NCG080674 DMR SW (4)

4
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year a o I S-'
Individual NPDES Permit No. NC
Certificate of Coverage (COC) No. NC
M
or
DEC 01 2015
�- CE'NT
R4L FILES
This monitoring report summary of the calendar year should be kept on file on-site with the facility SPM SECTION
Facility Name: C°ie�wC'f--L &&,ncvtcei CzFay I�-►�
County: W �-�-
Phone Number: ( 0111t ) W b - S7 7 7
Total no. of SDOs monitored 3
Outfall No. 0 0 1
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
Yes El No®
Yes ® No ❑
SWU-264 - Generic Annual DMR
Last revised 5/1712013
Total
Rainfall,
inches
Parameter,
(units)
N+ (ur�4i)
/Vor.- Pole
o� I ¢ G tic
(rq ).t-
j otc- Ste (
S ole j -
C "10
Benchmark
NIA
(9-9
Is-
/00
Date Sample
Collected,
mm/dd/yy
0,31 igt
ISS
1=30
6,4
< 5.0
3610
l -w7 is
0, 14S-
!o. (PZ
F-
SWU-264 - Generic Annual DMR
Last revised 5/1712013

Additional Outfall Attachment
Outfall No. 0 0-A
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 21
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 0
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 0
SWU-264 - Generic Annual DMR
Last revised 5/17/2013
Total
Rainfall,
inches
Parameter, (units)
Pi+`u",d�)
NLr- P014
0; I d-C��-cum-
G"i t)
j 0-t-eJ SA
sof
Benchmark
N/A
100
Date Sample
Collected,
mm/dd/yy
�0
-7
a�
0. Hs-
6.S
<S', 0
17, 2-
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

Additional Outfall Attachment
Outfall No. D U 3
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 ❑ Nof
SWU-264 - Generic Annual DMR
Last revised 5117/2013
Parameter, (units)
TotalNu.,
Rainfall,
inches
p `""fit)
- (30i«
M
("10
Totem¢.
Benchmark
N/A
—
! S
l U o
Date Sample
Collected,
mm/dd/yy
QZI 19 f
,3 0
1 6,39
17,0
0,LlY'
a
<S.0
7S
SWU-264 - Generic Annual DMR
Last revised 5117/2013

"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
including the possibilit"f
Signature
Date III
f, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
and imprisonment for knowing violations."
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE
2090 US Highway 70 ! 225 Green Street
Swannanoa, NC 28778 Systel Building Suite 714
[phone] Fayetteville, NC 28301-5043
[phone]
RALEIGH REGIONAL OFFICE ! WASHINGTON REGIONAL OFFICE
3800 Barrett Drive 943 Washington Square Mall
Raleigh, NC 27609 ; Washington, NC 27889
[phone] [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]
WINSTON-SALEM REGIONAL OFFICE CENTRAL OFFICE
585 Waughtown Street j 1617 Mail Service Center"To preserve, proles!
Winston-Salem, NC 27107 ' Raleigh, NC 27699-1617 Rarad errharrce ___ i
36 771-5000 919 807-6300 iNodh Carolina's ivaler.. t
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SWU-264 - Generic Annual DMR
Last revised 5/17/2013