NCG020231_DMR_20210217

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- STORMWATER
if SUBMIT TO CENTRAL OFFICE'* 11
General Permit No. NCG020000
Calendar Year ;z,v.zy
`f fgwr1 ALL STORM`vVATER moniiornncl d"ita on llus form {nx:lude 'No Flow"/"No Discharye" and Bk.mcllmarl�
x:r;Ewlansrtii from tht- prevrui.,5 caleiidar yl:ai to Ilse DEO by MARCH 1 of ead, yr,,,.jr
Certificate of Coverage No. NCG02
Facility Name: -
County: -- ,Lllf i�Jyl✓J: L ��
Phone Number: ( cP) 6gG 3jr y I
Certified Laboratory n[_l,- Lab It --I j7
Lab #
MAR 01 2021
M
Total no. of SDOs monitored a
Stormwater Discharge Outfail (SDO) No. VMA Outfali? 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?
Ye,, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedanees did not require monthly monitoring
Other
Outfall No.
Total
Rainfall,
inches
TSS,
mgli
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo. -
Stormwaler
Benchmarks
lnd,eaw NG
RIOW if
a IkaLl r
Bnuelvuai4
100150
0.1
�''"'
EWnehmdk
50/25110
NIA
wdWr oudhly
Standard appl,ua
NIA
wirer auanoy
Standard applies
..verape ro�uuas
064' nwiulorin
Date Sample
Collected,
moldd! r
I Alp Ale i
A d
.!�
ZZ
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCCO2 0©03 © b
: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 ❑
11 this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Ye 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 ❑
i
Total
i Outfall Ric. Rainfall,
inches
Stornrwater aulMaro Nei
rzc�w ,i
Benchmarks
r ttcdbk:
Date Sample
Collected,
moidd/yr
+
I TSS,
mg/l
Cod.
Hnn�tvna,h
100/50
SS,
# mlll
� --
0.1
Turbidity,(U)Turbidity,
NTU
���,�
dcrsr:nntarM
50/25/10
Upstream
NTU
--
NIA
w°�°r ou.wry
5rrndarJ appiie�
Downstream
NTU
—
NIA
warn Ouabry
StantlarA apptlua
Non- olarr
A
O&G, mgti
(ViUl�1)
_ _----
1 .15
I New
Motor Oil
U sae
9
allmo.
'5S vavrnr..
avers tC ymrea;
j tSSand H.wpv1ar
OQ.C, rnonitOrt
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

N ..
Certificate of Coverage No. NCG02 ®Qn3 11
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 _ �. , I -
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 10/1/2015 — 9/30/2020
Last Revised 10-2-2015