NCG020351_MONITORING INFO_20200115

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V 0 a D 3 5
DOC TYPE
❑ HISTORICAL FILE
C% MONITORING REPORTS
DOC DATE
❑ �6a 5
YYYYM M D D

DOC TYPE 1 ❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE 1 ❑
YYYYM M D D

Please Niail t�riginai fend Cake Copy To U[ uling Address Belovt'
GENERAL PERMIT NO, NS CO20000
Part A: Facility Infoi nation
Samples Collected In Calendar Year: 2-[)/ q (all samples shall be reported within 30 days following monitoring period) ,/
Certificate Of Coverage No. NCU02._ _ S( County of Facility Mont- O r'✓IR t' _
Facility Name ��-AJ �a (� Name of f.aboratory �.l {tGL,
Facility Contact ven ,a 40.12e40✓ Lab Certification #
Facility Contact Phone No.
Part R: Land Distm-harice and Process Area Monitorin Re ttiietnents
l7utfald-
No.
Receiving Stream
- Name
.Date
'S0050 '
00530- .
".0007fi
00545
-.
Sample
Cpllected
Total;' •
Flow,
Total :
'Suspended
SolidS
-
Turliidity
Settleable
Solids
_
mo/dt/ r
MG
m I'.
NTUs
9
2.
Z,d•
Part D. Storm Event Characteristics
Total Event Precipitation (inches): Q.Zr[__
Event Duration (hours): _1 -
Part E: Certification
Part C. Vehicle Maintenance Monitoring Requirements
'.outf�llliecelvmg
No.
Stre•nm
Name,` �
'•Date J1.11.50050
00530.-
'U04011.
,Sample
Collette
Totaloiland-,
-
p1ba
^-
Grease.
Totn ..
Saspenden
p11
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"I certify, under penalty of law, that this document and all attachments were prepared tinder my direction or supervision ite 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 tire best
of my knowledge and belief, true, accurate, and complete. I am aware that the are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations.,,
20
[Stgnature of Perenittee) (Date)
Part F. Mailing Address
Attn: Central Files, DENR, N.C. Divisian of Water Quality, 1617 IVtail Service Center, Raleigh, NC 27699-1617

ISTORrgWATERDi,SCHARGE MOi'r'fl'1101UNG PsEPORT (DIN-4)
Please Wail Original And One Copy To _/failing Address Below
GENERAL PERMIT I G. NCG020000
Part A. Facility (nforrnation
Sainples Collected In Calendar Year: ZQ_ f q- (all samples sbait be reported within 30 days following monitoring period)
Certificate Of Coverage. No. NC(UO2� .3,5� County of Facility O mA r
Facility Nanne O (Q Name of Labootory W f-ee
Facility Contact Sven �j�Ccn 4,_✓ Lab Certification N
Facility Contact Phone No. 7
Part B. Land Disturbance and Process Area Monitmmin let uireinents
Outfall -
No.
Receiving Stream
-
Name
llatc'
50050
00.536.
00076
0M545.
Sample
Collected
Total:'
flow_
Total
Suspended
"Solids-. ,
Turfiidity
Settleable
.,_,Solids ..
,nio/dd/ r
' M6'
" m' /I':'
Nits.mUI
E-�
2 0
/.�
9
z •y
d. l
Part D. Sto»n Event Characteristics
Total Event Precipitation (inches): 0.2y
Event Duration (hours):
Part E. Certification
'art C. Vehicle Mainlenance Monitoring 12equiretnents
,Date SOO Ii`005sel' t 00530, O00
�ltecefv1UgStrewn Sdmpie Total;
Outfa❑ Tohii Od andSus enttcil ift
Name. �' Cpllecte s,
P V.
Plow Grease
iJ Sobcls:.
,mo/rid/ Y m i1mit
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"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 hest
of my knowledge and belief, true, accurate, and complete. I am aware that th9fe are significant penalties for submitting false information,
including the possibility of lines and impe"isonment for knowing violations."
�s 20
(Signature of Pernuttee) (Date)
Part F. Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, INC 27699A617

Individual NPDES Permit No.
Certificate of Coverage (COC) No.
S T ORIUIWATER DISCHARGE OUTfFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT ()I11IR)
Calendar Year Zb 19 Cft IQ UO n
or
This monitoring report summary of the calendar year should be kept on file on -site with the farility SPPP,
Facility Name:
County:
Phone Number:
CAI j 00ra)
Total no. of SDOs monitored
Outfall No. 1
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes ❑ No ®'
Yes ❑ No [5(
Yes ❑ No j�
Parameter, (units)
Total
Rainfall,
inches
7`5 S
TUi
S S
Benchmark
N/A
Date Sample
Collected,
mmldd/yy
z►
b
3
0 I 1Lq__2
LZA9
<O.
SW U-264-Gene ric-13 Dec2012

STORMVVATER DISCHARGE OUTEALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (:AMR)
Individual NPDES Permit No. NCS
Certificate of Coverage (COC) No. NCG
Calendar Year Zb 1 q CA N DO n
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: C A_�j no
County: if
Phone Number: (7� n_3 —6V3 7 Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No >!r
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [�(
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, {units)
Total
Rainfall,
inches
L
T 7 S
/—
'! U�)j
s S
Benchmark
N/A
Date Sample
Collected,
mmlddlyy
z►
6
346,1
0
2
<o.
SW U-264-Generic-13 Dec2012