NCG140320_DMR_20210210

Individual NPDES Permit No.
Certificate of Coverage (COC) No.
STORMWATER DISCr.�RGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: 64st£
County: S4
Phone Number: (Q/
Total no. of SDOs monitored OW_
Outfall No. 001
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 21
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [l/
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 DWO to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
RECEIVED
FEB 2 3 2021
CENT RAL FILES
DWR SECTION
Parameter (units)
--------
.aw...+.;.-.
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- r
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SW U-264-Generic-13Dec2012

"I certify, urider penalty of law, that this document and all attachments "T6 prepared under my direction or supervision in accordance Wiifi 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 fees anV)pprisonment for knowing violations."
Signature
Date
DWO Regional Office Contact Information:
For questions, contact your local Regional Office:
ASHEVILLE REGIONAL OFFICE.',
EAYEITEVII.LE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALE_I_GH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON•SALEM LEGIONAL'OFFICE
CENTRAL OFFICE
585 Waughtown Street
1617 Mail Service Center
70PmSe/Ye„Pmtect
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
and enharm
[phone]
[phone]
AbM Coydim'S "rater_."
SW U-264-Generic-13Dec2012