NCG140216_DMR_20210302

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 2.o Z O
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
or
This monitoring report summary of the calendar year should be kept on rile on -site with the facility SPPP.
Facility Name: Capt'4-al p jyo
County: W ►t V--O-
Phone Number: (Ol i Q ) 5 S y - 2_ 87 Total no. of SDOs monitored
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? RECE ivED
Enough consecutive samples below benchmarks to decrease frequency ❑ MAR 0 g 2021
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑ CENTRAL FILES
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No 0 DWR SECTION
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
/717C
15
a
0
7D7o
5
Z3
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
Date 2
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL ON
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
7NSTON-SALEM REGIONAL ON
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
[phone]
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
ASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
MOORE5VILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
To preserve, Protect
and enhance
Mort+ Carciina s wafer._."
SW U-264 - Generic Annual DMR
Last revised 5/02/2018