NCS000201 DMR SW (2)

Permit Number NCS 000201
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the.sampling results from the laboratory.)
FACILITY NAME UNC -CH Hazardous Materials Facility`�
PERSON COLLECTING SAMPLE(S) Sharon M e s IE� V
CERTIFIED LABORATORY(S) ESC Lab #ENV 375
Lab #JAN 19 2016
Part A: Specific Monitoring Requirements
CENTRAL FILES
DWR SECTION
COUNTY Orange
PHONE NO. ( 919 ) 962-9752
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall Date
No. Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Non -Polar Oil
& Grease)-
Total pH BOD COD
Suspended
Solids TSS
mo/dd/ r
MG
inches
mg/1
mg/1 units m /l mg/1
001 12/14/15
0.13
0.15
ND
212 7.07 9.2 28.3
mo/dd/ r
MG
inches'
m
mg/1
mg/1
unit
al/mo
001 12/14/15
0.13
0.15
ND
NA
212
7.07
100
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Reauirements
Outfall Date
No. Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Non -Polar Oil
& Grease (if
a l.)
TPH-0i1 &
Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches'
m
mg/1
mg/1
unit
al/mo
001 12/14/15
0.13
0.15
ND
NA
212
7.07
100
Form SWU-247, last revised 2/2/2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 12/14/15
Total Event Precipitation (inches): 0.15
Event Duration (hours): 7 (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
a
(Signature of Permittee)
zip s
1 /�.
(Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2