NCG060185 DMR SW (9)

STORMWATER DISCHARGE OUTFALL (SDO) NOV ]. 8 2015.
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 b 1$S
FACILITY NAME w.-yA-t F"rA%5 L L C
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY _Q.tt Lab It 3173
.Lab ##
Part A: Specific Monitoring Requirements
DW SES
SAMPLES COLLECTED DURING CALENDAR Y1, VON
(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.)
COUNTY S u r l
PHONE NO. (33AJ 3 8& - s . $(o -f
PLEASE SIGN ON THE REVERSE 4
Outfall.:Date
No
0053Q
OQ400.
'4#03.40!::1,SSh,i+
Outfall Date::
31 61G
Sample <:,
Total Sus ended yi`OQ
No: sample Collected;`Oil
and Grease,
,ti3Oil,andSCr6sea
Fecal Coliform, •.
C"pllected, „i
011 S
S d
) ii Standard units
Deman
mg/L : J i r
Colomes per 100 ;nil
mo/dd/
,
.9-1
C hmark
,ISof
10- a
n low
Nnty• Tf unr, rannrf a ..10.1. L.e
- - -r - - -1 - --�- --• �•-���� .. •_.....,--�-uuala value, ul uumuc ulc uc11c11rnarx range ror pH, you must implement Tier 1 or Tier 2 responses.
See General Permit texxtt .
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no
(if yes, complete Part B)
cart ti: vehicle Maintenance Activity
onitoring Requirements
Outfall Date::
0.0556
00530
00,400 i :.;
No: sample Collected;`Oil
and Grease,
Total Suspended Svhds,
pH;New Motor 0i1 Usage;
mo/d'd/'
Stand0d units .: Annual:'avera a aUmo
IIenchmark :' -
30
,
.9-1
Note: If you report a sampled value in excess of the henchmark vah,e nr nweirie tha hnnr•h—tr rte,, ,o f .. u T•
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date I (first event sampled)
Total Event Precipitation (inches):
.p- --- Y.'-, I-- ... - .... F ....... a -V- a u- 1161 G 1G71Ju11SOJ.
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
0
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
4ZA1TTT.1n0 in-,Tn-,

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision.m.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."
(Signature of Permittee) (Date
S)VU-249-102107
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