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Home My WebLink AboutNCG050172_MONITORING INFO_20180202STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V GCS USD I �J DOC TYPE ❑HISTORICAL FILE I-AMONITORIN6 REPORTS DOC DATE ❑ ODIEoa 00� YYYYMMDD STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Numher N �- nn ff N Gcr- a,� o 17a FACILITY NAME PERSON COLLECTING SAMPLE(S) ' tJ P CERTIFIED LABORATORY(S) Lab # Lab # Part A Specific Monitoring Requirements RIf C 'IVE-D SAMPLES COLLECTED DURING CALENDAR YEAR Ok A (This monitoring report shall be reLeived by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory } COUNTY SAr-N PHONE NO ( } ` 91—e]1(o { SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2 Outfali No Date Sample Collected 50050 V y Total Flow if a Total Rainfall CENTRAL F OWE SEC;I LES ION molddl r MG inches Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month9 _yes / � 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 apply Non -polar O&GITPH (Method 1664 SGT-HEM), if appl Total Suspended Solids pH New Motor Oil Usage molddl r MG inches mg/1 m /l unit gallmo Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS Date'y Total Event Precipitation (inches) Event Duration (hours) (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 Ann 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 enquiry 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 lines and imprisonment for knowing Neolations " (Signature of Permittee) � - �-V-IK (Date) Form SWU-247, last revised 21212012 Page 2 of 2 STORMWATFR DISCHARGE OUI FALL (SDO) MONITORING REPORT Permit Number N O 0 SAMPLES COLLECTED DURING CALENDAR YE 1R NA NC ('l his monitoring report shall be received by the Dnision no later than 30 days from the date the facility retenes the sampling ro-sults from the laboratory ) ,r• CILi-rx N 01E A'frH PERSON COLLECI ING SAMPLL(S) CERTIFIED LABORATORI (S) IVA Lab # Lab # Part A Specific ,Monitoring Requirements ! 1 1/J i LUUN I Y v+.yi r PHONE NO t,f JL,, -7gq - (f 1 tf _JAW_ws lNtft�C SIGMA PURE OF PERMITTFE OR DESIGNEF REQUIRED ON PAGE 2 Outfall No Date Sample Collected 50050 Total Floes if app Total R-sinfafl nio/dd/vr 117G inches i-��-i V ►.ram 7 Y��s Cli L� Y Ttr)NI Does this 1dLIl1ty pei form 1 ehicle Mainten ince AItlVitleS using more than » gallons of new motor oil per month? _ ves �_no (If ves complete Part B) Part S Vehicle Maintenance Amity Monitoring Requirements Outfall No Date Sample Collected 50050 00556 00530 00400 Total klors (if applicable) Total Rainfall Oil & Grease (if apply Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl Total Suspended Solids pH NeK Motor Oil Usage moldd/vr RIG inches m%1l mall unit gil/mo Form SWU-247 lost revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS Date . M A, Tot,kl E%ent Precipitation (inches) E, a^i D -no or (1-o.."s) (ord, if applicable — cc Nci nnE t (if more than one storm e%ent was sampled) Date N A Tot,il Event Precipitation (inchi.$) Etcnt Durihon (hours) (onlv if applicable —see permit) M ul Originll Ind one copN to Division of Water Qualit) Attn Central Files 1617 Mail Service Center Ratejgh North t.arohna 27699-1617 "1 certify, under penalty of law, that this document ind all attachments were prepared under m% direction or supenzszon in accordance frith a s%stem designed to assure that qu-ilzfwed personnel proper]-, gather ind e%-iluite the inform itzon submitted Rased on mi mquin, of the parson or persons w ho m mage the sNst4m or those personc directl) responsible for gvthenng the znformitzon, the inform-ition submitted is, to the best of ins knowledge quill belief, true aLcur zte, and complete I .im i«are th it them, ire significant piwiltzes for submitting f'Ilst. inform ition, including the posszbiht} of fines -ind imprisonment for knowing -*iol-itions " k 1�1_ 2 0 (Sign iture of Permittee) (Date) Form SWU-247, Iasi revised 21212012 Page 2 of 2 !a 06 S fORA1WATER DISCHARGE OU riALI (SDO) VIO\ ITOR1;� G REPORT Permit Number NCS D SXNIP1 f S (Ol LECTFD DURIING C 1I 1' ND 1R YFAR A (This monitor Ing report shall be, receh ed bi the Dis tsion no Met than 30 das s rram i fn� p [� the date the facility recesses the sampling results Irum the labor alai)) FACILi fY 1AVIE UP Pot T• F� 1 l J COUNTY rnj PERSON COLLECTING SAIAPLE(S) 4IV A P \L \O (:5 j_) -7 — CERTIFIED LABORATORY(S) AIA I ab # I ab q RIGNATIIRE OF PER,\IITI EE OR DESIGNEE Ca. V61r1hOQ K21 IRFD ON PAGE 2 r/1 PartA SperlficManftor[ngRrqultemeals O m �yr�I Does Iles facility perform Vehicle Itlamternuce Actn dies ruing rnol c than 55 gallons of new motor oil per uronth" _ ycs�no O I (If yes complete Part B) Pali B Vehicle Maintenance %.cth Itr Monitoring Requirement Outfall No Date Sample Collected ;0050 00556 00530 00400 Total Flo« (if opplicabie) Total Rainfall Oil & Crease (if apply Aou polar O&C1TPH (Method 1664 SGT HEM) if a E fetal Suspended Sollds PH Aers Motor Oil Usal e malddl)r A1G ruches m mgfl unit gaLlmo Form SW L 217 Iasi r ei rsed 2/212012 Page 1 of2 STOFM EVENT CHARACTERISTICS Date --bA Total Esent Precipila thin (inches) Fsent Duralion (bouts) (only if applicable — see perml ) (if mom than one storm vent u as sampled) Date Total seat Precipitation (inches) EsentDutrollon(hours) (onlyrfapplicable—seepemul) Mall Original and one cops to Dtt tston of Water Quality Ann Central HIcs 1617 Mail Sett ice Center Raleigh Noilli Carolnta 27699 1617 I certlh under penaltt of labs that this document and all nttachments iiete pi epatell under m) dh ecllou at super%Wan in sccotd in re rtiilk a t) stem designed to assus a that qu dialed pet sounel propel13 gather and es alume the Mot million submitted Sawed on mt Iaqubti of the pet sou or persons isho manage the ss stem of those persons ditWI) respoastble for gntbenug lbe information the information submitted is I the best of ms knossledge and belief is no accurate and complete 1 am auase dint lhere ale significant penallies for submltling fake informxdon lncludigg the possibility of fines and ]mptisonmeut fat knos+ing s Ia11tIOn$ w I uatm a of mi tee) (Date) ForuSWL 247 lase ierrsed21212012 Page 2 of 2 S rORBIWA PER DISCHARGE OU rF 1LL (SDO) 110NPPORING REPORT N Pcrmit Ntuuber NCS QSp S %NIPI FS (.OLLEC ri• Il DURiN( C 1LE1D 1R YE 1R J {I his monitot tog report shall be retched bs the Dir tsion no later than 30 das s tram the date the facility recesses the sampling results trom the laboraw" ) F 1C1LI1 Y N 1MF ! � � Q6 l " COUNTY s J r o - PERSON COLLECTING SA 01,E(S) 111 PHONE NO Wt.- ) -7 SQ ' 1 to CERTIFIED LABORATORY(S) I ab 9 �Tlx wY11Q,L lab# SIGNATURE OF PERAUT FF OR DESIGNEE REQUIRED ON P 1GE 2 Part 1 SpecillcMoulloringRequitements Does thus factloy perforru Vehicle Maintenance Actn tttes using more than 55 gallons of new motor oil per month" _yes %no (ifyes complete Part 13) PArt B Vehicle Maintenance Acth itv Monitoriott Requirements Outfall No Date Snmple Collected 50050 00556 00530 00400 Total Flon (If applicable) fatal Rainfall Oil St Gtease (if appl) Non point ORGrI I'll (NTethod 1664 SGT HE1'I) if A ] Total Suspended Sollds PH New Motor Oil Usal e molddhr MG Inches m 1 I m 1 colt gallino I omt SWU 20 Iasi yet rsed 21212012 Page I of 2 J: ,F1v F .lAN 0 6, b I'l DWR S GT ON STORM EVENT CHARACTERIS HCS Date Total Esphi Precipitation (inches) E1eot Duration (hours) (only if applicable —see pennd ) (If 11101C than one stomi et ern was sampled) D-ite Total 1,1 sot Pi ecipiialton (inches) F t eni Duratlon (ho111 s) (only if applieible — see pemni ) Mail Original and one cops to Di% ision of W ver Quahty Alin Central Files 1617 Mail Sen ice Center Raleigh North Carolina 27699 1617 I cei tiff under penalty of law that ibis darn urem and nil 9ttachluents is ei a III epar ed under ink dIt ection of Super's is tou In accordance 11 ith a system designed to assure that qualified personnel proper IN gather and es alum the Infoi matron submitted Sn%ed on ms inqulr % of the PeVcon or persons 1%1110 manage the S\Stem or those persons dlrectl\ responsible foi gathering the infornintiou the Juror matron submitted is I the best artus knolsledge and belief itue ace urate and complete I am assaIe that thete ate significant penalties 1`01 submitting fake 10farnrntion including the posslbillt} or fines and htIPI [soument foi knosling f lotations �Itv.I:►Y1I! Forin SWLI 217 Iasi cei ised 21212012 Page 2 of 2 r STORNM %TLR DISCH iLRGE OUTF 1LLL (SDO) xrnn-rrnurNG REPORT Perrin Number NCS F %CILITY NANIE , V�C 1 P V` Y V vt 1 D' t `r'S PERSON COLLECTING SA,AIPLE(S) Wla CFRTIFIEf) LAUM%TORY(S) (VI A Lab N Lab N Pail 1 Specific Allonitottog Requhements S 1\IPLES COLLECTED DURING C 4LEND LR YE 1R J�LA (I his monitaring report shall be recels ed bs the Dh isioo no late) than 30 das s from the dale the Ncllds recesses the sampling results hum the laborator) ) COUNTY A su(f PHONE NO (31 ) ( SIGNATURE OF PEK'*=EE OR DESIGNEE REOUIRFD ON P 1GE 2 Does dus facility perfonu Vehicle Maintenance Actlr dies using more than 55 gallons of oeµ motor all per ntonah° _ yes Xno (dyes complete Part U) Pn.• R Vohtrin tieninronunra _lrrla Ira ATnntfn.dna Ronah omnnts Oulfall No Date Sample Collected 50050 00556 00530 00400 rolal Flow (lf applieible) Total Rainfall Oil & Grease (if appl) Non polar O&( frPll (Method 1664 SGT IIFM) if sipp, Total Suspended Solids PH New Motor Oil Usage moldd/)t JMG I inches m m l unit sumo Sd17a- �E D BOG Fonn S W U 217 Iasi? in iced 2/212012 Page 1 af2 STORM EVENT CHARACTERISTICS Tot a olelEsen Pi eciplialion(inches) 6s ent Duration (hours) (only if applicable —see permit) (if more a n aiie stann e+ eat a as sampled) pate Total Es nt recipitation (inches) bsent Duration (hours) (only if applicable —see petmti } Bail Original and one cops to Do.ision of Wnler Quality Alin Central i iles 1617 Mail Set% ice tenter Raleigh North Caroluia 27699 1617 1 cettih under penaltti of last that this document and all attnchmeuts stele piepared under m+ (IhecilDn of super Isiou in accoidam a ssith a s)srem designed to assure tbat qualified personnel piopei13 gather and esnluate the iuformntiou submitted Based on ms inqulr� of the person of persons ssho manage the system of those persons dbectls te+pousihle foi galbering the mfoimatiou the infonnntion submitted is to the best of m) knonledge and belief true accurate and roinplele I any assai a that thei a ate significant penalties foi submilling fake information luclu ing the possibllih of lines and Imprisonment foi knoiiIng %tohifous 466L w (21,11 �— —� v —/ 1—/ (Siguafnte fPeimirtee (Date) ronnSWU 247 Iasi ielised21212012 Page 2 of 2 Permit No CibetNCS20ODD STORAiR ATER DISCHARGE OU'I I it I (SDO) MONITORING REPORT t ACILITY NAN l V Ur-e_ aruS PERSON COLLECTING SA31PLE(S) N CERTIFIED 1 ABORATORY(S) Lab H Lab 11 Part k Specif a Monitoring Requhements SANIPI ES COLI ECTFD DLRING CALEND \RYE \R (Fhis monitoring report shall be recels ed bs the Dls ision no Inter than 30 das s from the date the facillts recelies the sampling results from the laborators ) COUNTY Suer PHONE NO Q 71,Q) 1 I SIGNATURE OF PER\IITI"EE OR DESIGNEE REQUIRED ON PAGE 2 Does this facilely preform Vehicle Maintenance Actn dies nsutg ,Doe then 55 gallons of new motor oil Pei niomrlh9 _ yes X_ua (if)es complete PartB) Part B Vehicle Mitintenattce Acth lti Monitortua Requirements Outfall No Date Sample Collected 50050 00556 00530 00400 Coral Flon (ifapplicable) Total Rninfall Oil & Grease (ifappl) Non polar O&GITPII (Method 1664 SGT HE34) if a 1 focal Suspended Solids PIT Ness Motor Oil Usage molddlsr NIG [aches [no m 1 untt Upllmo P orau S W U 24 7 17se r et rsed 21212012 Page l of 2 JAN 0 6 2014 CENTRAL FILES DWOISOG STORM EVENT CHARACTERISTICS Date rotal E%enk Precipitation ([itches) Eten[ Duralion (bourn) (only if applicable —see pennil ) (ifnuore thanOnestonn etemt tsas sampled) Dote Total Et e 1 Yt ec[pital[oo (iocbes) Et ens Duralioo (bouts) (only if apphcablc— sec pennil ) Mail 01 iginal stud one copy to Dn isron of Water Qialily Altn Central Files 1617 Mail Sen Ice Center Raleigh North Carolina 27699 1617 1 certih under penalty Of] nt that this document and all attachments mt re piepated nuclei nn direction of snpe„pion In accm dant a ttitb a s) stem designed to assure that qualified personnel properly gather and etaluate the tnfoi mation submitted Based on Ins Inquiry of the person or persona ttho manage The system or those penont direCti) lesponslble for gathering the Information The information Submitted Is to the best citrus knottledge and belief Or ue accurate and complete 1 am attar a that there al a significant penalties fat submitting false information Including The possibillts of fines and Imprisonment for knotting tlolallons (Signalureo ermlttee) (Date) Fonn S W U 247 lost i ei ised 2/2/20Il Page 2 of 2