NCS000335 DMR SW_2015

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS000335 or
Certificate of Coverage Number: NCG N/A
FACILITY NAME: SEYMOUR JOHNSON AFB
PERSON COLLECTING SAMPLE(S): Vincent Interrante
CERTIFIED LABORATORY(S): Accutest Lab #: 573
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 15
(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: Wayne
PHONE NO.: ( 919 ) 722-5168
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
Outfall
Date
50050
1664A
SM2540D
SM5220C
425.1
Oil and
Grease
No.
Sample
Collected
Total
Flow
Oil and
Grease
Total
Suspended
Solids
COD
pH
unit
mo/dd/yr
MG
mg/L
mg/L
mg/L
Site 2
11/18/15
1.96
ND
8.0
23.4
5.98
Site 3
11/18/15
0.49
ND
8.0
8.8
6.49
Site 4
11/18/15
0.48
ND
10.0
ND
6.33
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 Monitoring Requirements (See above)
Outfall
No.
Date
Sample
Collected
50050
1664A
SM2540D
425.1
Total Flow
Oil and
Grease
Total
Suspended
Solids
pH
mo/dd/yr
MG
mg/1
mg/I
unit
DEC 2 8 2015
Form SWU-246-051100
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
- Division of Water Quality,
Date: 11/18/15 Attn: Central Filesven
Total Et Precipitation (inches):. -`0.13 — 1617 Mail Service Center
Event Duration (hours): 6 hrs Raleigh, North Carolina 27699- 1617
(if more than one'storm event was sampled) ;
Date:
Total Event-Precipitation (inches):
Event Duration (hours):
"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."'
cec
(Signature of Permittee) (Date)
DENNIS G. GOODSON, P.E. -
Deputy Base Civil Engineer
.:1 4:77 I
f` !
-._� _� --.� •ltd I � - — - - - -' .
Form SWU-246-051100
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