Loading...
HomeMy WebLinkAboutNCS000354 DMR SW (2)1 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS S D O0:3Sy FACILITY NAME STARPPT Znrcc, PERSON COLLECTING SAMPLE(S) ,TA c -K K[--NNe D CERTIFIED LABORATORY(S) JVC 0 A/R 7# // Lab A/C AoN iF 177/y Lab# 9'77iY Part A: Specific Monitoring Requirements ORIGINAL SAMPLES COLLECTED DURING CALENDAR YEAR: Z O l Ai (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 _RA/VDaL PH PHONE NO. (.33b' ) 6-7z - y 10 f SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. : Outfall -Date--- : 'No. Collected -Aal - M. �- 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage 81 mo/dd/ r MG inches m m unit al/mo Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes y, no (if yes, complete Part 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 (if appl.) Non -polar O&G/TPH (Method 1664 SGT -HEM), if appl. Total Suspended Solids pH New Motor Oil Usage 81 mo/dd/ r MG inches m m unit al/mo NUV 19 2014. G f1'R-�R.iV� OU, . JTy 'ORIAVA l ER FERiviiT71NG Form SWU-247, last revised 2/2/2012 Page 1 of STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS S` o oc 3S41 FACILITY NAME SrAkP,67'XA10, PERSON COLLECTING SAMPLE(S) jr- CERTIFIED CERTIFIED LABORATORY(S) tvcaniR y�// Lab #1_ JIICDoH a'# 377/y Lab # 377/ y Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: A o / (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 94AIP0J. PN PHONE NO. (33 )_ d"72 - o 1 o I SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Sample im�Collected Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes j!,no (if yes, complete Part B) Part B: Vehicle Maintenance Activit„ Mnnitnrino Ranioiraman#m 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 -HEM), if a I. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes j!,no (if yes, complete Part B) Part B: Vehicle Maintenance Activit„ Mnnitnrino Ranioiraman#m 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 -HEM), if a I. Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches m m unit al/mo Form SWU-247, last revised 2/2/2012 Page of if I Permit Number NCS S oa o 3 5 y STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: .7a / (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 STAA I'E7- _rAlc PERSON COLLECTING SAMPLES) J -d r- K ICENN E",o y COUNTY RA Ai ,004 PN ,CERTIFIED LABORATORY(S) ,vr17Aj je .,t t1Lab PHONE NO. (336 )��I2 #�,_ SIGNATURE OF PERMITTEE OR DESIGNEE Part A: Specific Monitoring Requirements REQUIRE D ON PAGE 2. Outfall Date 50050 No. Sample Total Total Collected Flow if a Rainfall P 14 mo/dd/ r MG 'S inc A — ._ 1— __­77-11___hes S. U. 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) vuzzall Date 50050 00556 No. Sample Total Flow Total 00530 00400 Collected (if applicable) Rainfall Uf $& cease Non -polar Total pH New Moti ( pp) 0&G) PHSuspended 011 Usage (Method 1664 Solids SGT -HEM); if Form SWU-247, lost revised 2/2/2012 • Page 3 of I STORM EVENT CHARACTERISTICS: Date!O - / - /y Total Event Precipitation (inches): 0, } q Event Duration (hours): 1. O (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 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." /l- (Signature of Permittee) (Date) Form SWU-247, last revised 2/2/2012 Page,q of It