NCG020220_DMR_20210217

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — 61 C)Rib' VVA TER,
II SUBMIT TO CENTRAL OFFICE* II
General Permit No. NCG020000
Calendar Year - 2pz D
I AI S fOPMJrlA1 ER monitoring data on this tnrm (mclude No Flow'/" j� r en,:hinark
(nnn the previous calendar year to the DEO by MA hdl
Certificate of Coverage No. NCG02
Facility Name: Z111ZS✓11L1a 4i/AK
County: A�Sor✓
Phone Number: (_IkW ) 7v `!> ell C'- -1I bS
Certified Laboratory r-AC ):
Lab # Lip
Lab #
FILES
Total no. of SDOs monitored
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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg/l
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
08,G, mg/1
(VMA)(gal/Mo.)
----
New
Motor Oil
I Usage
�—
Stormwater
Benchmarks
„„„
°W1
liCabre•
Grrin
u ,,,: ,w,F
100/50
0.1
grcb�.
euncbo,a,M
SOI25110
NIA
wan o�ai,y
Swntiv'J al,Vlon
N/A
w.n»rQ a Y
swn0artl applioc
15
>55 u>umu
r w!, ,.,„,,,,.,,,,w,
p¢G nnnnbxln
Date Sample
Collected,
mo/dd/ r
; !-
Permit Date 1011/2015 — 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. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tior 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes [] No ❑
1= tl';is outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
i
Yes. received approval from DEMLR to reduce monitoring frequency ❑
j No. turbidity benchmark excoedances did not require monthly monitoring ❑
Other ❑
i
! Outfall No. Total
Rainfall,
_ . - ----_ inches
Stornewater 1 yrrpCurp rJ%
8enchrr,arks rt. gw ,I
J ,fcdL
Date Sample
Collected,
_ rnoldd/yr
{
TSS,
mg/1
� SS,
# mU1
}
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
�
! New
Non -of
P ar Motor Oil
O&G, mg/! i Usa9 e
{ >�y uau►rew_
{ average rrritrtrI;:
{ 5 i TS;i and Nun•yutar
O&G Iret)11{tOrtn
i CirCln
danchrn.uk
100/50
0.1
Circle
BCRftiMarl�
50/25/10
NIA
watel Quality
Slaadarll sp{Ihes
N/A
water Quality
Standard apptlaa
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 HUIW[a
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..,
Date Xh 7
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