NCG200424 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG200000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG200 4❑00
FACILITYNAME Keywell, L.L.C. - Curtis St. Facilit
PERSON COLLECTING SAMPLES Tony Tyson
CERTIFIED LABORATORY Pace Analytical Lab # 40
Lab #
COUNTY Union
PHONE NO. 704 292-1409
Part A: Specific Monitoring Requirements
Mail original and one copy to: SAMPLES COLLECTED DURING
Division of Water Quality CALENDAR YEAR: 2014
Attn: Central Files (This monitoring report is due at the Division no
1617 Mail Service Center later than 30 days from the date the facility
Raleigh, North Carolina 27699-1617 receives the sampling results from the laboratory.)
Outfall
No.
Date Total
Sample Rainfall
Collected
mo/dd/ r inches
00530
00340
00556
00400
01113
01119
00980
01114
01094
Total Suspended
Solids
m
Chemical Oxygen
Demand
m
Oil & Grease
mgtl
pH
s.u.
Cadmium
m
Coppe
m
Iron
m
Lead
m
Zinc
m
Benchmark
- -
100
120
30
6.0-9.0
0.001
0.007
N/A
0.03
0.067
OF 001
11/17/2014 0.51
0.0959
0.220
BG 001
11/17/2014 0.51
0.0108
0.0584
BG 002
11/17/2014 0.51
0.0102
0.0554
' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
Z Total recoverable.
Only complete Part B if this facility uses more than 55 gallons of new motor oil per month.
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall Date Total New Motor Oil
No. Sample Rainfall Usage
Collected
mo/dd/yr inches al/month
00530
00400
00556
Total Suspended
Solids
mg11
pH
s.u.
Oil & Grease
m
Benchmark - - -
100
6.0-9.0
30
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
" 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 subrrutted. 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 imprison ent for wing violations."
(Signature of Permittee)rL—�rL_ (Date)
NCG200000 DMR �L j ' Form SWU-256
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