NCG020234 DMR SW 20210216

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year a ©Q,0
'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.
Certfcate of Coverage No. NCG02
Facility Name: Hcxn5orl Aeer ac,Aes—Ne-Ve''sto Qu_a ee j
County. __ W Isom
Phone Number: 19 Total no. of SDOs monitored_
Certified Laboratory Pd� A.,a1 +;� l 5a s v ices lab # _3,0} Ejr,,
" 1 It Lab# 1a, '( )ovIc+jp
Stonnwater Discharge Ouffall (SDO) No. ____I —_ VMA Ouffall? Yes ❑ No N
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 10
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 r
Outfall No.
Total
TSS,
SS,
Turbidity,
Upstream
(U) Turbidity,
Downstream
(D) Turbidity,
Non -polar
New
Motor Oil
S ��
Rainfall,
mg/I
mUl
NTU
NTU
NTU
O$G, mg/I
Usage
——
inches
(VMA)
aUmo.
SiOlmwaf@r
r„dtiamxo
ee,Gicnm.rk
aeM mkenc
NIA
N/A
W m..
Benchmarks
F0"d
. rK.m.
100/50
0.1
50/25/10
s:nm y.aW..
rrdQ,-p:
wtler"Iny
waneam•pp1..
15
•wreperegl e.
meneo a.,
Date Sample
OSa
Collected,
mo/ddf r
O t l
�.
9.9
<o.l c9
15.
N/A
<q S-
—1 $
NIA
< 5-5
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®®03 a
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. _�VMA Outfall?
Yes JJ 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 �J
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 exoeedanoes did not require monthly monitoring
❑
Other
❑
Outfall No.
Total
TSS,
SS, Turbidity,
Upstream
(U) Turbid'
Downstream
(D)TNTUd
Non-polar
New
Motor Oil
Sm
Rainfall,
Inches
mgp
mill NTU
NTU
�
08�Gpm
Usage
$tornWater
mdm"o
e.cmrok
me
WA
N/A
(VMA)
aum.crork
Benchmarks
/AN"
100/50
0.1 50/25/10
e"`a'",rs
N° as
s a °aW n
15
.�r.ee�
Tss..aNon �w.r
Date Sample
O6' "'°"'°"
Collected,
Perm It Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 QO ®Q3 Q
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Ouffall (SDO) No. 3 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 ❑ NoK3
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 excesdanoes did not require monthly monitoring
❑
Other
Outfall No.
Total
Rainfall,
TSS,
SS,
Turbidity,
Upstream
(U) Turbidity,
Downstream
(D) Turbidity,
Non -polar
New
Motor Oil
O� 0�
mg/1
mill
NTU
NTU
NTU
O&Gfl
, mg
image
Sformwater
I dk,,,,,O
BK Wmrk
eencre�r k
WA
N/A
NM`)
altmo.
M6w
Benchmarks
"°""
100/50
0.1
50/25/10
W" Q my
e.naemevPne.
6andeEeppl:ea
16
Date Sample
oR monHnn
c,.ue.Fea
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑O ®Q❑`I
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 4 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 ❑
iii
Elm
-MEN
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Q®�]3 Q
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]
Sign;
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 10/1/2016 — 9/30/2020
Last Revised 10-2-2015