NCG140169_MONITORING INFO_20190415

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C�'yDl�p
DOC TYPE
❑HISTORICAL FILE
J,MONITORING REPORTS
DOC DATE
❑ a ol 9-Dy I
YYYYMMDD

PROCESS.WASTEWATER — Quarterly Discharge Monitoring
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14, >
FACILITY NAME: (41) AR?
PERSON COLLECTING SAMPLES: D�),,jV
CERTIFIED LABORATORY: Lab #
Lab rf
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitorine Requirements
Report'?EC lj,sp,_
APR Z0J9
SAMPLE COLLECTION YEAR: . �l TI _ �C, JON
SAMPLE QUARTER: []Jul -Sept ❑Ott -Dec gjan-March ❑April -.rune
COUNTY:
PHONE NO. (a4c.
ADD TO LISTSERVE7 ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) z
pM
(standard]
Total Suspended
solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1b64A
56T NE
[mBnj
Discharge
Duration
(minutes)
Total Flog
>
(gal4ons/day)
-
-
6-934
303,s
53
(15)6
-
Ls
Lnocf
Aj
2
r�
I
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 (Rf1A), 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.
° pH limits are 6-9 S.U, for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s T5S 1'mits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for gout 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
Date of last pH meter calibration:

5 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 5W- of the Summer 7Q10 Flow as per 15A
NCAC 028 .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 MONITO"G PERIOD IN CASE OF "NO FLAW-1 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 evaivate 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
vinlatinnc "
(Date)
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROFESS ASTEWATER - Quarterly Discharge
GENERAL PERMIT N0.x NCG140000
CERTIFICATE OF COVERAGE NO. MCG14 D ! (,o
FACILITY NAME: �1 i7,60 f' M 1'.1C_
PERSON COLLECTING SAMPLES: �Ua _
CERTIFIED LASORATORY: TckM "ibex) Lab # 34
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A:.Wastewater Monitorine Reauirements
RECEIVED
- FEB 01 2019
CENTrikI_ FILES
DWR SECTION
SAMPLE COLLECTION YEAR: i
SAMPLE QUARTER: []Jul -Sept C Oct -Dec ❑Jan=March []April -June
COUNTY:
PHONE NO. (tea .)
ADD TO LISTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑;trout ❑Other
OPTIONAL INFO:
'4
I -
Monitoring Report
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 using
method 1664A
5G -HEM'
(mg/LI
Discharge
Duration
(minutes)
,•
Total Flow
>
(gallons/day)
-
54.a
303.5
53
(15)5
-
1 If wastewater systems have not discharged In this quarter— report "N6 Klow" 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.
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 RD 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..
s 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
Date of last PH meter calibration: V

6 Process wastewater discharges shall only be monitored forTPH 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 rlow
report on a case-by-ca'se basis. -
'R.
I -
m
Division of Water Quality
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
[phone]
i
I
YOU MUST SIGN THIS CERMOT OR ANY Iff2MARM 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 respansible for gathering the information, the information submitted is; to the best of my knowledge and belief, true, accurate, and
complete. I am aware tlliat there are significant penalties for submitting false Information, including.the possibility.of fines and imprisonment for knowing
vioiatians." �
j5lgnature of Permitteel
Permit Date-7/1/2010-0f 6/30/2015
'
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCFSS W4STFW,4TFR — Quarterly Discharge Monitoring Report
❑Jan -March
.;F
i
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 f? ,I (o q SAMPLE COLLECTION YEAR:
FACILITY NAME: ��� }Mir _ RR(Z — SAMPLE QUARTER: 0J1
PERSON COLLECTING SAMPLES: ~` ' - "COUNTY:/5t,-ILS
ONE -
CERTIFEED LABORATORY:' 6.�cra.�'r, ,'e. Lab # r ALL" 3 2 AHD TO Lo 5ERV �Y
Lab #
LIMIT VIOLATIONS? YES NO © ° i I�AL FILI? 5CHARGING TO CLASS:
DV'�R SECTICOPTIONAL INFO:
Part A: Wastewater Monitorine Reauirements
�)_014
pt I ❑act -Dec
ES "NroHQW
EMAIL -
[:]SA
QApril-June
MPNA ❑Triout 00ther
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
Z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
solids
(m<f ��
TPH using
method 1664A
sGT--HEM'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day?
-
-
-
6-93'4
3{1
53
(15)6
-
f
I.
E
I
'if wastewater systems have not discharged In'this quarter— report "No Flow" or "No Discharge" here. Please make sure'
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), R
Cleanout (MD). Report more than one type if the waste -stream Is commingled.
If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that paramet
notifies you to continue monitoring.
PH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.S S.U. for discharges to saltwaters.
s 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
Permit Date: 7/1/2010-06/30/2015
mark the sample quarter abhve.
r Material Stockpiles (RM Mixing Drum
for six months, unless DWQ RO staff
her water classifications!:;.x
`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
7 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
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10.flow and report this i
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DV
report on a case -by -case basis.
MAIL DRIGINAL AND ONE COPY OF THIS ANNUAL SUM MARY
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 7-7699-1617
[phone]
YOU MUST SIGN 7HfS 9LRTIF! AT! N FOR ANY INFORMATION REPORTED;
"I certify, under penalty of law, that this document and ail attachments were prepared under my direction or supervision
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of theper
those persons directly responsible for gathering the information, the Information submitted Is, to the best of my knowled
complete. I am aware that there are significant pehalties for submitting false information, including the possibility of fine,
violations", %
(Signature of Permittee)
.Permit Date: 7/1/2010-06/30/2olS
(Date)
•eas. TPH does not have a limit for wastewater,
50% of the Summer 7Q10 Flow as per 15A
ormation to DWQ. If the permittee cannot
L Regional OfFice may require an annual flow
r
( •J
e•l ..
fITHIN 30 DAYS OF RECEIPT OF SAMPLE f0
f
i accordance with a system designed to
n or persons who manage the system, or
e and belief, true, accurate, and
and Imprisonment for knowing
`.�.i.ast Revised 07/13/11
Page 2 of 2

STO.RM:.W'A=-TERr DIS:C'HA'R.GE="O'UTFAL,,L�°(SD.O.)` !7�-._Sam,,i Annula]%M:O.N-ITO:R.-IN-G,.:F,ORM:::
GENERAL PERMIT NQ..N.CG,j40Q,0�:::: !:
CERTIFICATE OF COVERAGE NO. NCG14 SAMP:I,E COLLECTIDN YEAR: c;CI�
FACILITY NAME: `SAIVIRL[NG'PERIQD: ❑-Juiy-December �] January -June':
PERSON COLLECTING SAMPLES COUNTY'_
CERTIFIED LABORATORY j Qd oQ, }�tir;e5 Lab # ,,Je- PHONE -NO.
Lab'# ADD �TO•LISTSERVE?-AYES ❑NO I<MAIL:
OPTIONAL INFO: DISCHARGING TO_CLASS: ❑SA ❑EHQW ❑PNA []Trout ❑other
Part A: Stormwater Monitoring -Requirements €
Outfall No.
Date 5.ample.
Collected
(rno/dd%yr'OR
t�0 FCOWJ1
PH
{Standard :.
Units)
:. .7 ... :...
SS . - -
(mgf L} ...Monitoring?:
E .
Event:'. _ ...
-:Duration=•-••-
(minutes)'*-,'... .
a
' --- Rainfall: -, .
,.::..:::_ .(in) .. ..
. In1Tier 2 ;
.
:Monthly ;...
I.
{Y�n}._....,.
# afi Months in -Tier
2
2 Sampling
_
6,52 ....
100
lme J
. ,,,,_,,,,,,e
JUL
FT ZLI18
.
..
:CCI�'i'f
'�ii' ��� r•o
.
OWR
3ELTICN
i..
I-
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW' or "NO DISCHARGE" for each outfall here. Please.make,5ure to mark the sample period above.
2 If a value is in excess of the'benchmark, or outside the benchmarkrange (for PH), you must implement the Tier-1 or Tier 2 responses in the General Permitjier 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.th.ey are 50 mg/I.
a 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

i
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A
HAS YOUR FACILITY HAD-4,011 MORE BENCHMARK
HAVE YOU CONTACTED THE REGION? YES
REGIONAL OFFICE CONTACT NAME:
XCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?
1 NOA
Mail Original and one copy.of this DMR (including all
in case of "No Flow") to` ('-
Division of Water Quality: '
Attn: DWQ Central Files
1617 Mail Service Center,~ -
Raleigh, North Carolina 27699-1617
"I certify, under penalty of late; that this document
assure that qualified personnel properly gather and
those persons directly responsible forgathering the
am aware that there are wnifican Iti
(Signature of Permittee)' .+
Permit Date: 7/1/2011-60p0/2015
i
YES ❑ NOV
of sa
all attachments were prepared under my direction-orsupervision in accordance with a system designed to
luate the information shbmitted. Based on my inquiry of the person or persons who.manage the system, or
m iatiorf, the information submitted is;'to the -best of my knowledge and. belief;'true, accurate, and complete
ting false information, including the possibility -of fines -and imprisonment for knowing violations."
-to /.Ey
(Date)
Last Revised 7/13/11
Page 2 of 2

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE No, NCG14 d 1 to SAMPLE COLLECTION YEAR: i 8 i =.
FACILITY NAME: faaQ,� 2cnrJ ir�X _ _ SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March
PERSON COLLECTING SAMPLES. RP—CEI ,ca�raTY:. Fo-k-L-s9+y.
CERTIFIED LABORATORY: R 4A LL5+ 2org r,'cs Lab # �&je_ �aq_ PHONE NO. (33(o 185-1,!525
Lab # AVK 0 2 ri 6b TO LISTSERVE? ❑YES [:]NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® DISCHARGING TO CLASS: [:]SA❑HQW ❑PNA ❑Trout
Cr--NTFAL Fv r-.--,
Part A: Wastewater Monitoring Requirements
D'AR JECTiOP,,TIONAL INFO.
❑April -June
❑other,
Outfafl No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
x
(VE, RM, MD]
pHTotal
(standard]
Suspended
Solids
(mg/L)
Settleable
Solids
HUI-)
TPH using
method 1664A
S�(mglL)>s
+nS/Ll
Disefnarge
Duration
(minutes)
Total Flow
7
(gallons/day)
-
-
-
6-9
30"'
30"'
Aj Q 0SJj
' 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 (RN,j,'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,
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s 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 class1f'scatioris.;;1;
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 forTPH when commingled with stormwater discharges from VMA areas. TPH does not have a'limit for wastewater,
but instead is subject to benchmarks and r v' I f P
e o Is ans o art IV, 5ectlon A, Including the Tiered Response Action.
' Flow rate can be measured continuously or calculated, Flow limits for wastewater discharges to HQW waters shaft be to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028.0224. 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 WaterQual€ty
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
A
YOU ROUST SIGN THIS CERTIFICATION FAR 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 respansible 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 o#fines and imprisonment for knowing
violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
3 217 —/ $
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 b L �� BAN 9 2a aMPLE COLLECTION YEAR:
FACILITY !LAME: GFa S �;�T -.� n S gjotSAMPLIE QUARTER: Di -SegOct-Dec Dian -March ❑April -June
PERSON COLLECTING SAMPLES: �r ati �1naPROCES 49NO, -
CERTIFIED LABORATORY'%wA&y� . ,csj Lab # .. — PHONE NO. Qi6 1 �7� ''% Jim
Lab # ADD TO LISTSERViE? ❑YES ❑NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ® DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout []Other
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfali No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD}
pH
(standard}
Total Suspended
Solids
(mg/L}
Settleable
Solids
(mlf Lj -
TPH using
method 1664A
GHE&f
ST
(mg/L)
.. -
Discharge Duration
(minut es}
Total Flow
�
(gallons/day)
'
-
-
6-9�'4
303s
5;
(15)6
O
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 Leaning (VE), Raw Material Stockpiles (RMi, Mixing Drum
Cieanout (MD). Report more than one type if the waste -stream is commingled.
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 Dw t RO staff
notifies you to continue monitoring.
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and G.8-8.5 S.U. for discharges to saltwaters.
s 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 beset to 50% of the Summer 7Qi Flow as per 15A
NCAC 028.0224, 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.
i
I
i
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]
a;
You rv7usr51GN THf5 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, accur.'ate, and
complete. I am aware that there are significant penalties for submitting false Information, including the passibility of fines and Imprisonment for knowing
violations."
-
(Signature of Permittee) ' {Date)
Permit Date: 7/1/2010-06/30/201S Last Revised 07/13/11
Page 2 of 2

a�
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG34 0 { (o SAMPLE COLLECTION YEAR: I
FACILITY NAME: 'v SAMPLE QUARTER: ®Jul -Sept []Oct -Dec ❑Jan -March []April -June
PERSON COLLECTING SAMPLES: 1 �V., 11�TY:
CERTIFIED LABORATORY: • ' e k_4,4 Lab # PHHE NO.S"-
Lab # _ OCT 18 }ADD TO LISTSERVE? []YES[]NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO [ DISCHARGING TO CLA55: []SA ❑HQW ❑PNA ❑irddt ❑Other
CENTRAL FILsieriONAL INFO:
Part A: Wastewater Monitoring Requirements
DWR SECTION
Outfall No.
Date Sample
Collected'
{mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD}
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
{mLfk}
TPH using
method 1664A
5GT-HER?G
(mg/L)
Discharge
Duration
{minutes}
Total Flow
�
(gallons/day}
-
-
6-93,4
303,5
53
D
'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 (RNI},`Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream Is Commingled.
s 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 DWC[ RO staff
notifies you to continue monitoring. Al:r,
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to FIQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L far all other water classifications;•.,;
Permit Date:7/1/2010-06/3D/2015 :'Last Revised07/13/11
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 aAimit 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,
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 CEAVAICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the; person or persons who manage the system, or
those persons directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and Imprisonment for knowing
violations."
1 —1
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 :. Last Revised 07/13/11
Page 2of2
i

STORM WATER..DISCHA'R.GE`OUTFAL}L'°(S'DO.) .Semi -Annual M,O,NITO.RIN.G FORM .-
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO:. NCG14 a {0.1 SAMPLE COLLECTION YEAR:
FACILITY NAME: ` �� SAMPLINGPERIOD: ❑ July -December Zlanuary-tune_
PERSON COLLECTING SA PLES COUNTY ] o[ Y`t-
�A
CERTIFIED LABORATORY_}PHONE NO. { b) e?S —
Lab # ADD TO LISTSERVE?..❑YES ❑NO EMAIL:
OPTIONAL INFO: DISCHARGINGS TO..CLASS: []SA❑HQW ❑PNA ❑Trout ❑Other
Part A: Stormwater Monitoring Requirements
Outfali No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)
pH
- (Standard
Units) ..
TSS
(mg/L) ;Monitoring?
Event
Duration
(minutes) :..
Total
RainfalF
::._ (in)"
In Tier.2
Monthly
(y/n).-
# of Months on Tier
z ..
2 Sampling
6,9z
1002,3
=law
fr�
2017
("`1-" -rPA
I rig —r
'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 shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
a TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW,.Trout, and PNA waters where.they are 50 mg/l.
° For each sampled measurable:storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date:7/1/2011-60/3d%2015
-• Last Revised 7/13/11
Page 1 of 2

�&
+
pano. vchi�eMai ntena6teAcom�yN��nKnhnmnequinementxfor facxue�udng >ssgal ofnew motor oU/month-ave�uedover acz�nda,veax'.
Si
buratGn
HAS YOUR FACILITY HAD 4 bR MORE BENCHMARK EXCEEDENCESATANJY�ONEOUTFALL(INCLUDING VEHICLE MANtENAN[E)?' YES []NO
HAVE YOU CONTACTED REGION? YES F NO�� �
REGIONAL OFFICE CONTACT NAME:
i c
Mail OriRinal and one cor")v of this DIVIR (Includinia all "No Flow" & "No Dischame" reports) within 30 days of'receint of sample (or at end of monitorina period
�
Division ofWater Quality �
Attn: DvvQCentral Files
1G17Mail Service Center
" .
Raleigh, North Carolina I7690-1617YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
^| certify, under penalty oflaw; that this document and all attachments were prepared under mydirection or -supervision inaccordance with nsystem des�gnedto
assure that qualified personnel properly gather and evaluate the information submitted. Based nnmyinquiry nfthe person orpersons who manoge`thesystem, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and beU'ef;truc'accurate, and cnnop|o»c.|
amr cea re' �c�� submbtnQfobeinhmnnodnn,|ndudin�thcpuoib�|��nf�nes'andimphsnnmentfor knowid�vin|a�ons.
^ ^ ^ ~ '^~~~---� `
(Sign alt-Mr—eo-f rennittce)
Permit Date: 7/1/IO11-6O/3o/zoz5
°
(Date)
� Last Revised 7/13/11

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG�14 0J -
FACILITY NAME:
PERSON COLLECTING SAMPLES: L-,) w e
CERTIFIED LABORATORY:I��S���c4, L2� �1 s Lab # _
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec Dian -March April -tune
COUNTY: 1— 0 5 g414
PHONE NO. (23 b)
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
VE=, RMMD a
, )
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
solids
(MLA)
TPH using
method Ib64A
SGT--HEM'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day)
-
-
6-93'4
303.5
53
(15)6
;
U F1 o�
tt:
t 1 V-t
Jl
L V 0 C0
Mil!
7 Ct 'Yo^Ni
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.
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.
a 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 RD 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. `~
s 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 dassifications:._a
Permit Date: 7/1/2010-06/30/2015 ' -last Revised 07/13/11
Page 1 of 2

' I•I
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 provislons 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 beset to 50% of the Summer 7Q# 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.
I '
i ..
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SQMMARY 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 51GN THIS CER77FICATION FOR ANY INFORMATION REPORTED;
"I certify, under penalty of law, that this document and all attachments were prepared under my direction orsupervision 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 signific nt penalties for submitting false information, Including the possibility of fines and imprisonment for knowing
violations."
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 '';;Last Revised 07/23/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 1 G C
FACILITY NAME: A0,oS a-,r
PERSON COLLECTING SAMPLES:.
CERTIFIED LABORATORY: Stgit�rf� (.A �; Lab # . _3cI
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec IZJan-March ❑April -June
COUNTY:
PRONE NO.
ADD TO LISTSERVi? OYES ONO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA OTrout ❑Other
OPTIONAL INFO:
Outfali No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mLf L)
TPH using
method 1664A
5GT H M"
(mg/L)
Discharge
Duration
(minutes)
Total Flow
y
(gallons/day)
-
6-93.
303.5
S3
(15)e
_
An-
u.1
CENTRIC
R
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
Cieanout (MD). Report more than one type if the waste -stream is commingled.
31f 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 RD staff
notifies you to continue monitoring.
PH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
s 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 Z 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 beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 ,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.
I '
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] '
I
YOU MUSTSIGN THIS CERTIFICATION FOR ANYINFORMATION 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. 1 am aware that there are significant penalties for submitting false Information, Including the possibility of fines and imprisonment for knowing
violations."
1 C
--(Stgn re of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

STORMVf'A'7ER_DISCHA�R.GE.-O.`U:TFAL-L (,SDO) ,d-,Semi-Annual.M:
GENERAL PERMIT NO..NCG140000
- - .-. - J
CERTIFICATE OF COVER GE NO: NCG14 g SAMPLE COLLECTION YEAR:
SAMPLING PERI,O.D: XJuly-December ❑ January -June
FACILITY NAME:PERSON COLLECTING SAMPLES 'Xe� t�tit C�Ze—(e �n , .
�� .. COCINTY
CERTIFIED LABORATORY MJ *, Lab # PHONE NO.
4= Lab #D EMAIL:.
_ DISCHARGING TO. CLA❑55:E❑5❑A, ❑ QW
OPTIONAL INFO: - ❑PHA, ❑Trou.t ❑Other
Part A: Stormwater Monitoring Requirements
Date
Sample In Tier Z
ected PH TSS Event. :Total a Monthly f# of Months in Tier.
.Outfall No. [Standard Duration Rainfall z
( NO FLOW �;. Units] . {mg/L} {minutes} (in)
Mo {Y/n}n 2 Sampling
mo dd/yr,OR g� .. . ..
G^gz :: 100
NO Ff oZO IVED
JAN 1 7 Z017
lL FILES
s �-tiiry
rnArn C :-CTION .
5=
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. bench mark.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/I, 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.
•t�
Permit Date: 7/1/2011-GO/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.
X
'.-
`TPWus1ngiMerh6d
5F2L
N
ie
1_1V1 Ss
pie'
H, `:h 51
,method..-
t.
-z
Tvota'Suspendecip;f
New,! 7
U
C
_-qgal
9
7;nc
m dil/
U
"1,7:
WT
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENtES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?' YES NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
XS1
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DIVIR (inclydi Lngall "N2 Flow" & "No Discharg_e repo[lkl within 30 days of receipt of sample or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQCentral Files 'Z
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 systeri'i 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 gatherin0he inforiiiation, the information submitted is, to the -best of my knowledge and belief; true, a6curatd, and complete. I
am awar at there are signifii ant'p a es or submitting false information, including the possibility -of fines and imprisonment fbr-knowihg violatio"ns."
(Sign �erAttee) (Date) �P
Permit Date: 7/l/2011-60/30/2015
Last Revised 7/13/11"
Page 2 of 2

5Y ` fy
P...R0CESS WASTEWATER —Quarterly_Discharge.Monitoring : Report
GENERAL -PERMIT -NO. NCG140000, ;
CERTIFICATE -OF OVER GE NO. NC 1 0- I 62 � .SAMPLE COLLECTION YEAR:
FACILITY NAME:' _YeC A�. _L;1C c, „ 5AMPCE QUARTER: Ju!-Set Oct Dec []I March April -June
PERSON-COLLt ING SAMPLES i�t/,:'�(k
COUNTY
CERTf .1 LABORATORY �ker+ti+�C�y1 (( As,j r� % Lab # PHONE NO :(. 3�CJ
w Lab # ADD�TO:LISTSERVE?s:n- Yr- E]f�0 EMAIL -
LIMIT VIOLATIONS?. YES D NO [Z'.. DISCHARGINGTU CLASS:.OSA QHQ1N .QPNA` []Trout ❑Other
OPTIONAL INFO:
lf:wastewateraystems-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 tfie type of Authorized Wastewate'r,Discharges here: Vehicle and Egiuipnient Leaning {VE)Raw`Materiaf Stockpiles (FtM),Mixing Drum
Cleanout IM0} Report more type than one tif the waste -stream is commingled y
if an effluent limn is exceeded twice in a row, the permittee. '�s required to lnstitute'montf7ly monitoring for that parameter foraix'months,, unless DWQ RO staff
note ie5 yc!u to continue monitdrtng '
° pH lt�nits are 6 9 S:U for wastewater discharges to freshwaters, and 6 8 8:5 S U for discharges to sa{titiaters
S TSS limits are 20 mdL for.wastewater discharges to HQW waters;:10 mg/L`farTroiit'and PNA waters; -and 30 mg/L for ail,other.Water .classifications a#
PermitDate:.7/1/2010 06/3D/207 5' :' Last Revised 07/13/11
Page I of 2

r
PROCESS WASTEWATER --- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE No. NC Z4 O ) �
FACILITY NAME: 1, Q ��f��cY U�
Q+�G2efc �.
PERSON COLLECTING SAMPLES: t 64OA4i _A
CERTIFIED LABORATORY: a4aW,, . Y/+k4l Lab # AX,-3y_
Lab #
LIMIT VIOLATIONS? YES ❑ NON
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: a o l (l I
SAMPLE QUARTER: NJut-Sept []Oct -Dec []Jan -March []April -June
COUNTY: irn l�
PHONE NO. ( 30(6
ADD TO LIST5ERVE7 ]YES []NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout []Other
OPTIONAL INFO:
No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
Type
VE, RM, MDz
)
pH
(standard]
Total Suspended
solids
(mg/L)
Settleable
Solids
(mL/L) .
TPH using
method 1664A
SrxT NENT�
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day)
-
6-93.4
303,5
S3
(15)s
-
1 D
1 r_L
iG IV
' i
,
r�Ni
CAI 1=1I S
DWR
SECTION
I
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.
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.
s 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 alimit 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 028 ,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. r
i
I
i
MAIL ORIGINAL AND -ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OFSAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality.,.
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
[phone]
}r
:s
YOU MUsT SIGN THIS CERTIF1CAifQN 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 they 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
to
(Date)
(Signature of Permittee)
Permit Date: 7/1/2010-06/30/2015
;Last Revised 07/13/11
Page 2 of 2
,rr

STORM WATER.'�DISCHARGE OUTFALL (SDO)-_SemkAnnualINONITORINGFORW_
GENERAL PERMIT- N0..NCG140000:...
CERTIFICATE OF COVERAGE NO. NCG14 0iv SAMPLE COLLECTION YEAR: c:P 1)L!�7-
PERIOD: K.July-December ❑
FACILITY NAME: �e�y M.� �w.+caY�t i�'aSAMPLING. January -June
-
-_ .- . .. COUNTY
PERSON COLLECTING SAMPLES ���� Rio�R.J•on� __ ___ .
CERTIFIED LABORATORY, &,,o,c , ,,"," -hef J . Lab #' AjF_-' .`My PHONE NO. (23.Lj
Lab # ADD TO LISTSERVE7-❑YES ❑NO EMAIL:
OPTIONAL INFO: DISCHARGING TO.CLASS: ❑SA ❑HQW ❑PNA [:]Trout [—]Other
Part A: Stormwater Monitorine Rea uirements
Outfall No.
Date Sample
Collected
-
(mo/dd/yrOR
NO -FLOW)' `
pH -
(Standard
Units) -
_
TSS
(mg/L)
Event
Duration- •--
(minutes)
Total ._ _._
A
Rainfall ,•
(in)
... In Tier.? ,
Monthly
Monitoring?
(Y/n):_...... -
# of Months in Tier
Z - -
2 Sampling
6_9z
DEC 16 zol
DWR SE
' 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.
z 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/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/l.
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
1--
Last Revised 7/13/11
Page 1 of 2
I

i
Part B: Vehicle Maintenance Activity Monitoring. Requirements for facilities using > 55 gal of new motor oil/month:- averaged over a calendar year.
K. l'.:�.• ;R i"
y
W N Y.
, F5 'kt' 1�' L 4 h,
7 -.,I
-„iy
a 4$ � y--
4 4�f. fe!',�:�. �'kf
dy }. n?
-
•:F''�- "k
k� �"3
-'" _
..- :,..
fs'd:F�xl'*�+�s.r'
..�.� 414 rr
x'+�?e -c
.€i x
re� < r
--'
New
�r ,In Tier 2,
.r.
Outfall.r,.
pH i
TPH`usrn ;method_
9
_. Total Sus ended
m P„
Event,
Totah
Motor Oil
fi t-
fix..
# of Months
x:Date Sam le
?� , n
' ur�Solids x°>;A
"� _Duration
e ` ' '
Month)
" Y
,:
1664A SGT.;HEM 1
:
Rainfall
Usa
in_Tiera2 `;
o
Collected
� _
f '
}. _
�a F
Monitorin`
t_
t:Units)
_ m L) s
r rn L ;;
minutes
P in
al month) A
Sam lin aJ,
f
r N,
N?5
?.i�w.;i,i✓`4'1
S" 741a .A'K i- 5'.
T#44 -2'n
L•,)�x
'1 ::� �r3 w-tE�'G' p
x-100� �
'.4(r•SYii11
,- -
..y: _-. .11
':. v
y�tF:i� -L,a'
�5a
f.�..
fir_'... dS�S :-..id PF_
;�
-
�,
,�� _ _t
.�_-��'� fz,5.�•-�.
t
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: i
Mail Original and one copy of this DMR (including, all "No Flow" & "No Discharge" reports) within 30 da_ys of"receipt of sample- jor 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 qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managd.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 enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm' tee) (Date) .4
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
;, Page 2 of 2

5 RECEIVED
PROCESS WASTEWATER — Quarterly Discharge. Monitoring Report- DEC 161pi5
GENERAL PERMIT No. NCG140000 '
CENTRAL FILES
DWR SECTION
CERTIFICATE OF COVERAGE NQrNCGZ4 d l am' g SAMPLE Cou Ecrtoiv YEAR: a�OIS
FACILITY NAME: 4,�x,,� (� e� ire,.SAMPLEQUARTER:.[]Jul-Sept Oct -Dec ❑Jan -March ❑April -June
P✓rRSOMCOLLECTING SAMPLES: �•a ' r COUNTY: Fo$.SYti,
•CERTIFIED A8ORATORY:R rkk *A:iiiyf.'g&I -Lab# RUC,jijt YPHONENO., j
.. N - ..... -. _ A
- :A!]D:,'i0,tI5fS.❑YES,.❑NO;EMAIL , .. `
� ' e IiwLE�q
LIMT VIOLATIONS? YES ❑rN0'� "D15CHAk NG!ERVE3
iTO CLA!;s. ❑sA ;❑HQWI'❑PNA ❑Trout ❑Other.
n ...
pPT10NA FO i
L'IN
Part A: Wastewater Monitorin`e Re`auirements
Outfall No.
Date Sample
Collected'
(mrn/dd/yr)
Type of Wastewater
(VE, RM, MD)
PH
(standard}"
Total Suspended
Solids
(mg/L)
Settleable
Solids'.method
('nL/L)
TPH using
1664A
5GT NEIV1s .
(mg/L)
.
Dlschaie
Dura ,lod
-
(minytes).
''Total Flow 7
(gallons/day)
303'5
5g
mf
If wastewater systems have not discharged In this quarter —report "No Flow" or "No Discharge" here. Please make sure to mark the sampl{
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stock
Cleanout (MD). Report more than one type If the waste -stream Is commingled.
If an effluent limit is exceeded twice Ina row, the permittee Is required to Institute monthly monitoring for that parameter for.six months,
notifies you to continue monitoring.
° pH'llrnits'are 6 9 S;LI;:forwastawater discharges to freshwaters, and 6.5-8.5 S.U. fordlscharges to saltwaters,
sTSS lirnits-are 20 mg/Lfo�.'wastewaxer`dlschar$es to7HQW.-waters;,10'mg/4 f&Trcut and PNA waters, and 30.mg/Lfor all other,water.dassi
Permit Date: 7/1/2010-06/30/2015 .S
quarter�itiove.
iles (RkA Mixing Drum
niess DWQ RO staff
" ast Revised 07/13/13.
-: Page 1 of 2

a Process wastewater discharges shall only be monitored forTPH when commingled with storm'ater discharges from VIVIA areas. TPH does not have'a,limit for wastewater,
but instead Is subject to benchmarks and provisions of Part IV, Section A, lnduding the Tiered Response Action. t.
'.Flow rate can be measured. continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q O.FIow as per 15A ..
NCAC 026.0224'. Pe-'rmittees 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 fdrthi receiving waters at the�discharge location; the permittee shall notify. DWQ;:and: the, DWQ. Regiona 1:Office may.regdire an annual Flow
report on a case-by-case'basis.
F TH S NN AL M ARY IN LUDIN 'Ail p,F
MAIL RIGINAh`AND_ COP LO " "NO-Dl5CHARGE" ' Y JOF RECEIPT OF 5 AMPLE QR
=AT, END.21IF-MONITORING-PERIOD IN CASE F"NOTIL W'-i TO:.. s... ,
%Division of Water Quality
Attn: DWQ Central Files
1617Mail Service,Center > .. :.. ,._ . _ ,:•
Raleigh, North°Carolina• 27699.1617
[phone].
4.1
,
I N ! cglyY N VON REP RTFD:
i certify, under penalty oflaw; that this document and all attachments were prepared under my direction ar supervlsion Ir accordance with a system designed to'
assure that'qualified person,Rei properly gather and evaluate the Informatlon submitted '
Based. 'on i-Ay inquiry of the person or persons who rrmanage tlie:system, or
those persons directly responsible foi gathering the information; the information submltted;is, to the best of my*nowledge andfbellef; true,:aocur�ate, and • . _
viol P ete A am'aware that there are significant pen ties for sutimitting'false Inforriiation, lncluding_tiie possib111ty of•fines and.imprisonment for Knowing
Signature of Per Itt ')
Permit Date: 7/1/201.0-06/30/2015 ° `Last Revised 07/13/1.1
Page 2 6f'2

S P.
PROCESS WASTEWATER - Quarterly Discharge. Monitoring Report. {
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO.->NCG14 SAMPLE COLLECTION,._ _.R,
Q L..� � -. YEA•
FACILITY NAME• v4. �' C'n�.caa�rc CQ • SAMPLE QUARTER: ❑Jell -Sept noct-Dec ❑Jan March ❑Aprii-lu�
PERSON:COLLECTING SAMPLES: COlJNTY
CERTIFIED LAB33 b jORATORY Lab # ► 3 PHONE NO.,(85 t 'i ®°
-'�'# ADD•,TO LIST5ERVE7, ..❑lf�s,:.❑NO EMAIL:J_
LIMIT V[OLATIONS? YES ❑ NO _ DISCHARGING TO ciA55 [j5A ❑HOW ❑PNA-❑Trout []Other
OPTIONALINF 111b_;_'s+��St+is�l' {�r_-Ft4-t�� ��c1a-ice-` Ci��
Part A: Wastewater Monitoria7g,Regiirements
Outfall No.
Date Sample'.
1 .
Collected .-
mrri dd r�
( / /Y)
Type of Wastewater
z
(VE, RM, MD)'
pH
� (standard]
Total Suspended
Solids'
(mg/L)
Settleable .
Solids'
(MLA)
TPH usfng
• method 1664A
� SG7 HEMS .
(m L)
. r+.,-
. Discharge
, .•
Durabbri '
(minutes)
Total Flow
'
(gallons/day)
30"'
S'
(isj6
-
-j o
k ..
REC
TV CV
CENT
FlI
=
WR S
60 TION
. I
1 If wastewater systems have not discharged In this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sampl
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stocl
Cleanout (MO). Report more than one type If the waste -stream is commingled.
n If an effluent limit is exceeded twice In a row, the'permittee is required to Institute monthly monitoring for that parameter for.six months,
notifies you to continue monitoring.
" PH'lirn are 5=9 S.U: for wastewater discharges to freshwaters, and 6.i3-i3.5 S.U. for discharges to saltwaters. .
s TSS Iirnits are ZO mg/C-for•wastewate'r'dlstha-rges to'HQW; wate'rs; l0'mg/L t6r.Trout and PNA waters, and 30_mg/L.far all;other, water: class
Permit pate: 7/1/2U10-0&/3l]/2'; ry
-. _.. 015
�..
quarter above.
les (RM j',:fixing Drum
:, 1J
iless DWQ RO staff
q
-
r^,Last.Revised 07/33/11
,
.'-.Page l of 2
M"

e Process wastewater discharges shall only be monitored for TPH when commingied with stormwater discharges from VMA areas. TPH does not have°a,iimit for wastewater,
but Instead is subject to benchmarks and provisions of Part N, 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:15& ,
NCAC 02B .0224. Permittees,A6 discharge wastewater to.HQW waters shall obtain a Summer7Q10 flow and report this Information to DWQ. If the p'ermittee cannot
obtain a Summer 7Q10'flowfor'the receiving waters at tiieifctcfia'rge location; the permittee shall! notify: l)WQ;'and :the ;DWQ,Reglonail ,QfFce:may:reglire an annual flow
report on a case -by -rase basis r 4
-• 11 - 5
MAIUORIGINAL'AND'.ONE;COPY-OF;TH[5,ANNUAL SU!OMAW(INCLUDING ALL "NO' FLOW. :."-NO:Di5CHARGE- ITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
Nb;OF=MONITORING PERIOD IN CASE,t# "NO•FLOW!1 TO
ADivision'of Water Quality
;Attn:-DWQCentral Files.,
;1617 Mail Service Cenier
;Raleigh, NDrth-Carolina-27699-1617'
[phone] ..,,
. ry
e _
a
-
YOi! MUST jtf I_ TH6 CFRTPFICATlQjV FaR ANY Nl _OWA77 N R RTED:
,.: .
"I certify, antler penalty ofylauv, that thlsdocument and aJl attachments were prepared under my direction or su ervislon In accordance with a system designed to '
t that
assure that qualified person el properiygatherand evaluate the information submitted:'a`Baseii on rriyinquiry of the:person'or.persons:wfio rnanage'thesystem, or
" r
those.persons directly fespo«sible for gathering the ;information, the Information submltted ls, to the,best of my.knowledge,arid,belief, true,,accurbte, and
complete A'am,aware'that there are significant penaltles for suhmitting'false Information, including the possibility of fines and imprisonment for knowing
violations .,,.. _. .
(5lgnature of Permittee), 3 :(Date) 9
Permit Date: 7/1/2010-05/30/2015 'Last Revised 07/13/11
„ . Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge. Monitoring Report,
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE No. NCG14 O
FACILITY NAME: A6 J8 �; x,zr-
PERSON COLLECTING SAMPLES: jD ftj," �j
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS?. YES 0 NO
Part A: Wastewater Monitoring Requirements '
SAMPLE COLLECTION YEAR: D
SAMPLE QUARTER: NM -Sept QOct-Dec Jan -March []April-)une
COUNTY: `o
PHONE NO.
ADD TO LISTSEiRVE? []YES []NO EMAIL: i.
DISCHARGING TO CLASS: DSA ❑HQW ❑PNA OTrout-❑Other
OPTIONAL INFO:
Outfall No,
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids'
(mL/L)
TPH. using
method 1664A
SGT-NEh?G
(m L)
Discharge'
vuratian
(minutes) .
Total Flow
y
(gallons/days
-
-
-
6-93+
303.5
53
rn
rlLC0
T. .
v i 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.
: Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material StockF iles (RM) ' Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled,
' If an effluent limit is exceeded twice Ina row, the permlttee is required to institute monthly monitoring for that parameter for six months, L nless DWQ RO staff
notifies you to continue monitoring. +�f
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 5.8-8.5 S.U. for discharges to saltwaters.. (;{
s 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 Bassi ications.r'
Permit Date: 7/1/2010-06/30/2015 Y:° Last Revised 07/13/11
a Page 1 of 2
I

'r
6 Process wastewater discharges shall only be monitored forTPH 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, Ineludirig the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits For wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall, obtain a 5ummer7Q10 flow and report this information to DWQ. If tW permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify bWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
Am r.Ivu Vt' IVIUNI I V►SIfVl7 pt-... Iry I.AJC I�F'IVU rLUW .l I!:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center ` .t
Raleigh, North Carolina 27699-1617
[phone]
,.i
YOU MUST S1GN.TtRS CER77FfC47706J FOR ANY 1 ff2RMA77ON REPORTED;
"i.certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage. the system, or
those persons directly responsible for gathering the Information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, Including.the possibility of fines and Imprisonment for knowing
violations."
(Signature of permittee). (Date).
Permit Date: 7/1/2010-06/30/2015 East Revl5ed 07/13/21
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge. Monitoring Report.
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. I_2_ NCG�4Q
FACILITY NAME: -QCc> lYt ;1CPi (' L�. AZi
PERSON COLLECTING SAMPLES: '
CERTIFIED LABORATORY: Lab #
Lab ii
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
RECE V EV
JUL, 0 6 2015
CENTRAL FILES
DWR SECTION
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: Jul -Sept ❑Oct -Dec ]Jan -March IZAptil-June
COUNTY: % OZ90
PHONE NO. (.��/ 1_ $ -77
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: i.
DISCHARGING TO CLASS: ❑SA IjQW��-, PNA ❑Trdut ❑Other
OPTIONAL INFO:12
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGf HEM'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
[gallons/daye
-
-
-
64"
303s
5'
(15),
-
}
1 If wastewater systems have not discharged In this quarter-- report "No Flow" or "No Discharge" here. Please make sure to mark the sampl
? Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material 5tocl
Cleanout (MD). Report more than one type if the waste -stream is commingled.
If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months,
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. .
s 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 class
quarter above.
les (RIVIj, Mixing Drum
DWQ RO staff
Permit Date:7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater dlscharges 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 028.0224. Permittees who discharge wastewater to HQW waters shall. obtain a Summer 7Q10 flow and report this information to DWQ. If thipermittee 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 QF THIS ANNUAL SUMMARY ONCLUDING ALL "NO FLOW" "NO DISCHARGE") WJTHIN 30 DAYSOF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW-1 TO: `
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CER7IFICQ4TION 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 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 responslble for gathering the Information, the information submkted 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."
_3ID -/-S
(5lgnature of Permlttee). (Date)
Permit Date: 7/1/201M6/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report.
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 C7 „L (�
FACILITY NAME: 114&& M I k CO) A.M4V_ -r Co .
PERSON COLLECTING SAMPLES: �! 12AfI�Loq _
CERTIFIED LABORATORY:�G'�. to_,KC*,�.4v:Nck Lab# .5fl
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 0?'b1-5-
SAMPLE QUARTER Jul -Sept ❑Oct -Dee ®,Jan -March []April -June
COUNTY: F01?5
PHONE NO. (j TYS5 ��.-S;'-
ADD TO LISTSERVE7 ❑YES ❑N0 EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout- [Other
OPTIONAL INFO:,
Outf all No.
Date Sample
r
Collected
(mm/dd/yr)
MD) Type of Wastewater
2
(VE, RM,
PH
(standard)
Total Suspended
Solids
(m8/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
S'� HEMS
(mg/L)
Dis charge
Duration
{minutes]
Total Flow
7
(gallons/day]
-
6-93A
303,5
53
I5 I
i
i�
pl
l
3 If wastewater systems have not discharged In thls quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the samp
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stocl
Cleanout (MD). Report more than one type if the waste -stream is commingled.
If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months,
notifies you to continue monitoring.
h 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 class
Permit Date: 7/1/2010-06/30/2015
quarter above,
iles (RM), Mixing Drum
iless DWQ RO staff
Last Revised 07/13/11
:{ Page 1 of 2
r
L\

-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,
Abut insiead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 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 028 .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. 1.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
ATEND-GEO G PERIOD IN CASE OF "N FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files -
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN TNIS 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. 1 am aware that there are sl Ificant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing
violations."
ofFermittee) (Date)
y
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

EPROCESS'WAS.TEWATER:: Quarterly Discharge: Monitoring .Report
GENERAL PERMIT No. NCG140000'
:'CERTIFICATE OF COVERAGE NO: NCG14SAMPLE COLLECTION YEAR: �2 fl l I
FACILITY -NAME• `y Jr!I:xc:� : o,�c'cr`f� :�'''' ;= = T'` SAMPLE QUARTER ❑Jul Septa ®Oct�Dec ❑Jan March. ❑Apri.l-June
..., ,
l?ERSON COLLECTING SpiIVIPLES:i"r,an • COUNTY F�>*-t1%i` `
CERTIFIED I: 'BORAT0kY.L4e 4,5q�—����-!�� { rLab�#':�U+� �y `PHONE
ADD`,TO 115TSERVE? -, ❑YES i ❑ N
O :EMAIL L
LIMIT..VIOLATIONS7 YESf Q N0p❑ ':; DISCHARGING TO CLASS:' SA ❑HQW �]PNA []]Trout ❑Other
OPTIONAL INFO: D 4; 1 k4v,.IW7 (2 0SOAc—
Part A: Wastewater MonitorinirRequirements
"ram �i
g
t
UaterSamp e���
'-
;
VE -RMOMD
4 e- _TPH)usngy�+x
_
T-��„
standard`%
Natal Suspended"
• mg/�L']� .
Settleable
''SG1
#HEN1G .
_-� = -
��[mrnutes
gallons%day. )'
•� �.�>�.
� (mL/L]Y� = "
" --M ti
€ F 3
6' _
.=.r�rs
�a-
t
Al O= I n w
BIF
_
r'
i
DV
tR 6 ECTI0N .
'..7I
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.
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.v+iascewater disc}iarges'ao freshwaters, and 6 8 8:5,5 U fof discharges to'saitwaters
$ , z., , = -
TS5`limitsare 20 mg/L'for;wastewater discharges to HQW.waters; 10 mg/L`for Trout and PNA wafers, andr30 mg for alf'otherwater'classifica#ions
.
Permit Date: 7/1/2010706/30/2015 'f - _ Last Revised 07/13/11
Page T 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 wastei later;
but msfead is'sub�ect to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
.. s> r.
Plow" .rate can be measured continuously or calculated: Flo"w limits for wasfewater:disc}iarges [o HQW.waters sll'be'set fo 50%.of.the'Summer7Q10.Flow as per 15A .
NCAC.02B%.0224 Permittees who discharge wastewater to-HQ1N•watersshall.obtaiin a,Summer 7Q10 flow and. report this information to DWQ. if.the permittee cannot
obtain`a:Summer 7Q10 flow for thei!receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may,require an annual flow
Ye
poron a case-by-case; basisi
MAIL -ORIGINAL AND.ONE=COPY OF THIS-ANNUAL-SUMMARY-(INCLUDING-ALL-"NO'FLOW". "NOS DISCHARGE"l-WITHIN.30 DAYSDF: RECEIPT;OF:SAMPILE. (OR

R4CfSS WAS.TiEWATER Quafedy Disehar e P . : - . Monitoring :Repot
GENERAL: PhRMIT NO: NCG140000
CERTIFICATE OF tOVERAG1,E N0. NCGn14.d1.1_ % g = SAMPLE COLLECTION YEAR: a O r _ I
FACILITY NAME: l�oJC; SL�ax �(�yJ Cia�--tc �o . SAMPLE 4UARTER: Jul -Sept ❑Oct -Dec QJan-MarcFt 'OAprll-June .
.'PERSON COLLECTING SAMPLES:,c+ f2p:�o/)tCOUNTY: J-�o.cS�? +�i
CERTIFIED LABORATORY:j?Acg4.,xCi �3 �* III—Vgt Lab #t Al m PRONE NO. ( .') e ' i-"7 _
Lab # ADD`TO LIST5ERVE? OYES ONO' EMAIL:
LIMIT VIOLATIONS? YES []-NO ❑ DISCHARGING TO CLA55: '[ISA QHQW .'QPNA OTraut.[Other
OPTIONAL INFO:
PaitA: Wastewater Monitoring Requirements i
Outfall No.,
Date Sample
:: Collected
(tnmJddJyr)
Type of Wastewater,
(VE, RM, MD) 2
,pH
(standard}
Total'5uspended
Solids
(mg/L)
Settleable
''.Solids
(mtjL)
TPH. using ,
method 1664A
SGTIiENfG
(ml3/L)
..Discharge
17uration
(minutes)
Total Flow
y
&allnns/day)
/o
C
"i1
LP
Ilk
l if wastewater Systems have not discharged In this quarter- report "No Flow" or "No Discharge" here. Please make sure to mark the sample.gyarter 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.
' if an effluent llmit is exceeded twice in a row, the permittee is required to institute'monthly monitoring for that parameter for six months, unless DWQ RQ staff
notifies you to continue.monitorin8.
pH limits are 6-9 S.U.-for wastewater discharges to freshwaters, -and 6.8=8.5 S.U. for discharges to saltwaters.
:.s TSS limits are 20 mg/L:for wastewater discharges to KQW waters,'10 rn'j for Trout and PNA %raters, and 30 mg/L for all -other water classifications. !.
Permit Date: 7/1/201"6/30/2015 'Last Revised 07/13/11
'Page 1 of 2

6 process wastewater discharges shall only be monitored forTPH when"commingled with stormwaW discharges.frorn VMA areas. TPH does not.have a limit for wastewater,
1 but Instead is subject,to benchmarks and provisions of Part IV, Section A; Including thd'nefed Response Action.
,.. Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges'to HQV1r waters shall" be set to 50% of the Summer !Q10 Flow as per 15A
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall obtain' a Summer 7Q10,fibIw 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 shaII notify DWQ;"and the DWQ Regional Office.may require an annual flow "
4
" report on a case -by -ease, basis
MAIL ORIGINAL: ANYONE GOPYF Tfflk AHNUALSUMMARY 4INCLIJDIN-ALL":'NO FLOW" "NO DikkMdh-WjT1-W.3Q DAYS OF RECEIPT OF SAMPLE (OR
•, %AT END OFMONITORINGMERIOD:IN CASE IF NOTLOW" )JO_ " ;
Division"of Water quality
"Attu: DWQ Central Files
1617. Mail -Service Center
Raieig?i, North Carolina 27699-1617 .
[phone] -
YOU MU$r516N:TH6 CER :. T!FlCATZON FOR ANY fNFORMA7I�N. REPORi'EDr - . ".. " . "... •: ...
' . "I certify .under penalty of law, that this document and a ll:attachments.were prepared'under my direction or.sup6rY6Ion in:aceordance with a system designed to
assarethaf qualified personnel_praperiy gather and evaluate the 16forrnbt1d`w4ubmltted. Basel! on my-ingWry of the person or persons who manage the system, or
those persons`directly responsible for gathering the information, the nformation submitted 1s; to the,best of my knowledge and belief, true, aecurate, and
complete. I am aware -that there are significant penalties#or submitting false information; Including the possibility of And and lmprlsonmentfor knowing
violations."
(Signature of Permittee) (Date)"
PerDate: 7/1/2010-06/3D/2015 Last Revised 07/13/11
Page 2 of 2

i . PROCESS- WASTEWATER-i�--'Quartetly Discharge'Monitorin'g�.Report
GENERALPI RMIT Nd NCG140000
CERTIFICATE b COVER GE NO.' NCG14 Q-.. J (7 . SAMPLE COLLECTION YEAR:
FACILITY NAME: Zr! 4—F O. SAMPLE QUARTER: �dI-Sept ❑Oct -Dec ❑Jan -March .❑ApriVJune .
- ,PERSON COLLECTING SAMPLES:' �*N COUNTY: {'fl RS th -
:CERTIFIED LASORATORY:f S='tRe� a�: - ,j%n,J lab # tj PHONE NO.
Lab # �ADD:TO LISTSERVE? ❑YES ❑NO EMAIL:
LIMIT VipLATI0N53 ;YES ❑ NO ❑ DISCHARGING TO CLASS: ❑.
. ❑HQW ❑PNA ❑Trout.❑Other
OPTIONAL INFO:
Part A. Wastewater Monitoring Requirements .. 1
Outfall Na:
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater •
:
(VE, RM, MD)
pH
.:(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH.usfny
method 1664A
SGT-HEM'
_ (mg/L) . .
. .DEscharge
Duration
. {Dirties)
'
Total Flow
(gallons/day)
C
CENT
DWR
SEC
l if wastewater systems have not discharged In this quarter=report "No Flow" or "No DEscharge" here. Please make sure to mark the sample.quarte'r above,
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:rnorethan one type If the waste -stream Is commingled.
3lf.an effluent Ilmit-is exceeded twice in a row, the permittee is required to lnstitute'monthly monitoring forthat parameter for six months, unless DWQ RO staff
notifies you to rontinue-monitoring.
ti a pH limits are 6-9 S.U.,for wastewater discharges to freshwaters, and 6.8=8.S S.U. for discharges to saltwaters.
s TSS,Ilmits are 20 mg/L.for wastewater discharges to HQW waters, 10 mg/L for Trout and PNAwaters, and 30 mg/L for all other water classifications. .
Permit Date: 7/1/201D-06/30/2015 Last Revised 07/13/11
-Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when'comriiingled with storniwatee discharges. from VMA areas. TPH does not have a limit for wastewater,
buI instead is subJect,to benchmarks arid provisions of Part IV, Section A; including thb Tiered Response Action.
-' How rate can be measured continuously or calculated: Flow limits for wastewater dlscharges'to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028.0224• permittees who discharge wastewater to-HQW waters shall obtain a Summer 7Q10.flow and report this information to DWQ, if the peemittee cannot
`obtain a Summer.7Q10 flow for the receiving waters at the discharge location, the per'mittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report.on a case -by -case basis.
MAI L ORIGl AL, P F'f ARYiDNALNOFOWNO'DlSCHARGET Y OF RECEIPT OF SAMPLE fOR
ALEND .P I DIN A E: F N Fl W" TO: :
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
:.Raleigh, -North Carolina 27699-1617 .
[phone]
YQ�1 MUST .SIGN = TNIS CFRTJFICA i701Y FOR AN!' iNFdRMA T70N. REPORTED:
1 certify;.un.der penairy of law; that this document .and all;attachments tyereprepared under my direction orsupdNision waccordance.with a system designed to '
assure -that qualified personnel -properly gather and evaluate the 1nform6t16n4ubmitted. 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 ls;.to the,best of my knowledge: and belief, true, accurate,.and.
complete..I am aware";that there are significant penalties for submitting false lnformation; Including the possibility of. fines and lmprisonment.forknotying.
Violations."
(Signature of Permittee) (Date).
: Permit Date: 7/1f2010-06J30/2015 Last Reirised 07/13/11
Page 2 of 2

.0 iRep
10 0 54, IVj.�Dis, argefM nit PROCE-S C:
NO CG1400,00.-'.,,
IT GENERAU,
7-
T
FSAMPLE--`COLLECHONXEAR�
-'
CERTIFICATEORCOVERAGE NoNC ,.,:,,�,
-f! ApOP"Ju n-e'.,.
q,(h, ;W�;
'S
xv
L" "YMAME-`--'�
��i-,.,.-COUNT X
ERSOWCOLLE 71
C AT _,`,-;PHONENQ.
^ - �_ _(,A W, La -9
-4!
IEDJABOF
A% NQ�EMAIL.t.­
A D D; T 0 llS
c
N W
LIMITVOMIONST 4
DI
SCHARGING R ss
E
Other
OPTIONAL
,Part
M
istew t6r,,Nldnitbrih Reoluirem6nts,
g
- =-S-
V-11
W.
autfall�N21
gallons/day
ONTO
—
017sW�0%W
I
ER�1T0
�
WA-
ll0_`IMM,MMiMU$9�I
f7W
-
iM
_0
. .
-M54-
jr
eiri
ftwnlRorl
7�
�g
Los
k IAA
t
�7:7,_ 71:�'.
te
' d
'isc a,rg .
carter- erreport-No
6f,NoDischa-
r'-g�e",;�''khiquarter'ae
rgb P v e, L
'
�"
�eyitionf6rth�,�e:bf,A�th6�li6dWa�iew�t6�Dis�hjfge�7here..V6hi6I an gi rUm"
:p-- pprtmorel ai,66etyp&ifthe W8t6 stream -is mingIed
3 -- lfKiheffluenti iMit,isexce�ded.twtce:in:a�row;,the.permiee,ls,reqqjrt&nstyte-mont lyh6nitorLng,for.th�t�p6�a�i6'rf6r,sixmcnths uhl6ss_DWQTOsWf
i&h�66it6hh-g...- -.,. . r, ., .... I ­.._.,r., _. - . v .- . , - ""
noti ie t
'9
p 46'.S-,�B.!�jSJO-
imits!ar6:6:- -S�UiloriwastL f 3water-idik brge§Ab",freshwaters,;fani 6,sa twatem U
f& T. f 6 6 f Wotfie-6m, Me
�T _&�hejo%wastewa enisc argeslo.HQW�wj
L t d h' �fofc ,,jfidjPNA'Wjfers;-,an utlassl icati6hs"
43� f RdVis& -:p -C� -I./201OL06`/­3`­0/``­`2­015�..
Gs
of 2

.'
'.I.�7,� �,-,­�,J.".,,.:_:�'�, �-1I`,-..I ,_. 4_... .",,.;�_ .- ..',�-_,.�.-. .���,�- �,-.�,­ .::-P�, _,­. �l_ .,',` -_._.-�.�-,�'...,...,':..- - ;- .". I�.. - ,-,, -I. ,,.-.- _I�., .4�.:-. ..,- .,� _-.t."...trL-,-,,�.�. a.'_. -..L.l_. . ��.__&- : '.�,�L, _�...;I_.� t_,'!I- , ....,"�r �. I,.IZ. .�.-���- ,, _ ­_� .-- . -.�_�- .�­..I .._-.,.­,�.. ,..�,- . � -_- I�l.��. ,,.�.,-. -; ..m- , .-��I _ .�,,­�,,�'.- '.�,; .7l-- -�
I. ,� - _
. ; e Process wastewater,; . K", rges shaWdnly be,monitored:for 7PH when cpTrprngled with stormwater discharges from':VMA•areas. TPH,doesnot have -a -limit; or wastewater 1
, -._-�.1-,-�:�, -,.,.�,I . -�.':.. _,.l,-, -"., -,, .,,. _.-" �_.-'..,'..��. �. ,�'­,:_-�;,..,�. ..���, ...� i.".', -,-.)--'"�,",._-.A.,...�,--­.. .�,',� -- . - : �, .":.L-­-4_,�,.._ .r -,.,..._!, �:.,,'.".--�_. -1­-_- .� -'�.:..­. ­- ­-�, '.,,._ ..� 8:_-�.- :,,,.,-.---- ... ;I,.'`:..�.'­;'��.., ,. .";.:, L., -. - �, %_,.-;-�.­:�.,"4I.i,-,�.­._%-. I. ,-!.:.�r_- L..7�-._- ._� , ­,,,­ �.,.,L�, ��l0.,-.,� . -� ,:,;� ..:'r . . �x_,. ��,_-1,.''..m� -I .,',' � -, �._� ._.:-1�r.,,ja.�-,__L.�,-.,­,%. i-I��" L�:.j��� I;' ­. -�,­.'_- -.L��-.I_I_., - -,,.4�7'1.­,.�,l;,';_.- ,I � ." �I'�._:�IZ­,_­:-, �...: —''._,.,,., .. -­_�,. -..4.,..:_ .,-, '.- � ��,,�:_.­..­��.", :4,�_I(_.-'� _.-�;­�-- ,I�-_,.-..!.,'.,: �`jL� I.l-�. _,,L,6",,�_,-S.-_-, , ;.. ­ _' ,:�... -..�..,�- :--�.'� �. .:__���.�.. , ."� ,...�-. -...-.�­_,-,,�",�. ­�.­:.-.'LL'., _,;.. .�'-�,. �-�.:l:;:,-__W-.-_�.�. _- ­,." 3-� _�_�- . , -,..-,,7)­'i�.': ',. ., - I�---.-.�;.,� -.' _. -._�­,L-'-.-,"�,...;..'.::�-."-,, ,,,:'-'".�-_...�-3.:-,7,-.".­I7,-_�-_- �.'._
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_PRDCESS, WASTEWA
GE
-'CERTIFICATE OF COVERAGE NO: NCG14,__fg q
FACILITY NAME: "Re- M �Iteo� :oNiCr2e'1�:;b:
PERSON COLLECTlNGiSAMPLES:.M
CERTIFIED LABORgTORY a f Lab f
> `LIMIT.VIOLATf&N '? i6`ETN&EJ
Part A: Wastewater Monitorine Reauirements
FR ' Quarterly Discharge Monitoring Report
IERAL PERMIT NO. NCG140000
SAMPLE COLLECTION YEAR:
'=; _= ' :'.: -r.• SAMPLE. QUARTER OJuI Sept DOct Dec-. •�an-March:; ❑Apri.l-June
COUNTY
ADDToLISTttRVEI.':QYES,"EEMAIL` _
DISCHARGING TO CLASS: SA EIHQW QPNA OTrout Other
OPTIONAL INFO: l �
. �.ate=-•�
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k„ ,r
y x '
.111
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...e . .;',�1�4-u.=a_
Date Sam le �-�
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C I cted f
.: ate "'RM'�MD
= �i �
T a of Wastewater
-T - = { Z -
_
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standard ,P;"
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aI'S e
Tof detl
Solids n _
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R9. -;��-..�,.�;�,�
xs,. 'Y,b�
' °Settleable"
'Solids r'*
. _.,,�' .. ;-
TPH USIA
� g:11P
�limethod,£1564A
, , GT:HENI
-
•sue *Y"- _ -f
ukr,.
= ischar e
t ? Ytai'
.�.-
'.'-'fit`s_�
M
Total Flow
gallons/.;tlay)
-.-
.-- -
6t3I�F''�'�r=
M n Q
?nlA
CENTRAL
FILE
' If wastewater systems have not discharged in thisquarter- 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 ' (. p 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:yo0mto continue n'mon�toring. '
pH limits'are­6-9 S.U,;fonwasfe:Wateir discharge's to freshwaters, and 6 8 &5 S U for discha'rges to saitwaters.
s TSS, Iiihits are 20 riig/L-for: Wastewater. discharges to HQW;waters; 10 mg]L for 7roiifand PNA`vrafets,'and'.30,mg%L''for all'other�water`classificationst,:
Permit Date:-MY2010706/30/2015.... _ _. ,; ; ! < _ - . _ _ Last Revised 07/13/11
Page 1-of 2

a Processwastewaterdischarges 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.On" vnuously or calculated Flow limits'for wastewater:distharges to'HQW'watersshall`be"set fo 50%.of.the Summer7Q10 Flow as per 15A
NCAt 02B'.0224 Perr iiiiees"inih'o disci arge wast6m at6e to"'HQW waters'shall obtain a"Summee 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
reparton a:case-by-case basis.
i
f
MAIL-ORIGINAL_AND"ONE�COPY-.OF THIS-ANNUAL'SUMMARY-(INCL-U_DIN G-ALL'``NOTLOW2NO'•DISCHAR GE") WITH IN30DAYS,:OF.•RECEIPT aOFSAMPL>:'{OR
AT END•OF-MONITO RINGPERIOD'-INAS CE OFW"'"NO FLOfTO:
Wr'
.. —
Division of -ater Quality :.l
ii Attn: DWQ'Central'Files
1617 Mail Service Center
i R. aleigh; North Carolina 27699-1617 ' _ ....... _. _
3 [phone]-:
I 4
e
I YOU MUST SIGN.THIS CERTIFICATION-FOR'ANY-INFORMATION,REPORTED- _? 7
" I certify, under penalty of law' that thls, aocument.and all a#tachments were.prepare;J under m.y direction orsupervis►on m accor`dance with system'designed to
assure5that qualified personnel 'pro'piarly_gathe-r.and_evaluate thelinformatiori ubmitted Based on my inquiry of the person or persons who manage the system, or
those;persons'directly'responsible'for,gathering the! _information,f the information submEYted is, to the best of my knowledge and belief,'true, accurate, and
complete Lam aware thattthere are significant penalties for submitting false' information;,'including the;possibility of.;fines and.imprlsonrribnt:for knowing
violations." fs o
(Signatur of P r ittee) (pate) E
Permit Date: 7/1/2010-06/30%2015.: ; r jT 7 a "� "^' a s =• �' f'.. Last Revised 07/13/11
Page 21of 2
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