NCG160173_MONITORING REPORT_20201116

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year
Individual NPDES Permit No. NCSUUUUUU or
Certificate of Coverage (COC) No. NCGI]E©ER7> 11�
This monitoringreportsummary of the calendar year should be kept on file on -site with the facility SPPP. yob 9,
Facility Name: Ci-rAj�c.uT7-1L,'
County: 1'�i✓GKIk`I��y��G P�Ays`e `O
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Phone Number: Q(>/) _'0 l 7 Gi Total no. of SDOs monitored °°a°%o
Outfall No. I
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 ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No93
SVVu-264 - Genenc Annual UMH
Last revised 81062018

" 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."
Date
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
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ASHEVILLE REGIONAL OFFICE FAYE'T EVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
Swannanoa, NC 28778
Systel Building Suite 714
[phone]
Fayetteville, NC 28301-5043
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
Raleigh, NC 27609
Washington, NC 27889
(919) 7914200
[phone]
WINSTON-sAtEM REGIONAL OFFICE
CENTRAL OFFICE
450 Hanes Mill Rd, Suite 300
1617 Mail Service Center
Winston-Salem, NC 27105
Raleigh, NC 27699-1617
[phone]
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
SWU-264 - Generic Annual DMR
Last revised &V 2O18