NCG200507 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year c10
General Permit No. NCG200000
Certificate of Coverage No. NCG20U Q❑6
This monitoring report summary is due to the DEMLR Regional Office no later than March 15` of each
calendar year.
Facility Name: L2eSbLjl3�1t�c�� �I/le►'ti- �eco.�c►^4�
County: i1p f'S"-)
Phone Number: (33&) 3 off-- 0L(A) Total no. of SDOs monitored
Outfall No. K
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 DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall
Total
Rainfall,
inches
00530
00340
01119
01114
01094
TSS,
MgA
COD,
mgA
Non -polar
oil & grease,
mgA
Total
Copper,
mgA
Total
Lead,
mgA
Total
Zinc,
m
Benchmarks
NIA
100/50
120
15
0.010/0.005
fresh/salt
0.075/0.210
fresh/salt
0.126/0.090
fresh/salt
Date Sample
Collected,
mo/dd/yr
0a -
311
,HU
v,c.x-)l
,vv31
,a1�
3-aU-1
0.5
10
1
clo'v
0.00 3
ULI
152015
SW U -250N C G 20-01.28.15

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 IU -O'!—
Mail Annual DMR Summary Reports to Your Regional DEMLR Office:
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FAYETTEVILLE 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
1612 Mail Service Center
Raleigh, NC 27699-1612
[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]
SW U-250NCG20-01.28.15