NCG080156 DMR SW (5)

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STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year �2 oIS-
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or ����®
Certificate of Coverage (COC) No. NCGQ�❑O ❑j ©©
JAN 2 6 2016
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPPP.
CENTRAL FILES
Facility Name: Fr r c Tri h , h
DWR SECTION
County: Wa (—
Phone Number: (_gict.)v16- S-777 Total no. of SDOs monitored
Outfall No. 009.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No �]G
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
SWU-264 - Generic Annual DMR
Last revised 5/17/2013
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SWU-264 - Generic Annual DMR
Last revised 5/17/2013

"I certify-, under`.penalty of. law, that this document and all attachments were prepared.. under mydirection. 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 directlyresponsible-for gathering the information; the -information submitted is, to the
best of my knowled a *a d belief, true, accurate, and complete. i `am;awarethat-there are- significant penalties for -submitting false information,
including the pos il't of fines and imprisonment for knowing violations."
Signature,
Date -
For questions, contact yourIdcal Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFF.ICI
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH-REGIONAL,OFFICE
3800 Barrett Drive
.Raleigh,. NC 27609
.1(919)19.1,-4200
WINSTON?SALEM REGI®NAL OFF]
585 Waughtown. Street .
Winston-Salem; NC 271.07
(336) 771=5000
-225 Green Street
Systel Building. Suite. 714
Fayetteville, NC 2830.1-5043
910_1-___'-__,___
433
_ _.() _ 3300
WASHIN- _ GTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone] '
E CENTRAL,OFFICE
1617 Mail Service'Center
Raleigh, NC 27699-1617
[phone]
MOORES VILLE`,REGIONAL .OFFICE
610 East Center Avenue/Suite 301
Mooresville; NC 28115
[phone] `
WI,LMINGTON 4%,10NAL,OFFICE ,
.127 Cardinal Drive Extension
Wilmington; NC 28405=2845
[phone]
"Ta,pre,serire, arr�teet
i '� acrd errhartce ;° j
i _ - North �Carr�b�pa s ~voter ' _
SWU-264 - Generic Annual DMR
Last revised 5/17/2013