NCG210052 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCGO1000©[T
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPPP.
Facility Name: ]A t' L CLvt f I C_ QVC A(2Q (-
County:
Phone Number: (4572) 7 3 Z -O 43.2;q
Outfall No. _3
Total no. of SDOs monitored
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes 29 No ❑
Yes 159 No ❑
Yes ❑ No
RECEIVED
NOV 2 4 2015
CENTRAL FILES
DWR SECTIOm
SVVU-264 - Generic Annual DMR
Last revised 5/172013