NCS000292_MONITORING INFO_20190705

STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
/�I L`j O v
1�
DOC TYPE
❑FINAL PERMIT
A MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
p V I� V 7 vS
YYYYMMDD

S ORMWATER_DISCHARGE OUTFALL (SDO)
�' MONITORING REPORT
Permit Number NCS 000292 JUL 0 5 2019
l �-_N I I -,AL. r=ILE;3
DkIVR SECTION
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
(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.)
FACILITY NAME Resinall_Corp
PERSON COLLECTING SAMPLE(S) Bill Lewis
CERTIFIED LABORATORY(S) Summit Environmental Technolop-ies Lab 1# 631
Lab #
Part A: Specific Monitoring Requirements
COUNTY Northampton
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PACE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Chem. Oxygen
Demand
COD
Total
Suspended
Solids TSS
pH
mo/dd/ r
MG
inches
m /L
m /L
units
001
06/18/19
0.0306
1.25
34.0
12.20
7.035
002
06/18/19
0.0592
1.25
< 10.0
37.00
6.775
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
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/vr
MG
inches
m /l
Mgt]
unit
al/mo
Form SWU-247, last revised 611212015
Page l of 2

STORM EVENT CHARACTERISTICS:
Date 06/18/2019
Total Event Precipitation (inches): _1.25
Event Duration (hours): _2.5 (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. 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)
July 1, 2019
(Date)
Form S W U-247, last revised 6/12/2015
Page 2 of 2

STORM«'A TER DISCA,VRGE OL'i'FALL (SDO;
MONITORING REPORT
a
Permit Number: NCS Mc, $ ' or S.A-NI:PLFS COLL-EC : ED CALE,%-D.kR YEAR: _
Certiricace of Coversge '-titrmber- N,CG (This mnaitoring repo: t steal: br .-viceived by the Division no Later than 30 cfays from
the date the faciit-v receives the sampling resu{ts from the [aboratorti'.)
FA CII..�I�'Y NAME S n l .ruu • Vt� i/ � C _ C0 UNVY cJL J
PERSON COLLECTLtiG SA.MTLE(S,RECEIVED O E'`O
CERTIFIED LABOR-ATORY(S) Lab
Lab 9 ,JUN ] 1 24I9 (SIGNATURE OF RMFT fEE OR DESIGNTE)
_ BF this Signature, I certifv that •Lis . epor t is acccrace
C h T k NL iL 3 coc plete to the best of m.v icaowiedge.
Part A: SpeC,ic MGM i.tori.P-g Requirements ,
�1'11f� S IECTION
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STOPINI EVENT CFL RACTERIS-17CS:
Date
Total Event Precipitation (icuchest:
Event Ouratio❑ (hours): _ (only .f aYpLcab:c - scc ;:�rrnzut.)
(f more than one sto= ever,, was sampicc;
Date
Total Event Pr ecipitatiaa (Lnches):
Event DLL adore (haUrS)- (a^ applicable - sec; pc=iit.;
N
Mail Original and one coFy to:
D,vis:a , C. water QUAI
Attu: Cen.:ai . ,ics
:6' ; Hai Service Cc,-:z.
Etalcig'r, Na,-[:: Carolina 27695-:6'.
"I certify, under peuaFts of law, that ttJ5 docnmeat and all anachmeats were prepared under my direction cr Supervsion iu accoruacoe with a
system designed :o assure,Fat properly gather and eoakmte fhe iafo=matioe submitted. EEsed as my iagairy of t"te PC-Souor persons who manage the system, or !hose persons directly respoasible. for gatbersng the izufaum ration, the information submitted is; to the best
of nip im6wiec3ge and belief; true, accurate, and complete_ ? am aware that there are sigai5c;ict penalties for su�mittr-'- false
iaciadiag the possibiilty of Enes and imprsaament for lmow rag violations."
(..iguuature of Perrssi:ieej a 1