NCG200448 DMR SW (2)

STORMWATER DISC:tGE OUTFALL (SDO)
s
GENERAL PERMIT NO. NCG200000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVER/AGE NO. NCG200448
FACILITY NAME Gr, ',,, (.1,,,do., Acyc,nh D89 Moa, A,- R«,c%„g
PERSON COLLECTING SAMPLES ZKv P1
CERTIFIED LABORATORY S+446yilk 14nc, ly%« I Lab # YYQ_
Lab #
COUNTY
PHONENO.(K1,F) 39r[-`Iqg3
Part A: Specific Monitoring Requirements
Mail di ikiiifil aiitl line 1`t py to' SAMPLES COLLECTED DURING
Division otwatef 01iality CALENDAR YEAR: �?Q15
Attil: Ceiitf6t Files (This monitoring report is due at the Division no
later than 30 days from the date the facility
Raleigh,140 l✓a ,A% 2'7699-)617
1617 1v1ail Sel-�ice CeHtef receives the sampling results from the laboratory.)
/+ /Vo Ro Vj
Outfall
No.
Date Total
Sample Rainfall
Collected
mo/dd/yr inches
00530
00340
00556
00400
01113
01119
00980
01114
01094
Total Suspended
Solids
m
Chemical Oxygen
Demand
m /I
Oil & Grease
m /I
pH
S.M.
Cadmium
ni 1
Copper
m 1
Iron
m
Lead
In
Zinc
tn' l
Benchmark
- -
100
120
30
6.0-9.0
0.001
0.007
N/A
0.03
0.067
1 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
2 Total recoverable.
Only complete Part B if this facility uses more than 55 gallons of new motor oil per month.
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall Date
No. Sample
Collected
mo/dd/yr
Total New Motor Oil
Rainfall Usage
inches al/month
00530
00400
00556
Total Suspended
Solids
mg/1
pH
s.u.
OR & Grease
m I
Benchmark -
- -
100
6.0-9.0
30
RECENE®
FEB 0 4 2015
CENTRAL FILES
DVIR SECTION
YOU MUST SIGN THIS 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 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 my 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.”
of Permittee)
-2/-2//5
(Date)
DMR Form SWU-256
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