NCG060349 DMR SW (3)

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2015
_ --- -
Individual NPDES Permit No. NCS ❑77777 or
Certificate of Coverage (COC) No. NCG 0 6 0 3 4 9
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPPP.
Facility Name: ANN'S HOUSE OF NUTS i
County: MARTIN
Phone Number: [phone] Total no. of SDOs monitored: 4
Outfall No. 1 ----
Is this outfall currently in Tier 2 (monitored monthly)? 'Yes ❑ No ® RECEIVE[)
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No-® MAR .
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? 0 % 2016
Enough consecutive samples below benchmarks to decrease frequency ❑ pENTRgL FRES
Received approval from DWQ to reduce monitoring frequency ❑ WR SECTION
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
j
ipH?Standardr
_ .....
Date Sample
Collected,
mm/dd/yy
TotalO11,,ardT
Rainfall,
inches
TSS: mg/L
�'.Q or.504 _
10
< 5
Tt� ''Parameter;-,(uniks�)�
t j k
U
•. ni
6.0 9 '0
7.0
t
:*
COD mgGL"'
, y ``�.'4f y
27
Greaseing/Li
< 3
"
s.
--
T
-
5/21/15
10/27/15
<5
7.1
57
10
- —
i
i
i
i
SWU-264-Generic JDer2`

Additional Outfall Attachment
Outfall No. 2
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 ❑ No"
Yes El No®
Yes [I No®
Bench'mark4,a
� Date Sampfe
Collected, `. z
mm/ddlyy..
Total
orches
",J'N/A
TSS
'
100"o'r504
< 5
<7 '
C AA
6.6
7.7--
a L,
.I
.,.,120,
'
Parameter;
and
reaRainfall; se :m' IL
g
30
(units,)
'
I
---
—
1, ,
5121115
10/27/15
32
201
17
g,3
- --- --�
I
-
I
i
i
I
i
SWU-2S4-Gene-;c-1

Additional Outfall Attachment
Outfall No. 3
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Z
Was this outfall ever in Tier 2 (monitored monthly) during .the past year? Yes ❑ No ®.
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 ❑ . No N
SWU-264-Generic-13Dec2012
Parameter,
(units)
Totalil
rf-0-
and
-
Rainfall,
TSS mg/L
ri pH,Standard„
F'
mg/L:
Greaste; mg/L,
;Unitsh r
°COD,,
inches
���
-
°
Benchmark
N/A
�O�O 0r�504
9:-0
-120
Date -Sample ;
Collected;
r' °
l
*:
m mldd lG .
< 56.8
5/21/15
�
380
24
0/27/15
< 5
7.1
25
7.9
-- - -- " --
i
SWU-264-Generic-13Dec2012

Additional Outfall Attachment
Outfall No. 4
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
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 ❑ No
S t� Paraitmeter, (units). --�
i
Total.
Rainfall,
inch,
TSS mg/L :•
pH;Standard
Units`.* s
fk�
�a r
COD;�mg/L
Oil and
Greaste,-mg'L,
3�
18enchr"rk
Date Sample
C011eeted;
mmldd! , '
` Y;Y
N/A36
100 or 504
< 5
60� 9�0°�"
6.7
120
r
__I
5/21/15
77
34
i i 10/27/15
< 5
6.9
< 20
3.0
--"-- j
'
i
1
i
i
� I
—i
i
i
n -
WU-264-Generic-13Dec�.,,'
..

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance wlt', a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the Bei sor .
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 o es and. imprisonment for knowing violations."
Signature
Date a)
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
EVILLE REGIONAL OF
2090 US Highway 70
Swannanoa, NC 28778
[phone]
AGH REGIONAL Of
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 2.7107
[phone]
(ETTEVILLE REGIONAL OFF.
225 Green Street
Systel Building Suite 714
Fayetteville, NC 283 01-5 043
[phone]
6H. "GTON REGIONAL OFFI,
943 Washington Square Mall
Washington, NC 27889
[phone]
;CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite _ C:
Mooresv.ifle, NC 281 15
[phone]
127 Cardinal Drive Extension
Wilmington, NTC 28405-2845
[phone]
.77
SWU-254-Ger:e.,-ic ? -'ec20 12