NCG080867 DMR SW

Permit Number NCS NCG080000
CERTIFICATE OF COVERAGE NO. NCG08 080867
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Snipes Brothers Oil Company COUNTY _Person_
PERSON COLLECTING SAMPLE(S) _Steve Barnwell �36_) 227-8881
CERTIFIED LABORATORY(S) _Pace Analytical Lab #_
Lab # MAY 2 6 2015
Part A: Specific Monitoring Requirements
SIGNATURE OF PERMITTEE OR DESIGNEE
CENTRAL FILES REQUIRED ON PAGE 2.
DWR SECTION
Outfall Date
No. Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Flow (if app.)
Total
Rainfall
TPH, EPA
Method 1664
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
mo/dd/ r
MG
inches
M /l
M /l
Standard units
Benchmark
15
100
6.0-9.0
001 (SBOC) 5/13/2015
NA
/
o I
<5.0
25.1r�
/ S
(field
measurement
6.7(laboratory)
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes —XX—no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall Date
No. Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m /l
mg/1
unit
al/mo
Form SWU-247, last revised 2/2/2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date _5/13/2015
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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'of Permittee)
-5-L;� -;k / S --
(Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2