NCG020052_DMR SW_20210208

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year aoa0
'Report ALL STORMWATER monitoring data on this form (include 'No Flow rNo Discharge' and Benchmark
Excesdances) from the previous calendar year to the DEQ by MARCH 1 of each year
Certificate of Coverage No. NCG02
Facility Name: H c nsbn AccroewA e5 — Cf'c3btree- quc. rry
County: _ wcgk�
Phone Number: 19 3 Er7- ;j`14C, Total no. of SDOs monitored of
Certified Laboratory 11fE A„al i;c°1 Sapices lab #_63- h
t` „ Lab# Ia., 0_har6+Ae_
Stornwater Discharge outfall (SDO) No. I— VMA Outfall?
Yes ❑
No29
Is this outfall currently In Tier 2 for any parameter?
Yes ❑
No 91
Was this outfall ever in Tier 2 during the past year?
Yes ❑
No JD
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes,
! d
lR F r, F ! !J E i"`
enough consecutive samples below benchmarks to decrease frequency
❑
Yes, received approval from DEMLR to reduce monitoring frequency
❑
FEB 2 3 ZOZI
No, turbidity benchmark exceedances did not require monthly monitoring
❑
Other
M
.r ,­vv MILES
stream
OS tfall No I RainfTotaall
I T g I SS, I Turbidity, I
( 1 Tu�rbtdltY,
Rainfall, m /l mill NTU
Inches
Stolmwater G e
Intllc,fo NO 8erclu
Benchmarks ° °, 100/50 0.1
Collected,
Downstream
(D) Turbidity, Non -polar
NTU 1O&G,mg1I
eereheorR
50/25/10
rvn
$ ° s
sc_rf
" aN Prt
(
PH samol S a
16
New
Motor Oil
Usage
Permit Date 10/l/2015— 9/36/2020 1
Last Revised 10-2-2015

Certificate of Coverage No. N0002 O❑ mQ 5❑Q
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. �{t" _ VMA Outfall? Yes ❑ No IN
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No OD
Was this outfall ever in Tier 2 during the past year? Yes ❑ No o
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 ❑
".
mold r
!ME
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [NA©®
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 § 122.22J
Signature 6� JAM.-✓t
Date '(,i l iS AO o-1 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 101112015 - 9/30/2020
Last Revised 10-2-2015