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HomeMy WebLinkAboutNCG020066_COMPLETE FILE - HISTORICAL_20190813STORMWATER DIVISION CODING SHEET RESCISSIONS PERMIT NO. DOC TYPE ❑COMPLETE FILE -HISTORICAL DATE OF RESCISSION ❑ aUISb�Ic3 YYYYMMDD i STORMWATER DISCHARGE,MONITORING REPORT (DMR) Please Mail Original A td One Copy To -Mailing Addre'ss.Below GENERAL PERMIT NO. NCG020000 Part A: Facility Information ' ; 1 Samples Collected In Calendar Year: f— C') 1 (all samples shall be repo rted*.within 30 days following monitoring period) i Certificate Of Coverage No. NCG02 _Q(a Ca County of Facility; Facility Name 4k e4,1 ,��)� rg +� 1� Name of Laboratory Facility Contact sue' Lab Certification # Facility Contact Phone No. E 6 7 — Part B: I -and Divnirhanre and Prore.cs Area MnnitorinQ Reouirement.r Outfall �+ t Datc 50050 +110530 ?'. E - y ;i� 00076 f N 0054 , . k i t _Lrl 1t,F_ 5Y,.� Sa No f, ply Total fFtow Suspended) �',Turriidity i ' Settleable.Sbli .'Collected i _ -:' •`s .SDIid$ mo/dd/ r MG: %��` •fir' i / iD r n•Y '% 7► �' i 1' 71' t Footnote I Identify the receiving stream: W S)fir A— Part-D: 5tornr '-vent Characteristics I, Total Event Precipitation (inches): y Event Duration (hours): -l�_� ' RECEIVED Part C_ Vehicle Maintenance Manitarine Reauirennents rJ.=kUulfall.iDate3°5IXI5t3' 7ik'y 5[y�3110556('�w _ 00545 �!; Y,l._4JJrt=`.{',)•� .itF�24-r�rr-ft:$+� �: YsnkM�.'� 1K:.'{�n-ayh...�'"�i ^��+ S:•..-.� ;00400 •- �� A -..:.. r tYs_ 5:, P`?' }Samples M Oil land N41`.: �'ColiecEed Tottilfllow r'ease Suspended a pail { ; :a� r.¢!3�.if., ?�Ywb ii _si?nip 41,r YrsSDlidsFc �.::...:.. m �: m unit' AUG Total Event Precipitation (inches): CENTRAL FILES Event Duration (hours): pIfVR SEGTIO�I (If a separate storm event is sampled) Part E: Certification "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 tht there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of.Permittee) (Date) Part F: Mailing Address Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617 S W U-243.12019 Analytical Results STATESVI LLE ANALYTICAL Statesville Brick Company PO Box 471 Statesville, NC 28687 Receive Date: 07/23/2019 Reported: 07/30/2019 For: SHALE STORMWATER Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 190723-35-01 Settleable Solids Shale 1 0.1 ml/L SM254OF-2011 07/23/2019 WC 190723-35-01 TSS Shale 1 6.667 mglL SM25400-2011 07/26/2019 WC 190723-35-01 Turbidity Shale 1 7.8 NTU EPA 180.1 07/24/2019 MD 190723-35-02 Settleable Solids Shale 2 0.1 mill- SM254OF-2011 0712 12fl19 WC 190723-35-02 TSS - Shale 2 <4,167 mglL 5M25400-2011 07/26/2019 WC 190723-35-02 Turbidity Shale 2 24.6 NTU EPA SB0.1 07124/2019 MD 190723-35-03 Settleable Solids Shale 3 0.1 mill- SM254OF-2011 07/23/2019 WC 190723-35-03 TSS Shale 3 4.833 - mglL SM25400-2011 07/26/2019 WC- 190723-35-03 Turbidity Shale 3 4.17 NTU EPA 180,1 07/24/2019 MD Respectfully submitted, 'Oo--*/OG Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 3 ly PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 STORMWATER DISCHARGE MONITORING REPORT (DMR) Please Mail Original And One Copy To Mailing Address Below GENERAL PERMIT NO. NCG020000 Part A: Facility Information Samples Collected In Calendar Year; �t- 6, /' _ (all samples shall be reported within 30 days following monitoring period) Certificate Of Coverage No. 'NCG02 v County of Facility _ U in Facility Name t . i; Name of Laboratory Facility Contact ` dA.I 0I d-x4 Lab Certification's :. Facility Contact Phone No. Part B: Land Disturbance and Process Area Monitorinz Reauirements Part C: Vehicle Maintenance Monitoring Reattirements tiL ({�� SdY�i>pS^.�F.I IS1[,llqlq� ll�llN", I Ssriia le ! I Tote) I rff 3 l i 7 x p{ � „kvrllr 1 ,I,r,F�(i, h Outfutl Reeeiyirig 5h eam -•, Name ( y R ,,, I I�' }(R/1",!llnleete[`�f ,;} 4z I ,III �: �I'tow .l,�+Y, u q(led ? �,JJM^,' ��•fa rjj.SS: ii 'ur0 duty i I ••I�'s � • (Y,��olfid�t��,,+{{� I_i i.' -'�l 'i: z-` ' ++i .!tn ,•{tii it A:I �'i!);' :. jf oli �L.. '' {yy I-, t �VS�111; "'•' r1: j1 > �;I(I iiF 3§i,�'ll :Is�I,' s,,' ,�-•I,��_ � IJ:•ll � : �,��. c,ll ,7s��nl �'f ice`,., ::� ar ,1r��7,p,, II.; , �9<i`,�f 4.,�` .,,'.s+' ,•} i>,r:it� ir�I,y,;l I / iIDSc"�r�r I' / 0,Db - 'P x�. z. Part D: Storm Event Characteristics '1 ..€ .;7 '� 1''j :71: �. r<f;. C :� x.,fDa'te�;�' At rr° 1r,. r1�i�l'rnk::'�;k.,l�ti Ire �� , o a ua o. h' a iI,' I .4y°'11.• ,_, I-��.�.'��I f,, q,l I�il yf1/1 +P IiA "I "$.�e1i,I ice n i rea . Y' ' I �$. S `iwt 'I i [.li l'u,r HS J..iilr k�nfaijj �.i _r. __f r ,e,i:a r,au"-r: �r€� I I,�� e,r,Frry > ., F r r:v •r...,t, f . [W �I Total; . - ,}y aa-�Q' fo! N .-.s 1 `-i". ��-, QI ecte ^�•€ft�n.Fiovv j nl) .Oil F� 4r ✓a , i� ':$i}S end$d ,•, l� •I 1 �•I 411_��,kiln'.k�.ef��•F.11tl,r.�:iEaJ,lli.ftin?n{l; i} p ; illy il-' P' .! l^i: �I, Y ' d�: �Gr�s15c ; :' i-,e I � , !I .i ,,:. ,. {„1 7 y'� s 'V4 y?�I, I'i .11.1 'u !C !`I 7� �i'�e• 1' ,',''� c� F€ lIJfJ�IIIl: , 4Ti`iSF. ' r t .al l € ft �€�tlll2 ,Y ia5:{i 7,! 1,y7� i' '''tl , , d ia� I y} _. l ..lr M& dl, .r;,. Total Event Precipitation (inches): 67.01 Total Event Precipitation (inches): Event Duration (hours): Event Duration (hours): (if a separate storm event is sampled) Part E: Certification "I certify, cinder 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 violation ' 41 f 5 jai ignature of Permittee) (Da e) PartF: Mailing,4ddress Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617 ij - Res u Its ical=� -:Sample ID Result Unit Method Analyzed Analyst Ceable:Sofids Outfaill 0.1 mi/L SM254OF-1997 11/07/2014 WL Outfalfl 6.67 mglL SM254OD-1997 11/06/2014 JM Outfalil 5 J NTU EPA 180.1 11/07/2014 MD . Settleable Solids Outfall� 0.1 - mUL SM254OF-1997 11/07/2014 WL Outfal12 6.83 mglL SM254OD-1997 11/06/2014 JM 2 , §Turbidity Outfal12 2 NTU EPA 180.1 11/07/2014 MD = "Settleable Solids Outfafl3 0.1 mi/L SM254OF-1997 11/07/2014 WL Outfal13 3.60 mg1L SM254OD-1997 11/06/2014 JM 8=03., 'Turbidity OUtfall3 2 NTU EPA 180.1 11/07/2014 MD eCtiull�:,: -.... mitted:`gym: .... .��_fJena±Myers r=-NC'Cert #440, :47Z . -NCOW_Cert #37755, :EPA#NC00909 w�4am .nry • . PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 2