NCG140129_2021 DMR_20220228

STORMWA
DISCHARGE
UTFALL
ANNUAL SUMMARY DATA MONITORING EPORT Q R) !O PPP Annual Update DATA REVIEW FORM
Calendar Year 26Z.'
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCC-,EMIR /❑QQ
This monitoring report summary of the calendar year should be kept on file on -site with the lacllily SPPp.
Facility Name: f� f ' oy .,,o ., SS ;,
County: it Q.itit -- - - -
Phone Number (9/9) Total no. of SDOs monitored Z
Outfali No. I
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever In Tier 2 (monitored monthly) during the past ear? Yes ❑ No [�
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Yes ❑ No [�
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 gr-
Total
taigfall,.
incF�es
Senclunailr WA
*e-
SWU-264 - Generic Arinual DMR
Last reva0d &V2/2018

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordancewith 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 Inforr iation,
including the possibility of fines and imprisonment for knowing violations."
Signature
Date z 2_ z Z
For questions, contact your local Regional Office:
DWQ Regional Office Contact InfOrmatinn
EN71L k IGiOAiALpi:
2090 US Highway 70
Swannanoa, NC 28778
[phone]
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225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
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[phone]
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3800 Barrett Drive
Raleigh, NC 27609
i 943 Washington Square Mall
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[phone]
Washington, NC 27889
[phone]
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450 Hanes Mill Rd, Suite 300
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1617 Mail Service Center
Winston-Salem, NC 27105
Raleigh, NC 27699-1617
[phone]
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(919�807-6300
HflUttl�;4'l l.l..t: Itk.[,l [l,'►ql-: t']!I•'1~,IC�1
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
W1LAll?1l;T+t9S 1�tc�iQili�L.Q�ritC�
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
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SWU-264 - Generic Annual DMR