HomeMy WebLinkAboutNCG100112_MONITORING INFO_20160427STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑HISTORICAL FILE
[3, MONITORING REPORTS
DOC DATE
❑ Q () I \Q
YYYYMMDD
STORMWATER DISCURGE OUTFALL (SDO)
MONITOK-iG REPORT
GENERAL PERMIT NO. NCG 100000
CERTIFICATE OF COVERAGE NO. NCG10-[a-1 �
FACILITY NAME J]�K-V
PERSON COLLECTLNC SAMPLES
CERTIFIED LABORATORY Lab #
Lab #
Specific Monitoring Requirements:
SAMPLES COLLECTED DURING CALENDAR YEAR: 0-0�6
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the s t, is from the laboratory.)
COUNTY Mpl=lrcPl/ED
PHONE NO.)
APR 2.7 2016
PLEASE SIGN ON THE REVERSE 4
l7WR SECTION .
In';!ORMATb,v PPMESSING UNIT
u0ittfa
Date=.€01051
;
a_.,. 605a6=m"
J41
r 7Z023
,Total Sus" ended''
p
` H ��'
p
Lead`:Tatal'
Offhand Grease
.Total otc
Ethylene Glyco
No
Sarin le Eollected ;
p ,
EJ'VJ
irno/ddlyr 4
, _ t
} R �.`�.. y
C''Sohds;:
.J :,4'A 5.
k Standard units
:
.S'
Recoverable,) z
r�' mg/Ltiy;F �r
�,
6rgamcS�,,
, ,
ti
r sw,p
wltlllrtf6'�.-9�.:7ru
Benchmark"
.' ::.,. ..
s:..,1004,:w
_.
a�
2123 f L
G.
o, 0 (0
r, o
2
2.
r(30
/—G, Cr
Lb
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for p11, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date ?3x (first event sampled) hh
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-251-1021 p1
Pagelof 2
STORMWATER DISC' �,RGE OUTFALL (SDO)
MONITOK—iG REPORT
GENERAL PERMIT NO. NCG100040
CERTIFICATE OF COVER -AGE NO. NCG10 C L 1 L
FACILITY NAME ) h—t
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab #
Lab #
Specific Monitoring Requirements:
SAMPLES COLLECTED DURING CALENDAR YEAR: r)-OL b
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the s: h}c�tp ing is from the laboratory.)
COUNTY
PHONE NO.
PLEASE SIGN ON THE REVERSE 4
LOutfall -
0.1
1
s`{y:'
Date` v
-Saris ie Go1lecEed„
mo/dd7vr ' s
y
..[.YIL:
` `=U S30
0
=0049Q'"
• 0305I.,;Ofl556
t
<��' } 4 78I41
77423 _
, Total Suspended `SFI,
}' Solids;
_ _ I
m I i•
Y
Standard,rinsts
V ,[1 k TJ lY+� C -l.
n#.iul_:G y"fY,a?}rS- ki l�,
Lead,ITotal,.
Recoverable;
."<. _
.gym ..�!•
Qtl and Grease,
,�, ; sts{l/T
fl Yi } J i
...'�'�ri���`�
Total Toxic,
'; Or Qamcsl%
)
-4 /► -.�[ {
i Mtn IL
>✓thylerse Glycol,
R Ll'M �i.
13y I 'T ':
13erichmark
, 2 11:
t Wifhssj.6 4 �- 9 0=.
�, _ [.AF
0:03 , ,,., :. _
{'I P.�'' �f -
30
i'� ,+ A'
I .1 ,
II{ l - 14
0. Oro
f.
t.o...
o. Cr to.
L
a
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CRARACTERISTICS:
Dated 2L3 (first event sampled) ^^ 44`` ��
Total Event Precipitation (inches): d,1`�GN
Date (list each additional event sampled this reporting period, and rainfall amount)
.
Total Event Precipitation (incises):
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 I of 2
STORMWATER DISC' URGE OUTFALL (SDO)
MONITOI -. 4G REPORT
GENERAL PERMIT NO. NCGI00000
CERTIFICATE OF COVERAGE NO. NCGIO 0 L I y
FACILITY NAME
PERSON COLLECTING SAMPLES tkR
CERTIFIED LABORATORY j Lab I ��
Lab #
Specific Monitoring Requirements:
- r
SAMPLES COLLECTED DURING CALENDAR YEAR: Dl
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling r stilt rom th laboratory.)
COUNTY 0 IL
PHONE NO. (--3W,)
PLEASE SIGN ON THE REVERSE 4
�..,
uz,v0uttaIl�
i :.ti '!` It
DateY�,ff.._;I,.l..
�k
Y 1.4.'� :6'-
:Kl�-_00530 's
:�!S`.`-..,i rl$I ..J-1`-
�.0040"
Y'
Q:�1�=.0105II :?�Y�1,
't' 1u �liy
�,��?�€00556 �.
k� '.;�% II.. .�:��il'
�rx;�i�.78141�f ,���
'il� !.)_.
.��,�[ 77023,�� .-. �'
t No
+,
RSam le Coliecteil�
p I
a r ''I
'r
r-.r_:a:..r.,
Total=Sus ended'
'•r� 'ti '.N .•. r
�x.
t x
°`LeadtiTotal
•?fN- a�- ;�z;F
.iY'� .nF- _•'w. -3tv
r' ti7if4.6 �,-r, y', r.
- �-�-.-. 1.-:r:�r-a
Otl�and'-Gzease
•+.131:,Fa �.n+lfq S
a Total Toxic#
! � •
( 44 Y. �I,lN:.. E II.
'Etii"lens-'!'
y, _ Glycol;;
i i'� •?:.'
r
ino�atl/ ,
a. 4�Soltds r„ s
:k
I. IrStandard ,units
.?'!
- ?
,Recoverable ?•r:
7fY
Ir's+: ,-:.,��.
-nt.�/[ 3 w:
--".2':Y. 6f u- ?,,y.
*
.
.,
Or(/"anics KI
[2f1. f
-e m�/r titi
_ .-.yt„y.*a
-€
�
�7.
1
s s
-W
T9 / 4- S•sY ifi uW'< r'
I i <.i�r
.Y ,.. '.. •�d•
. . z fs. 1' -•..4 . arJ!
�• r., +..'1- m f3. _ h--.
.�1' `� I::? -';,Yv .�?"x~'-SY:S
,iT+";:�:>m 'Y�
_�iy �l., VK.7IR . .�.�; L;. v
Pi•.1'.� 4 ?`5>a�m /1Ji! %' r�
u,�
-.1 -.=. Y..- �,•'r'
-l3enchmark'
� _ ._ „--. .:.,.
� _ ,s>..-.� ..;�.I•,_-_�
�.�.,
�'
�����fi '� � �!:9�
;u:o3. r„a.
'.i.�iY. ai' 2 Y(
��'j � �:t3 _�.+•� �x
Q�
'�.�i. .it•:,:
-T'•l, j'
k.ly�� �, �4 j.� +.•r� rc
� �. IhL .I
y J!'YI',
' }�i�r: �.�;� yla: ';.'r
�•�?�. [
W3
Z G
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Dated"(first event sampled)
Total Event Precipitation (inches): _ 1a 2.I^CI4—`
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
RECEIVED
DEC 2 9 2016
CENTRAL FILES
DWR SECTION
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
16I7 Mail Service Center
Raleigh, North Carolina 27699-1617
S WU-251-102107
Pagel of 2
I For purposes of this permit the definition of Total Toxic Organics is that list as stated in Appendix D, Table 1I 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.iltat 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, tale
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 tine 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 Prevent' "
Name (Print name)
E
1
(Signature) (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,inforination, including
the possibility of fines and imprisonment for knowing violations."
(SignattVveof Pernvttee (Date)
S WU-251-102107
Page 2 of 2