NCS000289 DMR SW (18)

STORM WATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
--Permit-Numb :grer- ` "7. - - - or' - -_ -- --SAMPLES-COLLECTED DURINGC-A.L-END-AzF-YEAR:_- =— —
Certificate of Coverage Number:NCG - - (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 S kGruti• . 02...,1 ``� W is.„ 1 ' j C. COUNTY 1'"01s
PERSON COLLECTING SAMPLE(SL el'i- a .-t # 7� PF�ONE NO. '-1,• - Li 151
CERFUi`IED LABORATORY(S)_ r �. - _ ,
Lab# perN.✓ n is (SIGNATURE OF P '• EOR DESIGNEE)
By this signature,I certify that this report is accurate
MAY 1 0 ZU16 complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
CENTRAL FILES
•t aka :�, u17; '-`c.. i� �• �,., ?�.vr..tiv� y rr" Yy �-•v�.�szralk +•.-.,t :,x«a- ;,e. �H,'=�-,,,Nre '�"% L 1 n
'e_ :� :h �3'Z 3S;rFj.�C�.' t.....4 fJ�`'�t.i.Y.`..... r .• •-• -,,4 h. V;:- •'d.:s.., .. Y._X
''�_ P.,.s,. 1' i3.r.,Ti•z,. �0, != •'., .Y g t,,f3r` - ,: i t`=��,•:.�,.,a�. .,' - -_ �tI r T. t� • ,• na a- �7J -•••• / ys+ -y Tai" WY! ',.7•I$ 0)'.?{ ai ...Al.t •7 AM'
x , "` u , . �"" -.13:1--.1.r.
• �y a � .7-5•1r.. 7131.11. •pgay}� m� `'s ,' ,, r = 0;; 4
^i'� _'�-� .11t t. � £, Jja �.�J[� �L
y7Zir 7. �i 1,,� 1�`V�: ".�1 ! 1aM 1 f/•til�xi�'le �a� f , ^'1 .6 '(�ijl{' s�:ary''+• ��, �`
7 ! .&b � t_ � 1..!1.11- .,t�•}�,rp'� ? Of
1`2_.x,' 49ti7y'1„*.
?;."_.�,,,�.• 1. k*---',?.
Nt': r N-•+�`�J" `F' .S
tl yr., t• i '� f :' i; 4 4% -r iri• "'! ,• .f ��l '�7[,,^{�,x L. } 0. l! '''' a. •.MAR, . '? 4 AFf . Y_,�'•�'� `�;'', L,,..,:,k,4s' o-L,7 :yl,
F .�` i .!• '+!jJ.ih i :c a1�1..•!i t t 9 .r .7.�?� R: �..N{�\^ /Ftit tl 'CE '�` Y 'SLY Y •. .+Sf• u _2' ,..;;4..'71-.1%,i,L• - - `Y :a k''�f.,.• +�
U. - 11 .o a �w., 1;4 —'�r'-.ara.; .. :r,_k. . r e,�` m —�kt �,, , v s+. ,„' R'.. a.�• Igc,,,,,' �c.. 'R b•t_.;_e_ -s )..,. -• ';:: t.:,p ,.;L .„.;iS T- A �.... ..G aid •1 yo.• •• i{ } �� y�$?ix .x�t=-'�iC `r..1, � �C"' '�'!, A�'a'Y.. ,{' �.. �Yo �r sc �v�S•��`_l` N � � �F_"t;� 7 . �y�'��a a .t 3 , X .ri.= .v '�`F.r� 'r .rJ ,Ain't r } i� ,.. .1 ,...34t• H is . +f.,- %S� 1 . 'y� .c :x•1431 f1�?,2;�'Si�1�alst3 -?&jy,: ' .rimatat ;.a a 'S r, .. -�,4-,'' t E di
��v..;,�,.k,Nr,=y`i`n_' ,11......:;:,��•, .4��b=' ' 5���_� �..'�7u:��i:'' _ [�= -
•
s ..4%; "N'�Z "'+jc '�'�- ';^v-'•�iN' • `1:- i ,t YY`Ir_ .•rn3-a.r j�y1.--14 't�'�., i.4"-51.7::: 14P. R . i ('"`:•i;~ i rG`"?-r; g :cq•r'4.,u•.a.
�u�-P '� Com]( o�IS'Eh• S=IU ^,• R'. C.rd '�rw= _esej !t:�••' � /�.�5, '.t1� -lI , 'n •�`�''F.'t1 �}.,>1 _ ,
111111) A IMM
1
t
t —
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_yes 4110
(if yes;complete Part B)
Part B: Vehicle Maintenance Activi ' Monitorin• R-.uirements
+ _-� r PIP' a=7.`r 1. W' r5 •,• h
-ft'�^.�I w'i{ .afp n'.ir.• ,K7I i 1.,4.7.':„•. to an ,: :^.r. �. t#•i ,•p- ,H , •' .s.. ' R. 'd
,i...-.--- h..�• 'i4.,.ssir!1c_..1 V.44 - . i ..a_. ot Ll •.,i.' ,0 -•', .'W4.L `J , t4?�• •— t...-t-- y. ,�4.��P ,t.cYv ..'t •• -.f)ti
a' .',x �' -",.,a • 4?:-.2:0..4=` 4 .�. .;�'*,; ` -z-4.1' y� -t •s •a.. ,. - 4 a',; -'-0' ..-:i V ",. j "• • fir,`' '� irv'+,'5 7- .ki..•ri r
.. - i* I. " Ztfe '•s•:azi - :.�{��•..a'l'lot . 's•�u�c 4 •c. A, �3 1 'g tt .41' 41`'t• _.., :4-.�, y3�..
.1:4 .'-`:•-;;- .1.1 .6404.0'-V- ,;
- Rc.a 'lam»f,.•'ai S F:s Sr; ��y -�r���:�L1'rI sY .�n �'. 1� �c- l• �•Y � .U..:�P.1: :i
' . )!.-.N
'IN': t� hy. ,1 014 ...!..:11,f
`Er�.'ii. V /*•`�' 11 !� . �7.-P.- �\Prof At--.. +7 'kyr, .-fl,,,, 3 ..,-,•-„ t`j`'! c ' ,t:.” ' -;•X;)'•'•i c
,-- •'S,..: ;-.N,..1-_,,,:v."(,,,A.- , .a`5uF' ��i. ` - .i-4•,.: -'...,j-. 11+• a- r" j ,' •1r • �4"..:sv, 1 ,,M� ISJ_itee.;' 2-:-'t
t .•Ys - tz ... �,,,,. 1` T ,191 .,1"k• ' •1-Y�Y.Y )r ' 1,3 T . 1 y M•f (,• " ^•"
y Sv a/i:otia':v" 1^N.:.--t3,2,40._.: 'mow • ., o.M.?e' '.t a -�.e'��a.. :.5's.ir:,-4,111. . ,111 .,,dl. _ >._ .:4,T - 4.c° ,-' k: d!';
Form SW1j-246-1 12608

i i
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date Attn: Central Files
Total Event Precipitation(inches): _ _ _____ __16-1-7-Mail-Service-Center---__16-1-7-Mail-Service-Center--- - -- - - - --
Event Duration(hours):- (only if applicable-see permit.) Raleigh, North Carolina 27699-I617
(if more than one storm event was sampled)
Date _
Total Event Precipitation(inches):
•
Event Duration(hours): (only if applicable-see permit.)
"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."
(S4:1414ignatm-e of Permittee)
a
e
Form SW Ci 2^6-i 12608