NCS000456_MONITORING INFO_20190625

W6-N
STORMWATER DIVISION CODING SHEET
NC5 PERMITS
PERMIT NO.
nI�S(A)�y-J`�
iv
DOC TYPE
❑FINAL PERMIT
�. MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ Quj
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000456
FACILITY NAME: Culpeper of Cove Cite, LLC
PERSON COLLECTING SAMPLE(S): David Kirk
CERTIFIED LABORATORY(S): Shealey Environmental Lab 9: 329
SAMPLES COLLECTED DURING CALENDAR YEAR: 2019
Th• monitoring report shall be received by the Division no later than 30 days from the
I�� ate facility receives the sampling results from the laboratory.)
�uN 6 2419 COUNTY: Craven
PHONE NO. [phone]
—
Part A: Specific Monitoring Requirements
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
-Outfall
Date :.>
y
50050
w
__
No - _
Sample
Collected ;
Total
Flow (if
s
Total
Rainfall
Oil & .".
Grease`
TSS
Total
-Copper
PH ,.
Total', -::
Atsentc
Total'- _
Chromium
: BOD5 . -
"'
COD':;,.Nitrate-
-
Nitrite
Phosphorus r
TNK-
" ? -z
Dio/ddLyr',
;MG
inches ':
MG/i :.
-MG/L-'
MG/L�
Units
MG/L
MG/l _:
MGIL `
MG/(-.
_ _
MG/L
MGfL
MC/L
01
5/31/19
.062
.375
2.50
170
0.16
7-3
0.062
0.220
20
50
0.23
0.23
1.6
Does this
facility nerform Vehicle Maintenance Activities using more than 55 gallons of new motor oil Der month? NO
(if yes. complete Part B)
tart m ventcle Maintenance Activity Monitoring Requirements
Outfall c ., .
=�
Now ;-
'Date
Sample
50050` =
"_
00556
'00530 m
fl0400 _
-
TotafrFlov►
Total ' _.
Oil &Grease
Nan- olxr -
p_
Total �-
p H
Neer,Motor -. `
Collected;
(if applicable)-
Rainfall
(tf appl )
,
y0&GPTPH . 'Suspended%.
j
Oil Usage
:.
Method 1664'
n
-Solids•
-
SGT H EM) ; if
_ _
F m_
appl �-
Y
itio/dd/yr; _ .
MG
inches
m 1
gl -
ingfl
unit
gaVin
Form SWU-247, last revised 611212015
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (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.)
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 la►v, 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."
re of
(Dad)
Form S WU-247, last revised 611212015
Page 2 of 2