NCS000222_MONITORING INFO_20190214

STORMWATER DIVISION CODING SHEET
NC5 PERMITS
PERMIT NO.
�
IVL5 0
DOC TYPE
❑FINAL PERMIT
'�( MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑
YYYYMMDD

Permit Number NCS 000222
FACILITY NAME Carolina Pole Leland
PERSON COLLECTING SAMPLE(S) Mike Rouse
CERTIFIED LABORATORY(S) Shealy Env Services
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Lab # 329
Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(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.)
COUNTY Brunswick
PHONE NO. 9( 10 )371-3131
EREQ
ATURE OF PERfMITTEE OR DESIGNEE
UIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
m IL
m IL
m IL
mq/L
m /L
m. IL
Total
Flow if a
Total
Rainfall
pH
Arsenic
Copper
TSS
COD
PCP
mo/dd/ yr
MG
inches
mg/L
mq/L
mg/L
mglL
mq/L
mq/L
01
12/23/19
2.86
2.4
26.0
0.022
<0.01
4.7
31
<0.004
TD a LU ly
r1'
Aft Prr�-r�r.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes Ono
(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&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ yr
MG
inches
m /l
m /l
unit
at/mo
01
12/23/19
2.4
NA
4.7
6.0
60
l:orm SWU-247. last ierisecl 6/I?/?015
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000222 SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(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 Carolina Pole Leland COUNTY Brunswick
PERSON COLLECTING SAMPLE(S) Mike Rouse PHONE NO. 9( 10 ) 371-3131
CERTIFIED LABORATORY(S) Shealy Env Services Lab # 329
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
m IL
m IL
m IL
m /L
m IL
m /L
Total
Flow if a
Total
Rainfall
Dioxin
Benzene
Toluene
Xylene Total
mo/dd/ r
MG
inches
mq/L
mg1L
mg1L
mq/L
mglL
mq/L
01
12/23/19
0.0000000173
NA
NA
NA
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes Ono
(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&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
mg/1
m
unit
gaUmo
Form SWU-247, lust revised 611212015
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 12/23/19
Total Event Precipitation (inches): 2.4
Event Duration (hours): (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one coPy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh. Forth Carolina 27699-1617
"1 certify, der penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system des g ed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or person ho manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of m nowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including he possibili of r and ImprisonnieRt for knowing violations."
ignature of Permittee) (bate)
Form SWU-247. last revised 611212015
Page 2 of 2