NCG020121 DMR SW

ANNUAL SUMMARY DISCHARGE
S, ARGM117N? 1 OR'N;
REPORT (DMR) — STORMWATER
SUBMIT TO CENTR_1L-GFF10E*------
General Permit No. NCG020000
Calendar Year a 0) 5
*Report -ALL STORMWATER monitoring, data -on this forms (include °ism RoWl"filo Uscharge" and Benchmark-
Excesdances),from the previous calendar year to the DEQ by IWARQl-I f of each Year
Certificate of Coverage No. NCG02 ®Q®[
Facility Name: hc,n5o r1 &1Z C rear,}eS -
County: Fd
Phone Number: I P- 1 `f a Total no. of SDOs monitored o�
Certified Laboratory r a Ce- A na l v+; ccLl lab # W Wl C(,,7
�-knso,, e Lab* =1L
Storrnwater Discharge Outfall (SDO) No. 5W- 1 VMA Outfall? Yes ® No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 2]
Was this ouffall 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 p
Outfall No.
-1
Total
Rainfall,
inches
TSS,
mgll
SS,
MI/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
®&O, mi /I
(VMA)
New
Motor Oil
Usage
aUmo.
Storen►�at�r
BenCIIPTPaPirs
IwdrcsloAlO
Ftowrr
® !resile
BeCircle 9c
1®0150
-
Benircle- c
®.1 .r9®�2sI1®
- _NIA
A
QualityMter
3 ndard sppU¢s
NIA --
Standard
- --
1
' s66gaNma:
average requ w
TSS and �r
GAG mm�itorina
Date Sample
Collected,
modddl r
ba l,-
0
piso
/}
yearn it Date 1011/2015 m 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®Q®❑F
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. _5IX - ,�, VMA Outfall? Yes ❑ No c.
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 exoeedanoes did not require monthly monitoring ❑
Other ❑
Outfall No.
5
Total
Rainfall,
inches
TSS,
mg/I
Turbid'
SS, Turbidity,
mill NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
aumo.
9tor®n-Wdt_er
-lndiesteNO
FLOWN
I Circle
e_en'ctimarEc
7
` Benchmark
1
N/A
w
nerappes
N/A ,
Sta
- -
rfncha ayggage regWrea
TO �le
Goidtorl
Date Sample
Collected,
mo/ddtyr
-
=-
—
©� 3�
©
!� SL
�DISC_
i2y
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑a 0©©
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 penaltiesfor
submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Required by 40 CFR §122.221
Sign,,
Date
Mail Annual Summary Wastewater 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 1 0111201 5 — 9/30/2020
Last Revised 10-2-2015