NCG060186 DMR SW (7)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 O (9 (o
FACILITY NAME W .Vnc 17-c►reks L L L
PERSON COLLECTING SAMPLES :5cctr.i �'�e✓�-i.
CERTIFIED LABORATORY p� JdA-/.,E_/ Lab # 77 $
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sam ling results from the laboratory.)
COUNTY _Su r r'
ER'rg
-37 -52(
R
PL HEV
THEREVERSE 4
DEC 18 2015
C
.'Outfall
' Date • '
""; _'' `' . '
00530
�; 0'0400
' ' - :
ENT
HAL F11 9
16
No.
;; : S't►m le
:• ,:Tota,' Suspetided' �;� ''
: ,''f
r� .r..'.. '�, H
; P .
`;,
Ch mi al O xyen
r. '
s.,0i1„and. Grease, 'Fecal Coliforms
Collected''
,,.,,'
'r :,�
'A .
,,, Sohds , ;,;.,:•, , ,
".''
; S�tari'd'ard'units'
a
' ,Demaiit� =4-
;.<
mg/L''' A, Coli►iiie's''p�r 1Q0 aril
rm oMd/ .
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:;
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t ,
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-Ben hm
C ark'•
-
;,, r,. l0Q'.,,';'�;.„4. �'..,',�.',Wtthin:4:0=.9.0
�
• � .,'
=,x,1000.
O6
It --Ip
G I
6- 44
(01-0
rr.�;.
10
oZ-
i- •tS
114024-5
S
0
00
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.y
-3
0
0
Note• Ifou re ort
a sa 1-4 1
CL
J- p I'll,a va ue to excess o t e benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes no
(if yes, complete Part B) —
Part B: Vehicle Maintenance ActivityMonitorin Re uirements
OutfallDate'
No: Sample Collected;
mo/d'd/'
Benchmark _ .:;
; 00556 ” , :. •,,.
..Oil a'nd Grease;,.
r .
u : ;30'. ;'
00530 `004
Total Susiiended Solid's, :, _ : ,PH", .;. New Motor Oil Usage,
"' tagdard'•units Annllmil Avera a al/mo
100' .a'. ',r' _•
r;
Note' If vnii rennrt a camnlPri wal,.a _._,.-_
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date /- -I (first event sampled)
Total Event Precipitation (inches): a -as
value, of outsyue the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
curry nnn iniin',

"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 pay 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 ermittee) l
. � .._ ..... _ _. �; .(Date)
. :gib ..`.•. '� _
_ 7
A
S WU-249-102107
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