NCG160057_MONITORING INFO_20180627

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE.
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ qb� O
YYYYM M DD

A: OSTORMWATER DISCHARGE OUTFALL-(SDO)~
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year ?6/9
Revised 9L172014
General Permit No. NCG160000
Certificate of Coverage No. NCG1600❑O ©©❑
This monitoring report summary.is due. to. the DEMLR Regional Office.no later than November 1 of,
each year.
Facility Name: S .T. I�mT2=A✓ �4S,9h%16T
County:/.
Phone Number: (4P) cn4,- „ 79/2 Total;no.;of+SDOs monitored
Part A. Outfall No. (use multiple sHeets formulttple outfalls)
Is this outfall currently in Tier.2 (monitored monthly)? Yes ❑ ."No jAr
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 8-
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 monit6ring-frequency ❑
Other
NC Dept of Environmental Quality
_.. - JUN 27 2M .
Office
Page I t

------- --------
Part B: On -Site Vehicle Mainterian6e Outfall No.
is this outfall currently in Tier 2.(moni.tored 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 r - onitoring'discontinued?
Enough consecutive,samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency,. ❑
Other
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STORMWATER DISCHARGE OUTFALL'(SDO) ',:' s.
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year o201A.
Revised 9L172014
General Permit No. NCG160000 -
Certificate of Coverage No. NCG 16®�❑S❑❑
This monitoring report summary., is due. to the DEMLR.Regional Office no later than November 1 of...
each year.
Facility Name: S,T {dl�rrr�l L"D/?PoRiY>7�✓ ri7T5C3aRo /�SPNAiT
County:rf�iY/
Phone Number: (gSz) .29aTotal;no„of+SDOs monitored
Part A. Outfall No. / (use multiple sheets for,multiple outfalls)
Is this outfall currently in Tier.2 (monitored monthly)?, Yes E .,Nov .
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ . Nog
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 _. n
0
er
x
�
I 11
alld
M'
Page I 1

PartB. On -Site Vehicle Maintenance Outfall No. . .
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 r
s�d��sas
Page 12

certify, under penalty of law, that ihis 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 fals,p-hlNrmation, i9pluding the possibility of fines and imprisonment for knowing violations."
Signature
Date /c
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
A`SHEV.IliLE+REGIONAL'OFFICE
�FX ETrTEVILLE'REGION `L OFFICG
1V[OORESYIL'LE R> GIONALIOFI?ICE
2090 US Highway 70
225 Green Street
610 Gast Center Avenue/Suite 301 1
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
i
RAliE1GH`RECIONALfOrF1CG
WASHINGTONiRCGIONA"LOF.F16E
W-IliININGTONyREGIONCC"OFFICE
_---3800 BarietfD ive ---943-Washington
Square Math----127-Cardinal-Drive
Extension —
Raleigh, NC 27609
( Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON SALEM',REGIONAL
OFFFJ,CE
585 Waughtown Street
j
Winston-Salem, NC 27107
[phone]
Page 13