NCG020022_2021 DMR_20220301 (3)

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUB,MIT`TD CENTRAL 0FFlCE*
General Permit No. NCG020000
Calendar Year ')Loa
*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 �01❑®
Facility Name: V/Pr trb, � j' Mi,04l'A tS j.L�
County: Mo 0r-x-,-
Phone Number: (4 10 -) q Total no. of SDOs monitored__
Certified Laboratory Camerofl Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ NoR-
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No R-
Was this outfall ever in Tier 2 during the past year? Yes ❑ Noe
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency Cl
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outf. II o
Total
Ra.tnfall,;,
inches
TSS;
mg(I
SS,
rtlll
l urbrdtty,
NTU .:
Upstream
(U}':Turbidity,
NTU
Downstream
(p} Turbidity
NTU
Non polar
O&G.;mg/I
VMA
New
Motor'Ol
Usage
allma.
$tarmwafer
Benchmarks
Date Sampl
C' lIecte.d
r►a/dd/ r;
indicate No
FLOWIf
a !!cable
�� iY cy,.:
e
�`�:�:���.�. �
Circle
Benchmark
100150
V u :TV
} ."
�k� .- ,.�...�,�:,
0 1
�✓. - • �''
. ry,I°���
✓,
„ s.t 3a
t
: �.�����.
Circle
Benchmark
5U/25110
J 1
�.,' :tW
C
�;. <,�-�.��t�:
NIA
Water Quality
Standard applies
'?d' f 'r' : c�^'
µ^`.^uS+�- t , ti cr'
�.,� �,.�.;��:. �:.
NIA
Water Quality appli
Standard applies
;s3-" � . �+ s �.z'
+• r "f. ryJ,�7
,3: ��..•��,� .�
15
z�sL�i�c 4 t as �
'ter-,. -i
�< <�__.�z, „.t.,.��'.n
y55 gallm0.
average requires
ar
TSS and N monitoring
O&G monHorin
�#6�'S cc�}��l�ta
;� " s ? -sA't �f
_�...t
o a
e Flow
Plow
No Plo w
0
�,
D •
o•
0-
69 2
No Flo to.
211
oG
o
� Z
o • to
Permit mate 10/1/2015 -- 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®0©[A.
Additional Out -fall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfail (SDO) No. VMA Outfail? 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 ❑
O#"If No
iotat
Rainfall
IllGheS :1
TSS,
mgll
5S,
m ll
TurbldlfiY,
NTU
;:
Upstream
(U)Turbicllty,
NTU
©ownstream
t0}Turb►dlty,
NTU
.Non polar
08�G m /1
"; g
(VM..A)
F.
New
MatorC311
Usage
allmo.
Stormwater
Benchmarks
indicate NO
"Low"'
applicable
Circle.Circle
Benchmark
Boncfimark
00/50
0.1
Benchmark
hm
50/25/10
NIA
Water Quality
standard applies
NIA
Water Quality
Standard applies
1
>�s gaequi
average requires
TSS and Non -polar
6&G monitoring
Date Sam le
3=
�
,�
� r �
t< � ,�
� `� 3 ,ate „�
_��
�• �. ���
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0❑®©tom
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
Downs#ream
New
Outfall No ':
Total
TSS
SS,
Turbidity,
(U);Turbid"i: ,
(i?) Turb>Idity,
Non polar
Motor O-!
Rainfall,.;
mg/l
tnlll
NTU ;...
:NTU
NTU
OStG, mg/l .
:; Usa e
g
7.�n.ahes
(VMA)
a. Mo.circle .
Stormwafer
!rtdlcaa NO
Benchmark
Benchmark
to
nchm
Benchmark
N/Acir
NIA
�55 a requires
average requires
Benchmarks
apLD abl
40/50
0�
�JQ%2�J1'I
Quality
Slandard apples
Stands rd appliWater
Water es
15
SS and rilaf
TO&G monitoring
is,.
Permit Date 10/1/2015 -- 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 DFg]QQ
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 23-o t -- 1-2-
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 Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015