HomeMy WebLinkAboutNCG140135_MONITORING INFO_20191126STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
lV C� No /3
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC
c)-
DATE
❑
YYYYMMDD
•
e
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COAVERAGE NO. NCG14 0 I 3'S
FACILITY NAME: WO 25' OSt _ L,
PERSON COLLECTING AMPLES AL12 .p& R'✓—�
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
SAMPLE COLLECTION YEAR: 60/ 4
SAMPLING PERIOD: July -December ❑ January -June
COUNTY
PHONE NO. ( _)
ADD TO LISTSERVE? [DYES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
rmr M. atummwo
Outfall No.
n5 ncya
Date Sample
Collected
(mo/dd/yrOR
t
NO FLOW)
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total G
Rainfall
(in)
In Tier Z
Monthly
Monitoring?
(y/n)
# of Months in Tier
z
ZSampling
-
-
6.91
1002'
-
-
-
�J
U' 37
i
ul�,
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE' for each outran nere. pease make sure iu mat k uIe Jd Ii IPiC yr• 6. V. Oi_.
' If a value is In excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier i or Tier 2 responses in the General Permit, Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I. -
' For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
�j Page 1 of 2
Date of last pH meter calibration: II _//
Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)'
pH
(Standard
Units)
TPH using method
1660ASGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall<
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
q of Months
inTier 2
r
Sampling
6-9 -
15
- 100 '
-
-
-
-
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ N0�
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orizinal and one copy of this DMR bricludine all "No Flow" & "No Discharee" reports) within 30 days of receipt of sample for at end of monitorine Deriod
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 t t qualified p o nel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those er ons irec �es s� le for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am a a that t e e are g if ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
-Zl-1
[Sigh9ure of Permi e) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2