NCG080919_DMR_20230104 (2)

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year d®��
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG®®❑O ®0®
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This monitoring report summary of the calendar year should be kept on file on-site with the facii'ity SPPP.
-acility Name: 0U.)+0, 'rro�s f�D/�afi'on ,
County: M,4-che, If
Phone Number: ( $.28 ) 745 713 Total no. of SDOs monitored
Out-fall No. 041-
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No �
Was this outfall ever in Tier 2 (-monitored monthly) during the past year? Yes ❑ No
If this cutfall yeas in Tier 2 iast year, why was monthly monitoring discontinued? RECEIVED
Enough consecutive samples below benchmarks to decrease frequency ❑ JAN 0 5 2023
Received approval from DWO to reduce monitoring frequency ❑
;EN1 KAt_FrLES
Other ❑ DWR SECTION
Was this SDO monitored because of vehicle maintenance activities? Yes 0 No ❑
Parameter, (units) — --
Total T--
1 Rainfall,
I! inches
Benchmark NIA
Date Sam pie
collected,
mmldd/yhO
SWU-264 - Generic Annual DMR
Last revised 610112018

Additional outfall Attachment
Outfall No. Q
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
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 R1 No ❑
Para meter,"'(u
. ... Total
Rainfall,
inches
Benchmark N/A
_
D6 4 ,;.k,'
ale Sant le �'. ...,. t'hw1�-
rf'1,... 'S''.•7
,F:, .h.�:'s tf t un .�.f f•- �, ....<
�ol'lecteel,
:�:.F.., 1 _'};..Lt 'r-*F�6 t „sy't§...
y� j � Y
4 �
�a �s6of E P-7.73
SWU-264-Generic Annual DMR
Last revised 610112018

Additional outfall Attachment
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
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
Benchmark N/A
Date Sample
Collected,
mm/dd/yy
''7 -- —
SW U-264 - Generic Annual DMR
Last revised 610112018

I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance witn 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 0
For questions, contact your local Regional Office:
DEMLR Regional Office Contact Information:
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,2 jngton
t�SHE >CL,B F ISFG)CONA ®FFECE JF �E T, R �d IN�!>L'O�'FflGIE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa,NC 28778 Systel Building Suite 714 Mooresville,NC 28115
[phone] Fayetteville, N-C 28301-5043 [phone] -
[phone]
)Ct�LEG Ii RE�IOlelA9 OF �C1E V�!A Si1NGT® l ktEG1�1AL OFYC WIC Ntl�G&ON�tEG ®NA L®Fitil
3800 Barrett Drive -943 Washington Square Mall 1-27 Cardinal Drive Extension
Raleigh,NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845
[phone] [phone] [phone]
WVd�1S IN SALEM YtEGION�I,OFFICE CEN7rI2A OIC]E _ _ _
450 Hanes Mill Rd, Suite 300 _T 1617 Mail Service
` - Winston-Salem'-NC--27105 - Raleigli,NC--27699-1617
[phone] [phone]
SWU-264- Generic Annual DMR
Last revised 610112018