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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
(- G I L D 1 3- a
DOC TYPE
❑ HISTORICAL FILE
El/,MONITORING REPORTS
DOC DATE
❑ Ua b da
YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 2,019���n
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
lr� O 1a
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPp.
Facility Name: APAC Atlantic Inc. Plant 10
County: Guilford
Phone Number: ( )
Total no. of SDOs monitored 02
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 9
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 DWO to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑o
z 1 Z020
p�r�L p1L'
SECTION
Parameter, (units)
Total
Rainfall,
inches
Total
Suspended
Solids .m /L
Benchmark
Date Sample
Collected,
mm/dd/yy
N/A
Elm
100
NO
NO
El
101
06/07/19
2.0
24
10/13/19
2.0
54
SWU-264 - Generic Annual DMR
Last revised 610112018
Additional Out -fall Attachment
Outfall No. 002
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 IN
Parameter, (units)
Total
Rainfall,
inches
Total
Suspended
Solids m /L
Benchmark
Date Sample
Collected,
mm/dd/yy
N/A
100-
06/07/19
2.0
27
10/13/19
2.0
61
SWU-264 - Generic Annual DMR
Las[ revised 6/01/2018
" 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 o�es and imprison ent�wing violations."
Signature
Date 01/06/2020
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
(828) 296-4500
Fayetteville, NC 28301-5043
(704) 663-1699
1 (910) 433-3300
RALEIGH REGIONAL OFFICE —�
—NVASIIINGTON REGIONAL OFFICE
NVILMLNGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
(919)791-4200
(252)946-6481
(910)796-7215
LNVINSTON-SAI ENI REGIONAL OFFICE_
CENTRAL OFFICE
1617 Mail Service Center
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Raleigh, NC 27699-1617
(336) 776-9800
____ (919) 807-6300
SWU-264 - Generic Annual DMR
Last revised 610112018