NCS000061 DMR SW (2)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS, 000061
FACILITY NAME Lenoir Mirror
PERSON COLLECTING SAMPLE(S) Tom Brown
CERTIFIED LABORATORY(S) Water Tech Labs Inc Lab # 50
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(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 Caldwell
PHONE NO. (_704_)
529-3200
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall Date 50050
No. Sample Total Total TSS
Collected Flow if a Rainfall Total Lead Total Silver BOD COD pH
mo/dd/ r MG inches Mg/1 m /l Mg/1 m 1
units
SDO-1 0.69 <2.5 <0 05 <0.005 <2.0 7.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _Xno
(if yes, complete Part B)
Part B: Vehicle Maintenance Artivitv Manitnrina Rnn„G.•n..,a
Outfall
No.
Date
Sample
Collected
150050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
I
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SCT -HEM), if
a pl.
Total
Suspended
Solids
pH
mo/dd/ r
MG
inches
m I
m /I
unit
New Motor
Oil Usage
gal/mo
Form SWU-247, last revised 2/212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 9/25/15
Total Event Precipitation (inches): 0.68
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (Fours): (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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines knd imprisonment for knowing violations."
(Sign re of Permittee)
(Datf)
Form S WU-247, Iasi revised 2/2/20/2
Page 2 of 2