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Home My WebLink AboutNCS000541 DMR SWSTORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS OMS41 FACHdTY NAME 01AU'A �AAtS LUvnbvr�on efti1i�� Nan' PERSON COLLECTING SAMPLE(S) 154C - rack CERTIFIED LABORATORY(S) E C 5 Lab # F�5_ Lab # Part A: Specific Monitoring Requirements 1 SAMPLES COLLECTED DURING CALENDAR YEAR: '-;20/_'5' (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. (g0 ) o2R 1 - (I Z7 (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. DateII Sample Collected I Total Rainfall 50050 00556 • 1 s� 00400 �!J_ OWN • , Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if a 1. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m unit al/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv MonitorinLy Reauirements RECEIVED F�� 02 1 1� DENR-LAND QUALITY iv i RMITTINC- Outfall No. Date Sample Collected 50050 00556 00530 00400 ER 11 1 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if a 1. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m unit al/mo Form SWU-247-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 of Permitte te) Form SWU-247-062310 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000 5 11 FACILITY NAME Sti ou�t�eCn S -Am L'-',��nn YP�It� �iZe PERSON COLLECTING SAMPLE(S) CN(- e-1o�lin CERTIFIED LABORATORY(S) E�C I a)n SUtn rtn Lab Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: a O 15 - (This S(This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY RO 2So n PHONE NO. (Q4) c \-059 (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. DateII Sample Collected I 1007MMI Total Rainfall 00556 00530 ��Wml MIS Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m unit al/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes 6O (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Renuirements Outfall Date No. Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m unit al/mo Form SWU-247-062310 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 fi d imprisonment for knowing violations." (_24-2vc5 (Signature of Permittee) (Date) Form SWU-247-062310 Page 2 of 2