NCS000048_Monitoring Info_20191017

Ws--12-D
STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
nr CS COO D �
IV
DOC TYPE
❑FINAL PERMIT
❑ MONITORING REPORTS
APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ Qo� I D I
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS_000048_ SAMPLES COLLECTED DURING CALENDAR YEAR-;��r_
(This monitoring report shall be received by the Division no later than 30 days from
�j� the date the facility receives the sampling results from the laboratory.)
FACILITY NAME- Chemol Company Inc. 14w" i�?~ COUNTY Guilford{
PERSON COLLECTING SAMPLE(S) - William Newlin PHONE NO. [phone] CERTIFIED
LABORATORY(S) Meritech Labs_ Lab # NCO047384 OCT 17 2019
Lab # CCNITl2AL P lL;rF,
SIGNATURE OF PERMITTEE OR DESIGNEE
[71fi R SECTION
REQUIRED ON PAGE 2.
Part A: Specific Monitorine Requirements
Outfall No.
Date
Sample
-Collected
50050
Total `
Flow (if
pp.),
Total
Rainfall'.
Oil.&
Grease
pH
TSS
COD
BOD-5
Total ,
Phosphorous
Total Nitrogen
mo/d d/yr .
MG'
inches •
Mg/1
Std units
Mg/I
Mg/I .
Mg/I
Mg/1
Mg/I
1
8/12/19
.6
<.5
6.0
6
19
12.6
.413
.95
2
No Rain to
sample.
Nitrate+nitrogen
M g/I
l
.28
2
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _x_ no
(If yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall No.
Date
Sample
Collected
-50050- `'
00556
00530
00404
Total Flow:
(if applicable)'
Total Rainfall
Oil & Grease
(if appl.)"
Non -polar
O&G/TPH -
(Method 1664
SGT-HEM), if
appl..
Total
Suspended
Solids
pH
New Motor
:Oil Usage
mo/dd/yr
MG
inches
mg/i
mg/I
unit _
gal/mo

STORM EVENT CHARACTERISTICS:
Date 812118
Total Event Precipitation (inches): .6_
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Form SV1'U-247, last revised 21212012
Page 1 of 2
Mail Original and one copy to:
Division of Water Quality
Attn: Central Piles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 inquire 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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Md
(Signature of Permittee)
sir
y
(Date)
Forst S WU-247, last revised 2/2/2012
Page 2 of 2