NCG080094_DMR_20210119

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year a°o'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: OuKE L41jIy. T0.Aw1b90KTA�r"owl MAIIJTENAIJCE f4 /kLoE
County: DuP.HAM
Phone Number: 9( 14 ) Sla- C10;Lo Total no. of SDOs monitored
Outfall No. SDpi
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 ❑ NoRl
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 SOO monitored because of vehicle maintenance activities? Yes ® No ❑
FE9 01 2021
Parameter,((units)
Total
Rainfall,
inches
NoN pa.kR
OIL+ (,0.eAaE
r i;_
Tor'A%-
506%DSN
/L
dssd
Iwv�;ra•
tlo /►lyd
oA
Benchmark
WA
15
1DO
Io.o 4 ,o
--
Date Sample
Collected,
mmlddiyy
-.
"
F
O \S
to
y•as'.
CIO C
Doi-ao
—
SWU-264 - Generic Annual DMR
Lest revised 60112018

Additional Ouffall Attachment
Outfall No. 5Do I
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
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 ❑ No19
Yes ❑ No [9
M §Kn
SWU-264 - Generic Annual DMR
Last rev6sedWI/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."
Signature
Date 1/19/2021
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE 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 OFFI
3800 Barrett Drive
943 Washington Square Mall
Raleigh, NC 27609
Washington, NC 27889
(919) 79 1 -4200
[phone]
NSTON-SALEM 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]
LMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
SWU-264 - Generic Annual DMR
Last �SedW1,20ra