NCG020430_DMR_20210217

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — + ORMWATEI
II SUBMIT TO CENTRAL OFFICE* II
General Permit No. NCG020000
Calendar Year za.an
'Report At i ; r-')t MWATER montlonny data on this (orm (mcftjde 'No Flow f No Discharge' and B,111 hmar6
front the previous calendar year to the DEO by MARCH 1 of each year
Certificate of Coverage No. NCG02
MAR 01 2021
Facility Name: i1/or[ vtA IV ! riAAIO
ILES
County' �p r/, 0_vt li ✓C� �CCFION
DWR SECTION
Phone Number:( %0 )N - Li1l 17°1 Total no. of SDOs monitored
Certified Laboratory 1146)i Lab 4/ _!jy_
I 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 ❑
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 ❑
j Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(0) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
I Usage
al/mo.1_
Stormwater
Benchmarks
/nW,:atu f/::
rLowil
a Lkdbin
"""
8an[h,nmF
100/50
0.1
""`
Hunrlln,atl
50/25/10
N/A
Wal n amy
SlenJorJ VVWIus
NIA
wainrouamy
StanJarJ aVWias
15
5SOAM"'
maye,eym,
S,an,i
OLL . nwuflorin
Date Sample
Collected,
mo/dd/ r
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

J.
Certificate of Coverage No. NCG02 E]Ej][EE]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑
_= this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, onough consocutive samples below benchmarks to decrease frequency ❑
!
Yes, receivod approval from DEMLR to reduce monitoring frequency ❑
No, turbidity bonchmark exceedances did not require monthly monitoring ❑
Other ❑
No ❑
No ❑
No ❑
Otitfall No.
_ .__
-Storniwater
Se>nehrnark s
_
Date Sample
Collected.
moiddlyr
t
i
Total
Rainfall,
inches
fi TSS,
mg/l
SS,
ml/1
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
'-
NIA
Watar t]uahty
Standard appttua
2
New
Non -polar # Motor Oil
O&G, mgll { usage
t 9
f - >5S pallttsn.
aver.atie rrrtutre-i
e i iSS and Non•pular
J
O&G rnuttltonn
t ndwarU P1i.
FLOW 't
d trcaLtu
i Cutlet
Hurir.-►un rrM
(
' 100/50
1 { Circle
j t3en�hnwrh
0.1 S0/25/10
{
NIA
w.ttat Duattry
Standard applies
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 R[i] 30 O
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
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