NCG190094 DMR SW (2)

bI()KMWA'IUK DISCHARGE ALL {SDO)
GENERAL PERMIT NO. NCG190000
DISCHARGE MONITORING REPORT (DMR) ar
CERTIFICATE OF COVERAGE (COC) NO.:
FACILITY NAME: -t%] Ct, v IN' 1wn^
iA
SAMPLE COLLECTION NAME: i'ilrr�-
CERTIFIED LABORATORY: W,P �A ,.i�l'li'� Lab # I Q
Lab #
Part A: Specific Monitoring Renuirementc
RE P-0 IVFSQPLr,, COLLECTION CALENDAR PEAR:.. G M
(`This monitoring report is due at the Division no later than 30 days from
FEB tD&Nie facility receives the sampling results from the laboratory.)
CENTRAL FILF&iLITY COUNTY: , Ivy
DWR SECTION
PHONE NO.: ' ✓ Z
Outfall
No.
Samo
Collection Date,
mo/dd/ r
Total Rainfall,
inches
'00530
TP1l'by.niethod'
1664 (5rT-H ?YI
01119
01104
01494
01114`
Total Suspended
Solids, mg/L
,Non -Polar Oil &
Grease, mg/L
Coppery'', mg/L
Aluminum', mg/L
Zine-', mg/L
Lead"', mg/L
Freshwater
(Saltwater)
Benchmarks
_
-
100
15
0.010
(0.005 )
0.75
0.126
(0.095)
0.075
(0.220)
i i i.1 VWUC 75 til CXCC55 OI InC 0MC111nal"K. You must implement ire 1 ler i or 1 -ler z responses in the General Permit.
Total recoverable metal.
'These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg1L.
Solvent Manazement 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 for
Division of Water Resources managing solvents, I certifi' that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated solvents
Attn: Central Files into the stormwater or onto areas which are exposed to rainfall or stormwater runoff bus occurred since filing the last discharge
1617 flail Service Center monitoring report. I further certify that this facility is implementing �Alht; provisions of the Solvent Management Plan
Raleigh, North Carolina 27699-1617 -4, included in the Stormwater Pollution Prevention Plan."
12 -
(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
knowledge and belief,
possibility of fines_.4ni
the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my
t ue, accurate, and complete. I am aware that there are significant penalties for submitting false information,
for knowing violations."
(Signature ofTefmittee)
Permit Date: 6/02!2015-5/31/2020
(Date)
'including the
SVX-253-060515
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