NCG020022_2021 DMR_20220301

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT `TD CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year a.Da- I
*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 O❑®®[j4
Facility Name: epb,,t *- epv\ S
County: MDo ('=
Phone Number: (G W) qk 19- a-�� G Total no. of SDOs monitored
Certified Laboratory erofl -rt& q Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. Sys 1 VMA Outfall?
Yes ❑
No Qjt"
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
Ifthis outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
❑
Yes, received approval from DEML.R to reduce monitoring frequency
❑
No, turbidity benchmark exceedances did not require monthly monitoring
❑
Other
❑
Ouo
Total
Rainfall,:
TSS,
Mg.l
S
rtal/l
Turb►dt#y,
NTU
Upstream
U `Turbtclaty,
O, NTU;,
Downstream :
D Turbldit ,
yS,
( ) NTU
Non polar
O&Gmgll
New
Rotor -Oil.
Usage
alLmo. c
Starmwafer
Benchmarks
Indicate NO
FLOW If
a llcabfe
circle'
Benchmark
t)�lTJQ
Q.�
Circle
Benchmark
5Ul25l1 D
N/A
Water Quality
Standard appliess.y
...NIA
Water Quality
Standard applies
>56gallmo.
average requires
TSS and Non-potar
OSG monitoring
'!' :
mo/dd!.r#r
..
z�..#4 4 �" 1 ��
�
y,
a+
a i�aak��c ♦
��a'�aM`yi�Pn�+ �" �a
� � ���
'.2
jV• F)ow
OZ t
NO Flog
N Q Na!
s Flow
b �t
D
oplow
MsFlow
IVd F'lu
p
• V/
Zo• ld
.
it 11
o.loo
I .
o
Permit Date 10/1/2015 -- 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Cff 0 Q[j
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 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 ❑
Outfall No:
Total
R.a�nfall
Inch,es
7S$,
mgll
$Sr
ml/l
Turbtd-fiy,
NTU
Upstream
(U) Turbdtty,
NTU:.
Downstream
bit
NTU
Non polar
g
New
Motor Oil
Usage
Stormwaier
Benchmarks
lndlcate NO
FLOW if
applicable
Clrcia
Benchmark
100/50
1
Clrole
Benchmark
50/25/1 a
NIA
Water Quality
Standard applies
N/A
Water Quality
Standard applies
15
>65 gallmo.
average requires
TSS and tNon-polar
O&O monitoring
©ate Sarri le
p
rno/ddLyt
w
. ` Y !
,r u^`-r
S' C '^•
�Y'3l
i. Ya
;,gg,�w �$c
�t l7 S5'rF�
MIA
MOM
,�,.�,.'G�is"t: r. -
W
v >,i'.y(
C '�:2- s.3 )<
c d. ✓.7 �i,�T3�Y
7v
a..s 'y '.'`",�
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [j�]0©Q
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 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 ❑
Upstream
Dawns#ream
New
Outfall No
i otal
TSS,
SS,
TurbtdttY,
{U) Turbtdtty,
(D) Turbidity,
Non polar
Motor: Ott
R'atnfail,
nig/l
mill
NTU;:
Ni U.
NTU
O&G mgll ..
Usage
inches `
{1/MA)
alTrno:
StarMWater
!ndlcate NO
Circle
Benchmark
circlo
Benchmark
NIA
NIA
>55 gallmo.
average requires
Benchmarks
aFLO ab1
00i50
1 0,1
50/2511 p
ater Quality
Stlar
andard applies
water Quality
Standard applies
15
TO&G monSS and itoring
6 W Y'
k 1w` ;
w'-/''}2C
� L�
Collected,
Y�
moLddl, r
k, �,
al
�t
.
;�
Permit Date 101112015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 FORoO191
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 CPR §122.22]
Signature
Date O 3 _,n 1- Z 2
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 Cate 10/1/2015 — 9/30/2020
Last Revised 10-2-2015