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Home My WebLink AboutNCG060185 DMR SWIm STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. G060000 SAMPLES COLLECTED DURING CALENDAR YEAR: CERTIFICATE OF COVERAGE NO. NCG06 b $ (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME W 4 S L L L COUNTY SUrr-/ PERSON COLLECTLNG S PLES t: PHONE NO. (33fL) 5S'&-7 CERTIFIED LABORATORY a Lab # Lab # PLEASE SIGN ON THE REVERSE 4 Part A: Specific Monitoring Requirements . Outfall - - , v u111_r.._ Date .,::: 00530 ;' „' '•' ... 0'0400 ' ; ,0,034b � ' ' ' :,OQS§d",; . Yl .3'1616 No. Sam 1 ,. pe: „u,,, .:Total'Sus end`d'';,�;:' $ ;;, H �'r ...b' P d CliGmi it140 den _ j gy : "Oil'., cease; ;;i Coliform, ., and, G Fecal Ctillected',,ii, '; Solidi . '' •,,, fi' .,. ;: ' t"I, dhrd Units' , ' ' Demaitij�, �, •;' m '/L ,:,Y; ' C i; oloiiies' eh 100 iril .;.. „r• Benc _ 5- „�',. `100'.,,'';::•.., ,,y;V�ith'Lri;6':'0-_�'.0 001 l 1,5 50 ,. o ATn4o. TF. ..t -1 7 _ 1.. . ,..... y.,u ,. Y.,, L a na►aiYicu a,c ► eXCeSS ui inc benchmark value, or outside me benctimark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no (if yes, complete Part 13) — Part B: Vehicle Maintenance Activitv onitorina Re uirements w Outfall Date' 00556 , ;, ,.• No: Sample Collected, ,,.Oil and Grease; ,, _ ' mo/dd/' r ; ! m Benchmark 00530 Total Susoinded Solids in IL 100' r• .;: 00400: i. :, • _ pH;' ; . New, otor O[1 Usage, , Standard;units Arimi.Af avera a al/mo No t If rt I d l you repo a samp a va e. ue in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date 4 If-(� (first event sampled) Total Event Precipitation (inches): t95 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 QUM'3An I r "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) (Dat SWU-249-102107 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE NO. NCG06 O 1 SCo FACILITY NAME n 4, Gr^S PERSON COLLECTING SAMPLES n ere_r"-i 1, n CERTIFIED LABORATORY Ra..JL A Lab #_ Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) RECEI L+DNE t! f NO- Ujo MAY 18 20IRLEASE SIGN ON THE REVERSE 4 CENTRAL FILES Outfall • Date • .:a 0053QMr, :. _.-' �':�. �- ;�. ��.'!' ,�. � 0.0400 vvvrx It ` '�:��,�, .,0,0340' No. a =;,' � ; „Total'$ d,;''I� ' ; • �' ri; " , .4'' ', : P „'.Ghgm�i�al'.Ox�pen • ' Oil,a ,; and. Grease?., , ,a•, • :Fecal Col Coliform . 4"allected',. ,,. Solids �!;;' .�'tad'dard units''' 15emanti :,� _,' ,,_ t,. . fiies'peir-100 ng; Benchmark - :,,� 100'.,`;::x•;;,.,: �,.. .9:0 Von. H - is- is _12(e o - Nnte' Tf vnll rPTArt a aarnnla,4 -h.. ;.. ----- -4r.Le __ , _- . _r . - ,,,..r •, ,• ,,,, ••. -.0 .,A UAL, Uk; x 1uuu1& va\uc, ur uutstue me benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes no (if yes, complete Part B) — Part B: Vehicle Maintenance Activity Mnnitnrino Ram.fvam ho Outfall Date' - - -- No: Sample Colle'cte'd; mo/dd/' r ; _ Benchmark - ;; ' -- - - 00556 ....,..� Oil and -Grease;,. _ ,, �•., „30, 00530 00,400 i,. r Total us ended - P Solid's, pli;.New-YVlotor Oil Usage, m:.ti a .. S`tandar&,'Uitits _,-AiinftAI'iviras al/mo }. 100:6;0,-9'0':4_ Nnte' Tf vnu rennrt a camn1AA .Ial..n See General Permit text. STORM EVENT CHARACTERISTICS: Date Ham_ (first event sampled) Total Event Precipitation (inches): '45 K va\uo, u\ uuLstue the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mall Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 QX1rrT-')A0 rn'11n17 "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 pay 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) (Date) S WU-249-102107 `Page 2 of 2