HomeMy WebLinkAboutNCG080947_MONITORING INFO_20191216W R C)
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG b (� c/ -7
DOC TYPE
❑ HISTORICAL FILE
f MONITORING REPORTS
DOC DATE
❑ �a
YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GEPIERAL PERMIT NO, NCG060000
CERTIFICATE OF COVERAGE NO, NCG060 YVI
FACILITY NAME -�Ly%vim %���iYlli~%��S%t�llip
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY /FIY2 Lab #
Lob #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR; _Pl%
(This monitoring report Is due at the Division reinter than 30 dAys 60M
the date the facility receives (bass pllyygg result from the laboratory,)
COUNTY �f'L.l�
PHONE NO, (ytQ)) �s7�/
SEC-C— EP
PLEASE SIGN ON THE REVERSE i
DEC 16 mg
C;=•f 'RAL i F
�'�'•'i� :3ECTiOP
Outfall
No.
Date
Sample
Collected,
mo/dd/ r
00530
00400
00340
00556
31616
Total Suspended
Solids,
m
pH,
Standard units
Chemical Oxygen
Demand,
m
Oil and Grease,
mg/L
Fecal Collform,
Colonies per 100 ml
Benchmark
100
Within 6.0-9.0
120
30
1000
All"
LD
n
4
.Note: If you report a sampled value In excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or'Iler•2 responses.
Sec General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of now motor oil per month? as _no
(If yes, complete Part B)
Part B; Vehicle Maintenance Activity Monitorine Reaulrements
Outfall
No,
Date
Sample Collected,
mo/dd/ r
00556
00530
00400
011 and Grease,
m
Total Suspended Solids,
mWL
pH,
Standard units
New Motor Oil Usage,
Annual avora a gallmo
Benchmark
-
30
100
6.0-9.0
ICE-Otc.�
Q /
p
—?.d
jj
Note: If you report a sampled value In excess of the bendhinark value, or outside the benchmark range for pH, you must Implement I ler I or I ler 2 responses,
See General Permit text.
STORM EVENT CHARACTERISTICS;
Date !i "� /Q (first event sampled) /o //
Total Event Precipitation (inches); a
Date (list each additional event sampled this reporting pariod, and rainfall amount)
Total Event Precipitation (inches):
Mall Original and one copy to;
Division of Water Quality
Attn: DWQ Central Flies
1617 Mall Service Center
Ralelgh, North Carolina 27699.1617
S WU•249.102107
Pagel oft