NCG020861_DMR_20210217

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — S1 DI2MWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year :a ezn
R,!l),0 AI I ER nnonitonn,l data on this berm (include No Flow"l'No Discharycand Et.;nr:hmarf
hou) Hie prevavtas calendar y.rdi to the DEO by MARCH 1 of each yedr _
Certificate of Coverage No. NCG02
Facility Name: A/1M)) Lo4l)tST-'4wAlr
County! A41704/
Phone Number: (—IrL)) Sr: V_ q I &S Total no. of SDOs monitored 7
Certified Laboratory Lab
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
❑
Other
❑
I
i
Outfail No.
t
Total
Rainfall,
inches
TSS,
mg/I
SS,
ml/l
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al(mo�
Stormwater
Benchmarks
PLOW it
tl,n
GN:Ie+fi54�...
can o.„a
100l50
0.1
Bu f.hT.u4
50/25/10
N/A
Waau Q..W,
svnda,d a„Nita,
N/A
Water Qualit,
Stmidard appro,
15
S9 antl Nan-Nala
a.. nwnilam,
Date Sample-
Collected,
mo/dd/ r
_
MAT_"
2021
147 y
c
t
LL:
PA,?
bwp
SECTION
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [a[jj[0[j]
.Additional Outfall Attachment (make copies as needed for additional outfalis)
Stormwater Discharge Outfall (SDO) No. VIVIA 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 ❑
tflis outfall was in Tier 2 last year, was monthly -monitoring discontinued?
Yes, enough eonsocutivo 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 ❑
(
i Otitfall No. Total
Rainfall,
-- __ inches
-. __.._...___.
Storrrtwater ! ,,, -;
Benchmarks
a fecaW�
Date Sample
Collected,
rp oiddlyr
TSS,
mg/l
Cirr;6r
ESurle.hmJrh
100/50
SS,
mlli
_
0.1
Turbidity,
NTU
i Circle
13CRf_hnl3th
50/25/10
upstream
(U) Turbidity,
NTU
NIA
"'J`°' °t•"`"
Standard applies
Downstream
(D) Turbidity,
NTU
_..._
N/A
want+ l]udl+:y
Standaul apltllua
Non -polar
O&G, mgll
(Vi1tIA)
_. _*
15
I New
i Motor tail
usage
9
f g allmo.
>5tigallrtto,
JVe&lfe+@tlUt.
; rss and Nuii*ular
O&G moreitortn
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®YW,I[
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 z l
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