NCG140293_MONITORING INFO_20030731

AQ1u,� IW
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV U& ' q G .,? i 3
DOC TYPE
❑ HISTORICAL FILE
�J MONITORING REPORTS
DOC DATE
❑ a b 63 (� 3
YYYYMMDD

���
j'
NCDENK
DISCHARGE OUTFALL MONITORING REPORT
GENERAL PERMIT NCG140000 .
(All sample data shall be reported no Inter d= 30 days after receipt of lab insults)
Certificate of Coverage
NCG14�®©�
Facility Name
County
Phone Number
2T1�19 ._6 U
Sample Information
Pcrmit Term
Year
Year Stait/End Dates .,
Placecheck mark to indicaw
.::applicablesamplingperiod ..
Discharge Type (check as appropriate)
5torinwater ..
'Wastewater
1
August 1. 1999 to July 31, 2000
0❑
❑
❑�/
tQ
❑
❑
❑
❑
❑
❑
❑
❑
❑
2
August 1, 20W to July 31, 2001
3
August 1, 2001 to July 31, 2002
4
August 1, 2002 to Rdy 31, 2003
5
August 1, 2003 to July 31, 2004
'- -t A:. Stoiviwater Discharge Monitoring Data (1'ror`storinwater not combined with process wastewater):
Storm Event Characteristics
Date -
Total Evem 'cation inches.
.Event Duration. ours
Stortrlwater Discharge Monitoring
Outfall .. Date Sample Total Plow Total'
No Collected - Precrpltahon S[Lspend'A
sO1179
dS
(mo/dd(w) - •'(MG) :. .. _ (inches) a... Ltwtrrs (Std. Units . - m 1
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? O Yes El' -No If yes, complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas
SWU441-090199 - Page loft
Q) 7-20

Part B: Process wastewater discharge monitoring data
Sample #
Effluent Source(s) for this sample
Vehicle / FAuipment Cleanin ❑
Raw Material Stock -pile Wettin E
Mixing Drum Clean -out E,
Recycle System Overflow u
Parameter
Unit
_Data
Collection Date
mo/dd/yr
-7-63
Total Flow
MG
Event Duration
hours
2 t
PH
Std. units
'L .
TSS..
mg/1
O
Settleable Solids
m1/1
L 6,1 .
Sample #. 2.
Effluent Source(s) for this le -:
❑
❑
Vehicle / Equipment CleaningI�
Raw Material Stock -pile Wetting❑
`xin Drum Clean -out
__cc cle System Overflow
Parameter
=_Unrt
= `cData. ..
Collection Date
mo/dd/yr
Total Flow
MG,
UO/f
Event Duration .
hours
l7
PH,
Std. units
r
TSS .
mg/1
Settleable Solids
niM
G.
Mail original and one copy to:
Attn: Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Sample # _
Effluent Source(s) for this sarule ./
Vehicle / ui tment Cleanin ❑
Raw Material Stock -pile Wettin ❑
-Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Patanteter
Unit :.
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
PH
Std. units
TSS
mg/I
Settleable Solids
.. ml/1
Sample #
Mfiluent Sources .for this le ';
Vehicle / ui went Cleanin ❑
Raw Material Stock -pile Wettin ❑
-Mixing Drum. Clean -out ❑
Recvcle Svstem Ove.rflnw r i.
+Parameter
Umt
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours.
pH-
Std. units
TSS
:mg/1
Settleable Solids
ml/1
"I,certify,.under penalty of. law, that this document.and all attachmentswere
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 responsibler for.L gathering the information, the
information submitted is, to the best of my knowledge and belief,, true, accurate, .
and complete_ .1 am aware that there are significant penalties for submitting false
m inforation,including the ibility of fines and imprisonment for knowing
violations." .
(Print :Nam"f Permittee o ign )
7/30�03
Signature of Permittee or Designee) (Date)' .
Swu-241-080199 Page 2.of 2

R E P O R T
Southern Testi,
& Research Laboratories. Inc.
3809 Airport Drive NW, Wilson, NC 27896-8649 0 252-237-4175 0 FAX: [phone]
www.Soutliern'festiilg.com
of A N A L Y S I S
SAMPLE No.: M0780-002
Date Reported: 09/05/02
Paul Strickland
PLT Concrete Services
3214 Turnage Road Wilson Phone:[phone] X
NC 27893 Fax: [phone]
/P. O.: 637
Client Sample ID:
Marks: Truck Wash -Grab
collected: 08/27/02 08:50 Matrix:
Received: 08/27/02 12:25 STORMWATER
Classification• ENV
CAT No. ANALYSES METHOD ANALYZED by PQL RESULT UNITS
EW-040.1 Solids: Total Suspended EPA 160.2 08/27/02 PEB 10 26 m L
EW-040.4 Solids: Settleable EPA 160.5 08/27/02 AMF 0.1 <0.1 mL/L
COMMENTS:
Laboratory Contact(s):
Reviewed and Approved by:
n -
Jer,dfiy gr yyfj
' En ronm tat Manager
Page 2 of 2 M0780R.245
(LJL:V2R08.2) 09/05/102 13:30
Chemical and Microbiological Analyses: Environmental • Agrochemical • Foods • Pharmaceuticals
® Another Company

Southern Te
& Research Laboratories, Inc.
3809 Airport Drive NNV, Wilson, NC 27896-8649 e 252-237-4175 e l� AX: 252-237-9341
www-Southern felting.com
R E P O R T of A N A L Y S I S
Paul Strickland
PLT Concrete Services
3214 Turnage Road
Wilson
NC 27893
Client Sample ID:
Marks: Detention Pond -Grab
Collected: 08/27/02 08:35
Received: 08/27/02 12:25
CAT No. ANALYSES
EW-040.1
EW-040.4
COMMENTS
SAMPLE No.: M0780-001
Date Reported: 09/05/02
P.`,one: [phone] X
Fax: [phone]
P. O.: 637
W6:Noa q�
Matrix: STORMWATER
Classification: ENV
METHOD ANALYZED by PQL
Solids: Total Suspended EPA 160.2 08/27/02 PEB 10
Solids: Settleable EPA 160.5 08/27/02 AMF 0.1
Laboratory Contact(s):
Page 1 of 2 M0780R.245
Reviewed and Approved by:
�114
Je y B own
En ronmental Manager
RESULT UNITS
42 mg/L
<0.1 mL/L
(LJL:V2R08.2) 09/05/102 13:30
Chemical and Microhiological Analyses: Environmental • Agrochemical • Foods • pharmaceuticals
AnotherARM Company

A EI�VA
-
NC®ENR
DISCHARGE OUTFALL MONITORING REPORT
GENERAL PERMIT NCG140000 .
(All sample data shall be reported no later than 30 days after receipt pf lab insults)
Certificate of Coverage
NCG14
Facility Name
G eJ ' G1F G d
County
Phone Number
Sample Information
Permit Term
Year
Year Start/End Dates
Place check . nark to,inditate
applicable sampling period
Discharge Type (check as appropriate)
Stormwater
Wastewater
I
Au t 1, 1.999 to July 31, 2'nm
U
❑ .
Q
❑ ..
❑
❑
❑
❑
❑
❑
❑
❑
❑
❑ .
2
August 1, 2000 to July 31, 2001
3
August 1, 2001 to July 31, 2002
4
August 1, 2002 to July 31, 2003
5
August 1, 2003 to July 31, 2004
-t A: Stoi-mwaterDischarge Monitoring Data (For stormwater not combined with process wastewater)
Storm Event Characteristics
Date -
Total Event Piecipitation inches
Event Duration (hours)
Stormwater Discharge Monitoring
Outfall
'Date Sample
Total Flow,
.Total Event a
Event Duration
pH
,Tatal .
No. -
Collected
Precipttahon
,Suspended '.
inches
oms
(Std Urns
m
i-I- I
I-
qi0
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil `per month? .0 Yes O'No If yes, complete information below.
Stormwater Discharge Monitoring from Vehicle Maintenance Areas .
Outfall
Date Sample
Total Flow
Total Ever
No
Collected
.
°Pnx4pitatk
frnn/d&w)
(MG)
(niches)
SwU-241-080199
Page lof 2
7-20

Part P: Process wastewater discharge monitoring data
Sample # L
Effluent Source(s) for le this sam /
Vehicle / ui ment Cleanin 12r
Raw Material Stock -pile Wettin
Mixing Drum Clean -out 2r
Recycle System Overflow ❑.
Parameter
Unit
Data
Collection Date
mo/dd/yr
-,x7-64
Total Flow
MG
p '
'
Event Duration
hours
PH
Std. units
O
TSS-
mg/l
Z
Settleable Solids
ml/l
Sample #,
----`EffluentSource(s) for this s le >-';
Vehicle / ui men, Cleanin ❑
Raw Material Stock -pile Wetting❑.
.mg Dntm Clean -out ❑
--cc cle System Overflow ❑
Parameter
Umt
Collection.Date .
mo/dd/yr .
Total Flow
MG.
Event Duration.
hours
pH
Std. units
TSS ..
1119/1
Settleable Solids
MIA
Mail original and one copy toc
Attn: Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
Sample # 2-
Effluent Source(s) for this sam le /
Vehicle / Equipment Cleaning
Raw Material Stock -pile Wetting ❑
Mixing Drum Clean -out ❑
Recycle System Overflow ❑
Parameter
Unit ..
Data .
Collection Date.
mo/dd/yr
Total Flow
MG
dG t�j
Event Duration
hours
pH
Std. units
/G.O
TSS
mg/l '.
Settleable Solids
ml/I
Sample #
Efflluen*Stock-
this le
Vehicle /eanin ❑
Raw MatWettin Mixin DtRec cle w ❑
=k Parameter
=SUmt
Data.
Collection Date
mo/dd/yr.
Total Flow
MG
Event Duration
hours
PH-
Std. units
TSS
mg/l
Settleable Solids
M
"I certify,,tnrder penalty of. law, that this docomeni.and all attachments were
prepared udder 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, includi g thepo 'bility of fines and imprisonment for knowing
violations."
(Print Name of 'tree or ghee)
SWU-241-08n199
of Permittee or Designee) V. (Date)
Page 2 of 2

L
iL
IlIfiaa
CONSTFMTM SEMENCE
* EXISTING IRON PIN
* NEW IRON PIN
L OBTAIN COPY OF APPROVED SEDDIENTATIMN EROSION CONTROL PLAN
* NO IRON PIN
2. CONTACT CITY IF RDC2(Y MOANT ENGINEERING DEPARTMENT AND ADVISE
m EXISTING CONIC. MIN.
13F DATE THAT LAND ]DISTURBING ACTIVITIES WILL BEGIN ON PROJECT
El NEW CDIC MOM.
& DISTALL APPROPRIATE TEMPORARY SEDDIEKTATION-EROSION CONTROL MEASURES
A P.K. NAIL
AND THEN CUMMENCE CLEARING AND GUMMING WORK ACTIVITY
A RAILROAD SPIKE
C CON124CE ROUGH GRADING OF SITE NO MAINTAIN ALL SEIMNEMTEOII�ERIISION CONTROL
MEASURES.
INLET PROTECTOR
5, DISTALL STUN DRAINAGE OF SHOWN) AM PROTECT INLETS WITH SILT FENCE, INLET
PROTWTURS, AND OTHER APPROPRIATE MEASURES AS SHOWN ON THE PLAN,
STABILME SITE AS AREAS ARE DROUGHT UP TO FINISH GRADE WITH VEGETATION, PAVDIG DITCH
X X SILT FENCE
LDONGS ETC�
7 DSTALL ALL PERMANENT MEASURES SUCH AS ENERGY DISSIPATION PADS.
a WHEN CONSTRUCTION IS COMPLETE AND ALL AREAS ARE STADLEOED COMPLETELY, CALL FOR
INSPECTIDIN BY SEDIMENTATION-ERCISIN CONTROL IRSPECTUL
9 W SITE IS APPORVED, REMOVE TEMPORARY DIVERSIONS, SILT FENCE, SEDIMENT BASINS, ETC AND
SEED OR PAVE ANY RESULTING RARE AREAS.
RUPERT E. BLAND
D.8. 1191 P. 457
i rye'
C�I
MCKENNY & ROSE DIXON, JR Ivy
D.B. 1647 P. 703 1 SILT
41
CS
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STANDARD PRODUCTS CO.
D.B. 1054 P. 44
R/4e
Ol.
o
30 0 30 60 90
P1\02PROJ\4063\4063-LDDT\dwg\4063A-SITEAM 04/05/2002 10,18.50 AM EST
Revi qi nn Date B Date: April 2002
Scale: Map No.
Herring —Sutton & Associates,GRADING A14 1) P.A. PLT CONCRETE SERVICES EROSION CO)ITROL 1" = 30' 02-4O63A
`1 Engineers -Surveyors -Planners No Sheet of
2406 West Nash Street Wilson, North Carolina 27896 [phone] Rocky Mount, N.C. PLAN 8pp 1 4 4
1 000.00 ACRES / BOUNDARY 000000 IF