NCS000508 DMR SW (7)

RECEIVED
To: North Carolina Department of Environmental Quality
Division of Energy Mineral and Land Resources MAR 0 9 2016
(original Attn: Central Files&1 CENTRAL FILES
copy) 1617 Mail Service Center
SWR SECTION
Raleigh, NC 27699-1617
Discharge Monitoring Report
Facility Name: Piedmont Triad International Airport Permit: _NCSOCK
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: February 16,2016
Schedule (NPDES 2): Season 6 (year)
Period 3 (quarter)
Event 3 (deicing)
Tier Two - (month)
ADF Applied (if applicable): 0 gallons on February 16, 2016
1405 gallons on February 15,2016
425 gallons on February 14,2016
Total Event Precipitation: 1.07 inches on February 16,2016
trace inches on February 15,2016
0.10 inches on February 14,2016
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: 3/4/2016
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