NCS000061 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000061 or
Certificate of Coverage Number: NCG
FACILITY NAME Lenoir Mirror Company
PERSON COLLECTING SAMPLE(S) R. David Mursch, PE
CERTIFIED LABORATORY(S) Blue Ridge Labs Lab # 275
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2 014
(This monitoring report shall he received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Caldwell
PHONENO. e( 28 1 728-3271
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall Date
No. Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Oil & Grease Total Total Lead pH
Suspended
Solids (TSS)
Total BOD COD
Silver
mo/dd/ r
MG
inches
Units
mg/1 mg/l mg/1
SDO-1 11/23/2014
pH
>1 (est)
15.5 <0.01 5.5
<0.001 58.5 60
inches
mzn
TnFA
Units
al/mo
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monito ' Requirements
Outfall Date
No. Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
mzn
TnFA
Units
al/mo
Form SWU-246-112608
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 11/239 2014
Total Event Precipitation (inches): >1 (est)
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."
/a 19 /LI
(S'*atui# of Pe tee) (Date)
Form SWU-246-112608
Page 2 of 2