NCS000514 DMR SW (3)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit No. NCS000514
FACILITY NAME: Georgia-Pacific Mt Holly LLC
PERSON(S) COLLECTING SAMPLES: Micheal Kilpatrick
CERTIFIED LABORATORY(5): Shealy Environmental Services Inc. LAB # 329
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: Gaston
PHONE NO. [phone]
Does this facility perform Vehicle Maintenance Activities using more than 55 -gallons of new motor oil per month? _yes X no
Part B: Vehicle Maintenance Activity Monitoring Requirements (if applicable)
Outfall No:
y
,r
,
Total Rainfall ' Oil and Grease „
,. Total -
Non -polar f Suspended *
0&G/TPH Solids , ;
Total ",
Chemical'
,.
z a sr
r
DeteSample 3
TotahFlow (If .
Suspended
Oxygen
Outfall No
Collected
applicable) '
Total;Rainfall
Solids',.
Demand'
_
77777
-
7/27/2015
77
!77 77001
0.2
21
69
7
002
7/27/20151
0.2
20
78 1
7.5
BENCHMARK
> 0.10
100
120
6-9
Does this facility perform Vehicle Maintenance Activities using more than 55 -gallons of new motor oil per month? _yes X no
Part B: Vehicle Maintenance Activity Monitoring Requirements (if applicable)
Outfall No:
--
Date, Sample TotahFlow (if
Collected '' applicable)
_.
mm/dd%yyyy
,r
,
Total Rainfall ' Oil and Grease „
,. Total -
Non -polar f Suspended *
0&G/TPH Solids , ;
R
„°: ,, New Mofor Oil
pH . ; Usage
:gal/month
:A
Signature of Permittee or Designee
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 the 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.
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617