NCG020003 DMR SW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 101 S
*Report ALL STORMWATER monitoring data on this form (include "No Flow"Mo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 0❑0 0❑ 30
Facility Name: M 011 C 1n r e Larry
County: 1_ a P_
Phone Number: ( q II ) X44 -1100 Total no. of SDOs monitored 16
Certified Laboratory E NC 0 La b S Lab # DW4-46
Lab #
Stormwater Discharge Outfall (SDO) No. SPd - I 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?
Indicate NO
e `li e; e
RECEIVED
Yes, enough consecutive samples below benchmarks to decrease frequency
❑
N/A
Standard appter lies s
Yes, received approval from DEMLR to reduce monitoring frequency
❑
FEB .11 2016
No, turbidity benchmark exceedances did not require monthly monitoring
El
CENTRAL FILES
Other
❑
DWR SECTIO
Outfall Na
SAv-
Total
Rainfall,
inches
TSS,
mg/I
SS,
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)gal/mo.
New
Motor Oil
Usage
Stormwater
Benchmarks
Indicate NO
e `li e; e
Circle
chmark
` 0 50
0.1
Circle
nchmark
5125/10
N/A
Standard appter lies s
N/A
Water Qualitya
Standard applies
15
>55 gavmo.
average requires
lar
TO&G monitoriSS and ng
Date Sample
Collected,
mo/dd/yr
=mom====E
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 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 §122.22]
Signature
Date a/
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — S'TORMWATER
SUBMIT TO CENTRAL OFFICE* t
General Permit No. NCG020000
Calendar Year 161 S
T
*.ReportALL`STORMWATER`'monitoring data, on this form (include NoFlow"/ No Discharge" and Benchmark
Exceedances) from the previous,calendar year to the DEQ by MARCH 1 of each year,
Certificate of Coverage No. NCG02FQj ] 3❑
Facility Name: 410012011re 0uafr i
County: L e P_
Phone Number: X6 4 -110 0 Total no. of SDOs monitored o
Certified Laboratory E NCO La bS Lab # DYW4-46
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 2
If this outfall was in Tier 2 last year, was monthly monitoring discontinued 'TRECIVE®
Yes, enough consecutive samples below benchmarks to decrease frequency
❑
0.1
Yes, received approval from DEMLR to reduce monitoring frequency
❑
FEB .1 1 .2016
No, turbidity benchmark exceedances did not require monthly monitoring
❑
CENTRAL FILES
Other
❑
DWR SECTION
.:
Outfall N
D�
r
Notal
-
Rainfall
inches
TSS; :
mg/I
SS,Turb�di
R
ml/I
�
NTU
h
%Upstream
(U) Turbidt y,
f --,NT-,
�:
Downstream
(D) Turbidity;
. j NTU r
-
Nori polar
08G mg%I
r
VM
,� _ A) -
flew
Motor
Usa e
r .-.
�(gaUmo
Stormwatei :
nrdraat '; I
FLOWN
. „gab e
Clra *
0 50
0.1
eccM arl�
W25/10
N/A
Water Quality
Standard apppes
N/A
Water Quality
5
>55 gaU mo
average requires
TSS
TSS and Non -polar
-polar
0&0 monitoring
Date Sample
_Collected,
mo/dd/yr
_
5
3S"
i.1
<0. I
IOD
Is
i
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Q®Q 30
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
Date a/
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR—STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year
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. NCG020❑Q003❑
Facility Name: Mon cmy-e ouair,ry
County: Lee- P
Phone Number: (I I I ) 4 6 -110 0 Total no. of SDOs monitored 16
Certified Laboratory ENC -0 L&bS Lab # DW4-96
Lab #
Stormwater Discharge Outfall (SDO) No. S D0' 3 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 [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 ❑
Outfall No
SDd
_. 3.
Total
Rainfall,
:inches
-TSS,
£. mg/I
SS;
ml/I
Turbidity,
NTU f,
Upstream
(U)'Turbidity,
NTU
'Downstream t
(D) Turbidity,
NTU
Non polar
0i" "mg/I
(VMA)'Mo.-
New
'Motor Oil.
Usage
StormwaterCircle
Benchmarks
Indicate NO
applicableFP
chmark.
10. 50.
-.
. 0.1
Circle
nchmark
(5020/16 ,
N/A
Standardapplies
N/A
..Standard 8
15
3-559-umo .
average requires
T o�°.1bo Liar
Date. Sample`
Collected, .
mo/dd/
.
-
- - -
a oa
0.3s"Lkmoo,
l
3
I s
14
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0000
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
Date aA//4
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR).— STORMWATER
` t SUBMIT TO CENT.R�iL OFF/C�*u`
General Permit No. NCG020000
Calendar Year
Certificate of Coverage No. NCG02
Facility Name: /V10nCMre ( (401frV
County: L e P_ I
A
Phone Number: ( 911 -1/00 Total no. of SDOs monitored V
Certified Laboratory ENCD Labs Lab At DW4-16
Lab #
Stormwater Discharge Outfall (SDO) No. '40- If VMA Outfall? Yes ❑ NoEJ
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 ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? ���
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ FE2 1 1 2%
Yes, received approval from DEMLR to reduce monitoring frequency ❑ CENTRAL FILES
No, turbidity benchmark exceedances did not require monthly monitoring ❑ DWR SECTION
Other ❑
y
4
Gaya
0` "
`�• ^t,
t+'
tz
n
�Tofal
�gRamfall,m/y,/i
� `L %
,1 inches
x
w
TSS;
"1Xe
.���
�_
n
SS;
ml/I�
L 3 Z
r
Turb�tltty,
'NTU$NTU�°
'f i q
nw -sv.y
Upstream
a
(U)'Turbidity
b ,i i` T tl 3
_ >��
ti ti t
Downstream
x
(D) Turbtdtty, �
�' ANTU s
kt,s `^ 4 '96 1y x :�
�.�,.� ,�-,_ �.��
4
None p"ola
08�G z m /I
r 9,
d 4 "Q`` _
�(NsM/1►)y
.e
Motor Qlil.
=Usage ,
`'t
.�= gal/mo:��
Stormwater
Benchmarks
Indicate N0aq
FLOWN
, a !cable ' ',
Circle ,. ,
hmark'
C
OO 5Q,
�, . ,
;Chole
nchmark
5 25/1 O .
NIA '-
Water Quality
Standard apppea
NIA
Water Quality. ,
Standard,aPPllea
15
2-55 gaUmo.'
average requlras'
TSS and Nonpolar'
O&G monitodn
- ----
_
Ig
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 000 ©®
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 CSC
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 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT. (DMR) - STORMWATER
. F _ _ � SUBMIT TO CENTRAL OFFICE* , . 4 � ,
General Permit No. NCG020000
Calendar Year 16 I S
Certificate of Coverage No. NCG02
Facility Name: /VI O n C M r e u yaf ,r i
County: Lep_
Phone Number: ( q I W ) 4 4 -110 0 Total no. of SDOs monitored 16
Certified Laboratory EI000 LabS Lab# DYWQ-4�
Lab #
Stormwater Discharge Outfall (SDO) No. SDO- S VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No P.
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? I
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ FEg
11
Yes, received approval from DEWR to reduce monitoring frequency ❑ D
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other
❑ DWR SEC*60N
\
Qutfall�No
d S�'�Rainfall,
qy......
inches
FN
TSS; �E
" mg/I
,f x
a;
�, # F' *^4..
SS
�mILI 9
aj
n;
fYt h
X Turbidt tY�'
NTU," k
.3•k rI _ _
�r
U stream
P
(U)Turbii�ty,
` NT
^I C 1t ,-s �- f5"
�a a
Downstream
{D)°Tu�btdity;
'm �i ey -..y
Non olar
_ �P
mg %I
11AA)
1 p P
New
`'
Motor Oil
Usage
gal/ mo, A
Stormwafer:
Benchmarks °
�nd,�siBNo
,LOWN ,.
aF „table
Clrele
hark
10 50'
1
Clrole ,.
n�lnne.«
25/10
N/A
waeerCual
. seanaara aPPnaB
N/A .
waeerauali
15
>55
a eregW
TOSG -average requlrea
nd Non -polar
morittoring
Date Sarnple'.
mo/dd/yr
-..
-.
1
6 S
o.3 le
q a
<0. I
it
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0©a]©
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 0C
Date a ?// 6
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR—STORMWATER
SUBMIT TO;CENTRAL .OFFICE*
General Permit No. NCG020000
Calendar Year 101 S
*Report ALL:STORMWATER monitoring; data on -this forret(include "No FlowY'No°Discharge"` and Benchmark
Exceedances) from the previous calendar year to the DEQ by.MARCH'1 of each year
Certificate of Coverage No. NCG02
Facility Name: 1Yj0nCMre Uuarr�j
County: L. e P_ I
A
Phone Number: ( q I I ) X44 -1100 Total no. of SDOs monitored V
Certified Laboratory ENC 0 Lahis Lab # Dwa-16
Lab #
Stormwater Discharge Outfall (SDO) No. S60- 6 VMA Outfall? Yes ❑ No [✓f
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 12f
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? RECEIVED Yes, enough consecutive samples below benchmarks to decrease frequency [Iv
Yes, received approval from DEMLR to reduce monitoring frequency ❑ FES .1 1 2016
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other ❑ DWR S
�-
Outfall No
r
0 �, '
f..
Total
Rainfall,
inches.
TSS,
mg/I' '
S3;
ml/I
Turbidity,
NTU '
Upstream
U Turbidi
( )
; NTU `:
Downstream
D .Turbidi
( ) ty�
NTU
r.....
New.
Non polar .Motor Oil, .
OCG, mg�l Usage
(VMA) gaUmo. .
Stormwater`'
Benchmarks
/ndlcateNO .,
applicable
Circle
hmarfc
100.50
0.1
Circle
nd,mark
50 25/10
N/A
Standard s
N/A
Water Quality
Standard applies
>55 gal/mo.
average requires
Non -polar
1.5 Tosand monitoring
Date Sample.'
Collected;;
mo/dd/yr.. .
.
la
03S'
111
-0
iso
-11111.9
E 1 2019
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [0 ®0❑3
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
Date I b
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — STORMWATER
r77
SUBMIT TO CENTRAL OFFICE*'
General Permit No. NCG020600
Calendar Year a.Q I S
"Report ALL STORMWATER monitoring data'on this form,(include,"No Flow"Mo Discharoe° and Benchmark
ExceedanceI )" from the previous calendar year to the. DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ULo lUL3
Facility Name: tM o n C N Y e. 0 uaf r V
County: I - e P_
Phone Number: 44 -1/00 Total no. of SDOs monitored
Certified Laboratory PIC -0 Labs Lab # DW4-46
Lab #
Stormwater Discharge Outfall (SDO) No. ';DQ -1 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 9
Was this outfall ever in Tier 2 during the past year? Yes ❑ N&V
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? C EIVED
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ FEB' 11 2016
Yes, received approval from DEMLR to reduce monitoring frequency ❑
CONI* FILES
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ElDWR SECTION
Outfall No
SDO,
G
Total
Rainfall,
inches
TSS,
.mg/I • :
SS
d
ml %I
TU�bidtty,
.NTU
Upstream
U :Turb�dt
( ) , 'y
v.
Downstream
D , Turbidi
O ti!r
NTU
'�5
Non polar
08�G, mg%I
New
,Motor Oil
Usage
gaUmo.
Stormwater
Benchmarks
Indicate'NO
FLOWN
a icable
Circle
hmark
(1061W
0.4
Circle :.
nchmark
5 25/10
N/A
Water Quality
Standard applies ,.
N/A ;
Water Quality''
Standard applies
15
gal/mo.
average requires
TSS and Non -polar
O&G monitoring
Date Sample
Collected,
mo/ddiy� ..
_
a as
.35'
140.1
93
1 S
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0®o❑M
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
Date L
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO... CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year
*Report ALL',STORMWATER'monitoring data,cin m ;n this fo(include "No. Flow"/"No Discharge" -and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARSH 1 of each year.
----- --- ---
Certificate of Coverage No. NCG020❑0 0❑ 3❑
Facility Name: 1M0nCMY'e QtarrV
County: L e c_
Phone Number:( III ) X4 6 -1/00 Total no. of SDOs monitored o
Certified Laboratory PIC 0 Labs Lab # DW4-46
Lab #
Stormwater Discharge Outfall (SDO) No. SPO JA 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 ❑ N y4
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? CEIVEO
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ _ FEE I 1
Yes, received approval from DEMLR to reduce monitoring frequency ❑
CENTRAL FILES
No, turbidity benchmark exceedances did not require monthly monitoring ❑ DWR SECTION
Other ❑
Outfall N-'
;.
Totals
Rainfall,
inches
TSS,
-
mg/I
4
SS,:
�
ml/I
Turb!dity,
UTU
Upstream
(U). Turbidity,
NTU
R
Downstream'
(D) Turbidity;
NTU
Non polar
OCG,-m9H
(VMA)
New
Motor Oil
;
.Usage . .
gaUmo:
Stormwater
Benchmarks
Indicate NO ,
FLOW H
a //cable
circle
mark
1 50
0'1
circle.,
nchmark
5 25/1 Q
N/A.
Water quality
Standard applies
N/A
"' Water Quality
Standard applies
rJ
>55 gallmo.
average requires
TSSerag Nonpolar
Non-polar
a monitoring
Date Sample
collected,
'mo/dd%yi"
_
.
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®©OD 3❑
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
Date 1/%—// f,
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) – STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year —1-6.1 S
.;. 9 J y y Benchmark
Report, ALL STORMWATER monitoring data on chis form (include "No Flow"Mo No Discharge Nand
Ezceedances from the previous calendar earto the'DEO b� :MARCH 1 ofeach"ear
Certificate of Coverage No. NCG02 0❑ 0❑ o❑ 3❑
Facility Name: M o it Q r e- O uar'r V
County: Lee, P
Phone Number: ( III ) X4 6 -1100 Total no. of SDOs monitored 16
Certified Laboratory ENC_0 Labs Lab #DWQ-4C
Lab #
Stormwater Discharge Outfall (SPO) No. SQD•I -I VMA Outfall?
Yes
No ❑
Is this outfall currently in Tier 2 for any parameter?
Yes ❑
No 12'
Was this outfall ever in Tier 2 during the past year?
Yes ❑
No 2r
If this outfall was in Tier 2 last year, was. monthly monitoring discontinued?
RECEIVED
EIVED
Yes, enough consecutive samples below benchmarks to decrease frequency
[:1
Turbidity,
Yes, received approval from DEMLR to reduce monitoring frequency
❑
FEB .11 2016
No, turbidity benchmark exceedances did not require monthly monitoring
❑
CENTRAL FILES
Other
❑
DWR SECTION
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015
Qutfall. No
Total
{.TSS,
SS,
Turbidity,
Upstream
U :'Turbidi
( )
Downstream
D Turbldi
( ) �!�
No'n polar
Newt:
Motor Oil
S 0 la F_ I
Rainfall,
' mg /f
ml %(I
NTU '
_�
; NTU
NTU
08G, mg/I
Usage
inches'
�.,
(VMA)''. _
(gallmo.
$tor/»water
Indicate NO.
Circle'
hmark .
Circle'
egchmark .
N/A
N/A
>SS gallmo.
average requlroe
Benchmarks
e `e's
10 50
0 9
5 25/10
sta�rd ap li 8
standard appli 8 "
15 ` :
TSS and Non -polar
0&G monitoring
Date Sample .
Collected,
mo/dd/yr -
IW/7/19
,asr'
0-1
1 Y30
I CA
1 4.4
<2.-f
Imss
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ©❑0 ©❑3
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 � .
Date 1 6
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

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year x015
4Report ALL STORMWATER monitoring data on this fomi'(mclude "No Flow"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year ao 1he DEQ by; MARCH 1; of eacl year ,..
Certificate of Coverage No. NCG02 FOR -HO -IM,
FacilityName: MOB UYe OiAafr�
County: _ L e P
Phone Number: ( IT) 49 -1/00 Total no. of SDOs monitored 16
Certified Laboratory PIC -0 Labs Lab # DYW4-9C
Lab #
Stormwater Discharge Outfall (SDO) No. !�90' I I 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? RECEIVED
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ FEe 11 2016
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CA!NTRAL. FILES
Other ❑ 9WA 98CTION
Outfall No
.. . ,
Total
y
Rainfall,
inches
a,
;' TSS, `
,,: mg/I
SS,
rrilLl
,
Tuib�dity,
= NTU
Upstream
(U)'Turbidity,
Downstream
{D) TuFbldt}��
•7.r
'-
Non polar
VMA
`. New
Motor Oil.
Usage
.al .
Stormwater
Benchmarks
nlg
aFL,, ab
�i
*
100 50
' 0 1
�h�
�
50 25/10
N/A
stand;:d ap li a
N/A
Standar PPu a
15
--55 allmo.
average requires
TSS and Non -polar
O&G monitoring
Date Sample
Collected;' ;
mo%dd/yr _.:
Ato Flow
Permit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®0Q—j©
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 §12222]
Signature � , (i
Date a glib
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