NCG080607_DMR_20210218

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year Zo z o
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: t
County: In _ L_ k
Phone Number: (J_QA) 3i( -
Total no. of SDOs monitored .2
Outfall No. 0y5
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.K RECF )'1 _ (�
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? MAR 1 202)
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑ FNTDWIL FU
SECTION
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No, K
Parameter, units
Total
Rainfall,
inches
�G
-155
Benchmark
N/A
Date Sample
Collected,
mm/dd/yy
08 a3 2h
2
c S" 8
3 s>.
°�/
b/v
.01
SW U-264 - Generic Annual DMR
Last revised 6/012018

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
Benchmark N/A
Date Sample
Collected,
mmldd/yy
SW U-264 - Generic Annual DMR
Last rav(swi 510V2018