NCS000009 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000009 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME SGL Carbon, LLC COUNTY Burke
PERSON COLLECTING SAMPLE(S) SGL Lab Personnel PHONE NO.8( 28) 432 - 5773
CERTIFIED LABORATORY(S) SGL Carbon, LLC Lab # 609
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REpUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
Total
Total
Flow (if app.)
Total
Rainfall
Total
Suspended
Solids (TSS)
COD
pH
Collected
(if applicable)
Rainfall
(if appl.)
mo/dd/ r
MG
inches
m /L
m /L
Units
(Method 1664
Benchmark
No sample was collected this period due to the inability to capture a qualifying storm water event. The weather has been dry and we
have not had a qualifying event when personnel were available to collect the sample. A sample will be collected at the next qualifying
rain event.
SDO-001
SGT -HEM), if
appl.
moldd! r
MG
inches
mg/1
1
1 mg/1
unit
al/mo
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? x yes no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Requirements
Outfall Date
No. Sample
50050
00556
00530
00400
Total Flow
Total
Oil & Grease
Non -polar
Total
pH
New Motor
Collected
(if applicable)
Rainfall
(if appl.)
O&G/TPH
Suspended
Oil Usage
(Method 1664
Solids
SGT -HEM), if
appl.
moldd! r
MG
inches
mg/1
1
1 mg/1
unit
al/mo
Form SWU-247, last revised 2/2/2012
DC1 For internal use only - (THOMPSONBI) Pagel of 2

STORM EVENT CHARACTERISTICS:
Date _
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):' (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signature of Permittee)
(Date)
Form SWU-247, last revised 2/2/2012
DC1 For internal use only - (THOMPSONBI) Page 2 of 2