NCG210412_MONITORING INFO_20160816

STORMWATER DIVISION CODING SHEET
NCG PERMITS
-PERMIT NO.
/v
DOC TYPE
❑ HISTORICAL FILE
-�s MONITORING REPORTS
DOC DATE
❑ olbl Leon
YYYYM MDD

1
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. ll{, trNCG21_O_1 _L 2
FACILITY NAME �jj fn/ Ind,;R5 , Z:yiG.
COUNTY a
PERSON COLLECTING SjAjAPLES
LABORATORY AC-11 jAbS Lab Cert. It �rQ
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June [Yr July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
p EC ♦ VED' ❑Zero -flow ❑Water Supply [_]SAi� C`• [eOtherd4J —1 ✓
AIIG 17 Lu,3
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
GENT"L�HLES
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required or #F?h t '�ilit}9stores exposed accumulations of sawdust, woad chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L
�F
A.8
�C" Q ma IA.
Z 7- D MC4 *4
kq
U
/
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for tfi'e same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report wit9a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the farm t "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 5WU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664ISGT-HEMj
Total Suspended Solids
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/0
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il SECTION B::
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS: SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN_CES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO be
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: r
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQCentral 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 uaiified personnel pro erly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those per ns dire lyre sib r gathering the i �!tlenformasubmitted is, to the best of my knowledge and belief, true, accurate, and complete. I
ma hat th a iifi penaltie mitting faation, including the possibility of fines and imprisonment for knowing violations."
[Signature of
Permit Date:8/1/2013-7/31/2018
19/G
[Date]
SWU-245, last revised 7/31/2013
Page 2 of 2

1
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21:
FACILITY NAME %� Zr�►�ill�•__
COUNTY
PERSON COLLECTING SAMPLES
LABORATORYZ,jAAt_ /;cj L ahS_ Lab Cert. # 15jQ `� .
Comments on sample collection or analysis:
RFr'1=rvED
SAMPLE COLLECTION YEAR 20 /6 APR 9. 0 2%
SAMPLE PERIOD Elan -June ❑ July -Dec
r d
or ❑ Monthly) _ rhrr,,,,...W.�R � S_((month)
DISCHARGING TO CLASS 0ORW kf ' ' ` Troeit1lNff[ RNA
❑Zero -flow ❑Water Supply ❑SA
[ other WA •I V
COP
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period??
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
as
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L
g Aft A
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L". where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 " SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
� 1A
❑ No discharge this period?Z
Outfali No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
2664 (SGT-HEM)
Total Suspended Solids
Benchmarks ==_>
-
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? .YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one COD of this DMR, includina all "No Discharae" reports, within 30 dovs of receipt of the lab results for at end of monitorina Deriod
in the case of "No Discharae" reoorts) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh; North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
z
"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 p rsons directly responsible for thering the information, the' rmation submitted is, to the best of my knowledge and belief, true, accurate, and complete
am Rvpe that tWre,4�nificant 90alties for sytt! , se information, including the possibility of fines and imprisonment for knowing violations."
(Signature
Permit Date:8/l/2013-7/31/2018
y-IF7,1G
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

9FPPP_F_
_Semi-annual Stormwater Discharee Monitor! ng_Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 9-22-Is
CERTIFICATE OF COVERAGE No. NCG 1Q _ _LA
FACILITY NAME , al ng'YIBS _-r116-
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY 1sth A .L "- Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June July -Dec
Ror ❑ Monthly) (month)
RECDISCFfARGWG TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
SEP 2 4 2015 ❑zero -flow [_]WaterSupply ❑SA
®other 1A15— jV
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period:
Outfall No.
Date Sample
Collected
jmo/dd/yr)
24-hour rainfall
amount,
Inches -'Chemical
Oxygen Demand
Total Suspended Solids
Benchmarks =__>
-
120 mg/L
100 mg/L or 50 mg/1.
1.
®rm-510
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX ma/L where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

1 1. .- - V _�

Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
/V/A
No discharge this period?'
Outfali No.
Date Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/0
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier Z, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO �r
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONALOFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal and one coon of this DMR, Includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharae"rej
Division of Water Quality
Attn: DWQ 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 perso s irectly responsible for ga he information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware t at here are sigrnt �bmitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date:8/1/2013-7/31/2018
}-z1-l.Sr
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharpte Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted A / - /
CERTIFICATE OF COVERAGE NO. NCG214 J 1 SAMPLE COLLECTION YEAR 201 '
FACILITY NAME 83cisml �s��1JStr1rS Y11C, SAMPLE PERIOD ✓[ Jan -June ❑July -Dec
COUNTY A., yk or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES :Cant _lira► i•e a pn RECEIVE DCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Wa_ar e� jam,.&122._ Lab Cert. # SO ❑Zero -flow ❑Water Supply -[:]SA
Comments on sample collection or analysis:
APR 0.8 2015 Bbther LEIS -ZV'
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?' r,2—
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or So mg/L
D J
1 a20
•D
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date:8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No dischorge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOS�r
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orfainal and one coov of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monito►ina period
in the case of "No Discharae" report
Division of Water Quality
Attn: DWQ 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 awgfe that there are signifikant penaltjies_�mitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date: 8/1/2013-7/31/2018
Al-I-/5
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

TT'^�
-e'%
NORFOLK
SOUTHERN
Norfolk Southern Corporation
C. Russell McDaniel, PE
Environmental Protection
Director Environmental
1200 Peachtree Street NE - Box 13
Engineering, Remediation
Atlanta, GA 30309
and Compliance
Phone [phone]
Cell 404-520-6990
russell.mcdaniel(cDnscora.com
April 1, 2015
Central Files Division of Water Quality
1617 Mail Services Center
Raleigh NC 27699-1617
Subject: Delegation of Authority to Sign and Submit NC DWQ DMRs for
• Norfolk Southern Railway Company -- Asheville, NC Mechanical Department
General Permit No NCG080000; Certificate of Coverage NC6080758
• Norfolk Southern Railway Company — Charlotte, NC Intermodal
General Permit No NCG080000; Certificate of Coverage NCG080619
• Norfolk Southern Railway Company Charlotte, NC Roadway Shop
General Permit No NCG080000; Certificate of Coverage NCGO80620
• NorfoIk Southern Railway Company — Charlotte, NC Mechanical Department
General Permit No NCG080000; Certificate of Coverage NCG080820
Dear Storm Water Permit Program Manager:
In accordance with Part III, Section 13.5. of the referenced NPDES General Storm Water
Permits, please accept the attached June 6, 2012, Delegation of Signature Authority letter signed by D.
F. Julian, Norfolk Southern Corporation Vice President of Safety and Environmental.
This serves as acknowledgement that 1, C. R. McDaniel, have been duly authorized to sign and
submit Discharge Monitoring Reports (DMRs) associated with the above listed NC DWQ permits.
R. P. Russell, System Director Environmental Protection, will continue to have delegated signature
authority per previous correspondence.
If you have any questions regarding this submission, please contact me at [phone].
Sincerely,
Attachment
Cc: G. O. Turner —Norfolk Southern
Dneraiing Subsidiary: Norfolk SoWhem Railway Company

. � I
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Subject: Delegation of Signature Authority
June 6, 2012
C. R. McDaniel
Director Environmental Engineering, Remediation & Compliance
This memorandum confirms that effective immediately, you have been granted
authority to sign and submit regulatory submittals to local, state and federal agencies
concerning environmental and other matters that fall within the responsibility of the
Safety & Environmental Department's Environmental Engineering, Remediation &
Compliance Group, except as otherwise provided herein. This signature authority
extends to all Norfolk Southern Corporation subsidiaries, including but not limited to
Norfolk Southern Railway Company.
In particular, this authority covers regulatory reports prepared by the Remedial
Group (i.e., remedial investigation reports, feasibility studies, risk assessments, progress
reports), inspection forms (i.e., SPCC and SWPPP inspections), annual emissions
inventory reports, discharge monitoring reports, and other regulatory submittals that are
required by permit or applicable regulations and are part of the Environmental
Engineering, Remediation & Compliance Group's responsibilities. This authority
extends to environmental regulatory submittals that require senior corporate officer
signatures provided the applicable regulations allow delegation of that authority. This
authority does not extend to management certifications of corporate plans, new permit
applications or regulatory submittals that require Vice President or executive officer level
signatures that do not allow delegation to an authorized agent (including without
limitation consent agreements with regulatory agencies).
D. F. Julian
Vice President
Safety & Environmental
cc: R. P. Russell
J. M. Gennette
M. A. Gernand
S. T. Petty
In

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted /2-
CERTIFICATE OF COVERAGE NO. NCG21,Q1
FACILITY NAME RrZj L ,&ry, j[S . rn r—
COUNTY
PERSON COLLECTING SAMPLES d Graham
LABORATORY h/.&t 7ah 4ab:5 Lab Cert. # .5-0
Comments on sample collection or analysis•
i S S bencA alark ay; ' d &pig /n Ter
RECEIVED
DEC 2 2 Z014
CENTRAL FILES
DVIR SECTION
SAMPLE COLLECTION YEAR 2 g/Al
SAMPLE PERIOD ❑ Jan -June 521uly-Dec
or ❑ Monthly' imonthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
215ther li✓S -1 ✓
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?2
outfall No,
Date Sample
Collected Iamount,
(mo/dd/yr)
24-hour rainfall
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
_
-
120 mg/L
100 mg/L or 50 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note. Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format;_"<XX me/L". where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
!Vote: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
NIP
No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B,
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NOFJ
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of DMR Including all "No Discharge" reports, within 30 days of recent o the lab results (or at end of manitorina aeriod
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ 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 responsibe for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am @wA that tjlere ale signi t,pena s false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
Permit Date: 8/1/2013-7/31/2018
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge_ Monitoring Report
— for North Carolina DEMLR General Permit No. NCG210000
Date submitted f 271- 201At
CERTIFICATE OF COVERAGE NO. NEG21Q 1 SAMPLE COLLECTION YEAR 2014
FACILITY NAME _ ristl ��d dies �heG _ _ SAMPLE PERIOD [ fan-June1 ❑ July -Dec
RECER or El monthly{month
PERSON COLLECTING SAMPLES DISCJARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
LABORATORYI &tercl 1.ah1 Lab Cert. # SO MAY 2 14 �7ther M/5 —1 V ❑Zero -flow ❑Water Supply ❑SA
1 U
Comments on sam le collection or analysis: CENTRAL
FILES owQraoG PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?'
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
120 mg/L
200 mg/L or SO mg/L
'7
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
"The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported In the format. "<XX mg/L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date:8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
CIA
❑ No discharge this period:
OutfalE No.
Date Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
3
Inches
Non -polar O&G by EPA,
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L
Footnotes from fart A also apply to this Part 8
Note: If you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier Z, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO.E�-'
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mall an oriainal and one coov of this DMR, includina all "No Dlscharae" reports, within 30 days of receipt of the lab results for at end of monitoring period
In the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ 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 ' ion, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am awaAthat there arr.,significan4enalties submlttingfalse information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date: 8/1/2013-7/31/2018
s=ZT- Lois
(Date)
SWU-245, last revised 7/31/2013
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