NCS000244 DMR SW (4)

STORMWATER DISCH ARCS OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS o or) -t �•,i I'I_
FACILITY NAME A M er� f.G ►n 0 t 5' I ! I - a' i _
PERSON COLLECTING SAM PLE(S) ?--. as r .i W 1, i ie -
CERTIFIED
e_CERTIFIED LABORATORY(S) f= ,j)r e n (c Ghee %cI Lab # VWQ --%T9
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 0 { S
(']'Iris 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.)_
COUNTY ?-, ( V Af W i CIG
PHONE NO. Lq o 3-4 l - Oast 3
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
1,
II I
00556
00530
00400
Total Flow
(if applicable)
!=1
Oil & Grease
(if appl.)
IM®�
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
_
rrr /1
rn /I
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 B)
Part B: Vehicle Maintenance Activitv Monitorine Reauirements N
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
mo/dd/ r
MG
inches
_
rrr /1
rn /I
unit
al/mo
Form S W U-247, last revised 2/2/2012
Page 1 of 2

Cts it ►+ n v ¢ cQ
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
p,-, Z
Permit Number NCS ©� �„ � _ SAMPLES COLLECTED DURING CALENDAR YEAR: 2-06
(This monitoring report shall be received by the Division no later than 30 days from
f I the date the facility receives the sampling results from the laboratory.)
FACILITY NAME A Met+ r -&A D °s + 1 t ��?n COUNTY Cv r Sun'
PERSON COLLECTING SAMPLE(S) L „, r �t \r) In�'�ty PHONE NO. (q 10) ;3'� 1 — C1�t a 3
CERTIFIED LABORATORY(S) eng (p^A%e. 1 Ghar;S}Lab # nw Gr p
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
f s
DateI
Sample+i
I I -■
ITotalCollected,
-■ -■
1Rainfall
00530
00400
■— r 11 ��
Total Flow
(if applicable)
r n C i.■■—
■
Non -polar
O&G/TPH
(Method 1664
SGT -HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
In /I
m /I
unit
al/mo
Does this facility perform Vehicle Maintenance Activities using more than 55gallonsof new motor oil per month? _yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Ac ivity Monitoring Requirements NJ
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
mo/dd/ r
MG
inches
In /I
m /I
unit
al/mo
Form S W U-247, last revised 2/2/2012
Page] of 2

5"tt)r1Al EVENT CtIARACTERISTICS:
Date /I
Total Event Precipitation (inches): 110
Event Duration (hours): O.S (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."
t4innutore of Permittee)
(Date)
Form S W U-247, lass revised 2/2/2012
Page 2 of 2