NCG020749 DMR SW

ANNUAL SUMMARY D m STORMWATER
rSEN TO CENTRAL ®7777*
STOkWAT'ER DISCHARGE OUTFALLS (SSD®)
GENERAL PERMIT NO. NCG020000
•-Aeport Rpt yTURMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by M.4RCFI 1 (�f each hear. —�—
CERTIFICATE OF COVERAGE No. NCG02 0 7 SAMPLE COLLECTION YEAR: ..201
FACILITY NAME: 7'GlA/l 10E lirs. 6AA COUNTY- m6g
PERSON COLLECTING SAMPLES K Leo PHONE NO.
CERTIFIED LABORATORY Lab # ADD TO LISTSERVE? YES NO D EMAIL:�A;C-luHr<r'r�( fel a��1. Gds..
Lab # �-,f- ni- ..._ _._... _. .
Part A: StOrmwateC MonitOrinu Renniremnntc
Outfall
No.
Date Sample In Tier 2
Collected Monthly#
(mo/dd/ r OR
Y Monitoring?
NO FLOW)t /n
(Y )
of Months in
Tier 2
Sampling Z
Total Flow
(MG)
-
Total Suspended
Solids
(mg/1)
100 ' 4
Turbidity
(NTU)
See Footnote '
Total
Settleable
Rainfall
Solids (ml/1)
(iu)
0.1
Event
Dui ation
(minutes) .
`
t
7 ► 4 r
NO 0i
I3_12 I
____.._....
Date Rana,
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE"
PerNC[:(M• Ttar�AA...N,1,. _�__u
for each
outfall here and the
---- — ----••-•••.• �u•= F1111s ,' Mau VU UVJJV unnt s consecutive samples are below the benchmark or within the benchmark range
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
a TSS benchmark values are 100 mg/l except in ORW, HWQ, trout, and PNA waters where they are 50 mg/I.
'The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDU.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/1/2010-12/31/2014
Last Revised 02-02-11
Page I of 2

Part B: Vehicle IVMalntenance Activit Monitorin R i
Outfall
No.
Date Sample
Collected
mo/dd/ r OR
( Y 1
NO FLOW)
In Tier 2
Monthly
Monitoring?lings
(y/n)
e u
onths
7in er. Z
rements for factliues
New Motor
Oil Usage
aUtnotith
usingo
Total Flow
(1V)G)
TPI using method
�� ai or new motor oiI/miF;6-9
1664ASGT-flEAl
nt
IS
TpH
andard
nits
Total
Rainfall
in
__--
Event
Duration
(minutes
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO [s'
HAVE YOU CONTACTED THE REGION? YES ❑ NO l'7
WHO AT THE REGION HAVE YOU SPOKEN WITH?
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOUNUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"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 ttY�
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, ti YYr, acctYY ate,
and complete. 1 am aware re are significa or submitting false information, including the possibility of fines and imprisonnYent for knowing
violations. �5�/�i�
(Signature of P ittee)
Permit Date: I/I/2010-12/31/2014 .
(Date)
Last Revised 02,02-11
1'agc 2 oft