NCG160200_Monitoring_20200121

STORMWATER DISCHARGE OUTFALL (SDO) a
ANNUAL SUMMARY DATA MONITORING R PORT )
10, Calendar Year /,?� 19
Revised 911712014
General Permit No. NCG160000
Certificate of Coverage No. NCG16®®❑ F) ❑
This monitoring report summary is due to the DEMLR Regional Office no later than November 9 of
each year.
Facility Name: i4L)u
County:
Phone Number: (• � ) `�� j 129 Total no. of SDOs monitored e
Part A. Outfall No. I (use multiple sheets for multiple outfalls)
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 DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall
Total Rainfall,
inches
00530
TSS, mg/L
Benchmark
N/A
50/900
Date Sample Collected,
moldd/yr
s�
U
%in -L�")
Page I 1

Part B. On -Site Vehicle Maintenance Outfall No. N , A 110 Mkipv,
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 DEMLR to reduce monitoring frequency ❑
Other El
00530 00556
Outfall Total Rainfall, TSS, mg/L Non -polar Oil &
inches Grease, mg/L
Benchmark NIA 501100 15
Date Sample Collected,
mo/ddlyr
Page 12

"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."
SignE
Date
DEMLR Regional Office Contact Information:
^
Asheville Office ...... [phone]
j ea'�rtata�iie �
Fayetteville Office ... [phone]
Mooresville Office ... [phone]
Raleigh Office ........ [phone]
Washington Office ...[phone]
Wilmington Office ... [phone]
t JU
Winston-Salem ...... [phone]
{
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]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON 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-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13 A`

STORMWATER DISCHARGE OUTFALL (SDO) =:
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) I
�ff�
Calendar Year c>12
Revised 911712014 '
General Permit No. NCG160000 f>
Certificate of Coverage No. NCG16F6]®❑❑❑',
This monitoring report summary is due to the DEMLR Regional Office no later than Nove"er 1 of
each year.
Facility Name:
County: MtICL�-'j�G,
Phone Number: ( �K) -�7 Total no. of SDOs monitored
Part A. Outfall No. (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 21
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 5
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 DEMLR to reduce monitoring frequency ❑
Other ❑
outfall
Total Rainfall,
inches
00530
TSS, mg/L
Benchmark
NIA
501100
Date Sample Collected,
mo/dd/yr
,y
l , `"'7
L�
v � cam-.`•
Page I 1

Part S. On -Site Vehicle Maintenance Outfall No. N / A J If
4� H��l t i�► ►�i ���3nrCc
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 DEMUR to reduce monitoring frequency ❑
Other ❑
- 00530, 00556
Total Rainfall Non -polar Oil &
Outfall TSS, mg/L
inches Grease, mg/L
Cate Sample Collected,
moldd/yr
Page 12

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."
SignE
Date
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
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]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON 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-SALEM REGIONAL_
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13 F?"