HomeMy WebLinkAboutNCG060339 DMR SWForan 7
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 015
CERTIFICATE OF COVERAGE NO..JC (This monitoring report is due at the Division no later than 30 days from
j the date the facility receives the mpling results from the laboratory.)
FACILITY NAME g g till
PERSON COLLECTING SAMP ES R M� 1A li �i'HONE NO. (
CERTIFIED LABORATORY Lab # `(
Lab # JAN 21 2016 PLEASE SIGN ON THE REVERSE -�
Part A: Specific Monitoring Requirements
CENTRAL FILES
DWR SECTION
Outfall Date
No. Sample
Collected,
mo/dd/ r
00530
00400
00340
00556
31616
Total Suspender)
Solids,
m /L
pH,
Standard units
Chemical Oxygen
Demand,
m /L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Benchmark -
100
Within 6.0 — 9.0
120
30
1000 -
7, i
c13
h
-5 7zx
AY
�.
G
13. 95
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. - � l N r , , e� dwz �u 6m5 rf oA
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per months _yesno
(if yes, complete Part B)
Part B• Vehicle Maintenance Activit onitorinLr Re uirements
Outfall Date 00556
No. Sample Collected, Oil and Grease,
mo/dd/ r m /L
00530
Total Suspended Solids,
m
00400
pH, New Motor Oil Usage,
Standard units Annual averse at/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 'Pier 1 or Tier 2 responses.
See General Permit text
STORM EVENT CHARACTERISTICS:
Date first event sampled)
Total Event Precipitation (inches):
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
S WU-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 es and imprisonment for knowing violations."
(Signatdre of Permittee) (Date)
S WU-249-102107
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