HomeMy WebLinkAboutNCG190050_MONITORING INFO_20200114w `R 0
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
lqc, GD
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ < QQ 7
YYYYM M D D
STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO..NCG190000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE (COC) NO.: NCGOEH l ® - SAMPLE COLLECTION CALENDAR YEAR: Ae ,�O/9
- R ECIEhIsV§f ding report is. due at the Division no later than 30 days from
FACILITY NAME: 1157E the da e c facility receives the sampling results from the laboratory.)
SAMPLE COLLECTION NAME: S%�•: t �"�'� Cxy%=9� 1I�S�.vz�ir JAN 14 2020 /J
FACILITY COUNTY: C'9yfiE/'Fi
CERTIFIED LABORATORY: Lab# 924s?7/QENTRAL FILE
Lab# DWR SECTIONSPHONE NO.: ( S:pl ?y7-41S3
Part A: Specific Monitoring Requirements
Outfall:-
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Total RainfallI
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166E SET-H[ENI)�
01119 -
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01094
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'-'�#01114 j
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Total Suspended
-•
t,Non Potar,:Od &y
;Coppery �', mg/L
fAlumruum�,'mg/L•'.
_m..
i?Zln cr �,�mg /LTfln
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I,_ ']"F` 5
te•Lendr', mg/Ly.
'mot^ ^�. --� 1
;Freshwater
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r'at
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f(0 005)
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F�0 075 .
3*/0095)
0 2.420 )
If a value is in excess of the benchmark, you must implement the Tier I or Tier 2 responses in the General Permit. -
' Total recoverable metal. 'These benchmarks are water hardness dependant. Values shown based on a hardness of 50 mg/L.
Solvent Management Plan Certification: ,
Mail original and one copy to: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for
Division of Water Resources managing solvents, I certify that to the best of my knowledge and belief, no leak, spill, or dumping of concentrated solvents
Attn: Central Files into the stormwater or onto areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge
1617 Mail Service Center monitoring report. I further certify that this facility is h 1Q ,CI }� �F'r sJ�oRsj�€the Solvent Management Plan
Raleigh, North Carolina 27699-1617 included in the Stormwater Pollution Prevention Plan." uff t f bV �• vftfi uc Solly signed by g
l �FULEN WIDER.GEORGE.0.111.1057601155
.0.111.1057601155'd'-bate:2020.01.0716:59:35-05'00'
(Signature ofPermittee) (Date)
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 theperson 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
PFkJLTftW1 t0EiGEORGE OM1.fWEq 6ft1%5o6M i3ily signed by
f FULENWIDER.GEORGE.O.III.l OS7601155
5
�? Date: 2020.01.07 17:00:28-05'00'
(Signature ofPermittee) - (Date)
Permit Date: 6/02/2015-5/31/2020. SWU-253-060515
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