NCG140362_DMR_20210210

STORMWATER DISCi..;RGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITOFIING REPORT (DMR)
Calendar Year
Individual NPDES Permit No. NCSUUUUUU or
Certificate of Coverage (COC) No. NCGI111WOREP
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: )Jq Rack C',ddWrF _ AlOr G
County: hW_s70
Phone Number: (Ylq ) 59L--7a % Total no. of SDOs monitored
Outfall No. 100Ale �////
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
Collectedmm/dd/YYrk
a
I
SW U-264-Generic-13Dec2012

I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance Wan 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 fine§ and imprisonment for knowing violations."
Signature
Date
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLLE REGIONALOFFICE
FAYETTEVILLE REGIONAL U _CE
MOORESVII.LE 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]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFI
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-SALEMREGIONAL OFFICE
CENTRAL OFFICE
585 Waughtown Street
1617 Mail Service Center
"To reserve protect
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
and enhane
[phone]
[phone]
Nodh Carolina's water..."
SW U-264-Generic-13Dec2012