NCG030478 DMR SW (2)

FRiECENED
JAN 0 S 2015
MsRcFILES
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITO�ING REPORT (DMR)
Calendar Year - T
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCGQ❑❑[t 091
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPPP.
Facility Name: � M
County: AW6 Dol
Phone Number: 19 10W a 05,4 Total no. of SDOs monitored
Outfall No. _L_
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 monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes �>No
o E]Yes ❑
Yes ❑ No
'units)
Z1NC-
SW U-264-Generic-13Dec2012
Total
Rainfall,
Inches
-r ;s
f� /I
/I�
I
LQAC
i [t
(�
Benchmark
N/A
/GnTr�iL
'VP -
•,,.- '" ;r te
33i
Date Sample
Collected,
mm/dd/yy
i� ieE
. 3
ooi;� n• 1 �
M-
3
3�
S•D
Yes �>No
o E]Yes ❑
Yes ❑ No
'units)
Z1NC-
SW U-264-Generic-13Dec2012

Additional Outfall Attachment
Outfall No. _ I
Is this outfall currently In Tier 2 (monitored monthly)? Yeso ElWas this outfall ever in Tier 2 (monitored monthly) during the past year? Yes 9>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 DWO to reduce monitoring frequency ❑ -
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
SW U-264-Generic-13Dec2a12
WrMTR
U.
SW U-264-Generic-13Dec2a12

"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 /-& - / 5' CU
For questions, contact your local Regional Office:
DWQ Realonal Office Contact Information:
wiraton•Salcm
�� J y✓oii,
AaFp�iCe; MomosvNk
"—SEVILLE REGIONAL OFF_I_CE_
2090 US Highway 70
Swannanoa, NC 28778
[phone]
ItALIW REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WIMTON-SALEM REGIONAL OF_ FICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FAY_ E_T_TE_VILL_ E REGIONAL_OF_FI_CE
MOORESVLL
_ IE REGIONAL OFFICE
225 Green Street
610 East Center Avenue/Suite 301
Systel Building Suite 714
Mooresville, NC 28115
Fayetteville, NC 28301-5043
[phone]
[phone]
WASHINGTON REGIONAL OFFICE
WiI,MINGTON REGIONAL OFFICE_
943 Washington Square Mall
127 Cardinal Drive Extension
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
To Q�eserve protea
I I { and ennanoe
[phone]
Norm Camdma'Svarer.
SW U-264-Generic-13Dec2012

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORIN REPORT (DMR)
Calendar Year ,�O/
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG®©O❑[ATEE
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPPP.
Facility Name:
County:
Phone Number: Total no. of SDOs monitored
Outfall No. 02
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 monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes Ifs' No ❑
Yes [�-No ❑
Yes ❑ No
Inches'.
�4f-rL"4'
Inches -2i N c� �
Benchmark N/A
Date Sample
Collected,
rd
L loo.
SW U-264-Generic-13Dec2012
X13
i
Zia Ci

Additional Outfall Attachment
Outfall No. —C2
Is this outfall currently in Tier 2 (monitored monthly)? Yes P -""No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes 931- 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)
MMMMMMMMM
SW U-264-Generic-13Dec2012

"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 �P jwn
Date I -&-4:E
For questions, contact your local Regional Office:
DWQ Reglonal Office Contact Information:
wiftstal,.svkm
JaW
-a
Aafs�iYs, MoorpevNb ', r• �• `
'ASt1E_ V1LLE REGIONAL OFF_I_C_E
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]
FA_Y_ETTEVILLE 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 OFFICP:
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
'Tc preserve protect
ano erhamv
Nattn Cambna"s .vater. .
SW U-264-Generic-13Dec2012