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Home My WebLink AboutNCG100073 DMR SWSTORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG100000 CERTIFICATE OF COVERAGE NO. NCG10 00 ?> FACILITY NAME I • U.:�,j 010A I PERSON COLLECTING SA W ES CERTIFIED LABORATORY J c Lab # Gid .q `CCS- Lab # Specific Monitoring Requirements: SAMPLES COLLECTED DURING CALENDAR YEAR: C;0 I (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. ( ) 3-7,to -00(,o PLEASE SIGN ON THE REVERSE 4 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): _ Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 SWU-251-102107 Page 1 of 2 ' :%�:� �, ti^v .t-lv,�,m,� _:r,.w „",:4 9'Jr ': a,� . � �� r�. �53- � Nr4u,�w,~Y�• �,,,�:•„. .� 0 Q4 1, ., .; r' i'.< -•,Ci' - k' -0'Slr„°'.,'i �,i. '2Y � r ,p��„Y- ,.r•5a Fj�,�•,;>, p H•, ^4,.,_' - ,:la%,=:"11^t�d .+�I'•r„:�_,`�� '°c: ,'�” rfrtv "' x ;, o�`� �I.I.> "4-- � ..}'�:,; �.' �'i�” 'K"j: ..4 �� `t.' tF - „1• i..n:i��``Iti:' E� pr's ^'-0� xd' L7 v *•a �a '=F;,. r.�;dy � , {;�r;��;J;;�, .I., •inr,K - - 'hr' i5 :'iii �, 'ri ' '-; J„ sv� �°'tali � gbp'il� , ��•`.ea'"e 'J=`... - CM1A' 't X, '� ;'i° r :..< . �`` ;.,, �.�•- - - . } ,�,:; �,, _i. � t - . t, ' ��. ,'��,,; ' i N �••V �ryt,v. ::Y: �lS 4�'. 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' +. k .,{" c- �.tz'• T* , b;_ vJ�-:.'a:a`. „�,.;x�t, . .'1 , - ..f, a ":.aY _ ^ ,��i” i m _ .'7 � ' - r �F 1. � `.Is �^s: ..,..x...:15 , y�, . 1 . _ k'L , ,�. h. r�.. ;�„,- ,.�".. A'R�',� "` "i '�'• _ .d4 �.: •tk� '' .a � ;„5;�� a<^a” '-�i.�,a �'' ',�`il�� 'V,('ithin� 6�0�':�,QFtQ� +-��t:' �s, 3:;=3.D.. '` '.*>';,��.. i.. dv .iT'Xd,1 ?Be�ch'iria�k';°- 9” -'F . c:5,"-,`11��f ,.n;, ,s, J, .iµ r �,�x .,-, _ ^S . :r , Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): _ Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 SWU-251-102107 Page 1 of 2 r 1 For purposes of this permit the definition of Total Toxic Organics is that list as stated`in Appendix D, Table II of Chapter 40 Code of Federal Regulations (CFR) Part 122. Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may request that DWQ waive monitoring of total toxic organics. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities allowed such a waiver, the discharger shall sign the following certification statement: 'Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the solvent management plan included in the Stormwater Pollution Preven' n Plan." Y_\ � �] 6 Nie (PrMt name) int title) re) (Date) "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." (' re of Permittee) (Date) SWU-251-102107 Page 2 of 2