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Home My WebLink AboutNCG120005 DMR SW (3) STORMWATER DISC' 1.GE OUTFALL(SDO) 4 MONITORL1G REPORT GENERAL PERMIT NO.NCG120000 ' SAMPLES COLLECTED DURING CALENDAR YEAR: 2OI(v CERTIFICATE OF COVERAGE NO. - " _ ' �s' (This monitoring report is due at the Division no later than 30 days from the date the facility receives the samplin esults from the laboratory.) FACILITY NAME' Fo)95nn Crun� Sto);c.I ) PERSON COLLECTING Jock _ COUNTY IVE® PHONE NO. ( CERTIFIED LABORATORAYMPLTRL fl o�1 � P'Lab# ��1.� cf lt� Lab# JUL 2 5 2016 PLEASE SIGN ON T REVERSE 3 Part A: Specific Monitoring Requirements CENTRAL FILES :;r ;,,= W;;r ' DWR SECTION ;'�, "y a�";, - ;'Date'• ;;; ,i ,.K00'3�Q'�r,;�.., f"�., s�,'•-.�.i'.��"i:.. -.:4=.s - a},.-,,..:r,,'�;;�",- - - "r le`Collected .Chenuc .I :'c,t ,.,,., F':b, ::,t;, ,,,�,,�, ,•�,��u;,ati,q' .p, ' •c„ sal �ygcn;Deinanda "„Fe'�al'Coliform” .,;',, ; ..,y' :d��„r?„ �� f ' t„ Total '',,.: :,,,.,•a' - '��", •,�•:. ',,,y....;,t�,;,4,�t, �.r. »,�,narr'-��..;'.:,9;'a,' , ';•' ,�' „4.;,. y� ' ' SIls "elldefd Solid's"� ,. - '''Y"; ";: ,.,nio'd .i',�, „r'. ..r°C';;:Yy a a.�x n, iy,;,s 'r :," '"'r la'S�yri,,,x•h,h'''';v- .Y,, ,_ ,, � d/yr'- •,:'. :, " •,t 1im �"��i'�d't-,,;.,6,;,U..� 1�;:d,dai�ti;:'i•6:�.,{w , „"•'✓^, n' .'•(''.,: , ',t.; - -- - _ _ .�, _ ,#rj�er^k'00 iml�,, ,,., „r';•' ,'},i',�..t,- .,.;a.m�/L,,, _ , Benchma ii; „�At r J5 rJ i"L1''','j; ys;'" iea7' q ['� � i ,I � ,'I it ii ki. e�'r� �:'t�',.I'' 0,00�'Colo C r'• � 'e�N,, f"��,-. �{✓ O I �JO FlOtJ ',4 ILl St,.;:- ,,rr;l4,; �,, .:a�'',•'!y'r,,r�®Q'.'�r. _ 50o a Plata 5Do3 lJo Floi Note: If you report a sampled value in excess of the benchmark value,you must implement Tier 1 or Tier 2 responses. See General Permit text. 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 Activity Monitoring Requirements r'r-,Outfah'. .,i.^,' ,'�;ei'.. �k9'r°,'Y,n a •'`',g:n-''� :a 7 -��,- : :`�:,�ti -- _,a,r�..s-•� _, ss�,,,,'.�„'0'0530"'•�r'��1•,,,a ;' ,^00.40.0,''�:��'�• �-�,��' ;"w�,'., x,: - '-�^ - ;.; 'J"'' i' p , 4;440:0, xCase ,ra" Ofa'S"'1:000 , '•lids'" ,,,, ,:�,.,�..�,,,,.,.��,xi.,, r',,.>,,, .�..,�P,,, ', _So ;i ,' ;•r` ',r� 'h' ?' �'t i',,. ,��„�, ,til'%i,_r�lJ �,. ,W 5',T:, �” , "� �`�}i � tl.,. '�(';i'� -i.t�� '•b ',.fr,a ' • u t 'r,k),a. ,i:"" I L 4, ; Note: If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses. See General Permit text. STORM EVENT CHARACTERISTICS: Date (first event sampled) Mail Original and one copy to: Total Event Precipitation (inches): Attn: DWQ Central Files NCDENR/DWQ 1617 Mail Service Center Date (list each additional event sampled this reporting period, and rainfall amount) Raleigh,NC 27699-1617 Total Event Precipitation (inches): S TJ-248-102107 Page 1 of 2 STORMWATER DISC' WE OUTFALL(SDO) MONITOR11vG REPORT • GENERAL PERMIT NO.NCG120000 SAMPLES COLLECTED DURING CALENDAR YEAR: ,20)(o CERTIFICATE OF COVERAGE NO.NCG12 COO 5- (This monitoring report is due at the Division no later than 30 days from the date y rk:); I , �� the facility receives the samplinresults from the laboratory.) FACILITY NAME o b e$o y Cci�� S COUNTY 6)7etan PERSON COLLECTING SAMPLES i-co i tZI o er_S PHONE NO. CERTIFIED LABORATORY TJX L. Lab# ?-7 (_q,a �_ laS 3Y 4� Lab# PLEASE SIGN ON THE REVERSE Part A: Specific Monitoring Requirements tl•O'.11ll$ll'(11i� 'y r '•,;I;'[�ra'''i'Dat 'Id•,p'7,; fi+� BI;;'_'e'nt�c�h.•N,m{�Q�''I!-:,a,,u.•,��'kI'p';{.,:�}�it1Ir;,r� ,lyrl IIItI'�Ii�,.:.Y.I'r"J.a'i;'''' [• '.t,o@,'';'' ;; ',,II.1S.-:4i ry;4',:g; .l,.;4 .ra<„,rme051'0";gq 3 >Q< UJc o r�ts,,5ylL,,,.7;,GO:,lt c'i 3 16160hi iR.•;t01i �C Sa#40Cltedatr!g,9he :NO, 404)4 ,�di,t `;• F,eilColifo .�PL ;� F'L[�,•!•h'i'1,.Il�(1TO{,e:i a r,rLd,4r'r:i Sip,(!v�1 el d,fY,,tS. or, l.i d 1 l :- i;J!'%'!? dc3r ,46Q� .I. . '1rL.,0.'.t"i';, oilr t<<r:r:;o... ,,;I ,�,,' ,,•r.l ••11i-•.�'�y 1,l.,r :,,• ,.r. :.'�h'r,;. .. '-'1 � , 1 „ •r;ir,�i{i, ,t, ,4, t,}r+� ,�I'Ji.Jd S'�C::ik nln 1 .,a�., ,d.r,. [;� 00 � /00 Anti'(=1a(J . . I,��r?.la,;'ll �r'•..t,y•• , ,. - �Frlr,, :�• 1t. 5•'A'S r�00' t: SDo 5 rk_lb Flaw Vote: If you report a sampled value in excess of the benchmark value,you must implement Tier 1 or Tier 2 responses. See General Permit text. 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) ?art B: Vehicle Maintenance Activity Monitoring Re9uirements j.�F Irl, ;hr,Q ut{,all':5,':f;{; i'c;",,,�lyil+ii• 'D -'li'i"iC�' t�•'I"r Jul+t' �J,',1'Irl y:1 �';; �, 1.1 .I,+ - I ''I, ;,r,- ate;'; rf .i,1 ,h,:i.tr'0`05561u,.5�.'�:�?r" ?.'st;; ,1,,l,, ,/� a I,.,.1^• i' nry� i'I''1''h.�•!;.L,r��r :1�'•„`° I , Ir., {,•I'... _ 6:,3U�h.i:�t`�L�i}i0a7L�.�.�-�'�V�r�d;li�11' 411 O. Q,O,',;�'':fi�',1 Y' ,I 11KI,:•';1 `. 'I„! r _ I,, II � ',-1iI 11 �I:' Ir.�.• L:IL�,-.171:Y':1.r G I• f i,IT,�. b['i1,1••r •,l il'�� {I";r, ;',i,rr•1�Io: ,'rai,;c ; 'SampleCollected ;,L Oilranii%G'rr d''e4.r•„ _,tri ,;,,,' 7^. r, "fl I'I�-.1. ,•,ti� ,;_ :�;:tl: - :,•T' '�`Irva}e $,D,?lNtl•,,R oL$'''S;u�pellCiCd-.Solids II,'4+, ;y�1;1,III��ra;�, 1 {��J'r"= I ;,,' ?t? a1•". .r•o r• i•i „J, ,IX i,,„i'\ i 1, "1 I � ,,5.: Ir,;C: „ A5 „urn;rll ;•1:�1 •'I'I ,u,. '!ti:}'}+f I 1,•:4,k: a,,,_ , - ;mo'';dd/yr'I:,'• .'i:' m [;.r1,,:,,,,,,l,r, ,It..0M14,1 ro�l iJsa /L. r,,r 4 g%L,� i', [' g "t. JI�,t ..1 m 1,1� ri;J�,°SII ;S,ta ;ttnit9�'1,�,:�li }dl}�1iV,erla e;�a "ll'31',;' 8U r 3enclimark • . 1 't�:' ,A,;' 'N �I Pti!.1 �i,�'iu,fil.. r, t.'i.';•.1,'.„ I''• .. .,J'Ijt,'30-'`h'L''�,� ;f: c r ..,p i.l�':�r,ISr O`0' 2115uf�;: ,�' '1, 17r". •' !P:'r:;;;•.;,•r1;,. . !X'• I.'. >_ . I�� ., '" 6:a'-9'.oi, , •�,.r ,. r;;'1i„�i�.:r;,:l, •°�'Ir�a,� ,I'I•'i+s1„cirr;;.,•,,;',',1-,Isis,,:, Tote: If you report a sampled value in excess of the benchmark value,or outside the benchmark range for pH,you must implement Tier 1 or Tier 2 responses. lee General Permit text. ;TORM EVENT CHARACTERISTICS: Date (first event sampled) Total Event Precipitation(inches): Mail Original and one copy to: Attn: DWQ Central Files NCDENR/DWQ 1617 Mail Service Centel Date (list each additional event sampled this reporting period, and rainfall amount) Raleigh,NC 27699-1617 Total Event Precipitation(inches): SWU-248-102107 Page 1 of 2 STORMWATER DI; ARGE OUTFALL(SDO) MONITOl.ING REPORT "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, includin the possibility of fines and imprisonment for knowing violations." g / "K. 7- 2i - 201(0 (Signature of Permittee) / • (Date) • S WU-248-102107