NCG060185 DMR SW (18)

k1 VIED
STORMWATER DISCHARGE OUTFALL(SDO) JUN 2 2 20th
MONITORING REPORT
CENTRAL�/RALES
GENERAL PERMIT NO.NCG060000 SAMPLES COLLECTED DURING CAL N g -
CERTIFICATE OF COVERAGE NO.NCG116_ (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 NAME W,_ ne re-re. S G L e COUNTY Surf/
PERSON COLLECTING�AMPLES 3e.re ON4 3n,91''n PHONE NO. (336, )384-S.8
CERTIFIED LABORATORY Mer.;ec Lab# .1(oS
Lab# PLEASE SIGN ON THE REVERSE -�
Part A: Specific Monitoring Requirements
Outfall . , Date 0053 fi, :' .,;,�,' 00$00 0,034Q �'
No. ' Sample' u,; , - r,„ . • L+;d .r.."''..3'16'16 •
:Total'Suspended'a;�','ri;r " Cli micuf.O en'` and•
,a ,, °;.1•,;'", �';PA�i�"., '_ ,, � , xy�• ,,,,'Oil',, „iFrease�' •, ,,,�i, 'Fecal Coliform
ollected;,q•;' n Sohl, :'!' .,P !i;�t.'llldard'Units Y',I)einunil, i'"' ;' g/L' '9:°' '•,Colonies'' er l 0
nil
• moiaa/yr , m�iL; • ;i'; ,,�,, ..';

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision hi 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 fines and imprisonment for knowing violations."
20
(Signature of rmittee) (Dte 1/6
ate
SWU-249-102107
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