NCG190028 DMR SW (2)

CERTIFICATE OF COVERAGE NO. NCG19 0028
STORMWATER DISAGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG190000
DISCHARGE MONITORING REPORT (DMR)
FACILITY NAME DUCK CREEK SMALL BOAT HARBOR
PERSON COLLECTING SAMPLES Jim Frei/ SwSG
CERTIFIED LABORATORY Pace Analytical Lab # 12/ 40/ 67
SwSG Lab # 5054
Part A: Specific Monitorinz Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(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 CRAVEN
PHONE NO. ( 252) 638-1702
Outfall
No.
Date
Sample
Collected
mo/dd/ r
Total
Rainfall
inches
00530
00400
00556
01119
01104
01094 -
01114
Total
Suspended
Solids, m
pH
Standard
units
Oil &
Grease
mg/L
Copper '
mg/L
Aluminum
mg/L
Zinc '
mg/L
Lead '
mg/L
Benchmark
-
-
100
Within 6.0 —
9.0
30
0.010
0.75
0.126
0.075
001
09/25/15
1.69"
11.8
7.34
< 5.0
1.2
0.40
0.16
0.014
002
Represented by SDO-001
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
2 Total recoverable.
'These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L.
Solvent Management Plan Certification:
Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement
Division of Water Resources for managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated
Attn: DWR Central Files solvents into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the
1617 Mail Service Center last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent
Raleigh, North Carolina 27699-1617 Management Plan included in the rmwater Pollution Preven ion Plan."
✓`J ✓</ c 7-
(Signature of Permittee) (Date)
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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
pos�ibili�' �ofines nd imprisonment for knowing violations."
G9z4.r �� �,r T ZY
(Signature of Permittee) (Date)
Permit Date: 10/1/2009-9/30/2014 SWU-253-92309
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