NCG190018 DMR SW (11)

CERTIFICATE OF COVERAGE NO.
FACILITY NAME WR4AY ^ N/HITI
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY t-Ahl
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)��®
GENERAL PERMIT NO. NCG190000 FEB ® 3 2015
DISCHARGE MONITORING REPORT (DMR)
Lab #
Lab #
SAMPLES COLLECTED DURINGCRnoafttern
!CAI'
(This monitoring report is due at the Division 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Pt R
PHONE NO. 752 -2111
Outfall
No.
Date
Sample Collected,
mo/dd/ r
Total Ra' fall,
inche
00530
Total Suspended,
Solids,
00400:
pH,'
Standard units
00556
Oil & Grease,
m
01119
Copper2l ,
m
01104
Aluminum
01094
Zinc ,
m
- 01114
Lead ' ,
m
Benchmark
-
100
Within 6:0 - 9.0
30
0.007
0.75
0.067
0.03
I
1i ere IF
3(7
7•�
X5.0
20.010
X0.0/0
0,o49
0-s
-TtI
i llI`i-
a.
,2-
Z-0.010
0470
0•Syl
L 0C>5
$
1/)7-115
135
LZ`r'
7.8
-1-d3.0
ZDA0
-;::-0-1D0
--0.0-70
LO.0�
Z
I) Z� {1��
8
4'1
—7,8
010
Q. C9b I
OIS
' 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 Permit.
Total recoverable.
3 These benchmarks are water hardness dependan . Values shown based on a hardness of 50 mg/L.
5 /vent Mana ement 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 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 certi 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 "
ur
(Si e of Permi tee (Date)
'
YOU MUST SIGN THIS CERTIFICATION OR ANY INFORMATION REP TED:
"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 p rsonnel 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 omplete. I am aware that there are -significant penalties for submitting false information, including the
possibility of fines and imprisonment or knowing violations."
(Signature of
(Date)
Permit Date: I V// 1/2009-9/30/2014 SWU-253-092309
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