NCG060185 DMR SW (4)

RECEIVED
FEB 19 A
S WATER DISCHARGE OUTFALL (SDO)
CENTRAL FILES MONITORING REPORT
SWR SECTION
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: d
CERTIFICATE OF COVERAGE NO. NCG06 0175 (This monitoring report Is due at the Division no later than 30 days from
FACILITY NAME
the date the facility receives the sampling results from the laboratory.)
�1/a n r-Y•re.S L G C COUNTY .5 v rr-I
PERSON COLLECTING SAMPLES 'Sc wl� PHONE NO. (3?1, ) _3 .5r 8(0
CERTIFIED LABORATORY �Qa Lab #
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
Outfall
Date . ;,
y 00530,r
-' '. ;. ,'.;;,:;,
: I, .;ti,' O'OQ00
0,0340
OQ'SS�tt,;,
No.
'.S:am le
;Ir P r
Total, Suspend
y,L , ... IPP
!
i,i;, 4,:.,' . p��l'
Ch nlI Oxyeu'
Q
Oil'.,and. r , '
. I 'ai 'Fecal Colifor-m, .
Note: If you rennrt a samnh-.d unh,P i., p—.. „Ir L t.— _I. -.../.._
Cdllected,i:l'I.'I
'
„ . I•
a.SOlItlti II S•
� tandar,.d' unit s`
I.al
4'�•Iyeman� "4.'.,'.
,;k+,. N,Greasea
_L, "t�
:; s mg 'A t�olonies''per l oo ml
mQaa/,,,'
�
,.�,
�,,.w„ ��
-
, _ }-
� ;
��`� '::;
hm ••
Benc ark'
-'
�- :I,.,~1.00'.��';;;�tl�M1ll.�..
n,,,6.0'— �.
��� �12Q ,I:.
•I, %I. ', �'
,', ;30 ;,.r ,• i
OO I
- 0 t
0 . Plow
r ;1000
..u«. zl yup pui t a sampicu vaiue in excess o1 the benchmark value, or outside the 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 Activitv onitorincy Re uirements
Uutfall Date'
No: Sample Collected;
mo/dd/' r ,,
Benchmark ' -
00556 , 1,
Oil and Grease;,, Total
„30: ;;
00530 •' ; '
uspended Solids,
+
100 ` ,r rk . I:
, ; . 00400
:, ,pH; ,i New Motoi Oil Usage,
, Standard',unite Arinual"averse gal/mo.
1. '6+0.—•9.0'-,a' r;, _ .
Note: If you rennrt a samnh-.d unh,P i., p—.. „Ir L t.— _I. -.../.._
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
_......a.ULA VaJu�, u1
uic uencnmarx 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
c\lnT')nn innin-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 Permittee) (Dat
S WU-249-102107
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