NCG060314 DMR SW

GENERAL PERMIT Nq. NCG
CERTIFICATE OF CO (
FACILITY NAME Bailey Feed M"iIL- I
PERSON COLLECTING SAMPLES Terry St
CERTIFIED LABORATORY Pace Analytical
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
Lab #12
Lab #
COUNTY Johnston
PHONE NO. [phone]
PLEASE SIGN ON THE REVERSE �
' Outfall't, ,Date j;
;No :Sample: {
14 ,Collected,iy'
j 1�'ii
t 06530
00400
00340
00556
31616
i Total Suspended
' i ��I ;Solids,
mg/L
pH,
Standard units
Chemical Oxygen
Demand,
m /Lro/dd%r;�
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
i 'h
.
-9.0Benchmark
120
30
1000
001 8/31/15
134
7.4
455
<5.0
NA
002 8/31/15
113
8.6
219
<5.0
-NA
003 8/31/15
87.5
7.8
<25.0
<5.0
NA
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity onitoring Requirements
yes no
Outfalls_
No. !
Date '
�; 00556
00530
00400
Sample.Collected, i 'Oil and Grease, Total Suspended Solids,
mo/dd/ ;r ; 4 m /L m /L
pH, New Motor Oil Usage,
Standard units Annual average al/mo
Benchmark
30
100
6.0-9.0 -
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 8/31/15 (first event sampled)
Total Event Precipitation (inches): 1.10
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
W -A
SWU-249-102107
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"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 imprisonmynt for knowing violations."
(Signatu4 of Permittee)
/ L
(Date)`
S W U-249-102107
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