NCG080296 DMR SW

STORIVIWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE NO. NCG08 6296
FACILITY NAME 5Gu4%,Msfgrn Fi-e, 1ti2S- 96C$ -y /hOyn-f
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Te -5 -� 0.yKc r � cG Lab # x'96 -s� a, 3 7, -
Lab #
CC^ f e�'
SAMPLES COLLECTED DURING CALENDAR YEAR: .<O /y
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY %VCeSk
1 RC0 (2 2)—
PLEASE SIGN ON THE REVERSE 4
JAN 2 0 2015
Part A: Vehicle Maintenance Areas Monitoring Requirements
Did this facility perforin Vehicle Maintenance Activities using snore than 55 gallons of new motorGETli�QiuIF1L1E s _no
(if yes. report your analytical results in the table immediately below) DWR SECTION
Outfall
No.
Date 00530
Sample•Collected, Total Suspended Solids,
mo/dd/vr mg/L
00400
pH,
Standard units
00556
Oil and Grease, New �7otor Oil Usage,
mg/L Annual averagegal/mo
Benchmark
- 100
Within 6.0 - 9.0
30 -
o otpall
Z o -70 mvl
_
Note. If you report a sampled value in excess of the benchmail, value. or outside the benchinark range for pH, you must implement Tier 1 or Tier 2 responses.
See Geneial Permit teat.
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date 00556
Sample Collected, Oil and Grease,
mo/dd/yr m /L
00530
Total Suspended Solids, -
m /L
00400
pH,
Standard units
Permit Limit
- 30
100
6.0-9.0
STORM EVENT CHARACTERISTICS:
Date/y4Z/J !ems (first event sampled)
Total Event Precipitation (inches): i ncke9
Date(list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Watei Quality
Attu• DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
- _ SWU-350-102107
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j

"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 coI lete. I am aware that there are significant penalties for submitting false information, including
the possibilit); opines iyil imprisonment for knowing violations."
(Signature of
/ / -c—
(Date
S WU-250-103107
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