NCG020052 DMR SW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
General Permit No. NCG020000
Calendar Year Q O 15
" Repisrt,ALL STQRfU9 %ATE "„� -- f rm, InclM d
1N RTmonl#or`irig;'iData}on�tl�is, o('Y. u e "f o.Fldusi/`IkJc,,DisthiWft
�.3 +��t' w'.” yr�4ci,-�,,v ,�Exceedairces) from #he'p evla�is calendar year to'the E)W, y firFA`RG i ltitafeach' jrea
Certificate of Coverage No. NCG02
Facility Name: lickn5041 P1!�J; !� PQ -q A�eS-�
C+' }gee ��carn V
County: V���
Phone Number: (9j ) 3&o - P-'1 y (Q Total no. of SDOs monitored �5
Certified Laboratory r c. c_e_ A na 1 v +; cc, I lab # WA 00
�-kn iC, gGW-6 S Lab # 5 3 `7 r
Stormwater Discharge Outfall (SDO) No. S Db- I VMA Outfall? Yes ❑ No'g
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No Z
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 exceedanoes did not require monthly monitoring ❑
Other ❑
Outfall No.
►�O _I
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
aVmo.
t
StormtNateP
Benchmarks
IndrceteNO
FLOWN
8= a61Q
- zCircle
Benelimerk
100150;
-- _
Benc'hinaitc
0:'I 50/25110
NIA' ?. -- "NIA
Water Quality WaterQuality'
Sla.dardapptles standard applies
-
1P�
>66" allmo:-
-- 2- iequtree;
T§Saed"Non puler
O&Gmon'Itorirre
Date Sample
Collected,
moldd/ r
!
_
"- -
"S
(03/b /15
era i7
N©ta'✓- ,-o
1,31A -Ills-
N (D I zL-OVJ
4 �5-
J •-1
O �
k(1.I
�111
law
tbn
il -A 0 t r
I-\ s
e e
e
C_U Sj3
,
)I IWO-"R
0
r
G Z
I
w `cQ
ccu r'
1
Oes
r—,tr
i
%Aw-rj
6,i
or
S
s o n 4A
r e I tt3
aa d at s t
Permit Date 10/112015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑O ❑©'
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. S - 2 VMA Outfall? Yes ❑ Noj2j
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes3& 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 cz'�' _l fl v l re i nS `, n+o 1 �4 + ,+.
Outfall No.
s I
Total
Rainfall,
inches
TSS,
mg/l
SS,
ml/l
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/l
(VMA)
New
Motor Oil
LUsage
o.
SitoiThwater
Be!>!CI7117aDI[S'
lnaicaeewo
LOWif
��,/2 f
- ' Circle'- ..- '
11IISA(
Q ,b/50 0.1
----Circle_
ncdmsrk
60 2611 Q
-
N/A
s am ru pplliie9
p
VA , -
io
k S� � e_`ra°_ pP Imo,O&G
— - - --- -
-?55 geUrno.
BVCfB00 feQllifeB
rimoNto�rin`Iar,
Date Sample
Collected,
mo/ddl r
_ �
A`
d3 ��
6 -'7141+,0
0,30
N /
� 4�i � 0
360,0
�
< 55
��un��iO1S
�19 "car
E
1 D
i Gr
r3
n
u
Lo a110WED0
I
o5 An
rm Wok r
0-ee A91 a
S We rV-
r
ro C
r t,'+
e
t
�o
r w
rj
41 L
Lasp
s�N�
k
1 ne
eJ
rer)
IrA a C er
6'e—
n
®Q
uJ
1 i w1 i ,r
oN
Q\tQ
ve
G
r�YA
3�r
��Wfew
r�
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®®Q®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. SDC) -'-F VMA Outfall? Yes ❑ No E4
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 14
Was this outfall ever in Tier 2 during the past year? Yes ❑ Nola
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.
SQC7 ^
Total
Rainfall,mgll
inches
TSS,
SS,
mill
Turbid'
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al/mo.
$tOr/1719/c7fer
-Benchmarks
maieerewo
a`ate
- Circle'
j Beahm®rk
;; 100160 it
0:1
--Circle
Benchmark
60125/1Q+
-
NIA -
Water 0.14
stanuaruappiies
NIA'
WaterQuallty
s�:tlapdeppi1es.-
- - - —
15
a55®eUmo. ,
$i aye_0eroM-'
F7SS•andNon=polar
O&`Gmurirtorin -_
Date Sample
Collected,
moldd//yr``
_
—
t� 1lel
r V
y+
e
"
Mh
r
ouer
w
I WM&
LLnA
La c
IL S
S G ra.
Q r
s
o a
n
bVer
s
Permit Date 1011/2016 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®®®®
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
Sign-,
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 Stonmwater Permitting Staff in the Central Office at:
[phone]
Pennit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015