NCG020861_MONITORING INFO_20190218

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV [g U U
DOC TYPE
El HISTORICAL FILE
E�WIONITORING REPORTS
DOC DATE
❑
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year zol �1
'Report ALL STORMWATER monitoring data on this form (include "No E=low"Mo 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: _i1iZ�4/T
County'—_�N..�P�✓ - -- _ ._.......
Phone Number:( 52 f ) . j4 f j - ;:g j �i k Total no. of SDOs monitored -7-
Certified Laboratory .. r—R4)z- Lab # Lie
Lab #
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 �ECFivicr',,If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ FEB 18 2019
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedanoes did not require monthly monitoring ElCENTRAL FILE`:,
DWR S%CTIO
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Benchmarks
1ndlcato NO
Fcow,r
llcu6le
ClrclStormwater eclime
8oncnmatk
140154
0.1
nchmiCircle
F3unchmark
54125/10
NIA
Water Quality
Standard appUaa
NIA
Water quality
Standard applies
A C
1 J
era a laqu
average +eyuiroa
T5S arW Nun -polar
od.G �rwnit<xln
Date Sample
/�
Coilected,
molddl r�t..+^
a
s� '
ta.
lfi
•i + rr , p' ri
p r �{F'r
s �' Y'Ft7"s
7{
r5
'rLr { 1h •fir
��•
r.i
0 pK' *w A - •; 1
��, }y, [ti . +
•,C7`gh yy M 7a ,�
nw;�iw4iilt,.nziii +;
I t.
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ©®©[D
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 exceedancos 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/l
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Stormwater
Benchmarks
rnUrcufe NO
FLQN i
a Heable
<trt�e
Flwrchnrars
100/50
0.1
Circle
Banchnrark
50/25/10
N/A
water ou.rlity
Standard applies
N/A
water Quality
standaro applies
15
avefagoapv teqerrps
'uA
rS8 and NOI.V( lar
p8G monttertn
Date Sample
Collected,
moldd/yr
pt
Permit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 2®©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 §122,221
Signature
Date �Xo
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 1011/2015 — 9/30/2020
Last Revised 10-2-2015