NCG020354 DMR SW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year _ a616'
"Report ALL STORMWATER monitoring data on this form (include `'No Flow f'No Discharge" and Benchmark
Exceedances)_from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. N0002 0❑3 S❑
Facility Name: e1(kµa/r&7✓ Ad- 1 N).imr- TP",/-fA
County: fli^TgAf_
Phone Number: ( t Total no. of SDOs monitored_
Certified Laboratory 'PA (-e Aita)ylltp' l Lab #.
Lab #
Stormwater Discharge Outfall (SDO) No. _� VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [3'
Was this outfall ever in Tier 2 during the past year? Yes ❑ No [g-
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
2r
Other
❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS, Turbidity,
mill 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
applicable
Circle
mark
00 50
Circle.
chmark
0.1 I /25110
N/A
Standard applies
NIA
Standard applies
_ 5
>55 gal/ o.
average requires
TSS and O&G monitodna-
Date Sample
Collected,
mo/ddl r
ruLd
366 0
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®�OQ
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. _� VMA Outfall?
Yes ❑ No [a
Is this outfall currently in Tier 2 for any parameter?
Yes ❑ No ET
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
❑ I
No, turbidity benchmark exceedances did not require monthly monitoring
I�
Other
❑
• .
ji
Total
Rainfall,•:
inches
I M1
Upstream
Non -polar
&UPL
,
New
Usage
•.
Stormwate,11M
Bench ar
llilOrQ�M��
FAM
N/A
NIA
Date
• •:a
• . • r
Z'
r.
MR 790
MIrd"', 1
M4 1111M UNOM
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 �FS 31[q]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 1— VMA Outfall? Yes ❑ No 2- -
Is
] -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
❑
Outf 11 No.
—�
Total
Rainfall,
inches
TSS,
mg/l
SS,
miy
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/l
(VMA)
New
Motor Oil
. Usage
al/mo.
Stormwater
Benchmarks
Indicate NO
F` 4ppkaa�re
la
erk
0 150
0.1
circle
chmark
%50 25/10
NIA
Stand rWaterd apples
NIA
Sten dard app les
15
>65 gel/mo.
average requires
nNon-polar
ToaG monitoring
Date Sample
Collected,
mold / r
e
AO t
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 F10[31[91
- 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 Q'
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 I❑
Outfall No.
^ -5
Total
Rainfall,
inches
TSS, SS,
mg/l mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/1
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
Indicafe NO
FLO, a
Circle
c ark
10 50 0.1
C1i1e
chmark
50 5/10
N/A
Quality
�Q app,
NIA
Water
Standard app Qualityer
a
1 `�
>aa ga,fmo.
average requires
TSS
T08G monitoringNon-polar
Date Sample
Collected,
mo/d4/yr
"to
PL 2S'
,M
N 1Ai.
r.
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

F
Certificate of Coverage No. NCG02 [0-1®©�
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. _ VMA Outfall?
Yes ❑
No a
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,
mg/I
SS,
ml/1
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
New
Non -polar Motor Oil
O&G, mg/I Usage
(VMA) al/mo.
Stormwater
Benchmarks
Indicate NO
FLOC a
Ie
n mark
10 /50
0.1
Circle-
nmark
5 25/10
NIA
stales M applies
NIA
steandarQuality
app les
>55 gaUrno.
average regolres
15 TSS andNon -polar
monitoring
Date Sample
Collected,'
mold / r
f , ',.r
. y
121 Zff
31
0
/
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 D1[31MY]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. I VMA Outfall?
Yes ❑
No D --
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 ❑
No d
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/I
SS, Turbidity,
mill NTU
Upstream
,(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
{
Non -polar
O&G, mg/1
(VMA)
New
_ Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
,dim, NO
FLOWN
applicable,
Circle
Benchmark
100/60
circle
nchmark
0.1 25110
' NIA
sW° ali
edrppa
NIA
Standard
tad ty
15
>55 gall 0.
average requires
TSSlnri
O&G monitoring
Date Sample
Collected,
mo/dd/ r
Z
Motu
n/
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑OF-]F�
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
Signature "� �-4
Date D '1) 5 '/
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