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STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS_ S 0 00 35"41
FACILITY NAME STi99P_,cT 1Nc
PERSON COLLECTING SAMPLE(S) 3 moss l L Lc= cvt r
CERTIFIED LABORATORY(S) _N c D nig jjt t Lab #_(_
AVE006 27'7fi/y Lab#3
Part A: Specific Monitoring Requirements
ORIGINAL
SAMPLES COLLECTED DURING CALENDAR YEAR: _ 2 O l5"
(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 RA 111,0oL PH
PHONE NO. (,?_36" ) 472
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
No. Sample Total Total
Collected Flow if a Rainfall D p COD %SS T KA/
mo/dd/ r MG inches tfC, I L, MGL MG/L M 6 -1/ -
YT --:z Z 13' ..,/ U. 5" Z :Z o 8, S' c I.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Zo
(if yes, complete Part B)
Part Re VPhinin Mai..ae...,...... • _42_.2— ,._..
NlTRA TSE
/'7945" I W vo mr 'r-,
RECEIVED
JUN 112015
Outfall
No.
Date
Sample
Collected
avu uz
50050
Total Flow
(if applicable)
Ai WfCWCLLJ
Total
Rainfall
00556
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), If
a 1.
00530
Total
Suspended
Solids
00400
pH
util
New Mo
Oil Usage
mo/dd/ r
MG
inches
m
Man
unit
gallmo
Z -LAND QUALITY
NATER PERMITTING
Form SWU-247, last revised 2/2/2012
Page 1 of +
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STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS S` 0 00 355/
FACILITY NAME 5 rA iePkFT ZV C,
PERSON COLLECTING SAMPLE(S) T4 SSrF CF6v 45 -
CERTIFIED LABORATORY(S),ycDniR 7f // Lab #__ _
Alc'DoN # 377/N Lab # 3 77 /Y
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: ;Z 015'
(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 RA/y.DOJC PFJ
PHONE NO. (336 ) d72 — O 10 I
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Date
1 Sample
Collected
golf: I Total—
11 Rainfall�•
_� 1r C� 'r• • ��
1 1
I I
• .r��� I�
•
• ♦
•.I .•MOi• • i
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appi.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes t!!�no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorin¢ Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appi.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 2/2/2012
Pagel of '4
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 5000 3.5- q
FACILITY NAME _STAR r'FT .Z A/C
PERSON COLLECTING SAMPLE(S) _a Ess fir�s
CERTIFIED LABORATORY(S) yea �„e t� Lab #_LL_
It1c ocH w 777[y Lob # 3,17 71 IV
Part A: Specific Monitoring Requirements
MUM Date
No. Sample
-22-
Total I PFI ,
inches
SAMPLES COLLECTED DURING CALENDAR YEAR: ld /S
(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 ICAAIP&P14
PHONE NO. (336 )_C7Z—bip /
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes L/
(if yes, complete Part B)
Part B: Vehicle Maintenance Activit" n
Outfall
No.
Date
Sample
Collected
50050
00556
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
aI.
mo/dd/ r
MG
inches
m
Total pH New Motor
Suspended Oil Usage
Solids
unit
Foran SWU-247, last revised 2/2/2012
Page of 'I
STORM'EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date s Z 2 s 1S ' Attn: Central Files
Total Event Precipitation (inches): O, 5Z ` 1617 Mail Service Center
Event Duration (hours): S' -S' (only if applicable - see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)'
Date
Total -Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit'.) --
"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."
(Signature of Permittee) -(Date),_,
Form SWU-247, last revised 2/2/2012
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