HomeMy WebLinkAboutNCS000324_MONITORING INFO_19990119STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
NCS
DOC TYPE
El FINAL PERMIT
MONITORING -REPORTS- - ------
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ ��q� •��' ICI
YYYYMMDD
w
S'l'ORM�VA'l'ER D1S�..�AR{:E OUTi�ALL-(SDO)
MONITORING RE'PORT
GENERAL PERMIT NO. NCG030000 SAMPLES COLLECTED DURIN{; CALEADAR YEAR:
CERTIFICATE OF COVERAGE NO. %jg�/UG,5 oO63Z-5L (all samples cottecled during a calendar year, shull be reporled no laler than ,fanuary 31 of-llie
following year)
FACILITY NAME s:SaCi 2 CD COUNTY
PERSON COLLEC'1'1 AMPLE( '; -,�... .�� PHONE NO.
CEII'I'IF1CD t.AIIORA'TOIZY(S) Lab 1 # . G
_ ._. _ Lab # l ,NAT 1' PERMITTE'E OR'DE I ;NEE)
s [ly this signature, t certify that this report is accurate and cornplele
to the hest of Iny knowledge
Part A: Specific Monitoring Requirements
Outfall Ipate
50050'>
80400:
00556'.:'.
t]OS f! >'
00720
l>{1950 :;. <;
0142T....:...
010a4 ..
01042 `'-
01051
01a13 .:
01067
01077
OIR` .
78141
No
Sample`
TvtaE
PX ... , :.
1711 »d
Tutol
[` anidt .::..
i
'IuurWt
f a�Iailum
(tlrsu;llNnn
Copper
t.ca
lroa
iVkkel.;
Silver
zinc ;
ful �l
::. ..
Collected
FtuK
t;,rq>ise
Sus en P hd.
'Toxic ,
Solids :.:.:<
`.:.....
::..... ...::
`...,.:
O . anlcy3..
u
00
/
.
Does this facility perfonn Vehicle Maintenance Activities using more than 55 gallons of new motor oil per monde? —yes Ono
( yes, complete Part B)
li Yenlcle Maintenance Ac[lyttY montlorm
Outi f� f)nte: SBOS ::: 00 S6-�010 f"U" IT
STORM EVENT CHARACTERISTICS:
Total Event P .eci6itation (inches): 3
Event Duration (hours):
(if more than one stonn event was sampled)
Total Event Precipilaf ion (inches):
Event Durations (hours):
I Fe"Ie11 t5
aua t►o
(vlulor
116111, r 1
tat/mc
U. cW
p fPtA4i�' kLVW YO0l
JAN 14:
Mail Original and one copy lo:
Attn: Central Files
Division of I]nvir( limellial hlgl.
IILI INit
11.0. [lox 29535
Raleigh, NC 27626-0535
y For facilities not using or storing cyanide, the facility may make certification to the effect that cyanide is not used or stored at the facility and thus
obtain a waiver of the cyanide sampling requirement.
By this signature, I certify that cyanide is not being used or stored at this facility
2 For facilities not using or storing fluoride, the facility may make certification to the effect that fluoride is not used or stored at the facility and thus
obtain a waiver of the fluoride sampling requirement.
By this signature, I certify that fluoride is not being used or stored at this facility G
3 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors,
manufacture electronic crystals, or manufacture cathode ray tubes.
For purposes of this permit, the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject
to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as
found in 40 CFR 469.12; and for electronic crystal manufacture use the definition as found in 40 CFR 469.22).
Facilities that develop a solvent management plan to be incorporated into the stormwater pollution prevention plan may make a request to DEM that
monitoring of total toxic organics be waived. Tine solvent management plan shall include as a minimum lists of the total toxic organic compounds
used; the method of disposal used instead of dumping, such as reclamation, contract hauling, or incineration; and the procedures for assuring that
toxic organics do not routinely spill or leak into the stormwater. For those facilities allowed such a waiver, the discharger shall sign the the following
certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit
monitoring requirement for total toxic organics (TTO), I certify that, to the best of my knowledge and belief, no
dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff
has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Signature
4 Applies only for facilities at which fueling occurs.
5. Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
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 penaltie;Signatu
for submittin a information, including the possibility of
fines and imprisonment for knowing violations."
a of Permittee) ( at ��9 Fonn MR03