NCG200339 DMR SW (2)

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG200000
DISCHARGE M6NITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. WG20©®QE]
FACILITY NAME AS i itl ,0 -e- "Tror-, x- rnt(. Cco
PERSON COLLECTING SAMPLE- 'r\a 42 r-
CERTIFIED LABORATORY ab #
Lab #
COUNTY l
PHONE NO.
Part A: S ecific.Monitorin Requirements
Marl or,grnal and one copy to
SAMPLES COLLECTED DURING
Dtvtsion ofhWater Qtialtty `
CALENDAR YEAR: -aD l5'
Attn CentralFlles k
(This monitoring report is due at the Division no
"1617:1VIatl Servtce Centers
. later than 30 days from the date the facility
Raleigh, _North Carolina 2769'9 1617'
receives the sampling results from the laboratory.)
01094
Total Suspended
Solids
m
Outfall
No.
Date
Sample
Collected
mo/dd/ r
Total
Rainfall
inches -
00530
00340
00556
00400
01113 :,
01119
00980 01114
01094
Total Suspended
Solids
m
Chemical Oxygen
Demand
m
Oil & Grease
m
pH
s.u..
Cadmiumz
m
Copper
m
Iron Lead
m m
Z1nC2
m
Benchmark "
-.-
-
100
120
30
6.0-9.0
0.001
0.007'.
N/A 0.03
0.067
MAR
......... .,. V^A VaJ Vl U„� Vc„R,u,uuK, V1 Vuw,ue wm
e uencnarK range troy pH), you mi L�1ME11t'tger 1 or Tier 2 responses in the General Permit.
' Total recoverable. DWR SECTION
Only complete Part B if this facility uses more than 55 gallons.of new motor oil per month.
Part B: Vehicle Maintenance Activitv Monitorine Renuire.mPnk
Outfall
No.
Date Total New Motor Oil
Sample- Rainfall Usage
Collected
mo/dd/ r inches al/month
00530
00400
00556
Total Suspended
Solids
m
pH
s.u.
Oil & Greas
m
Benchmark
- -
100
6.0-9.0
30
1
SGm� 0.nnuc�ti
vv iriva 1 aivly! 1 nia c nn It tr IUA t 1uN r'OR ANY INFORMATION REPORTED: .
'"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 ev'luate the information s �Ff
d. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the informhtion submit[ 1 ,to e of my knowledge and belief, true, accurate, and complete. I am aware that there are significant enalties for submittin false information,
including the posfib�ity� offines.and m is nflr knowing violations.". p g
(Dat
NCG200000 DMR ` f Form SWU-256
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