HomeMy WebLinkAboutNCG140107_MONITORING INFO_20141231STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C& /qblID3
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOLDATE
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STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 D iJ :-7
FACILITY NAME: I
PERSON COLLECTING SAMPLES OW'
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
RECEIVED
SAMPLE COLLECTION YEAR:
SAMPLING PERIOD: 9 July -December ❑ January -June DEC 3 I 2Q14
COUNTY Li�'e.tt`r CENTRAL FILES
PHONE NO. (7-7 S) 223- L4 5" 0 DWR SECTION
ADD TO LISTSERVE? [_]YES❑NO EMAIL: _
DISCHARGING TO CLASS: ❑5A ❑HQW ❑PNA ❑Trout UOther
Outfall No.
Date Sample
Collected
(ma/dd/yr OR
NO FLOW)t
PHEvent
(Standard
Units)
TSS
(mg/L)
D
Duration
(minutes)
Total
a
llfainRation
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
it of Months in Tier
2 Sampling'
-
6-91
1002
IkI
JK
1 if "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 if a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 ar Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 T5S benchmark values are 100 mg/l. except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
`Far each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/Z015. Last Revised 7/13/11
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Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yf)'
pH
(standard
Units)Monitoring?
Units)
TPH using method
1654A 5GT-HEM
(mg/L)
Total Suspended
Solids
(rng/Lj
Event
Duration
(minutes)
Total
,
Rainfall
(in)
New Motor Oil
Usage
{gal/month}
In Tier Z
Monthly
I {V/n)
�
a of Months
in Tier 2
2'
i
Sampling
is
100
i
i
I
�
i
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUMNG VEHICLE MAINTENANI;•E)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DNkR (including all "No Flow" & "No Discharge" reaortsl within 30
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Filers
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
r
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penaly of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assur t t qualifie ersonne properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
th;sons dir, ct responiible B ering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
�fjjlawa a th t dre sign fic p�n�lties for submitting false information, including the possibilityf fine a mpriyokment for knowing violations
(Signature of Permittee) (Date) (�
Permit Dat?: 7/l/2011-60/30/2015 Last Revised 7/13/11
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