NCG160012_MONITORING INFO_20200110

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
nrC G (? 0 % o�
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ wd 17 b (�
YYYYM M D D

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 2019
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name:
County: Wake
Phone Number:
Outfall No. 001
Fred Smith ComDanv - Wake Forest Plant
919 )783-5700
Total no. of SDOs monitored 1
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 ❑ No ❑■
Yes ❑ No 9
RECEIVED
AN 10 2020
CENTRAL FILES
DWR SECTION
Parameter, (units)
Total
Rainfall,
inches
TSS, (mg/L)
Benchmark
N/A
100
Date Sample
Collected,
mm/dd/yy
E===_---®
0.62
35
01/04/2019
09/06/2019
1.32
20
SWU-264 - Generic Annual DMR
Last revised 61012018

Additional Outfall Attachment
Outfall No. 001
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 ❑■
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SWU-264 - Generic Annual DMR
Last revised 6101/2016

"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."
Signature
Date /i
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville. NC 28115
[phone]
I'ayctteville, NC 28301-5043
[phone]
[phone]
RALEIGHREC.IONALOFFICE
WASHINGTONREGIONAL OFFICE
WILMINCTON RECIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh. NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
1617 Mail Service Center
450 Banes Mill Rd, Suite 300
Winston-Salem. NC 27105
Raleigh, NC 27699-1617
[phone]
[phone]
_
SWU-264 - Generic Annual DMR
Last revised 61012018