NCG140427_DMR_20210210

Individual NPDES Permit No.
Certificate of Coverage (COC) No.
STORMWATER DISCi,,RGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year Z0.1�0
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP
Facility Name: _
County: W&
Phone Number:
Total no. of SDOs monitored OJ/
RECEIVED
FEB 2 3 2021
CENTRAL FILES
DWR SECTION
Outfall No. DO/ /
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 2
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [�i/ RECEIVED
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? PEB 2 3 2021
Enough consecutive samples below benchmarks to decrease frequency ❑
CENTRAL F1LE5
Received approval from DWQ to reduce monitoring frequency ❑ DWR SECTION
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, (units)
Total
Rainfall,
inches
Benchmark
N/A
Date Sample
Collected,
mm/dd/yy
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" I certify, under penalty of law, that this document and all attachments wete 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:
ASHEVILLEREGIONAL OFFICE
FAYETTEVILLE 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
WASHINGTON REGIONAL OFFICE
HIAINGTON 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-SALEMREGIONAL OFFICE
CENTRAL OEM(QL
585 Waughtown Street
1617 Mail Service Center
"To serve, rofect
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
e d enhance
[phone]
[phone]
1VoRh Carolina's wafer..."
SW U-264-Generic-13Dec2012