NCG020487 DMR SW

ANNUAL SUMMARY DISCHARGE MONITORING
Certificate of Coverage
r
General Permit No. NGG020000
Calendar Year 2015
RECEIVED
Facility Name: Cameron Pit FEB 0 1 2016
County: Harnett
Phone Number: ( 919) 499-9322 T(25IWcRbf_Sl8& monitored 1
Certified Laboratory N/A Lab # DWR SECTION
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
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.
C-1
Total
Rainfall,
inches
TSS,
mg/l
SS,
mUl
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
(gal/mo.)
Stormwater,-
Be�nchm, arks
1ndicare AID,'
FLOW 11
,�$b
Circle
Benchmark
1 ��/
0.1
Circle
Benchmark
X0/25/10
NIA
water Quality
Stl d$rdapp9ies
NIA
Water Quality15
Sta71r7$rd appli fi
a55 galimo. -
average_requires
and Ryon -polar.
0&0 monitoring
Date Sample
Collected,
mo/dd/yr
No Flow
Kermit Date 10/1/2015 - 9/30/2020

Certificate of Coverage No. NCG02 0487
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 b}
Signature
Date January 29, 2016
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