NCG020121_DMR SW_20210216

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year ao a n
'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: Hcxn5on as"
County: ��gecbe v
Phone Number: 19 - 3 if �- a`14 td Total no. of SDOs monitored 3
Certified Laboratory PcceA„aijjh; l Sicyice5 lab# 633}izde
`t ' r r Lab# I 1 , 04arlo4e-
Stonnwater Discharge Outfall (SDO) No. _I VMA Outfall?
Yes Z No ❑
Is this outfall currently in Tier 2 for any parameter?
Yes ❑ No 0
Was this outfall ever In Tier 2 during the past year?
Yes ❑ Nox
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, turbldity benchmark exceedanoes did not require monthly monitoring
❑
Other
M
Outfall No.
Total
TSS
SS,
Turbidity,
Upstream
(U) Turbidity,
Downstream
(D) Turbidity,
Non•polar
New
Motor Oil
S D-
-- �-�-
Rainfall,
Inches
mg/I
mUl
NTU
NTU
NTU
O&G, mg/I
Usage
(VMA)
aUmo.
Stormwater
Benchmarks
X,err r.xo
FOw"
c 'X
a Xm.,X
100150
0.7
e.XnX�n,
50/25H0
WA
""���
WA
w.e o.Xry
16
sX .
,'sa: eNnq�
Date Sample
_._
_ -
sbnX.mggXeX
ar.,w,aXopw.
osa menn
collected,
moldd/ r
b S O
O,
I
D.1
56.8 1
15,-7 1
13.0 F<
o
>5
1 0�
1.5
a.l
<o, o
I
O
�L3.3
-cS.o
>55
Perm it Date 10/1/2016 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ®000
Additional OUtfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. a VMA Outfall? Yes ❑ No
Is this outfall currently In Tier 2 for any parameter'!
Was this outfall ever In Tier 2 during the past year? Yes 0 Yes O No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
( j
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. I Total I TSS
Oo- Rainfall, mg/I
Inches
Stormwater,
Collected,
Upstream
SS, Turbidity, (U) Turbidity,
myl NTU NTU
100/6o l 0.1 1 5o/26/10
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015
Downstream New
(D) Turbidity, Non -polar Motor4
NTU O&G, mg/1 gage
.....
16

Certificate of Coverage No. NCG02 QO IQ®Q
Additional OUtfall Attachment (make copies as needed for additional ouffalis)
Stormwter Discharge Ouffail (SDO) No. �_ VMA Ouffall?
Yes ❑
No
Is this 0:Mall currently in Tier 2 for any parameter?
Yes El
No
Was this ouffall ever in Tier 2 during the past year?
If
Yes ❑
No (�
this orrtfall 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
❑
Ouffall No.
Total TSS,
Rainfall,
Upstream
SS, Turbidity, (U) Turbidity,
Downstream New
(D) Turbidity, Non -polar Motor Oil
sfl�
mgp
Inches
mill NTU NTU
NTU
O&G, mg/1 gage
Stormwafer
�,t„
mmeer.xO ee c,„„,k
afm;v WA
NIA
(VMA) allmo.
'sswvnw
Benchmarks
FLOWN 100/50
0.1 50/25/10 b+cv
swna"",;
16 T nd Nonq ler
Date Sample
Collected,
mold r
I
i o to 1 ,6 o,ID
permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®EMI IQ
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 property 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
Signi
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