HomeMy WebLinkAboutNCS000593_MONITORING INFO_20190718STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
�CS oo D S3
DOC TYPE
❑lFINAL PERMIT
L,� MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ Qolq
YYYYMMDD
STORMWAT M MCHARGE OUTIIALL (SDO)
MONUORING REPORT
Permlt Nmmber NCS 000593 SAINIPL s OOLI.RCPED DORM CALENDAR YEAR: 2019
Crhb moa tart g repwt dtai! be rmrdved by the DbbfDu no labw dm 30 days from
the date the b cMy rseeli the m mph rmalb from the bbaratory.)
FACIidTY MAp" UFP Rockwell, LLC COUNTY Rowan
PBRSON OOLLI4IIMG SAMPLES) 14A } "UM NM (616) - 9
CERY WIKD LABORATOSY(S) NA -- La " � 4
AMa��E OR MMGNE
gw
Pout A. SpedBMontarg tgarrmns r.E"-f-LT►nNED
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noes this Y pedprai Ve3ricle Msiateaaarx Activmes S n>= man 55 gAliaas of aew motor ail pec nion* _ ym ,-no
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STORM EVENT CBARACPERLMCS:
DAft NA—
ToW EvwtPracffr den @Ubak NA
Event Duration (roo): NA (only pf oppUcable -- seen p=31)
(ifmoa &w am no= event wan sampled}
Date NA
Total Event Pretiora O: NA
Event Donation aoarsr N A (only if %Vficad* —see permit)
Mad C1rigual and one aw ten:
Dwsbw of Weber Qanplity _
Ann: C=afrA Min
1617 Mad Servtoe Cauca
Rakish, Now C*vtma 27699-1617
"Z oe lft under penally of taw, tint AN docamaut and an atts wen prepared wader my dhvcthm or aawerrisin ben aoao:daaeo wilt a
systeas deed to asem+e base ganbM d peronad property gatbw awd ersbaate the laforaastk a cWWn tad. Boss oa say iagdry of the person
or persona who ataaage the syeeem, or thane peaom directly mspmsabie eor• gffdwnxg Me h&rmsdast, the ndbrmmdm sa,bmltbcA % to dw best
of my knowledge and beb4 trace, aeearate, and complete. 1 am aware that there am dVdf mnt penalties for n6ndtft false Wn ation,
tedndbas and baprboavnent for Wowing violadlosn."
cS mote
Form SWU-247,14Wrevised2!212012
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