NCS000202_COMPLETE FILE - HISTORICAL_20191210

STOR\INVATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS 000202 or
Certificate of Coverage Number: NC(;
FACILITY NAME United States Gypsum Co.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific �t� FIonituring Requirements L-D
vi
SAMPLES COLLECTED DURING CALENDAR YEAR: ZD l -1 Na V MQ r f�
(This monitoring report shall be received by the Division no later than 30 days front
the date the facility receives the sampling results from the laboratory.)
Mitchell
REC,EllH ' ' ( 828 ) 765 - 9481
AT RE OF P . 7ITTEE OR DESIGNEE)
DEC-� � this, nature, I certify' that this report is accurate
11
complete to the best of my knowledge.
CENTi'(AL FILES
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Oil & Grease
Total
Suspended
Solids (TSS)
Total Lead
pH
moldd/vr
tiIG
inches
m
m
m
Units
� 6a r! j "A
1-1
20A
F=A-
r
!1�1/Iv5 •.V 1L I-ILE
r
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Vno
Orycs, complete Pan B)
Part B. Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/vr
MG
inches
m
m
Units
al/mo
Form SWU-246-1 12608
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to -
Division p l G Division of Water Quality
Date ` Attn: Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Event Duration (hours): (only if applicable — see permit.) Raleigh. North Carolina 27699-1617
(if more than one storm event avas sampled)
Dale
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
L\ l i
N oFL-n�
"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 hest
of my knowledge and °lief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
i clu fa the p sibi it of fines and imprisonment for knowing violations."
(Signature of Per A ittee) (Date)
Form SWU-246-112608
Page 2 of 2