NCS000528 DMR SW

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000528
Certificate of Coverage Number: NCG
FACILITY NAME Premiere Fibers
PERSON COLLECTING SAMPLE(S) T. Haynes
CERTIFIED LABORATORY(S) Pace
or
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(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.)
Lab # 633
Part A: Specific Monitoring Requirements �LAf `' � ON
COUNTY Anson
PHONE NO. [phone]
-;-'4 2-�
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate complete to
the best of my knowledge.
Outfall Date
No. Sample
Collected
Total
Rainfall
Total
Suspended
Solids (TSS)
COD
pH
Permit Bench
N/A
100
120
6-9
mo/dd/yr
inches
mg/l
mg/t
Units
1 11.3.15
See Below
5.5
ND
6.7
2 11.3.15
38.2
ND
6.5
3 11.3.15
15.1
ND
6.0
4 11.3.15
6.5
ND
6.3
5 11.3.15
5.9
ND
6.3
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)
Form SWU-246-112608
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/yr
MG
inches
mg/l
mg/1
Units
gal/mo
STORM EVENT CHARACTERISTICS:
Date 11.3.15
Total Event Precipitation (inches):
Event Duration (hours): N/A
0.14
(if more than one storm event was sampled)
Date N/A
Total Event Precipitation (inches):
Event Duration (hours):
(only if applicable — see permit.)
(only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 of fines and imprisonment for knowing violations."
Sidghture of Permittee
I _
11 i9 Z^u(j
Date
Form SWU-246-112608
Page 2 of 2