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Home My WebLink AboutNCS000321_MONITORING INFO_20190815M" STORMWATER DIVISION CODING SHEET NCS PERMITS PERMIT NO. Iv LS u DOC TYPE FINAL PERMIT MONITORING REPORTS ❑ APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE ❑ �I GI � � 'fJ YYYYMMDD • • 0 RECEIVED AUG 15 2019 CENTRAL FILES DWR SECTION STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000321 FACILITY NAME Lubrizol PERSON COLLECTING SAMPLE(S) David Griffith CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab 4402 Lab 4 Part A: Specific Monitoring Requirements 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 Gaston PHO N D 15 4165 _ c 4 NATURE OF PERMITTEE OR DESIGNEE 'REQVJRED ON PAGE 2. ---------- ---------- ---------- ---------- ---------- ---------- Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes (j)no (if yes, complete Part B) Per( R: Vehicle Maintenance Aclivity Monitorino Reoulmments Outfall No. Date Sample Collected 5005o 00556 00530 00400 Total Flow (if opplicabtc) Total Rainfall Oil & Grease (if appl.) Non -polar O&G!T'PII (Method 1664 SGT-HEM), if ard. Total Suspended Solids pH New Motor Oil Usage moldd/vr MG inches mPjI m unit gallmo Form SWU-247, last revised 611212015 Page I of 2 STORM EVENT CHARACTERISTICS: Date 7116/2019 Total Event Precipitation (inches): 1.5 Event Duration (hours): 24 (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 W Division of Fnergy Mineral and Land Resources Attn: Central Files 1617 Mail Scrvicc Ccnwr 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 N'ith 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 suhmitling false information, including the possibility of fines and imprisonment for knowing violations." / 08106 2019 (Signatu&& Pc mittee) (Date) Form 5WU-247, last m*ed 611212015 Page 2 of 2 • • 0 • 1-1 C7 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000321 FACILITY NAME Lubrizoi PERSON COLLECTING SAMPLE(S) David Griffith CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab # 402 Lab 0 Part A: Specific Monitoring Requirements 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 Gaston PION " O. J -0165 SIG` ATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. ---------- ---------- ---------- ---------- ---------- ---------- Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes (j)no (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitorina Requirements Outfall No. Date Sample Collected 50060 00556 00530 00400 Total Flow (ifapplicable) Total Rainfall Oil & Grease (ifappl.) Non -polar O&GCI'PH (Method 1664 SGT-IIEM), if ai 1. Total Suspended Solids pit New Motor Oil Usage mo/ddlyr MG inches -zn m I unit gallmo Form SWU-247, Iasi mviaed 61112015 Page f of STORM EVENT CHARACTERISTICS: Date 7116=19 Total Event Precipitation (inches): 1.5 Event Duration (hours): 24 (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 ropy 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 any 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." O&W2018 (Signntur Permittee) (Date) Form SW-247, Iasi rrvlmd &1212015 Page 2 of 2 • • C11 0 Permit Number NCS 000321 R FfV D AUG 15 2019 CENTRAL f- ALES DWR SECT10N STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT FACILITY NAME Lubnzol PERSON COLLECTING SAMPLE(S) David Griffith CERTIFIED LABORATORV(S) Prism Labs, Inc. Lab #402 Lab # Part A: Specific Monitoring Requirements 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 Gaston PHONE O. 4 I ^�1fi5 SIG ATURE OF PERMITTEE OR DESIGNEE REQIJIRED ON PAGE 2. ®Date Sample Collected ---------- ---------- ---------- Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ()yes @. no (if yes, complete Part H) Part B: Vehicle Maintenance Activity Monitorine Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&GITPI1 (Method 1664 SGT-HEM), if a 1. Total Suspended Solids pH New Motor Oil Usage molddl yr MG inches m /l m Il unit gallino Form SWU-247, last rrvisrd 611212015 Page 1 of 2 0 • STORM EVENT CHARACTERISTICS: Mail Original and one coPy to: Division of Energy Mineral and Land Resources Date 05/14120 Attn: Central Files Total Event Precipitation (inches): 069 1617 Mail Service Center Event Duration (hours): 24 (only if applicable —see permit.) Raleigh, North Carolina 27699-1617 (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." OSMO12019 (Signature Permittee) (Date) Form SWU-247, Iasi reviW 611212015 Page 2 of 2 0 0 • STORM WATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000321 FACILITY NAME Lubrizol PERSON COLLECTING SAMPLE(S) David Griffith CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab #402 Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2019 (This monitoring report shall be received by the Division no litter than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Gaston PHONE 704 91,64f65 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. ---------- ---------- ---------- ---------- Does this facility perform Vehicle Maintenance Activities using mote than 55 gallons of new motor oil per month? dyes Ono (if yes, complete Part B) Part B: Vehicle Maintenance Activitv Monitoring Reoulrements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (ifapplicable) 'Total Rainfall Oil & Grease (ifappl.) Non -polar O&GITPH (Method 1664 SGT-HF,M), if a d. Total Suspended Solids Pill New Motor Oil [Jsagc molddlvr JINIG inches I MgA I nign I unit allmo Form SWU-247, Iasi revewd 611212015 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 05/14/20 Total Event Precipitation (inches): 0.69 Event Duration (hours): 24 (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, Hased 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." v Lw,j oafoswia (Signature of ermittee) (Date) Form SWU-247, last mvised 611212015 Page 2 of 2 • • 0