NCG160045_MONITORING INFO_20110311

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V � � LI 004 5
DOC TYPE
❑HISTORICAL FILE
)9-MONITORING REPORTS
DOC DATE
❑ Qoj 1 03 11
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORTFqWftlVED
Calendar Year V1
General Permit No. NCG160000
Certificate of Coverage No. NCG1S©©�]E1❑
OR-FAYETTEVILLE REGIONAL ME
This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility N
County:
Phone Number: (�
Total no. of SDOs monitored
Outfall No. 1
Is this outfall currently in 'tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑ .
Other ❑
Outfall _
Total Rainfall, inches'
00530
00400 '_
00556
TSS, mg/L
pH, s.u. ,
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 — 9.0
Y5
Date Sample Collected
p
3 r n
l3era.
&a ���
_�"��� jr
�; ff�
SW U-250 NCG 16-051709

Additional Outfali Attachment
Dutfall No.
Is this outfall currently in Tier.2 (monitored monthly)? Yes f No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes,' • No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to'decrease frequency
Received approval from DWQ to reduce monitoring frequency ' ❑
i Other - ❑
+!�
Dutfall r `
cG __
Total Rairrfa11,1nches
00530
00400
00556
TSS m /L
'.. g
pH, s.u. ;'
Total Petroleum
Hydrocarbons,"mg/L
Benchmark1
N/A
100
6.0 — 9,0
15
Date Sample Collected,
molddlyr
}
CN t • i
? ¢�.
?� T��"i , ry"
�;A
1'1','�,g9j{
P �uaa
1 a"r 7�`�i Cam'. Fn}• ., rye.
�,i �,. ri • i r
' ._
SWU-250NCG16-051709

STORMWATER DISCHARGE OUTFALL (SD%
ANNUAL SUMMARY"DATA MONITORING REPORT (DMR)
Calendar Year A 0tO --
General Permit No. NCG160000
Certificate of Coverage No. NCG 16®EEDEO
This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility N
County:
Phone Number: (^1
Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑ .
Other ❑
'Outfall
00530
Total Ralntall,Ilnches " TSS, mglL
00400
00556
pH, s.u.
Total Petroleum
Hydrocarbons, mg1L
Benchmark
N/A 100
6.0 -- 9.0
15
Date Sample Collected,E��
molddlyr
,r '"E�,..z �' d t• '.Ut f id
'�3id tl. ax kw . �, {� (, •
�=� i��.';... � ..��3� r�i5�L�1?�i�+�.:
� i ' )a '�
_
>�Y���• . n'�(31M
t f" � _ xa "y 'a �.�M ay-.,
_,�r`
71i�.�1{R��t�� •! -;,h�1 i. �;
110
SWU-25ONCG16-051709

Additional Outfall Attachment
Outfall No. f
Is this outfall currently in Tier-2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
Outfall
-Total Rainfall, Inches
00530
00400
00556
TSS, mg/L
pH, s.u.
Total petroleum
Hydrocarbons,'mg/L
Benchmark
NIA
100
6.0 - 9.0
15
Date Sample Collected,
�, „•, w f"3. tA,
i EEO ,"
•� l ya
r�
SW U-25ONCG16-051709

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16©QgET
FACILITY NAME r �l [ � ; i t ,_l 1�Fi
PERSON COLLECTING SAMPLES n tom. IAA
CERTIFIED LABORATORY Lab #
Lab # . --.
SAMPLES COLLECTED DURING CALENDAR YEAR: � f 0
(This monitoring report is due at the Division no later than 30 days from the date
the facility receives the sampling results from the laboratory.)
COUNTY
PHONE NO. (
Monitoring Requirements VV A
i - s 1 �� �v '� �`j 9 ►l f i �X�``r .i r t UI ���li1 f �% i ['o `t � �,' J J
Outfall
No.
Date
Sample Collected,
moldy
�,`
Total Rainfall,
inches
005
00400
00556 I
Total Suspended Solids, mg/l
pH,
Standard units
Total Petroleum Hydrocarbons, mg/1
EPA Method 1664 (SGT-HEM)
Benchmark
-
100
Within 6.0 9.0
15
t If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 forknowing violations."
kw,
l �T � q _�
(Signature of R' rmittee) (Date)
SWU-253-051409
Page I of 1

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCGI60OW
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16[M[UFL1EJ SAMPLES COLLECTED DURING CALENDAR YEAR;
(Thus monitoring report is due at the Division no later than 30 days from the date
the facility receives the ling results from the laboratory.)
(t 11 COUNTY P-'t.Lwh�jo"Vil - FACILITY NAME k tip? '�i t 1r+�
PERSON COLLECTING SAMPLES 1 ' � , PHONE NO.
CERTIFIED LABORATORY j Lab##
Monitoring Requirements F
Outfall
No.
Date
Sample Collected,
mo/dd/yr
'
Total Rainfall,
inches
00530
' 00400 -i
00556
Total Suspended Solids, mg/I
pH.
Standard units.
Total Petroleum Hydrocarbons, uto
EPA Method 1664 (SGT HEM)
Benchmark
-
-
too
Within 6.0 -r 9.0
15
1 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN TINS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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."
(91gn4Gre of P"ttee) (Date)
SWU 253-051409
Page i of I