NCS000328 DMR SW (5)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCS 000328 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
CERTIFICATE OF COVERAGE NO. NCG: (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Bestway South, Inc. COUNTY Iredell
PERSON COLLECTING SAMPLE(S) Richard Petrovich (GM) PHONE NO. ( 704 ) 585 - 6373
CERTIFIED LABORATORY Statesville Analytical Lab # 37755
Part A: Specific Monitoring Requirements
Lab # EASE SIGN ON THE REVERSE 4
RECENED
to l 61015
Outfall
No.
Date
Sample Collected,
mo/dd/ r
00556 00530 00400
Oil and Grease, Total Suspended Solids, pH, New Motor Oil Usage,
m m Standard units Annual average al/mo
_
C ENTL r
-
Total Arsenic Total Chromium WK 4 %er
m /L m m
BODS
m
Benchmark
-
0.36
1
0.007
30
SDO-001
05/29/2015
.3607
Sample lic
00530
00400
Total Suspended Solids Total Nitrogen pH,
m m Standard units
COD
m
100 30 Within 6.0 - 9.0
120
Did 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 Activitv Monitoring Reuuirements
Outfall
No.
Date
Sample Collected,
mo/dd/ r
00556 00530 00400
Oil and Grease, Total Suspended Solids, pH, New Motor Oil Usage,
m m Standard units Annual average al/mo
Benchmark
-
30 100 6.0-9.0 -
SWU-246-112608
PAae 1 of

STORM EVENT CHARACTERISTICS:
Date _05/28/2015
Total Event Precipitation (inches): _1.9011_
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ 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."
(Signature of Permittee) (Date)
SWU-246-112608
6:x
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