HomeMy WebLinkAboutNCG160089_MONITORING INFO_20110301STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/V U&'vO C) D
DOC TYPE
❑HISTORICAL FILE
4�-MONITORING REPORTS
DOC DATE
❑ Q L% II U-3 J` I
YYYYMMDD
Ll
•
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 1010
General Permit No. NGG160000
Certificate of Coverage No. NCG16EME]FA]❑
i�;; A �I
MAR 0 1 20111
This monitoring report summary Is due' to the DWO Regional Office no later tha)DVhQ from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name, ��'1 I°►� '� - r
County:
Phone Number:
Outfall No.
Total no. of SDOs monitored
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfallever in Tier 2 (monitored monthly) during the past year?
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 ❑
Yes ❑
Yes ❑
No
No
Outtall -a.
Total Rainfall, `ln„ ches
00530
00406
.00556
TSS, mgll.
pH, S.U.
Total Petroleum
Hydrocarbons, mglL '
Benchmark
N/A -
100
6.0 - 9.0
15
Date Sample Collected,
y�
ii o/dd/yr
+��i
fs»�r711
MI
SW U-25ONCG16-051709
Additional Outfall Attachment
Outfall No. h Is this outfall currently in Tier 2 (monitored monfhly)l Yes ❑ Nod
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 ' V''
Total Rainfall, inches :.
00530
00400
00556
48S, mg/L
M. pH, s.u.'I
dotal Petroleum
Mydrocarbons; mg/L
Benchmark
N/A -
100
6.0 - 9.0
15.
•
„ ,. `.
'��
D$te Sample Collected,
,molddryr
YI �
.y� .RI
ql'.�--.
}. U.t
� a
lL
C7
SW U-250NCG 16-051709
STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCGI60000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16L]R2BMj SAIIZPLES COLLECTED DURING CALENDAR YEAR(2� ,(40
('Phis monitoring report is due at the Division no later than 30 days from the date
the facility receives the sampling results from the laboratory.)
FAC LITY NAME ice' `f �_(" �� LAOTria± COUNTY
PERSON COLLECTING SAMPLES PHONE NO. C
4 1 =;,)_ 1
CERTIFIED LABORATORY Lab
Lab #
Monitoring Requirements
Outfall
No.
Date
Swnple Collected,
run/ddlyr
Total Rainfall.
inches
00530
00400
00556
Total Suspended Solids, mg/l
pH,
Standard units
Total Petroleum Hydrocarbons, mmg/l
EPA Method 1664 (SGT-HEM)
Benchmark
-
-
100
Within 6.0 — 9.0
15
k 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 taw, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualifiied 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 flues and imprisonment for knowing violations."
(Signature ofj?ermittee)
(Dhte)
SWU-253-051409
Page 1 of I
•
STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16ZIUIRBI 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 sampling results from the laboratory.)
FACILITY NAME COUNTY F
PERSON COLLECTING SAMPLES _ PHONE NO. CL) —U) —ram ; ,lam �
CERTIFIED LABORATORY Lab #
Lab ##
Monitoring Requirements 14/0
Outfall
No.
Date
Saminple'Collected,
mofddlff
Total Rainfall,
inches
00530 =
.00400
Total Suspended Solids, mg/1
pH,,
Standard units
Total Petroleum Hydrocarbons, mg/l .
EPA Method 1664 {SGT-HEM
Benchmark
-
-
100.
Within 6.0 — 9.0
15
' 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
Ralei 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 for knowing violations."
(Signature of Peree) (Date)
SWU-253-051409
Page 1 of 1
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGI60000
CERTIFICATE OF COVERAGE NO. NCGI6 nQ S9
FACILITY NAME 6N4W. 60. - I
PERSON COLLECTINGSAMPLE(S) Y-'_'exk,(cV NO,
CERTIFIED LABORATORY(S) EinM 1,21) #_jj
--Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(all samples collected during a calendar year shall be reported no later than
January 31 of the following year)
COUNTY
PHOKENO.`jf)15)
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall.';�-
Date R47RIVJ'-
n� �
003Q
005,
NO.
.
1.9 1k in 1) low- 0,1r" V4_
TotWg-,�j:49,-
pli
Oil and Grease
Total y�
FUW
O1nrn1....;nM.
Demand
mold dlyr.-.
MG
ITWA
MR
T
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes �bo
(if yes, Complete Part B)
Part B: Vehicle Maintenance Ac lvity Monitoring Requirements
nscjelvieo
JUN 0 q
RA, 1998
1reiz rg_�Vz 0 YZ
lcta
Datek':`� 4MME'
W,
00556
382M
N
�Totai Fbw
Oil and Grime
i.ead, Totail
Detergents ' ';�-
H;
N M Motor : Oil
-e
i
2
U
=RCda
e b
AS
mo/ddl
MGAti
fp
STORM EVENT CHARACTERISTICS:
Date -5 10 11
Total Even Precipitation (inch
Event Duration (hours): F3 lw5-
(if more than one storm event was sampled)
Date
Total Event Precipitation (Inches):
Event Duration (hours): _
Page I of 2
Mail Original and one copy to:
Attn: Ccnu-g Files
DEHNR
Division of Environmental Mgt.
P.O. Box 29535
Ralcigh, NC 27626-0535
Form MR 16
' Footnotes:
1 Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"1 certify, under penalty of law, that this document and all attachments were prepared under my directkm 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 suhmitling false information6
including the possibility of fines and imprisonment for knowing violations." „ (1 -
(Signature of Pern ittee) '(Date)
0
a
�
330
'c •, 5ti
Fn
(a
'i '. �i,..�', 'may•
Page 2 of 2
Form MR16
y
STORMWATER DISCHARGE OUTFALL (SDO)
VISUAL MONITORING REPORT
Certificate of Coverage No. KCG 600 e)
Facility Name: '6Q'`c�'\\ LoY.- co. — C..\ -� - .
County: M Phone No: 3 oa
Inspector. E e
Date of Inspection:_ \`� 9-)
By this signature, I certify that this report is accurate and complete to the best of my
knowledge: r--. --, . , /q n
(Signature of perminee or designee)
1. Outfall Description
Outfall No. I Structure (pipe, ditch, etc.)-.. 6A-c V��
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor
Descnbe any distinct odors that the discharge may have (Le. smells strongly of oil, weak
chlorine odor, etc.):
A.'aS3
Page 1 of 2 V1194
4 . Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10
is very cloudy:
1 3 4 5 6 7 8 9 10
S. Solids
Choose the number which best describes the amount of solids in the stormwater discharge
where 1 is no solids and 10 is ez=e.Iy muddy:
1(_2) 3. 4 5 6 7 8 9 10
6. Foam
Is there any foam in the stmmwater discharge? YES ' '0
7. Oil Sheen
Is there an oil sheen in the storramor discharge? YES
8. Outfall Staining
Describe any staining around the stormwater outfall:
9. Other Indicators
Describe any other obvious indicators of stormwater pollution:
86 $ Z �N
NOTE: Low clarity, high solids and/or the presence of foam, oil sheens, or outfall
staining may be ce`�p�uiilBfli exposure. These conditions may warrant
further investigation.
Page 2 of 2 91 94
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGI60000
CERTIFICATE OF COVERAGE NO.. NCGI6�0
FACILITY NAME Y' ri I &v .
PERSON COLLECTING SAMPLE(S) f
CERTIFIED LABORATORY(S) �,ndti .. ) LOJC� lab #_ 1 O
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: _i__L_t_: (1)
(all samples collected during a calendar year shall be reported no later than
January 31 of the following year)
�,,��
COUNTY . ftAg)5 w1
PHONE , (�) 23— 1a Z- 1
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall f
Date .4��
50058
00340 k
004110
005%
OOS45 '
Na.
Samu
Totals
Chemical
pH
Oil and Grease.Tota1
Colketuls=�
)�7o+rr �, 8 "
Oxygen _
s
s a'
;4
Sitipendeci
Demand ;-
u
s
Solids .
mo/dd/ r£
MG '
unit .
- .
zl
Z
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
RECENED
auc 2 e W91
Ew.e
R�G FFICE
Outfall
Dated '
�TotN
5flE150r E
00556 - ' ''
Ol and.
OI0S1;
Lad,,TtlDtergnb
38260 ` ..= ?:^ ,:
0040A �' T.+
p
g„as-.'
q
�; `�•
New Motor Oil
'
nm/dd/ ri= » �
MG ,:
<=
milt
VRO ;..
O
STORM EVENT CHARACTERISTICS:
Date ] t
Total Even E'r-ecipkation (inches):
Event Duration (hours): /,
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
�f
r
Page 1 of 2
Mail Original and one copy to:
Attn: Central Files
DEHNR
Division of Environmental Mgt.
P.O. Box 29535
Raleigh, NC 27626-0535
Form MR16
i
Footnotes:
I Applies only for facilities at which fueling occurs.
2 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
toll ceitify, 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. Rased on my inquiry of the person
or persons who manage the system, air those.pemns directly responsihie 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 s' ifecant penalties for submitting false information.
including the possibility of finis and imprisonment for knowing vio o
(Signature of Pcrmittee te)
w -
C+1
Page 2 of 2
Form MR16
STORMWATER DISCHARGE OUTFALL (SDO)
VISUAL MOINITORM REPORT
Certificate of Coverage No.
Facility Name•
County -
Inspector.
F
Date of inspection: 2-6I� 2
By this signature, I certify that this report is accurate and complete to the best of my
(Signature brp&mittee or designee)
1, Outfall Description
Outfall No. Structure (pipe, ditch, etc.):_ t�i,1•, _
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor
Describe any distinct odors that the discharge may have (Le. smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
V1194
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10
is very cloudy:
1 U2 3 4 S 6 7 8 9 10
S. Solids
Choose the number which best describes the amount of solids in the stormwater discharge
where 1 is no solids and 10 is eMmely muddy:
1. 2 4 5 6 7 8 9 10
6. Foam
Is there any foam in the stormwater discharge? YES' • r0 -
7. Oil Sheen
Is there an oil sheen in the stormwater discharge? YES
8. - Outfall Staining
Describe any staining around the stormwater outfall:
(\Un:2.. - —. .
9. Other Indicators
Describe any other obvious indicators of stormwater pollution:
NOTE: Law clarity, high solids and/or the presence of f 6�r il'Ueens, or outfall
staining may be indicative of pollutant exposure. These conditions, may warrant
further investigation. f
Page 2 of 2 911194