NCG140425_MONITORING INFO_20190224

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
�(MONITORING REPORTS
DOC DATE
❑ �QI G� �=��
YYYYMMDD

STORMWATER DISCh-ARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year h 1M,� RECEIV
Individual NPDES Permit No. or FEB Z 4 2019
Certificate of Coverage (COC) No. NCG0��0M0 CE'k •-
D�,R C'
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. a�C' 10�j
Facility Name: L AL, I-iF- IzOd, CSaNC "[' —T LAO'
County: WAKIC'—
Phone Number: ( i } -G �(,—) b—n Total no. of SDOs monitored
Outfall No. n0l
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No J�T
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No f�
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
a
l
SW D-264-Generic-13Dec2012

I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance wren 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 _ zo
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
)ASHEVILLEREGIONAL:OFFICE
FAYETTEVILLE,REGIONALOFFICE
MOORESVILLE:REGIONALOFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building, Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
W_ ASHINGTON_REGIONAL OFFICE
WILMINGTON;REGIONAL 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-SAL' EM, REGIONAL OFFICE
CENTRAL OFFICE
1617 Mail Service Center
,` pratectz
I
585 Waughtown Street
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
,moo"pieserve,
" andenharrce _ -".
[phone]
[phone]
rNoifh Carolina's water::j"
SW U-264-Generic-13Dec2012