NCG020795 DMR SW

ANNUAL SUMMARY DiSCHARGE MON11TORING
REPORT (DMR) — STORPRffiftf-PUER
SUBMIT TO CENTRAL OFFICE*
General Permit No. HMG620000
Calendar YeaF 17-015
*Report ALL STORPOWAT ER monitoring data on this form (include 'No Fiowmo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by POIARCH I of each year.
Ce rttif icaie of Coverag e Noll wagsaw W'°0
Facility Name: V1111 mfr. Co r P (9 (O41 b,1 - '9c6 o 0 L'15 f- 0 L" i,)
counbl: Ave"rk/
Phone Number. 0-a 7 q Total no. of SDOs monitored
01�
Certifled Laboratory Unlm-n"c OUS-e OALab ff!��,�S
Lab J-
Storrnwater Discharge Out,.W! (SDO) Mo. 5CW Vt VMA Outfall? Yes n Mo
is this ourtall currently in Tier 2 for any plararneter? Yes EJ No 0—
Was this outfall ever in Tier 2 during the past year? Yes 11 "+[� RE -C EIVE1
H: this outfail vvas in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency 0 FEB .2 6 2016
Yes, received approval from DEWIR to reduce monitoring frequency Cl CENTRAL FILES
Mo, turbidibj benchmark exce-adanceas did not require monthb! monitoring 13 DWR SECTION
Other 11
pe'n-r! it'. D F"e 1011(2015-:3130,1202
..Lase- Revised 10-2-2015
Upstream
Downstream,
Nevi
I otal
TSS,
Sf.,-,
Turbidit _v,
(U) Turbldltjf�
(D) Turbidity,
00n
K -POlaF
Motor Oil
outfall No.
Rainfall,
mg/l
E-11111
KITU
N-1 U
-64TU
O&G, MO
usage-
-S
J11ches
(VMA)
(gal/mo.)
storinwater
fadicifaw
Circle
ecicbrawk
circle
Benchmark
MIA
MIA
>S6 g Una.
averagorequires
Ber,ichmarks
FLOWIF
applicable
100150
0-1
50/25/10
Water ouality
Standard applies
Water Quality
Standard applies
15
TSS and Non -polar
G&G monitoring
Date sample
Collected,
molddlyr
2. 5
<0- 1
7Z l510
-q
pe'n-r! it'. D F"e 1011(2015-:3130,1202
..Lase- Revised 10-2-2015

Caftificate of Coverage [\!o. ND3302FOI T FO jj n5
Additional Out ail Attauhment (make copies as needed for additional ouffalls)
Discharge Ouffea-H (SDO) No: rna- I vwAoutfalr Ycas El Wo Rr
?S tift Ouffe H -In tier 2YO2. O2.:Fn 1, 13 ere Tileter? V'S s El "'lo- R
T
this amff-011' in uer 2 durillothe Pa-s� itear'? Yes F1 f 4 o
if this Cutfali uveas -n Tier 2 �ast year, ivas morit'hIly moritoring di-scorithwied?
Yes, enough consecutive samples below benchmarks to decreasa Frequency [3
Yes, receNjod approval fuorn DEN41-Rtri reduce monftodng -frequency 13
Pilo, turbidity benchrnadexceedances did not reauire monthly monitoring 13
Other El
Outfall No.
RaIr"fall,
7, S_q,
n-'g/I
&3,
mill
T urbidiq,,
NTU
(U) Turbidfty,
HTU
(D) Turbidiiy
KITU
Non -Polar
n,&G7mgjl
Pjj'O-'Or Oil
Usage
(V M, A)
MOIC—'O NO
FI -011 it
cu-'Chm2rk
100150
11
OJ
Circle>55
Benchmarl.
50125f 10
MIA
'Natlar Quality
Standard RPwIles
NIA
Vatrr Q Ifty
Standud 'Z!ParA!vS
Fina.
q- i"feraga-I 'quires
T55and ri Polar
O&G murflotnal-Ing
Date Sample
4o.l
7R 311'5
L
1 -5
----------
Pc—n-R' tDa.':s -, 01'1120", f-5 — 91SOL-020
LastPe'.4sed 10-2-2015

Certificate of Coverage No. NDC302 0 R7❑FT F51
Addrdonal Outfall Affach meni (make copies as needed for additional outfalls)
Stormutf,ster Discharge Duffail MO) No, TUT- VIMA Ouffall? Yes
El tIN
o 0'
is this outfall ourre ntly in 1-fer 2 for any parameter? Yes El No
Was this outfali ever in Tier 2 during the past year? Yes E] No 0'
If this cufffall was in Tier 2 iast year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarts to decrease frequency El
Yes, received approval from DEIALR to reduce monitoring frequency 13
No, turbidity benchmark exceadences did not require monthly monitoring El
Other 11
Outfall Na.
ELT-
I otal
Rainfall,
[nChes(VM
TS.S,
mg1i
88,
mlil
Turbidity,
NTU
Upstream
(U) Turbidity,-
NTT
D6vurnetream
(D) Turbidity,
NTT
M10n-P01aF
O&G, nigh
I A)
New
Motor bil
Usage
galfto.)
StOPMWater
Benchmarks
Indicate NO
FLOW it
auDlicab.a
Benchmark
100/50
circle
Be chmarli
50/25/10
N/A
s Water Quality
Standard applies
NIA
Water Quality
Standard applies
15
>55 gall a.
overage requires
TSS and Non -polar
O&G monit tofirin
Date Sample
ollected,FRj
mold 1'r
P'
7,
Q -2,
<0.1
_7T
PGrMift 5'67M '1101"1/201 'IJ -- 013W.20_20
LasiRevi3ed10-2-2019

Certificate of Coverage No. NCG02 El[7]® S[]
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 §1
Signature
Date Z 1-1 ---,7 Ol 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:
(919) 7079220
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015