NCG020715 SW DMR 20230510

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2 02 Z
*Report ALL STORMWATER monitoring data on this form (include "No Flow"P'No Discharge' and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. N0002 L1-7 11 1 JL�t
Facility Name: %YI L74 le- �/ iC
County: �4yts4l A
Phone Number: Y 9 / Z� Total no. of SDOs monitored Z
Certified Laboratoryee Af' Cti Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. 2— VMA Outfall? Yes ❑ No Er
�-�/
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 G21'
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
RECEIVED
MAY 2 2 2023
CENTRAL P11 p,
0WR SEr T1
Outfall No.
Z
Total
Rainfall,
inches
TSS,
mg/I
SS,
m1/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
Indicate NO
FLOWi/
,;eaM1,e
ueN
Benchmark
100I50
0.1
B1 o1e
BencM1mark
50I25I10
N/A
Water Quality
Stantlartl applies
N/A
WaterQualityapplies
Standard applies
15
ei
a age requires
average requires
TO&GSS ntl nut.on polar
08G monilonng
Date Sample
Collected,
mo dd/ r
1 Z 22
Permit Date 10/1 /2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ©1 Pt
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. -3 VMA Outfall?
Yes ❑
No Z'/
Is this outfall currently in Tier 2 for any parameter?
Yes ❑
No E
Was this outfall ever in Tier 2 during the past year?
Yes ❑
No EEI--
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/l
SS,
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
Indicate NO
aFbOWFf ecable
Circle
Benchmark
100/50
0.1
Circle
Benchmark
50/25110
NIA
S and appli s
N/A
Standard a'pllater es
1 5
>55 gallma.
average requires
a`
�o8cn� Non -polar
Date Sample
Collected,
mo/dd/yr
Iliffill
2
crJ
�2
c
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

4,+
Certificate of Coverage No. NCG02 ®7❑��'
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 §1A.221
Signature
Date <�j
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