NCG080718 DMR SW (3)

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address On Back Of This Form
GENERAL PERMIT NO. NCG080000
Part A• Facility Information
Samples Collected In Calendar Year: 2015 (aJL_s1arnples shall be reported following receipt from lab,but no later than January 31 of the following year)
Certificate Of Coverage No. 13G 78' County of Facility Cumberland
Facility Name WM -Fayetteville Name of Laboratory ENCO Labs
Facility Contact Pat Kalemba Lab Certification# 442
Facility Contact Phone No. 910 480-4015
Part B. Vehicle Maintenance Activities Monitoring Requirements
--'Outfall , ` :Dates " - 50050 00400 .7.-300545, ° ''00556 :: 33 �� ® �
° = 3 Total - New RECEIVED
Sample_rt-= Total - .,u ° Suspended" 2 Oil and f Motor Oil
Solids =_ ,,GreaseUsage ' OCT 0 7 Z 0l9
.mo/dd/yr, : MG `. 9 unit e ,img/I°. EnigIl r- gal/mo CENTRAL FILES
001 6/2/2015 8.4 2 4 U DWR SECTION
002 6/2/2015 17.6 2.99 U
Part C: Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
dOutfall Date, 50050, 00400= : 00545 00556
_ -, ;. ,33 - `Total.`, ,.,
Sample.- Total ` FSuspended Oil and°
No. ' ° _Collected Flow pH Solids h , Grease
_3f ri,f3E -. , mo/dd/yr, =MO, F-tanit==
Form SWU-250-071400
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STORMWATER DISCHARGE MONITORING REPORT (DMR)
Part D: Storm Event Characteristics
Total Event Precipitation (inches): 0.25
Event Duration (hours): 45 minutes
(if more than one storm event was sampled)
Total Event Precipitation (inches):
Event Duration (hours):
"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 complet- . aware that there are significant penalties for submitting
false information, including the possibility of fine- and im• isonment for knowing violations."
'/
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( • atur' Permittee) (r ate)
MAILING ADDRESS:
Attn: Central Files
NCDENR/DWQ
1617 Mail Service Center
Raleigh, NC 27699-1617
Form SWU-250-071400
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