HomeMy WebLinkAboutNCG120066_MONITORING INFO_20191209vv S P) 0
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
lv C I
DOC TYPE
❑ HISTORICAL FILE
LX\MONITORING REPORTS
DOC DATE
❑ 1 % d
YYYYMMDD
STORKWATER L - F'1GE OUTFALL (SDO)
MONITORING REPORT
__1
Permit Number; NCS . 12-0020 SAMPLES COLLECTED DURING CALENDAR YEAR: .Z/01_0 k?
Certificate of Coverage Number. NC675= (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.)
FACILMNAME Wdkes �prlf, RECEIVED COUNTY e--s
PERSON COLLECTING S,= PHONE No. I
b *�r' 0 9 2019
CERTIFIED LABORATORY(S)
Lab #_ L, ft _Nr I V \ L FILES (SIGNATURE OF PERMITTER OR DESIGNEE)
DWR SECTION By this signet . ure, I certify that this report Is accurate
.
complete to the best of my Imowledge.
Part A: Specific Monitoring Requirements
A
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OtA
Does this facility pedorm Vehicle Maintenance Activities using more than 55 gallons of now motor on per month? —yes __X0
(if yes, complete Part B)
Pan 5: Yeft=
Maintenance
ACUTIVY A10111W
se
Miss 'Al
P96 "R
New,Motor
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(M $611
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Form SWU-246-062310
Pap 1.of 2
STORM EVENT CHARACPER MC6:
Date 46 ✓ -;70 /
Total Event Precipitation ( 0
Event flotation (hours): V (only if applicable — sea permit.)
(if mom than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — sec permit.)
Ma Original and one copy to:
Division of Water Quaflty
Attu: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, caner pooalty of law, that this document and all aththar and eveloato httormadon subs. Based on my Inquiry o[ the person
aye prepared under my direction or supervidon in accordance with a
designed to assure that gaall[kd peraonad Property get)cer !o for the toformatlon, the hdormatbn submitted >a to the best
or persona who manage the systen4 or those persons directly responsible gang for forsubmittingaion talus Information,
K oon,
of my knowledge and bead, true, accurate, and complete. I am aware that there are slgughwat penalties
Including the possibility of flues and tmprleonment for knowing violations."
(Signature of Pernittee) . (Date)
Form SWU-246-062310
Pap 2 of 2