NCG020266_DMR_20210216

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year D­&�d
'Report ALL STORMWATER monitoring data on this form (include "No Flow"rNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 UUUU
Facility Name: 54'4x14ut, MAR 01 2021
County: &Ai-i CENTRAL FILE5
DWRf RSECTION . 3
Phone Number: 7-w 27) , ella-3 Total no. o DOs monitored
Certified Laboratory ,f i-11A /fir+-tr bgr j Lab # "IMP
Lab #
Stormwater Discharge Outfall (SDO) No. I _ VMA Outfall? Yes ❑ No E]
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No LI
Was this outfall ever in Tier 2 during the past year? Yes ❑ No e'
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.
Total
Rainfall,
inches
TSS
mg/I
SS,
nil/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
(gal/mo.)
Stormwater
Benchmarks
Indicate NO
FLOWi/
applicable
Q""a
Benchmark
100/50
0.1
Benchmark
rphrr
50/25110
N/A
Water Quality
Standard applies
N/A
Water Quality
Standard applies
15
average requires
erage55 requires
TSS antl Nonyolar
O&G monitoring
Date Sample
Collected,
mo/dd/yr
3J3rli
333
Gpa
�!S
/7/1p
Y;
n .]73
'O. f
'. Silo,
Permit Date 10/1 /2015 — 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Q❑❑©
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 2 VMA Outfall? Yes ❑ 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 ❑ No 0
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.
,1
Total
Rainfall,
inches
TSS,
mg/1
SS
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non polar
08G, mg/l
(VMA)
New
Motor Oil
Usage
al/mclMle o.
Stormwater
Benchmarks
Indcata No
Ite
FLOW/I
a FLOW
Benchmark
100I50
0.1
eench,nek
50125/10
N/A
Standard appliesater
N/A
Standard applies
15
>Sggaa°;'.
avers re al.
TSS and O&G reNot drear
Date Sample
Collected,
mo/ddlyr
"
,
3/31/90
3/fG
3.r7
t/2
771
ta. /
3.36
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 QE©©
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 3 VMA Outfall?
Yes ❑ No B_
Is this outfall currently in Tier 2 for any parameter?
Yes ❑ No ff
Was this outfall ever in Tier 2 during the past year?
Yes ❑ No El'
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.
3
Total
Rainfall,
inches
TSS,
mg/I
SS,
mI/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/l
(VMA)
New
Motor Oil
Usage
gal/mo.
Stormwater
Benchmarks
Indloale NO
FLOWII
applicable
Circle
Benchmark
a
100150
0.1
Circle
Benchmark
50125/10
NIA
Water Quality
Standard applies
N/A
Water Quality
Standard applies
15
>55 gallino'
average requires
TSS and Nenpolar
O&G monitodn
Date Sample
Collected,
mo/dd/yr
3/3l /d0
3j10
i.323
/
3.e/
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

d
Certificate of Coverage No. NCG02 E1910 MC
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]
Signature'fiC_✓
Date ? / 16 l a t
2, C)
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