HomeMy WebLinkAboutNCG140310_MONITORING INFO_20030112STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V L& W 3 {D
DOC TYPE.
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ ��� 3
YYYYM M DD
5,A DATFVTIME ',AIJC.-12'03(TU E.) 09-13362941232 P.005
a OS',-!4/03 10:20 FAX 3302941232 RMC Carolina Materials Z005
I
NCDENR
DISCHARGE OU'111 ALL MONITORING REPORT
GIiNERAL PERI`IIT NCG140000
(All sample data shall be reported no later than 30 days arler receipt of lab results)
Sample Information
1'-=it Term
Year
— —I _
_
Year Su_rtilind Dates
Aug-ust 1, 1999 :o Ju]y 31, 2000
Place check mark to indicate Discharge Type (check as appropriate)
applicable sampling period j--- Stormwater Wastewater
❑ ❑ ❑
(�El
li>� ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
2
August I, 2000 to July 31, 2001
3
August ] 2001 to Jul
� 31, 2002
4
August 1, 2002 to July 31, 2003
\uuS 1, 2003 to iu:y 31, 2004
ALL �1!2�en cZS:s'oGrc clJii% AK0- 0./)
S �e % � Pend a,��Z�/ lt ri c c.le t m,va��
art :1: Stormrrater Dtsc6ar a A7onitorin(, Jta (For stormwatcT not combined s h process wastewa;cr)
Storm
Storm Event Characteristics
Date J Total Event Precipitation (inches) Event DuratiojoSt jrs)
Stonnwater Discharge Monitoring
ourall Date Sample 1'o:al Flow Total Event Event Duration pH Total
No. Collected Precipitation Suspended
Solids
(mo/dd r�) D;G) (inches) (hours) (Sid. UnitL (mg/I)
Does this facility perform Vehicle Maintenance Activities using on average more than 55 gallons of new motor
oil per month? ❑ Yes , a'o If yes, complete information below.
Stormwater Discharge Monitoring Rom Vehicle Maintenance Areas
Outrali
Date Simple
Total Flow
Total Event
I Event New
pH
Total
Oil ;and
No.
Collected
Precipitation
Duration Motor Oil
Suspended
Grease
Usage
Solids
"inches)
(hours) LeOrnoL
(Std_ Units)
(m /1)
(MO
SWU-F!-Je019n Pace lot=
h.� 1)ATE/11,IMo :AUG.-12'03(TUE) 01)-1 33,294I131
0S/f.!/o3 10:20 FAX 3362941.232 R<,1C Carolina )laterials
Part B: Process wastewater discharge monitoring data ILIA
Sample #
Effluent Sources for this sample J
Vehicle / Equipment Cleaning ❑
Raw Material Stock -pile Wetting ❑
! MLUog Drum Clean -out ❑
Recycle System 0h,erflow _ ❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
NI
Event Duration
hours
pH
Sid. units
TSS
mg/l
Settleable Solids
mVl
Sample #
Effluent Source(s) for this sample
J
Vehicle / Equipment Cleaning
❑
Raw Rfaterial Stock -pile Netting__
❑
\fix ng Drum Clean -out
❑
Recvcle System Overflow
❑
Parameter
Unit
Data
Collection Date
mo/dd/yr
Total Flow
MG
Event Duration
hours
PH
Sid. urits
TSS
mg,/1
Settleable Solids
mVl
j
:Mail original and one copy to:
Attn: Central Files
Division of Water Quality
DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
S'A'U-24 ! -0S0! 99
Sample # __
Effluent Sources) for this sample
J
Vehicle / Equipment Cleaning
❑
Raw Material Stock- ile Wetting
❑
Mixing Drum Clean -out
❑
Recycle Sim Overflow
❑
J
Parameter
I Unit
Data
Collection Date
Total Flow
Event Duration
mo/dd/yr
MG
hours
I i
PH
Std. units
1'SS
mg/l
Settleable Solids
mi l
Sample #
Ef lueut Sources for this sample
Velvcle I Equipment Cleaning
❑
Raw Material Stock -pile Welling
❑
Mixing Drum Clean -out
❑
Recce System Overflow
❑
Parameter
Collection Date
Unit
mo/ddiyr
llata
Total Flow
I MG
Event Duration
hours
fill
Std. units
TSS
mg/l
Settleable Solids
my]
P no,
Z 006
"I certify, under penalty of lain, 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 informacon
submitted. Based on my inquiry of the person or persons uho 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, acnaate,
and complete. I am aware that there are significant penalties for submitting false
i nfomation, including the possibility of fines and imprisonment for knovving
violations.-"�
��---
(Print Name Permittee r Designee))
(Signs e of Pennii? or Desianee) (Date)
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