NCG140425_DMR_20210210

Individual NPDES Permit No.
Certificate of Coverage (COC) No.
STORMWATER DISCI ..(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: EA4t6 VCk� CONWIE _ 1
County: (A)V-t
Phone Number: Aq _)0/,P- �?077 Total no. of SDOs monitored
Outfall No. 00�Eg %3 202l
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No TRAL FILES
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [� pWR SECTIOPI
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 5?
Parameter, (units)
Total
Rainfall,
inches �j J
Benchmark N/A
Date Sample
Collected,
mm/dd/yy
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 %VItn 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
Signature 10&4
Date ?- o4l
imprisonment for knowing violations."
For questions, contact your local Regional Office:
DWO Regional Office Contact Information:
ASHEVILLE REGIONAL OFFIC9
FAXETJEsVII 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]
_
RALEIGH REGIONAL OFFICE
WASHIN.GTON 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 REGIONAL OFFICE
UMTRAL U
585 W aughtown Street
1617 Mail Service Center
70 reserveprotect
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
and enhance
[phone]
[phone]
North Carolina's water..."
SW U-264-Generic-13Dec2012