NCG020266_Statesville Brick Monitoring_20220215

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year4oa I
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCGO❑©®©©
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: Pr'knSW112 Grtyc Ca
County: fz rwwGn uPN��oF
Phone Number: (-A-Y ) 27a - Ilias Total no. of SDOs monitored 3 po2P �cS L
P1�
07�,pC'i�
Outfall No. !f_
�,/ o��
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No �v �
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
I f
/n//L
TfJ
M�/L
Tv' l alr
/✓7v
Benchmark
N/A
Date Sample
Collected,
mm/dd/yy
3-a�J-G7
3/ )
'
N&
IVO n4✓
01 &,
SWU-264 - Generic Annual DMR
Last revised 5/02/2018

Additional Outfall Attachment
Outfall No. fl
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
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
ff
M11,L
All
TUr�
IV71/
Benchmark
N/A
Date Sample
Collected,
mmlddlyy
.
6/aG/d1
'i/""
0.1
3 G!-7
a
i a/ s// i
IVA
a A/6—
No FlC'/
Igo '�."/a'w
SWU-264 - Generic Annual DMR
Last revised 5/02/2018

r_rerl�r.1 F Kew,FIlllr_�aITF 1r-Ml
Outfall No. S
—
Is this outfall currently in Tier 2 (monitored monthly)?
Yes ❑ No Er
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
Yes ❑ No Er`
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency
Received from DWQ to reduce monitoring frequency
❑
❑
0 `
approval
Other
Was this SDO monitored because of vehicle maintenance activities?
❑
/
Yes ❑ No 2
Parameter, (units) z
Total
Rainfall,
inches
f�
r,t/L
I�j
i'1/L
7vrly
/V7V
Benchmark
Date Sample
Collected,.
mm/dd/yy
/dam
N/A
eta.,
l3 /
-7 B
7
I ?/ 3! 1
A"A
llG J,ew
Ne, rj�W
v r1cw
SWU-264 - Generic Annual DMR
Last revised 5/02,2018

" I certify, under penalty of law, that this document and all attachments were 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."
217-
Date
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLF REGIONAL OFFICE
2090 US Highway 70
225 Green Street
Swannanoa, NC 28778
Systel Building Suite 714
[phone]
Fayetteville, NC 28301-5043
[phone]
RAL SIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
Raleigh, NC 27609
Washington, NC 27889
[phone]
[phone]
WINSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
450 Hanes Mill Rd, Suite 300
1 1617 Mail Service Center
Winston-Salem, NC 27105
Raleigh, NC 27699-1617
_ [phone]
1 [phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
GTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
WNort7o preserve, protect
h
and enhance.Carolinas�valer.."
SWU-264 - Generic Annual DMR
Last revised &02/201B