NCG020716_DMR_20210201

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year z a z 0
'Report ALL STORMWATER monitoring data on this form (include "No Flow"rNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ❑EM0
Facility Name: Pe-t-p- L cl c r) Ih e-
County: _M L�ctj e i j
Phone Number: U( a Z�q) �L, '7 (o '73 Total no. of SDOs monitored
Certified Laboratory C-.T 5 iU �i e I C Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑
Is this outfail currently in Tier 2 for any parameter? Yes ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑
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 exceedances did not require monthly monitoring ❑
Other ❑
No ❑
No ❑
No ❑
RFCF1VFD
F'ER 0 8 2021
r)IAI r�AL F11 leo
Outfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
mil!
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
p
O&G, mg/l
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
!ndlcate NO
a LD abl
Circle
Benchmark
Benchmark
100/50
0+1
Circle
Benchmark
sBeln��fhcmark
:701 cJ/1 0
NIA
Standard ppWater li s
N/A
Standard applies Water Quality
r
1 `r
>55 a requires
average requires
TO&G monitorolar
ing
Date Sample
Collected,
mo/ddl r
UZ Li; �
(Qt�,
LU••
i
/_oj
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

v A,
Certificate of Coverage No. NCG0202-74
Supplemental parameters:
Outfall No.
!m Ir i
continued
Total Al,
mgll
Total Cu,
mgil
Total Pb,
mgll
Total Ni,
mgii
Total Zn,
mgil
Total
Chloride,
mgil
Total
Fluoride,
mgll
Total
Hardness,
mgil
Stormwater
Benchmarks
0.75
0.010
0.075
0.335
0.126
860
6
NIA
Date Sample
Collected,
moiddiyr
1
1 L
0
zo O
��iV
UL
L
Permit Date 10/1/2015 — 9/30/2020
Revised 11-16-2015 for Additional Monitoring Specific to this CDC

7/1
Certificate of Coverage No. NCG020274-
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]
Signature 5, I klL
Date Fe-1, 1 2 Q 2 1
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
Revised 11-16-2015 for Additional Monitoring Specific to this COC