HomeMy WebLinkAboutNCG120066_DMR_20200224 STORMWATER L _ 2GE OUTFALL(SDO)
MONITORING REPORT
Permit Number: NCS AC G 12 O 0 d d or SAMPLES COLLECTED DURING CALENDAR YEAR: F elo 2 0 20
Certificate of Coverage Number:NCG a U Lo( (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 ' IN e5 i v t-171 v Y (_=A-t'(I COUNTY Y1 I t)S
PERSON COLLECTING SAMPLES ', ' Ter P HO NO. 3 3b `1' i (,,i
O� 1 c )
CERTIFLED LABORATORY(S)S des• I r° �a c� Lab# �` L.pA__.)
Lab# (SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature,I certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
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Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_yes _no
(if yes,complete Part B)
Part B:Vehicle Maintenance Activitt Monitoring Retudrements
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Form SWU•-246-062310
Page 1 of 2
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date g_ Attn:Central Files
Total Event Precipitation(inches): 3 3 1617 Mail Service Center
Event Duration(hours): (only if applicable—see permit.) Raleigh,North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation(inches):
Event Duration(hours): (only if applicable—see permit.)
"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."
(ture of Permittee) (Date)
Form SWU-246-062310
Page 2 of 2 -
, rl' • :
DEMLR Monitoring Form Rev.08012013 Page 1 of 2 . . . .
INSPECTION AND MONITORING RECORDS FOR ACTIVITIES UNDER STORMWATER GENERAL PERMIT NCG010000 • -
AND SELF-INSPECTION RECORDS FOR LAND DISTURBING ACTIVITIES PER G.S. 113A-54.1
Land Quality or Local
Project Name
Program Project #
Financially Responsible
Party, (FRP)/Permittee County of Wilkes County Wilkes
INSPECTOR Name . Employer
_
iiiiiiiiiiiiiiiii40114; 0*. Address
• ' s"".''''. — .::'".' :. ' ..— ..'FRP/PermIttee 9219 Elkin Highway/P.O. Box 389 Roaring River, N.C. 28669
Phone Number Email Address
Agent/Designee 336-696-3867 abyrd@wilkescounty.net
PART 1A: Rainfall Data , PART 18: Current Phirte of Proie5
,
i 4::iinalit#10110110 '- ''''''j'':':1 '4-:E -01:::.::..e . .'?:::ii 'il..'.*44';' +ria#9•79tf3 11 g.$ 1 4:i•L:'.c.''';:*iii:i%:P.,
•,', ,•:4:: .-:;,,,:,, ,'c,- ---,=.;ctiffittillit
! Installation of perimeter erosion and sediment control measures
Clearing and grubbing of existing ground cover
M 2 -3 -15 0 Completion of any phase of grading of slopes or fills
T ‘,7- q _ 26
v Oq Installation of storm drainage facilities
W . 3,-5-ZO . ..2-.L- Completion of all land-disturbing activity, construction or development
Th 2 _ b _ 20 '' 3. 2 3 Permanent ground cover sufficient to restrain erosion has been established
F a. _ ri_ 2 0 . , [2.
Sat(Optional) , -8-Ro
Sun (Optional) , ?, 20 D
PAINT 1C; Sionature of Ineff=
iiitthhi:IiIgnahil Oil r*".trdonialkeeilthlifit woolesoli,limovikoksoithkiitiptittiaetaWatut eii0Oleti4oAtivaieet,*;attlineialetiOn:
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Financially Responsible Party/ Permitee or Agent/Designee Date
.2- //- -Z,0
,%.&7'4yzA. ., . .
Site Area Description Stabilization Timeframe Exceptions
Perimeter dikes, swales and slopes 7 Days None
High Quality Water(HQW)Zones 7 Days None
Slopes Steeper than 3:1 7 Days If slopes are 10' or less in length and are not steeper than 2:1, 14 days are allowed
Slopes 3:1 or flatter 14 Days 7 days for slopes greater than 50' In length
All other areas with slopes flatter than 4:1 14 Days None, except for perimeters and HQW Zones
PART 2A:' ..woION AND SEDIMENTATION CONTROL MEASURES: MeasL.._e.iiust be inspected at least ONCE PER 7 CALENDAR DAYS A._..ry lTHIN
24 HOURS OF A RAINFALL EVENT GREATER THAN 0.5 INCH PER 24 HOUR PERIOD.
iiii4 ErQslorra .Si.��dimgnttbi� 1lllu �p � • " -. �'� ; . r . Datei
1
..:..(4:, •�. .••.r?.. 7< D < Id`bs as soon Correctpd
.... MM4 1�1 , lr . t,z! f!1. s New M Installed ; . ,
` '* k o�rective a ns'ehou or/ormed
•
•
,. •<<. - N assures s ,�. isIble anc1 pe(9re t111i n�ct torm'�r!>
' • &>� L;. , r. : : `Y `�•, .• Proposed Actual Significant ' K. -•
• ••J.�i?k'„ < s .= +1 is ,� i { " s y > +• _: � '�'`S it��;'a .a t
,,•41 •.i Dimensions Dimensions Deviation/�/fmm w- -;: ! " k. 7�` ' �' "k
?:ie�_ re 14 6 L1 L4.,1 Plan?1 en 4-,.. .• �"� �t, r -� i{ R ... ' } .,
*New erosion and sedimentation control measures installed since the last inspection should be documented here or by initialing and dating each measure or
practice shown on a copy of the approved erosion and sedimentation control plan. List Dimensions of Measures such as Sediment Basins and Riprap Aprons
PART 2B: STORMWATER DISCHARGE OUTFALLS (SDOs1: SDOs must be inspected at least ONCE PERT CALENDAR DAYS AND WITHIN
24 HOURS OF A RAINFALL EVENT GREATER THAN 0.5 INCH PER 24 HOUR PERIOD.
Li l • I1. a '�.,. 1 s t'* . ;. Ii 4 _i "t 1 Dab,`.
t y jP _ f i a ••x ` ; d�'u *.tEl� 1 . * ,., - ..eal�l�#s ••Co
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1-01.000t
� !�1. ,07 fi • K 1:41 " `' s#,:r •. `_, . +" , llextStorm overt • .
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0 CP 2- 6 -Z0 /j ziefrc, 3 .Z3 i/nr I?t u r 5.
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PART 2C: GROUND STABILIZATION Must be recorded after each Phase of Gradinj • +?��• .
Aroas'Vyfasrs°Land,DiStufbance Mas�Re+R1► 'f�ltl�1,�1�1�t.``: Ia�tPul#d,; f -�iu: } �y �k�'?,t, .y't"`•,,....:r.44,. S, _
Completed o ' . y Stopped .Ground rr ., oIt`to • War. � .:.:
•K+;�`�����? •Z' kl• :key[' 1.'bL �w.f ! YY
. 4 •; � :.:: .. "- •.,;::, :'�alCd.,r.�.�tii3r '� 9<.�,. .�'� ��4`� i.�. ,.. .:�. 'P•,„ _,:y :� '�"<,14.~1�'.4+??�!H i h �-?. ' ,�+v:n 1. r a.. s Sck ,. `•{•�. ,{'''`Z-'1,,
Analytical Results j STATESVILLE
ANALYTICAL
Wilkes County Landfill
PO Box 389
Roaring River, NC 28669
Receive Date: 02/06/2020
Reported: 02/10/2020
For: STORMWATER
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
200206-21-01 Chemical Oxygen OF1 80 mg/L HACH8000 02/07/2020 CL
Demand
200206-21-01 Fecal Coliforms OF1 345 CFU100 ML SM9222D-2oo6 02/06/2020 WC
200206-21-01 TSS OF1 55 mg/L SM25400-2011 02/07/2020 CJE
200206-21-02 Chemical Oxygen OF2 34 mg/L HACH8000 02/07/2020 CL
Demand
200206-21-02 Fecal Coliforms OF2 473 CFU100 ML SM9222D-2006 02/06/2020 WC
200206-21-02 TSS OF2 37 mg/L SM25400-2011 02/07/2020 CJE
200206-21-03 Chemical Oxygen OF3 48 mg/L HACH8000 02/07/2020 CL
Demand
200206-21-03 Fecal Coliforms OF3 518 CFU100 ML SM9222D-2oo6 02/06/2020 WC
200206-21-03 TSS OF3 492 mg/L 5M25400-2011 02/07/2020 CJE
Respectfully submitted,
NO);
Dena Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3
Condition of Receipt
Sample Number 200206-21-01 Temp on Arrival: 3.2
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 200206-21-02 Temp on Arrival: 3.2
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 200206-21-03 Temp on Arrival: 3.2
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3
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StATESVILLEANALYTICAL ^O 0_
122 Cant Stroct • P.O.Box 228 •
Address:
QQ �{ Statesville,NC 28687 N.
170
'IV _ (704)872-4697 a)
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Cont Act Perso Phone p AXp Chain of
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Pop Requisitioned by: (Time Dale) t\tl 11 l(_il Custody Record Z
ai
Customer Time Sampled Date Sampled Matrix Parameters
requested for aysis
Sample IDa Lab-ID a (Grab Only)----- (Grab Only) suoa• w v v >
L? A---ca11 1 9l 2. 05 ,titA a-( -av ✓ Feea1 --1-5s CUB
IDN 'PCli Il - . C , F 1.5 AM a,-L, -AO ✓ �e�► -�55 Cod
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Relinquished by If_ Time b./0 Om Date al(G / Sampled by: ML,t)
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Received by: Time t Q l C �pm Date_/ / Transported by: /19
Relinquished by: Time am,pm Date_/_/_ Holding times met: X
Received by: Time am,pm Date /—/ Compliance work:
Composite Sampling#1:
Time begin am,pm Date / / Non-compliance work:_
Time end am,pm Date_l—/— Lab Comments. samples Transported On Ice:
composite Sampling#2:
Time begin_ am,pm Date_/_/,
Time end am,pm Date / /__ Initials: