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NCG190050_DMR_20200706
STORMWATER DISCHARGE OUTFALL (SDO) . GENERAL PERMIT NO. NCG190000 DISCHARGE MONITORING REPORT (DMR) R CERTIFICATE OF COVERAGE (COC) NO.: NCG190❑0 ❑S CC 1_' VE SAMPLE COLLECTION CALENDAR YEAR: dN6 Oa© FACILITY NAME: (J.SCG .SF SAMPLE COLLECTION NAME: CERTIFIED LABORATORY: P&_f/N41y7/e44 Lab # Qall819 Lab # Part A: Specific Monitoring Requirements JUL 1 f,)}js �lronitoring report is due at the Division no later than 30 days from L7date the facility receives the sampling results from the laboratory.) v I RAL FILES FACILITY COUNTY: 6fAT,ezi '�IRI,S, CE PHONE NO.:(jS-I _?L/7 5'Sal/ Outfall No. Sample Collection Date, mo/dd/ r Total Rainfall, inches 00530 TPH by method 1664 SGT-HEM - 01119 - 01104 - 01094 01114 '!btal Suspended Solids, mg/L Non -Polar Oil.& Grease, mg/L Copper2'3, mg/L Aluminumr, mg/L Zinc2'3, mg/L Lend"3, mg/L Freshwater Saltwater : Ben c marks - - 100 15 0.010 (0.005) 0.75 0.126 (0.095) 0.075 (0.220) If a value is in excess of the benchmark, you must implement the Tier 1 or Tier 2 responses in the General Permit. z Total recoverable metal. 'These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L. Solvent Management Plan Certification: Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for Division of Water Resources managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated solvents Attn: Central Files into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge 1617 Mail Service Center monitoring report. I further certify that this facility is implementing all the pons of the Solvent Management Plan Raleigh, North Carolina 27699-1617 included in the Stormwater Pollution Prevention Plan." (Signature of Permittee) ' (Date) YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 o fines and ' a ris ent for knowinj violations." (Signature of Permittee) (Date) Permit Date: 6/02/2015-5/31/2020 SWU-253-060515 Page I of 1