NCG020747_DMR_20220214

NC Depci rrr',_:-
ANNUAL SUMMARY DISCHARGE MONITORINGEnvironmc Receivedn
REPORT (DMR - STORMWATER FEB 1 4 222
I SUBMIT TO CENTRAL OFFICE* Winston-f- ism
General Permit No. NCG020000
Calendar Year 2 U 2
`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. NCGO2 7 -7 NCG-0,9O 1117
Facility Name: /11A:T//S 6211,412/2//51 /-la ,
County: lrV'/Li
Phone Number: ( ?3te 3 t'- '/C'/0 Total no. of SDOs monitored 3
Certified Laboratory 3 r41 esoLLi. Lab # 110
4,v.4v Lk/ rk 4-4, Lab #
Stormwater Discharge Outfall (SDO) No. I VMA Outfall? Yes ❑ No R
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [ '
Was this outfall ever in Tier 2 during the past year? Yes I I 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 Downstream New
Outfall No. Total TSS, SS, Turbidity, (U) Turbidity, (D) Turbidity, Non-polar Motor Oil
I Rainfall, mg/I mu! NTU NTU O&G, mg/I inches Usage
(VMA) (gal/mo.)
Stormwater Circle
Circle >55 gaVmo-
Indkate NO hmark BenchmarkWat N/A N/A average requlma
Benchmarks applicable;e 50 0.1 50 25/10 seandard aapplfea Standard Quality
es 1 5 T08G monitoring� r
Date Sample
Collected,
mo/dd/yr
5- -Z1 . 8 " 42.70 I * -7 4/I,4 A,/4 /Vl /V/4
IV`2 'Z I L. 1 " a -5 4 • I Z CP Nil NI+4 Ari 4 ,I//R
Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 ? Fr
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 2, VMA Outfall? Yes [ No R
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 [l-r-
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
❑
Total Upstream Downstream New
Outfall No. Rainfall TSS, SS, Turbidity, (U) Turbidity, (D) Turbidity, Non-polar Motor Oil
2 mg/I mu, NTU NTU NTU O&G, mg/I Usage
inches (VMA)
(gal/mo.)
Stormwater Circle Circle
Indicate NO 8 ncrttnark ,xf,,,,a,y� N/A N/A >55gai/mo.
Benchmarks FLOWcapN 100)50 0.1 50 25/10 �Nae Oia1ity Water Qualityaverage requires
applile f Sfandard applies Standard applies 15 TSS and Non-polar
Date Sample OEGmondoring
Collected,
m o/dd/yr
5--5 -/ . roc- G'2,?76 L, I 2, 4$ )1/1,4 N1 14- Ai/A-
/0--21_21 /1 / ii 43,j7I L,/ 5, 4 iv'1/It /vJii- At i- 4-,i4
Permit Date 10/1/2015-9/30/2020
Last Revised 10-2-2015

of
e
Additional Outfall Attachment (make copies as needed for additionalt outfall overage No. NCGO2 [7jn1ll -
I Stormwater Discharge Outfall (SDO) No. 3 VMA Outfall? Yes No '-''
Is this outfall currently in Tier 2 for any parameter?
Was this outfall ever in Tier 2 during the past year? Yes ri Yes (7 No [✓
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? No [�
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency
Cl
No, turbidity benchmark exceedances did not require monthly monitoring I]
Other ❑
TotalUpstream Downstream New
Outfall No. Rainfall, TSS, SS, Turbidity,NTU (U) Turbidity, (D) Turbidity, Non-polar Motor Oil
3 inches g NTU NTU O&G, mg/I Usage
(VMA) g
Stormwater Circle Circle (gal/mo.)
Indicate NO ttmark Benchmark N/A N/A >55 g0Vmo.
Benchmarks FLON if 50 0.1 5dh25/10 Plater Quality Water Quality average requires
epplicebk Standard applies Standard applies 1 5 TSS and Non-polar
Date Sample OdGmonitodng
Collected,
mo/dd/yr
5-55 '/ , " Z2, 7 ja 4, l , 77 .ti'M A,l 4 . %,- A,/.1
,O-z "9 . 2/ l , lL2d774,/ 2. I Ar/4 Ai/- - iV/4 tit.4-
i
Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 1Jnn
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 1. .. �
Date 2-q ' '
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