NCG190023_DMR_20200609

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year-2O Q O
Individual NPDES Permit No. NCS❑/� ©®❑O® or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPPP.
Facility Name: Zl-G-vt.9-7
County: C,4,0./AW
Phone Number: (�,52 ) Vf4'—,3537 Total no. of SDOs monitored
Outfall No. O 2
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 3
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? 0\1°®
Enough consecutive samples below benchmarks to decrease frequency El202Q
Received approval from DWQ to reduce monitoring frequency ❑ UN 16
Other ❑ ����N
GE`" SEC�10
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ® pV
Parameter, units
Total O/4 c //V CJel/�vc y a 46 2/NC
Rainfall, � // CsK. 45c /� .. //V G /rJ G
inches ,07 �/ #� L
Date Sample
Collected,
mmidd/yy
SWU-264-Generic Annual DMR
Last revised 5/02/2018

Additional Outfall Attachment
Outfall No.
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 ❑
Parameter, units)
Total
Rainfall,
inches
`'- .r,1" .v„ .rr. f }.. � ; .'` 'w �y'`""}' ���: If'�.rr.- ,ngr•.j��r�3+ x e • - i
Date Sample
Collected,
mm/ddlyy
SWU-264-Generic Annual DMR
Last revised 5/02/2018

"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 of fines and imprisonment for knowing violations."
Signatur ---� �- --.--1.----4: '
Date 4'-- 9_,, J
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
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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]
3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension i
Raleigh,NC 27609 1 Washington,NC 27889 Wilmington,NC 28405-2845
[phone] [phone] [phone]
450 Hanes Mill Rd, Suite 300 1617 Mail Service Center "To preserve protect
Winston-Salem,NC 27105 Raleigh,NC 27699-1617 and enhance
[phone] l [phone] i North Carolina's water._."
SWU-264-Generic Annual DMR
Last revised 5/02/2018