NCG060185 DMR SW (5)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITO
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 d i $ 5
FACILITY NAME W n c cr C L C
PERSON COLLECTING SAMPLES '�c rt n. ow 1.�,
CERTIFIED LABORATORY Ac-g Lab # _3y
'!r•• Lab #
Part A: Specific Monitoring Requirements
RECEIVED
APR 2 8 MIS
RING REPORT CENTRAL FILES
DWR SECTIO'
SAMPLES COLLECTED DURING CALENDAR YEAR: 0
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sam ling results from the laboratory.)
COUNTY r
PHONE NO. ({�
PLEASE SIGN ON THE REVERSE 4
Nal
I .
­
Date ;r
:, 00530',8 '-
.,' ;''= . 0'0400
0,0340 ;.:; ;:. ; ;
;;; •-; OQ'SS „�,, ;: 1,'„3'1616
' '
:
;'.,,;'Sample' =,;,
,.,N,; ':Total,Suspend;ic,
" `'
r„r . ,..pg•�.
Cli0mi hl'.O ea-`
1+. xYP
A
r '
"a'Oil,and. Greases .• s , ?;' . `Fecal Coliform
'
�'pilected'
"r.
.,.
D"emaiit�,
mg/I,;".,rA .'rt: . 'Coldnlesper-100
ml
.�
mo/$a/'
{:`:.�,i•
�';;•,'.�
Benchmark-,,.,.
_ , ,
;.i:,. '100`,,,''L'°'LL rPr
:riJ , Wlth'1I1 6'0 pp
—.7.0
120'.,,.:
e k
o -;Lo/
/10 [ow
,1000.
Nnter ifunn ronnrt
a aamnW va i.•o
:.. CIL-
- - -- -- --r --- » »•.-r•, ...».,.., .•� 00 Vl LL1G uunwuna x vmuc, ur uutsiae [ne oencnmarx 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 Mgnitnrinm Rnn..irn—te
Outfall Date' - ---
No: Sam le ColleC
oie'Co ' ted,'
r,
Benchmark
-.- - 00S56 ..••. Y..,
Oil and'Greasei t _
�.
r :,: �•
00530 '-00400-.,
Total usp'ended Solid's,
:, pg;' i , . New Motor Off Usage,
Stagdhrd;units Arin'ual"av era a aUmo
100' -,�. �� �,�- �60,—•9:0'-,� - '` . -.
Nnte- If you re.nnrt a aamnipr♦ __
___._ .. _
__
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
K V11 -5,u, uutsiue the oencnmarx 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
curer ')nn ,nI,n�l

"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."
)YZ�116
(nate
SWU-249-102107
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