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
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5Y,.�
Sa
No f,
ply
Total fFtow
Suspended)
�',Turriidity i
' Settleable.Sbli
.'Collected
i
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.SDIid$
mo/dd/ r
MG:
%��` •fir'
i /
iD r n•Y '%
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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
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}Samples M
Oil land
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r'ease
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ii
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�.::...:..
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
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Part D: Storm Event Characteristics
'1 ..€
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C :� x.,fDa'te�;�'
At rr°
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r1�i�l'rnk::'�;k.,l�ti Ire
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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