NCG140449_MONITORING INFO_20190213

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V I I V4 7
DOC TYPE
❑HISTORICAL FILE
LV(MONITORING REPORTS
DOC DATE
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2oi
*Report ALL WASTEWATER monitoring data on this form (include "No FlowT'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 ®EK�
Facility Name: ^ Lam &191111 7W— ,O ILIr�c Nlr,6 P1411L
County: (_pwao%
Phone Number: ( '10 0 1(Z - I $—?q Total no. of outfalls monitored
Certified Laboratory ,A"C # LID 7-
Lab #
Wastewater (WW) Discharge Outfall No. t
Does this outfall discharge WW to SA waters? Yes ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑
If so, what is the 7Q10 flow rate? or Tidally influenced -waters,
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑
Were there any limit violations in the calendar year? Yes ❑
No [�
No [�
No []�
7Q10 not available ❑
No
No d
Outfall No.
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgil
SS,
mlll
!! applkabla
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgll
Effluent
,Limitations
Daily Maximum
Date
Sample
Collected,
moiddiyr
HQW orORW
50% of 7Q10
lndicatelJOFLOW !!
appllcablo
freshwater
6.0-9.0
saltwater
6 8-t3.5
Standard
30
HQW
20
HQW l ORIN rLdd Tr, or
PHA
10
HQW, ORIN, SA,
SB,PNA,orany
Trout
5
No Limit
SamplosatrovoBenchmark
subject to Tlered Responses
15
,zlillict
A)ovw
?. I t
l g
A a a
RElCEIVED
NHL FILES
DWRI 3,
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year? Yes ❑ . No ❑
Outfall No.
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll
SS,
mill
If applicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mg1l
Effluent
Limitations
Daily Maximum
Date
Sample
Collected,
molddlyr
HOW or ORW
50% of 7Q10
Indicate NO FLOW If
applicable
freshwater
6.0-9.0
saltwater
6py
.-
Gp 8•JJ
EWE
Standard
Aa
20
0
HOW I ORW A Tr, or
PRA
10
HOW, PRA o o y
Trout
5
No Limit
Samples above Benchmark
subject to Tiered Responses
15
Permit Date 81112017 - 6/3012022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year? Yes ❑ No ❑
Outfall No.
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll
SS,
mill
fl applicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgil
Effluent
Daily Maximum
Date
Sample
Collected,
molddl r
HQW ar ORW
50% of 7Q10
!ndlcara NO FLOW If
applicable
freshwater
6.0-9.0
saltwater
V
6.8-8.5
Standard
30
30
HQWLimitations 0
20
HQW l ORW �i Tr, or
PNA
10
HOW, ORW, 3A,
HOW,513, RIN,S y
Trout
5
5
No Limit
Samples above Benchmark
subject to Tiered Responses
15
Permit Date 8i112017 — 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 ❑QD❑
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 bj• 41) r*FR s979 991
Signature
Date zf z a
Mail Annual Summary Wastewater 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 27699-1611
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at;
[phone]
Permit Date 81112017 — 6/30/2022
Last Revised 8-22-2017

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year
*Report ALL STORMWATER monitoring data on this form (include "No Flo&T No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 9 of each year.
Certificate of Coverage No. NCG14 ❑0 ©Ll❑ I L
Facility Name: �...ailw. 00-4 'Ofl r-Wfeb
County: VOw rl T
Phone Number: (-4) (04q Total no, of SDOs monitored 1
Certified Laboratory W V nS� 'Lab # �Z
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 d
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 ❑
Other ❑
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
m /I
pH,
SU
Nan -polar O&G
(EPA Method
1664 SGT-HEM
mgh (VMA) '}'
Happllcadle
New Motor Oil
Usage (gal/mo.)
Nappllcable
Stormwater
Benchmarks
lndlcafp NO FLOIVlT
applicable
Circle Benchmark
� �0150
6. U-9.fl
'� 5
>55 gallmo. overage requires TSS and
Non -polar 08G monitoring
Date Sample
Collected,
molddlyr
�==
Permit Date 8/112017 - 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. -Z VMA Outfall? Yes ❑ No Ej
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No d
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 ❑
Other ❑
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids (TSS),
mgll
pH,
Su.
Non -polar O&G
(EPA Method
1664 (SGT-HEM))'
mgli (VMA)
1lappucabra
New Motor Oil
Usage (gallmo.)
rrappllcable
Stormwater
Benchmarks
indicate NO FLOW 1!
applicable
ClrelaBanehmark
'� Q!y fja
V!
�1
6. V _g.d
'� 5
�55 gollmo, nvcrega requires T83 and
Non -polar O&Gmonitaring
Date Sample
Collected,
molddlY r
i
,
t
-
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 ❑❑❑❑
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 I❑
Other ❑
Outfall No.
Total Rainfall,
inches
Total
p
Solids (TSS),
mgll
p
�'
Non -polar O&G
(EPA Method
16fi4 (SGT-HEM)},
mgh (VMA)
New Motor Oil I
Usage (gallmo.)
Stormwater
Benchmarks
lndicafo NO Fl.OWTI
appllcaWo
Circle Benchmark
.� �0 i�4
f
6�0-�' �
� �
>55 g allma, agerago rgqulres TSS and
Non -polar 08Gmonikoring
Date Sample
Collected,
molddlyr
i
Permit Date $1112017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 ❑❑❑❑
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] _ -,-9 -,;•
Signature
Date _ 9l6./—
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 8/1/2017 -- 6/30/2022
Last Revised B-22-2015