NCG190069_MONITORING INFO_20170626

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOCTYPE p HISTORICAL FILE
0 MONITORING REPORTS
DOC DATE ❑ op 11,7 D u t (e
YYYYMMDD

STORMWAT'ER DISCHARGE OUT ALL (SDO)
GENERAL PERMIT NO. NCG190000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE (COC) NO.: NCG19®®©0
FACILITY NAME: Mejd-jre rae1,Te r
SAMPLE COLLECTION NAME: iyrGt(wryj— ).O!N
CERTIFIED LABORATORY: aNVIraCl{ens Lab
Lab #
Part A: Specific Monitoring Requirements
�y ��+/1,S�IMPLE COLLECTION CALENDAR YEAR: '/7
�REGrhis�!m1oni(oring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
JUN 2 6 20=1
FACILITY COUNTY: M -e r der
CENTRAL FILE$
DWR SEDTIOI'IIONE NO.: /0 _ 39f- Sos3
Qutfall
eNo 4
..�
t. :Sample.
y _
Collection Date,,;,
a
ma/dd/ r ",
`
Total Rainfall, "::Total
:. inches
3 ;00530 `
TPH.by method
' 1664 SGT�Hk1Yi
'1119 :
01104
01094
0111'4'
Suspended,'
Solids, m L
'•Non=Polar Oil &
Grease,'mg/L
'-Coppe ' , mg/1
'Alurnlnuitt.; `tnglL
7.,inc'' ,.mg11:
3 .
Lead" , "ing/I� "
-
Freshwater.
(Saltwater)
_
. :
_
100
i
;15
w r ?
.c.. �i.:;
JL
Q.010''
(0 QQ5)
•: r..
0.75 ='
r
='Q.12G
(D 095)
_:
0.075
(0:22D).
ma 73 ao1^7
/�'
S9
S
S.6
1�
o'L, .
o�. �.3 3�ot
!�
S.S'
10 , p
13 • d
� ,
�.5'�
If a value is in excess of the benchmark, you must implement the Tier 1 or Tier 2 responses in the General Permit.
2 Total recoverable metal.
3 Those benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L.
Solvent_Manace_ment Plan Certification:
Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for
Division of Water Resources managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated solvents
Attn: Central files into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge
1617 Mail Service Center monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Management Plan
Ralei , North Carolina 27699-1617 included in the Stormwater Pollution Prevention Plan." 1
tan �J/n��7
(Signature o Permit ) (Date)
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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. 1 am aware that there are significant penalties for submitting false information, including the
possibility of fines and imposonment for knowing violations."
(Signature of P mittee)v
Permit Datc: 610 /2015-5/31/2020
10A
(Date)
SWU-253-060515
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