NCG210171 DMR SW (3)

4
STORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number NCS:NCG210171 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30
days from he date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Cook Brothers Lumber Company COUNTY:Macon
PERSON COLLLECTING SAMPLE(S):Richard Beale PHONE NO.[phone]
CERTIFIED LABORATORY(S): Environmental Testing Solutons Lab#600
Lab#
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall Date 50050
No. Sample Total Total pH TSS COD
Collected Flow(if app.) Rainfall
mo/dd/yr MG inches Std. units mg/I mg/I EC EIVED
1 05/03/15 0.81 6.46 6 <50
2 No flow in Outfall#2. MAY 5 2 0 l b'
3 0.81 6.35 9 <50
l:EN1RALFILEL
JWR aCC`IIQ
Does 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)
Form SWU-247,last revised 2/2/2012

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Part 13:Vehicle Maintenance Activity Monitoring Requirements
Outfall Date. t 50050 - ' 00556 - 00530" ' :00400
No: Sample Total Flow Total ', , Oil;&Grease `- Non-polar Total „ pH New Motor
Collected ;t (if applicable)`_ Rainfall • (if appl:) 'O&G/TPH" Suspended . , Oil Usage
(Method 1664 Solids
SGT HEM),if
. . . appl•
- - , .nio/dd/yr ' MG inches mg/1 • - , -mg/1 unit' . - 'gal/mo -
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date: 5/2-3/2016 Attn:Central Files
Total Event Precipitation(inches): 0.81 1617 Mail Service Center
Event Duration(hours): (only if applicable—see permit.) Raleigh,North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation(inches):
Event Duration(hours): (only if applicable—see permit.)
"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."
5-,23 - /4
(Signature of Permittee) (Date)
Form SWU-247,last revised 2/2/2012