NCG020888 DMR SW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
II SUBMIT TO CENTRAL OFFICE* II
General Permit No. NCG020000
Calendar Year ZO1�-
"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. N0002 ®®®®
Facility Name: ?E-414 3,eW40 6165 4 JAJC 1-2546,� A"'r
County: d uwc
Phone Number: ( j -Total no. of SDOs monitored
Certified Laboratory lab #
Lab#
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑ _
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑ FE8 2 9 2016
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑ rDSWLAND QUALI
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? STORMV UER FERMI'
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,,
m'VI
Turbidity,
NTU
,
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
P&G, mg/I
(VMA)
New
Motor Oil
Usage
(gal/mo.)
Indicate NO
Benchmarks applicable
circleStormwater Benchmark
Benchmark
100/50
0.1
nchCirC1e
Benchmark
50/25/10
N/A
Standardappater lis
N/A
Standard.applies Water _
15
>ss a requires
averagerequlres
To&Gmonit ring
-:Date Sample
Collected,
mo/dd/yr
i 1A
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No
Additional Outfall Attachment (make copies as needed for additional outfalls)
I
I
I
�I
NCG02 ❑❑❑❑
" I
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 Downstream
Outfall No. Total TSS, SS, Turbidity, (U) Turbidity, (D) Turbidity, Non -polar
Rainfall, mg/I ml/I NTU NTU NTU O&G, mg/I
inches (VMA)
I New
I, Motor Oil
I Usage
I avmo.
Circle circleN/A N/A
Stormwater Indicate NO Benchmark Benchmark
Water aca'e ll Water li
100/50 0.1 50/25/10 Standard apps Standard applies 15
I >55 gal/mo.
average requires
TSS and n@Benchmarks
O&G monitoring
Date Sample
Collected,
mo/dd/yr
I
,I
I
I
I
II
I
I
l
I
I
i
I
I
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015