NCG190018 DMR SW (8)

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG190000 FEB U 3 20fS
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCC 9 ►91 Q®
FACILITY NAME QX4AY'II//tlTf
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY tai
Part A: Specific Monitoring Re uirements
Lab #
Lab #
C�AIT
SAMPLES COLLECTED DURING ClRoa"ftrr
! 1 5
(This monitoring report is due at the Division 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Pj 0
PHONENO. (2St 1_
?52-211)
Outfall
No.
Date
Sample Collected,
mo/dd/yr
Total -Ra'
inche
00530
fall, Total Suspended
Solids
00400
-pH,,,
Standard units
00556
Oil & Grease,
m
01119
Copper, ,
m
01104
Aluminum
m
01094
Zinc ' ;
m
01114
m
Benchmark
-
-
100
Within 6.0--9.0
30
0.007-
0.75
0.067-
0.03
-I
I1a.]? J`
Q�
/•3C7
-'.(P
•_5,0
X0.010
0,09Y
GO.clr>S
12 1 N-
IP
a
72-
GS,v
Z-0• ®10
0.170
0.54(
L 0 CoS
�I
►I1211S
135
LAY
7.8
_/_S.o
Z0.D?0
.40.1oc
_C>.0 -7C
ZO.O�a
v
# Z
W201,4
.10
$
-7,9
G_5.0
2-0,01D
G v , ,Df Z)
�. C(o I
' If a value is in excess of the benchmark, or outs de the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Perrrut.
Total recoverable
3 These benchmarks are water hardness dependan i. Values shown based on a hardness of 50 mg
/L
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 Quality f for managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated
Attn 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 certt y th t is facility is implementing all the provisions of the Solvent
Raleigh, North Carolina 27699-1617 Management Plan included in the Storm ater oll io revention Plan."
(Si iure of Perim tee (Date)
YOU MUST SIGN THIS CERTIFICATION OR ANY INFORMATION REP TED:
"I certify, under penalty of law, that this ocument and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified p rsonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those ersons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, acurate, and omplete. I am aware that there are -significant penalties for submitting false information, including the
possibility of fie and imprisJn ent or knowing violations."
_ I'21
(Signature of/Pgrmittee) (Date)
Permit Date. 1 C4/f/2009-9/30/2014 SWU-253-092309
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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 imprisonment for knowing violations."
(Signature of Permitt e)
(Da e)
SWU-249-102107
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