NCG080930 DMR SW (2)

STORtMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG080000 SAMPLES COLLECTED DURING CALENDAR YEAR: v 14
CERTIFICATE OF COVERAGE NO. NCG68 0'73 (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.)
FACILITY NAIME 5 o0'H enc-eerh %re;q f Lines_ ale St t; COUNTY Du/ -I c -,,—
PERSON COLLECTING SAMPLESDeP-yii 12eG. �-- _ ENO. ( / ) 781 - 74(.0
CERTIFIED LABORATORY e S G m e r l e e. Lab #W90 -RE CE I \/0
Lab # PLEASE SIGN ON THE REVERSE 4
JAN 2 0 2015
Part A: Vehicle Maintenance Areas Monitoring Requirements ��Verlo Did this facility perforin Vehicle Maintenance Actwjties using more than 55 gallons of new QSNTR1 b FIL08 _�
(if yes. report your analytical results in the table immediately below) DWR SECTI©iV
Outfall-
No.
I Date .00530-,.-,
00400.
00556
Sample Collected, -Total Suspended Solids,. - pH, _
m6/dd/yr mg/L - Standard units
Oil and Grease, New Motor Oil Usage,
mg/L' Annual -average gal/mo
'Benchmark
- 100.
Within 6.0 - 9:0
30 -
-1�2
m
, 88
70
Note. if you report a sannpled value nn excess of the benclimaik value. of outside the benchmark range for pH, you must implement Tiei 1 or Tier 2 responses.
See Geneial Permit teat
Part B: Oil/water, Se arators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall
No.
Date 00556
Sample Collected, Oil and Grease;
mo/dd/yr mg/L
00530
Total Suspended Solids,
ma/L
00400
- pH,
Standard units
Permit Limit
- 30
100
6.0-9.0
STORM EVENT CHARACTERISTICS:
Date !Z c0V (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-350-103107
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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
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 fin an mprisonn►ent for knowing violations."
(Signature of Peri ittee (Dhe)
S W U-250-103107
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