NCS000218_MONITORING INFO_20190115

STORMWATER DIVISION CODING SHEET
NC5 PERMITS
PERMIT NO.
DOC TYPE
[I FINAL PERMIT
& MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
0 OTHER
�UI " vl I
DOC DATE
❑
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000218 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 - No Discharge
(.This monitoring report shall be received by the Division no later than 30 days from
RE� C 1' Eihe" date the facility receives the sampling results from the laboratory.)
FACILITY NAME: UF,P Salisbury, LLC JAN 15 2019
PERSON COLLECTING SAMPLE(S): NA
CF,RTIFIED LABORATORY(S): NA Lab # Lab #-W+1TRA]_ FILES
Dv%r; �,E GTiCPd
Part A: Specific Monitoring Requirements
COUNTY: Rowan
PHONE NO: [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
TSS
Total
Copper
pH
moidd/ r
MG
inches
m L
ingfL
su
001 and 002
Sufficient
Rainfall
To
Cause
Discharge
From The
Outfalls
During
The
Monitoring
Period
From
July 1 I018
Through
December 30,
2018•
However,
The Rain Fell
Outside
Of Normal
Plant
Operating
Hours.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ ves X_no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
APPI,
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
mgA
MrA
unit
al/mo
Farm SWU-247. last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date: NA
Total Event Precipitation (inches): _NA
Event Duration (hours): _NA (only if applicable — see permit.)
(if more than one storm event was sampled)
Date _NA
Total Event Precipitation (inches): _NA
Event Duration (hours): ___NA (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
"1 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."
/r I
ign ure P itt (Date)
Form SWU-247, last revised 2;2.2012
Page 2 of 2