HomeMy WebLinkAboutNCG140169_MONITORING INFO_20190808STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
�] MONITORING REPORTS
DOC DATE
❑ a,D�
YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N NCG14 o L (9 9--
FACILITY NAME: I at"'C& M:�[
PERSON COLLECTING SAMPLES iR q4 of
CERTIFIED LABORATORY 41,)-64k--11�Lala14/./G3�9
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: Ci0 j I
SAMPLING PERIOD: ❑ July -December January -June:
COUNTY Fon sy-l-y
PHONE NO.( 3'3(0)7,95' 7S 7.S
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
Rainfall°
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplings
-
-
6-9'
1002''
-
-
-
-
ok
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Xl0
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T v
RECEIVED
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JU V LUN
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CEi
ITRAL FILES
` I NAL FILE
nfnm ..
If."NO FLOW" or"NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 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.
' TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/l. -
' 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 Date of last pH meter Calibration: ; .Last Revised 7/13/11
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Part B: Vehicle Maintenance Activity Monitoring Requirements fo f 'I'
Outfall
No.
Date Sample
Collected
(mo/dd/yr)'
PH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
r ac Ides using > SS
Total Suspended
Solids
(mg/L)
gai or new motor
Event
Duration
(minutes)
on/month —averaged
Total
Rainfall'
(in)
over a calendar
New Motor Oil
Usage
(gal/month)
year.
In Tier 2
Monthly
Monitoring.
(yin)
n of Months
in Tier 2
Sampling'
5
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I:
r
NA5 YDUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTTALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NOr"
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR fincluding all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at enrJ of monitoring period
In case of No Flow) to.
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
r
Raleigh, North Carolina 27699-1617 P
h'
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 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
a hat there are '(icant a I s or submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Slgna f e «tee) (Date) 7
Permit Date: 7/1/2011-60/30/2015
i Last Revised 7/13/11
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