NCG030566_COMPLETE FILE - HISTORICAL_20160624

STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO.
N C
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ D�U) � V l�(�,�
YYYYMMDD

STORAIWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO30000 + �' �"' SAMPLES COLLECTED' DURING CALENDAR YEAR: a0 16
CERTIFICATE OF COVERAGE NO. NCG03 D 00'0 (This monitoring report is due at the Division no later than 30 days from
the date 1th`e'facility receives the sampling results from the laboratory.)
rigcA
PERSON COFACELITYNLLECTING SA�tiIPLES (rA � rA MeS ^ ` ��� i V HONE NO. �, FBOUNTY; S u r Co.�
CERTIFIED LABORATORY ce- AA-1n N 4-t cc,..\ dab # JUN 2 4
PLEASE SIGN ON THE REVERSE -i
Part A: Specific Monitoring Requirements
CENTRAL- FILES
pWR SECTION
Outfull""
No.
:Date
Sample -Collected,!
mo/dd/LLx.•: 'al
.00530.".''.
00400
<_,ir; ` :01051 :'
i s 00556.,1,',5
' TottllaSuspended Solids
,� ' ,.m /L.
; PH, '
Standard units; r
' �iLead, mglL
' .' �` -_ F:
Oil and,Grease,
"Total Toauc Organics;;:
rr i17 yliw
Beflchmark
i
}: 100
``Wittiiit 6'.0 9 0:
ax1.' , '0'.033r
`
O5,1T 1b
ct3.
o
P
Lo t1
2
s !P1 I to
&90
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ._._ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
No: • .
Date.'00556'"`'r
Sample C611ected, f,
rrio'/ddl "r� Y1" a
, Otl and Grease,
xr �x _m
Total Suspended;Sohdsy„
t rt w ,,ti ;y e
�.. `in IL.. c, �,
Standard units-:=
Oil iJsage,:
hAnnual;aver e, allno.
Benchmark
f
a r. , ,1 30
dt '100 ,� rr ,;t
`ry ; �: _ 6.0 9 0
1 k -> .
Note: If you report -a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date S f 7#1, (first event sampled)
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
S WU-245-102107
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