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STORMWATER DIVISION CODING SHEET
NCG PERMITS
[PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
[J -MONITORING REPORTS
DOC DATE
❑ a17� d 3
YYYYMMDD
• STORMWATER DISCHARGI60NITORING REPORT (DMR)
GENERAL PERMIT NO. NCG080000
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE NO. NCG08 0845
FACILITY NAME Waste Industries - Durham
PERSON COLLECTING SAMPLE(S) Jim Frei (SwSG)
CERTIFIED LABORATORY(S) Pace Labs Lab # 12/ 40
SwSG Lab # 5054
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 fiom the laboratory)
COUNTY • DURHAM
PHONE NO. (919) 596-1363
PLEASE SIGN THE REVERSE Q
Part A: Vehicle Maintenance Activity Monitoring Requirements�E>•I/FIa
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓ Yes
(If ves. report your analvtical results in the table inunediately below) CFAii-_
Outfall
No.,
Date
Sample
Collected
mm/dd/vr
00530
00400
00556 ., ��✓f7
,�FICF_s
Total Suspended Solids,
mg/L
pH,
Standard Units
Oil and Grease,
mg/L
NFiVW11otor Oil Usage,
Annual average gal/ mo
Benchmark
-
100
Within 6.0 — 9.0
30
001
06/05/19
135
7.85
< 4.8
+/- 325
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 Tier 2 responses.
See General Permit test.
Part B: Oil Water Separators and Secondary Containment Areas at Petroleum Bulk Station and Terminals
Outfall
No.
Date
Sample -
Collected
ntm/dd/vr'
00556
00530
00400
Oil and Grease,
mg/L
Total Suspended Solids,
mg/L
pH,
Standard Units
Benchmark
30
100
Within 6.0 — 9.0
STORM EVENT CHARACTERISTICS
Date 06/05/19 (first event sampled)
Total Event Precipitation (inches): 0.51 inches
Date
Total Event Precipitation (inches):
(list each additional event sampled this reporting period, and rainfall amount)
Form SWU-250-102107
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•
"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."
ignature of Pe ittee) Or
Mail Original and one copy to:
Attn: Central Files
NCDENR/DWQ
1617 Mail Service Center
Raleigh, NC 27699-1617
6 2ir
(Date)
Fonn SWU-250-102107
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