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NCG080803 DMR SW (4)
STORMWATER DISCHARG DNITORING REPORT(DMR) GENERAL PERivui NO.NCG080000 GENERAL PERMIT NO.NCG080000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016 CERTIFICATE OF COVERAGE NO._$A,Qx A& (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME Waste Industries— Hope Mills Garage �C+Ot=TN1'Y CUMBERLAND PERSON COLLECTING SAMPLE(S) J D Frei (SwSG) —'PHONE NO. (910) 423-4122 CERTIFIED LABORATORY(S) Pace Analytical Lab# 12/633 JUL 1 5 2016 SwSG Lab# 5054 PLFASE SIGN ON THE REVERSE Q \iN VC Part A: Vehicle Maintenance Activity Monitoring Requirements li+� ;�,1�Cf rO1©'�1?i��}L �) �55 Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? V Yes No (If yes,report your analytical results in the table immediately below) Outfall - Date 00530 00400 00556 No. . Sample Total Suspended Solids, pH, Oil and Grease, New Motor Oil Usage, Collected mm/dd/yr mg/L Standard Units mg/L Annual average gal/mo Benchmark - 100 Within 6.0—9.0 15 - 002 06/15/16 211 6.91 < 5.2 +/- 195 001 Eliminated as a Point Source Discharge 003 Represented by SDO-002 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. Part B: Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Station and Terminals Outfall Date 00556 00530 00400 No. Sample Oil and Grease, Total Suspended Solids, ` pH, Collected mm/dd/yr mgt mg/L Standard Units Benchmark - 15 100Within 6.0—9.0 STORM EVENT CHARACTERISTICS Date June 15, 2016 (first event sampled) Total Event Precipitation(inches): 0.14 inches Date (list each additional event sampled this reporting period,and rainfall amount) Total Event Precipitation(inches): Form SWU-250-102107 Page 1 of 2 "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 o fines and imprisonment for knowing violations." 111L . (Signatu a of Permitt (Date) - Mail Original and one copy to: Attn: DWR Central Files NCDENR/DWR 1617 Mail Service Center Raleigh,NC 27699-1617 Form SWU-250-102107 Page 2 of 2