NCG140046_Annual Summary_20181010

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMVATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
*Report ALL STORMWATER monitoring data on this form (include "No FlovVT'No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14
Facility Name: Lincolnton
County: Lincoln
Phone Number: (70a ) 529-6364
C ortifi€ d I aboratory Prism l ab
Lab #
Laub #
Total no. of SDOs monitored 1
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No [2]
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
Other ❑
MAR n 4 20 9
r
SECTI N
Outfall No.
Total Rainfall,
inches
Total
Suspended
p
Solids (TSS),
m /I
pH,
SU
Non -polar O&G
(EPA Method
1664 (SGT-HEM)),
mg/I (VMA)
If applicable
New Motor Oil
Usage (gal/mo.)
If applicable
Stormwater
Benchmarks
Indicate NO FLOW if
applicable
Circle Benchmark
100/50
6.0'9.0
15
gal/mo. average wires TSS and
>55 g q
Non -polar O&G monitoring
Date Sample
Collected,
mo/dd/yr
NO FLOW
2///2018
06/29/2018
NO FLOW
9/26/2018
NO FLOW
10/10/2018
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 . (�CN
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 assuro 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 informatior), including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CF„R §122.22]
Signature
Date
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 Set -vice Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015