NCG060186 DMR SW (16)

STORIVIWATER DISCHARGE OUTFALL (51)0) '
MONITORING REPORT
;GENERAL PERMIT NO.NCC060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE 07+CO'VE,RAGE �'
NO.N•r 06 -/ .- (This monitoring report Is due at the Division no later than 30 days frbm
FACILITY NAME w 1/ I the date the`facility receives the sampling results from the laboratory.)
6i✓ 1i c-rrn3 LLC C Ia� ; COUNTY 5,....y
PERSON COLLECTING SAMPLES .)e a-t-f 115,./`•r- PHONE NO. Cut, ) j 86 5347
CERTIFIED LABORATORY (Ate E;c Lab # I(®S AUG 2 9 2016
Lab# PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements CENTRAL FILES
DWR SECTIO
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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.
Did this facility perform'Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_yes no
(if yes, complete Part 13) —
Pari BD; Vehicle Maintenance Activity Mr onitoring RRequlrements
Outfall Datil' I „ ',,; _ 00556 ',1,,,,•;,;--L 00530 '` ;; : ',o0,i00' • '
' No: ' Sami&Collected, O'il and;Gileay'e;I
� Total Sus..bnd,edIS"olida, f , I•i, N`nWv11
v
i
Qtoi Oil Usage irrii/i,, mg/ :I1 - • , tart tied',lntt9 , _ •Arr.'' fiveru a gal/mo�yiBYllYrh U90 • s '�' Poli36.,.' • 1)0 � " II' �1 'I 'hl -, 'y'.' ,S • ,
,
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; Mail Original and one copy to:
Division of Water Quality
Date (first event sampled) Attn:DWQ Central Files
Total Event Precipitation (Inches); 1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Dale (list each additional event sampled this reporting period, and rainfall amount) ,
Total Event Precipitation (inches):