NCG020164_DMR_20210208

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year a Off.©
'Report ALL WASTEWATER monitoring data on this form (include "No Flove/ No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ❑D 10®�]
Facility Name: HG-n.5 :Aa4rgzglr - Gardn�r �i uarrV
County. _ ++a r ne,+-+ "
Phone Number. c 9 3j(a Total no. of outfalls monitored
Certified Laboratory, Dace naly'ICA, SArvicGS lab# 633+Eden
Lab# 12 U-wloi-k-
RECEIV
Fthis
r (WW) Discharge Outfall No. OO 1
ndustrial sand mine (See 40 CFR §436 Subpart D)7 Yes ❑ No FEB 2 3 2 [
utfall discharge WW to SA waters? Yes ❑ Nod] CENTRAL FI E
outfall discharge WW to SB or PNA waters? Yes ❑ No ® C'`NR SECT]
utfall discharge WW to HQW or ORW waters? Yes ❑ NoJ9
,is the 7Q10 flow rate? or Tidally influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No
Were there any lim@ violations In the calendar year? Yes ❑ No
Fecal
Dail Flow Discharge Outfall No. Rate cis SU m�� mul Turbid Upstream Downstream Coliform,
O� f 9 nwximti Turbidity, (U) Turbidity, (D) Turbidity, col/100 ml
NTU NTU NTU SA
NOW woxw ai.nA.re, 54 6
Effluent 50%of 6.0-9.0 H�or0RW Q+,o� No Limit N/A N/A
Limitations 7Q70 °"Y°"r 20/30 orioyTrout aM�:mAa.a admma r WiwoMuy WA
6.8-8.6 HQW"ORW 0.110.2 ,MiA�. '�'• E1Ad =
Mo.Awlpixy Miz, r w«A'NoXou*ror rru 50/26/10
Date Sample 10/15
Collected,
mo/ddl r
F�iae:a consec�.>, Iia 1e" a't7I r}erl
t ,fin o emi - `
r �n r
rn Ie 2OG 45i0 ( %
a c9
e u }
6.4 o 5.6 /1.3 1 s. 1. ► N/e4
FF ,2 1: .rt: Smn,JL
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0 10©©
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
Sign;
Date
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 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 001 ®©
Additional Clutfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge outfall (SDO) No. _4 VMA Outfall?
Yes ❑ No P
Is this outfall currently in Tier 2 for any parameter?
Yes ❑ No �]
Was this outfall ever in Tier 2 during the past year?
Yes ❑ Nof$(
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 exoeedanoes did not require monthly monitoring
❑
Other
Outfall No. TotalTSS,
SS,
Turbidity,
Upstream Downstream
(U) Turbidity, (D) TNTUd
New
MUotsarOil
SOp +{ Rainfall,
mg/i
ml/l
NTU
NTU
O&Gpmig/i
cv
Stormwater " N0
ainches
C cl°
Ctrel°
e°FNn.n
WA NIA
(VMA)
at1 0.
�spe e
zON'
Benchmarks /°
--
100
8t°,M°N° �'
16
T55°M NonyoNr
Date Sample
Collected,
mo/dd/vr
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year a d a C
'Report ALL STORMWATER monitoring data on this form (include "No FloWI'No Discharge' and Benchmark
Exceedanoes) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 QO ©®©
Facility Name: H cxnSDn�I
y. i-in 6*roaai e5 —
Count1r ne; T
Phone Number: 19 3 an-a°lyro Total no. of SDOs monitored
Certified Laboratory price Ana 'l "i i Sary ices lab # 633}EdQh
it "v
' rf Lab # t a , C_V\a o++e_
Stormwater Discharge Outfall (SDO) No. 3 VMA Outfall? Yes ❑ No 0
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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other _ M
Outfall No.
Total
TSS.
SS,
Turbidity,
Upstream
(U) Turbidity,
Downstream
(D) Turbidity,
Non -polar
New
Motor Oil
spno-
Rainfall,
mg/I
ml/I
NTU
NTU
NTU
O&G, mg/I
Usage
--
Inches
(VMA)
allmo.
Stormwater
Benchmarks
pk r„q0
a W a
een hmen
t0
e�em,rx
60/26/t0
WA
N/A
e. qW
Date Sample
—
sunmm.ppm.
swwra.op..
oac.�.nen
Collected,
mo/rid/ r
It AD
O.`j
o
Di
i h e-
— 1
4-
)
ci
n
r
r
i4
(,
Permit Date 10N/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 OQI ®Q
Additional Outfall Attachment (make copies as needed for additional outfalls)
Storrnwater Discharge Outfall (SDO) No. _ t" 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 ❑ Nop
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
❑
Outfall No.
Total
TSS
SS, Turbidity,
Upstream Downstream
(U) Turbidity, (D) Turbidity,
New
Non -polar Motor I[
so()-
Rainfall,
mg/I
col/I NTU
NTU NTU
O&G, mg/I page
Stormwafer
rnereftNe
ea desk
Se.h rk
WA NIA
NMA) al/mo.
"Spw
Benchmarks
FLOW",,
10o/60
0.1 50/26/10
='d1Pbh w.ar ouv�
eYMerd-HL btend*n.Wlire
evenpercquiee
16 Tss enO Nonyokr
Date Sam;
oca marcron
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [§ ®©
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. G VMA Outfall? Yes ❑ Noo
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No g
Was this outfall ever In Tier 2 during the past year? Yes ❑ No P9
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 exoeedances did not require monthly monitoring ❑
Other ❑
Im
Elm
mumn
r r r
r
r r
Sly
M
EM
O
�
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑O IQ®Q
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
Sign:
Date
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 1011/2015 — 9/30/2020
Last Revised 10-2-2015