NCS000312 DMR SW (2)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: 000312 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: DART AgggisitionA LLC COUNTY: Mecklenburg
PERSON COLLECTING SAMPLE(S) Mike Chapman (Shealy Lab) PHONE NO. [phone]
CERTIFIED LABORATORY(S) Shealy Environmental Services Lab # NCDENR 329
Shealy Environmental Services Lab # NELAC E87653
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall i Date
Sample Total
Collected Flow (if app.Rainfall
Total
50050
00556
00530
00400
1
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
m
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Requirements
Outfall
No.
Date
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
m
m
unit
al/mo
Form SWU-247, last revised 212/2012
Page 1 of 2

` STORM EVENTCHAR_ ACTERISTICS: • Mail Original and one copy to:
Division of Water Quality
Date: 04/14/2015 Attn: Central Files
Total-Event Precipitation (inches): 0.30 1617 Mail Service Center
Event Duration (hours): n/a_ (only if applicable= see permit.) Raleigh, North Carolina 27699-1617
(if more than one-storm event was sampled);
Date
Total Event Precipitation (inches): "
Event Duration (hours): (only if applicable - see permit.)
"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."
(SignatVre of Permittee)- (Date) .
Form SWU-247, last revised1/2/2012
',Page 2 of 2 `