NCG020259_DMR_20210217

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — 5 i OF;lbtvVATEF
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2,020
Rn!" m At I_ F� )W'VjvAI ER itioni to rim dala on Ihis Inrm (n+clude 'No Flowf'No Discharge" and B,;o,Jwvnl,
nun+ lh" prev+a+s calendar ywe+ lu they DE-0 by MARCH 1 of each yc,11
Certificate of Coverage No. NCG02
Facility Name: a I CN Ar4 d So, l lif i ✓!£
County: AA1S;e, /
Phone Number: o 11 ) g+I9 - 9 i 65 Total no. of SDOs monitored
Certified Laboratory PACs Lab It �/ D
Lab #
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 ❑ RECEIVED
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ MAR 0 1 2QZI
Yes, received approval from DEMUR to reduce monitoring frequency ❑ CENTRAL FILES
No, turbidity benchmark exceedances did not require monthly monitoring ❑ DWR SECTION
Other ❑
Outfall No.
Total
i ches,
TSB,
mg/I
SS,
ml/1
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
New
Motor Oil
Usage
(gal/Mo.)
Stormwaier
Ioua,:,n.
_Benchmarks
s;,
row is
°1"`
eumaumrt
100/50
0.1
"""'
xwcmnnn
50/25110
N/A
w,m, nuAoiy
s,,,a,,,,,,,w,e,
N/A
W...'Q.amy
smntlam,pw"s
15
SSpi1n"'
,•Hoar ,camw:
cis .a No.....w
Date Sample
Collected,
mo/dd/ r
x
Ale
sC"Ayrbr
2, 1f;zo
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

III
Certificate of Coverage No. NCG02 ©®®L1J
Additional Outfall Attachment (make copies as needed for additional outfalis)
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 ❑
iZ 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 ❑
t
Total
! Ot,tfall No.
Rainfall,
Storr►iwatei-�ircla
uullc:uo ►Ju
Benchmarks
_ FLOW ''
a lrcable
TSS SS
m h m111
9 �NTU
1 ~�
Turbidity,Non-
NTU
Upstream
(U) Turbidity,
Downstream
(D) Turbidity,
NTU
i
( New
Polar Motor Oil
O&G, rngli � Usage
(VMA) allmo.
'- �' >55gaFhno.
rver.xje rrljucra
1 5 TSS and Nun•polar
O&G mollltonn
Bcncnmd/h
7 00J50
r Circle
Sunchmark
0. 50/25/9 0
N/A
H
Wdtej °tall"
Standard applies
AIJA !-
n1
wd141 qudllty
Standard dppllas
Date Sample
Collected,
m oid dlyr
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®aaa
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 §122.24
Signature .
Date �Z7,p2 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
Last Revised 10-2-2015