NCS000133 DMR SW

000ATER DISCHARGE OUTFALL (SDO)
N
MONITORING REPORT
GENERAL PERMIT SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
FACILITY NAME Jowat Corporation than January 31 of the following year)
FACILITY Addres., PO Box 1368 High Point, NC 27261 COUNTY Randolph
PERSON COLLECTING SAMPLE(S) PHONE NO. [phone]
CERTIFIED LABORATORY(S) R & A Laboratories, Inc. Lab # 34
Lab # (SIGNATURE OF PERMITTEE OR DESIGNEE)
Part A: Specific Monitoring Requirements - Analytical Monitoring
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
Outfall
Na
Date
Sample
Collected
50050
00545
00400
Total
Total Suspended
Flow Solids
pH
mo/ddiyr
MG
m94
unit
001
10/02/15
B L
4.98
002
10/02/15
B L
4.75
003
10/02/15
Clarity
B L
5.16
004
10/02/15
Other
41.1
5.10
Part B: Visual Monitorin¢ Reouirements
STORM EVENT CHARACTERISTICS:
Date 10/2/2015
Total Event Precipitation (inches): 0.93
Event Duration (hours): 12.5
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Attn: Central Files
DEHNR
Division of Environmental Mgt.
P.O. Box 29535
Raleigh, NC 27626-0535
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Form MR48
Page 1 of 2
Date
Sample
Floating
Suspended
Outfall
Collected
Color
Odor
Clarity
Foam
Oil Sheen
Other
No.
molddlyr
Solids
Solids
001
10/02/15
Clear
None
Not Clear
Yes
Yes
None
None
Grass in water
002
10/02/15
Clear
None
Semi Clear
None
None
None
None
----
003
10/02/15
Clear
None
Semi Clear
None
None
None
None
----
004
10/02/15
Dirty
None
Not Clear
Yes
Yes
None
None
Sediment in
bottom
STORM EVENT CHARACTERISTICS:
Date 10/2/2015
Total Event Precipitation (inches): 0.93
Event Duration (hours): 12.5
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Attn: Central Files
DEHNR
Division of Environmental Mgt.
P.O. Box 29535
Raleigh, NC 27626-0535
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Form MR48
Page 1 of 2

Footnotes:
"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 inquirey 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 MR -18
Page 2 of 2