NCS000509 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000509 SAMPLES COLLECTED DURING CALENDAR YEAR:
(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.)
FACILITY NAME` TdEst Ag Group, Inc. Greenville NC
PERSON COLLECTING SAMPLE(S) John &ilc-
CERTIFIED LABORATORY(S) _ `res -r Am2C,,cc, Lab # CV359
Lab #
Part A: Specific Monitoring Requirements
COUNTY ' Pitt
PHONE NO. ( UM )_ 637-9466
(SJGNATURT>; QF PERMITTEE OR DFStGNE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
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 R- VAIAP MaintonannP Aoti%:t. Mnnifn,-inn Ae...,i..e,,, - .
Outfall
No.
Date
Sample
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
OR & Grease
(if appI.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
On Usage
mo/dd/ r
MG
inches
•
Man=
M10
unit
9411100
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 R- VAIAP MaintonannP Aoti%:t. Mnnifn,-inn Ae...,i..e,,, - .
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
OR & Grease
(if appI.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
On Usage
mo/dd/ r
MG
inches
m
M10
unit
9411100
Form SWU-247-062310
Page 1 of 2
0

STORM EVENT CHARACTERISTICS:
Date 122.1 1 '(
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."
_ 4, ,'7&, mr- (vt lr,C,t A� 2 b5 IS
(�fiature of` ttee) (Date)
Form SWU-247-062310
Page 2 of 2