NCS000244 DMR SW (3)

` STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 0 0 0 Z `f 4 SAMPLES COLLECTED DURING CALENDAR YEAR: So I S
(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 A Mt1'i &an D i S 11&_� O ri COUNTY '5rvnSw i LA
PERSON COLLECTING SAMPLE(S) \/iia.. nno n PHONE NO. (_5Lo) 3"+ l - 09 9 3
CERTIFIED LABORATORY(S) Env tco�n�,e•1,.\ t\Ae :s�Lab # fl W Q _
ol
Lab # RECIE W
SIGNATURE OF PERMITTEE OR DESIGNEE
MAY 2 6 215 REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
CENTRAL FILES
Collected
�Iffl :.
00556
00530
00400
Total -Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r
MG,
'inches
m
m /l
unit
al/mo
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part D)
Part B: Vehicle Maintenance Activity Monitoring Requirements NA
:Outfall; -Date
No. Sample
'Collected
50050
00556
00530
00400
Total -Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r
MG,
'inches
m
m /l
unit
al/mo
(r+ Form SWU-247, last revised 2/2/2012
See Govan ' e.��2f - 1^e Sa>M ��.¢� TD r �, c7D + COQ Page 1 of

rr ,
Permit Number NCS 0 0 0 714 H
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR:
(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.)
�,n � Q© oo
FACILITY NAME /'//�� ? M L 'G4 �+ D 1 / , [ / A LC0,1
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab # _
Lab #
Tart A: Specific Monitoring Requirements
COUNTY
PHONE NO. (_)
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
yes, _no
Outfall Date:
-No. Sample=
Collected,
1
AWMEEGULDBRAi0a•
00556
00530
00400
i
Total
-,Rainfall
-Oil & Grease
(if appl.)
Non -polar
O&GlTPH
(Method 1664
SGT -ITEM), if
avpl.
. Total
Suspended
Solids
PH
New Motor -
Oil Usage
mo/dd_ r
.•117G;
'inches
m
mg/1
unit
al/mo
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
yes, _no
Outfall Date:
-No. Sample=
Collected,
$0050-
00556
00530
00400
°Tout "Flow
--(if applicable)
Total
-,Rainfall
-Oil & Grease
(if appl.)
Non -polar
O&GlTPH
(Method 1664
SGT -ITEM), if
avpl.
. Total
Suspended
Solids
PH
New Motor -
Oil Usage
mo/dd_ r
.•117G;
'inches
m
mg/1
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 0 I ► a/ 1 S
�►
Total Event Precipitation (inches):
0`_ C' _
Event Duration (hours):
(only if applicable -- see permit.)
(if more than one storm event was sampled)
Date
Total Even Precipitation (inches):
0
Event Duration (hours); _
(only i f applicable — see pennit.)
Mail Original and one copy to:
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, hue, accurate, and complete. I am aware that there are significant penalties for submitting false information,
Including the
.,possibilhy of fines and imprisonment for knowing violations."
(Signature of Permittee) (Bate)
Form SWU-247, last revised 2/2/2012
Page 2 of 2