NCG200355_Monitoring Report_20220207

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DAnnual Update DATA REVIEW FORM
Calendar
o�i�_
individual NPDES Permit No. NCor
Certiliicate of Coverage (CDC) No. NCG®®O©©©
T
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. y� C
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Facility Name: C'n�nolo ���GiPls — OicVon/ - °ry 1` .
County: r0.icu Jba 3 m°F �Q
Phone Number. �7
) 17-143 1 L Total no. of SDOs monitored ,¢.
mP r
Outfall No. UVI _
Is this outfall currently in Tier 2 (monitored monthly)?
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 mondo ng frequency EROther w"'j QtEM'I �.$-$Ll�
Was this SDO monitored because of vehicle maintenance activities?
OWS
Yes [I No
Yes ir No ❑
Yes L1 No
* PO V 1 o V3-'X-1 La4.W.e &012018
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Additional Outfall Attachment
Outfall No. eT) bl
Is this outfall currently in Tier 2 (monitored monthly)?
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 ❑
Receive,dgqapproval from DWQ to reduce monitof ng frequency
Other NPJ� T f5U N
Was this SOO monitored because of vehicle maintenance activities?
Total
Rainfall,
Inches
Benchmark N/A
Date Sample
`/
`/
-%W -Po�'J-*-
Yes No
Yes i No ❑
Yes ❑ No
SW U-264 - Genenc Annual DMR
Ca .Wsa0601,2018

n

Additional Outfall Attachment
Outfall No. OC) 3
' Is this outfall currently in Tier 2 (monitored monthly)?
Was this outWI 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 ❑
Receive,d^^approvallfr�om�OWOtcreducemonitorlingfrequency ❑
Other f�+%l.J NC.l fh��' TSSI.(PL� V
Was this SOO monitored because of vehicle maintenance activities?
Date Sample
Collected,
\!
Total
Rainfall,
inches
Yes ❑ 1No S(
Yes r No ❑
Yes C I No
Ilk
SW U-264 - Generic Annual DMR
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9 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 impri§gnment for knowing violations."
Signature
Date
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
(828) 2964500
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
(919) 7914200
WINSTONSALEM REGIONAL OFFICE
450 Hanes Mill Rd. Suite 300
Winston-Salem, NC 27105
[phone]
FAYEITEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville. NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE
1617 Mail Service Center
Raleigh. NC 27699-1617
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
SWU-264 - Generic Annual DMR
Last 2N.sed &V12018

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