NCG060185 DMR SW (3)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 Q M5
FACILITY NAME W a . 't ear rns LL C
PERSON COLLECTING SAMPLES Qr M l:�
CERTIFIED LABORATORY IRC -AJ- A' Lab # 3�_
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: d
(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.)
(L
C COUNTY a t v -
RECEIV�PNENo.t33)
MAR 2 3 2011LEASE SIGN ON THE REVERSE 4
CENTRAL FILES
OutfallDate0'0400
Date -- 00556 �...�••
:.
00530 ''00400' i,.
No:
0,034 :,' ..,•
yCh
r. AQSSdr�,,;: •' .r.:' ..,,3'16'16
No.;:
a
Collected`
^
:Total'$uspendgd ;err"'
;.
'
i�;;;;� ' ;';1'' A
4.9• '' �,. A .
mi >�1.0 a
,F... , ?lY$. °'
Oil;and, t'
�,. �,Gre9se,,..; , :� ' Fecal Coliform, .,
m6iddlyi
Solic�� : •,,:
,;, , ... ''
'��i,
;., �,S°t dd'a r`•d' units
,• y,,,
�, ,�, {' ,
g2 ° Coloiiiea''per 140 nil
:''I
'�'m'
i '•i �
:W. shr�i'`
+' • �, I�1� ' �' ' i..?y�-.a
'.p,T wh•'� , [!. ° ' +d•�� �'
�� � • � °. � �r.�•:'.� -
hark�'
10Ben 0'•'"
. ; trtn6' '• '� =
9.0 °
�'. .
4
001
'Dols
0 10W
Nntr' Tfvnn rPnntf
a onm..to.i va inu
:-4r,L.- L-__t-W__t_
___t___
- •---• -- ,--�- . -r— • - —.t ... ur wU UUnctunarx value, or outstae 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 Artivily Mnnitnrinn ID.—.
Outfall
Date -- 00556 �...�••
:.
00530 ''00400' i,.
No:
Sample Collected; Oil and'Grease;.,.
Total usp'ended Solid'e,
,
„ ,pH;!,i :. New,Motor Oil Usage,
$enchmOrk
1
Stagdard',:units Annudl'avera a at/mo
,
Note- ifvnu rennrr
a emmnlarl ual". o .F.Le _._t___
--- -- j -- --...-t,=.....»........
,+AVI OJ ul LL1G
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
x value, or outs►ae ume 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):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
QUM 7A0 invin-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 any 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
(Date)
S )VU -249-102107
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