NCS000508 DMR SW (4)

RECEIVED
To:
North Carolina Department of Environmental Quality JAN 14 2016
Division of Energy Mineral and Land Resources CENTRAL FILES
(original Attn: Central Files DWR SECTION
&s copy) 1617 Mail Service Center
Raleigh, NC 27699-1617
Discharge Monitoring Report
o,
Facility Name: Piedmont Triad International Airport Permit: -t.NCS000508
County: Guilford Phone: [phone]
Person Collecting Sample: B.J. Lineback, Pilot Environmental, Inc. [phone]
Certified Laboratory(s): Research and Analytical Laboratories, Inc. Lab #: 34
Lab #:
Date of Sample Collection: December 22,2015
Schedule (NPDES 2): Season 6 (year)
Period 2 (quarter)
Event 1 (deicing)
Tier Two - (month)
ADF Applied (if applicable): 0 gallons on December 22,2015
0 gallons on December 21,2015
180 gallons on December 20,2015
Total Event Precipitation: 0.55 inches on December 22,2015
0 inches on December 21,2015
0 inches on December 20,2015
Routine, Deicing Event,and/or Tier Two Analytical Monitoring Results Attached
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: `� �� Date: 1-13-16

,s*, ritel -t-
NPDES Permit: NCS000508
ifpr
Stormwater Discharge Outfall ODD)
Qualitative Monitoring Report Page 2 of 3
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By this this signature.I certify that this report is accurate and complete to the best of my knowledge:
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�$ Stormwater Discharge Outfall(SDO) NPDES Permit: NCS000508
3 Qualitative Monitoring Report Page 1 of 3
PIEQMG TRIAD trITERAIA110, t.AISPORT
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Investigator:` vrti 'F' EC uaintit tive Data to lie+col cted'
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By this signature,I certify that this report is accurate and complete to the best of my knowledge: _ .r.raf
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