NCG140443_MONITORING INFO_20190224

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ C U��
YYYYMMDD

STORMWATER DISCa.ARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITO NG REPORT (DMR)
Calendar Year 0I
Individual NPDES Permit No. NC _ _ or REcp!
Certificate of Coverage (COC) No. NCG©©®O • F D
FEB 2 4 2019
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP,DVV,R SEC LE: S
r
Facility Name: a 00 0815;00 Md)
County: ,;1VftX5r6
Phone Number: &LI-) Sq b77
Total no. of SDOs monitored
Outfall No. Q0I
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [r
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No r
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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5W U-2F4-Generic-13Dec2012

I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance wim 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
For questions, contact your local Regional Office:
DWO Regional Office Contact Information:
ASHEVILLE REGIONAL' :OFFICE
FAYETTE_yIIsLE' REGIONAL::OFFICE
M 0RESVII:L> E"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]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH-REGIONAL-OFFICE
L WASHINGTON:REGIONAL=OFFICE
MnMINGTON REGIONA>w,OFFICE
943 Washington Square Mail
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh., NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
iNVINS�TON=SALEM�'REGIONAL.OFFICE
'CENTRAL 0FFIGE
1617 Mail Service Center
: Tvpresenre praSeet
585 Waughtown Street
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
and enhance .•
[phone]
[phone]
NoA.Carofina's avatar..,.
SW U-264-Generic-13Dec2012