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STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
NL�
DOC TYPE
El FINAL PERMIT
C'A,MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ �l j 1 % D � �Y
YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000255 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 Grede Il-Biscoe, LLC Q_F7CF_#% COUNTY Montgomery
PERSON COLLECTING SAII7PLE(S) Alexandra (Alex) Fertel PHONE NO. 9( 10 ) 428-2111 (ext. 3268)
CERTIFIED LABORATORY(S) Pace Analytical Services Lab 4 2���
Lab #
�:ILF SIGNATURE OF PERMITTEE OR DESIGNEE
h
)N
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
I I I
�.
• -_ -
•
� !1
1� 1 •
1 1•
1 �
�
� ;
If ■
1� 1 •
1 11
1
1
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/ddl •r
MG
inches
m
m /l
unit
admo _. -
Not Applicable
Form SWU-247, last revised 611212015
Page 1 of 2
STORit1 EVENT C14ARACTF-RISTICS:
Date: 412119
Total Event Precipitation (inches): 0.74
Event Duration (hours):8.7 (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, 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."
(Signature of Permittee)
5/6/2019
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2