NCG020708_MONITORING INFO_20160804

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
0 HISTORICAL FILE
e MONITORING REPORTS
DOC DATE
❑ (9101 � 0 b
YYYYMMDD

• • s
Part A: Facility Information
Samples Collected In Calendar Year
Certificate Of Coverage No. .
Facility Name
Facility Contact
Facility Contact Phone No.
STORMWATER DISCHARGE MONITOR qG REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below u
GENERAL PERIMIT NO. NCG020000 kV
6-0 ;)-0 70
97"'
A (all samples shall be reported within 30 days following monitoring period)
NCG02 000 O County of Facility
_ — r I.,,cJts.(e, Name of Laboratory AM
Dv C-ef,411,e Lab Certification #
Part R - Lind Mmirhance and Process Area Monitoring Requirements
Outfall
No
Receiving Stream
Name
Date
50050
00530
00076
00545
'ample
CoAecte
d
Total
Flow
Total
Suspended
Solids
Turbidity
Settleable
Solids
r
mn/ddlyr
MG
MrA
NTUs
mlll
-%
Dks
c
Part D: Storm Event Characteristics
Part C.- Vehicle Maintenance Monitoring Requirements
Outfall
No
Receiving Stream
Name
Date
50050
00556
00530
00400
Sample
Collecte
d
Total
Flow
Oil and
Grease
Total
Suspende
d Solids
pH
molddl r
MG
mo
mg/1
unit
r{ I
Total Event Precipitation (inches): • 7 ��� L�u Total Event Precipitation (inches): A 4—
Event Duration (hours): Z �(^ - i5 C Event Duration (hours): A -
(if a separate storm event is sampled)
Part E: Certification
"1 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." 1 ��
(Signature of Perinittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N:G. Division of Water Quality)1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-243-012005

,0.wit.' •
Stormwater Discharge Outfali (SDO)
Qualitative Monitoring Report
Permit No.: NIC! 1_I_I_I_I_I_I or Certificate of Coverage No.: NICIGI 2 d/ 0l
Facility Name:
County: AC(1 Phone No. bl fr _ iG 43 t-t
Inspector: t.3 5 G
Date of Inspection:
By this signature, I certifyttiat this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description
Outfail No. �^ Structure (pipe, ditch, etc.) (/t' 4tx,
• Receiving Stream: f--^L _.off_ ✓ — U 1
Describe the industrial activities that occur within the outfall drainage area:l1e
2. Color
/Utz - A � D s-,t
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint.(light, medium,
dark) as descriptors:
3. Odor ,I j
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.)
4. Clarity NA -
Choose
�
the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5 6 7 8 9 10
Page 1
SWU.242-101599

• 5. Floating Solids S
Choose the number which best describes the amount of floating solids in .the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen �C
Is there an oil sheen in the stormwater discharge? Yes No
9. Other Obvious Indicators of Storm water Pollution
' •
I/ tr
List and describe
Note: I,ow clarity, high solids, and/or the presence of foam or oil sheen maybe indicative of pollutant
exposure. 'these conditions may warrant further investigation.

STORiYiWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information �J J
Samples Collected In Calendar Year: ` ( (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 County of Facility
Facility Name D, 04 Name of Laboratory I�
Facility Contact Lab Certification #
Facility Contact Phone No. -1020
Part B.' Land Disnirbance and.Process Area Monitorinz Kequirements
Date
50050'.'
=>.:. 40530 ` '
00076
; .-: 00545 ..
Outfall
`Receiving trearri'..;
,:Sample
Total
:`:.Toial:i
Settleable
No
_ Narne
Collects
Ftow
Suspended
Turbidity
Solids .?:
:.
d ..:.....
Solids'::,'
cam- w/
t
fl.
Part D: Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours): _ -
Pan E. Certification
'art L: Yenicle Maintenance MpnitOrtn Ke trements
Tate :.`. ::50050 ',00556... "'::00530 ;.::` :00400
RecewingStream Sample;: :Total
OvtfalT: Total Olfaizd Sua ends: pH
ame Copeete': p
d FloW Grease.. d Solids.7.
.:
moldd/Yr 1V[G mpJ; mell ::Unit ;-
Total Event Precipitation (inches):
Event Duration (hours): &
(if a separate storm event is sampled)
"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 violationsAl
- Loc=::��L , -
(Signa f Pe mittee) (Date)
Part F- Mailing Address
Attn: Central Files, DENP, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-012005

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NIG_l� I 1_I 1 �1 or Ccrtificatc of Coverage No.: NIC/Gl0—1 Z/QK010/0/
Facility Name: ;§A -- At-e— — ('6'qk
County: Pd �-- Phone No.
Inspector: -z
Date of Inspection: Z -/C
By this signature, l certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description
Outfall No.
Structure (pipe, ditch, etc.) Z) 1141•�
Receiving Stream: LAWIC
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: A0 p:.& L, c
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) _ d I A
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy: /L b Pk o6e
1 2 3 4 5 6 7 8 9 10
0
Page 1
0
SWU-242-101599

• 5. Floating Solids A)
fk
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 2 3 4 5 6 7 8 9 10
6. Suspended Solids a p n
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7 8 9 10
7. Foam
Is there any,foam in the stormwater discharge? Yes �NoJ
8. Oil Sheen / )A-
r
Is there an oil sheen in the stormwater discharge? Yes
•9. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam or ail sheen may be. indicative of pollutant
exposure. These conditions may warrant further investigation.
Page 2
SwU-242-101599
•