NCG140075_DMR_20210302

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year ZoZo
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: .
County: Go
Phone Number:
2!
-41
�1
Total no. of SDOs monitored 1
Outfall No. 1
iJ JdJ�
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑■
Was this outfall ever in Tier 2 monitored monthly) during the past ear? Yes NoR t j1Op1
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
Total
Suspended
Solids MG/L
PH
Benchmark
N/A
100/50
6.0-9.0
Date Sample
Collected,
mm/dd/yy
S Z3 ZbZO
.D
Z / zcLo
5-
,&
L
SW U-264 - Generic Annual DMR
Last revised 510212018

"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 2, 1
Date 3 1z ZozOF
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OF
2090 US Highway 70
Swannanoa, NC 28778
[phone]
- -- - ------
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL Off
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
[phone]
X41, OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFI
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
MOORESVILLE_ REGIONAL OFFIC]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
ILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
70 preserve; protect
and enhartoe
NORh Carolinas water:_"
SWU-264 - Generic Annual DMR
Last revised 5/002018