NCG200355 DMR SW

.STORMWATER DISCt„+RGE OUTFALL (SILO)
GENERAL PERMIT NO. NCO2110000
DISCHARGE MONI'T'ORING REPORT (DMR)
CE RTIFICATE Of COVERAGE NO. NCG200355
FACILITY NAME G1'f in_ u n &CI;n
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY_SVa�CSV; ME #
W t ca I Lab #
COUNTY
PHONE NO. 31 1 -
Part A: Specific Monitoring: Requirements
} iill.tlfrl iu •Iiil� d.UH Cli1)ii!t�1I' SAMPLES COLLECTED DURING
CA
"
CALENDARYEA
;ii�i�ltir.tr
'AliliThis monitoring report is due al the Division no
16117 �V�i1�'.F�f t►lOb`t3itt�1' . ;''`, later than 30 days faun the dale the facility
1it�(iig�i : otil>tliltilliifl;�7�61,17•
receives the sampling results from the lahoratory,)
-11 W �b-J Cltnf'1'/11) O "11� 64 rS
Outfall
No.
Oute
Saiiiple
Collected
silo/dtl/ r
TWA
kt lljllidl
hit hes
00530
00340
00556
00400 .
.01113
v 01119
00980
01114
01094
Tutsi! $aapeitded
Solids
mull
Clibifliciil Oifteti
Deiiisitid ".
-11110._
Oil & GrOse
iii 1..., ..
pH
balk.
Coditilla It
Witt
Cigppe
m �
Iritis
tit l
Lesld
t1t 1
Zltic
nt l
13en�lttulirlc
-
TUU
1211
30
6.0-9.0
U.0 1
0:007
NIA
_
0.03
0.1167
If n value is in excess of (he benchmark, or outside the benchmnrk range (l'or pli), you must implement the Tier I or Tier 2 responses in the (ieneral PermiI.
2'1'0(01 recoverable.
Only complete Part Al If thin facility uses ntot•e trait 3.4 gallotts of nesv tttotor oUlrer month.
Part 1T: Vehicle Maluteuance Activity Monitorlutg Requlremeuts
Outfiill
No.
DAW
Smple '
Ciilleirted
Tito/tld/r
'1 dtAl - _
Aiiliifiill.
Iliclth�
Noiv Motor Oil
tissige
sig/t4ioiitlt
..0115Ji1..
00400
UUS56
Totitl Sit$jietided
Sblids
. tti l
jail .
s.it.. °
Oil & Gk6dse
iii 1 .
l3ettelitittil•k
-
-
-
UU
6.0 = 9.0
30
RECEIVED
JAN 01 2015
CENTRAL FILES
DWR SECTION
YOU MUST SIGN THIS CERTIFICATION FOR ANY .INFORMATION RTPOR'I'CD:
"1 certify, under penalty of law, that this document and till attachments were prepared under my direction or supervision in accordance with a system designed to assure that quaiilied personnel
properly gather and evaluate die information submitted. Based on my inquiry of the person or persons who manage the system, or diose persons directly responsible for gathering the
i 1fornation, Elie infomiation submitted is, to the best of my knowledge and belief, trate, accurate, and complete. I am aware that there are signilicant penalties tier submitting tidse iulbrmation,
including the possibility of lines and imprisonment for knowing violatlona."
(sig
NC(i200000
©i 0aAS
(Date)
Form SWU-256
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