NCG020761_Statesville Brick Monitoring_20220215

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year a081
Individual NPDES Permit No.
Certificate of Coverage (COC) No.
or
This monitoring report summary of the calendar year should be kept on rile on -site with the facility SPPP.
Facility Name: P&fyid ll t pvcjt t
County: Treje.ti
Phone Number: 7( de/)-9-a- gll;l
Total no. of SDOs monitored 1
Outfall No. 1
Is this outfall currently in Tier 2 (monitored monthly)?
Yes ❑ No
so �a
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
Yes ❑ No �
"�aG
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
PP;,
Enough consecutive samples below benchmarks to decrease frequency
❑
r.
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
M //L_
Benchmark
N/A
Date Sample
Collected,
mmlddlyy
.a•'
a
ql
a.-7-78
2/.4*
SVVU-254 - Genenc Annual UMK
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
Signs
Date
of fines and imprisonment for knowing violations."
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
AS[IEVILLEREGIO, OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
[phone]
FAYETTEVILLE'REGIONAL .OFFICE
.
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
YVAS INGTON REGIONAL OFFI69
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
MOORESVILLE REGIONAL, OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFh
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
'To preserve, P Nec!
and enbanae
North Carolinas' water..."
SWU-264 - Generic Annual DMR
Last revised &0212018