NCG210073_MONITORING INFO_20180821

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V uc, a � o oq 3
DOC TYPE
❑HISTORICAL FILE
'K MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE NO. NCG210E]7]©
FACILITY NAME Bill Hanks Lumber Co
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Researcli & AnaiyticaiLab #
Lab #
Part A: Specific Monitoring Requirements'
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due at the Division no later than 30 days from
t)i tot a facility receives the sampling results from the laboratory.)
..�" 1�,.,• f�' � 1 Stokes
tokes
a ` _R*IONE NO. 036 -) 593-2022
ILMASE SIGN ON THE REVERSE 4
tff"11In1\11
Outfall
No.
Date
Sample Collected,
mo/ddl r
Total Rainfall,
inches
00530 1
00400
00340
Total Suspended Solids,
nWL
pH,
Standard units
Chemical Oxygen Demand (COD),
m
Benchmark
; _' , '% f
-
100
Within 6.0 — 9.0
120
,.
'Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.
If the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall
nlso record and maintain a log in its SPPP (Stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom.
{`Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier I or Tier 2 responses in the General Permit.
Facilities that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material for
longer than seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived, For those facilities that qualify for the analytical monitoring waiver, the
discharger steal I sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for
analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or
other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7)
days before removal since filing the last discharge monitoring report."
L .9 C"ra ,r i
Name (Print name)
3,, I '
Title (Print title)
(Signature) (Date)
SWU-245-072809
Page I of 2

om -ni15 F.�CILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON
AVFR.AGF, 1N THE CALENDAR YEAR?
❑ ) c, y No { If yes. complete Part 13)
Part 13: Vehicic Maintenance Activity Monitoring Requirements
❑ outrall
I \'o.
I
13rnchmark-
Date
Sample Collected,
mo/dd/yr
00400
00556
00530
Total Rainfall,
inches
-
New Motor Oil Usage,
Annual averse al/me
-
pH,
Standard units
6.0 — 9.0
Oil and Grease,
n19fL
30
Total Suspended Solids,
m
100
�...
-
......... .. -
N,q-- I! .okl 1, -,,Port a value in ctccss of the ench€nark value, or outside the benchmark range (for pH), you must implement Tier I 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
Y01- MI `iT SICN THIS CERTIFICATION FOR ANY INFORMATION REPORTED IN PARTS A AND/OR B:
"I certify, under- penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
-�y4tent desi-ned 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,"
iSignatbre of Permitt
(Date)
S WU-245-072808
Page 2 of 2

lJfC� Z 1 0 0 �3
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG210000
C"ERTWIC"ATE OF COVERAGE NO. NCG2QEj©©
FACILITY NAME -Bill Hanks Lumber Co
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Research s yt ca Lab #
Lab #
Part A: Specific Monitoring Requirements'
SAMPLES COLLECTED DURING CALENDAR YEAR.:
(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.)
COUNTY Stokes
PHONE NO. ) 9 —2022
PLEASE SIGN ON THE REVERSE 4
Outfall
No.
Date
Sample Collected,
mold r
Total Rainfall,
inches
00530
00400
00340
Total Suspended Solids,
11WIL
pH,
Smndot d units
Chemical Oxygen Demand (COD),
M
Benchmark*
too
Within 6.0 — 9.0
120
.2
LZ
Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.
I( the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall
also record and maintain a Iog in its SPPP (Stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom.
!Note if you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier I or Tier 2 responses in the General Peir a+.
I ac}litics that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark mulch, or other similar rnaaen.s' fsu
;ongcr than seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those facilities that qualify for the analytical monitor ne :valve;•, the
klischarger shall sign the following certification statement:
.Based upon my inquiry of the person or persons directly rt Tonsiblc for managing compliance with the permit requirement for
analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or
other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7)
days before removal since filing the last discharge monitoring report,,
Name [Print name)
Title (Print title)
(Signature)
(Bate)
SVtI%245-072809
Page i ol1-

i t11) THIS VA('ILITY PERFORM VEHICLE MAINTENANCE ACTIVIVS USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON
k VE;R AGE, IN `FETE CALENDAR YEAR?
i No (1t ye,;, complete Part B)
il,iri R. Vehic c' Maintenance Avtivity Monitoring Requirements
outfall �_.._.___
No.
Date
Simple Collected,
moldd/ r
00400
00556
00530
'Total Rainfall,
inches
Now Motor Oil Usage,
Annual averse gaumo
PK
Standard units
Oil and Greau,
Total Suspended Solids,
ilettchtnark"
-
-
-
6.0--9,0
30
too
'a`li 11 titna rehart a ti lhie ut excess of the enchmxrk value, or outside the benchmark range (for pH), you must implerncnt Tier 1 or Tier 2 responses in the General Perna.
Mail original and one copy to:
Division of Water Quality
Arm Central Files
1617 Mail Service Canter
Raleigh, North Carolina 27699-1617
01 THIS CERTIFICATION FOR ANY INFORMATION REPORTED IN PARTS A AND/OR It:
"! certify, under- penalty of 1uw, that this document and all attachments were prepared under my direction or supervision in accordance with a
,t,tem designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or
Persons who inanage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my
hnI)Nt-ledge 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."
Siantatur&f Permittee) CP
(Date)
S WU-24"72808
Pagc 2 of 2

STORMWATER DISCIiARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PER:lIIT NO. NCG2t0000
(TRTIFICATF OF COVERAGE NO. NCG21[E]E][fjE]
F.ACILITI' NALIE Bill lianks Lumber Co
PFRSON COLLFC TING SANIPLFS
CERTIFIFU LABORATORY Research a yt ca Lab #
Lab It
Part A: Specific Mani€oring Requirements'
SATMPLES COLLECTED DURING CALENDAR YEAR: _
(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.)
COUNTY Stokes
PHONE NO. 3 _) 593--2022
PLEASE SIGN ON THE REVERSE -'/
Oalfall
'SO.
Date
Sample Collected,
molddlvr
Total Rainfall,
inches
00530
00400
00340
Total Suspended Solids,
m
'pH,
StandaXdurtits
Chemical Oxygen Demand (COD),
m
lienclimarh,
100
Within 6.0 - 9.0
120
G i
3
c
U
�fc..f_..
.,-
Y(f
3c
�tno,torir: is required or:ly if the facility stores exposed piles of sawdust, woed chips, hark, mulch, or other similar taterial on site for longer char. seven (7) da}s.
It vi..- facil.t} elects not [o monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed The facility sha]'.
.tiro rec01'd and n,aincain a log in its SPPP (Srnrrrwatcr Pollution Prevention Plan) of dates when matcnat is generated and removed, how, and by whom-
'Nlx 11 yokT rcpu:t a value in excess of the benchmark value, or outside the benchmark range (for pH), you mustimplemem Tier I or Tier 2 responses it. the Crcner,tl Pem;:t
Fzc4r.uc< €i"a! �'o nil _stoic exposed (either exposed to incident precipitation or exprised to storcnwater run on) piles a sawdust. woodchips. bark, mulch, of onccr srn:;ar rma; is d `cu
loner: Lean seven {7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those iaciYi[ics that qualsfy for rite analytical nwnanrunp vane:, ti,e
d.5chargcr Shall sign the following certification statement:
"Bwcd upon try inquiry of the person or persons directly responsible for r ariaging compliance with the permit requirement for
analytical monitoring, I certify that to the best of my knowledge and belief, ne piles of sawdust, wood chips, bark, mulch or
other similar materials were stored exposed (either to incident precipitation or to storrttnater run on) for Innger than seven (7)
day; hcfo:c removal since filing the last discharge monitoring report."
.%rff-r,r //uakJ — - --
Name (Prinz riame)
Title (Print title)
(Siphatdre
c
ri
SSVIi-345u7dSGB
F'aec I of ,

STORMWATF.R DISCHA RG F OUTFALL (SDO)
MONITORING REPORT
GENERAL PY10 1T NO. NCG210000 C"FITITIF'ICATE OF COV17RAGF. NO. NCG210[] t -1
FACILITY NAME
1'1-:ItSON COLLECTING SA4IPLF-S
CEIt'fIFIEI) LAItORATORY,/� ,,-.. Arc % a- Lab #4
Lab #
Part A: Specific Monitoring Requirements'
SAMPLES COLLECTED DURING CALENDAR YEAR. 2 �,` /
(This monitoring report is clue at the Division no later than 30 days front
the date the facility receives the sampling results front the laboratory.)
COUNTY ( r 1
PLEASE SIGN ON THE REVERSE 4
t)II I ffalI
Nn.
hate
Sample Collected,
rnolddNr
"Total Rainfall,
inches
00530
00400
00340
Total Suspended Solids,
m
pH,
Standard units
Chemical Oxygen Demand (CODI,
m IL
lienc•hmark*
-
-
100
Within 6.0 — 9.0
120
Nlonm)ring is regimcd only if the facility stores exposed Miles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) clays
If the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed The facility +bull
also record and maintain a lot in its SPPP (StOrmwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by %khorn.
'Now If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement "Pier I or Tier 2 responses in the (.ienelA l'rr¢nil
Vac IliIies that der not store exposed (either exposed to incident precipitation or exposed to stormwater run or)) piles of sawdust, weird chips, bark, mulch. nl nthrr similar IliawI i;d till
icm c; tlmn seven (7) days on site may so certify, and the requirement for analytical monitoring ntay be waived. For those facilities that qualify for the analytical momtgrirlEr
diwhar-cr shall sign the following certification statement:
"Bawd upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for
analytical monitoring, I certify that to the Best of my knowledge and belief, no piles of sawdust, wood chips, hark, mulch or
othet similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven t7)
days before removal since filing the last discharge monitoring report.,,
Name (Print name)
Title (Print title)
(Signature)
(Bate)
SWt' -24t-07-''Xwt
Page 1 , d 2

STORMWATRR DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG210000
CI RTIFICATE OF COVERAGE NO. NCG7J0E][j3
FACILITY NAME Bill flanks Lumber Co
PERSON COLLECTING SAMPLES
CE''RnFIED LABORATORY Research a yc ca Lab##
Lab #
Part A: Specific Monitoring Requirements'
SAMPLES COLLECTED DURING CALENDAR YEAR:
(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.)
COUNTY Stokes
PHONE NO.6 a 593-2022
PLEASE SIGN ON THE REVERSE 4
outfall
` No.
Date
Sample Collected,
mo/dd/ r
Total Rainfall,
inches
00530
0"00
00340
Total Suspended Solids,
MgLL
pH,
Standard units
Chemical Oxygen Demand (COD),
mWL
Ilienchinark•
-
100
Within 6.0 — 9.0
120
�— 7
.,.
monitoring, :s required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.
1; ,he facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall
also record and maintain a log in its SPPP (stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom.
Nate 11 you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier I or Tier 2 responses in [he General Permit.
}�,cdmes [ha€ do not sure exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material for
Ionizer :i,an seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those facilities that qualify for the analytical monitoring waiver, the
discharger shall sign the following certification statement.
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for
analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or
other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7)
days before removal since filing the last discharge monitoring report,"
Name (Print name)
Title (Print title)
(Signature)
(bate)
SWU-245-072808
Page 1 of 2
--J

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG210000
cuwriFICATE OF COVERAGE NO. NCG2l0F]©Q
FACILITY NAME hill Hanks Lumber Co
11l,'RSON COLLECTING SAMPLES
('1`101FIED LABORATORY ResearcE 9 AnaaiyticaLab #
Lab #
Part A: Specific Monitoring Requirements'
SAMPLES COLLECTED DURING CALENDAR YEAR:
(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.)
COUNTy Strokes
PHONE NO.
PLEASE SIGN ON THE REVERSE 4
Outfali
No.
Date
Sample Collected,
tno/ddl r
Total Ralnfall,
inches
00530
00400
00340
Total Suspended Solids,
pH,
Standard units
Chaali l-Oxygen Demand (COD),
mWL
itrncltmark'
a
100
Within 6.0 — 9.0
120
G
117.:
/
. J
/ s
9
I
A9al"11c,rsng is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days,
1' u::: a_:Iay elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be sighed. The facility shall
,ihr reco. d and maintain a log in its SPPP (Stormwamr Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom.
N!'- If you report a value in excess of the benchmark value, or outside the benchmark range (for pH). you must implement Tier I or Tier 2 responses in the General Permit,
i :+G:iitirs d ut do not stone exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material for
longer than seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those facilities that gwlify for the analytical monitoring waiver, the
d`:, h rgcr shall sign the following certification statement:
"based upon my inquiry of the person or persons directly responsible for managing compliance with the permit regturernent for
analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or
other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7)
days before removal since filing the last discharge monitoring report."
Name (Print name)
Title (Print title)
(Signature)
(Date)
S WU-245-0 7 2808
Page 1 of 2