NCG060310 DMR SW (4)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO, NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: a—�J
CERTIFICATE OF COVERAGE NO,1G06t 0.3�� (This monitoring report is due At the Division no later than 30 days from
the date the facility receives the am Ing res Its from the laboratory.)
FACILITY NAME,-" .�}f tI�� /%!/1L COUNTY r
PERSON COLLECTING SAW LES _RECEIVED PHONE NO. D
CERTIFIED LABORATORY Lab # DEC 2 9 2015 PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
DVVR SECTinry
Outfall Date 00530
No, Sample Total Suspended
Collected, Solids,
mo/dd/ r m
00400
00340
00556
31616
pH,
Standard units
Chemical Oxygen
Demand,
m
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Benchmark •4/ 100
Within 6.0 — 9.0
120
30
1000
Ll
z
Note: I f 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,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Pnrt Re Vnhinln MAintnnnnnn Anfivifv Mnnifnrino Rnmiirwmenk
Outfall ^ Date 00556
No, Sample Collected, Oil and Grease,
mo/dd/ r m
00530
Total Suspended Solids,
m
00400
pH, New Motor Oil Usage,
Standard units Annual average ol/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 t'or pH, you must implement Tier I or I icr 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date %J6147 (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
info inAtion 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."
tune of Permittee)
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(Date)
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m• �i .' pLL O � _
S WU-249-102107
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