NCG030588 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORI G REPORT (DMR)
Calendar Year a6 l
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG®®K1®®®
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPPP,
Facility Name: 4.5 G1 mytA
County: Lie,
Phone Number: d10-1715_ 0202 Total no. of SDOs monitored
Outfall No. I—
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Q"
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 10'
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 ®'
JAN 2 6 2015
CENTRAL FILES
DVVR SECTVON
SW U-264-Generic-13Dec2012
Parameter, (units),
Rainfall;
Totalis"
inches �
Suspei'"
SO l e
©� ` � _
�Pt" `"'_
�'".-.�
��1'2 L
-7
Benchmark
bafe, Sample,
Collected,
.mm/dd/yy
N/A
1DOM41L
15 ,00 L ,D
l.� 1. .oa6 L ��
1. ,667 fn4�,
.033 L .D
t
4; me L
I L D L 4-.04
oQ14 ow I L l
SW U-264-Generic-13Dec2012

r
" 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:
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
"To, senie; protect
'.and�enbaixae
;1+/orth-Carofiha's water...
SW U-264-Generic-13Dec2012