HomeMy WebLinkAboutNCG080773_MONITORING INFO_20150813STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE ❑HISTORICAL FILE
p( MONITORING REPORTS
DOC DATE D & U 15 L-) `6 ! 3
YYYYMMDD
GENERAL PERMIT NO. NCGO800
CERTIFICATE OF COVERAGE'N
FACILITY NAME< 0 J�J
PERSON COLLECTING, SAMPLE,
CERTIFIED LABORATORY ?I
STORMWATER DIS90...GE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due: at 1he Division no later than 30days from
the date & COUNTY.
rece(vesjh—e— piing esultsfomthe labor2tory.)
.
PHONE NO. OLD
I
Lab #
Lab #
PLEASE SIGN ON THE REVERSE -->
Part A: Vehicle Maintenance Areas M ', nitoring Requirements
Did this facility perform Vehicle Mainte cc Activities using more,than 55 gallons of new motor oil per month? _yes no
(if yes, report your analytical results in th 'table immediately below)
RECEIVED
AUG 13
* 'R �Diiti'ii
P
Dt.
F.,
Sainp 16 Cglj&tedt,,�
US s0e 01vSdljdsjFffJF.�,X�
''li,1.1
)l
P
Md
taildatid'uhl ,A
n a v ,,ga. moin
30
.41
0
Note: If you report a sampled value in exI.ss of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses
See General Permit text.
Part R: Oil/water Senaratorq and Seen tldnry Containment Areas at Petroleum Rnlk Statinnq and Terminals
F�OUtfall
0 V
IN
j,
'T aspen e r9814
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T
STORM EVENT
Date (first event sam led)
I
Total eveAt Precipitation (inchis): I
Date (list each
Total Event Precipitation (inch4s):
event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
CENTRAL FILES
DWR SECTION
M0
SWU-250-102107
Page 1 of 2
"I certify, under penalty of law, that this document and all attachments were prepared under my di ection or
supervision in accordance with a system designedao assure that qualified personnel properly gathei and evaluate the
information submitted. Based on'my'inquiry'of'the°person'or persons who -manage the system, or ti ose persons
directly responsible for gathering the information, the information'sub"tted is, to the best of my k; owledge and belief,
true, accurate, and complete. I am aware.thatahere are significant penalties for submitting false'ini; rriiation,.including
the possibility in and imprisonment for knowing violations." _
(Signature of Permittee) (llat
i
S WU-250-102107
Paee 2 of 2
STORMWATER DISCL,,GE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO80001 SAMPLES COLLECTED .DURING CALENDAR YEAR: OV
CERTIFICATE OF COVERAGE NO NCG08 (This monitoring report is ' due at -the Division no later than 30 days from
receives. the s P resull f mthelaboratury.)
FACILITY NAME,
PERSON COLLECTING, SAMPLES.! jjj0=k=9_-V7 H NE NO. (T-1) I g
JAN -14 2 016P , 0.
CERTIFIED LABORATORY i Lab# . 1,
Lab # CENTRAL FILESLEASE SIGN ON THE REVERSE 4
DWR SECTION
Part A- Vehicle Maintenance Areas M itoring Requirements,
Did this facility perform Vehicle Maint6n -;Lnce Activities using more than 55 gallons of new motor oil per month? yes no
(if yes, report your analytical results in 04 table immediately below)
0
0'.
NA t
C
tal,.,S�goirid-6- a's
'kill �p
reas V
el
V-1 j
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ta fida
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g
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Pi,
. ,, M. ��
L W..
.30 0 ill-�� .4,
1c17,13Z),ti
A
Note: If you report a sampled value in ex c I-ss of the benchmark value, or outside the benctunark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Part B.- Oil/water Senarators and Seen idnry Containment Areas at Petroleum Bulk Stations and Terminals
k
;�o
Collected
0 Iddlyr
't '400556FV,�,�
3 0991 k, s-,
QQ5 `9
q(00 4
�afid,Gfease;`;�
Oil 1P
pen' ' d
W946' de �86i.
a M.
,��rr Q %j
_11r, INT,
.. I " Stonditi.d.,,fini
errrdtkuiftit
Y.
-j-
9'
.60 .0
STORM EVENT CHARACTERISTICS:
Date jq&first event sam led)
�/fi
Total OVenh—Precipitation (inchis): I I a
Date (list each additio I event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inchIS):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-250-102107
Pagel of
� r
z
"I certify, under penalty of law, that this document and all attachments were prepared under my di. ection or
supervision in accordance with a system designed Ito assure that qualified personnel properly gathef. and evaluate the
information submitted. Based. on"rny irigniry'of'this-person or,persons, who°manage the system, or tE ose persons
directly,responsible forgathering the information;'tlie information`submitted is, to the best of my k' owledge and belief,
true, accurate, and complete. I am awareaha" e here are significant penalties for submitting false, rmation, including
the possibility of fines and imprisonment for knowing violations."
. (Signature of Permittee) (D e)
t
S W[.1-250-102107
Nee 2 of 2
STORMWATER DISCI-i—ZE OUTFALL (SDO)
i MONITORING REPORT ' '
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE NO. NCG08
FACILITY NAME 8�L2
PERSON COLLECTING SAMPLES VX(I'L4e_N'z
CERTIFLED LABORATORY Lab 4
Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due at -the Division no later than 30 days from
the date the facility receives the s4"ng reyults from the laboratory.)
COUNTY
PHONE NO. LCL12J I
PLEASE SIGN ON THE REVERSE 4
Part A- Vehicle Maintenance Areas Monitoring Requirements
Did this facility perform Vehicle Maintenance Activities using more.than 55 gallons of new motor oil per month? _ yes --no
(if yes, report your analytical results in the table immediately below)
KtAaENED
AN 0 g 20Z!%5
-.-00530
'K!
0056_��
-idid'
0
�'t��Ne*'�Mbto "OH U"'
A
'Stindird,4inits,,..�.
'higILX"Illi".1
-.4 .
11';�_R W
I
it
� I
Cl, r,/-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses_.
See General Permit text.
Part B. Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
'
0 1k_i11
�,Date9,
,
Collected',
—M
W0Uall05,, '�"
C ! 00400
Oir'
WL
'XTotal l'So , ,,Y.,
i"j
rm]Lt Irmt
30,
10_0.-"e:,r r,.,
60
STORM EVENT CHARACTERISTICS:
Date bVI&N (first event sampled)
T r Total Ee6t Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
ENTFLAL t- I LF-1-1
R EC-f ION
SWU-250-102107
Page 1 of 2
"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 p ersonneL property 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."
(Signature of Permittee)
ate
S WU-250-102107
Pape ? of 9
0
STORMWATER DISC&E OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE NO. NCG08
FACILITY NAME
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY —Lab 4
Lab #
0
SAMPLES COLLECTED DURING CALENDAR YEAR: /_1/
(This monitoring report is due at -the Division no later than 30 days from
the date the facility receives the s4nqAlng repits from the laboratory.)
COUNTY ' Z_1iX�1iAZ121_t
PHONE NO. (q17 ),-5_/,eS2 —!!j!j
PLEASE SIGN ON THE REvVk8EZE1VED
Part A: Vehicle Maintenance Areas Monitoring Requirements
Did this facility perform Vehicle Maintenance Activities wing more than 55 gallons of new motor oil per month? _ yes > -no
(if yes, report your analytical results in the table immediately below)
JAN 0 8 2015
CENTRAL FILES
[2WR'.QF=rT!ON
".k.Dit6l�N_
0 0553 O'�E.
0 W4 0 0 V! I N k, �1
.0 0 5 63 tA!,
04M
T.T661tiSuspen e olidi,�,-,
oil-- jj'�G' Z, Ir
"N'
]q k, ew�Mr.ri6t6_:Oil
p
5:
i.ig
nun 4veragre,gallinw.ii:;
�'t K1
-,R302X'-
-100L
th1i76:0n.-,9-z0?ip,5"F
M
,14
iVAPAI&I
15-6
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
a
,u
_dfid6&So dsi
No
Sample -"Co
2A
—
,ftfii
°Perhlt%t
`
:
�4
7.0:
STORM EVENT CHARACTERISTICS:
Date I (first event sampled)
Total ve t Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
0
0
SWU-250-102107
Page I of 2
U
"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 persotinelproperly 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."
(Signature of Permittee)
0
El
�/-,V A
ate
S WU-2S0-102107
Page 2 of 2
STORMWATERDISC—d. jOUTFALL(SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGENO: NCG08 6 7 7-3
FACILITY NAME. WA-SL,' A4V, A&,,v,,11J
PERSON COLLECTING, SAMPLES,
CERTIFIED LABORATORY IAb #
Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR:
-it
(This monitoring report is d*Ui at -the Division' no late ' r than 30 days from
.-,..the date the faillity. r;Ocei vies the_"j!5tin-g, rpsults from"t - he laboratory.)
4 COUNTY
- /,PIIONENO. (i1
PLEASE SIGN ON THE REVERSE 4
Part A: Vehicle Maintenance Areas Monitoring Requirements..
Did this facility perform Vehicle Mdintdnance Activities using more than 55 gallons of new motor oil per month? _yes —no
(if yes, report your analytical results in the table immediately tFelow)
C 5 k4 M:E
dd�
T;�
gg
Lo, ;�Rox
09WM
POT
Rll
- " �-
air, n
�B6&xjjark ,,:.;�:,
10
LaL��,07-
L
RH '7 'L
111op a -A. a4e Cj
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit (ext.
PartB: Oil/water Separators and Sec ndary Containment Areas at Petroleum Bulk Stations and Terminals
W,
11
AiAi 1 tiniftcl Solids;;
Lun
hdar is-;
Per"UrZini t,"!
d A-01� TY
Bk "A
R
7 -7
-IN
7
STORM EVENT CHARACTERISTICS:
Date -SA/4A (first event sampled) - Total Event Precipitation (inches): - ) -� it ".
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
J:� ,Sc;s�\JED
�RALrFWES
IDWUBOG
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-250-102107
age 1 of 2
_ 00
"1 certify, under penalty of law, that this document and.all attachments were prepared under my direction or
supervision in.accordancc with a system desigined,.to assure that qualified. personnel, properly gather and evaluate the
information submitted.; Based on my inquiry; of tiie Verson 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. .am aware'that!there are significant penalties for submitting�false lnforri anon, including � •f .
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee (Date "
S '-250-102107
P..-- -) -r-)