NCS000222_MONITORING INFO_20190108

STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
N6l 000Q,-�-a'
DOC TYPE
❑FINAL PERMIT
Q�MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
0 OTHER
DOC DATE
� r U I O Y
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit lumber NCS 000222
FACILITY NAME Carolina Pole Leland
PERSON COLLECTING SAMPLE(S) Mike Rouse
CERTIFIED LABORATORY(S) Shealy Env Services Lab # 329
Lab #
Part A: Specific, Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
('Phis monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Brunswick
PHONE NO. ( 910 ) 371-3131
SIGNATURE OF PER_MITTEE OR DESIGNEE
REQUIRED ON PAGE Z.
Outfall
No.
Date
Sample
Collected
50050
Unit
Unit
Unit
Unit
Unit
Unit
Total
Flow if a
Total
Rainfall
Pentachloroph
COD
TSS
Dioxin
O & G (1664)
pH
mo/dd/ r
MG
inches
Unit
Unit
Unit
Unit
Unit
Unit
01
11/27/18
0.0596
0.05
<0.0004
25
<6.7
2.7100E-8
<5.6
7.5
%
17% Na
r
n
Q 4
rl= 4
RAL FILES
SECTION
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Ayes Ono
(if yes, complete Part 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
(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
Mgt[
m I
unit
allmo
01
11/27/18
-t5.6
<6.7
7.5
55
Form SWU-247, Iasi revised 6112120153
Page I of/

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000222
FACILITY NAME Carolina Pole Leland
PERSON COLLECTING SAMPLE(S) Mike Rouse
CERTIFIED LABORATORY(S) Shealy Env Services Lab # 329
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility, receives the sampling results from the laboratory.)
COUNTY Brunswick
PHONE NO. 9( 10 1371-3131
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Unit
Unit
Unit
Unit
Unit
Unit
Total
Flow if a
Total
Rainfall
Arsenic
Copper
moldkr
MG
inches
Unit
Unit
Unit
Unit
Unit
Unit
01
11 /27/18
0.0596
0.05
0.037
<0.01
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? (Dyes Ono
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfa€l
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
molddl r
MG
inches
m /l
m I
unit
allmo
01
11/27/18
-e5.6
<6.7
7.5
55
Form SWU-247, last revised 611212015
Pagc�,of3

STORM EVENT CHARACTERISTICS:
Date 11/27/18
Total Event Precipitation (inches): 0.05
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.)
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 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 knowledge and bel f, rue, accurate, and complete. I am aware that there are significant penalties for submitting false information,
inel ing a possibility of firs d imprisonment for knowing violations."
Permittee)
1 /4/2019
(Date)
Form SWU-247, last revised 611212015
Pagc / of
3