NCG020606 DMR SW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — STORMWATER
SUBMIT TO CENTRALOFFICE
General Permit No. NCG020000
Calendar Year 8015
*Report ALL STORMWATER monitoring,data brilhis.form (include "No.Flow"1"No Discharge" and Benchmark
Exceedances) from the prevous:calendar year to the DEQ..by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ®®®®
FacilityName: 'M , 5e'UN u AR Q`r
County: �� (, A'4
Phone Number: ( )* 5 a 4 8455 Total no. of SDOs monitored
Certified Laboratory QAC t= Lab # 40
Lab #
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
Rainfall,
inches
TSS,
mgll
SS,
ml/l
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
p
O&G, mg/1
(VMA)
New
Motor Oil
Usage
allmo.
Stormttvater
Benchmarks
indicate N0
aFLOWN
Circle
mark
10 50
0,1
Circle
nchmark
5 2511 O
- -
NIA
S andard Il s
N/A
Sta tiara appll 5 .
15
>56gagmo.
average requlras
To and omie�rhiar
Date Sample
Collected,
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Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 R©®Q
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 §122.221
Sign
Date
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 —913012020
Last Revised 10-2-2015