NCG200355 DMR SW (2)

STORMWATER DISCtssnItGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG2001101)
DISCHARGE MONI'T'ORING REPORT (DMR)
Cr, 11TIFICATIl?, Or COVERAGE; NO. P1CG20U355
1�ACILI'1'YNAME_� u1. ,� �;n�/►lounnli� 2eG- c -'R _
PEIISON COLLECTING MMPLES
CERTIFIED LABORATORY Skdcsv;ll{ A�ITc��_ l.ab #-14_
Lab # _
COUNTY C- A I AUJ t3A _
P11ONL' NO. (Md_)
Part A: Specific Monitoring Requirements
Milli itlrl�llt,s4 ,Itiitl,tidb i:opY tdl' SAMPLES CO1AA,CTr1,D DURING
••Wigibti,CALENDAR
Attl1: Celitl'iil11�.- ' ('Phis nuxsitoring report is due at the Division no
1617Iv1ii�(;etvlcr; Ceiltet Inter than 30 days from the dale the tacilily
receives the sampling results from the Inhorntory.)
ttait iglt,;loiilitiliilllitt•�i7(t99=1617
'f IV0 1.l')w
Outfall
No.
Date
Sample
Collected
ilio/dd/ r
'total
[iiia dil
111clies
00530
00340
00556
00400
.01113
01T19
00980
01114
01094
Total Suspended
Solids
nt ►'I
Chenticdl Oxygen
Dettiatid
tltg/l
011 & Grease
tit /t -
p11
-sai.
Ctidtitiattt
In /l
Cbpper
m /1
lruil2
m /l _
Lead •
_ tta 1
Zl--�—
m 1
13cttcltttttirlc
-
-
100
120
30
6d1- 9.0
0.001
0.007
N/A
0.03
0.067
'117a value is in excess of the benchmark, or outside the bcnchntatic range (for pl-1), you must implement the Tier 1 or Tier 2. responses in the General Permit.
z Total recoverable.
Only complete Part 11 if thkv jhcllily ries n10re Man 55 gallons 0)'11ety 1110101. oil per abate.
Part 13: Vehicle Maintenance Activltv Monitoring Requirements
Outfitll
No.
Date
Samplb
Collected
ino/dd/ r
'1'otai-
Aililiifdtt.-
incltefi
New Motor Oil
Usage
al/month
.-00530
Moo
00556
Total Stikjleuded
Suints
iti w l
oil.
9.tr. .
Oil & Gi•base
in 1
benchmark
J00
6.0-9.0
30
RECEIVED
FEB 0 4 201.5
CENTRAL FILES
DWR SECTION
YOU -MUST SIGN THIS CERTWICATiON ICOR ANY INFORMATION REPORTED:
"I certify, under penalty of low, that this document and all attachments were prepared under my direction or supervision in accordance wish a system designed to tisstire that qualified personnel
properly gather and evaluate the information suhmilled. Based on my inquiry of the pa'son or persons who manage the system, or those persons dimedy responsible for gathering the
information, the inrormation submitted is, to the best of my lurowledge and belief, true, accurate, and complete. I am aware that there are significant pennitiry Im submitting lidse inloraiatiun•
including the possibility of tinea and imprisonment fur knowing violations."
of,
(D te)
DMR Form SWU-256
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