NCG020234 DMR SW

SUEMPT70 CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year an 1 5-
"Rep®HALL STORMWATER monitoring data on4his fora, (Include'No F9oW,/°No,Dischargg" and,Benchmark'
Excesdances) from the,previous,calendar year to the DECD by.IKARCH 8 ofoach year.
Certificate of Coverage No. NCG02 Q511
Facility Name: iiickn5on !Gare'! C�,
County: W-1 15c yl
- N Q—yec-,on CQuc,(-
Phone Number: (9141 ) 3 go - 21 y Co Total no. of SDOs monitored �
Certified Laboratory PGLe_An.1cc�_l Jab# W V4,007
tin n e S Lab t/ 5 3 17 21
Stormwater Discharge Outfall (SDO) No. _SL�C- VMA Outfall? Yes ® No'®
Is this outfall currently in Tier 2 for any parameter? Yes ❑ N®
Was this ou fall ever in Tier 2 during the past year? Yes ® No Ig
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.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
ty
(U) Turbidity,
NTU
Downstream
D ty
() Turbidity,
NTU
Nora -polar
O&G, mgli
(VIA)
New
Motor Oil
Usage
avmo.
d
Iter
Benchmarks
1.dxk. NO
ar cow Q '
,Circle
Betieiirtmkc
16660,
-
_
0.1
-circle
,Begthmsrh
6&Vid109re�raapplies
— __N/A
N/d°�
�l� --
s Dara i
. • avarege eregiiti'ree
9 s oS a rd1nl " r
rl
Date Sample ;
Collected,
moldd/ r
-
Permit Date 10/1/2090 m 9/3012020
Last Revised 90-2-2015

Y
Certificate of Coverage No. NCG02 ®®®[g
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. -SDDVMA Outfall? Yes No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 19.
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.
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)allmo.
New
Motor Oil
Usage
StOrMW7teP
Be chriiarks
Date Sample
Collected,
moldd/yr
Indicate NO
e L ica le
,Circle •- --
Benchmark
1,0.0160 0;1
- - Circle
Benchmark
60/26/10
IViA
sta tl rWater Quality
pp,
ISI/A
R" ra peri es
1
k eveiegeregilres'
O G nllz N 1sr
Permit Date 1 0111201 5 — 9/30/2020
Last Revised 10-2-2015

•r
Certificate of Coverage No. NCG02 ®®03 [T
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 C>; f,/_%1.bLr
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