NCG020351_MONITORING INFO_20190718

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑�HISTORICAL FILE
C�'MONITORING REPORTS
DOC DATE
❑ 2o) 7 aq 1-9,
YYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGN
DOC TYPE
❑HISTORICAL FILE
DOC DATE
❑
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT (DMR)
11 Please Mail Original And One Copy To Mailing Address Below I
Part A: Facility Information
Samples Co:lected In Calendar Year:
Certificate Of Coverage No.
Facility Name
Facility Contact
Facility Contact Phone No.
GENERAL PERMIT NO. NCG020000
Z U 141 (all samples shall be reported within 30 days following monitoring period)
NCG02�6� �t County of Facility
�pai-O a 2 - Name of Laboratory
oil Lv OyLatrx 64,r Lab Certification it
Part B: Land Disturbance and Process Area Monitoring Requirements
gttt..
�:soas: '
si5'o .ogs
a.o,
out fall
be vi Sti!aai i'TO
ag
Sarplgli':
ofai;:
a
J
�:
r�a
i'ame
trpilect �� ,
low
5tisended:
Turbttiy,5
;settleabl'e.
; „
Saild�
..
,. lj
.I ,
,,,1~
„1
Stlikii I
1 • G4,5,
i' , : : ; .
,.�....
d
:'.
�1 5 t f, t4Vile
V P� r T1 N [-, p5a
Part D: Storrn Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours):
Part E: Certification
/no U.Lw -
Part C: Vehicle Maintenance Monitorine Reauirements
•
t)iitfa�l'
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REeEfVED
Total Event Precipitation (inches):
JUL 18 2019 Event Duration (hours):
(if a separate storm event is sampled)
CENTRAL FILES
DWR SECTION
"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 theta are significant penalties for submitting false Information,
Including the possibility of fines and imprisonment for knowing violations."
(Signature of Permlttee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
Swu-

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
Part R: Facility Information
Samples Collected In Calendar Year: Z G Or (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02_ r, f County of Facility A46"r Go_N1tc & 4'
Facility Name cIgAi PO r? Name of Laboratory lw h r`F_ c 1Y c&65
Facility Contact 8 1 C4-1 �ae !,, r Lab Certification # _ Sa
Facility Contact Phone No. �/� U_ 5� 3
r5'
4
Part B: Land Disturbance and Process Area Monitoringp Requirements Part C: Vehicle Maintenance Mo itoriniz Requirements
UutfalL°
N4:
ReaeiAh Stream
Naiiie
a. - ''�
Sgm�jlg
r
IKpllected
,a.N. ,!�_
; ,'Total;.;!' ;
!
#�lorvl
•,, ',!:
.y
,�8 pi►de�
.s.t• Olid�r
- !�
ra arlJ�dit?'
! ,olibi;f
, Settleable,)
>
' Y
F
rR }�'
;tnoldd/:r.;
'iL
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-1- :� ,,'.y
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rn,:d.;,.n
!.f•i 1.
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s'ul!!:s:
1
!/// /P
Z-
7.
5 .
<01
Part D: Storm Event Characteristics
Total Event Precipitation (inches): 6.31
Event Duration (hours): 1-2-
Part E: Certification
.?0'?.t' N}t
- ;.00530
LtitlfiUO'•
A 1 , Y ji i
a • , 1.v�- t i , •'1
1 GA AJ--
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e if 6dr..
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— , v 4..
JAN 15 2019
CENTRAL FILES
Total Event Precipitation (inches): DWR SECTION!
Event Duration (hours):
(if a separate storm event is sampled)
"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 liomplete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
9
(Sign ure of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
C\x71 i_1A"i-,nignnc

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) I SPPP Annual Update DATA REVIEW FORM
Calendar Year 2 (91$
Individual NPDES Permit No. -7
Certificate of Coverage (COC) NO.
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: At Ill F T
County:
Phone Number,
37
Outfall No. i<
Is this outfall currently in Tier 2 (monitored monthly)?
Total no. of SDOs monitored
Was this outfall ever In Tier 2 (monitored monthly) during the past year?
If this outfall was In Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored -because of vehicle maintenance activities?
Yes ❑ No
Yes ❑ No
Yes ❑ Now
SWU-264 - Generic Annual DMR
ZARt raW.wfl JW1717nll

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
Part R: Facility Information
Samples Collected In Calendar Year: 2-0 (9 (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG92 0 3 S 1 County of Facility M 6AJ 7`6 0 M E12 jr
Facility Name C Fri D a R Name of Laboratory w 4)TER Tfic 11 e- A S
Facility Contact S r�U l`' 13 LR N WEP6 E.kFW Lab Certification #
Facility Contact Phone No. 70V ZG - 0 143 -
4.;j
Part B: Land Disturbance and Process Area Monitoring Requirements Part C: Vehicle Maintenance Monitoring Requirements
Outfail
Receiving Stream
Name
Sample
Tokai
'
p total '
Gi
'
'Settleable'
No.
r lieeket$
Fln►v
+ buspended'
urbrdity
�
Solid' ,
,< < t
f
S
Tiro/ridl
,r,
MG":;
m i.i.
;NTUs:
i,.• surul/lf,,i
3.7
e-0. 1
Part D: Storm Event Characteristics
Total Event Precipitation (inches): U $
Event Duration (hours): IZ
Part E: Certification
D'ate� :
,-id
irk'.5�0�54k
l'� rr �V r.
"t10 56 s
ra Hs_=
; a OD534 i,
'i!•:v.l:,,.,..,a I!
{00400
,:•Sattipk `
�� �' ;��
;,r.,• , j r}b�
t:i Total`F�
H•,
Receiyin ;Streams ,
.a b .�,
x
�u.,,. apd;
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IS
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�1�4 :1� ���
!�mo`/c�[!/. r•
����N��w:�
, <ns 1,1=,
,`� �. rn
:ueit�.
Total Event Precipitation (inches): _
Event Duration (hours):
(if a separate storm event is sampled)
"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 tilere are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."/ , , / , _
((SSignature of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
0wr 1-741-n1100s

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below i _
GENERAL PERMIT NO. NCG020000
rpl\/ r)
JAN 0 8 2018
Part A: Facility Information pWRSECTIGN
11dFORMAT!QI.1 PRRCESS!NG UN!�
Samples Collected In Calendar Year: z0 t 7 . (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 O I County of Facility rzy
Facility Name C'PrN _ __ Name of Laboratory w/+TF_ e 7.71rc 1-1
Facility Contact Sever, R l CL n Lab Certification # 56
Facility Contact Phone No. (70-P :3 2U 0Y37
Part B: Land Disturbance and Process Area Monitoring Requirements Parr C: Vehicle Maintenance Monitoring Requirements
Outfall
No:..;
Receiving Stream
Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity
Settleable
Solids
:.
mo/ddl r
MG
m 11
NTUs
mill
CO. I
Part D: Storm Event Characteristics
Total Event Precipitation (inches): . I6
Event Duration (hours): T 7
Part E: Cert fcation
:.,.
"SOOSO=
"00956:.'
00530'
00400.
Oulfall
Receiving Stream
Sample
Total
OII nnd:
No.
Name
Coliecte
Flow
'Grease
Suspended
pH'
Solidi
m 11'
.unit
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"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 "
�� 0 LAZ /7
(Signature of Permittee) (Date)
Part F: Mailing address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-012005

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year 2- d I —?
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG EE1 3❑❑5 0
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: C ,- N 0ore M (lU E
County: .m o of -- 6 0 m E 2 Y'
Phone Number: f 70 ` I 3 Z=c)- O Y 3 7 _ T Total no. of SDOs monitored
Outfall No. I
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
Inches
Parameter, units
r—LU t,"
o o 3 o
TS 5
Gav 76
! urh d,4r
GU 5 y S
,Se f e"!:)tr
`Js
Benchmark
N/A
Date Sample
Collected,
mmlddlyy
t,
�-L af:';
0.. +7i - �.
k ,: � _�y
r�. F3.;_.:.�.,
:ia �'a
� Y.�'iF� �-f�F,'
�;'-�� 1. ... � 3a..k-,�
s 3 ?�'�' �
*,�,i•. .�... ,w., 771„���..„
. 4� `3';•u-
�` f' ?�:•.+.�. � .p..
� �;.x�,. ,r,. Tw.�
.r,r. F $� M [:
r., i^:Y:�L.. S"'✓'
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S�,���. .. �y�.."ror: + � r"•.�
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a ,�ri��_ �o:a�'
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,y- s.,r,:,.;i cyF-,
144Y '3^
-�: fi�,�-z?,�f�z,,
-
Z(v
3.0
2,s
SWU-264 - Generic Annual DMR
Last revised 511712013

"1 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 possiL ility of fines and imprisonment for knowing violations."
Signature
Date t
zr
0
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
(9t9) 791-4200
WINSTON-SALEM REGIONAL OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
(9191 807-6300
MOORESVILLE REGIONAL OFFICI
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
7a preserve, protect
and enhance
NorM Carolinas water..."
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NC6 OZ0 3a 1
FACILITY NAME C PV DC IQ
PERSON COLLECTING SAMPLE(S) 5
CERTIFIED LABORATORY(S) Lab # O
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 'ZO I
(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 M607-60miEk- e
PHONE NO. ( 70_�) -3Z[) ac/ 37
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
UO 5 30
660 6
005 y
Total
Flow if a
Total
Rainfall
�5 %
`��'���
S� ftfe-,-5te
55
moldd/ r
MG
inches
JI 71117
UL-NTRAL F I
=F,
UwK SECTIC
NI
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/ddl r
MG
inches
m 1
m /l
unit
al/mo
Form S WU-247, last revised 21212012
Page] of 2

STORM EVENT CHARACTERISTICS:
Date Y444:7 R
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 Water Quality
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. 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."
- J�-- -ff. 6 4� 41:?b �
/
rm
(Signature of Peittee) ( te)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
CER-r CaV NC'GO20351
Part A: Facility Information
Samples Collected In Calendar Year: ZD G (all samples shall be reported within 30 days following manitoring period)
Certificate Of Coverage No. NCG02 (�'3.5= 1 _ County of Facility1'ti+ION"CGaM E�`r'
Facility Name CJkND Ott M i N E Name of Laboratory w ATE ls? raCH
Facility Contact ST•C-VE 5CRN kENaf-kP-R Lab Certification #
Facility Contact Phone No. 70Y 320 4OV37
Part B: Land Disho-bance and Process Area Monitoring Requirements Part C: Vehicle Maintenance AW iforing Requirements
OutF�h ��
No.....
Receiving Stream
Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity
Settleable
Solids
=
moldd! r
MG
MR!]
NTUs
mill
101116
to
141.8
!fo
<o . t
Part D: Storm Event Characteristics
Total Event Precipitation (inches): 0.21
Event Duration (hours): IQ
Part E, Certification
Outfall
No.
Receiving Stream
Name
Ante .::
° 5D050<
.'00556.
OD5301
00400..
Sample`"
Goilecte
Total
Fliiry .
Oil and
' GfCASC
Total.-,.
Suspended
Solids;: `
pfl
mrildill r:
` " MG"
m )[ '
M X
unit
.L.`16eCIvt:U
JAN 10 2017
Total Event Precipitation (inches): CENTRAL. FILES
Event Duration (hours): ;'ECTION
(if a separate storm event is sampled)
"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. 1 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)
Part F: Mailing Address
Attu: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-243-012005

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
r: '-' s C. ✓ Ili G C3 3 a !
Part A: Facility h f0r7natlon
Samples Collected In Calendar Year: z6 i (y (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCCO2 ; 3 :3:i i County of Facility Me. a�c�ta� . ^�
Facility Name C Ai,5 00 r� PA jN � Name of Laboratory iy,.r it_er +e—ck�^��
Facility ContactAyw-iCz Lab Certification #
Facility Contact Phone No. (-)
Part B: Lain! Disturbance and Process Area Monitori)IRequirements Part C: vehicle Maintenance Ho d1oring Requirements
Date
50050
00530
00.076
0650-
Outfall
lteceiving Strcam
Sample
Total
. Total
Settleable
No...
Name
Collected',
Flow.;
Suspended
.;Turbidlty
Solids
Soi�ds :F
,
rooiddl r.
MG'
:m 1 1!: I:'
S.N1'M
' .`inih
Part D: Storm Event Characteristics
Total Event Precipitation (inches): 6 . 1
Event Duration (hours): � 6
Part E. Certification
Outfali
fro:.
i3eceivin� Stream
Name
Ante .'
lSl)050
0055C,
U0530,'
Q0400.
sample's
Collects
�;' L d
Total
FlovV r
Oilrand
Crease
motal !;s
Stispeoded
Solids".,
.. ;
pH'
'
i
ddl
unit'
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
RECEIVED
JUL i l ZU16
CENTRAL FILES
pWR SECTION
"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 hest
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 tines and imprisonment for knowing violations.'
760 '6
(Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27644-1617
cvur r_�ez_rir�nns

Semi-annual Stormwater Discharge Monitoring Report (DMRI
for North Carolina DEMLR General Permit No. NCG200000 — Scrap Metal Recycling
Date submitted January 28, 2016
CERTIFICATE OF COVERAGE NO. NCG200351 SAMPLE COLLECTION YEAR _2015
FACILITY NAME OmniSource Southeast -Charlotte SAMPLE PERIOD ❑ Jan -June ® July -Dec
COUNTY Mecklenburg or ❑ Monthly' fmontW
PERSON COLLECTING SAMPLES Jasmine Tayouea S&ME DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY_ENCO Lab Cert. t# 591 RECEIVED ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: FEB 0 2 Z016 ❑Saltwater ®Other B
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
lnches3
Total Suspended
Solids
Chemical Oxygen
Demand
Non -polar oil & grease
EPA Method 1664
{SGT-HEM}
Copper,
Total
Lead,
Total
Zinc,
Total
Benchmarks =_>
_
-
100 mg/L or
50 mg/0
120 mg/L
15 mg/L
0.010 mg/L or
0.005 mg/L5
0.075 mg/L or
0.210 mg/L5
0.126 mg/L or
0.090 mg/L5
1
11/02/2015
1.1
66
44
<2.7
0.114
0.0634
0.372
2
NO FLOW
3
11/02/2015
1.08
140
35
<2.7
0.0624
0.477
0.215
4
11/02/2015
1.14
110
84
<2.7
0.0892
0.0573
0.583
5
1 11/02/2015
1.15
1 130
78
1 <2.7
0.0824
0.056
10.553
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.
4 See General Permit text, Table 3 or Table 4, identifying protected receiving water classifications where the more protective TSS benchmark applies.
5 Stormwater discharges into receiving waters classified as saltwater are subject to the second listed benchmark.
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, quantitation limit, etc. in mg/L.
Note: If ou report a sample value in excess of the benchmarkyou must implement Tier 1 Tier 2 or Tier 3 responses. See General Permit.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 02/02/2015-12/31/2019 SWU-256, last revised 1/28/2015
Page 1 of 2

i
❑ No discharge 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
1S mg/L
100 mg/L or 50 mg/0
Footnotes from Part 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 2, or Tier 3 responses. See General Permit.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• 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 AS REQUIRED BY THE PERMIT? 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 Dischorae" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
i 2
(Date)
Permit Date: 02/02/2015-12/31/2019
SWU-256, last revised 1/28/2015
Page 2 of 2
i

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMLR) - STORMWATER
SUBMIT TO CENTRAL OFFICE*
• General Permit No. NCG020000
Calendar Year a
*Report ALL STORMWATER monitoring data on this form (include "No How"rNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEG by MARCH 1 of each year. J`,
E®
Certificate of Coverage No. NCG02 Q®�'] CE1 V
Facility Name:
J N 0 8 2016
e 9 . - �
County: CEb TRAL FILES
Phone Number: LZ 1 3 �% Total no. of SDOs monitored ,_ J �W 3 SECTION
Certified LaboratoryLab #v_
Lab #
Stormwater Discharge Outfall (SDO) No. _ _[ ___ VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ Nos C`
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No. turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg1l
SS,
my]
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidi ty,
NTU
Non -polar
O&G, mg11
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
�.Ho
FLOW"
it
100150
0.1
a� n
50/25110
NIA
NIA
, ,
i 5
_t �,,;s
�o" „,, �'V°"`
Date Sample
Cmold ted,
Permit Date 101112015 - 9/3012020
Last Revised 10-2-2015

i4.

Certificate of Coverage No. NCG02619©li]
CERTIFICATION
N wtify, 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."
[Required by 40 CFR § 1 .22] n
Signature x
Date -SIG -
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMI_R Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

STORMWATER DISCHARGE MONITORING REPORT (DMR)
:= �= Please Mail Original And One Copy To Mailing Address Below
I
i
GENERAL PERMIT NO. NCGO20000
Part Facility h1formation ca v r few MC G O 7`0 S.T1
Samples Collected In Calendar Year: D-015 (all samples shall be reported within 30 days following monitoring }period)
Certificate Of Coverage No. NCG02 County of Facility
Facility Name CA _ Name of Laboratory
Facility Contact t � Ir Lab Certification #
Facility Contact Phone No.
Part B.- Land Disturbance and Process Area Monitoring Reau remenr
Oulfsill
.1' No:.
Receiving Stream
Name
Date
50050
00530
00076
00545
Sampte
Collected
Total
Flow
Total
Suspended
Aids
Turbidity
Settleable
Solids
moldd! r
MG
mail—
NTUs
mill
l
I
r.
I
part D: Storm Event Characteristics
'total Event Precipitation (inches): '
Event Duration (hours): r_
i
PartE: Certifcation
ECEIVED
JAN 0 8 ZU16 �
CENTRAL FILES
DWR SECTION F'
Part C. Yehicde Maintenance Monitorin.e Requirements
Outfnll
No.
Receiving Stream
Name
Date
"S 0 •
00556 .
' - 00530.
00400
Sample' `
Colleete
flow
Oil sincl;,
Grease
Total' .
Suspended
Solids ..'
pH
moldd! r
: ' MG
m , l : '
mg/1
uMt
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"1 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 tl ere are significant penalties for submitting false information,
including the possibility of Fines and imprisonment for knowing violations."
ignature of Permittee) (Date)
Part F.• Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-012005

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information � �E�T ��+ �G� o?'n3��
Samples les Collected In Calendar Year: ✓ �` `� a monitoring z la p a ea (11 samples shall be reported within 30 days following n onit rit g period)
Certificate Of Coverage No. NCG02 County of Facility AID 't "Uk4'
Facility Name CA At Name of Laboratory _ �,'� v-�� _
Facility Contact J Q&C&P Lab Certification 4
Facility Contact Phone No.n
,
Part B Land Disturbance an Process Area Monitor rig Re uirernentc Part C.-'Vehicle Maintenance Mo dforinz Requirements
I
I
OutfAll
J No...
•
Receiving Stream
Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity
Settleable
Solids
molddl r
MG
/l
NTUs
mlfl
Part D: Storm Event Characteristics
i
Total Event Precipitation (inches):
Event Duration (Hours):
i
Part E: Certification
Outfall
No.
Receiving Stream
Natne
Date . , ;.
50050 •
00556 • ,
' 00530
00400
Sample' `
Co]Wtc
'�...
'.•..dota1. l
Flow .•
, `
Oil and;,
Grcasc
Total ,
I Suspended
Solids .
pH '.
molddl r
., ' MG .
mg/1
m dl
unit.
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"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
I of my knowledge and belief, true, accurate, and complete. I am aware that tl ere are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
lgnature of ermittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-243-012005

STORMWATER DISCHARGE OUTFALL (SDO)
i MONITORING REPORT
Permit Number NC6 02,0000
CPr`t' C.o uv✓<t�� J�1"G'6 �� LO�51
FACILITY NAME CAfJVO P2 M / k'6
PERSON COLLECTING SAMPLE(S) 5-feven t3/cc ti t4rhLek.Q r�
CERTIFIEDLABORATORY(S) War rfeCL, CrA6S Lab# 9Z)
Lab #
I
i
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR; ZUI.r ,
(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 t1l0tJ7-6OM Cke'T"
PHONE NO. { zoY) 3 W - UV 37
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
I DateNo.: Sample
Collected
11 I
i
r•
+ +
Total.,.
Rainfall
• .
r
i
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, complete Part B)
1
Part R: Vehicle Maintenance Activity Monitorinp, Requirements
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
mo/dd/ r
MG
inches
m /l
m /l
unit
al/mo
Form SWU-247, last revised 21212012
Page 1 of 2

i
I
STORM EVENT CHARACTERISTICS:
Date 2 -a -15'
Total Event Precipitation (inches): 0. 72
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 Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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 the possibility of fines and imprisonment for knowing violations."
Mv> 0, 2--2-7 -/_j
(Signature of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

4*a
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: hLW:Ilportal.ncdenr,orglweb/wq/ws/�U/nllde55w#tab-4
Permit No-: N/C/ �'/ / -/ a/ 4/O /^/ or Certificate of Coverage No.: N& /Q/ Z/
Facility Name: fJ Qr? I+'J 1LlL
County: _
Inspector:
Date of Inspection: -a /I t ._.
Time of Inspection: A/ /5
Total Event Precipitation (inches): _G , 7 —
Phone No. , 2-U _o
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this sign ure, I certify that this eport is acc rate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
5WU-242, last modified 10/25/2012

1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream: Tom C,--ee
Describe the industrial activities that occur within the outfall drainage area: ___ Clu7 r►, %.,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Cleo,-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): r)Oh e
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
10
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes oNo
8. Is there an oil sheen in the stormwater discharge? Yes DNo
9. Is there evidence of erosion or deposition at the outfall? Yes CNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe .. i l a.^_Q
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
__-
SWU-242, Lest modified 10/25/2012 ~~ --

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
I
Permit -Number NCB 21 hr a O
(a UP,-<t�R NGG-� 0 2_ 0_RLa
FACILITY NAME CANDO R N1 / ti)E
PERSON COLLECTING SAMPLE(S) S 2ve vti ilL�yax�ic ✓
CERTIFIED LABORATORY(S) _Woof f _►—fecL, C aG-s Lab # 5-0
Lab #
1
I
Part A. Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(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 41 QeJ 7-6 011Z C ie 'r'
PHONE NO. (_7UY) 3 aO - 01/ '7
SIGNATURE OF PERMiTTEE OR DESIGNEE
REQUIRED ON PAGE 2,
No.
Sample
Collected
rrr
Total
...
1 1 1
r�
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
1
Part B, Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
i
mo/ddl r
MG
inches
mg/1
m /I
unit
al/mo
Form SWU-247, last revised 21212012
Page 1 of 2

STOR+M EVENT C14ARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Dates Attn: Central Files
Total Event Precipitation (inches): Q - 7,, 1617 Mail Service Center
j Event Duration (hours): (only if applicable— see permit.) Raleigh, North Carolina 27699-1617
1
j (if more than one storm event was sampled)
1
j Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable— see permit.)
i
"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 the possibility of fines and imprisonment for knowing violations."
✓X 'U,&'2 �I
1 (Signature of Permittee) (Date)
1
I
f
i
i
;
i
Form S W U-247, Iasi revised 2/2/2U 1
Page 2 of 2

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
BAR 4 2015
,a
For guidance on filling out thisform, please visit, http://portaLncdenr.org/web/wgfws/su/nndessw#tab-4
Permit No.: LV/C/ C% _!?/ or Certificate of Coverage No.: N/C/G/f6/ Z/
Facility Name: ' iU r U n &? i N C
County: M 0 :�l f
Inspector: 57`I
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): iJ , ' 2
Phone No. t' 7c ZC -L
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this sign Lure, I certify that this eport is
(Signature of Permittee or Designee)
rate and complete to the best of my knowledge:
i
swu-242, Last modified 10/25/2012
Page 1 of 2

1, Outfall Description:
Outfall No. Structure (pipe, ditch, etc.) D /.per
Receiving Stream: fo,, -- --sq-
Describe the industrial activities that occur within the outfall drainage area: cict..r
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C /(?a,, f .`, hf
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): tl oi- e
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
`1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes oNo
8. Is there an oil sheen in the stormwater discharge? Yes oNo
9. Is there evidence of erosion or deposition at the outfall? Yes oNo'
10. Other Obvious indicators of Stormwater Pollution:
List and describe Y) a " 9-
Note: how clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
of 2
SWU-242, Last modified 10/25/2012

STORMWAT. Ek DISCHARGE OUTFALL DOY
SUMMARY DATA MONITORING REP RTT.
ANNUALSU (OMIR)
Calexidar Year u I q
2 2015
General Permit No. NCGI60000
01 ertificof Coverage No. NCO
ate
is
monitoring report summary is due to the DWO Regional Office no than 30 chiys from the daft
facW receives laboratork-samplih rom #* fin;W sample of calendar
g �ewft f year
Facility Name: (:j8jJ 00 R j ffifAle --rAl,-,JLOR� 0 U C-.T--Ya
County,
Aone Number- ucl Total no. ol
) i�3r. - 2 Yn SDOs monitored
06twl No.
Islithis outk'dl currently in Tier 2 (monitored monthly)?
)? 0 No
Was this cuffall ever in Tier 2 (monitored monthly) during the past year? Yes El No
It his outfWl was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency on
Received approval from DWQ to reduce monitoring "quency
Other
00530
00400
Vehicle
Maintenance
Acfivffles
New motor On
Usages
I
ToWITIahiM
gaumo6
1. OU" I .
I/L
WA
Bwx*mark:
WA
1W
Date Swnple Collected,
W
Last Revised 7-1 -M 0

St©rmwater Discharge Outfall (5D®)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httt]:Ilh?o.enr.state.nc.ustsulForms .LDocuments.h.,an#lmiscforms
Permit No.: NICJ 11 I I I 1/ or COB —,re of Coverage No.: N/GG-0-4 a/3C-1!
Facility Name: _XA&L - -
County:Phone No. ZZO
Inspector.
Date of inspection: ,^,0/
Time of Inspection: nn
i t C L� l�l C iJ -
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) yes ❑ No LSEP 17 2014
Please check your permit to verify if Qualitative Monitoring must be performed during a representative `l -r'. • 1-14
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this sigtature. T rertify tW this feporLiy*urate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Ouifall Description: -.
Outfall No_ I Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: C " js N / a 1
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe an distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ W40—
Page I of 2
SWU-242-112609 - -

r - a
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
O 2 3 4 5.
5.. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
I (D 3 4 5
6. Suspended'Sotids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7, is there any foam in the stormwater discharge? Yes CNO
8. Is there an oil sheen in the stormwater discharge? Yes N
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe i70/iQ
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-112609

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar YearZhj ��� (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02Q a S / County of Facility m 01M
Facility Name CA h&O—R iM 8 W Name of Laboratory ATIER
Facility Contact CC jU REKfl[ Lab Certification # �sD
Facility Contact Phone No.
Part B: Land Disturbance and Process Area Monitor ng Re uirernents
Outfoll' :
..No.:.:
Receiving Stream
� • Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity
Settleable
Solids
mo/ddl r
MG
MPA
NTW
ml/I
$ t
I
Y.
40.1
Part C Vehicle Maintenance Monitoring Reauirements
Outfall
No.
Receiving Stream
Name
Date
9000
00556
00530
6044.
Sample `
Goilecte
Total
Flow
Qll and
Grease
' . Total
Suspended
S61tds:
pll
I
modddl
MG ..
1
m l'
unit '
Part D: Storm Event Characteristics R E- v L IV E 0
II 1
Total Event Precipitation (inches): O. 7-fTotal Event Precipitation (inches):
Event Duration (hours): ZQ -- - Event Duration (hours): 8 E P 17 2014 1
(if a separate storm event is sampled)
Part E: Certification f-r'-. '.', O:ji,Liil""�".,," fJ
FAYr1 t I11 ; I kU.;!O;:AL uF.-K; _
"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 violation " I
,y
(Signature of Permittee) (Date) '
Part F: Mailing Address f
1
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SW U-243-012005
i

i
STORMWATER DISCHARGE MONITORING REPORT (DMR)
i
Please Mail Original And One Copy To Mailing Address Below
j GENERAL PERMIT NO, NCG020000
i
Part A: Facility Information
i'
Samples Collected In Calendar Year2waL
q (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 d.= S j County of Facility
Facility Name )a As of A rt: Name of Laboratory
Facility Contact [ w,18lt X f iR Lab Certification i!
Facility Contact Phone No. (kv & 3•
i
m4mmoll"Cr r
of ^raft MCH
Part B: Land Disturbance and Process Area Monitorin Requirements Part C.• Vehicle Maintenance Mo itoring Re uirementr
Outran .:
No.
Receiving Stream
Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity
Settleable
Solids
molddt r
MG
MRA
NTUs
mlll
sit
Part D: Storm Event Characteristics
Total Event Precipitation (inches):
1
1 Event Duration (hours):
1
i:'art E: Certification
Outfell
No.
Receiving Stream
Name
Datih
50054-
;00556 .
00530
00400.
Sample `
Colkti
Total
Flow
Oil ands
Grease
Total'.
� Suspended
6olids,
PH '
inoldd/ .
MG'.
silkl
m
'unit
Total Event Precipitation (Inches):
Event Duration (hours):
(if a separate storm event is sampled)
RECEIVED
SEP 17 2014
CENTRAL FILES
DINR SECTION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
i 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
i 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 violation "
�7
AL
;�o LAO&
i
(Signature of Permittee) (Date)
f Part F: Mailing Address
1
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-243-012005

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit_ hLtp,/fh2o.enr.,;tate.nc.us/sufFonTis D cu entz_E...n0miscforms
Permit No_: NICJ I I I 1 1 1 I or Ceti qte of Coverage No.: N/GG. .01,alu
Facility Name:u -
County: Phone No.
Inspector t
Date of Inspection: __
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storms Event? (See information below) Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary)_
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0-1 inches has
occur A single storm event may contain up to la consecutive hours of no precipitation.
By this si&atur+e. T ,,,,Mfv tb4 this 3eporjWVcurate and complete to the best of my knowledge:
(Signati= of Perm ittee or Designee)
1. Outfall Description: ..
Outfall No. I Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: N I %4
2. Color: Describe the color of the
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor Describe an distinct odors that the discharge may have (Le., smells strongly of oil, weals
chlorine odor, etc.):
Page 1 of 2
SWU 242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 2 3 4 5.
5.- Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended'Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4- 5
7. Is there any foam in the stormwater discharge? Yes CNo)
8. Is there an oil sheen in the stormwater discharge? Yes N
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 070A4Z
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2 — --
5WU-242-112608

CPi1 0 Dort
STORMWATER DISCHARGE MONITORING REPORT (DMR)
i
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
Para A: Facility Information
zvey
Samples Collected In Calenar Year: .J (v Z "( (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 Q351 County of Facility
Facility Name h o;e- i'h,1ne Name of Laboratory
Facility Contact 15-TeVQ-P, A to nkeol b-&P-V Lab Certification N
Facility Contact Phone No. 731. 21/11
I
APR 2 1 2014
m o;,? !! 6 n e r)l
WuLeg_ c:1-+ t
60
Part B: Land Disturbance ansProcess Area Monitoring Requirements Part C.- Vehicle Maintenance Monitoring Re uiremenis
Outfull
lVo.
Receiving Strean
Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity.
Settleable
Solids
molddl r
MG
m I
NTUs
mill
'3 ,q
'2 , !
CCU.
I
i
Part D: Storm Event Characo-istics
Total Event Precipation (inches): _ 0,15
Event Duration (hars): ,T
i
Part E: Certification
Outfall
No.
Receiving Stream
Name
Date=
50QSD
40556.1
:00530,..
.00460"
Sample
Colle�te
: `�,
Total
Flow ,
Oil and:
-
Grease
Total
! Suspended
Solids,':
; .
-pH .
moidd/ r
MG
m n `'.
m I'
unit.
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"I certify, under paalty 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
j of my knowledge ad belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
i Including the possillity of fines and Imprisonment for knowing violations."
—/y
(Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central File; DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-243-012005

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o -r
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/C/ ! ! I!_l_I_I or Certificate of Coverage No.: N/C/G/ lei' -ZIvl 3161 r 1
Facility Name: CXLL
jD U i2
County: _ m a ev r,j Phone No. 70 Y 3 2-0 - ' `-1
Inspector:"CC' Lz e
Date of Inspection:
By this signatyre, I certify that this report is accurate and complete to the best of my knowledge:
r...... d✓-1%, rv*
(Signature of Permittee or Dor se ignee
1. Outfall Description
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: GL� h
2. Color
Describe the color of the
dark) as descriptors: ____
using basic colors (red, brown, blue, etc.) and tint (light, medium,
OL ✓
3. Odor
Describe'any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 C2 ) 3 4 5 6 7 8 9 10
Page I
SWU-242-020705

7 " ' : , - - -IJ70 To�
cjoflq:
rjJ(.,0RG- JIM, U;IiLlpr.L R.I) [CIJ rM?CLl PC? I jJr, �JU i,-prw f I � CjQIL 'JlJq 10 !,'! Pe'L5
it-
0.1 ol I' u -7tX r I) JOLIV Orfol'
f-Imy 1, S? "va thlon: --- - -'-' ---- -- -,- - -- --- - - -- -- -- '. . --- --- -
Dr,2CLI PC 4110 solal q,,iclj "J-m ':Olr-L' (1ZIT PLOA I" Pific,' r(G-) :MCI I Mf
T* col 01.
ri 1
i I r; L
-CA

41 .
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
i/ 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
Cl)' 2 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes G
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes oNo
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes No
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes oNo
11. Other Obvious Indicators of Stormwater Pollution
List and describe YL U V` z
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
�— Page 2-------_-----��
5wU-242-020705

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STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information �'} za l Y
Samples Collected In Calendar Year: 2 `t (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 3-T i County of Facility
Facility Name Ca kt-j o ✓ _Vh, i7 a Name of Laboratory
Facility Contact-9-te—vek- P fi2 nkeol 6 e6:e4- Lab Certification #
Facilf ty Contact Phone No. ( 70t ) 43 fo - ZYl
ECEIVED
APR 21 2014
CENTRAL FILES
DWO/BOG
M �' DYriQr
WufC.r c=-. Lg,lo i
SO -
PartB: Land Disturbance and Process Area Monitoring Requirements Part C: Vehicle Maintenance Monitoring Requirements
1
Outfail `.
No
Receiving Stream
.'Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity
Settleable
Solids
-
moldd/ r
MG
met]
NTUs
ml/l
2.8SO
I
i
Part D: Storm Event Characteristics
Total Event Precipitation (inches): i� • r5 ��
Event Duration (hours):
1 Part E; Certification
I
Date,`
50054
40556
00534'=
00400,
OutfalE
Receiving Stream
Sample`
Total
Oil and
Total'
`
No.
Name
Callect,
Flow
Grease
fSuspeniled
:
;pfl•-.
�
d r:
,
.
golids;:.
moldd/ r
,. `MG...
m 1, .
in11`
• :u'oit
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
1 "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."
1
(Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-243-012005

o�0F w A rF
i`J r
4
o -c
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICI_I_l_I`I I_I 1 or Certificate of Coverage No.: N/C/G/ /-)l Z/O/3l, 1 I
Facility Name: D O i2
County: /CIS oY► f !�jo re� e- r Phone No. 70 y 3 20-Qq3-7
Inspector: �.� [ f cc n �Ce�► b e e _ _..
Date of Inspection: -73
By this signatyre, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pennittee or Designee
1. Outfall Description
Outfall No. �_ Structure (pipe, ditch, etc.) rip
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: �'/P a ✓
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weals chlorine odor,
etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
I / 2) 3 4 5 6 7 8 9 10
------- ---Page-1—__---��
S WU-242-0207os

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
jl } 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
oil2 3 4" 5 6 7$ '9 10
7. Foam
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9, Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes CjNo
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes oNo
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
Page 2
S WU-242-020705

s
STORMWATER DISCHARGE OUTFALL DO)
G
.ANNUAL SOMMARY, DATA MONITORING RE RT (DMR) a
Calendar Year ? v_ t,
General Permit No. NCO160000
Certficate of Coverage No- NCO16
ras C7C_ (�C�C.I .
i#This monitoring report summary is due tb dre DWQ Regional Office no than 30 days from th
e facility receives laboratory, sampling results from the final sample of calendar year
F ality Name: DO re i I U 8 - 7A Lo tz C-L } 12o o fj c..T `. .
County; :hd-1+Z� d are (-
Phone Number_ I70 _b36_ - z Yf f Total no. of SDOs monitored i1
OWW1 No. I
lsithis WI currently in Tier 2 (monitored monthly)? Yes ❑ N ouo
Was this outfall ever in Tler 2 (monitored monthly) during the past year? Yes ❑ No
if Ws outtall was in Tier 2 last year, why was monthly monitoring discontinued? 2.
Enough consecutive samples below berichmarics to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
other❑ r
€
00W
00M
-Vehidle
:..
Maintenance
S
_
Acth tses
New Motor oil
usa
f.
Total lairrtall;
1
gal/morith
Outfall
niches
TS
� % nu
AVA
' BWhnmrk
E}
NIA
1W
y
/ma�yy RIO
YA1G � Wk1ft�,
J` Y j`�`� Ys sin
F �J ��-A - "G
✓vyi,
jj�Y
� Z £� " �
-
mol dlyr
-
4 r
.
4
}
n
-- �'• __ _ -_ — - Last Rei+isea 7-1 2010

1
STORMWATER DISCHARGE MONITORING REPORT (DMR)
IF Please Mail Original And One Copy To Mailing Address Below
I GENERAL. PERMIT NO. NCGO20000
i
Part A: Facility Information
Samples Collected In Calendar Year: _ _ U l 3 - (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 a 3 S - County of Facility
Facility Name Name of -Laboratory
Facility Contact Lab Certification #
Facility Contact Phone No. C-7-OD / 1
vr'Q ye -
Part
B: Land Disturbance and Process Area Monitoring Requirements Part C: Yehicle Maintenance Monitortn Re utrements
J
Outfall .' , :
No. ;.:;
;
Recelying Stream
1 - :
', Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity...Solids
Settleable
-'
moldd! r
MC
I mpA
NTUs
mill
1
Part D. Storm Event Characteristics
Total Event Precipitation (inches): C/ 20
Event Duration (hours).
i
I
Part E: Certification
i
Outfall
Na.
Receiving Stream
Name
Date`,e
'600ad�'
00556',
: gi)530
00401?,
Sat"ple,Y
Gollec(e
add'.,..:.
Total
,y
FF FIaW
Oil add
�Gr�9se
Total
Suspnded,
' Sollds;a
„
pH::
unit;
Total Event Precipitation (Inches):
Event Duration (hours): _
(if a separate storm event is sampled)
1 "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.
(SigiWture of ermit ee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-I617
0
SWU-243-012005

STO�MWATER DISCHARGE OUTFALL
ANNUAL SUMMARY, DATA MONITORING REI
Calefidar Year
era] Permit No. NC01 6DOOO
incate of coverage No- Ncol 61- 11 1HUB
woMtwft rqwd -4umnoW is due to the DWQ Reoanaf Office no to
facility rives g rewft from the final sample of
ifty Name: _CAV 00 le, - ffi- UU -mtyLorzi (::L`�
UNM 310 from
=d=r_
120 0 (1 try;
inty- 5 d5 A%e &fl!;f
me Nurnber- (--70Y- -) 4,3G - -e I///- Total no. of SDOS mondored
daft
I
this outhill cunvntly in Ter 2 (monitored monthly)?? yes 11 No EK
- -
W�s this ouVWl ever in Tier 2 (monitored monthly) during the past year? yes ❑ No
if this outfidl was in Tier 2 last year, why was - monthly monitoring discont!nL? i
I Enough consecutive samples below benchmarks to decrease frequency 0
Recehred appmvW from DWQ tD reduce monitoring frequency El
00W
Go=
00400
Vehlde
MaIntenince
AcUvftles
New PAOUW on
U=g
gaymoi-
wh
outw
3% Mn
BWN*Mwk7
WA
1W
6 f
N/A
nWIdlyr
-4
Y_
ZeL
1 J
Last Revised 7-1 0

kok�44 ' �Whl
Report
For guidance on filling oufthis form, please visit: bi!p:L/h2o.egL.stati.nc.us/su/Forms-DocyWent&bMftiscforms
-prtifirstr- of Coveraec Na_: N/C�G
Facility Name:
County:- Phone No,L70Y) _37a-QY32
j
Date of Inspection:
Time of Inspection: 7;-36' A -OK
Total Event Precipitation (inchr.-O:
W­ thk s Renreseritative Storm Event? (See infoirmation below) O.Yes M No
Please check your permit to veryy if' Q=aadvemomwnng MU"
0
I occurred- A single storm event may contain up to 10 consecutive hours of no precipitation -
By this sigaa17ftt--_,
(Signature.of Permittee or Designee)
1. OutM Description-
Outfall. No. Structum (pipe, ditch, etc.) P
Receiving Stream.
Describe the industrial activities that occur within the outfall drainage ar= eM jO1 2::)
2. Color: Describe the color of the ;dischai-ge using basic colors (red, brown, blue, etc.) and tint 1a
(light, medium, dark) as descriptors:_ —'!� (', - e-
3. Odor: Describe any distinct odors
chlorine odor, etc.): 14 a 0, -e-
,the discharge may have (i.e., smells strongly of oil.- weak
�Page I of 2
SWU-242-112MS I

' 4
5_ . floating Solids: Choose the number which hasi
.,d:Ao ..ri Skac -hp _-.rsno,
1 /2 3 4 5
� � k
b. Suspended'Solids: Choose the nutntyffwhich best desedhes Lh --m— .m
LLLG
"l�sce, whem 1 is no Cniidq an' d 5 is extremely muddv:
�LVtlilri niC.i uih'�
1 ` 2) 1 3 4
r �
!. LJ Ui41.. iU ::i.-'..W.� :..:-lid Ci_/:_�! •,+�nrar n rl ns�Y4C`: es / / — �1
F .ct nriM t�p Cf'Ylj'1V
VPn '/•7Vn�\
k A �
r�
- _•' - -. __ ._ _ - _ 'tit.. :
_ 1
r
a
Note_: Low clarity, high solids, and/or the presence of foam, oil slieen, or erosion/deposition may be
indicative of pollutant exposure. These conditions wafrant further investigation.

f STORMWATER DISCHARGE MONITORING REPORT (DMR)
i
1 Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar Year: ,. V 13 (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 035L County of Facility
Facility Name CANDOR Name of Laboratory
Facility Contact 5••J-euQh8141oh eker Lab Certification #
Facility Contact Phone No. 70 Y 32D - O `f 3 w7
I
ECEIVED
MAY 15 2013
DENR-FAYETTEVILLE REGIONAL OFRCE
YV}vnf prr+Er
C]
Part B: Lana Disturbance and Process Area Monitorin Requirements Part C• Vehicle Maintenance Monitoring Requirements
i
'
1utfalI
:ONo
Receiving Stream
Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity
Settleable
Solids
i
moldd/ r
MG
m A
NTUs
mill
1 3
�.�
• 3
'3 , q
<0, l
II
I
I
Part D: Storm Event Characteristics
I
Total Event Precipitation (inches): 0 • 26
Event Duration (hours): �—
I
Part E: Certification
Outfall
No.
Receiving Stream
Name
Dato,
5fl�50
:0455b ..
Oi1534
00400 ,
Sample`"
Collec(e
Total
Flow
Oil antl
Criese
Total
�'Suspen' d
Solids
pH
mo/tld/ r
.14IG..
m.:'1'
unit.:.
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
I
"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 bellef, true, accurate, and complete. I am aware that there are significant penalt s for submitting false information,
Including the possibility of fines and imprisonment for knowing violations.'
S 10 -13
(Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-012005

ruYe(-k "YX
RECEIVED
!AN — 9 2013
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report of_NR--FAYETTEMLLEREGtONALOFRc>~
Permit No.: N/C/ 11 l I l^I^/ or Certificate of Coverage No.: N/C/G/ 0 zi0/3 I r I l
Facility Name: Ca r,Zja ! M ;he
County: M o A 01h e ry Phone No.
Inspector: _ S ^�'' � f u r ke_ t624.e_ w _
Date of Inspection: 19;t L / 2 _
Time of Inspection: 3 ; l0 P i''
Total Event Precipitation (inches): 0,19
Was this a Representative Storm Event? (See information below) 04, Yes ❑ No
Please checkyour permit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and compleje to the best of my knowledge:
(Signature of Permit) or Designee)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.) -
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:_ M /I r' ^ la
2. . Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ c tics ✓
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells -strongly of oil, weak
chlorine odor, etc.): 11 a in �
—_-- , —Page-l-of-2-
SWLJ-242-051308

r `4
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 O 3 4 5
5. _ Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with -floating
solids:
1 2 3 4 5
G. Suspended Solids: Choose the number which best describes the,amount of.susperided solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
01 11 2 3 4 5
7. Is there any foam in the -stormwater discharge? Yes
6No
8. Is there an oil sheen in the stormwater discharge? Yes
ONo
9. Is there evidence of erosion or deposition at the outfall? Yes
No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe ,
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S WU-242-051308

4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
1 0 3 4 5
5. _ Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
(1)
2 3 .4 5
b. Suspended Solids: Choose the number which best describes the,amount of -suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
/��
/ IJ 2 3 4 5
7. Is there any foam in the-stormwater discharge? Yes 6No
S. Is there an oil sheen in the stormwater discharge? Yes ONo
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of
S WU-242-05I308

PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
I
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
Part A: Facility Information
I
Samples Collected In Quarter: Q 20 3 all samples shall be reported within 30 days following monitoring period)
(ClydrA
Certificate Of Coverage No. NCG02_Z 3.51 County of Facility 0 h T t Lee,
Facility Name Ca kdo r hl ; n e Name of Laboratory WU-�Pv ° e 6
Facility Contact v -f r, hli 4-a4e✓ Lab Certification #
Facility Contact Phone No. 70,1 el l
Part B. _ 8 L a -, Cif"5 6.,-bctN C2
i
.}. , { 'f:
Oui'fa11�4�
} � (n,5 'r A A lS S ' "1°7 �,S
i'y,P
' il1 I t � I1.
.i y{I+41 } : J Rq
Yet.'; C F'.�
j'
n n ,y-
,bh L �u
i- �5" r• ,f !:
�
iiWgil01!
P �
�
OP. ded r 1id���
Turl�tdit����
�Sef#lea�[��s,alias
�1'tEmbf+r
r .9'`, :'Ili"�h.rF " � a�..��lY.`6'+..'
"' y1T ��
'�.+i.:.nKi".bi+r
�
.,i, .
r �
w r � . vs ft : �
a.r". `;q'Y11.:'
F .fir r ._ S.iI .uiM�, •..;
E�5�'Sl,'JI,yQ.
A S 'Ltf}It
k41''�' i, "��.y.., .+r•r.
�. 11'wrVl"'
r ��
iry��
tv r �+
+'
in• �� 'i}.'tar �C• �'6,k17 +.
i'. r�' YI
`i5'>'=*i: xbF�'F'�
.:.i
i ', 7 1 tr
f-A-. �G.
I t5
-I.1�1r.l.r. yt.Y. ^.
}{ ��JJ y�
LSf4 otf�t%]IM
,I,�1�
��n1 L.11• ],r "1'r
�'. n�t '�
-Y,; �.
,ISW. t y-.JI{�.� I.y
r{1� u�,1yy1
Y:r\;1. i':1'
k.
�s�l'�f�n��ll,��'� �_4
I
i
I '
I
Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump logo,
Part C: Certification
"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 bmitting false Information,
1 Including the possibility of fines and Imprisonment for knowing violations."
, _� 3
(Sign ure of Permittee) (Date)
Part D: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
CU,n 1_ldA_A I'MI14

STORMWATER DISCHARGE OUTFALL DO)
ANNUAL SUMMARY DATA MONITORING REP RT (DIVIO)
Cal,efidar Year
General Permit No. NCO160000
Certificate of Coverage No- NCG 1 6EIE100El AICGOZ635'1
This monitoring report summary is due to the DWO Regional Ombe no latfr man 30 days from the date
the facility mceives laboratory_ sampling resuft from me final sample of Me calendar year_ j
Facility Name: D17 i2 l Ai rAl-ILOR 1eo 0 u tr-5'
&w. filer%
Phone Number: (70Y ]KG - -Z E// j
t w Total no. of SDOs monitored
duftil No.
Is this outfa'll currently in Tier 2 (monitored monthly)? Yes
Was this outtall ever in Tier 2 (monitored monthly) during the .past year.? Yes El
If illis outWl was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring fre, quency ❑
Other 10
No
No Dr
.4

DENR-FRO
MAY 2 5 2012
_ DWQ
Stormwater Discharge 4utfall (SDQ)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httpa/h2o.enr,state.nc.us/su/F'orms Documents. htm#m iscforms
Permit No.: N1C1f-2'1 a Z/d/ 10 �l 0
Facility 1
County:
Inspector
Date of Inspection:
Time of Inspection:
or Certificat6 of Coverage No.: NIC/Gli9l Z/ O/ 316- 11
y�2& / ZU1 Z --
9=00
Total Event Precipitation (inches): 0 —13 5
Was this a Representative Storm Event? (See information below) Q 7 eS ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. l Structure (pipe, ditch, etc.) 12 R
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: 141 1 n r n a' C/
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C (e Gt
3. Odor: Describe any distinct,odors that,the discharge may have (i.e., smells.strongly of oil, weak
chlorine odor, etc.): ;o In
Page 1 of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: /'}
1 (2 J 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
/
�1 ) 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
Cl) 2 3 4 5
7. Is there any foams in the stormwater discharge? Yes DNo
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes (50
10. Other Obvious Indicators of Stormwater Pollution:
List and describe h d it E
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosionideposition may be
indicative of pollutant exposure. These conditions warrant further investigation_
Page 2 of 2
SWU-242-112608

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number. NCS or
Certificate of Coverage Number NCG [> Cl__ Cj 1
FACILITY NAME C eL XJO y CGl y Ct 7 w L' v- ; hC
PERSON COLLECTING SAMPLES)__ S T ,02 t ckn kg
CERTIMED LABORATORY(S) WH(-e? Lti Lab 4 4Z
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 20 1 Z
(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 CJii �4 Ui+l e'r
PHONE NO.
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2
EN
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, oompletc Part B)
Part B: Vehicle Maintenance Activity Monitorima Requirements
Outfall
Date
SM50
00556
00530
00400
No.
Sample
Collected
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GrfPH
(Method 1664
SGT-HEM), if
a 1.
Iatal
Suspended
Solids
pH
New Motor Oil
Usage
molddtyr
MG
inches
MWI
mga
Units
al/mo
Form SWU-246, last revised 21WO12
Page 1 af2

STORM EVENT CHARACTERISTICS:
Date/ /Z
Total Event Precipitation (inches):
Event Duration (hours): >'.') (only ifapplicable — see penniL)
(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 Water Quality
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. 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 possibility of fines and imprisonment fo knowing violations."
79
/). 5-- 03
(Signature of Permittee) (Date.)
Form SWU-246, lacy revised 2/2 O12
Page 2 of2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year Z O / 1
DENR-FRO
JAN 0 4 2012
DWQ
General Permit No. NCG160000
Certificate of Coverage No. NCG 1 fi❑❑❑❑❑ N C G 0 z 6 3 5-1
This monitoring report summary is due to the DWQ Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: Cpaj 0012 M Itil,-Tj1`YLU12 191200 007`5
County: ?►�ar#�jarne.�y
Phone Number: (7 6v 36 - z yl1 Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Last Revised 7-1-2010

..� `'..
. .
—
o
` � .-----
. .�

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."
Signature
Date I - 2- — / 'L
N
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ._.(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
ASHEVILLE REGIONAL OFFICE
FAYETTEVMLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
,WASHINGTON REGIONAL OFFICE
WMMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27899
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
,WINSTON-SALEM REGIONAL
CENTRAL OFFICE
OFFICE
1617 Mail Service Center
To preserve, protect
585 Wau htown Street
g
Raleigh, NC 27699-1617
andenhance
Winston-Salem, NC 27107
[phone]
North Carotrna's water..."
(336) 77I-5000
Last Revised 7-1-2010

,. %A3r
Stormwater Discharge Qutfall (SDD)
Qualitative Monitoring Report
Forguidance on filling oufthis form, please visit: http:I/h2o.enr.stat6.nc.us/su/F'orms Documents.htmfmiscforms
Permit No.: N/C/G/ 01Zl0/ 0 al P or Certificate of Coverage No.: N/ClG/&9 013151-L1
Facility Name: CAPiDom Ih I A.1 I
County: 0A1 T Gb M ERY Phone No. - o Y) 636 - 2 Y/1
Inspector: M Ike t- A w Vert
Date of Inspection: La - // . //
Time of Inspection: 7= 30 ^M
Total Event Precipitation (inches): d - 3 Z
Was this a Representative Storm Event? (See information below) E Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at Ieast 72 hours.(3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signaturf, I certify at this report is accurate and complete to the best of my knowledge: /). bj.A—�
(Signature -off Permittee or Designee)
1. . Outfall Description:
Outfali No. TI Structure (pipe, ditch, etc.) PxrO a __
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: M i V1 #11 a [•I AL v
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: �r I e A r
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): no n E
Page 1 of 2
Swu-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
V 2 3 4 5.
5.. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Sttspended-Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
Q 2 3 4- 5
7. Is there any foam in the stormwater discharge? Yes CN)o
S. Is there an oil sheen in the stormwater discharge? Yes CN)
9. 'Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-112608

u a viurt rr Ei i rjn 1)I0C11AttLr'L+' MU NITURENCY REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Prtrt A; Faclllty ImfPI•mat[on
Samples Collected In Calendar Year: �� j (all eampies•sliall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG102-' County of Facility r v cti of e r
Facility Name (:ae �) i- Name of Laboratory W'nk r k ek G 469
Facility Contact Lab Certification f#
Facility Contact Phone No, [ Zi- ' 26- " q'1
Part B; Land Disturbance and Process Area Monitar(ne Requirements Pail C; Vehicle Maintenance Monitorinz lteautremenu
FWD
Rd11 11.
i �I
' A idI�CI�i�At'
IiQfil
rii�m�kr
Parr D; Storm Event Characterlstfos '
Total Event Precipitation (inches): :ci •• 3'--
Event Duration (hours); 1
Part Er Cei-ti icatton
DEC 0 12011
I, 11 1is
Total Event Precipitation (Inches):
Event Duration (hours):
(if a separate storm avant is sampled)
" I certify, under penalty of law, that this document and all attachments wore prepared under my direction or supervision In accordance with a
system designed to assure that qualified personnel properly gather• and evaluate the Information submitted, Eased 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 Informado%
Including the possibility of tines and'imprisonment for knowing violations.'
441
(Signature of Pernnittee) (Date)
Part F; Mailing Addy ese
�.._, Files, vQuvice Center, Ralelgh, NC 27699-161'1
-..___.___..._..._ ,..ttn.T Central P'lles,.DLNR, N1C..Diision of Water silty,1617 Mail Service ..,........ __.........._......._,.._....._ ... _......,,.. _.__.. ..... ,. , ...... .., ,. .. , .... .
A� E411" 0 M AI tWIARe

APR PRO
DVVQ
Stormwater Discharge Outfall (SDO)
- 'Qualitative Monitoring -Report - - .. - - - -
Permit No.: NICIL /01 Z1 .l o / OI Ql or Certificate'of Coverage No: NIC/Gl dl -#31 3 /.57 1 I '
Facility Name: [_'AN b o 4 MINE -
County M Ot J T L v: A e-R -- Phone No. 70y
Inspector. . M;Kr-
Date of Inspection: 3I ga!
Time of Inspection: 9 = W AM
Total Event Precipitation (inches): C) . % the s
Was this a Representative Storm Event? (See information below) 9/Yes ❑ No
Please checkyourpermit to verify if Qualitative Monitoring mast be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain.up to 10 consecutive hours of no precipitation.
By this "gnature, I certify that this report is to and complete to the best of my knowledge:
(Signature of Permittee or Desighee) --
1. Oatfall Description: "
Outfall No. Stricture (pipe, ditch, etc.) -
Receiving Stream:
.Describe the industrial activities that occur within the outfall drainage area: rn ; h ; h . i op -day
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.).and tint
(light, medium, dark) as descriptors: C I e r
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): - no.1
ii
'Page 1 of 2
SWU-242-051369

.8 • 1%

i;
ill
4. Clarity: Choose the number which best -describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: _
2 3 4 5
5. _ . Floating Solids: Cl;;oose the number'which best describes the amount of floating solids in the
stormwater discharge, where 1 is.no solids ana 5 is the surface covered with=floating solids:
1 3 4 5
i
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy: } .
:
Cl)2 3- 4 5 ;
;1
7. is there any foam in the stormwater discharge? Yes oNo `IE
8. Is there -an oil sheen in the stormwater discharge? Yes oNo
9: Is there evidence of erosion or deposition at the ou fall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe h o r?
i'
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure_ - These conditions warrant further investigation.
Page 2 of 2
swu-242-05I308

A . �
Id

STORMWATER DISCHARGE MONITORING REPORT (I)MR)
Part A: Facility Information
Samples Collected In Calendar Year,
Certificate Of Coverage No.
Facility Name
Facility Contact
Facility Contact Phone No.
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCGO20000
(all samples shall be reported within 30 days following monitoring period)
NCG02 h > f County of facility
Name of Laboratory
it niters k, u: r' Lab Certification #
Part B: Land Disturbance and Process Area Monitoring Requirements
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Part D: Storm Event Characteristics
Total Event Precipitation (inches): ()-- q 7 --
Event Duratioti (hours): !E
Parr E: Certification
DENR-FRO
U � ► t'Cy C7r'1ti E:' � �
Lk
hZ
Part C: Vehicle Maintenance Monitoring Requirements
APR 21 2011.
DWQ
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old 1' rt
Total Event Precipitation (inches);
Event Duration (hours):
(if a separate storm event is sampled)
"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 quailfled personnel properly gather, and evaluate the information submitted. Based on any 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)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27ti99-1G1?
�....__•v.. --____ —._ _ _
n41nr — n,nnnr

DENR-FRCS
Individual NPDES Permit No. N
Certificate of Coverage (COC) No. K
STORMWATER DISCHARGE OUTFALL (SDO) DEC 10 2010
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) ®Y�,1�,Q'
Calendar Year ZO /Q ., .r .
or
This monitoring report summary of the calendar year is due to the,DWO Regional Office no later than March 1" of the following year.
Facility Name: r�.✓ C'�a. v C� O i� _� ti i
County: 1+? 0.1 o nn � -
Phone Number: (_7 y) - Z y Total no. of SDOs monitored r
Outfall No. i
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Er
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No [v]'
Total
Rainfall,
inches
Parameter, (units)
TOTA-L
'4:L0G►1t;�/,�
-rC) j AL
Sc� s POND ED
snuDS
T v r fy
$a it/cpble
5vlfc�S
Benchmark
N/A
Date Sample
Collected,
mm/dd/yy
/D 26
2 •S
2.5
D •YD
<C7.I
SW U-264-Generic-25May2010

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
Signature
Date 12 - 9 -
tion, including the
P - 4�"
bility of fines and -imprisonment for knowing violations."
DEAR -FRO
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact_Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
DEC 10 2010
®WO
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
�WASRINGTON REGIONAL OFFICE
,WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL
CENTRAL OFFICE
OFFICE
1617 Mail Service Center
"To preserve protect
585 Waughtown Street
Raleigh, NC 27699-1617
and enhance
Winston-Salem, NC 27107
[phone]
North Carolina's tivafsr:_."
[phone]
Last Revised 7-1-2010

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STORMWATER DISCHARGE OUTFALL (SDO) DENR-FRCS
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year. ZO/O DEC 1 0.2010
Individual NPDES Permit No. NCSHHLH"L or
Certificate of Coverage (COC) No. NCG©❑Z 0©[j30
This monitoring report summary of the calendar year is due to the DINO Regional Office no later than March 1" of the following year.
Facility Name:
County: M
Phone Number
CJaA1nap mU k r
Total no. of SDOs monitored
Outfall No. I
Is this outfail currently in Tier 2 (monitored monthly)? Yes ❑ No Er
Was this outfail ever to Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was In Tier 2 last year, why was monthly monitoring discontinued?
Erough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No 0'
Total
Rainfall,
Inches
Parameter,
units
-to-rtFL
FLOW
TG! A
$v5 PI,=NDr 0
so u OS
bT d; �y
SIP tt'l'-N
S o C� S
Benchmark
NIA
Date Sample
Collected,
mmldd/yy
fv
7.2
� 2r
/p 266.
Z7
2 •
CC7.i
Nl
SW U-264-Generic-25May2010ri

" 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 property 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
Signature A
Date i2 - ff -/0
of fines and -imprisonment for knowing violations."
Mail Annual DMR Summary Reports to:
DWO Regional Office n ct Inform ti n:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
ASHEVILLE REGIONAL OF]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
E FAYE'I FEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
' Fayetteville, NC 28301-5043
[phone]
RAGEIGH REGIONAL OFFICE WASHINGTON; REGIONAL OFFICE
3800 Barrett Drive 943 Washington Square Mall
Raleigh, NC 27609 Washington, NC 27889
[phone] [phone]
OFFICE
585 W aughtown Street
Winston-Salem, NC 27107
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
f
DENR-FRO
DEC 10 2010
DWO
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON'REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
. 'To serve, protect
]'�: and enhance
I�SI+�rth Carolina's water_.
Last Revised 7-1-2010