HomeMy WebLinkAboutNCG020883 DMR SWSTORMWATER DISCHARGE MONITORING.REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
JAN
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar Year:' 2 ► i
15- (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 C 'sY-3 County of Facility
Facility Name t ` ewta.0 0—:;i 'f G' -4 qq" ^JP- Name of Laboratory
Facility Contact i=e�r2� t,'N(ctvr 4e,y de-- Lab Certification #
Facility Contact Phone No. „ •,
Part R- [.nnd Distarhanca and Prnrecs Aran Mnnitnrinv Ronairaynents
Outfall .:
No'... ,
Receiving Stream
Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity
Settleable
Solids
mo/dd/ r
MG
mg/1
NTUs
MIA
Part D: Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours):
Part E: Certification
Part C: Vehicle Maintenance
Outfall
No.
Loilv-
,Y1 /1 h i� r �' • 7 t 5
Receiving Stream I .
Name
EIVE®
0 g blb
.CENTRAL FILES
OWR SECTION
Total Event Precipitation (inches): —
Event Duration (hours):
(if a separate storm event is sampled)
uirements
50.050 00556:.:. 0663.0:90040'0.,
Total Oil and Total
Flow Grease :'Suspended, - pH
Solids
.'1Alf
/ °j � a. Ar.*P- ISG
"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." ,
( gn are of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-243-012005