NCG020248DMR SW

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
__.zurt Mitt icovENTRAL OFFdC'E*� { 1-1
General Permit No. NCG020000
Calendar Year aOt(,
'r *Repo A �L SST M;A'iER itori g tta en this menti :�Noi low iNoj©isch idrB nchrn rk
__,41Exceedancesrterli�.the3p er vioujcalenda,r,y�ear_to eine ED by MARCH 1 ofoe c e•75.Z.;;
Certificate of Coverage No. NC'G'62-1-11-10�
Facility Name: WAYN1SviU, ?(ARP(
County: l-iAYwont)
Phone Number: (cha( ) j24-51465 Total no. of SDOs monitored 3
Certified Laboratory PAc,P. Lab# /4.0
Lab#
Stormwater Discharge Outfall (SDO) No. 1 VMA Outfall? Yes ❑ No [di
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No V
Was this outfall ever in Tier 2 during the past year? Yes ❑ No [i(
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes,enough consecutive samples below benchmarks to decrease frequency ❑ RECEIVED
Yes, received approval from DEMLR to reduce monitoring frequency 0 JAN 26 2.017
No,turbidity benchmark exceedances did not require monthly monitoring 0
Other ❑ CENTRAL FILES
DUUR SECTION
Upstream Downstream New
Total TSS, SS, Turbidity, (U)Turbidity, (D) Turbidity, Non-polar Motor Oil
Outfall No. Rainfall, mg/l ml/I NTU NTU NTU O&G, mg/I Usage
�— inches (VMA) (gal/mo.)
, - - °;Circle` - r—'Circle` "`--I ,:—`� --1
Stormwater (Indicate NO 9erichm 9encfima N�A I N/A average requlies
lWater� uaiit` Water uaUt
1Beneimarks 1 '1 U0 0 0_;1::' i i 50/25f v! Q x TSS and Noo•polar.
, ;appllcable__! ..�;,--.�__. !Standard,applles _!�+$tendardepplles__�t_• __�__- �__' I:OaGmonlla�ingv
Date Sample
Collected :
mo/dd/yr
5/ 3/16 0. 4 4.0 '0. 1 .4 of/A w/A N/A N/A
`6/ 0 /c /. C& za.5 zO. I 3.6 N/A NA N/A //A
Permit Date 10/1/2015-9/30/2020
Covalo so Igia LEAtsFL t Revised 10-2-2015
yA S<VIMLit-

Certificate of Coverage No. NCGO2 anErl
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. P, VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No g
Was this outfall ever in Tier 2 during the past year? Yes ❑ No d
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 0
No,turbidity benchmark exceedances did not require monthly monitoring 0
Other ❑
Upstream Downstream New
Outfall No. Total TSS, SS, Turbidity, (U)Turbidity, (D)Turbidity, Non-polar Motor Oil
Rainfall, mg/I mi/l NTU NTU NTU O&C, mg/I Usage
inches (VMA) (gal/mo.)
a
i'Sfonws_er 1 ,rLrt,-.•'a'i;f,f c s.i,"�f1r '-;'t�'�''`t—.1•-,6-:...y}`�i.i[, ' ,Z~S,tan�d,'.e..ris:l aiC;P[tr,P:,I_,l?te'„s;a;� <;,7�s ,,_S_,,`,°;;i�•.4�3y.•.<. _5"�Y,_.s-_=y;.��.rr—77-71
7 _- 1 trc.v+,;s- 21.1,147
v'qye•n'-r1a6`Sea,�a,r=l
7msfuJt'o*.ar."
i,•fs:+%
Si
Benhmarsg eFOfW/' :$61,01;1:0_
; §Wg'lueua x •f5 T0SGdNtn{otga
Date Sample 'fa•` sL �,,„:.a i10, v. f . ,f�
Collected, , _ ; 'r
i'.{nF` Sr•._A vl�✓, tt_ ''`
mo/d d/yr T; i.7, •.2,''-. �N. =::✓>'_>.���K r .�Jr'.+... - �,- . '> .'i .. ..r._., -t -, . ...- �t..- [,f I`:i`a_� �•� . .=sem. .%�J .Ti�_f.A-�-.. :F,:.
-5A/MIA.) pumi
M /141Ito O. 4 .4 d0.1 /U. O A//A /V/A /V TA A!/A
Permit Date 10/1/2015-9/30/2020
Last Revised 10-2-2015
X CoNTst01/106 PEGJEASg Vii S 2;PlMe2

Certificate of Coverage No. NCGO2 0 a 4 1
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 0 VMA Outfall? Yes ❑ No Vi
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 LI
Upstream Downstream New
Total TSS, ss, Turbidity, (U)Turbidity, (D)Turbidity, Non-polar Motor Oil
Ouffall No. Rainfall, mg/l mill NTU NTU NTU 084G, mg/I Usage
inches (VMA) (gal/mo.)
- -- circle - circle N/A . N/A >55 gallmo.
Stormwater . indicateNO ' Benchmark Benchmarkaverage requires
Benchmarks app°ab, , 1000 O. 5'0I260 . Standard applies Standard a`pplater les . 5_ Tosc m monitoolar
ring.
Date Sample - , - - - ` r _ • -- . - . _ , .
Collected, . '- . , _ ' - , .‘ _ ,_ ' ,v -
mo/dd/yr - , ,, ,- ' , ,,.,� - , .. - , - .
5/3/i' 6.4 'a.5 Lo. I 3.5 Ar/A Al/A Al/A Al/A
(jl s/K0 1. 6,a L a.5 40. i a. 0 N/A N/A N/A /v/A
Permit Date 10/1/2015—9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCGO2 nnnn
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)
dier
Signatur-
Date t fr i / /
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 1011/2015—9/3012020
Last Revised 10-2-2015