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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