HomeMy WebLinkAboutNCS000046_MONITORING INFO_20190903ZZL�
STORMWATER DIVISION CODING SHEET
NC5 PERMITS
PERMIT NO.
N L S� O Q Q ��
DEC TYPE
0 FINAL PERMIT
LEI MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ � � I -1 A v
YYYYMMDD
0
Permit Number NCS 0 0 (:)0 A (p
STORMWATER DISARGE OUTFALL (SDO)
E ' G REPORT
R �'
5�-P 03 2019
CEN 1 R'AL FILES
d DWR SECTION
FACILITY NAME /f 1 1 S Q +b $
PERSON COLLECTING
CERTIFIED LABORATORY(S)F-ny lrZr rftPo_4C-&_1 Lab #
I Cby serl of tK",g Lab #_U,0�0'873
Part A: Specific Monitoring Requirements
I
SAMPLES COLLECTED DURING CALENDAR YEAR: Zolq
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY b V r
PHONE NO. (q\q) S'iy - 3773
SIGNATURE OF PERMITTEE OR DESIGNEE
RE9UIRE_D ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
,.;.;
x; 4 T5S
COD r
Nitrogen,ofal;
'� pH
f
hospliorus,Tot
Total
Flow if a
Total
Rainfall
, t4 rng/i
mg/L '�"'
.;."._: m%L .r.y+-.
standard ,~
mo/dd/ r
MG
inches
i
W Cox
O t
`T
Z3
t
. oz -
E
Loa IR
11
6. io
N D
•
E
W o
oe
x
7
7-
50
!0.6
. 03
I
I
'
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Oyes *no
(if yes, complete Part B)
I
I
Part B: Vehicle Maintenance Acti ity Monitoring Re uirements
Outfall
No.
Date
Sample
Collected
50050
00556
.
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
nio/ddl r
MG
inches
mg/1
m II
unit
al/mo
I
i
Form SWU-247, last revised 611212015
Page I of 2
M
•
STORM EVENT CHARACTERISTICS:
DateS17T
Total Event Precipitation (inches):
Event Duration (hours): 2- ki-S (only if applicable— see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
1* 9
Mail Original and one copy to:
Division of Energy Mineral and Land Resources
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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. Rased 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) (Date)
Form SWU-247, last revised 611212015
Page 2 of 2