NCS000392 DMR SW (11)

STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number: NCS000392 RECEIVED
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
JUN 1 (This monitoring report shall be received by the Division no later
5 2016 than 30 days from the date the facility receives the sampling results from
CECT the laboratory.)
CENTRAL FILES
DWR
FACILITY NAME DAK Americas LLC SEC"ON COUNTY Brunswick
Cape Fear Site
PERSON COLLECTING SAMPLE(S) Larry N.Young PHONE NO. [phone] or(910)264-2564
CERTIFIED LABORATORY(S) Environmental Chemists
Penny C. Mahoney Date
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature,I certify that this report Is accurate and
complete to the best of my knowledge.
Part A:Specific Monitoring Requirements
50050 00340 82388 00530 00310 00625 00600 00665 01307 00400
Date Sample Total
Collected Flow COD 1,4 Dioxane TSS BOD TKN Total Nitrogen Phosphorus Cobalt pH
Outfall No. mmldd/yr MG MG/L µg/I MG/L MG/L MGIL MG/L MG/L MG/L S.U.
005 N/A NO FLOW N/A N/A N/A N/A N/A N/A N/A N/A N/A
007 N/A NO FLOW N/A N/A N/A N/A N/A N/A N/A N/A N/A
008 N/A NO FLOW N/A N/A N/A N/A N/A N/A N/A N/A N/A
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes X no

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date: N/A Attn: Central Files
1617 Mail Service Center
Total Event Precipitation (inches): NO FLOW - Raleigh, North Carolina 27699-1617
Event duration(hours): N/A
"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."
i/I% . /G !" //?//‘'
Penny C. ! ahoney / (Date)
(Signa/'e of Permittee)