NCG160042 DMR SW

STORMWATER DISC .1GE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG160000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
CERTIFICATE OF COVERAGE NO. NCG16 0 0 4 2 (This monitoring report shall be received by the Division no later than 30 days from the date
�� �tireceives the sampling results from the laboratory.)
ME
FACILITY NALarco Construction Co. — Winston-Salem �tu COUNTY GUILFORD
PERSON COLLECTING SAMPLE(S) Jim Frei (SwSG) !AN 0 2015 P ONEp43 6 767-3500
CERTIFIED LABORATORY(S) Pace Analytical Lab # 12167
SWSG Lab # 5�5 ENTRAL FILES GNATURE OF PERMITTEE OR DESIGNEE
DWR SECTION By this signature, I certify that this report is accurate and complete
to the best of my knowledge.
Outfall
No.
Date
Sample Collected
mm/dd/yr
Total Rainfall,
inches
00530
00400
00556
Total Suspended Solids, mg/L
pH,
Standard Units
Total Petroleum Hydrocarbons, mg/L
EPA Method 1664 (SGT -HEM)
Benchmark'
-
-
100
6.0-9.0
15
001
02/21/14
0.40"
185
7.74
< 5.0
001
12/16/14
0.12"
58.4
6.85
< 5.0
' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
Mail Original and one copy to:
NCDENR/ DWR
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN CERTIFICATION FOR ANY INFORMATION REPORTED:
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 those persons who manage the system, or those persons
directly respons le fo gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there "sip ;antes for submitting false information, including the possibility of fines and imprisonment for knowing violations.
(Date,
SWU-253-051409
Page 1 of 1