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HomeMy WebLinkAboutNCS000452_MONITORING INFO_20180110STORMWATER-DIVISION-CODING-SHEET--- PERMIT NO. r,iz% 000 ys� DOC TYPE ❑ FINAL PERMIT -MONITORING INFO ❑ APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE ❑ 9-m?ol 1 6 YYYYM M DD STORMWATER DISCHARGE. OUTFALL (SDO) MONITORING REPORT Permit Number: NCS Oo0 451;kl or SAMPLES COLLECTED DURING CALENDAR YEARA(m rt Certificate of Coverage Number: NCG (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 NAM135� CLV_t W2A X-)C `O 'Q V COUNTY (LA n&ol IZ PERSON COLLECTING SAMPLF(S) :7 r''%Ir-1, Fi\/FD I39'0'NF NO. ( ^ mil 1011-.... _... CERTIFIED LABORATORY(S) `'e,4Lab 7. [.ab # JAN 10 2018 Part A: Specific Monitoring Requirements INFORMAT01 PROCESSING TURE OF PERNIMEF. OR DESIGNEE.) signature, I certify that this report is accurate e to the best of my knowledge. O'lutfall No. Date i W11111.11 ®_ i Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ ye,�no (if yes, complete Part B) Part R: Vehicle Maintenance Activitv Monitoring Requirementc Outfall > No. Date Sample Collected .50050 00556 , 00530 00400 Total Flow. {tf'applicable) Total;Rainrall Oil &'Grease.. Total . Suspended ° solids pH"'Ne*-Motor Oil Usage itio/dill r IVIG inches m in units = allrno Form SWU-246-112608 Page I of 2 U STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): Event Duration h ubrNevent rs): (only if applicable — see permit.) (if more than on s was samplers) Date Total Event Precipitation (inches): Event Duration (hours): (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 knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, in u inp, the possibilitd of fines and imprisonment for knowing violations." of Permittee L �71 (D te) Form SWU-246-1 12608 Page 2 of 2 K41--r1_10- Final 2016 Integrated Report -All Assessed Waters Entronmenrat Deep River 5ubbasin Cape Fear River Basin QU20rr Assessment Unit Name Assessment Unit Description Assessment Unit Number Water Quality Classification Length/Area Units DEEP RIVER From Gabriels Creek to Brush Creek 17-(10.5)d2 C 18.2 FW Miles Assessment Criteria Status Reason for Rating Parameter of Interest Category Meeting Criteria -_-._._._......_._.._..-._......-_ ._ < 10% - ------- �pH (9.0, AL, FW) ............. J - -- Exceeding Criteria < 10% ;Copper Q µg/I, AL, FW) v 5e Meeting Criteria < 10% Zinc (50 µg/l, AL, FW) '1 Meeting Criteria - < 10% TLead Nickel (89 µg/I, AL, FW) 1 Meeting Criteria— < 10% (25 µg/I, AL, NC) 1 Meeting Criteria < 10% Arsenic (10 jig/I, HH, NC) 1 Meeting Criteria < 10% _ Mercury (0.012 pg/I, FC, FW) sl 'Meeting Criteria < 10% Cadmium (2 µg/I, AL, FW) 1 Meeting Criteria ....- ---- ........ ...... . < 10% .......... ............. .... .. _... .... .._ . _...... __.._.; !Arsenic (50 µg/I AL NC) __._------- - 1 ;Meeting Criteria < 10% Turbidity (50 NTU, AL, FW miles) 1 Meeting Criteria 10% pH (6 su, AL, FW)-� - --. - ---- -- .........--- 1 ---- Meeting Criteria < 10%Dissolved Oxygen (4 mg/I, AL, FW) 1 _.............. _..... _._._.__....... ............ ........... ................... Meeting Criteria ;....._.._._.._........._..__._..----.--.---.-_.--: ;< 10% -- Water Temperature (32°C, AL, LP&CP) _-- 1 .... Meeting Criteria -' �' !Good -- - - IBenthos (Nar, AL, FW) 1 Meeting Criteria !FCB AP GM<200 and <20% Fecal Coliform (GM 200/400, REC, FW) 1 Meeting Criteria Fish Consumption Advisor '; �Flsh Tissue Non Mercury (none exceeding criteria if ,Data Inconclusive- ..... ..... -......................-..........._._._._......_._._._........._._....._._._...:._....._...._.__.._._....._.._.........._._...._..____...__._........_.__.._._.....; ,`Not assessed W ` Aron (1000 µg/l, Natural, FW) --.-----.--.--__.—._.____ — 3z1 AUr.1 w1 C�w� a�+� Cepprr�Cud:^9 vlt LlDgo Sr 4an 7 Sft , s .k$120118 - �1 u 7 1o7n ? U um�'r 1;s1�. E PA s rrs I. ^ R"'y + Z -�ta� Ss ba�� c V � �io44 60 carve do w� Vv >tw s Ord Ar. wy 141 't r fir'"" A - n - ,' 4/11/2018 2016 Integrated Report -All Assessed Waters Page 124 of 1306 Fish tissue assessments for mercury apply to all waters and are not individually listed STRUCTURAL WOOD lY. ` �,.�d;;,��- I• .ta - }rXii},+-'4�k i�� �.e___.u- yy+l �:i ^~-'... I S = Stacker F Fuel Storage P Propane ^,. K Kiln ti r - �. Untreated and treated lumber is handled ��� i:�l � r'F•a."''r 3 �, � �� i' �'� � SlLji' ei!!iy.'�-• F'ir r° �•�{ � L ��1�� r. ��, 9µti�'-"rrr �J;,21 fN�, ff'.9•,+ �� - l S Ott r � i.--�``�.3'1V throughout the y. Hazardous Waste is stored at Treating Plant Ye Sit Oils stored at Maintenance Shop OUTFALL LOCATION FLOW Al M1 �I � ia, Y. +-�y- •:--- , �liS�ml}'�i4!?j.. �-::K+F'u:.'� ..�1` .� '•U ��" r - 1�! f,. -�� f � �t � ''jk ''�3rr {�`� ��� ^� !{1r -'�: ® �''- • � 11 ,� a l W Y;�i -y`w {Saki,lt;i�til.l{�kiiJ:li..�4it�i •i I� r �`;. I. �. + 1 ' Na �33? � s•t r,:;ty�' .J,r '0f � :'�'i. �3 � rti . •R' � rt ']',� \� Jr I r� r. �+_'J�4� *,•^ 'S j,..efl�i��'.i�` _.r! l YI '� '+ i ;`t •• 'ter' - - t?ri tea` j"TFj� ty fj/�'r G: 074 11tp. `, ' ..�..�niT4yv. •�•jI �, +L"' 1'. ^""""�-�� tiV. �-� r s�"r�rj5• �- .i� ti�`,f•''?''t':• �.'i .ti`,,+-'4.r�=', +++ .lirl� "r+� h k' f '' ©~'E 11, s 4 �1 k (" ,�',`•'r -•C�'-_�°% �•'S`"r-.-i ,r`jiy � ,f�' lam+ .t=: r® ''off V�*7k•'..Treating �. .� �•. _ � r�4 ` � � � .�; jj �FfLfr� � ti�- ••Y' .�� �i ��, . � i � �, , .',`'J!�'�A� � �. V , �. - � � y _/+--fir" Plant .r .i�4 • /M,i' t� 1� • I r �'j'w 1 +'F' r ~l a •• ' ' ! #' j''f { { ,��'�i�'F � '� +'r� }•.� 'A+ �' 1� �'����1..�'i. I#SLtitl..s1.L- +' Ii� �t ' 11+ },� -. +a 'ji• -' ,' L '� �•yr �h A�„/ .��.' v��r.`.�.Y" � � Ia�•" �v a �{?I�i�4 �'' 4 W'~�� at - -. �,i>,[.r .l�...y-'IL...{a5 �wal�..� •t � r' !� f ".."` 93a i;. ,,� a� � r� # y � � Y'.s 7-�."-yr_,ii471-.__ 11 — 'SF'+ i #11.�'ia'��iµ�1 .1'r�r�� y�i=: +�ll'v `� -Y�, i ••9i�~,.� •�.lj�_ .� �t' � t 'I .3 h . ' 4 � e�.-j S �4a� • G� s%�, r� ' � � y�y�.�.,.#�. -,�i �P'_. �.`.ti'E �, if • • 'r, Y '. I 4r>r$t,, r K` � �'I x' '� � r _� w .rr+i�� .t�"r ,r. _ k I i .#IP. � � ' k '�.• •� - #' �' t � S , i' f •t �c~f 1-� Jf r F's: i'- AL''iar. �. of . Ff +� �'j ' "F At ' AIp ` ,sl�i ,%L •li r, '. r ; #.r5 ?4{''�+. �r`rTJ «l.•V 1 art ta,.St w •.1 xis "F .. , , r � r v, Als" d y'Y�. �R7, . -1`-\ �C �f{4ey •i+k 40 �- M -FS ' .: •pit. 4:h i.,.t, L+ . ° u��. 'R ,i; ! i � x • 2- F1i,Y ��it�. +r ��1� if` ,'t1'�t'- �✓ • # ���T4i� 7{ , c � f � 1#`4 `h; . ,� Y", f • .t;l r' • 4 E _,7+'S+yN r�IW +.��.,,•7. ti '"t,i fit" - r f�('Y,1 S. iN`3� a t �a31i." ,+TsJ *..i t"5�.r 1 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS QQQ4 6c01, FACILITY NANIE S`^ "`�""` U)CCCQ PERSON COLLECTING SAMPLE S) `T rrx ' t4 CERTIFIED LABORATORY(S) ab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR:,01^1 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the s-amplling results from the laboratory.) COUNTY PIIONE NO. C3 E NATURE OF PERMITTEE OR DESIGNEEEQUIRED ON PAGE 2. 1 DateCollected Flow (if �W.) � j��W MGMNOW: [�'� Mki . . Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes \ no (if yes, complete Part B) Form SWU-247, lust revised 21212012 Page 14 3 c J 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-I.IEM), if appl. Total Suspended Solids pH New.Motor Oil Usage moldd/ r MG inches m ll mg/1 unit al/mo STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): 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 Water Quality 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 perso r persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the est f my knowledq and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false inf rma on, includin a possibility of fines and imprisonment for knowing violations." re of Permi tee) —(Date ) Form SWU-247, last revised 21212012 Page 2 of 2 a a ' STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 1 Permit Number: NCSQOJZ>5� or SAMPLES COLLECTED DURING CALENDAR YEAR: +O 4 Certiricate of Coverage Number: NCG (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 Ciu.lc �e�C �Y1 COUNTY a PERSON COLLECTING SAMPLE S) : r-nc ,t CE4 V E® PHONE NO. C53[9) CERTIFIED LABORATORY(S) La Lab# DEC 2 9 2016 Part A: Specific Monitoring Requirements CENTRAL FILES DWR SECTION (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. SampleDate Collected r r r r r 'Suspended r r r. G1�L-iii!'l I� I� Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements M Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m Units al/mo Form R W 11-?Ah_ 1 11-0 A 7. STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): 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 Water Quality 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 ons who manage the system, or th6se persons directly responsible for gathering the information, the information submitted is, to the best o my owledge and belief, rue, accurate, and complete. I am aware that there are significant penalties for submitting false information, tcludin the possibility offt#ies and imprisonment for knowing violations." of Permittee) Form SWU-246-112608 r f . STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NC 04.5% or Certificate of Coverage Number: NCG FACILITY NAME C -UL PERSON COLLECTING SAMP CERTIFIED LABORATORY(S) t Lab #_ Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR:�d (This monitoring report shall be received by the Division no lat 0 days from the date -the facility receives the sampling results from the laborator UN Y 1 HONE )bet A URE OF PERMIrMf, OR DESIGNEE) By this ignature, I certify that this report is accurate co pie a to the best of my knowledge. • --Dateli Sample Collected I 1 TotalM1•Total Flow (if pp ndSolids (TSS) G•J -'" R •'�—'���1' • ae ��'•_ - �r I� Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes%no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monito ing Requirements OutfaIl No. Date Sample Collected 50050 . 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease Total Suspended Solids pH New Motor Oil Usage mold r MG inches mgA I m Units ma Form S W I 1-240- 119AW STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see perinit.) (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 Water Quality 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 myknowiedge and belief, t accurate, and complete. I am aware that there are significant penalties or submitting false information, in ding t e possibility of fir, nd imprisonment for knowing violations." Permittee) Form SWU-246-112608 Dom— 7 —f 7 STORMWATER DISCHARGE OUTFA LL (SDO) MONITORING REPORT Permit Number: NC,9Q00 4s5S),� r►►' SAMPLI+S COLLECTED DURING CALENDAR YEAR: �v1� Certilieate of Coverage Number: NCG i' ms 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 �1146U Ir� COUNTY PERSON COLLECTING SAMPLE S) PI CERTIFIED LABORATORI'(S) Lab RECEI V C Sl Lab # JAN 12 2015 BY cc� Part A: Specil7c Monitoring; Requirements [[ CENTRAL FILES C=M=m TURF OF PERMY17EE OR DESIGNEE) signature, I certify that this report is accurate e to the best of my knowledge. Date Sample 'SuspendeeSolids TO-6-11— (TSS) Dues this fucigity perform Vehicle Maintenance Activities using ruore than 55 gallons of new motor- oil per month? _ yes (if' yes, Complete 11t11't B) Mirt It- VAhirIN M:rinlenauce Aelivily MonilorinL Regmirements _4_ Outfall No. Date Sample Collected 50050 06556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease Total Suspended Solids pH New Motor Oil Usage mnhld! r MG inches IngA m /l Units gal/1110 Furor 5 W U-240-1 12008 Pale i of'_' STORM EVI:N`1' CIIAItACTI-�"ItiST'1Cs: Date Total Event Precipt lion {inches Event Duration (hour, (only ii' applicable —see permit.) (if more than one storm event • s sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only i applicable —see permit.) Mail Original and one copy to: Division of Water Quality Attic: Central Flies 1617 Mail Service Center 1616gh, North Carolina 27699-1617 "I certify, under penalty of law, Ihat this document and all attachments were prepared under lily direction or supervision iu accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on illy 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 hest of rt►y knowledge mud belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false i►►formation, i►javding the possibility ol, lines and imprisonment for knowing violations." of Permittee) Form J W t_I-240-1 1 608 S'I ORMWATER DISCHARGE OU'TFALL (SDO) MONITORING REPORT 1'ermil Number: NC<11%D-Jam, _ or Ccr•tif icntc ►►l' Coverage Number NCG FACILITY NAME =�Rud7u 4 ixl� PERSON COL1,ECTING SANIPI,F. S) C CERTIFIED LARORATOR),(SI I.ab Lab 4- Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR 1'F,AR,, SQlq (This monitoring report shall be received by the Division no later than 30 days front the date the facility receives the sampli119 results from the laboratory.) COUNTY I�: NO. I'UIZE �IFPI%E I'll�LE,�DDEF �NIF, By this signature, I certify that this report is accurate complete to the hest of n►y knowledge. • 1♦Total Suspended Solids (TSS) ID�ID !'iM*KM , . C�041= � �illf61ilra = I� 1)oes This facility pelf0r,111 Vehicle Maimenaoce Activities using; more: than 55 gallons of new motor oil per 111011th? _yes\1 lif ycs, crmtplete fart li) Part 13: Vehicle\1:►inle m►acc lcliviri N onhorin g Re uirements --.4— Outfall No. Date Sample Collected 5011511 00556 00530 00400 'Total Flow (if applicable) 'total Rainfall Oil & Grease 'Total Suspended Solids pH New Motor Oil Usage n►o/dd/ r NI inches mg D10 Units ;af/mo burn, SWLI-240-1 12W8 Page l of 2 STORM I:\'i.N'1' CIIr�I2AC'fl;IL1S'C[CS: Date 1.)7?1 1 q- l i Total Event Precipitation (inches): Event l)m ati011 (hours): � � (only if applicable — scc permit,) (if nook than Ome stairs+ CVCnt was sampled) Dale •l'olal 1?vent Precipitation (inches): ["%'Cut Ihu•atiou (hours): {only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attu: Central Files 1617 Mail Scrvice Center Raleigh, North Carolina 27699-1617 "I certify, fouler penally of law, that this document and all attachments were prepared under illy direction or supervision in accordance with a system► designed to assure that qualified personnel properly gather and evaluate file information submitted. Based on illy inquiry ol'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 m}' krn►wledge anti beliel', true, accurate, and complete. i am aware that there are significant penalties for submitting false informatiou, inclu ' tg he possibility of lin4aud imprisonment for knowing violations." of Fermi Z1Aa,/�z (f)at Foray SWU-2 46-1 126tIli Page 2 of STORMWATF.R DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NC<QO(J�� or SAMPLI?S COLLECTED DURING CALENDAR YEAR: O Certificate of Coverage Number: NCG (This monitoring report shall he received by the Division no later than 30 days from (� the date the facility receives the sampling results from the laboratory.) [FACILITY NAME �f4Ad7t i `-�x COUNTY pt I PERSON COLLECTING SAMPLE(s) `n rn P019tNF NO. ) CERTIFITD LABORATORY(S) Lab #C RECEIVE E � Lab # S . NATURE OF PERMIT'1'EE OR DESIGNEE) DEC ���� B his signature, I certify that this report is accurate complete to the best of my knowledge. C.-.D Part A: Specific Monitoring Requirements CENTRAL FILES Outfall Date Sample Collected Total Rainfall I Total Suspended Solids JSS) C. �, ... �C1� • �7ILc��f����"=� • «ice s ���� , s • Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yesno (if yes, complete Part 13) Part B: Vehicle Maintenance Activity Monitoring Requirements _j`- Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m MgA I Units gal/mo Form SWU-246-1 12608 Page I of 2 STORM EVENT CHARACTERISTICS: Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if snore than one storm event was sanipied) Date Total Event Precipitation (inches): Event Duration (hours): (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 ant aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Aw/ax l� �f S of Permittee) (D�e) Fonn SWU-246-1 12608 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT . Permit Number: NCS ©®c) 'i or Certificate of Coverage Number: NCG FACILITY NAME _ �'C )m C� PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # 3� Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report shall be received by the Division no later than 30 dam n the date the facility receives the sampling results from the laboratory.) COUNTY Ylzcll "l PHONE NO. 3 (SIGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. i r DateI! r •r r I r r rr r ': , otal r r ii r � r 01, -►ii1�l • Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes \,no (if yes, complete Pan 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 Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches mo I mg1l I Units Rallmo Form SWU-246-112608 Page 1 of 2 STORM EVENT CHARACTERISTICS: Dat S S Total Event recipitation (inches): 0.5 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 Water Quality 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 �n owledge and belief, tr e, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of �and imprisonment for knowing violations." Permittee) a2IJ---- (Da e) Form S W U-246-112608 Page 2 of 2