NCG140216_DMR_20191112

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — STORMWATER
? SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year zz /5
"Report ALL STORMWATER monitoring data on this form (include'No Flow?No Discharge'and Benchmark
Exceedances)from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 f[1=16 Facility Name: ?(a--+ 3 ( e4 •.1 l
35ve(
County: (A.,_Ic
Phone Number: ( tel ) c y " 2,Q -7 Total no. of SDOs monitored
Certified Laboratory Pcc r-c Lab#
Lab#
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes❑ No[�
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No rfi,EcFivED
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? MAR 0 2 2020
Yes,enough consecutive samples below benchmarks to decrease frequency ❑ CEN7
RwL ALES
Yes, received approval from DEMLR to reduce monitoring frequency ❑ DWR SECTION
Other ❑
Non-polar O8A
Total (EPA Method New Motor Oil
Total Rainfall, SuspendedpH, )), Usage(gaUmo.)
Outfall No. Inchesp 1664(SGT-HEM)),
Solids(TSS), mgll(VMA) Ifapoclb,.
mg/I r•rwg«ae
Stormwater Circle Benchmark
Indicate NO FLOW d 100160 6.0-9.0 16 >se oaumo.average reQuires TSS and
Benchmarks aAprrcaDre Nor-polar O&G monhoring
Date Sample
Collected,
mo/dd/yr
©b/ro/i? Ai 1, z
ohzll 2 5 , Z Al A AI A
Permit Date 8/1/2017—6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 Cp]®rivi
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§122.22J
Signature 6„----
Date 2/(7/20
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 8-22-2015

RECFI\/QED
MAR 0 2 2020
CEN IL FILES
DWR SECTION
STORMWATER DISCHARGE OUTFALL(SDO)
ANNUAL SUMMARY DATA MONITORING REPORT(DMR)/SPPP Annual Update DATA REVIEW FORM
Calendar Year 2.6 l et
Individual NPDES Permit No. NCS00❑❑❑❑ or
Certificate of Coverage(COC)No. NCG j jE ©Q©
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPPP.
• /I
jj eq s t I 31 v d.
Facility
Name: �►etyc 3 ( I
County: W a.l e_
Phone Number:( R) c5V- ,,1og p Total no.of SDOs monitored
Outfall No. I ^/
Is this outfall currently in Tier 2(monitored monthly)? Yes❑ No[^E/
Was this outfall ever in Tier 2(monitored monthly)during the past year? Yes❑ No fig.
If this outfall was in Tier 2 last year,why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes❑ No
Parameter,(units)
Total
Rainfall, �j ?
Inches
Benchmark N/A /Da D 6-
Date Sample w s1 j�L e do 3. r x k r
Collected,
mm/dd/yy ; ' -� Sv: t-1' Jai `}`�a�� .a .; .�... 'y� .�.t ~ „ .£. %f4.0
./02 i 9 .S3 /sue ?.Z
SWU-264-Generic Annual DMR
Last revised 5/02/2018

"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."
Signature
Date Z(/?/2.42
For questions,contact your local Regional Office:
DWQ Regional Office Contact Information:
Atopenua=
ptitsprVii� von=
1174166111
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa,NC 28778 Systel Building Suite 714 Mooresville,NC 28115
[phone] Fayetteville,NC 28301-5043 [phone]
[phone]
RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL OFFICE
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension
Raleigh,NC 27609 Washington,NC 27889 Wilmington,NC 28405-2845
[phone] [phone] [phone]
WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE
450 Hanes Mill Rd,Suite 300 1617 Mail Service Center p -- ---
Winston-Salem,NC 27105 Raleigh,NC 27699-1617 I —�o�e ace
[phone] - [phone] _ �' +Cardinals oyster..'
SWU-264-Generic Annual DMR
Last revised 5y022018