
R.fr
J hS Gi-
r. fir' kre''C M..?,
.'L.�..?. - i i..,'.'S
��
t. ,F'`auyi'n
5 h..l-•"✓ J
x
= .. 5.
S.' _l�k,�\ rFC_
3, L4
o,
. 35
1v1,4
/V/0191-
Al 14
"VIA
1 - i3-06,74
NI"Jf
a
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ❑C� ®0
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 1- 22 2U
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 10/112015 - 9130/2020
Last Revised 10-2-2015