NCG140074_2021 DMR_20220427

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year��:-�
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCGINO a❑®['� Y
This monitoring report summary of the calendar year should be kept on rile on -site with the facility SPPP.
Facility Name:
County: W ra e -
Phone Number: ( j t I) D, —giS3? Total no. of SDOs monitored
Outfall No. 1
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 11111.'
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 1111_
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 12/
Parameter, (units)
Total Total
Rainfall, i Suspended
inches Solids MG/L
PH
Benchmark
N/A 100/50
6.0-9.0
Date Sample
Collected,
mm/ddlyy
JU
L
�
12-1 Z Z
U
J
L"!
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."
Signature
Date
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHE.VILLE REGIONA1,_4ff
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIC.H,jijEC3ONALOkF'ICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL OFFICE
450 Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
[phone]
-�^�-WiRpanlielRm
P,,4,YETTEVILI E, REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
l(ENTRAI. OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
MOORESVILLE It_EG1w4NXL OE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
W_ �Y 3y[IlV f i11 AEGIO1*IAL, OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
"To preserve, protect
and enhance
North Carolinas waler-
SW U-264 -Generic Annual DMR
Last revised 5102/2018