NCG140013_MONITORING INFO_20190305

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv C&]qool3
DOC TYPE
[I HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ 01 ko
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2a18
Report ALL WASTEWATER monitoring data on this form (include' No FloVV71No Discharge" an i _ jt_ iolations) from
the previous calendar year to the DEQ by MARCH 1 of eKch year. �/
Certificate of Coverage No. NCG14 0 0❑ 1❑ 3❑ MAR 0 5 Z019
Facility Name: Albemarle Plant .. r, , i , rt
County: Stanley 'JJ`lPJR SECTION
Phone Number: (336 ) 983-2181 Total no. of outfalls monitored 2
Certified Laboratory Prism Lab Lab # 402
Lab #
Wastewater (WW) Discharge Outfall No. 001
Does this outfall discharge WW to SA waters? Yes ❑ No ❑✓
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No 2]
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No 0
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No 0
Were there any limit violations in the calendar year? Yes ❑ No ✓❑
Outfall No.
001
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll
SS,
mill
It applicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgll
Effluent
Limitations
Daily Maximum
HOW or ORW
50% of 7Q10
Indicate
dicate NO FLOW
applicable
freshwater
6.0-9.0
saltwater
6.8-8.5
Standard
30
NOW
2V
HOW I ORW and Tr, or
PNA
10
HOW. ORW, SA,
se, PNA, or any
Trout
5
No Limit
Samples above Benchmark
subject W Tiered Responses
15
Date
Sample
p
C Ile ted
O G ]
molddl r
t �.v`�A,
`.�.• x �v
i ; a `°i,P
Pr [ R ,} w4 [
S t,✓ 'i f ie £ :
gg {a: qg
etd>
`u� :
2.04
�€;,"r.�" Yap
E 3 i ,..
e
j �q'{jjjf q}'
J
i 3.' b' 4## i�
v, ,
1Z,s
�2 pq .f $( i '�i t�j,Y
3E •{ E
e:d.
# { `£i§•�' i'Y,;
j$i #n
(1}2
�•+m #qc kS `w(iaN i f3 F� i:- a Y,i•
sr4 i Ft i `� ro
- 1.' F- 3" ui', Av�� sF{�.5C �a
.;.. I .GIs Phi dE,...@l
3/19/2018
001 NO FLOW
612912018
NO FLOW
9/2012018
NO FLOW
10/10/2018
NO FLOW
Permit Date 811/2017 — 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No. 002
Does this outfall discharge WW to SA waters?
NCG14 0❑®M3❑
Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year? Yes ❑ No ❑
Outfall No.
002
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgili
SS,
mill
it applicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgll
Effluent
Limitations
Daily Maximum
HQW orORW
50% of 7Q10
lndicare NO FLOW it
applicable
freahvuater
6.0-9.0
saltwater
6. $-8.
Standard
30
HQW
n
2U
HOW l ORW a t Tr, or
PNA
10
HQW, ORIN, 5A,
SB,PNA, orany
Trout
5
No Limit
Samples above Benchmark
subject to Tiered Responses
15
Date
Sample�;�
Collected
molddl r�.;..._,�t�4;�,'
,�; 1i ,y,, 'hi �
�, ����
Lh 'Ik: i I 3
���°$ � �,(y,�! ;� I � ? �e �
�{{
� � ,y.
h.: tR4'1
, i 4 �
L, , tom,
E€ [€
� ,; �
p€(gBp` � � �
I�r�
#t
q}3 p� ,�
9
:t , t-
�"rxi V
_ °
Y de"x4j [r Y i" iNt L F
:��¢ ,;+��1 €,�#3,
y� y{ 3tr i3�
1-
Z
6129118
NO FLOW
10/10/18
NO FLOW
Permit Date 8/1/2017 — 6130/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG 14 E'C1T7
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 .
submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Required by 40 CFR §122.22] /
Signature
Date a
Mail Annual Summary Wastewater 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 DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 811/2017 — 6130/2022
Last Revised 8-22-2017

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
'Report ALL STORMWATER monitoring data on this form (include "No Rovr rNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 FEE in
Facility Name: Albemarle
County: Stanley
Phone Number: (336 ) 983-2181
Certified Laboratory Prism Lab
Lab # 402
Lab #
Total no. of SDOs monitored 2
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No o
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑RECFI\/Fif)
Was this outfall ever in Tier 2 during the past year? Yes ❑ No El
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? MAR 0 4 2019
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
CENTRAL FILES
Yes, received approval from DEMLR to reduce monitoring frequency © CWR SECTION
Other
Outfall No.
001
Total Rainfall,
inches
Total
Suspended'
Solids TSS
� ��
mg/1
pH,
SU
Non -polar O&G
(EPA Method
1664 SGT-HEM
( })�
mgll (VMA)
If applicable
New Motor Oil
Usage (gallmo.)
llappfkabk
Stormwater
Benchmarks
Indicate HD FLOW!
applicable
Clrcle BenthmarN
100150
6 �-� O
.� �
>66 gallmo. average requires TSS and
Non -polar O&Gmanitorinq
Date Sample'
Collected,
molddlyr
A,'e<'
1F.'%x
„�€
843,,'�3¢
Ott€<, tags
4fRe'yi
i9."�3
a
3/19/2018
NO FLOW
6/29/2018
NO FLOW
10/10/2018
NO FLOW
Permit Date 8/1/2017 — 6130/2022
Last Revised B-22-2015

Certificate of Coverage No. NCG14 ®Un 3❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfail currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfalI 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 ❑
Other ❑
Outfall No.
Total Rainfall,
inches
Total
Sded
Suspended
Solids (TSS),
m /I
p H ,
SU
Non -polar 08tG
(EPA Method
1664 (SGT-HEM)),
mg/1 (VMA)
If applicable
New Motor Oil
Usage (gallmo.}
If applicable
Stormwater
Benchmarks
IndicateCircle
NO FLOW if
applicable
Benchmark
� aor5o
n
6.0-9.t)
ee
1 J
>56 gallmo. average requlroa TSS and
Non -polar O&G monitoring
Date Sample
Collected i
moldd! r
' ' s,'l ' °iu;
{{a%3 n iI
i:ii i,° 4� :at+ h
iiYY $
9 d } f 8 ��: �., � � 3 �.
d �f
'' , tarFi
� e aTh.,y
.�...�
€} i r , a h€
l d 12 EE >a:]]
� L � §� �4
i,' 'i
11i #
F Icy
'l4
SF} t Y i {,ytEY �Fg , {iq 4i+F'�pgV
a ,�, •,°<
xp
r,
a y Yp;
f id f 3q'3 #c i
3/19/2018
002 NO FLOW
6/29/2018
002 NO FLOW
10I1012018
002 NO FLOW
Permit Date 8/112017 — 6130/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 LMFC
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
submitting false informatior}, including the possibility of fines and imprisonment for knowing violations."
(Required by 40 CI"R §122.22]
Signature '
Date
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 DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8111201 T — 6/3012022
Last Revised 8-22-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE"
General Permit No. NCG140000
Calendar Year 2017
*Report ALL STORMWATER monitoring data on this form (include "No FloWl"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG 14 ®® l❑ 3❑ `~ �
Facility Name:
Albemarle MAR 0 7 Z018
County: Mecklenburg L:L_I\1 I RAL FILES
y DWR SECTION
Phone Number: (704 982-9876 Total no. of SDOs monitored 2
Certified Laboratory Prism Lab Lab # 402
Lab #
Stormwater Discharge Outfall (SDO) No. 001 & 002 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 ❑ No ❑✓
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 E3
Other ❑
Outfall No.
Total Rainfall,
inches
'
Total'
Suspended
Solids TSS ,
( )
m II
�
pH,
� SU
Non -polar O&G
(EPA Method
(EPAMethod
( ��
mgll (VMAj
f(applicable
New Motor -Oil
Usage (gallmo.)
sapplrcable
Stormwater
Benchmarks
lndlcato NO FLOW if
applicable
Circle Benchmark
1 oo'lJ. n
V
6.0-9, 0
1 5
>56 g allmo. average requires T55 and
Non -polar O&Gmonitoring
Date Sample
Collected
molddl r
{ f
f95i�i��5i
'`
Se.
.x. .�,',lq .3sM<c,i»£a"iFB
(y
3/28/2017
001 No Flow
002 No Flow
12/20/2017
001
7.4
BRL
002 No Flow
Permit Date 8/112017 — 6/30/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 O© S❑❑3
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
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR § 122. ?2]
Signature
Date
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 DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 81112017 - 6/30/2022
Last Revised 8-22-2015

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140013 RECEIVED SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: Albemarle SAMPLING PERIOD: ❑ July -December
PERSON COLLECTING SAMPLES :_Scott Miller 14 ii 2 7 Z017 COUNTY Stanly
CERTIFIED LABORATORY: Prism Lab # 402 PHONE NO. [phone]
CENTRAL i=ll_ES ADD TO LISTSERVE? [—]YES ®NO EMAIL:
OPTIONAL INFO: _ ,.rI..��
...... e ` ' ' DISCHARGING TO CLASS: ®SA ❑HCI,W
Part A: Stormwater Monitoring Requirements
® January -June
❑PNA ❑Trout ®Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
(standard
Units)
TSS
(mg/L}
Event
Duration
(minutes)
Total 4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
-
6-9
100 '
-
-
-
-
001
3/28/2017
NO FLOW
002
3/28/2017
NO FLOW
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shelf be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected 1
(mo/dd/yr)
PH
(Standard
Units)
TPH using method
1664A5GT-NEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
inTier 2
Sampling2
6-9
15
100 '
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME: Mooresville NCDENR
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED. -
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that ualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those pers s dire ly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
a aware t t t e are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Siinature of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

t
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140013
FACILITY NAME: Albemarle
PERSON COLLECTING SAMPLES: Scott Miller
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Reauirements
SAMPLE COLLECTION YEAR: 2017
SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec ®Jan -March []April -June
COUNTY: Stanly
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW
OPTIONAL INFO:
❑PNA []Trout ®Other
Outfall No.
Date Sample
1
Collected
{mm/dd/yr}
Type of Wastewater
Z
(VE, RM, MD}
pH
(standard)
Total Suspended
Solids
Solids
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L}
Duration
{minutes}
Total Flow
7
(gallons/day}
-
-
RM, MD-
6-93,4
303,5
53
(15)6
-
-
001
03/28/17
No Flow
002
03/28/17
No Flow
7
CU
TRAL FILES
DVVR
SEC I ION
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons di ctly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am awRre thpt here significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140013 FACILITY NAME: Albemarle RECEIVED
PERSON COLLECTING SAMPLES: Jerry Dry !AN 2D17
CERTIFIED LABORATORY: Prism Lab # 402
CENTRAL FILES
LIMIT VIOLATIONS? YES []NON DWR SECTION
Part A. Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
COUNTY: Stanly
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
z
{VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
5 (mg/L)
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
{gallons/day)
-
-
RM, MD-
6-93'4
303,5
53
{15)6
-
-
001
12/06/16
RM
6.9
BRL
BRL
N/A
>1
002
12/06/16
NO FLOW
V -
-v
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action_
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY IINCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directl responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware th.?t thezare s+,gnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
L lEr /((r((- _
(i nature of permittee) (Date)
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140013
FACILITY NAME: Albemarle
PERSON COLLECTING SAMPLES: Allen Hehrey
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: Stanly
PHONE NO. [phone]
ADD TO LISTSERVE? OYES ®NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW
OPTIONAL INFO:
❑PNA ❑Trout ®Other
Outfall Na.
Date Sample
1
Collected
(mm/dd/yrj
Type of Wastewater
(VIE, RM, MD)'
pH
(standard}
Total Suspended
Solids
(mg/L}
Settleable
Solids
(mL/L}
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
(minutes)
Total Flow
,
(gallons/day}
-
-
RM, MD-
6-93.4
303'5
53
(15),
-
-
001
8/31/16
No Flow
7_ l'i l
If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/201S Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 1SA
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUS►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.
I am aware th4 therkare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140013
FACILITY NAME: Albemarle
PERSON COLLECTING SAMPLES: Ken Lowder
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitorine Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
COUNTY: St my
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW
OPTIONAL INFO:
❑PNA ❑Trout ®Other
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
pH
(standard}
Total Suspended
(mg/L)
Settleable
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
r
[minutes)
Total Flow
t- .
gallons/day)
� n
-
-
RM, MD-
6-93,4
303'5
53
(15)6
-
_w.1/
001
06/20/16
No Flow
t,
'
r €"
p I
-..--`
AUG
0 9 2016
111/
s
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC OZB .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons d' ectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am awAre thajj here significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/ �-fe-//b-
(Sign ture of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCC3140000
CERTIFICATE OF COVERAGE NO. NCG140013
FACILITY NAME: Albemarle
PERSON COLLECTING SAMPLES: Ken Lowder
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES []NON
Part A: Wastewater Monitoring Reouirements
F?EFCEI , SAMPLE COLLECTION YEAR: 2015
1 V ISAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
MAY I ; ;. COUNTY: Stanly
PHONE NO. [phone]
[)wRSECTi� ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW
OPTIONAL INFO:
❑PNA ❑Trout ®Other
Outfall No.
Date Sample
Collected;
(mm/dd/yr)
Type of Wastewater
2
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
[minutes)
Total Flow
7
{gallons/day)
-
-
RM, MD-
6-93,4
303s
53
(15)6
-
-
001
03/25/15
No Flow
' If wastewater systems have not discharged in this quarter —report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

s Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but inrriead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Yrloi!.rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualifiV personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those pe ons dir tly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am alWe thax ere,53L- significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
f S (o �r
(Sign ure of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

• PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140013 SAMPLE COLLECTION YEAR: 201S
FACILITY NAME: Albemarle SAMPLE QUARTER: ❑Jul -Sept []Oct -Dec []Jan -March ®April -June
PERSON COLLECTING SAMPLES: Ken Lowder COUNTY: Stanly ��
CERTIFIED LABORATORY: Prism Lab #4 402 PHONE NO. [phone]�
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
Date Sample
Type of Wastewater
pH
Total Suspended
Sett
leable TPH using Discharge
method 1664A Total Flow
,
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
a Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/201S Last Revised 07/13/11
Page 1 of 2

6 Prouss wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flaw
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware 04t thane are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date:7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2of2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140013
FACILITY NAME: Albemarle
PERSON COLLECTING SAMPLES: Ken Lowder
CERTIFIED LABORATORY: Prism Lab #t 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Reouirements
SAMPLE COLLECTION YEAR: 2014
f ��SS�AMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
RECEI V Er�F#ON NOt�) 372-2930
JAN 2 0 2015 ADD TO LISTSERVE? DYES ®NO EMAIL:
CENTRAL FILES DISCHARGING TO CLASS: [:]SA❑HQW ❑PNA ❑Trout ®Other
DWR SECTION OPTIONAL INFO:
Outfal! No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
x
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM6
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day),
-
-
RM, MD-
6-93'4
303's
53
(15),
-
-
001 & 002
12/12/2014
RM
6.5
BRL
BRL
N/A
>1
>3
pH was taken at
the time of
sample,
however solids
were analyzed
longerthan
allowable
holding limit.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
VIEW

1'

-r
L;
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.9-9.5 S.U. for discharges to saltwaters.
5 TS5 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualiZere=sIgnificant
'd personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons ditlonsible for gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware thaX penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signatufe of Permittee)
Permit Date: 7/1/2010-06/30/2015
r->,-
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140013
FACILITY NAME: Albemarle
PERSON COLLECTING SAMPLES: Tim Eatman
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Reaulrements
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: DJul-Sept ❑Oct -Dec Dian -March ®April -June
COUNTY: Stanly
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: [—]SA ❑HQW
OPTIONAL INFO:
❑PNA ❑Trout ®Other
Outfall No.
Date Sample
Collected)
{mm/dd/yr)
Type of Wastewater
[VE, RM, MD]
pH
{standard}
Total Suspended
Solids
{mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-N
(mg/L) L)
Duration
(minutes}
Total Flow
[gallons/day]7
-
-
RM, MD-
6-93,4
303.5
53
{15]s
-
-
001 & 002
6/30/2014
RM
Operator was
said on days he
was there he
did not see an
offsite flaw. He
was unable to
collect during a
rain event due
to inactive
times for plant.
RECEIVED
JUL 18
CENT
DW
Z014
FILES
BOG
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

a WasEewaief syaleias llavc llvl uiscFlaigeu 117 IIIis quaI LCI -- iepu I owu rlvw vl wV ul.�[.I4a1 rC Ilcl c. rica.au mcsmc JUI C Lv lIIaI K Li IC �a I ILP IC gUaf Lcl avUYc.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cieanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY Of THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
N 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 qualifi perso neI properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those per ns dir ly r onsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am avYar hats r e significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date:7/1/2010-06/30/2015
I
(Date)
Last Revised 07/13/11
Page 2 of 2

-.STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING,FORM,'•
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COV AGE NO. NCG14
FACILITY NAME: ` i
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY b #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: . r
SAMPLING PERIOD: July -December January -June
COUNTY
PHONE NO. O } -
ADD.TO LISTSERVE? []YES NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Qther C
Ou#fall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
Z
2 Sampling
-
6-92
1002,3
-
�r
I
CENT
-
DWQIBOG
ED
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please snake sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2 -
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
/ permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part 8: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
"�(mo/dd/yr)1
pH
(standard
Units)
TPH using method
1664A 5GT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
,
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly ,
Monitoring?
[y/n)
# of Months
in Tier 2
Z
Sampling
6-9Z
15
100
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO M7r _
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617-Mai1Service Center
Raleigh, North Carolina 27699-1617 -
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared,under my direction or supervision in accordance with a system designed to-
assure'that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete, l
am a e that t ere are sig ficant penalties for submitting false information, incl6ding the possibility of fines and irn risonment for knowing violations."
(Signature of PermVtee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140013 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Albemarle SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec ®Jan -March []April -June
PERSON COLLECTING SAMPLES: Dale Mace
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
COUNTY: Stanly
PHONE NO. [phone]
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ®Other
OPTIONAL INFO:
Outfafl No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPFI usingDischarge
method 1664A
S T-HEV
Duration
(minutes)
Total Flow
(gallons/day),
-
-
RM, MD-
6-93,4
303,5
53
(15)6
-
-
001
3/25/14
RM
No Flow
002
3/25/14
RM
No Flow
ARR
CENTRAL
FIES
Uy
BOG
I If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWCi and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penal y 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 ersonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those perso� dire re risible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware at t§a significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
u rt��Y
(Date)
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2