NCG020164 DMR SW

i j(, 1,"\ Win` �'<) �� ';�" 1 '*V 9
General Permit No. NCG020000
Calendar Year 2 Q 1 5
"Report ALL STORMWATER monitoring data on this form (include "No Flogs l"No Discharge" and Binchmark
Exceedances) from the previous .calender year to the DEQ by MARCH I of each year.
Certificate of Coverage No. N0002
Facility Name: �an5oa� �G G!`��ia�es Come, ca ne-(' (a uaC - '
County.
Phone Number: (,I1 °I) 3 SCS - P-`7 `f Co Total no. of SDOs monitored `moi
Certified Laboratory Pa e -e - A na Iy Ei ccs -1 lab # W IN C,,%
17knso,,Aq,,CevcAgs Lab# 53`7;_
Stormwater Discharge Outfall (SDO) No. SIvO-9. VMA Outfall? YesE] No2)� M&'7,cq►nS _-� le.,
Is this outfall currently in Tier 2 for any parameter? Yes ® No
Was this outfall ever in Ter 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, recelved 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,
mUl
Turbidity,
NTU
Upstream
ty
(U) Turbidity,
NTU
Downstream
{ ) Turbidity, t1!,
NTU
Non -polar
O$G, mg/I
(VMA)
New
Motor Oil
Usage
al/mo.
-Benchrttarks
IeadtereAlD
e�O"' @
CIrCle
Be
1'001 0
®=1f
l
®/25!°I®
_
NlA
smVhtiQuality 8
RA
stWAr�eraoa
1s
>55gallma:tforMWaer
average requgrea
os� � are'ar
Date Sample
Collected,
moldd! r
`
c
c
,
a I)
o
f 5L
r c>
Permit Date 10/112015 ® 9/30/2020
Last Revised 90-2-2095

Certificate of Coverage No. NCG02 ®0®®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 5M--3 VMA Outfall? Yes ❑ Nom
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 ❑
Outfall No.
Q 3
Total
Rainfall,
inches
TSS,
mg/l
SS,
mill
Turbidity,-
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
SiormWafer
Benchmarks
Date Sample
Collected,
mo/ddlyr
/ndfealeNO
FLpWiI
a l;c_
Clrcle
Benchmark
40060 ®�1
Circle-
Benchmark
50/25/10 ,
NIA
Water
stendemapplle9
N/A
WoterQualhy
Stanpa�A_applles
-
-
1608GmondtoH
>55 geVft)O.
If everegereglirea
FT3$�endNompolar
-
Lb -3
n5
C u r
-Lia
-011e
rS
S
.V-,
`
l ,s
o
Ic
�t r
3 I5c�
1
c
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®01 ®['f]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No.:5M—Y VMA Outfall? Yes ❑ Nog
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No'M
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 ❑
Outfall No.
ISDO-4
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)
New
Motor Oil
Usage
LaUmo.
Stormwater
Benchmarks
rnd(eateNo
aFp0)cabre
- Circle- -
Benchmark
400/60 �•
circle
Bemhmarrc
rJO/26/�®
N/A
5tanC ruapplity
N/A
Staedaidja'
1°�
>55 pallmo.
averageYequlrea
Tt)%a .Naprlolar
Date Sample
Collected,
mo/ddfyr
_
—
0. e
.
r
%n A -
If,
5
r d
j�!ez`,b
,
- , YL
t�
J4—
S
I
le.
Ir
doe G
a
�
O
31 hs
'0
5-r '_
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Q©©[T
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 5f D- !� VMA Outfall? Yes ❑ No o
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No o
Was this outfall ever in Tier 2 during the past year? Yes ❑ No (�Zf
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 exceedences did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,mg/I
inches
TSS,
SS,
ml/l
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/1
(VMA)
New
Motor Oil
Usage
at/mo.
Stormwater
Benchmerk5
U7dicateNo
FLO1s�ile
Circle_'
Benchmark
1,00/60'
-
! 0:1
circle
Benchmark
60/26/10
N/A
S ane rd ppWater u
N/A
sterterd appis
-
5
>55 geUmo
average require
t Toa' moidtn�rl lar.
Date Sample
Collected,
mo/dd/yr
aj
`n
`n
r r
e r. e—
i1,6—
CYin
ANo
(
p ,
G
ns
Iri lL
oLj
is ,�►�
Permit Date 1011/2015 — 9/30/2020
Last Revised 90-2-2095

Certificate of Coverage No. NCG02 ❑m QI ©[1
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
Signs
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 10M12015 — 9/30/2020
Last Revised 10-2-2015