HomeMy WebLinkAboutNCS000321_MONITORING INFO_20190531STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
(V O � � ✓� I
DOC TYPE
[I FINAL PERMIT
MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ .)L)I 1 o
YYYYMMDD
STORMWATER DISCHARGE OUTFALL (SDO)
MREC
ONITORING REPORT
Permit Number NCS 000321
MAY 3 1 20119
GENTkA' L i-ILEII
FACILITY NAME Lubrizol MAff? SE"I"ITIO
PERSON COLLECTING SAMPLE(S) Bobby Smith
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab #402
Lab #
Part A: Specific Monitoring Requirements
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.)
COUNTY Gaston
PHONE NO. 7( 04 ) 915-4165
EREOTURE OF PERMITTEE OR DESIGNEE
PAGE 2.
1'Sample1Total
Collected
1 1 1Rainfall
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes eno
(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/ r
MG
inches
m
m
unit
al/mo
Form S W U-247, last revised 611212015
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 02/15/20 ( q
Total Event Precipitation (inches): 0.29
Event Duration (hours): 24 (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
"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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
6zaze
(Signature of Permittee)
03/1512019
(Date)
Form S W U-247. last revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321
FACILITY NAME Lubrizol
PERSON COLLECTING SAMPLE(S) Bobby Smith _
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab # 402
Lab #
Part A: Specific Monitoring Requirements
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.)
COUNTY Gaston
PHONE NO. 7( 04_)915-4165
ER
IGNATURE OF PERMITTEE OR DESIGNEE
EOUIRED ON PAGE 2.
SampleOutfall Date
Collected
.
Rainfall
1
1
/
•
1
1
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes 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/ r
MG
inches
m /l
I m
unit
al/mo
Form SWU-247, last revised 611212015
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 02/15/20 I y
Total Event Precipitation (inches): 0.29
Event Duration (hours): 24 (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
"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)
03/15/2019
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321 SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
MAY 31 20 iy (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.)
CENTRAL FiL, -:
FACILITY NAME Lubrizol ElVW;
PERSON COLLECTING SAMPLE(S) Bobby Smith
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab # 402
Lab #
Part A: Specific Monitoring Requirements
COUNTY Gaston
PHONE NO. 7} 915-4165
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
iSample
Date
Collected
171111.11��
Total
Rainfall
1
03/06/20191
1
1
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes @no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
bate
Sample
Collected
50050
00556i
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
moldd/ r
MG
inches
m /l
m
unit
al/mo
Form SWU-247, Iasi revised 611212015
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 03/13/20/q
Total Event Precipitation (inches): 3.41
Event Duration (hours): 72 (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 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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
03/15/2019
(Signature of Permittee) (Date)
Form SWU-247, last revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321
FACILITY NAME Lubrizol
PERSON COLLECTING SAMPLE(S) Bobby Smith
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab # 402
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR PEAR: 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.)
COUNTY Gaston
PHONE NO. 7( 04 ) 915-4165
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
iTotal
Flow (if��
Total
Rainfall
rI
I I to IJ•
•
•
a
•
1
03/06/2019
!
1
1
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes &no
(if yes, complete Part B)
Part K. Vehicle Maintenance Activity.MonitoringRe uirements
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/ r
MG
inches
m fl
m II
unit
gaurno
Form SWU-247. Just revised 611212015
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 03/13/20 /1
Total Event Precipitation (inches): 3.41
Event Duration (hours): 72 (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 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."
a - �,-
(Signature of Permittee)
03115/2019
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2
Permit Number NCS 000321
— i 1; 1 % f r— r—,
STORMWATER DISCHARGE OUTFALL (SDO)
MAY 3NIT�ORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
t"lL 5 (This monitoring report shall be received by the Division no later than 30 days from
3,Ti0II the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Lubrizol
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab #402
Lab ##
Part A: Specific Monitoring Requirements
COUNTY Gaston
PHONE NO. 7f 04 ) 915-4165
EREQ
ATURE OF PERMITTEE OR DESIGNEE
UIRED ON PAGE 2.
I
iTotalr
1.
rFlow
11 I
•
.
•
.
.
•
(if app
.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes (j)no
(if yes, complete Part B)
Part B: Vehicle Maintenance Acti ity MonitoringRe uirements
Outfall
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-H EM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
mg/1
m
unit
I gal/mo
Form SWU-247, last revised 611 12015
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 04/12/20If
Total Event Precipitation (inches): 3.52
Event Duration (hours): 72 (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
"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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
�,�,42QZ— 04/26/2019
(Signature of Per ee) (Date)
Form S W U-247, last revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321
FACILITY NAME Lubrizol
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab #402
Lab #
Part A: Specific Monitoring Requirements
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.)
COUNTY Gaston
PHONE NO. 7( 04 j 915-4165
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
--Collected
Date
Im"
.
•
.
•
pp _,
.
•
•
•
•I
I IN I
I I IN
04-/-15/2019:
1
1
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ()yes 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/ r
MG
inches
mg/1
m
unit
gaymo
Form SWU-247, Iasi revised 611212015
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 041121201f
Total Event Precipitation (inches): 3.52
Event Duration (hours): 72 (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
"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 P ittee)
04126/2019
(Date)
Form SWU-247, last revised 611212015
Page 2 of
STORMWATER DISCHARGE)OUTFALL (SDO)
MONITORING REPORT'
Permit Number NCS 000321 M AApL WOLLECTED DURING CALENDAR YEAR: 2019
CE;% (This monitoring report shall be received by the Division no later than 30 days from
rlife:d
• 4rl, thate the facility receives the sampling results from the laboratory.)
FACILITY NAME Lubrizol
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORV(S) Prism Labs, Inc. Lab #402
Lab #
Part A: Specific Monitoring Requirements
COUNTY Gaston
PHONE NO. 7( 04 ) 915-4165
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
DateNo. Sample
CollectedAFlow
Total
(if ,.
Total
Rainfall
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes eno
(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/ddl r
I MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 611212015
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 05/14/20 f ?
Total Event Precipitation (inches): 1.20
Event Duration (hours): 24 (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
"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."
05/23/2019
(Signature ermittee) (Date)
Form SWU-247, last revised 611212015
Page 2 of 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000321
FACILITY NAME Lubrizol
PERSON COLLECTING SAMPLE(S) David Griffith
CERTIFIED LABORATORY(S) Prism Labs, Inc. Lab # 402
Lab #
Part A: Specific Monitoring Requirements
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.)
COUNTY Gaston
PHONE NO. 7( 4) 915-4165
aREO
ATURE OF PERMiTTEE OR DESIGNEE
UIRED ON PAGE 2.
/
No.
1.
Collected
II I
•
•
•
,
•
Total
Rainfall:rw�
•/
1
1 1
1
1
i
i
i
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes Q. no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity MonitoringRe uirements
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/ r
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 611212015
Page I of 2
STORM EVENT CHARACTERISTICS:
Date 05/14/201q
Total Event Precipitation (inches): 1.20
Event Duration (hours): 24 (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 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 Permitte
tW-
05/23/2019
(Date)
Form S W U-247, last revised 611212015
Page 2 of 2