NCS000255_MONITORING INFO_20190711

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STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
DOC TYPE
El FINAL PERMIT
C9(MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑C) O 0 0-1 1
YYYYMMDD

STORNINVATER DISCHARGE OUTFALL (SDO)
M SITORING REPORT
Permit Number NCS NCS000255
FACILITY NAIVIE Grede II, Li_C
PERSON COLLECTING SAt1IPLE(S) Alexandra (Alex) Fertel
CERTIFIED LABORATORY(S) Pace Analytical Services, I Lab## 12
Pace Analytical Services, I Lab # 40
Part A: Specific Monitoring Requirements
SANIPLES 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 Montgomery
N/F: f-PHONE NO. 9( 10 ) 428-2111 (x3268)
JUL 11 201 SIGNATURE OF PERIIIITTEE OR DESIGNEE
CEt'1 T RAL F IL t REQUIRED ON PAGE 2.
MIR SECTION
Out -fall
No.
Date
Sample
Collected
50050
Total
Flog if a
Total
Rainfall
Non -polar OG
Cd, T
Cu, TR
Pb, TR
Ni, TR
TSS
mo/ddh•r
MG
inches
me/L
mg/L
mg/L
mg/L
mg/L
mg/L
001
06/07/19
0.030
0,23
<4.8
<0.001
0.010
<0.005
<0.005
8.8
002
06/07/19
0.001
0.23
<4.8
<0.001
0.018
<0.005
<0.005
65.3
003
06/07/19
0.003
0.23
<4.8
<0.001
<0.005
<0.005
<0.005
9.8
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 Acti fty -Monitoring Re uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPFI
(Method 1664
S(;T-HEM), if
appl.
Total
Suspended
Solids
pll
New Motor
Oil Usage
mo/dd/ •r
MG
inches
m /l
I mg/I
unit
gal/mo
Form SWU-247, last reriseel 611212013
Page l of 2

STOWNT EVENT CHARACTERISTICS -
Date 06/07/19
Total Event Precipitation (inches): 0.23
Event Duration (hours): 5.12 (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 certil<y, under penalty of law, that this document and all attachments «'ere 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)
07/08/2019
(Date)
Form SWU-247, lass revised 611212015
Page 2 of 2