NCG020209_DMR SW_20210216

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year a O a.(L)
"Report ALL STORMWATER monitoring data on this form (include "No Flow'/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEO by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: Ho,n5on AacgoAPs—'bslei9b Q(Acxc(`y
County. Wa,k� v
Phone Number: 19 3 an-: Jql;� Total no. of SDOs monitored
Certified Laboratory _RCA A„pl1+,' of $a�Yices lab#�3,�}Eden
tr a N Lab # l a , CharlaHe_
Stormwater Discharge Outfall (SDO) No. I VMA Outfall?
Yes JS
No ❑
Is this outfall currently in Tier 2 for any parameter?
Yes ❑
No kg
Was this outfall ever in Tier 2 during the past year?
Yes ❑
NoP9
If this outfall was in Tier 2 last year, was morrthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
❑
pp rE
Yes, received approval from DEMLR to reduce monitoring frequency
❑
J
No, turbidity benchmark exceedanoes did not require monthly monitoring
❑
PEh' Z 3 2021
Other
❑
C'EN 'i'it i 11 K
-- -V -, oLGI10?-i
Outfall No.
Total
TSS,
SS,
Turbidity,
wnstream
Turbidity,
Non -polar
New
Motor Oil
5-—
mg/l
mUl
NTUNTU
qN
O&G, mgA
Usage
finches
(VMA)
allmo.
Stormwater
Benchmarks
,,,,,u xo
FIGw9
e=leem
0.1
aect mki kWA
60/26/10nawappra
wmr
16
."enge eql ea100/50
TSS&" Naro^"r
Date Sample
MGM~
Collected,
mo/dd/ r
D3 3ao
l2.1
<o.to
l9"U
l�"'7
S.I
<5,o
> S
it/tt/pw)
0.
3.3
o.to
5
a.'7
A.g
< .v
>g�
Permit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑O ®Do a]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. a VMA Outfall? Yes ❑ No S
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No'J
Was this outfall ever in Tier 2 during the past year? Yes ❑ No JM
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 exoeedances did not require monthly monitoring ❑
Other —
Outfall No.
Total
TSS
SS, Turbidity,
Upstream
(U) Turbidity,
Downstream
(D) Turbidity,
Non -polar
New
MotorOil
O-
-�
Rainfall,
mg/I
mt/l NTU
NTU
NTU
08G, mgll
Usage
Inches
(VMA)
aymo.
Stormwater
aWFWW5R ,,o
MIR
ORrk
Benchmarks
w.
50/25/10
BYntleN�pp°n
64nE�Mepplla
16
795 an°Norkporer
Date Sample
Collected,
/JJL
I
IRP M.
VM WE
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 [j�Qfi�®
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]
Signs
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct —Central Files is housed in DWR (Mt 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 10N/2015 — 9/30/2020
Last Revised 10-2-2015