NCG020761_DMR_20210216

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 207�0
'Report ALL STORMWATER monitoring data on this form (include "No FIovverNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by A/1QW, LF of each year.
Certificate of Coverage No. NCG02
Facility Name:
County: ZK.f<11
Phone Number: -?w) J7.x - c/113
Certified Laboratory .ifs v 11C / ,.1yarc, l Lab # zlllO
Lab #
MAR. 01 2021
IS
WR SECTION
Total no. of SDOs monitored Z
Stormwater Discharge Outfall (SDO) No. �_ VMA Outfall?
Yes ❑
No [i]'
Is this outfall currently in Tier 2 for any parameter?
Yes ❑
No E3'
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
El
Yes, received approval from DEMLR to reduce monitoring frequency
11
No, turbidity benchmark exceedances did not require monthly monitoring
❑
Other
❑
Outfall No.
2
Total
Rainfall,
inches
TSS,
mg/l
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
(gal/r
Stormwater
Benchmarks
InFLOWNO
Fpd�yy
applicable
CrC1e
Benchmark
100/50
0.1
Benchmark
Benchmark
50/25/10
N/A
wahrdapply
Slantlartl applies
N/A
WaterQualityTBSand
Standard applies
15
e.g.>55 requires
average ren poly
Nit.rinar
08G monitoring
Date Sample
Collected,
mo/dd/yr
3i3t av
110
tl ?d
4:% t
2.7
/
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 E]FZ]FJ]R1
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 Cf R § 122. 22]
ri
-Mlml
ZFNJ
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