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Home My WebLink AboutNCG060329_MONITORING INFO_20190218STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE ❑HISTORICAL FILE CXIVIONITORING REPORTS DOC DATE ❑ b / � ba j YYYYMMDD r r STORKWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT No, Nccowoo CERTIFICATE OF COVERA FACILITY NAMR_,&22�j PERSON COLLECTING SAT CERTIFIED LABORATORY Part At Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR; (This monitoring report is due at the ]Division no later than 30 dAys from �`" Itha data the facility receives the samplin resu is from the laboratary.) SE v �Lj COLPHONTNO, � e k7 Lab;a' .� .. ,' $ �d19 Lab #1 nib ;— �`t� F1LCS PLEASE SIGN ON THE REVERSE E� Tlp�.l Outfall No, Date Sample Collected, mo/dd/ r 00530 00400 00340 00556 31616 Total Suspended Solids, m pH, Standard units Chemical Oxygen Demand, m Oil and Grease, mg/L Fecal Collform, Colonies per 100 ml Benchmark 100 Within 6.0 -- 9.0 120 30 1000 ,0 .7 4 0 L L NOW it you report a sampled value In excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier-2 responses. See General Permit text, Did this facility perform Vehicle Maintenance Aotivitles using more than 55 gallons of now motor oil per month? _yes —n✓ a (if yes, complete Part B) Part B; Vehicle Maintenance Activity onitoring Requirements Outfall Date 00556 00530 00400 No, Sample Collected, oil and Grease, Total Suspended Solids, pH, New Motor Oil Usage, mo/dd/ r mWL mWL Standard units Annual averse sallmo Benchmark 30 100 6.0 -- 9,0 - Note: If you report a sampled value in excess or the benchmark value, or outside the benchmark range for pH, you must Implement Tier I or Tier 2 responses See General Permit text. STORM EVENT CHARACTERISTICS; Dated (first event sampled) Total gvent Precipitation (inches); Date (I1st each additional event sampled this reporting perlod, and rainfall amount) Total Event Precipitation (inebes); Mall Original and one copy to; Division of water Quality Attn: DWQ Central Files 1617 Mail Sorvlce Center Raleigh, North Carolina 27699-1617 S WU-249-102107 Page 1 oP2 " 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, Y am aware. that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations," (Signature of Permittee) ate) 5 WU-249.102107 Page 2 of 2 Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 26405 . 910.392.0223 Lab 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 w 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 910.347.5843 Lab/Fax info@environmentalchemists.com House of Raeford Date of Report: Jan 11, 2019 Post Office Box 40 Customer PO #: Rose Hill NC 28458 Customer ID: 08100079 Attention: Joe Teachey Report #: 2018-21489 Project ID: Stormwater Lab ID Sample ID: Collect DatelTime Matrix Sampled by 18-54124 Site: outfall 1 12/28/2018 11:16 AM Water Chris Murray Test Method Results Date Analyzed Oil & Grease (0&G) EPA 1664 <5 mg/L 01/08/2019 Residue Suspended (TSS) SM 2540 D 16.7 mg/L 12/31/2018 pH SM 4500 H B 6.79 units 01/08/2019 COD sM522CD 161 mg/L 01/03/2019 Fecal Coliform SM 9222D MF 1270 Colonies/100mL 12128/2018 Comment: Reviewed by: Report #:: 2018.21489 0--- ENVIRONMENTAL CHEMISTS, INC NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 3T729 COLLECTION AND CHAIN OF CUSTODY 6602 Windmill Way Wilmington, NC 28405 OFFICE: 910-392-0223 FAX 910-392-4424 lnfo®envlronmentalchemists.com Client: House of Raeford PROJECT NAME: Stormwater REPORT NO: ADDRESS: CONTACT NAME: PO NO: REPORT TO: PHONEIFAX: COPY TO:Chrls Murray emall: Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Sail, SL = Sludge, Other: Sample Identification Collection a n y E `a a 'o o.a " ` d = " m g z' PRESERVATION ANALYSIS REQUESTED [Yale Time Temp z z cJi = 0 o i o z ~ 5 o Outfall: I ,I C P 5�i L�f X X COD,TSS,O&G,pH G G Outfall: C P , G G Outfall: C P , G G Outfall: C P X X G G Outfall: C P ,T , G G C P G G C P G G C P G G C P G G Transfer Relinq hed By: Datelrime Received By: Date/Time l� 'r ! 2. Temperature when Received: � Ac epted: / Rpjected: Resample Requested: Delivered By: _ w Received I3y:/ 6� '-'may Date: ��' Time:_ Comments: 1 TURNAROUND: STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENBRAL PERMIT NO, NCG060000 CERTIFICATE OF COVERAGE NO, NCG06 FACILITY NAME PERSON COLLECTING SA1 CERTIFIED LABORATORY Lab N Part A; Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 days from ,the date facilityreceives th.ifrom the laboratory.) 19 2017 PHONE NO, j� n .--: ---`-CENTRAL FILES DWR SECTION PLEASE SIGN ON THE REVERSE 4 Outfall No, Date Sample Collected, moldd/ r, 00530 00400 00340 40556 31616 Total Suspended Solids, m pH, Standard units Chemical Oxygen Demand, in Oil and Grease, mg1L Fecal Coliform, Colonies per 100 ml Benchmark 100 Within 6,0 — 9.0 120 30 1000 A z Note: Ifyou report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier•2 responses. See General Permit text, Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes no (if yes, complete Part B) Part B: Vehicle Maintenance Activity onituring Re uiremouts Outfall No, Date Sample Collected, moldd/ r 00556 00530 00400 011 and Grease, m Total Suspended Solids, m pH, Standard units New Motor Oil Usage, Annual average al/mo Benchmark 30 100 6,0 -- 9,0 - Note: If you report a sampled value In excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses, See General Permit text. STORM EVENT C':7CTERISTICS; Date '(I�irst event sampled) Total Event Precipitation (inches); Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mall Original and one copy to; Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S WU-249-102107 Page I of 2 4 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 awa•re.that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) �- 5WU-249-102107 Page 2 of 2 � IN WN j enviroche Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 1�aN 710 Bowsertown !Load, Mantco, NC 27954 • 252.473.571)2 Lab/lax 255-A Wilmington I iighway, Jacksonville, NC 285,10 • 91(1.347.5843 Lab/Fax into q)enviI-onmentalchctnistS.coIII House of Raeford Date of Report: Jun 01, 2017 Post Office Box 40 Customer PO #: Rose Hill NC 28458 Customer ID: 08100079 Attention: Chris Murray Report #: 2017-07218 Project ID: Stormwater Lab ID Sample ID: Collect Date/Time Matrix Sampled by 17-17057 Site: stormwater outfall #1 5/23/2017 9:50 AM Water Client Test Method Results Date Analyzed Oil & Grease (O&G) EPA 1684 <5 mg/L 05/25/2017 Residue Suspended (TSS) SM 2540 D 13.9 mg/L 05/24/2017 pH SM 4500 H B 6.52 units 05/30/2017 COC SM 5220D 59 mg/L 05/25/2017 Fecal Coliform SM 0222D MF >60000 Coto nies/100mL 05/23/2017 Comment: S Reviewed by- 0 Reoor! k: 2017.07218 ^-- ENVIRONMENTAL CHEMISTS, INC OFFICE:9 0,3922-0�lFAXg1�9 -4424 24 Anaiytical & Consulting Chemists NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 info 6environmentalchensists corn COLLECTION AND CHAIN OF CUSTODY Client: House of Raeford -Rose hill PROJECT NAME: REPORT NO: lT �Ll� ADDRESS: L CONTACT NAME: Chris Murray PO NO: 1g REPORT TO: PHONEIFAX: COPY TO: email: Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other: Sample Identification ANALYSIS REQUESTED Temperature when Received: Y `'" Ac6elted: / lected: Resample R e ed: Delivered By: Received Bye I/ G�I� 1 Date: f �1 Time: 1-/1 Comments: TURNAROUND: r STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO, NCGO60000 SAA11PLES COLLECTED DURING CALENDAR YEAR: CERTIFICATE OF COVERAGE NO. NCG06 e 2 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampli res Its from the laboratory.) FACILITY ACILI NAMETllrrc sA e x1 ��E jL<— RECEIVED COUNTYoo, io f• - v CERTIFIED LABORATORY Lab 4 DEC 2 8 2016 Lab 4 PLEASE SIGN ON THE REVERSE -3 Part A: Specific Monitoring Requirements CENTRAL FILES DWR SECTION Outfall No. Date Sample Collected, mo/dd/ r 00530 00400 00340 00556 31616 Total Suspended Solids, m pH, Standard units Chemical Oxygen Demand, m Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Benchmark 100 Within 6.0 — 9.0 120 30 1000 C Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outran No. Date Sample Collected, mo/dd/ r 00556 00530 00400 Oil and Grease, m Total Suspended Solids, m pH, Standard units New Motor Oil Usage, Annual average al/mo Benchmark - 30 100 6.0 — 9.0 - Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date (first event sampled) J, Total E ut Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches); Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S W U-249-102107 Page I of 2 1 "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 violations." (Signature of Permittee) !��' •4?�E l � (Date) lg&D;7- Z-3j..; t S WU-249- 102107 Page 2 of 2 STORM -WATER DISCHARGE OUTFALL (SDO) MONTTORING REPORT GENERAL PERMIT NO, NCG060000 CERTIFICATE OF COVERAGE NO, NCG06�2 -f FACILITY NAME ,67) eat,&tAoQQ PERSON COLLECTING SAMPLE CERTIFIED LABORATORY N Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR:l,C_ (This monitoring report is due at the Division no later than 30 days from the date the facility receives the s mppling results from the laboratory.) COUNTY VYW PHONE NO. f a O PLEASE SIGN ON THE REVERSE 4 RECIin � OCT U 5 2016 Outfall No. Date Sample Collected, mo/dd/ r 00530 00400 00340 00556 31616 Total Suspended Solids, mgfLm pH, Standard units Chemical Oxygen Demand, Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Benchmark 100 Within 6.0 — 9.0 120 30 1000 i� r Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes ono (if yes, complete Part B) Part B. Vehicle Maintenance Activity Monitoring Requirements Outfau No. Date Sample Collected, mo/dd/ r 00556 1 00530 1 00400 OR and Grease, m Total Suspended Solids, mg& pH, Standard units New Motor Oil Usage, Annual averse al/mo Benchmark - 30 100 6.0 — 9.0 - Note; If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 CENTRAL FILES DViPR Cr!`TIr a S W U-249-102107 Page I of 2 "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 violations." (Signature of Permittee) IP2 $ zIV1z (Date) S WU-249- f 02107 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO, NCC060000 CERTIFICATE OF COVERAGE NO. FACILITY NAME r'` -i—* PERSON COLLECTING SAMPLES CERTIFIED LABORATORY gt5j Z Lab # Lab AP Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 dqs from the date the facility receives the samnling results from the laboratory.) COUNTY _ 8ECEIVEDONENO. � Z MAR 11 201,PLEASE SIGN ON THE REVERSE --> CENTRAL FILES FYI /1 A 1 Outfall No. Date Sample Collected, mo/dd/ r 00530 00400 00556 31616 Total Suspended Solids, m pH, Standard units Chemical Oxygen Demand, m Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Benchmark 100 Within 6.0 -- 9.0 120 30 1000 J - V �5 1 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses, See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes —no (ifyes, complete Part B) Part B. Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/ r 00556 00530 00400 00 and Grease, m Total Suspended Solids, M pH, Standard units New Motor Oil Usage, Annual average allmo Benchmark 30 100 6.0 -- 9.0 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses, See General Permit text, STORM EVENT CHARACTERISTICS: Date^ (first event sampled) Total Event precipitation (inches): Date (llst each additional event sampled this reporting petlod, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S WU-249-102107 Page I of 2 } r 9 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. Y am aware that there are significant penalties for submitting false information, including the possibility of flues and imprisonment for knowing violations." agnature of Permittee) (Date) .r SWU-249-102 ! a7 Paae 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONTTORING REPORT GENERAL PERMIT NO, NCG060000 CERTIFICATE OF COVERAGE NO, NCG06. FACILITY NAME E C',Z . zr T — �V316 CC - PERSON COLLECTING SAMPLES / CERTIFIED LABORATORY & L AAS/ ? Lab # Lab # Part A: Specific Monitoring Requirements SAATPLES COLLECTED DURING CALENDAR YEAR: 1*71c7 (This monitoring report is due at the Division no later than 30 days from the date the facility receives thpl Pg re� Its from the laboratory.) e s COUNTY l"L. 0 +� PHONE NO. Jd V EaEASE SIGN ON THE REVERSE 4 IAR Y 2015 Outfall No. Date Sample Collected, mo/dd/ r 00530 00400 40 00556 31616 Total Suspended Solids, m pH, Standard units Chemical Oxyg n Demand, mWL Oil and Grease, mg.1L Fecal Coliform, Colonies per 100 ml Benchmark - 100 Within 6.0 — 9.0 120 30 1000 7- - ze /S -,3 L .Z2 Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses. See General Permit text. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no (if yes, complete Part S) Part B; Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected, moldd/ r 00556 00530 00400 Oil and Grease, IiA Total Suspended Solids, m pH, Standard units New Motor Oil Usage, Annual averse al/mo Benchmark 30 100 6.0 — 9.0 - Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS; Date l�j4 (first event sampled) Total vent Precipitation (inches): Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to, Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 S WU-249-102107 Page I of 2 i t � �'. y � � - � "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 violations." (Signature of Permittee) V r::Z-7 / (Date) SWU-249-102107 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SI)O) MONITORING REPORT GENERAL PERMIT NO. NCGO60000 SAMPLES COLLECTED DURING CALENDAR YEAR: +�d/ CERTIFICATE OF COVERAGE NO. NCG06 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the ! plesu s from the laboratory.) FACILITY NAME f% rGL COUNTY IV PERSON COLLECTING SAMPLES L% PHONE NO. aVd-) d CERTIFIED LABORATORY Lab # Lab # PLEASE SIGN ON THE REVERSE Part A: Specific Monitoring Requirements - Outfall No. Date Sample Collected, moldd/ r 00530 00400 00340 00556 31616 Total Suspended Solids, m pH, Standard units Chemical Oxygen Demand, m Oil and Grease, mg/L Fecal Coliform, Colonies per 100 ml Benchmark 100 Within 6.0 — 9.0 120 30 1000 L - € L I o mG a • o t� d ?foie: If you report a Isampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement T'ter 1 or Tier 2 responses See General Permit text. % Did this facility perform Vehicle Mainicnance Aclivities using more than 55 gallons of new motor oil per month" _yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall Na. Date Sample Collected, mo/ddl r 00556 1 00530 1 00400 Oil and Grease, m Total Suspended Solids, mg& pH, Standard units New :Motor Oil Usage, Annual average al/mo Benchmark 30 100 6.0 — 9.0 - I :Vote: If you report a sampled value in excess of the benchmark value, or Outside the benchmark range for PH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date(first event sampled) Total Even Precipitation (inches): /0 Date (list each additional event sampled this reporting period, and rainfall amount) Total Event Precipitation (inches): Mail Original and one copy to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RECEIVED AUG 41 2014 CENTRAL FILES DWQIBOG S WU-2d9-102107 0- 1 _r') A 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 subinitting false information, including the possibility of fines and imprisonment for knowing violations." Zz �J (Signature of Permittee) (Date) SWU-249- t 02 l U7 Page 2 sal' 2