NCG020097_DMR_20210217

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — 54 ORMVVATER
II SUBMIT TO CENTRAL OFFICE* 11
General Permit No. NCG020000
Calendar Year ;2cz/7
'Repnl AI I f,)WAVJ/11 Ep. niondonnll data on this fnml hncluJe No Flow-f•No Discharge' and c4r�nr.I lln alF
Innis Uo-- previulls (,alei daI year to the DEO by MARCH 1 of each year
Certificate of Coverage No. NCG02
Facility Name: ),Ati'1,- A1117 t A, l XVA12 d
County' t,n/
Phone Number: (717 927 - A// `I Total no. of SDOs monitored
Certified Laboratory Oficiz Lab # `l r
1 Lab #
Stormwater Discharge Outfall (SDO) No. 9, rRM 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 Cl MAR 01
Yes, received approval from DEMLR to reduce monitoring frequency El202,
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other ❑ DWR SCC770R1
I
Out. a No.
I YJRM
Total
Rainfall,
inches
TSS,
mg/I
SS,
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, m /I
9
(VMA)
Now
Motor Oil
I Usage
allmo.)
p Stormwater
1 Benchmarks
InN[ero Nri
FLOW"
)lir.'JGIv
6"j"
BancM1^)mF
100/50
0.1
Ciml"
Hun[I)nu4
SOI25/10
N/A
su a;;°a;'I ,
I W
N/A
sw;d da"°Iv
VWi^b
15
a55
°"'""'
,venpr raVUVu:
^""^" ^'•"
I)5(i n rrrifrNlr)
Date Sample
Collected,
mo/dd/ r
+-
r?
:p 3
ivJ
7f 31.
o
rJ
1.z
OlI
,0
I
i✓YJ
Permit Date 10/l/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [ja[EFIJ n,/
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. S, )Oowjr VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes
❑ No
Was this outfall ever in Tier 2 during0
the past year? Yes [INo ❑
1= 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 DCMLR to reduce monitoring frequency ❑
No, turbidity benchmark excecdances did not require monthly monitoring ❑
Other ❑
Total
Outfall No. i
- Rainfall,
' -s'- � °—�� inches
! Stormwater uulrc:�ru N%
�tr�w
Benchmarks 1 �ecsbru
Date Sample
Collected,
rn oid dlyr
TSS SS Turbidity,
m /l , MIA NTU
9 �
, Cirr el Circle
j d.:n,.hrn.uh I Hanthm�rh
1 5��25/1
i 100/50 0 •
-
Upstream
U Turbidity,
( } ty,
NTU
i
N/A
wrt� Qut��ry
Standard applies
Downstream
D Turbidity,
{ ) ty,
NTU
NIA-;
I w�t�► ou,�i,tY
Standard apptwo
i New
Non -polar ( Motor Oil
08�G, mgli ; Usage
>Sb gathaa•
! werac�r rrrttotrs::
1 c r
5 j O and sdtonntar
OdG �nnnttixtn
44u 07
V.- of
17. tj
1
-Tg j3p
j 7. a,d
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [EI[aR1Fj1
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VITA Outfall? Yes ❑
is this outfall currently in Tior 2 for any parameter? Yes[]
I as tills ou fall over in Mir 2 during the past yeas? Yes ❑
=_ ii i outfall %,Pras in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decroase frequency ❑
Yes, received approval from DCMLR to reduce monitoring frequency ❑
I
i No. turbidity bonchmark oxcecdances did not require monthly monitoring ❑
Other _ ❑
No ❑
No ❑
No ❑
'
Dti fail NC.
_.._ ,._ ..
aturniwater
_$errchrnarks
Date Sample
�.r31 tested,
- ajoiddlyr
E 'Total
Rainfall,
_ inches
,,,,�t, �,.� $�;
%'LOW rI
i
'
TSS, SS.,
mg/l MI/I
_ _ _.--- ----!
Turbidity,
NTU
Upstream
(�) Turbidity,
NTU
_
Downstream
(D) Turbidity,
I NTU
_.__
N!A
w.tt,a Uujltt�
Standard r ► wa
I
i New
Non -polar j Motor Oil
O&G, mgti usage
_ (VMA) _(g__
1 >�ti tlaunu,.
; c { TSS avid Nutt• tAir
) `� N
O&G tnwtftottn I
c:tt�:,�
ts,ttt,:t,,,,.,,k
100/50
j
0 .
i Circle
I�.:t:�tt�t�t><
5012519 0
Al1A
M.ttut 0".tly
5trttdar�l es
Pt�
s
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 Z 0 [II[]7
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 )) I I
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