HomeMy WebLinkAboutNCS000336_MONITORING INFO_20190729STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
DOC TYPE
❑FINAL PERMIT
MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ C�D
YYYYMMDD
PermhNnaLberNCS 0_ _003�6
FACIIdTY NAmiz UFP
PERWN COLLZC fi,TG 6
nORMWATKR DUCHARGB OUTFALL (SDO)
MONITORING R15PORT
SAMIlm coLLzcTKD DURING CALENDAR YEAR: 2019
ring report d all be recdnd by the DMMm sw 12W than 30 days troy
REC E the bef� rwelt the sarmptlag resmlb thm the laboratory.)
2 9 Z01,9
t;ERTnnzDLABORATORY(s) NA Lab!-r, �\L FILES
�.
by
Part A. Specific Monitorlug Regainements
CpU?M Pasquotank
PHONE NOQ (616) 365 -1591
SIGNATURE OF PERhffrTSR OR DEMNEM
ON PAGE 2.
11 11 �ii iSiia iT .1��Ti7��ti7P�li II e i : wu, ' l f to I I I 111. 1 t..�
Does dw hcibty perform Vdudc blaftamoe Acbvdm umng mare than 35 Of new mnllor 0ilPQ momh? _ ye:s Xi!n
(I'ym omplabe Part B)
Part & Vebide M:I dmansk a Aetkfkw MamitoeReouhvmwmea
i
WON
Fom SWU--247. lad rented ZZ2012
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STORM EVENT CHARACTIMMC& Ma8 OrMftal and ozw copy to:
Daft NA Anm Cm W FUm
Tole! Evart Prec#d6tton (hwW): NA� 1617 Mall Servim Center
Event Datradion (bows) NA _ (only ifSPPffable — m per) Ralekk North Cambers 27699-1617
(f mom than cm atmm eve were sampled)
DabNA
_
Total Eve d Piredptt dm (taebm): NA
Event Duration (Lours): NA (only if WE=blo — see permit)
"I may, under penalty of taw, that thin domment and all attachments were prepared under my dbvtdon or eutperwbioa is aeaordaaoe wits a
Mum desligaed to ss m than quatt6ed p wmad propaty gatier and evahtate the hdarmadau sobmt66ed. Hosea on my iagairy of the perms
or paaom wbo mumW the system, or Mm person directly respona2ft for gathrlag the bmfarmadoa, the bdhmdim mbmhkd is, to the best
of my knowledge sad bdi4 true, accurate, and complete.. I am aware that there are dpifiewd peoattia for snbmftft bhe ialbruallon,
the 8� pebonnmt for knawiing vkdxd &"
/; 1�elz 3/'- z 0
(Signature of Mau)
Farm SWU-247,1aw revered ZW012
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