NCG210073 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG210000
CERTIFICATE`OF SAMPLES COLLECTED DURING CALENDAR YEAR:
COVERAGE NO. NCG21 pn� 70© (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Bill Hanks Lumber Co ®
PERSON COLLECTING SAMPLES a ECEIVErqOUNTY Stokes
CERTIFIED LABORATORY Researc na ytica - ONE NO. C `Jb ) 593--2022
Lab # .1JUN, 19 2015
Lab # PLEASE SIGN ON THE REVERSE.4
Part A: Specific Monitoring Requir-.ements' 'CENTRAL FILES
DWR„SECTION
Outfall Date 00530
No. Sample,Collected, Total Rainfall, 00400
Benchmark*
, —®
Total Suspended Solids,
m
pH,.
Standard units
00340
Chemical. Oxygen Demand (COD),
m
100-7—Within
6.0 = 9:0
120
3
9
yo
w
Monitoring is required only if the facility stores exposeid piles of sawdust, wood chips bark, mulch, or other similar material on site for longer than seven (7) days.
If the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall
also record and maintain a.log in its SPPP (Stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and,by whom.
"Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement 7f ter 1 or Tier 2 responses in the General Permit.
Facilities that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material for
longer than seven (7) days on may so certify, and the requirement for analytical monitoring maybe waived. For those facilities that qualify for the analytical monitoring waiver, the
discharger shall sign the following certification statement:
"Based upon mydnquiry of the person or persons directly responsible for managing compliance with the permit requirement for
'analy'tical monitoring, I certify that,to.the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or
other similar materials were stored exposed (either to incident,precipitation or to stormwater run on) for longer than seven (7)
days before removal since fling the last discharge monitoring report.°
Name (Print name)
Title (Print title)
(Signature)
kLntc)
S WU-245-072808
Page I of 2

DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON
AVERAGE, IN THE CALENDAR YEAR?
❑ l_e� No (if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date 00400
00556
00530
Sample Collected, Total Rainfall, New Motor Oil Usage, pH, Oil and Grease,
mo/ddlyr inches Annual average gal/mo.-,,T,-Standard units mg/L
Total Suspended Solids,
mg/L
Benchmark*
- - _ '}3 . 6.0 — 9.0
30
100
"Notc 11 \'uu I CPON a Value in excess of the enchmark value, or outside the benchmark range (for pH), you must implement Tier l 'or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
5'OC7'.\JUST SIGN T141S CERTIFICATION FOR ANY INFORMATION REPORTED IN PARTS A AND/OR B:
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."
(Signatu
/ f /V liifs�
f Permittee) Q0
Z/
(Date)
SWU-245-072808
Page 2 of 2
r