NCG200495 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG200000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG20[N[OH]E]
FACILITY NAME
PERSON COLLECTING SAMPLES Og jr<- P(onj
CERTIFIED LABORATORY -5fOrgui'lle Lab # 40
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Lab #
COUNTY Tied e
PHONE NO. (-76q )253-105eo
Part A: Sped c Monitoring Requirements
SAMPLES COLLECTED DURING
CALENDAR YEAR: 26)'
(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.)
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Only complete Part B if this facility uses more than 55 gallons of new motor oil per month.
Part B: Vehicle Maintenance Activity Monitoring Zpaiii rpmante
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SEC I i0N
IFI
CATION IN r vim ANY INFORMATION REPORTED:
I certify, under penalty of law, that this document and all attachments were prepared under my direction orsupervisionin 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."
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(Signature of Permittee) (Date) I
NCG200000 DMR
Form SWU-256
Page 1 of I

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January 7, 2015
Gordon Recyclers, Inc.
dba L. GORDON IRON & METAL COMPANY
Drawer 1192
Statesville, North Carolina - 28687
Tel [phone]
Fax [phone]
Central Files
Division of Water Quality
1.617 Mail Service Center
Raleigh, North Carolina 27699-1617
Please find enclosed two copies of the Storm Water Discharge Outfall sampling report
covering L. Gordon Iron and Metal Company's 735 Monroe Street location. Samples
were collected on December 6, 2014.
Sincerely,
Scott Powell
A Tradition of Conserving Natural Resources Since 1917