NCG020883_DMR_20210126

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STORMWATER DISCHARGE OUTFALL (SDO)
It ANNUAL SUMMARY DATA MONITORING REPORT PMR)
Calendar Year 20 a u
Individual NPDES Permit No. NC
Certificate of Coverage (COC) No. NC
or
This monitoring report summary of the calendar year should he kept on file on -site with the facility SPPP.
Facility Name: C Lf�T�4 GPI 6 A
County: K~ A:--r-A—tV 6 A
Phone Number: (Z)I 2_0 v Y 3 -]
/Yl i AJ r`
Total no. of SDOs monitored I
Outfa11 No. ,�_
Is this outfall currently in Tier 2 (monitored monthlly)?
Was this outfall ever in, Tier 2 (monitored monthly) during the past year?
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 B'
Yes ❑ No [![---
Yes ❑ No ©---'
Total
Rainfa II,
Pararmeter,
(units)
eT� S
�
(if hr-d
SS
Benchmark N/A
Date Sample
Collected,
mm//}dd/yy
U ZU 21
eor 1
SW U-264-Generic-13 De c2012