HomeMy WebLinkAboutNCG080680_Monitoring Report_20211220STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS NCGO80680
FACILITY NAME PetroLiance
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lab
Part A: Specific Monitoring Requirements
SAM'JiLES COLLECTED DURING CALENDAR YEAR: 2021
Otis itoring report shall be received by the Division no later than 30 days from
T+at facility receives the sampling results from the laboratory.)
'b c
oss p'0� TDp COUNTY Gaston
P` ��• 10 O PHONE NO. 2( 15 ) 360-7796
o P� 1! Todd Sherwin
od �oP
SIGNATURE OF PERMITTEE OR DESIGNEE
n@ REQUIRED ON PAGE 2.
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Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes Qi no
(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
me/dd/-vr
MG
linches
I mz1
m7A
unit
al/mo
Form SWU-247, last revised 611212015
Page 1 of 2
STORM EVENT CHARACTERISTICS:
Date 10/7/202
Total Event Precipitation (inches):.51
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 knvwled and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the pas mty of fines and imprisonment for knowing violations."
(Signature bt Permittee)
(Date)
Form SWU-247, last revised 611212015
Page 2 of 2
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