NCG020267_DMR_20200703

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar Year: (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 0 (o '7 County of Facility T(Z c- 77 v i
Facility Name Name of Laboratory VA S U 6-V
Facility Contact - Lab Certification #
Facility Contact Phone No. ^',
0. 1 ,. 1 n: ... A . —4 Vr... Ara,. AAnnitnrino Ronuiromontc Part C: Vehicle Maintenance Monitorins Reauirements
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Footnote 1 Identify the receiving stream: �-10•t- & h 4- dL t v YrL�
Part D: Storm Event Characteristics
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Total Event Precipitation (inches): —
Event Duration (hours): vt
Part E: Certification
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APR 2 0 2020
Total Event Precipitation (inches):
CEIV.TkAL RdWent Duration (hours):
DWR:SECTIpi a separate storm event is sampled)
"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 th t there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violatIo
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(Signature of.Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-120199'

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Analytical Results
-itatesville Brick Company
PO Box 471
Statesville, NC 28687
Receive Date: 03/31/2020
Reported: 04/02/2020
For: Clay Mine
Comments:
Sample Number Parameter
Sample ID
200331_�R_n� _
-- -
vGlIICdUIe Jollds
200331-28-01
TSS
200331-28-01
Turbidity
200331-28-02
Settleable Solids
200331-28-02
TSS
200331-28-02
Turbidity
200331-28-03
Settleable Solids
200331-28-03
TSS
200331-28-03
Turbidity
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cent #37755,
EPA #NC00909
Result
Unit Method
CM 1
<0.1
ml/L
sM2540E-2011
CM 1
2.994 -
mg/L
SM2540D-2011
CM 1
9.24
NTU
EPA 180.1
CM 2
<0.1
-
ml/L
sm2540F_2011
CM 2
4.587
rn g/L
sM2540o-2011
CM 2
10
NTU
EPA 180.1
CM 3
<0.1
ml/L
SM2540E-2011
CM 3
<3.311
mg/L
SM2540D-2011
CM 3
9.4
NTU
EPA 180.1
ANALYTIC,
Analyzed
Analyst
03/31/2020
WC
04/01/2020
CJE
04/01/2020
MD
03/31/2020
WC
04/01/2020
CJE
04/01/2020
MD
03/31/2020
WC
04/01/2020
WE
04/01/2020
MD
PO Box 228 • Statesville, NC 28687 • 704/872/4697
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