NCG030652_MONITORING INFO_20190910

w ;Z(-)
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
N Lv D b
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
I U
DOC DATE
❑
YYYYM M D D

�a STORMWATER DISCHARGE OUTFALL (SDO)
Permit Number: NC o3b or
Certificate of Coverage Number: NCG030000
FACILITY NAME Carolina Laser Cutting
PERSON COLLECTING SAMPLE(S) Chasitv Flutchens
CERTIFIED LABORATORY(S) _R&A LaboratoryLab # 34_
Lab #
Part A: Specific Monitorin„ Requirements
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Guilford
PHONE NO. 336 292-1474
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow
Oil & Grease
pH
TSS
Copper
Lead
Zinc
mo/dd/yr
MG
m /I
Std units
m /I
m /I
m /I
m /I
1
07/23/2019
0.345
<5
6.61
10.3
0.017
<0.005
0.099
2
07/23/2019
0.345
<5
7.05
<5
0.013
<0.005
0.106
1 CV
E ! }
L J
D Al cCl�
�CJ
:v
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total
Flow
Oil & Grease
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ yr
MG
m /I
mg/1
Form SWU-246-051100
Page I of 2

L
STORM EVENT CHARACTERISTICS:
Date 07/23/2019
Total Event Precipitation (inches): 2.3
Event Duration (hours): 4
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
-7' /�
(Date)
Form SWU-246-051100
Page 2 of 2