NCG030652_MONITORING INFO_20170123

PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET i
NCG PERMITS I
HISTORICAL FILE
`4 MONITORING REPORTS
YYYYM M DD

, 1 ^^ STORMWATER DISCHARGE. OUTFALL (SDO)
N C C L 0 sa MONITORING REPORT
Permit�olumber NC_ or SAMPLES COLLECTED DURING CALENDAR YEAR 2016
Certificate of Coverage Number NCG030000 (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 }
f ACILI rY NAME _Carolina L p er Cutting COUN3 Y Guilford
PERSON COLLECTING SAMPLE(S) Chasit }tart . �PFl"ENO (.a36 )292-147-4-
CERTIFIED LABORATORY(S) �R&A Laboratory Lab # 4
Lab # AN 2 3 2017
Part A Specific MonitormQ Requirements
:ENTRAL FILES
)INC?
(SIGNATURE 0171ERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall
No
Date
Sample
Collected
50050
Total
Flog►
Oil & Grease
pH
TSS
Copper
Lead
Zinc
moldd/ r
MG
m /I
Std units
mg/1
m /l
mg/1
m /l
1
12/6/2016
0 056
<5
6 38
190
0 012
< 0 005
0 072
2
12/6/2016
0 056
<5
5 66
644
0 010
< 0 005
0 219
u
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month9
(if ves, complete Part B)
Part B Vehicle Maintenance Activity MonitoringRe uirements
yes X no
�.I
Outfall
No
Date
Sample
Collected
50050
00556.
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil usage
mo/dd/ r
MG
m /l
mg/1
r—
-.-. —
i
Form SWU-246-051 100
Page 1 of 2

STORM EVENT CHARACTERISTICS
Date 12/6/16
Total Event Precipitation (inches) 0 375
Event Duration (hours) —2
(if more than one storm event was sampled)
Date
Total E-,ent Precipitation (inches)
Event Duration (hours)
Mail Original and one copy to
Division of Water Quality
Attn Central Files
1617 Mail Service Center
Raleigh, North Carol ina 27699-1617
"l 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 m} 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 "
(Date)
Form SWU-246-051 100
Page 2 of 2

i 10 sampling waiver (per NC6030000 fart ll Section A)
"Based upon my inquiry of the pet son or persons directly t e�ponsible for managing compliance
with the pet mit monitoring requitement for total toatc organics (TI D) 1 certify that to the best of
my knowledge and belief, no leak vpill, of dumping of concentrated toxic organtcv into the
stormwater or onto ateas which ate exposed to rainfall of stoitnwatet iunoffhav occurred since
filing the last discharge monitoring report 1 further certify that this facility is implementing all
the provisions of the Solvent Management Plan included in the Storm water Pollution Ptewntion
Plan "
/P.� # 13roj I f y
Name (type or print)
ignature
Carolina Laser Cutting
4400 South Holden Road ,•
Greensboro, NC 27406
!- I q
Date

A/c (.- c) 3 b w STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NC_ or SAMPLES COLLECTED DURING CALENDAR YEAR 2016
Certificate of Coverage Number NCG030000 (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 Carohna Laser Cutting COUNTY Guilford
PERSON COLLECTING SAMPLE(S) Chasity Hart PHONF. No ( 336 1292-1474 i
CERTIFIED LABORATORY(S) R&A Laboratoty Lab #I 34
Lab #
Part A Specific Monitoring Requirements
(SIGIiATURE CIF PERM!TTTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall
No
Date
Sample
Collected
50050
Total
Flow
Oil & Grease
pH
TSS
Copper
Lead
Zinc
mo/ddl r
MG
m
Std units
m
m i
mg/1
m l
1
5/5/2016
0 375
< 5
5 5
174
0 008
< 0 005
0 062
2
5/5/2016
0 375
< 5
52
287
0 008
<0 005
0 137
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month9 _yes X no
(if yes, complete Part B)
Part B Vehicle Maintenance Activity Monitoring Requirements
Outfall
No
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r
MG
in Il
m /l
RECEIVED
MAY 2 5 2uit)
CENTRAL FILES
DWR SECTION
Form SWU-246-051100
Page] of 2

STORM EVENT CHARACTERISTICS
Date 0515/16
Total Event Precipitation (inches) 250
Event Duration (hours) 3
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches)
Event Duration (hours)
Mail Original and one copy to
Division of Water Quality
Attn Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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 eraluate 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 "
(Signature of Permittee)
S--C)o -4; -
(Date)
Form SWU-246-051100
Page 2 of 2

4
STORMWATER DISCHARGE OUTFALL (SDO
n /C � 63b (,�a MONITORING REPORT
Permit Number NC_ `y ar SAMPLES COLLECTED URING CALENDAR YEAR 2016
Certificate of Coverage Number `►NCG030000"_} (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 Carolina Laser Cutting COUNTY Guilford
PERSON COLLECTING SAMPLE(S) ChasTM Hart_ PHM NO ( 33 292-147
CERTIFIED LABORATORY(S) _R&A Laboratory Lab # 34'
Lab M. (SIGNATURE OF PEMMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Part A Specific Monitoring Requirements
Outfall
No
Date
Sample
Collected
50050
Total
Flow
Oil & Grease
pH
TSS
Copper
Lead
Zone
mo/dd/ r
MG
m /I
Std units
mg/1
m /l
mg/1
m /l
1
Not enough
ram in I
quarter for
samples
2
i
I
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month9
(if yes, complete Part B)
Part B Vehicle Maintenance Activity Monitoring Requirements
yes X no rIJlb QCN
ss/NG UNIT
Outfall
No
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
mg/1
m I
Form SWU-246-051100
Page 1 of 2

STORM EVENT CHARACTERISTICS
Date
Total Event Precipitation (inches)
Event Duration (hours)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches)
Event Duration (hours)
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 "
(aignai.ure ui rrrniiuee)
(Date)
Form SWU-246-051100
Page 2 of 2