NCS000130_DMR_20210716

STORIVIWATER DISCHARGE OUTF ALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG120000 SAMPLES COLLECTED DURING CALENDAR YEAR: ap��
CERTIFICATE OF COVERAGE NO. NCG12(This monitoring report is due it the Division no later than 30 days from the date
Q the facility receives the sam inresults from he laboratory.)
FACILITY NAME `S COUNTY
PERSON COLLECTING SAIV ;L S PHONE NO. (hl(l )
CERTIFIED LABORATORY Lab #
Lab # PLEASE SIGN ON THE REVERSE �
Part A: Specific Monitoring Requirements
Ouffall.4amplee
"Date 00340 3161b DOS3b.
No.11ected, .'Cheoucal:Ozygen A@nlim.d Feegl'Coliform, , Tpta1 tispepded Solidst'll i• . m # - 100 m1
Benchmark 120 MO:co)onres I: 100
Note: If you report a sampled value in excess of the benchmark value, you must implement Tier I or Tier 2 responses. See General Permit text.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance ActivityMonitorin Re uirements
.Date 00556'' ` r, 00530' .. 06400,
No, Sgn tale Collected . Oil and Grease Total, Suspended Solids H NetiY Motor Oil Ube je;,
Pmo/dd/ r nt /L m /L Standtird units Av i:a eannual aUm
Bencht ark 90..k 100 1 9,0 r.
RECEIVED
JUL 2 6 2021
CENTRAL FILES
DWR SECTION
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must imp$menl Tier I or Tier 2 responses.
See General Permit text.
I
STORM EVENT CHARACTERISTICS:
Date first event sampled) Mail 01Figinal and one copy to:
Total Event Precipitation (inches): 0— Attn: D�✓Q Central Files
NCDE R/ DWQ
1617 Ivleil Service Center
DateN 1 A (list each additional event sampled this repotting period, and rainfall amount) Raleigh: NC 27699-1617
Total Event Precipitation (inches):
SWU-248-102107
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