NCG020747 DMR 20201214

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year Zo d
-Report ALL STORMWATER monitoring data on this form (include "No Flow'/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: _�31 ,� 7 �/� (>u,z,2lLt
County: wirL- :Af- 6
Phone Number: ( 33LG V / U
Total no. of SDOs monitored _
Certified Laboratory # 440
Lab #
Stormwater Discharge Outfall (SDO) No. I— 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? R ECF NEI)
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ JAN 0 4 NZI
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑ Gt'ivl 'i hL F1LE0
Other ❑ DVVR Si-CTIOPI
Outfall No.
rTotf"s ,
TSS,
mg/I
SS,
mUl
Turbidity,
NTU
Upstream
U Turbidity,
() ty
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
p
O&G, mg/I
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Stormwater
Benchmarks
Mtlka a NO
eFLO;;,e
"Frtne k
0 50
0.1
BeMi7ane k
5/10
N/A
snaaam applies
N/A
Standard pgme
15
66 gapmo.
average r Wrea
OBG mN a
Date Sample
Collected,
mo/dd! r
v3lb4l
4 2,116
I
40.
J
ols
Permit Date 10/1/2016 - 9/30/2020
Last Revised 10-2-2015

certificate of Coverage No. NCG02 Q®®Q
Additional Outfall Attachment (make copies as needed for additional outfalls)
Qtormwater Discharge Outfall (SDO) No. Z VMA Outfall? Yes ❑ No ["
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ET",
Was this outfall ever in Tier 2 during the past year? Yes ❑ No 21'
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
n
Frks
Total
Ra inc� ,
; `K;;
TSS,
mg/I
gym.
r.,,.n
0050
SS,
ml/I
0.1
Turbidity,
NTU
<emw�.mrw
O1� 5/10
Upstream
(U) Turbidity,
NTU
N/A
wMercump
StiMiN epglac
Downstream
(D) Turbidity,
NTU
N/A>.un
w...ou,Py
shn0ue appNs
Non -polar
O&G, mg/I
(VMA)
15
New
Motor Oil
Usage
al/mo.
issand Ho `
ose mmWM •r
Date Sample
Collected,
mo/dd/yr
k3OR�o
,G
�,
3< I
�.q
4-
t t? 2p
98�
o f
7
4
e .4
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 QO Q®©
Additional Outfall Attachment (make copies as needed for additional outfalls)
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.
Stormwater
Benchmarks
Date Sample
Collected,
mo/dd! r
Total
Ruches
MFLowNo
FiQWN
a aaN
TSS,
mg/I
01�"
xc ghnark
0 0
SS,
ml/1
0.1
Turbidity,
NTU
�IRa
nchnark
0 $/10
Upstream
(U) Turbidity,
NTU
N/A
weer Qua
sua rd ap "
Downstream
(D) Turbidity,
NTU
N/A
wab, Qua
samem app es
Non -polar
08G, mg/I
(VMA)
15
New
Motor Oil
Usage
al/mo.
'ss gegmp.
average re Im
TSs and Non -polar
QaGffroM "
,00740,1
3
rVl3
(4
n�/ i
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of coverage No. NCG02 ZER][2
CERTIFICATION
"1 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 ro erl gather
evaluate the information submitted. Based on my inquiryof the arson p p y g er and
p 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] /f
a 1 /,/ c %/I /
Signature A-V
Date 12,/ z
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 10/112015 — 9/30/2020
Last Revised 10-2-2015