NCG060009_MONITORING INFO_20190425

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
DOC TYPE
El HISTORICAL FILE
C� MONITORING REPORTS
DOC DATE
❑ 9011 Oq ) S
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted -4 - z5 - 20 r 9
CERTIFICATE OF COVETAGE NO. NCG060 0 Q
FACILITY NAME _
COUNTY Rp.6P_-, , _
PERSON COLLECTING SAMPLES E,;c. C,
LABORATORY 'rBL Lab Cert. #IOCDF_NR iw4 437
SAMPLE COLLECTION YEAR z0 / 7
SAMPLE PERIOD Z Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
[/]Other C; SL—)
RECF"FACQITY ACTIVITIES INCLUDE (check all that apply):
MAY 0 6 2019 0 use/process meats 0 use animal fats/byproducts
CENTRAL FILES
ACT
OSE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z /.2.;n. or ❑ No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/lL
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark .
-
100 or 504
Within 6.0 — 9.0
120
30
10002
Soo'
Parameter Code
-
C0530,
00400
60340
005S6
31616
61211
31.5
<5 1
<Fo iao l
I Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new ail per month? ❑ yes LZ no
(if yes' complete Part B)
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/S/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall Nd.:
Date Sample.Collected
(mo/dd/yr)
24-hour rainfall amount,-
x
-Inches.
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks ..
-
-
-
-- . 15 mg/L
100 mg/L or 50 mg/L4
Parameter Code
-
. 46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
*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 ANY OUTFALL? YES ❑ NO 21
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original 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: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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.. IknowiDg violations."
Signature 6f Permi
Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORM WATER ©I SCHARGE M ON ITORI NG REPORT
for North Carolina Dvision of Energy, Mineral and Land Resources General Permit No. NO3D60000
Date submitted I _ W _ ;z0t
C&M R CATE OF C}PAGE NO. N0306 n Q 0 1
FACIUTYN�AMEs }fir �; a�a� FnsMS Er, C
WUNTY
PEu29ON COU-EC11 NG"PLES -�Lc-e c*�y e n..l p E:�AWN
LABORA wy L_ Lab Cart. # 1i
Part A: Sormwater Senchmarksand Monitorinq Pewlts
SAM PLE COLL.H ON YEAR
SAMPLEPERIOD ❑ Jan -line ® Jily-Dec
or ❑ Monthlys month
❑1914AI NGTOCLASS❑ORW ❑HCNV []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
VOther 0 " S L.-.)_
FAauTYACTIVIT!ESINCLUDE (check all that apply)
Z use/ process meats ❑ use animal fats! byproducts
R EASE REM EM BER TO SIGN ON THE L'1
Total event rainfall 2g^ or ❑ No discharge thisperiod3
OutfalI No.
[Date Sample
(bIlected, m& dd!
TSC
L
PK
9andard units
OOD,
L
OI and Crease,
rTK L
Fecal Ctuliform,
Colonies per 100 ml
Enterooxci
Colonies p2r 100 mi
Benchmark
100orW
VVithin6.0-9.0
120
30
10001
5WI
Parameter(ode
C0530
00400
00340
00556
31616
61211
0 10 a-01
, 5 '
< ZO
< 5-
'Only appliesto facilitiesthat use)procemmeats
"The h at al precipitation must be recorded using dat a from an on-ste ral n gauge.
'For sampling periodswith no discharge at any outfalls You must still submit thisdisdharge monitoring report with a chedanar k here.
'S2e General Permit te)d, Table 1, identifying t he especially sensitive receiving water dassificat ionswhere the more protective benchmark applies.
51VIonthly sampling (instead of semi-annual) must begin with the second consecutive benchmark eaoeedanee for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallonsof new oil per month?[-] yes Z no i(f ygs, complete Part B)
Permit Date: 1111/2018-M3112021 SW249, Lag Revised 11I5r2018
y � � ED Faye 1 of 2
��B 2 2 2a19
CAI r3U'�
0�.^JR - '

Part B: Vehicle Maintenance Area Monitorinq lbsu#ts only for fadlitiesaveraging> 55 gal of new motor oil/month.
Out fall No
Date Sample t)llected
(mot ddl yr)
24-hour rainfall amount,
Inchesz
New Motor 01 or
HydraulicOil Usage
Non-F'lar O&GTot ai
F6troleum F lydrocarbons
Total Sispended Eblids
Benchmarks
-
-
15 mgl L
100 mgf L or 50 maj L'
Parameter Cbde
-
46529
NCCAL
00552
OD530
Footnotes Part Aalso apply to fart S
FOR PART A AND PART B MONITOR NG FEW LTS
• A191MO- IAR} MEECIANCETROGOISTfER1 REDUIFEMBfM aEPB:MITPARTIi SECTION
• 2DCEMANCESINAFt7WFORTHESWEPARAMErERATTHESWEOUTFALLTRGGER-nER2RECXJIFEM94TS Sib=PEFNITPARTll=ONB.
• TER3: HASYOURFAQUTYHAD4ORMOREB94CHMAWEXCEEDENCESFOR THE SWEPARAMETERATA1VYONEDUIT'ALL? YESDNO❑
IFYE$ HAVEYOUCO TfAOMTHEDEMLRFMCNALOFT YES ❑ NO❑
REGIONAL OFT1 CE OONTACT NAME
Mail an original copy of this-1011VIR indudin all "No Discharge' Mrts, within 30days of receipt of the tab results for at end of monitoring iod in the mse
of" No Oischarae" reportsl to:
Division of Water Quality
Attn: DWQ Central tiles
1617 MaiI lbNoe Center
F�leigh, NC 27699-1617
YCXJ MUSTSIGN THISCUMROATION FORANYINFOWATION FEPCRT@:
"I oertify, under penalty of law, that thisdoarment and all attachmentswere prepared under my direction or supervision In accardance with a system
designed to assure that qualified personnel proper#y gather and evaluate the information submitted. Eased on my inquiry of the person or personswho
manage the syst ar those persons directlyresponsible for gathering the information, the information submitted is, tothe b� of my knowledge and
belief, trWmittee
a that there are significant penalties for submitting false information, including the possibility of fines and
imprison /
Signatuprate
Ft,rmit We: 1111I2018,W3112021 B+Illf-249, Last FWsed 11lb12018
Forge 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted #-/2- / 7
CERTIFICATE OF COVERAGE NO. NCG06 d O 0 R SAMPLE COLLECTION YEAR 901-7
FACILITY NAME -zjnep fCKXLS _Lr1C. R evr't� U `:if) FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Z use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES fAPR 2 1 ?nJ7 DISCHARGING TO SALTWATERS? DYES ZNO
LABORATORY_Lab Cert. # 3
FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall z I - or ❑ No dischorge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
I3. 3
5.1
430,0
50
' Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 0 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 - 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rains gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 1,ast Revised: October 18, 2012
Pagc I of 2

a..
*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 II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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, includin e poss!�,ility of fineAnd imprisonment for knowing violations."
(Signature of Pern)itteej
/[-(7
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U- 249
Last Revised: October 18, 2012
Paoc 2 of 2

c SEMI-ANNUAL, STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NtG060000
Date submitted l0 - 2 — /6
CERTIFICATE OF COVERAGE NO. NCG060 0 0 C SAMPLE COLLECTION YEAR 2Q
FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Zuse/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES ��nriS Csr��R „ _,. DISCHARGING TO SALTWATERS? ❑YES QNO
LABORATORY Lab Cert. # 37
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z 0-5 or ❑ No discharge this period'
Outfall No. , :
Sample Collected,
..mo/dd/yr, ,
TSS
ig/L
pH,
Standard units
COD,,
mg/L
Oil and Grease,
mg/L"
Fecal. Coliform ,
Colonies per 100 ml :.
Enterococci ,
Colonies per 100 ml
"Benchmark
100 or 50
Within 6.0 —.9.0
120
30
1000
500
6
Z ib
. 2.
L3o.o
ND
t % Ce,I oo M
' Only applies to facilities that use/process meats,
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Q no (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample'Collected,
: rno/dd/yr
Oil and Grease,.
mg/L —
TSS, .
mg/L
pH,
Standard units:
New Motor Oil Usage;
Annual-a�erage-gal/mo
Benchmark .'
30.
:100 or, 50
6.0 - 9.0
-
Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
4 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
Last Revised: October 18, 2012
Page 1 of 2

*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 II SECTION B.
e TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO V1
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
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: T ^
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
JI
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."
(Signatu
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wqZws/`su/npdeS5w#tab-4
SIA'U-249
Last Revised: October 18. 2412
Page 2 of 2

{ ... SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NC-G060000
Date submitted A -
CERTIFICATE OF COVERAGE NO. NCG060 0 Q SAMPLE COLLECTION YEAR ZO /4
FACILITY NAME. FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Ouse/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? ❑YES ZNO
LABORATORY Lab Cert. # 37
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z O-S or n No dischorae this Deriod3
' . out, fall N.o
.
Samp#e Collected,
.
mo/dd/yr ':
TSS;
::
mg/L
:',:pH;
Standard units .
COD,•:
mg/t
Oil and;Grease,.
mg/L" .
Fecal_Coliform ; ::
Colonies per 100 ml
Enterococci .. ,
Colonres;per;300 ml .;
`Benchmark
100 or,, 50 :
Within 6:0 - 9.0 ,
120 ..
30 ...
1000` .
500 '.
6
z ib
I 0 61 oor,
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Q no (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfail No
Sample Collected, ..`.
mo/dd/yr
Oi#:andZrease,:
:mg%L
ASS,
mg/L
pH,
Standard units-:."
New.Moto Oil l3sage;
: Annual average-gal/mo
.Benchmark' ,
_ ::
30:':..
100.or750.
6.0 -.9'0.
_
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
Last Revised: October 18, 2012
Page 1 of 2

*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 ANY ONE-OUTFALL? YES ❑ NO Vj
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coplr 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: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
11
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."
{Sig
Z)-2��-�Q/(v
[Date]
Additional copies of this form may be downloaded at: htt ortal.ncdenr.or weh W ws sU n de5sw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted `►'- `/' Zc9 /6
CERTIFICATE OF COVER�GE NO. NCG06O O 0 9 SAMPLE COLLECTION YEAR
FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY [use/process meats Vuse animal fats/byproducts'
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? [:]YES ZNO
LABORATORY -ra% Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or ❑ No discharge this perioc 3
Outfall.No. ;.::
Sample Collected;
mo/dd/yr . :
TSS:
mg/L
,, pH;
Standard units
COD,
mg/L
Oil and.Grease, _
mg/L -
Fecal Coliform ,
Colonies per 106 ml :.
Enterococci ;..
Colonies per 100 ml
Benchmark
-
100 or so ;-
Within 6.0- 9.0
120
30
1000`
500 '
►6
.8
4-130.0
1
5 q0 rogoo
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge. �V 3 For sampling periods with no discharge at a� outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies, OR O 2016
r,.., ,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ 64
yes rnii �gA{i.f,, s �cplete Part Bj
"',MESSING UNIT
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
Outfall No.
''Sample'Collected,
.mo/dd/yr ::
Oil and'G.rease, ,,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage;
Annual average•gal/mo
Benchmark
-
30
.100 ar" 50
6.0 - 9:0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
4 For sampling periods with no discharge at anyoutfalls, you must still submit this discharge monitoring report with a checkmark here.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU ?49
1_ast Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
0 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 II SECTION
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORTH E SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO []
REGIONAL OFFICE CONTACT NAME:
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 o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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, includiUL the possibility of fines and imprisonment for knowing violations."
(Signature of PerVoittee)
!q
(Date) 4
Additional copies of this form may be downloaded at: http://portai.ncdenr.org/web/wq/wsZsuZnpde55w#tab-4
S W U-249
Last Revised: October 19, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING -REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted //- AV - /S
CERTIFICATE OF COVERAGE NO. NCG06D Q 0-
FACILITY NAME
COUNTY i�al Sr,n
PERSON COLLECTING SAMPLES —1)Lt
LABORATOR r Lab Cert
SAMPLE COLLECTION YEAR
FACILITY ACTIVITIES INCLUDE (check all that apply):
Z use/process meats Z use animal fats/byproducts
-,(,'F1jgV G TO SALTWATERS? ❑YES VINO
# 37
NOV 3 0 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A. Stormwater Benchmarks and MonitoringResults CENTRAL FILES even
DWR C�r���.�� Total t rainfall a . a 5 or ❑ No discharge this period"
-
Outfall No.
Sample Collected;
mo/dd/yr, : ' ..
. •TSS,"
. ; tng/L'
pH,
Staridard units
CQD;
mg/L
iI and.Grease, -
mg/L' '
Fei al;Coliform ,;
Cnlontes`per 100 ml :
Enferococci ,
' Colonies;per:100 ml
Benchmark
160 or 5D.
Within 6.0 — 9.0
120
30
100d'. _
500 ,
i- 8- 1
c
511
D8
Soo
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Zno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
'Outfall No.:
Sample Collecte`d,' _
ma/dd/yr `
Oil,and Grease,.. _
mg/L •'
TSS, ,
mg/L
pH,
�r Standard units °
New Motor Oil Usage,
`Annual average gal/mo
Benchmark-
30
-100 or 50<
� 6.0 -.9.0.
-
Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 bast Revised: October 18, 2012
Page I of 2

*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 11 SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO.Z
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
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: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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, includi A p 'bility o nes and imprisonment for knowing violations."
(Signature of ermittee) (Da )
Additional copies of this form may be downloaded at: http:llportal.ncdenr.org /web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 CP O O_ 9 SAMPLE COLLECTION YEAR 1016
FACILITY NAME P FACILITY ACTIVITIES INCLUDE (check all that apply):
COrocess meats 0 use
al
SON COLLECTING SAMPLES C.c (on, ,Herr 0Ag_Z RECE1VWAARGING TO SALTWATERS?? ❑YESImZNO fats/byproducts
PE
LABORATORY Lab Cert. # 37-)$ f III n 8 2015
PLEASE REMEMBER TO SIGN ON THE REVERSE
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION Total event rainfall or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal ColiformE,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
0 cR 11 S
52 •8
6•
<3o.0
�-
` I
r
1—ai3
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gz.11ons of new motor oil per month? ❑ yes 10 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504
6.0 — 9.0
-
i
I
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
M
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*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 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 DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy_of this DMR, including all "No Discharge" reports, within 30 day_s of receipt o the lab resuI or 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, NC 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, inclutnth#-pbssibjlity of fines and imprisonment for knowing violations."
(Signature of Oermittee)
(Da e)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _�� ;G— 70157-
M
CERTIFICATE OF CQVERAGE NO. NCGO6 O-0 D` �% SAMPLE COLLECTION YEAR o?� 0/.-
FACILITY N E .. ���!��-�.lc . FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY use/process meats use animal fats/byproducts
PERSON COLLECTING SAMPLES o A- DISCHARGING TO SALTWATERS? [:]YES NO
LABORATORY AL., Zoo AMIy Lab Cert. # 37
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall z or ❑ No discharge this period3
Qutfeil No.': `.
Sample Collected;
mo/dd/yr- .
TSS;
mg/L
' pH,
Standard units
COD,
mg/L
Oil and.Grease, .
mg/L '
Fecal Coliform , `.,`
Colonies per 100.m1 _
Enteroc`occi ,
Colonies pev:100 ml
Benchmark'
100 or 504-=
Within 6.0 --� 9.0
120
30
1000
500
a c, Z ig
< 8-3 vntl,
5-2
31%0 L
.. 0 mrAl
3 (a, 2
1 Only applies to facilities that use/process meats. "_~r`I v L�
2The total precipitation must be recorded using data from an on -site rain gauge. FEB 0 3 2015
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more prote F+vNa&&firRf plies.
DWR SECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Rrno
Part B; Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units'.
New Motor Oil Usage;
Annual average-gal/mo
Benchmark
30
100 or.50_
6.0 -.9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
4 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes • complete Part B)
S W U-249
Last Revised: October 18, 2012
Page 1 of 2

*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 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 DWQ REGIONAL OFFICE? YES ❑ NO [�]�
REGIONAL OFFICE CONTACT NAME: 114,1L-44i
17
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of
monitoring period in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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,yr iding the pssibility of fines and imprisonment for knowing violations."
/3. J 2!, - 2
(Signatu of P' ermittee) (Date)
Additional copies of this form may be downloaded at: htt : ortal.ncdenr.or web' w w5 su n de55w#ftab-4
SNV U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted ,J'1e-12o1y
CERTIFICATE OF CO ERAGE NO. NCG06 O O
FACILITY NAME
COUNTY iCv6�f�
PERSON COLLECTING SAMPLES /.ywAo 7y1esC-
LABORATORY73Z., Lkr(,rx,Cls• Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
JUN 0 2 2014
SAMPLE COLLECTION YEAR P10/9' CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): DWQ/BQG
use/process meats use animal fa/byproducts
DISCHARGING TO SALTWATERS? [:]YES[O
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall z O. "ror ❑ No discharge this period
Outfall No.
Sample Collected;
mo/dd/yr, .
TSS;
mg/L
, pH,
'Standard units
COD,
mg/L
Oil and.Grea.se, .
mg/L,
Fecal Coliform , .
' Colonles.per.'100 ml , .
Enterococci •,.
Colonies:per.100 mF "
Benchmark
-
100 or 50°-.;
; Within 6.0-.9.0
120 - '
30
1006
500,'
G •3
Y 7. 3
G G
D
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (if Vey complete Part 13)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
.
5ample'Coflected, •'
mo/ddJyr
Oil and Grease,,:.. ''
mg
TSS,
mg/L
pH,
Standard units
--New Motor Oil Usage, =.
°. Annual average gal/mo
Benchmark
-
30-
100 or 50
6.0 --9:0
=
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Iny outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18. 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
a 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 II SECTION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO 0�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO Ej�
REGIONAL OFFICE CONTACT NAME: ��rc
Mai! an originol and one COPY of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at endue
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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 andi'mprisonmerif for knowing violations."
(Signature ot- Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18. 2012
Page 2 of 2