NCG190018 DMR SW (10)

STORMWATER DISCI-IARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG190000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE (COC) NO.: NCG19©C}❑7®
FACILITY NAME: a��`?- W H sTE 10,—
SAMPLE COLLECTION NAME: J;�,Ae l c. 141W,00
CERTIFIED LABORATORY: E/joxw,igmi.f INC.- Lab# 0
Lab #
Part A: Sner.ific Nlnnitorinu Renuire.ments
SAMPLE COLLECTION CALENDAR YEAR:�1 c�
(This monitoring report is due at the Division no later than 30 days from
�t�heC.,glat the -facility receives the sampling results from the laboratory.)
JAN 1F20CIIGPfd
FACILITY 016
PHONE NO.: (M)
CENTRAL FILE
Outfall
No.
Sample
Collection Date,
mo/dd/ r
Total Rainfall,
inches
00530
TPHbymethod
1664 (SGT -HEM)
OV ` 1iI�01ili014
01104
01094
01114
Total Suspended
Solids, mg/L
Non -Polar Oil &
Grease, mg/L '
Copper1'3, mg/L
Aluminum2, mg/L
ZinC2, , mg/L
Lead2'3, mg/L
Freshwater
(Saltwater)
Benchmarks
_
-
100
15
0.010
(0.005)
0.75
0.126
(0.095)
0.075
(0.220)
CO jOC��li
L�,C�GJ
y �'
G 100
d l
oo.
' If a value is in excess cf,N ie benchmark, you must implement the Tiei 1 or Tiei 2 responses in the General Permit
Total recoverable metal"
3 These benchmarks are':water hardness dependant Values shown based on a hardness of 50 mg/L
&- Solvent Manaeement Plan Certification:
Mail original a6d'one copy to: "Based upon my inquiry of the person of persons directly responsible for managing compliance with the permit requirement for
Division of Water Resources managing solvents, I certify 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 has occurred since filing the last discharge
1617 Mail Seryice Center monitoring report I further certify that this facility is implementing all the provisions of the Solvent Management Plan
Raleigh, North Carolina 27699-1617 included in the Stormwater Pollution Prevention Plan "
(Sig ire of Permittee) (Date)
YOU MUST SIGN TIIIS 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 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."
(Signatu 4 of Permittee) (Date)
Permit DaV 6/02/2015-5/31/2020 SWU-253-060515
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