NCG140321_MONITORING INFO_20200227

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV C&
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ ��
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR) — STORMWATi ER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2 014
'Report ALL STORMWATER monitoring data on this form (include 'No Flove/'No Discharge' and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 M©©Q
Facility Name: i L53
County: L
'gone Number: (91q�__y_-7 `75:- &-o rt_ Total no. of SDOs monitored
Certified Laboratory M tcx a _ Lab # I
Lab #
Stormwater Discharge Outfall (SDO) No. [ VMA Outfall? Yes ❑ No R-
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 Q— RECEIVED
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ FEB 2 7
Yes, received approval from DEMLR to reduce monitoring Frequency ❑
CENTRAL FILE
Other ❑ DWR SECTIO
";r
Outfall No
.
TotaltRainfatl 3
, �.
'7 Inches .tit (t
; ` 1
F' h ,.� y,
z SuspendedpH
1.
Solids;(TSS},�
kr
5
i
, SU 4 r,
afar O&G
Method,sp
g
1664`(SGT'HEM}} r
4 �; , m fl VMA �
��NewrMotor Oi!
t
Usage (gatlmo)
r}�
�'-
� � �x n.r�•eraJ�,. �"
_
5tormwater
Benchmarks
rndreara NO taw ar
tea°"
10 0
6.0-9A
15
>ss yaumo. everaoe myLd� Tss and
T
"On°karOAGimnftring
;Date Sample
Collected
x .�
•$
..s_/a
Permit Date 811/2017 — 613012022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 D 3❑ z❑©
Additional Outfall Attachment (make copies as needed for additional outfalts)
! Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No [g-
r
Is this outfalt currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
j If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes. enough consecutive samples below benchmarks to decrease frequency Ll
Yes, received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
I.. t
Outfall No,
�_ a'
, Total Rainfall,'„�
=
Inches 4�
Total
�� Suspended `'r
.Solids (TSS)
m 11 F- l IL_'ir
N
.s�. pH `err
_
aSUrr =�
." ki '�
(
Non -polar &G -
"':(EPA Method
16" (SGT HEM)),
t, ,mgll {VMA) ��"'
J I l� adra Li IV
...
yyF{. 3i
�; +.�1-s yy�.
'``� New+Motor Oily
Usage (gallmo } ,
yy
I aA�'?st►r
Stormwater4
Benchmarks
,,�a� r�o �caHru
Benct "a''`
100150
6.0-90
15
n
'� a" a"�°9e q�• YSan
Non-polarOSOmonRaAnp
Date Sample
4 Collectec4
�'
t
- 5
.2
q. 1-7
-1
S
7, -7
l
F
r
Permit Date 8/112017 - 6/30/2022
Last Revised B-22-2015

-artificate of Coverage No. NCG14 U❑❑❑
`CERTIFICATION
"l. 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. m
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 ion
submitting false info at' , including the possibility of fines and imprisonment for knowing violations.`'
,Required by 40 CA 12
Signature
L,ate
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLRI
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 TeleDhone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at;
[phone]
Permit Date 811/2017 — 6/30/2022 .
Last Revised 8-22-2015