NCS000202_COMPLETE FILE - HISTORICAL_20190814

Permit Number: NCS 000202 or
Certificate of Coverage Number: NCG
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: '2_0yj JVLY
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives toe sampling results from the laboratory.)
FACILITY NAME United States Gypsum Co. �I F
PERSON COLLECTING SAMPLE(S) E I V E D
CERTIFIED LABORATORY(S) PRE A^JW:h-Y nL_k&. Lab # 1 419
Lab #
Part A: Specific Monitoring Requirements
QENTRAL FILES
DWR SECTION
4itchell
( 828 765 - 9481
(SIGNA' i iE OF PERMITTEE OR DESIGNEE)
By this s ature, I certify that this report is accurate
complete to the best of my knowledge.
I.
1.
Sample
{ 1
I
1 1
TotalI
1' 1
Solids
r
I
f
I / I
Does 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 Monito ing Requirements
Out€all
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
—
inoldd/ r
MG
inches —
—
m —
Units
aVrno
Forth SWU-246-112608
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STORM EVENT CHARACTERISTICS:
Date JtlL'� Z 3, Z01'� A/y 11
Total Event Precipitation (inches):
Event Duration (hours): 2. (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.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
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. Rased on my inquiry of the person
or persons who manage a system, or those persons directly responsible for gathering the information, the information submitted is, to the best
qfqny knowledg nd b lief true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
nclu the ossi ili of mes and imprisonment for knowing violations."
(Signature of
�/qN
(Dat )
Form S W U-246-112608
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