NCG100073 DMR SW (2)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG100000 SAMPLES COLLECTED DURING CALENDAR YEAR:—2d—)5
CERTIFICATE OF COVERAGE NO. NCG10 toD'7 (This monitoring report is due at the Division no later than 30 days from
the date the facility receivesth s ling results from the laboratory.)
FACILITY NAME %�� ' COUNTY C�e—
PERSON COLLECTING SAM ES Pw PHONE NO. 03, (D)
CERTIFIED LABORATORY Lab # f2"L
nc� y (�.,� Lab # PLEASE SIGN ON THE REVERSE 4
Specific Monitoring Requirements:
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (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
SWU-251-102107
Page 1 of 2
- i��i„
.,�,,'
�J=3 `%?': irk. ;'3��-.;'�sii'ar",. -' E`. .�n .0='tt,: l:
15• is£a:+C:.
� ; a,,. �r�;',•' �=�; > • "' 00•..�
1=r,�'
yUY�"' ,}-vi,�}"{f
•€Y'; s,�n� •�i"
�� ,-, ,�0 5
r..,�
.off l,..Y: h4 :i':iiJ y`��'�,i'
.•�, ., rih�^'�
-„y_�-•� Sl'4
Z 1 .,a-
.:•iL YEA', �'. ,��'J')y '�
;', ``�u,r k.. -t. -'R:
,.t,.,;. F�.,
>r;�,,4�., ,. Z3=, -
��. ,'l�E r,y.
-
Va1�.=:
x0. ,G;;
"Y.`.”
`,✓.�'
�To
.�70,_
'11,
p,r, �..
.i .1 i:eaci 7Ca
;Tot-a„sus
't wY
.Oil.. atd`>Grea`s�
7r..«�' :I:; -;J -'`
".� >:Tbsac- ,.,�;;'.,,
tad,
Ev.
: ,•,Etli` ene:rGl �� �oP`: ,
Y9..�,
.Jt�
C � •' �� ,
:
- -a; .,
-r ; ..s.
-`�M,Y,,
- - , i+1N
,s_ ..x .,t�
,;, wY .Z�r,. xr!'"� .�:- .$�..q,,,s��„u. ,k.,. - ;�..>. „'*t.
� c..,-��,, �•-: ,:. h i �u'�
3>A'=+•ti,� <.,•t �•-, 1 }r`l iL
`�:�! i`d,, K"�i •NP r „4„s�Standa'fd'unts� t.” _ ;,,,, ...b.'
.�.'^'€, 1
�� r�.�- _�.,E
-rcrs„M=_.c ..{ �<
y,J; ��,tu,.,r,,, _ , r .,-t :, r
4`s"{2 ��, f"S, .((
3.s' ,�J> :.. ttI `_
..�� :n+, Jy„t,,; ,�. .,�:'r•<�r
'_j� �u�� .,• ,
.�^ Ali-�3��a
.t.,,,��,�.. _�g0 , 5. �,s �, ���,n
`i..,.r•
',.rFk,' w.x;. _,v2::�{„�
•.Y�
4�., . s = � � �;�,; .;A.,
,41,C„ - £>'<}�
. taiga ,
- .;;,' %5
�<?�
.;.r ,.4
,.R: . t A �:, ,,'� x -vs •`�
.t xi. u,�r .-�.��, K,n - .r�.
�,
'+xld.,- n, , r:.�?' ,.'<ic. Ycj �." - a -
i,,;�5� -m,,r�
„Y e� - r'''•r�i n. i�';..., :i+ 1 :t'�^:'
�
k � r, .r'�';.'i'';+'_i i4
"y w;• , i, r
t ”
�, is
^'Si” t5c i' - :tF{,
¢;r`;.•n 3
.a,•r�
F.t+n'=� -
>t ,'L 2ay., S..,;
L.`'z,
St.
��''i"•,�x<.;,�'
r{ .T �'•
i;m'�� ,{v; �,.,r
.;.L, ,^l.
��. al .+r� 1 r�.x.�rr4s� 1�
, .�� �+r`n^ i.
�:;. vilz •k:,"
. rC•
”^�I .�i".'
.`+t
1..,!�
-�
;, `
roae x•,er'
.,,., 4E--<'=� • .,;�„ . s.r it'±�n - 4, o ..
', ��,: J;; it. ��3=3'r,T`0u`• 9'J'h't
4D?ra', ,!'n; t,i'.t �!d< ,� ''A', i.
�3��:'�`.
cf", r""�'•-
`�'n,r
-aai�' ,.a4s .8,
a`?,
•;r'•
�� rf
, a,,,
1:, '-.� ��:�� V�3`-'e3 ��'4.,:
, ��" , .T00�#�� : W hiril6,. -.x � <,' ,?. >•> .
.: �tl .J _ _ . � , dt.,_
t
:,t��„ _ ,1 � , �� � _..,
ai"'� ;.
,,,. _ a�,�lq-�- ,,
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (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
SWU-251-102107
Page 1 of 2

I.. For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table H of Chapter 40 Code of Federal Regulations (CFR) Part 122.
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent
management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the
discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Ian."
Name T—j.�i
fi Cam IV" n
TitNRPknt title) ob q1,
bN�, /A -j M
( ignatur (Date)
"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 flues and imprisonment for knowing violations."
ture of
`.Pf i
(Date)
SWU-251-102107
Page 2 of 2