NCG160064_MONITORING INFO_20190203

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
KMONITORING REPORTS
DOC DATE
❑ Q U ( g ) 5
YYYYMMDD

3
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year 2,019
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG❑❑6 ❑o ❑❑❑4
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 15
County: Forsyth
Phone Number: ( )
Total no. of SDOs monitored 01
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 A
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
RECEi a)
FEB 0 3 2019
SWU-264 - Generic Annual DMR
Last revised 610112018

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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
Signature
Date 01/06/2020
and imprison ent for knowing violations."
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
ASREVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
` OORESVILLE 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'ASHINGTON REGIONAL OFFICE
,W]LINIINGTON 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]
t,NNTNST01'-SALE,NI REGIONAL OFF. ICE_
CENTRAL OFFICE
1617 Mail Service Center
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
Raleigh, NC 27699-1617
[phone]
[phone]
SWU-264 - Generic Annual DMR
Last revised 610112016