NCS000534 DMR SW (4)

STORMWATER DISCHARGE OUTFALL
MONITORING REPORT
Permit Number: NCS000534 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
TIER II SAMPLING REQUIREMENT
FACILITY NAME Clear Path Recycling LLC COUNTY CUMBERLANDJ'
PERSON COLLECTING SAMPLE(S) °DONALD ALLBRIGHT - ONE NO. [phone]
CERTIFIED LABORATORY(S) TBL NC DWQ-# 37
ESC L• ab Science # 375 (SIGNATURE OF PERMITT ORDESIGNEE)-
' ' By this signature, 1 certify that this report is accurate
complete to the best of my knowledge..
Part A: Specific Monitoring Requirements
Outfall Date
No. Sample
Collected ''
TOTAL
'RAINFALL
00530
TSS
00310
BOD
0034100600
COD
Total
Nitrogen
00665
Total
Phosphorus
00400
pH
'
INCHES
MG/L'
MG/L' -
MG/L
MG/L
,' MG/L- --
SU
Outfall B2'Jul-'15 '
NO FLOW
'NO FLOW'
NO FLOW
NO FLOW
'NO FLOW
NO FLOW
NO FLOW'
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00
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yes x no
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STORM EVENT CHARACTERISTICS:
Date NA
Total Event Preci station, inches :
Event duration (hours): , NA
Mail Original and one copy to:
Division of Water Quality
Surface Water- Protection Sectio_ n
Attention:, 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 a spE teni,-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, a -
including the possibility fines and imprisonmentforrknowing violations.
ignature of ermi ee) (Date)