NCG020248_MONITORING INFO_20190118

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V CCU O� � C)v
DOC TYPE
❑HISTORICAL FILE
L�MONITORING REPORTS
DOC DATE
❑ Q o) � 0 I 1 y
YYYYMMDD

January 14, 2019
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
H RA RISON
JAN 1 8 2019
cc-N71-<AL r=
L)4A/R �EC�'IOP�
RE: Annual Summary Discharge Monitoring Report DMR
NCG020248
Harrison Waynesville Quarry
Waynesville, NC
Haywood County
To Whom It May Concern:
Please find accompanying this letter, one original and one copy of the Discharge
Monitoring Report DMR for the above referenced location.
If you have any questions or need more information, please contact me at Harrison
Construction Company Division of APAC Atlantic Inc. P.O. Box 449 Franklin, NC 28744 or
call me at (865)-279-6374.
Sincerely,
J Oreyrnette
Environmental Compliance
P.O. Box 449 (28744) . 136 Rock Quarry Road • Franklin, NC 28734 • Tel: [phone] • Fax: [phone]
A Division of APAC-Atlantic, Inc.
An Equal Opportunity Employer

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO -CFNjTRA'L, FFICE*
General Permit No. NCG020000
Calendar Year 2 O I %
'Report ALL WASTEWATER monitoring,Aata on}thisiform.,(include-"No;Flow°i"No;Discharge" and Limit Violations)'from
the previous, calendar year to,the0EQtbytMARCH 1,6f,each year,
Certificate of Coverage No, N0002 0®❑4
Facility Name: WAYNF VTt,L,r UA'ZR
County: iA A`d WonC>
Phone Number: (04 ) 5'14 5455 Total no. of outfalls monitored
Certified Laboratory PAGE Lab # 40
Lab #
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No 66
Does this outfall discharge WW to SA waters?
Yes ❑
No [6
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No [1
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 R[
No ❑
Were there any limit violations in the calendar year?
Yes ❑
No d
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mlll
napplkable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
'
Effluent.
Llmltatlons
'-
- Mo. Ave f bally Max.
- -
HQW�orORW
'60%: of
rtrt
^?Q�v --
fndifa4
ppfkah7 FLOW,
freshwater..
6 4=9 0'
aa11water
6:8,'8.,S i
"
Industrial Sand
25145
riQwbroraw
�f
- .20130,
.lHQW or'ORW,
_and Tror PNA
.10415 _
- - �'-
HQW;6RW
saps FfaA
oranyTmut
0:110 2
,�• v
{
No,L�mit
ClrcleWater
Quellty,Standardl
,•'- ihatapplles•�
•�_ �
--
,NIA',
WetarQuality.
Stdndaid_applies
-
N/4
Wite�qu,
Standardapplles
,
NIA
Date Sample
Collected,
molddl
En
3 3olf�s
.' 34
(c.5
.5
40.1
c 1.0
N A
'1 3
13
&.5
49.5
40.1
< bo
LILA
b/ 11
13 4
4•a
e-0•
I •6,
N
la 14 it
3
L 5
<D.
< 1.0
WA
7
Permit Date 10/1/2015—9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ❑� ®©®
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."
[RQquired by 40 CFR § 122.22] '
Signature
Date f
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DFMLR)
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 DEIVILR Stormwater Permitting Staff In the Central Office at:
[phone]
Permit Date 10/1/2015 - 913012020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- WASTEWATER
SUBMIT TO CENTR;4L OFFICE*
General Permit No. NCG020000
Calendar Year a O 1 ,�
'Report ALL WASTEWATER monitoring data on this form (include "No Flow"1"No.Discharge" and Limit Violations) from
the previous calendar year to the DEO by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ❑D ®❑
Facility Name: Ouh;Z�c�
County: 1A A4w00x---:-'1
Phone Number: (U'g ) 5a,4 5455 Total no. of outfalls monitored
Certified Laboratory PAGE Lab # 40
Lab 1#
Wastewater (WW) Discharge Outfall No.
Is this an Industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No [jJ
Does this outfall discharge WW to $A waters?
Yes ❑
No [�
Does this outfall discharge WW to SI3 or PNA waters?
Yes ❑
No [JJ
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No [J�
If so, what is the 7Q10 flow rate? or Tidally influenced
waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes g
No ❑
Were there any limit violations in the calendar year?
Yes ❑
No [�
Outfall No.
�
Daily Flow
Rate, cfs
pH,
SU
TSS,
m g 11
SS,
mill
nW11cable
Discharge
Turbidity,
NTU
Upstream
(U)Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 m1
(SA)
Effluent
Limitations
Mo. Ave I Daily Max.
HOW or0RW
550% of
rt
7Q10
OFF OW
Indic ato NO
freshwater
6.0-9.0
saltwater
6•8-$:5
Industrial Sand
'261466
HQW.ofORW
HQ 201.00W
and Trer PNA
10115
HOW, ORW,
SA. SB,PNA,
or any Trout
0.110.2
No Limit
Circle Water
OMO pitndard
60/2 •7�V�
NIA
WaterQuallty
Standard applies
NIA
Water Quality
Standard applies
N/A
'
Date Sample
Collected,
molddl r
t
�y
1
_.� �,.�,i.
,A
�o sty b�Y
.
tlk�
3 3o 1s
. 3 4
10.5
L. 5
z 0, i
L 1. 0
I
3 !x
t3
&.s
0/11 IN
3
(c.lo
I 4-a
40.1
1.6
/U
l a 114 flq
3
54
o.
< 1.0
Al A
7
Permit Date 10/112015 — 913012020
Last Revised 10-2-2015

Certificate of Coverage No. N0002
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."
(Roquired by 40 CFR § 122.221 -�7 ------ 1�
Signature
Date I
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 10/1/2015 — 9130/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2018
'Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEo by MARCH 1 of each year.
Certificate of Coverage No. NCG020251
WFD
Facility Name: Vulcan Construction Materials, LP/Boone Quarry FFP 18 2019
County: Watauga UCNTIRAL FILES
Phone Number: [phone] Total no. of SDOs monitoredh SSCTlnn�
Certified Laboratory Research & Analytical Laboratories, Inc. Lab # 34
Lab #
Stormwater Discharge Outfall (SDO) No. 003 VMA Outfali? 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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfail No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
(al/mo.
Stormwater
Benchmarks
Indicate NO
FLOW it
applicable
Circle
Benchmark
100/50
0.1
Circle
Benchmark
50/25/10
N/A
Water Quality
Standard applies
NIA
Water Quality
standard applies
15
>55gallmo.
average requires
TSS and Non polar
O&G monitoring
Date Sample
Collected,
mo/dd/yr
r,
t
01 /01 /18 —
06/30/18
No Flow
12/18/18
1.70
<5.0
<0.1
14.0
N/A
N/A
N/A
N/A
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG020251
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ 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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
ml/I
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/1
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarksa
lndrea[eN0
FLOW it
rcab,e
Circle
Benchmark
100150
0.1
Circle
Benchmark
50/25/10
N/A
Water Quality
Standard applies
N/A
Water Quail
Standard applies
1 5
>55 eui
averagea requires
TSS and Non-
O&G monitorin
Date Sample
Cal lected,
mo/ddlyr
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG020251
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ 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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg/1
, SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
(allmo.)
5tormwaier
Benchmarks
lndicareNO
FLOW if
appficabje
circle
Benchmark
100/50
0.1
Circle
Benchmark
50/25/10 1
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
15
a55 gollme.
average requires
TSS and Non polar
O&G monitoring
Date Sample
Collected,
molddlyr
'
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG020251
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 § 122.221
Signature
Date February 5. 2019
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 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 24 14<
'Report ALL STORMWATER monitoring data -on this form (include "No Flow"P`No Discharge" and Benchmark
Exceedances) from the previous calendar Year to the:DEQlby MARCH 1 of each year.
Certificate of Coverage No. NCG02 ❑a ®©®
FacilityName: iAIA�)Nit:SV?c.LE 6QA2,?Y _
County: P M woo a
Phone Number: c pass } Sal} 54SFj Total no. of SDOs monitored
Certified Laboratory ?ALE Lab # _4n
Lab #
Stormwater Discharge Outfall (SDO) No. 1 VMA Outfall? Yes ❑ No Qf
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No U
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 ❑ Y� i� CEI ED
No, turbidity benchmark exceedances did not require monthly monitoring ❑ T� BAN I
Other ❑
—r 1,17L Al wit. J
a., —, . • -
Outfall No.
(
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,Non-polar
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
L)VVN arw
p
O&G, mgll
(VMA)
J I IV
New
Motor Oil
Usage
allmo.
fndlcalaND
�ap' kaa ;
cl.tle
Benthma
1 �0
0.1
CirclStormwafer
Benthma
nchm
t)0I2t] r O
NIA
Stwnderd appl ea
NIA
Quality
MlarBenchmarks
Stantlard epplfra
i
average requires
aagereq i
7oaand
m n�loAn�ar
Date Sample
Collected
molddl r
..,
r _�u
o
N A
7
!()
0.5
C S
0.I
I.%
A/ A
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015
GON ►ROLi.f�� R>;c- ASc VIA SKsfv)ly Z

Certificate of Coverage No, NCG02 DO® 4❑®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. __-A CD VMA Outfall? Yes ❑ No 9
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [J'
Was this outfall ever in Tier 2 during the past year? Yes ❑ Nov
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
a �
Total
Rainfall,
Inches
TSS,
mgll
SS,
ml/l
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/1
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
lndfcefeNO
W)f0.1
FL kebla
Circle
Benchmark
100&
.Circle
Benchmark
501251i50 ,
N/A
Sandard apples
NIA _
Standard applrQualities_
1 `5
a55gallmo.
average requires
Tp G"mon/torinlar
Date Sam ler�
Collected,r
r
01.u
��lmolddl
4
mi4�
to 1-7 fs
O.5
4a.5
40.1
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015
CoN-�RoL,(,Ffl REt-EASe VTR 5KTMMF_Z

Certificate of Coverage No. N0002 0®©®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. _3 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 d
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
Inches
TSS,
mg1l
SS,
mill
Turbidity,Non-polar
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
p
O&G, mg/l
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
- -
Indic. BIG NO
FLOWN l8el
Circle
Benchmark
100150
D•1
.Circle -
Benchmark'
-5OI25110
�N1A .
sandardappllWatarQ es
NIA
WaterQuallty
Sandardappllea
1`�
>66 gallmo.
avenge requires
?D3Om nitoSS and dnlar
Date Sample
Collected
�''m.,•
b
1 c
rn
a
— �SyKa
rioui
UL —P a r,o>G4dW
Permit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 QM®©®
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direcVon 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 CPR §122.22]
Signature
Date ) I I I I i9
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 10/112015 — 913012020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT {DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year of 01 -'K
'Report ALL STORMWATER monitoring data on,this form (include "No Flow"Mo Discharge' and Benchmark
Exceedances) from the previous calendar year to the.DEQ;by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ❑O ®❑4
Facility Name: OUAQZY
County: CLAY
-- - --
Phone Number: ($a$ ) 52L4 5455 Total no. of SDOs monitored 3
Certified Laboratory PAC. E Lab # 40
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall?
Yes ❑
No Wf
Is this outfall currently in Tier 2 for any parameter?
Yes ❑
No d
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?
C .V J
Yes, enough consecutive samples below benchmarks to decrease frequency
❑
2Q�9
Yes, received approval from DEMLR to reduce monitoring frequency
❑
No, turbidity benchmark exceedances did not require monthly monitoring
❑"(`tAL
4 tl t r`
GC �,;.� r1�
Other
❑
'���
Upstream
Downstream
New
Outfall No.
Total
TSS,
SSA
Turbidity,
(U) Turbidity,
(D) Turbidity,
Non -polar
Motor Oil
I
Rainfall,
mgll
mill
NTU
NTU
NTU
O&G, mgll
Usage
Inches
(VMA)
allmo.
Stormwater
lnuketeNO
Benchmark
Benchmark,,
circle
Benchmark
NIA
NIA
, peVmo:
everiperoqulres
Benchmarks
Fr_ow°
applicable
lal 50.
0•1
6� rw I Q
Water
S andard eeuilea
PP
Sunda rd applio
PP
15
rss m avon•Pmu
Oa0 monitcAng
Date Sample
y?{V;
� ��
h�; eqx
r';t< !r
$�;
� .% kit
'Sy tic
�
Y
...Ss . 3
4�°'
�r ti`r'
•
�' t
f
7,.
.:.. M� 'e ,. t.
F Y
� � 't' r �r �
1 k�•Ilia,
s;s;,(�mnlririlvr
r„ '. ��Jt''Ri�SS?.3��'}i
;p*
� . � � x t�
nCollected,
wtrr
r r M"
gi r's
�f�` '
Permit Date 10/112015 - 9/3012020
Last Revised 10-2-2015
(,ory E R-f,FAsr__ VaA 5r :M)v1r:-')�Z

ft
Certificate of Coverage No. N0002 ❑O [ER -
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 0- VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No d
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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
Inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
aliMo.
-
Stormwater
Benchmarks
rndlcm.
eF10 Wti a
Circle
hmark
1 16Q
a. �
:circle
Benchmark
(@26/10
N/A i
Standard appliwiter es
-
NIA
alerQuaT
Standard applle1
1
a56 gaumo.
average requires
0&0 monitoring
Sample
molddl r
MCollected,
JiSft�t
..'Date
Wa Vd f
i4 r i.
3 r
(kS iX FY5"
'"` �INY
' .1,� 1k51
..AllTA f
r.l — v
No FGo
I I f fe:
O. S
q •9
< D. I
� a
N
Permit Date 1011/2015 - 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 0®❑4
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 3 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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
3
Total
Rainfall,
Inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/l
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Stormwater
Benchmarks
Indicate NO
aFa kee
Circle
Benchmark
100150
0.1,
Circle
Benchmark
50125110'.
NIA
, S ndard applles
N/A
Standard applWater Qu ies
-
15
>55 allmo.
everape requires
lar
TO Gm nitoring
Date Sample
Collected,
moldd r�
A�, ,,�
r
N
w
^'u ha
No FL, o
.1 U L. — Dn_ C
NO Fco Vj
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 01E �F❑
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 CPR § 122,22]
Signature
Date I
Mail An
al Summary Stormwater DIVIR 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 10/112015—913012020
Last Revised 10-2-2015

WAR
January 8, 2018
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Annual Summary Wastewat r DMR
NCG020246-- O-Q:
Harrison Waynesville Quarry
Waynesville, NC
Haywood County
To Whom It May Concern:
HARRISON
JA N 1 9 �018
INFOPMAT.rON PROCESSING UNIT
Please find accompanying this letter, one original and one copy of the Annual
Summary Wastewater DMR for the above referenced location.
If you have any questions or need more information, please contact me at Harrison
Construction Company Division of APAC Atlantic Inc. P.O. Box 449 Franklin, NC 28744 or
call me at (865)-279-6374.
Sincerely,
#140�1--����
Jeffrey Arnette
Environmental Compliance
P.Q. Box 449 (28744) a 136 Rock Quarry Road . Franklin, NC 28734 • Tel: [phone] . Fax: [phone]
A Division of APAC-Atlantic, Inc.
An Equal Opportunity Employer

RM.
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT T4 CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year _Q I ]
'Report ALL WASTEWATER monitoring data on this form (include 'No.Flow'1"No Discharge" and Limit Violations) from
the previous calendar year to.the, DEQ, bv MARCH 1,ofeach year,
Certificate of Coverage No. NCG02
Facility Name: WA'INCe Q 711, r QUA;ZRY
County: OA-fw00c:>
Phone Number: 5a4-5455 Total no. of outfalls monitored J Certified Laboratory PRc,Fr_ Lab#_4o
Lab #
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)7
Yes ❑
No d
Does this outfall discharge WW to SA waters?
Yes ❑
No [✓�
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No d
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No W1,
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes Rr
No ❑
Were there any limit violations in the calendar year?
Yes ❑
No [ (
n
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mlll
ifappikoble
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Collform,
co11100 ml
SA
Effluent
Limitations
Mo. Ave i pally Max.
HQW o� ORW
56% of
7Q1 0
indicate NO FLOW
it eppilca6lp
freshmtar
6.0-9.0
saltwater
6:8=8.5
Industrial Sand
25145
HQW pr.ORW
20130
Hdw'crORW
and Tr or PNA
1 0115
HOW, ORW,
SA, SB. PNA;
or any Trout
0.110:2
No,Llmlt
clrtlawater
Quality Standard
!hit applies;
50125/10
NIA
WalarQuallly
Standard applies
NIA
Water QuilltIf
Standard applies
NlA
Date Sample
Collected,rcPlyL
r
/l� 'Yr
vrg ttr
i
� `s s, ;k�`
!
t i
1 rr
�fmls
f3' �'
�` '�
!
amolddl
¢d w �,
t y'
y h
r�;
r
1-7
.134
-
z-.5
4 0.1
c 1.0
/VZA
IVIA
a
I
34
g
45.0
5-0-1
1.0
$ -7 1 "7
3
.c o• I
N
6
I aq
3 .
o
nI
At ZA
1W
Permit Date 1011/2015 — 9130/2020
Last Revised 10-2-2015

El
Certificate of Coverage No. NCG02 ©®©©
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."
[R©quired by 40 CFR §122.22]
Signs
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DFMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
is Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEML.R Stormwater Permitting Staff In the Central Office at:
[phone]
Permit Date 10/112M — 913012020
Cast Revised 10-2-2015

HARRISON
January 9, 2018
NC Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Annual Summary Stormwater Report DMR
NCG020248
Harrison Waynesville Quarry
Waynesville, NC
Haywood County
To Whom It May Concern:
Please find accompanying this letter, one original and one copy of the Annual
Summary Stormwater DMR for the above referenced location.
If you have any questions or need more information, please contact me at Harrison
Construction Company Division of APAC Atlantic Inc. P.O. Box 449 Franklin, NC 28744 or
call me at (865)-279-6374.
Sincerely,
Jeffrey Arnette
Environmental Compliance
P.O. Box 449 (28744) . 136 Rock Quarry Road • Franklin, NC 28734 • Tel: [phone] • Fax: [phone]
A Division of APAC-Atlantic, Inc.
An Equal opportunity Frnplover

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR— STORMWATER
S(JBM T TO)CENFTRAL,[&#,FICE*
General Permit No. NCG020000
Calendar Year a0 i'1
'Report ALL'STORMWATER•morikiring;data onlhis'form (inGude FN6,Flow; No:Disc-harge" and'Benchmark
Exceedances) from the.preiiious�calendartiyear,lo.theiDEQ€by MARCH i of each.year.
Certificate of Coverage No. NCG02 O❑® 4❑®
Facility Name: WA-1WSSVztE QuA2;?Y
County: HA-4WOOO
Phone Number: (Sat 62A 54 6S Total no. of SDOs monitored
Certified Laboratory _ P AC.E Lab # 4
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No /
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No [,
Was this outfall ever In Tier 2 during the past year? Yes ❑ 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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
Inches
TSS,
mg/1
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
08G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormiwater
tBenchmarks
Indicate NO
F� k; p�
cat., :.
Benrh ,
,1001t 1 i
,, a'
.. • circa
:Oenchmut
5012ti 1 Q
NIA
, !Standard applles ,•
: NIA„ =
Standard applies
�_ Si . , .: ;
>66 pump
avirapa requires
• 1060 m6n110drtg
Date Sample
Collected,
molddlyr
'. M—ma _1 ;JI..
W
'
5 19a I Ll
0. q
3. 7
46.1
&.0
N
0
0.
<O. 1
41.0
141A
Permit Date 10/112015 — 9/3012020
Last Revised 10-2-2015
CowizoLLEfl RELFASfr-, \ -SA 6K7jM1`11EfZ,,

Certificate of Coverage No. NCG02 Q®❑4 ni
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. a 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 ❑ Nov
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease Frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
• .
Total
Rainfall,
Inches
F
NTU•:Usage
. .
DownstreamUpstream
1 1
Non -polar
Motor Oil
to -Quility.
n�PIIW�'
Water A .
StaAdard applies
mm
NOR
o
� 1
�
1� .
; Y� 1 .�
� t• s�.
� h y. I r -
F � MI
�y
� �; � ly; :t�
{,
F
Permit Date 101112016 — 9/30/2020
Last Revised 10-2-2015
X RC(.ERS£ us/A

0
Certificate of Coverage No. NCG02 EERIE
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 6 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 ❑
No, turbidity benchmark exoeedances did not require monthly monitoring ❑
Other ❑
Upstream
Downstream
New
Outfall No.
Total
TSS,
SS,
Turbidity,
(U)
D Turbidity,Non-polar
()
Motor Oil
�--�
Rainfall,
mgll
mill
NTUtyr
NTUdity,
NTU
O&G, mgll
Usage
Inches
(VMA)(gal/Mo.)
'-'Stormtm,ater
B°f• =. - '" '"
enchmarks,
lndleeleNO
- ,Ft OWN,-,
r.,t.'
�t",•>
Benchm
I .
�100050i
i
Q 1,.. t.
i°'r"'� t
B_enahmarlt
f
501251&.:.+s,.,.,,
` ;N1A'�
: - i Wa1ar ouallly, _
poll..:.'
;N/A,
! , .,
' swats Quallty,
standard aoutl..
rr t.
, '.1 J
:15 gallMO
average raqulrem
TSS end Non olar:'
run
Sampl
�.�-�
]BEEBE"
i' - ,}yM
�
Y�
wt9�1.1 .:}h.,�f
t
j
mmm
r
6.T.samom
Permit Date 1011/2015—9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0®©®
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 § 122,221
Signe
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 101112016 — 9130/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
�SUBMI<TTOr CEN=TRAL�(0FFI CE*
General Permit No. NCG020000
Calendar Year R011
`Report AL' L' STORMWATER moni,torin`g',data-o�;this formV(ihaUd6- �N6Fll;o±nf l,No Dig6Ki rge �'arid Benc�imark
EkceedaAcbs) from thb"previous'ca.leridar',y. ta''the bEdjb T)44 9 of each year.
Certificate of Coverage No. NCG02 O❑®�®
FacilityName: �Il-tNESy.s�E �uA2�Y
County: o 0
Phone Number: (Sai 1 624 546S Total no. of SDOs monitored
Certified Laboratory Q AC F- - _^ Lab # 4_
Lab #
Stormwater Discharge Outfall (SOO) No. �^ VMA Outfall?
Yes ❑
No ✓f
Is this outfall currently In Tier 2 for any parameter?
Yes ❑
No 2'
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 DDMLR to reduce monitoring frequency
❑
No, turbidity benchmark exceedances did not require monthly monitoring
❑
Other
❑
Outfall No.
Total
Rainfall,
Inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Sformw_ater, ,
ir h
i;nchffiarkS
�.
' 4ndkeeNO
'FLOWN
,',a k+bN�•
Irtle
BegcrYll� 1
�t]Q
- -
��•
•'aClrCl�. o -
Benchrri�ifc
f
+80125 10 .
iT•-- y'11..11 i- , .r,
IYIAwinQ�nqulnar,
•Wit'er4UA'xjy. - .
;ir;Sundardappllesra,.
�,
. �W�IugwlltY
tSundirdappllu•
a. ,
b.,., r x
• �d5 eUmo-n •.
IIT.SS'smNon olsr-'
i+0&0thdnllaoin
Date SampleM-ow
CollectedmF ldd! r
:a
�.r.0.�
..
3 7
L'
&O
NZA
Permit Date 10/1/2016 - 9/3012020
Last Revised 10-2-2015
�N�Rot.L,Efl RELEASG vzA SKVAINNER,

Certificate of Coverage No. NCG02 [D®0®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. Z�, VMA Outfall? Yes ❑ No 9
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No [✓r
Was this outfafi 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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
11
-
Total
-
mffilm�
Upstream
Non -polar
•: .Usage
—
New
Motor Oil
.:
Date Sample
Collected,ft
}
���'D
>`c
•I� - :5 1
by4)�
• , I
LM
MEN
�
Permit Date 101112015 - 9/30/2020
Last Revised 10-2-2015
XC0tj TRoLUFD R>:L,EAS-F_ v3A

Certificate of Coverage No. N0002 [N®S®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. (p 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 ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
• .
Total
Rainfall,
inches
'ME
Turbidity,.
NTU
Upstream
. ...MotorOil
'
New
I
Usage
.: "Mo.)
'
1M 1
ill
•1 1
••
■ .
. iM
��, ,
.T�'i*y7{ � ��
` �' i,' ll
��
'�i a
Permit Date 1011t2015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑O ®©®
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
Dale I
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 Piles Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9130/2020
Last Revised 10-2-2015

.W,T ANNUAL SUMMARY DISCHARGE MONITORING
r
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
-neral Permit No. NCG020000
&k�'�Y Calendar Yeary2D16 NOV0 9 2016
V
"Report ALL WASTEWA7ER.monito-ring data on this fo rt.. clude "No Flow"P'No Discharge" and Limit #i s t#r i�hE
the previous calendar year to the, EQ by MARCH 1 of each year. DWR S CTION
Certificate of Coverage . NCGO p 0 a
Facility Name:
County:
Phone Number: - Total no. of outfallsymored
Certified Laboratory Lab #
Lab #
Wastewater (WW) Discharge Outfall No. _ t3
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No Ell' -
Does this outfall discharge WW to SA waters?
Yes ❑
No u
Does this outfall discharge WW to SIB 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 (Tr) designated waters?
Yes
No ❑
Were there any limit violations in the calendar year?
Yes ❑
No
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
itapplkahle
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
(SA)
Effluent
Limitations
Mo. Ave 1 Daily Max.
NOW or ORW
50% of
7Q10
Indicate NO FLOW
it appricable
freshwater
6.0-9.0
saltwater
6.$-8.5
V
Industrial Sand
25145
HQW orORW
20130
HQW orORW
and Tr or PNA
10/ 15
HOW, ORW,
SA, se, PNA,
or any Trout
0.110.2
No Limit
Circle Water
Quality Standard
that applies:
5a1z511 a
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
NIA
Date Sample
Collected,
molddlyr
,3• 40 • !lo
1121S
4 • t
Z . 0
A11,4
p
l�
3
a.-7
.1
•0
A ANZA
FS !
1. 9
AWA
N
l�o
.4
26. 1
IN
IVIA
NIA
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 []D ®©®
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 1 i
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 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

11
11
0
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year UI (n_
"Report ALL STORMWATER monitoringdata on this form (include "No Flow"/",No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ,by MARCH I of each year.
Certificate of Coverage No. NCG02❑®9151
Facility Name: In1AYnl!<eUTLLE UUARR%(
County: H A1(w0c)fl
Phone Number: (���) Sa4-5455
Certified Laboratory QACA Lab # 40
Lab #
Total no.
Stormwater Discharge Outfall (SDO) No. I VMA Outfall? Yes ❑ No Wr
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No V
Was this outfall ever in Tier 2 during the past year? Yes ❑ Nov
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency ❑ �� GIVE
Yes, received approval from DEMLR to reduce monitoring frequency ❑ ,BAN 2 6 Z617
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑ CENTRAL FILE ,
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
Indicate NO
a `k,p�
Circle
Beritpm
100 0
0A
ncCirtnn
Bmchme
50125 O
NIA
Standardtipplise
N/A
3e da�'a pplies
1
?6serequT
evarepa require■
To3Gman3taSS and Anjar
Date Sample
Collected,
r
•
.
,w
Wee,molddl i
BURN.
ym
.4
4.6
L.I
ter/
IVIA
IV4A
IVI
(0
46. ti
3.6N
N a
Permit Date 1011/2015 — 913012020
iK CO>�RoLLFO JiJ b fASF L rRe�rsea ro-z-2o�s,
Sa SKTMMLrZ.

Certificate of Coverage No. N0002 6920C
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. �9 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 u
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No. turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
Inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
p
O&G, mg/1
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
lndlcahNO
Ft ka .
AppDate
Circle
Bsdchmerk
100150
0' 1
,ckcle
Benchmark
50125L1 t)
NIA
' Standard applies.
N/A
Standard applies
rJ
>Mgaumo.
average
average requires
r�0 `d N�o' polar,
Sample
Collected,molddl r
WI,
k*11­1
lV UA)
O
7/6
6. a
4.4
to.l
v• o
iv A
zy ZA
AIIA
Permit Date 1011/2016 — 9/3012020
Last Revised 1i1-2-2095
� CONY LLB +� �crt"CASC- USA Si«MME1z

El
•
Certificate of Coverage No, NCG02 [?2®4®
Additionalbutfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. _0 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 d
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
Indicate NO
FLow�+
lka6la
Circle
Benchmark
10010
0.1
circle
Benchmark
50125 11
NIA
WatarouP,pIIlit
Standard applies
NIA
WaterQuality15
Standard applies
�65 gailmo.
avorage requires
TO&GmoSS and ooring
Q30 maaitofin-
Date Sample
Collected
�a ,.a t
molddl r
.'F's° �
+1ir3 a, r,�1c
.t i s
t
e'f
a �;{,i rt
++r, •sr.iw�.r-
>x [t�
�sryt ak
•�. 1� Y rr11J Y
..t
+ rr t
•:lt ti � ai.i
�,. taa. \�; �3
s5' - .�
w1
{ti f
. j,' ' ,,
h r }}
�vt{ ��
.'.F .- J
� �, r r
tk� rl
S 1•F' 1
1F y�`k
t %i"x't
k4t.�Sr 'iu
4'*� "•cr er _7''l.l
t5 7 rft
rY
f r5 1?;V �C4J
7��.ti'���.�.1
� Cry �7
i •
G a3I
4
'1 3,
I .t Lei 3� iiaa rJ
L l"p.-�.wt .].s...�.i
� 1 t rRtp
trd t,
3.. 2^.
C r'7„•�
,t ♦7L - {. 7'
5 3 r(0
�d•5
�O. i
3.5NIAnrA11A
iVIA
URI&
6 a
tea.
e-0.4
Permit Date 10/112015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 0❑®©®
n
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 §f 22.221
Signatu
Date 1 T
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 1011/2015 — 9/30/2020
Last Revised 10-2-2015

4
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year d015
"Report ALL STORMWATER monitoring data on this form (include "No Flow"!"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of
Certificate of Coverage No. NCG02
DEC 17 2015
Facility Name: 1►J�`f !1}ESV�L{,f �U1k�fz� -- = EiENTRAL FILES
County: AAq w0c>DWR SECT
Phone Number: ss Total no. of SDOs monitored
Certified Laboratory PAGE Lab # 40
Lab #
Stormwater Discharge Outfall (SDO) No. n� I _ VMA Outfall? Yes ❑ No Q�
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 4
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring
Other
01
Outfall No.
�—
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
fntllcate NO
FLoWff
applicable
circle
6enchma
100 0
0.1
Circle
Bertchma
5012510
NIA
Water duality
Standard applies
NIA
WatcrOuallly
.Standard applies
15
> gal,mo.
grog
average requires
0&G monitoring
Date Sample
Collectedr
molddl r
t 1
'
't yyFyJ�3s�__.},,r�,=�;..r��
)icy
h Yt1 Y
LL
47,11
�!�t�1
"y� 3 1
4S l r
Y• 1t yi1lr
. ti }ir r !
a
VAQ .r^.ht
yT•"'S'
tJ:'
f�
�i,
F61�r i �•)jl}j' l ,i�`�Y7
� 4. r'I
l'
`y �!t yid
}. �T�`rc
t.�. 4�. �i- N
.r .:i ;.t
s1�4CAt i`(t�hl
i yj'i4�Vlr t,
J f •;YP ieTs1 i
Ar
—�
— f
a7-9776c
5
e-p. I
Z_ 1. 0
AJ
N
AIZA
N
N—
FL
19 62k'
L
Permit Date 10/112015 - 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 O MR&I
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. CX a _ VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No d
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 0EMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
Inches
TSS,
mgll
SS,
mill
Turbidity,Non-polar
NTU
Upstream
(Uj Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
O&G, mg/1
(VMA)
New
Motor Oil
Usage
allmo.
8enehmarks
Indicate
FLOW d
applicable
CircleStormwater nchm
Benchm�
1 ao/Cfl►
(w
�. I
a"'°
Benchma
5QI25 0
NIA
Water Quality
Standard appllea
NIA
Water Quality
Standard applies
15
�66gaequi
averigerequlrea
TSS and Non -polar
0&0 monitoring
Date Sample
Collected,
molddl r��
�c` A 1 j
�.���a��
,.7fY.I.3Yl'.'yitf154f'J
L �l `•` rs
���1 ?•
'.wr'i.�{-,.�\Y.Y4i1
4 �.(. S� "i
�ir y�3���
�.'�S
,Il S'i.
l!"76.I, ' rCa.
�r 1 �Rk;�F
If..-:�»"sStl '4 f
`S`�}`ifLf
,��� l27 C ti{' .y
L'.Y--. �nA
r'A;�44
r�
�,�.
8 �SE.i `fts C� Cf1y}'! F2 ",
i" Is _t�' �S�„Sf!,�Z
'j �2
I,7 IL.1^.:"i�. K. •R
it J t�. i
! y F�r�'.�.yfN
� �l'� t�lT
i,f Y.Y i:�.:'M.ia:Vl i:!
FT �z i•, 1 n1a
t�LISl.IC.�]..rs '" i
MN
NoF'
_ _
t
G0.1
1.1AJ
A
N
N
20t'0',ED
fYLV5t
&K 6AMFLE
o L
Permit Date 10/112015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 LV1®©®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. SDO'A 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 aEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
-D!:� 3—
Total
Rainfall,
Inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
gallmo.
Stormwater
Benchmarks
indicate NO
FLOW)
applicable
cfrcfe
Henchm
1;0AW
1 Ift7j/
a
c""'
Hmchmark—
60125fn\
I�,�J
NIA
WaterQualifyappif
5landaM applies
NIA
Waterpappli
Standard apptlaa
16
gavm°
average regelras
TSsand niters ler
pa6 mmitodn
Date Sample
Collected,
molddl r
_� :,
,�
`aa`°! it;:i
f. .,:.k_`
, ,
:}. ,w
�,:sr k
,}` rr;�„
► fi . ".
# ;a;.'
i; ',.x. tt.
y �.; . ,,
t r
r �.,..:;,..T
4 R q
0 -
zo.+
1.1
A
NA
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 F61®©®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. SE)66 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 S/
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
SD066
Total
Rainfall,
inches
TSS,
mgll
SS,
ml/l
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
0&G, mg/l
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
lndicateNO
FLOWN kaa a
Circle
Benchm
100 0
00.1
circle
Benchma
5012 0 .
NIA
Standard applies
NIA
StwalerOuality andard appll s
1 5
'55SMV
avOragerequlree
r03G manitoring
Date Samplet'",
p
Collected,
moldd! r
'y ,r.l'y?r7
i4w it 4
�:i•i , St}.j'
>�
�y'"
,€
'�' r^y'!�
{`;y` S 1
1•1� a t
��" {
'S! :Y Tli
41�
F Y
i =3
c'V` • f` l
iS1?�
r
F d'�FK" -tic
y
"Bill
3 •`Y.t
4
.''t� i€ 'kl
iP rr
�:�
�.ii tr•[Y } i k
4 t; t`
�ii^ .l Sltk
} p�4
i t
fy�;
�T`F 7it�t�gi
:wScY%
r
6
i/V
NZA
/-a.
A
G
GED
RELEASk
SAMPLE
QW."
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 �&®Q®
CERTIFICATION
" E 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."
IRBQUi--r nr_n Penn n.n
SignE
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 101112015-9/3012020
Last Revised 10-2-2015

F7IL:
0
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfilling out this form, please visir: bttp:ilb2i),cnr.sLate.iic.us/sLL/Fornis Documents,htmllmiscforms
Permit No.: N/CI—I`I or Certif}} ate of Coverage No.: NIC/G/t)IZ PIZW,81
Facility Na�� �fJ3e/ll%
County: V6)0,d PI one No.
Inspector: -
Date of Inspection: l2 dl
r /y
Time of Inspection: l/
Total Event Precipitation (inches): °
Was this a Representative Storm Event? (See information below) 911yes ❑ No
Please check your permit to verifi, if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0,1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which do storm event measuring greater than 0A inches has
occurred. A sint~le stUm event mJv contain up to 10 consecutive hours of no precipitation:
By this signature, 1 ify that
(Signature of Perm tee or De
1. Outfall Description:
Outfall No. C�
Receiving Stream:
Describe the industrial activiti
report is accurate and complete to the best of my knowledge:
J
Structure (p , ditch, etc.) _ t
t -A=, k S 1 'P-t==14
that occur within the outfall , inage area:
2, Color: Describe the color of the discharge us;'basic cos (red, brown, blue, etc.),and tint
(light, medium, dark) as descriptors: _
3. Odor: Describe any distinct odors t t t%dscharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.)://�
Page t of 2
SW r-2a2•t1WS

9 0
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
I 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is n olids and 5 is the surface covered with floating solids:
LI 2 _ 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 s o solids and .5 is extremely muddy:
1 2 3 4 5
7. is there any foant in the stormwater discharge? Yes No
S. is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erasion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
]Vote: Low clarity, high solids, and/or the presence of foam, oil sheen, or crosio0deposition may be
indicative of pollutant exposure_ These conditions warrant further investigation.
Page 2 of 2
S U-2a IIM08

E
TIER 2 or BENCHMARK EXCEEDENCE DNIR - STORMWATER
SEND TO YOUR LOCAL REGIONAL OFFICE*
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000 (MINING)
* Use this form if you have EXCE'F.DFD RF.NCHM.4RKS for any parameter or are in 7"ter 2 Monitoring. Send sample results to DWQ Regional Office within 30 days of receipt
from lab.
CERTIFICATE OF �Z)�eSOLtIC..QAAQj2_4
ERAGE NO. NCG02 o 2- SAMPLE COLLECTION PEULAS-r
. I ❑ 2 El OR MONT Y: [ B MONTH
FACILITY NAME: COUNTY t�tatx
PERSON COLLECTING SAMP ES PHONE NO. Z 1—�
CERTIFIED LABORATORY Lab # TOTAL RAINFALL: INCHES
Lab # EVENT DURATION: ,C '1'ILNUTES
Part A: Stormwater Monitorim Requirements
Outfall No.
Date Sample
Collected
{ma/dd/yr OR
NO FLOW)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months In
Tier 2
Sampling
Total Flow
(�G)
Total Suspended
Solids
(mgR)
a
Turbidity
Turbidity
Settleable Solids
(mul)
-
-
-
-
-
,003.4
See Footnote"'
0.1
00 r
o Go (A/
00 Z
d c o eel
,gets 3
68 o_ Za /o
E5
tyr o
• 0
4
U
/ii4 Ga G✓
-
5�� b
o o
Es
„ra
N�
o
�• 0
4
'If "NO FLOW' or "NO DISCHARGE, Enter `NO FLOW' or "NO DISCHARGE" for each outfall here and tfte Date Range.
Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmarks range
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.
° TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated as trout
waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the Stormwater Discharge Outfall.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream ofthe SDO.
Permit Date: 1/112010-12131/2014
Last Revised 01-19-10
Paget of 2

Part B: Vehicle Maintenance Activity Monitorine Requirements for facilities urine > 55 cal of new motor oil/month on average
ONo.
No.
Date Sample
Collected
(mo/ddlyr OR
NO FLOW)
In Tier Z
Monthly
Monitoring?
(yin).
# of Months
Sumplin�
New Motor Oil
Usage
(gal/month)
Total Flow
(MG)
TPH using
method 1664A
SGT-HEAP
m 1
Total Suspended
Solids,
mg/l
pil,
Standard
Units
-
-
153
100
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES AT YF S ❑ NO 2'—
ANY ONE OUTFALL (ALL SDOs INCLUDING VERICLE MAIINTENANCE)?
HAVE YOU CONTACTED THE REGION? YES ❑ NO 2'
WHO AT THE REGION HAVE YOU SPOKEN WITH?
USE 771IS FORM IF I'OU HAVE EXCEEDED BENCIIMAAKS FOR ANY PARAMETERS
SEND THIS DMR TO YOUR LOCAL QWQ REGIONAL OFFICE WITHIN 30 DAYS OF RECEIPT OF SAi11PLE RES LTS FROM THE LAB:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervi so r
2090 US Highway 70
Swannanoa, NC 28779
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
COURIER 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09-08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
Washington Regional Office (WaRO)
A] Hodge, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27889
COURIER 16-04-01
Phone: ('252) 946-6481
Fax: [phone] or [phone]
Wilmington Regional Office (WRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
COURIER 04-16-33
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisorw� 585 Waughton Street
Winston-Salem, NC 27107
COURIER 13-1�5-01'
Phone: [phone]
Fax: [phone]
YOU MUST SIGN 7HIS CERTIFICATIOIN FOR ANY INFORMATIONREPORTED:
"I certify, under penal of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure tha ualified p rsonnel properly gather and evaluate the information submitted. Based on nay inquiry of the person or persons who manage the system, or
those pers i s directly esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aw r hat the a re significant penalties for submitting false information, including (lie possibility of fines and imprisonment for knowing violations."
8 20 za�d
( gnature ofIrermittee) (Date)
Permit Dat : 1/l/2010- 2/31/2014
Us[ Revised 01-19-10
Page 2 of 2

0
I TIER 2 or BENCHMARK EXCEEDENCE DNS. - STORNMATER I
SEND TO. YOUR LOCAL REGIONAL OFFICE*
STORMWATER;DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000 (MINING)
Use this form if you have SEEDED BE��for any parameter or are in' Tier 2 Monitoring. Send sample results to DWQ Regional Of we within 30 mays of receipt
from lab.
CERTIFICATE OF COVERAGE NO. NCG02 U ZSAMPLE COLLECTION PERIOD: I ❑ 3 ❑
OR MONTHLY: 9 MONTH _ iaLd
FACILITY NAME: P. �.iES�I t �t< _ COUNTY "AJ � r'Z- ---
PERSON COLLECTING SAMPLES 50 PHONE NO. (j3z6) Zl —
CERTIFIED LABORATORY 114 ©_ _ Lab # TOTAL RATNFALL: a INCHES
Lab # EVENT DURATITES
Part A: Storrttwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOVV)
In Tier 2
Monthly
Monitoring?
(v/n)
# of Months in
Tier 2
Sampling=
Total Flow
(MG)
Total Suspended
Solids
(in911)
,
Turbidity
(NTU)
Settleable Solids
(mlll)
[00
See Fooknote '
0.1 1.
Sbb 3
v7 1 z Zo to
t s-r
>4
Z� 8
Z►
t�
001
A,1/0 tJ
Z
Aft)
o �u
o 5,11
o
C�
'If "NO FLOW'or or "NO DISCHARGE, Enter 'NNO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
2 Per NCG02: Tier 2 Monthly sampling sliall be done until 3 consecutive samples are below the benchmark or within the benchmark range
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you'must implement the Tier l or Tier 2 responses in the General Permit.
° TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mgll.
'The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated as trout
waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the Stormwater Discharge Outfall.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: I/I12010-12f31/2014
Last Revised 01-19-10
Page t of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities usine > 55 eal of new motor oil/month on averaee
Outfall
Date Sample
Collected
(molddlyr OR
NO FLOW.)
In Tier 2
Monthly
Monitoring?
(y/n)
# o€ Months
in Tier 2
2
Sampling
New Motor Oil
Usage
(gallmonth)
Total blow
(MG)
TPH using
method 1664A
SGT-HEiV
m 1}
Total Suspended
Solids,
mg/l
pH,
Standard
Units
lo0
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES AT YES EI NO 9
ANY ONE OUTFALL (ALL SDOs INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU CONTACTED THE REGION? YES ❑ NOIA
WHO AT THE REGION HAVE YOU SPOKEN WITH?
USE THIS FORM IF YOU HAVE EXCEEDED RENCHMARKS FOR ANY PARAMETERS
SEND THIS DMR TO YOUR LOCAL D1EQ REGIONAL OFFICE W17'II11N 30 DA IS OF RECEIPT OF SAMPLE RESULT'S FROM TILE LAR:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 70
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
CO URI ER ' 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09-08-06
Phone: [phone]
Fax:[phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
Washington Regional Office (WaRO)
Al Hodge, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27889
COURIER 16-04-01
Phone: [phone]
Fax: [phone] or [phone]
Wilmington Regional Office (WRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 29405-2845
COURIER 04-16-33
Phone: [phone]
Fax: (910) 3W2004
Winston-Salem Regional Office (WSRO)
Stare Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-I5-01'
Phone: [phone]
Fax: [phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
111 ce ify, under p a1: of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure at quaGfie personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those pLetsh
d1 y responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am at resignificant penalties for submitting false information, including the pc,N$ibil y of fines and imprisonment for knowing violations."
Signature Af Permitlee) (ate)
Permit D te: 1/1/201 12/3112014 - Fast Revised 01-t9-10
Page 2 of 2

I TIER 2 or BENCHMARK EXCEEDENCE DMR - STORMWATER I
E
SEND TO -YOUR LOCAL -REGIONAL OFFICE*
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT No. NCG020000 (NUNING)
*Use this form if you have EXCEEDED BENCHMARKS for any parameter or are in Tier 2 Monitoring. Send sample results to D IVQ Regional Office within 30 days of receipt
from lab.
CERTIFICATE OF COVERAGE NO. NCG02_0 Z C� SAMPLE COLLECTION PE OD: 1 ❑ 2 ❑
OR MONTHLY• L�M0NTFI
FACILITY NAME: ,l-"a e e COUNTY
PERSON COLLECTING 6AMPIMS4 . PHONE NO. 06MZl'
CERTIFIED LABORATORY Lab # 6 TOTAL RAINFALL: INCHES
Lab # EVENT DURATION: W. MINUTES
Part A: Stormwater Monitoring R uirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO,FLO�V)t -
In Tier 2
Monthly
�
Monitoring.
(y/n)
# of Months in
Tier 2
z
Sampling
-
-
Total Flaw '� •
(MG)
Total Suspended
Solids
(mgn)
a
Turbidity
(NTU)
Settleable Solids
{nil/l)
-
-
-
-
-
100
See Footnote
0.1
O a /
"A/o � p
d D z
ll • Zo140• "
ff6i
3
6.90
00 3
• Ir• za�4 ..
�S
�3ea
�
8 r /
D
�l �
GO
!r
p
`0 LO
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
2 Per NCG02: Tier 2 Monthly sampling shall be done until:3 consecutive samples are below the benchmark or within the benchmark range
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.
5 TSS benchmark values are 100 mg/l except in ORW, HWQ, trout, and PNA waters where they are 50 n`0-
The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated as trout
waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the Stormwater Discharge Outfall.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1 / 1 /2010-12/31 /2014
Last Revised 01-19-10
Pagel of 2

0
Part B: Vehicle Maintenance Activf Menitorin Re uirements for facilities using > 55 gal of new motor oil month on avera e
No. Ou .
Date Sample
Collected
(xno/dd/yr OR
NO FLOW.)
In Tier 2
Monthly
Monitoring?
(y/n)•
Months
n Tier 2
i n 2
Sampling
New Motor Oil
Usage
(gal/month)
Total Flow
(MG)
=
TPH using
method 1664A
SGT-HEM
m 1
Total Suspended
Solids,
mg/l
pH,
Standard
Units
-
-
15'
100-
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES AT YES ❑ NO B'
ANY ONE OUTFALL (ALL SDOs INCLUDING VEHICLE MAINTENA.NCE)?
HAVE YOU CONTACTED THE REGION? YES NO ❑/�% l
WHO AT THE REGION HAVE YOU SPOKEN WITH? !•I!/Ct% �G/tiDlJ t/VlC�
USF- THIS FORM IF YOU HA VE EXCEEDED BENCHMARKS FOR ANY PARAMETERS.
SEND THIS DMR TO YOUR LOCAL DWO REGIONAL OFFICE WITHIN 30 DA.YS OF RECEIPT OF SAMPLE RESULTS FROM THE LAB:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 70
Swarmanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 714
Fayetteville, NC 29301-5043
COURIER 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09-08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMA TION RE -PORTED:
Washington Regional Office (WaRO)
Al Hodge, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27889
COURIER 16-04-01
Phone: [phone]
Fax: [phone] or [phone]
Wilmington Regional Office (V RO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
COURIER 04-16-33
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-1'5-01
Phone: [phone]
Fax: [phone]
"I certify, undeA 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 qu ied personn4 properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
tbose persons i eetly resp n ible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am awareI . t here are i -ficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Per jittee).
Permit Date: /1/2010-12f31 2014 .
le 111-10ld
(Date)
Last Revised 01-19-10
Page 2 of 2

0
I TIER 2 or BENCHMARK EXCEEDENCE DMR - STORMWATER J
SEND TO YOUR LOCAL REGIONAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SOO)
GENERAL PERMIT NO. NCG020000 (MINING)
* Use this form if you have EXCEEDED BENCHMARKS for any parameter or are in Tier 1 Monitoring. Send sample results to DWQ Regional Office within 30 days of receipt
from lab.
CERTIFICATE OF COVERAGE NO. NCG02 D 2 SAMPLE COLLECTION PERIOD: 1 ❑ 2 ❑
OR MONT 'MONTH, -
FACILITY NAME: COUNTY 6WVUI
PERSON COLLECTING SAMP ,Q PHONE NO. 1—
CERTIFIED LABORATORY Lab # TOTAL RAINFALL: INCHES
Lab # EVENT DURATION: 4WrDZ2W0 MINUTES
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/ddlyr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in
Tier 2
Sampling2
Total Flow
(MG)
Total Suspended
Solids
(�)
4
Turbidity
(NTU)
Settleable Solids
(ml/l)
-
-
-
-
1()0 '
See Footnote '
o.l'
moo
2� • �a
�5
p, or3
!
Cr
Q 27
!D A/
Z8 �Ola
/ 2
7. 20 D
27- Z40 !D
/ a d*
(:;�6
?S
' If"NO FLOW' or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Ter 2 responses in the General Permit.
° TSS benchmark values are 100 mg/I except in ORW, HIVQ, trout, and PNA waters where they are 50 mg/l.
S The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NrRJ for freshwater streams, lakes, and reservoirs designated as trout
eaters; 25 N-IU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the Stormwater Discharge Outfall.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 111/2010-12/31/2014
Last Revised 01-19-10
Pagel of 2

El
0
Part B: Vehicle Maintenance ActiA y MonitoringRe uirements for facilities using > 55 gal of new motor oil/month on avers e
O
No.
°'
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(y/n)•
# of Months
'n Tier 2Z
Sampling
New Motor Oil
Usage
(gallmouth)
Total Flow
(MG)
TPH using
method 1664A
SGT HEM
m /1
Total Suspended
Solids,
mg/l
pH,
Standard
Units
-
-
15
100
6-93
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES AT YES LINO
ANY ONE OUTFALL (ALL SDOs INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU CONTACTED THE REGION? YE�NO ❑ /
WHO AT THE REGION HAVE YOU SPOKEN WITH? ,5.��ti
USE THIS FORM IF YOU HAVE EXCEEDED BENCHMARKS FOR ANY PARAMETERS.
SEND THIS DMR TO YOUR LOCAL DWO REGIONAL OFFICE WITHIN 30 DAYS OFRECEIPT OF SAMPLE RESULTS FROM THE LAB:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 70
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
COURIER'] 4-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09-08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
YOU MUST SIGN THIS CERTIFICATION FOR AN LYFORMATION REPORTED:
Washington Regional Office (WaRO)
Al Hodge, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27889
COURIER 16-04-01
Phone: [phone]
Fax: [phone] or [phone]
Wilmington Regional Office (WRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
COURIER 04-16-33
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-15-01
Phone: [phone]
Fax: [phone]
"I certify, under enalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qua ' ied perso el properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons d' tly re p risible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware th th re a scant penalties for submitting false information, including the possibil]ty of fines and imprisonment for knowing violations."
(Signature of Per ttee). (Date)
Permit Date: 1/1/2010-12/31/ 014- last Revised 01-19-10
Page 2 of 2

I TIER 2 or BENCHMARK EXCEEDENCE ISM R. - STORMWATER I
SEND TO YOUR LOCAL REGIONAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT No. NCG020000 (MINING)
Use this forth if you have EXCFF,DED BENCHMARKS for any parameter or are in Tier 2 Monitoring. Send sample results to DWQ Regional Office within 30 days of receipt
from lab.
CERTIFICATE OF COVERAGE NO. NCG02 v Z zi 2)
FACILITY NAME:
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY_ Q Lab #
Lab #
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION PERIOD: 1 ❑ 2 ❑
OR MONTHLY: 29 MONTH atAq
COUNTY k4r-4 t.:ACnz� — I
PHONE NO. (9g6) 4Z t — `Xcu
TOTAL RAINFALL: o INCHES
EVENT DURATION: Z� _ A7iNUTES
Dutfail No.
Date Sample
Collected
(mo/ddlyr OR
NO FLOV11)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Mi enths in
Pier 2
Sam ltn a
P g
Total Flow
G }
Total Suspended
Solids
(mo)
q
Turbidity
(�M
Settleable Solids
)
-
-
-
-
1i10'
Sec Footnote '
o.1
5bo 3
C9.1 I Z zo 1 c
g a.
Z©8
Z ti
t
Al/o ta-)
6V2
w
,30
o/1:u�uj
O S'
( ccJ
' if "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW, or "NO DISCHARGE" for each outfall here and the Date Range.
Per NC.G02: Tier 2 N4onthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 1f a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
° TSS benchmark values are 100 mg/I except in ORW, RWQ, trout, and PNA waters where they are 50 Mgt].
-'The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated as trout
waters-, 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the Stotmwater Discharge Owfall.
Ahetmatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and dovmstrewn of the SDO.
Permit Date: It 1 /2010-12/31 /2014 Last Revised 01-19-10
+ Pagel of 2
CJ

Part B: Vehicle Maintenance Activitv Monitoring Requirements for facilities usine > 55 pal of new motor oilimonth on averace
Outfall
No.
Date Sample
Collected
mo/ddlyr O
( R t
NO FLOW:)
In Tier 2
Monthly
Monitoring.
(Y/u)•
of Months
in Tier 2
Sam iin
p >;
New Motor Oil
Usage
(gal/month)
'Total Flow
(MG)
TPH using
method 166"
SGT-HEjV
m i
Total Suspended
Solids,
mg/I
PH,
Standard
Units
-
-
15
100'
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCF[MARK EXCEENDENCES AT YES ❑ NO
ANY ONE OUTFALL (ALL SDOs INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU CONTACTED THE REGION? YES ❑ NO'A
WHO AT THE REGION HAVE YOU SPOKEN WITH?
USE 7111S FORM IF IOU IIAVE EXCEEDED BENCHMARKS FOR ANY PJ94ME7ERS.
SEND THIS DAfR TO YOUR LOCAL DFVO REGIONAL OFFICE WIT11IN 30 DAIS OF RECEIPT OF SAMPLE RESULTS FROM THE LAB:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 CIS Highway 70
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
5ystel Building Suite 714
Fayetteville, NC 28301-5043
COI TRIER' 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville- NC 28115
COURIER 09-08-06
Phone_ [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax. [phone]
Washington Regional Office (WaRO)
Al Hodge, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27889
COURIER 16-04-01
Phone: {.252) 946-6481
Fax: [phone] or [phone]
Wilmington Regional Office (WRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
COURIER 04-16-33
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-15-01'
Phone: [phone]
Fax: [phone]
YOUMUST SIGN T1I1S CERTIFICATION FOR ANY INFORMATIONREPORTED:
"1 certify, under ptally of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure at qualifie personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
thosejt�ns di c y responsible for gathering the informatiun, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I amat re significant penalties for submitting false information, iueiuding the pc ssibil y of fines
and imprisonment for knowing; violations."
Signature Af Perinittee) (ate)
Permit D te: 1,11/201 1213 V2014 • Last Revised 61-19-10
Page 2 of 2
C
•

I TIER .2 or BENCHMARK EXCEEDENCE DNtR - STORMWATER I
II SEND TO YOUR LOCAL REGIONAL OFFICE* - 11
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000 (MINING)
' Use this form if you have EXCEEDED BENCHMARKS for any parameter or are iri Trer 2 Monitoring. Send sample results to DWQ Regional Office within 30 days of receipt
from lab.
CERTIFICATE OF C VERAGE NO. NCG02 O Z 4 SAMPLE COLLECTION PE OD: 1 ❑ 2 ❑
[ OR MONT Y: R MONTH S'T
FACILITY NAME: QAAQ-Q-4 COUNTY_ a L-3008
PERSON COLLECTING SAMP ES Sc5PHONE NO. Z t —0
CERTIFIED LABORATORY Lab # TOTAL RAINFALL: &ds INCHES
Lab # EVENT DURATION: I .Ie MINUTES
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW')
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in
Tier 2
Sampling2
Total Flow
(MG)
Total Suspended
Solids
(mall)
s
Turbidity
�U)
Settleable Solids
(�)
-
-
-
-
-
1001.4See
Footnote`
0.1
00 /
Ga uI
00
Zz
,5e03
08 16T
0
i1/ p
4
'If "NO FLOW" or NO DdSCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfalI here and t e Date Range.
2 Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
` If a value is in excess of the benchmark, or outside the benchmark range (for pia), you must implement the Tier 1 or Tier 2 responses in the General Permit.
'TSS benchmark values are 100 mg/l except in ORW. HWQ, trout, and PNA waters where they are SO mg/l.
The discharge shaft not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 N`lTJ for freshwater streams, lakes, and reservoirs designated as trout
waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 1N-TU for all other streams and surface waters. Turbidity may be monitored at the Stormwater Discharge Outfull.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit irate: IA12010-12131/2014 Last Revised 01-19-10
Page I of 2
0

Part B: Vehicle Maintenance Activity Monilorine Requirements for facilities using > 55 eal of new motor oillmonth on averaee
ONo.
N°'
Date Sample
Collected
(mo/ddlyr OR
NO FLOW)t
In Tier 2
Monthly
Monitoring?
(y/n)•
in Months
to Tier 2z
Sampling
New Motor Oil
Usage
(gal/month)
Total Flow
(N1G)
TPH using
method 16644
SGT-HEAT
m /1)
Total Suspended
Solids,
mg/l
pit,
Standard
Units
-
-
153
too-
6-9,
HAS YOUR FACILITY HAD 4 OR MORE BENCHtii 1ARK EXCEEN©ENCES AT
ANY ONE OUTFALL (ALL SDOs INCLUDING VEHICLELNY MATENAtNVCE)? YES El NO ©,��
HAVE YOU CONTACTED THE REGION? YES ❑ NO [�
WHO AT THE REGION HAVE YOU SPOKEN WITH?
USE THIS FORMIF YOUIIAVE EXCEEDED BENCHAL4RKS FOR ANY PARAMETERS
SEND THIS DMR TO YOUR LOCAL {f'Q REGIOII AL OFFICE WITHIN 30 DAYS OF RECEIPT OF SAMPLE RESULTS FROM THE LAB:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US 14ighway 70
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax. (PM 299-7043
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
COURIER 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09-08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (PRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: (919) 571A718
Washington Regional Office (WaRO)
Al Hodge, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27889
COURIER 16-04-01
Phone: (.252) 946-6481
Fax: [phone] or [phone]
Wilmington Regional Office ('WRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
COURIER 04-16-33
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 WaughloA-n Street
Winston-Salem, NC 27107
COURIER 13-15-01
Phone: [phone]
Fax: [phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY IIVFORMATIUIV REP0R7ED.
"I certify, under penalt of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure tha ualified p rsonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or personswho manage the system, or
those pers c dlrectly esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aw r that thePere significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
8 2� �alD
(SOgnature of ermittee) (mate)
Permit Dat : I/l/2010- 2/3112014
Last Revised 01-19-10
Page 2 of 2
E
•

I TIER 2 or BENCHMARK EXCEEDENCE DNM- - STOhMWATER I
SEND TO =YOUR L6CAL REGIONAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000 (MINING)
* Use this form if you have EXCEEDED BENCHMARKS for any parameter or are in Tier 2 Monitoring, Send sample results to DWQ Regional Office within 30 days of receipt
from lab.
CERTIFICATE OF COVERAGE NO. NCG02_ Z.�/ SAMPLE COLLECTION PE OD: 1 ❑ 2 ❑
.OR MONTHLY- 01MONTH
FACILITY NAME: 14,1Al L/l1,e/Z COUNTY L(iGYJ/J
PERSON COLLECTING AMP1 Q PHONE NO. Z/
CERTIFIED LABORATORY Lab # 6 TOTAL RAINFALL: INCHES
Lab # EVENT DURATION:/Z4} MINUTES
Part A. Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(ma/dd/yr OR
NO FLOW)
In Tier 2
Monthly.
Monitoring?
(y•In)
# of Months in
Tier 2
Sampline
Total Flow
(MG)
Total Suspended
Solids
(mg/1)
Turbidity
(NTU)
-
Settleable Solids
(MI/1)
-
-
-
-
-
100 '
See Footnote •
0.1
.��� �D
it
-ego/
d O z-
• l/• ZdlO
5
61. 3
oD
61 / -
O
A11)
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
2 Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
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.
TSS benchmark values are 100 mg/l except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
5 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated as trout
waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the Stormwater Discharge Outfall.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: l / 1 /2010-12/31 /2014 Last Revised 01-19-10
i Page 1 of 2
0

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 pal of new motor oil/month on average
No.
0'
Date Sample
Collected
(moldd/yr OR
NO FLONV)1
In Tier 2
M°nthly
Monitoring.,
(yin).
of Months
in Tier 2Z
Sampling
New Motor Oil
Usage
(gal/month)
Total Flow
(MG)
TPH using
method 1664.4
SGT-HEM
nt 1
Total Suspended
Solids,
mgll
pH,
Standard
Units
-
-
15z
I001
6-9
1LAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES AT YES El NO
ANY ONE OUTFALL (ALL SDOs INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU CONTACTED THE REGION? YES NO /• ; �/'
WHO AT THE REGION HAVE YOU SPOKEN WITH? l�5a✓
USE THIS FORM IF YOU I1AVL EXCEEDED BENCHMARKS FOR ANY PARAMETERS. /
SEND THIS DMR TO YOUR LOCAL DU REGIONAL OFFICE WIT111N 30 DAYS OF RECEIPT OFS,01PLE RESULTS FROM THE LAB:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 70
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
COURIER 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09-08-06
Phone: [phone]
Fax:[phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3900 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
Washington Regional Office (WaRO)
Al Hodge, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27889
COURIER 16-04-01
Phone: [phone]
Fax: [phone] or [phone]
Wilmington Regional Office (AAMO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
COURIER 04-16-33
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-15-01
Phone: [phone]
Fax: [phone]
YOU MUST SIGN THIS CERTIFICATION FORANYINFORMATIONREPORTED:
"I certify, and j 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 qu ted personn properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons�l i ectly res n ible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware hat here are i 'ficant penalties for submitting false information, including the p`ossibil.linty or
fines and imprisonment for knowing violations."
4Y4—� — - . `Q `l!'G�✓t Q
(Sig¢ature of Perlittee) (Date)
Permit Date: 1/l/2010-12/3112014- Last Revised 01-19-10
Page 2 of 2
0
9

I TIER 2 or BEITCI-IMARK EXCEEDENCE DMR - STORNIWATER I
SEND TO YOUR LOCAL REGIONAL OFFICE*
STORMWA TER DISCHARGE OUTFALLS (SOO)
GENERAL PERMIT NO. NCG020000 (MINING)
• Use this form if you have EXCEEDED BENCHMARKS for any parameter or are in Tier 2 Monitoring. Send sample results to DWQ Regional Office within 30 clays of receipt
from tab.
CERTIFICATE OF COVERAGE NO. NCG02 © 2 SAMPLE COLLE,C [ON PERIOD: ] 2 ❑
OR MON : [y' MONTf� �/!%`jek
FACILITY NAME: ��(%!� 6/! COUNTY
PERSON COLLECTING SAMF !J iVr PHONE NO.
CERTIFIED LABORATORY Lab # 4VQ TOTAL RAINFALL: INCHES
Lab # EVENT DURATION: MINUTES
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
ColIccted
(mo/dd/yr OR
NO FLOVI) t
In Tier 2
Monthly
Monitoring?
(yln)
# of Months in
Tier 2
Z
Sampling
Total Flow
(MG)
Total Suspended
Solids
(mom)
Turbid itY4
(NTU)
Settleable Solids
(MM)
See Footnote '
0.1
-Do
• 2`� 1D
eS
��
D-aT3
1
d
c�
rSl
r/l �r
E Q 2l•
91,V-,vA_
Z
7. ZO/D9.
VZ>7
el
5
'If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range,
Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
31f a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
° TSS benchmark values are 100 mgA except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
s The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NM for freshwater streams, lakes, and reservoirs designated as trout
waters, 25 NTU for all lakes and reservoirs, and all salt waters; 50 Ni'IJ for all other streams and surface waters. Turbidity may be monitored at the Stormwater Discharge Outfall.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/1/2010-12/3112014 Last Revised 01-19-10
Page I of 2
0
0

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
O
No.
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)
In Tier 2
Monthlyoni
Mtoring?
(y/n)•
# of Months
in r . 2
am p g
New Motor Oil
Usage
(gal/mouth)
Total Flow
(MG)
TPH using
method 1664A
SGT-HEM
m /1
Total Suspended
Solids,
mg/l
pH,
Standard
Units
-
-
15
100'
6-93
I-LAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEI NDENCES AT YES ❑ NO
ANY ONE OUTFALL (ALL SDOs INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU CONTACTED THE REGION? YES fl;�NO ❑ /
WHO AT THE REGION HAVE YOU SPOKEN WITH?
USE THIS FORMIF YOU HAVE EXCEEDED BENCHMARKS FOR ANY PARAMETERS.
SEND TIII.S' DMR TO YOUR LOCAL DWO REG10jVAL OFFICE WITHIN 30 DAYS OF RECEIPT OF SAMPLE RESULTS FROM THE LAB:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 70
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (FRO)
Betinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
COURIER ' 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09-08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
Washington Regional Office (WaRO)
Al Hodge, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27889
COURIER 16-04-01
Phone: [phone]
Fax: [phone] or [phone]
Wilmington Regional Office (WRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
COURIER 04-16-33
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-15-01
Phone: [phone]
Fax: [phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under enalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qua ' red perso nel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons d' I rep nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware thi th re ate }gn}�icant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Per "ttee)
Permit Date: 1/1/2010-12/31/ 014
(Date)
Last Revised 01-19-10
Page 2 of 2
CA

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
F'or gaidance on filling our this form, please visit: http;l/h?u.earstntc,nc,uslsull?onns Documen ts.htm#rnisccforms
Permit No.: N/Cl 1—1 _I—1 l—! l or Certifj ate of Coverage No.: NICIGI e112 PJertlel
Facility Na
County:
Inspector:
Date of Inspection:
Time of Inspection:
Towl Event Precipitation (inches):
_hone No.
Was this a Representative Storm Event? (See information below) 9eYes ❑ No
Please check your pen►tit to verify if Qualitative Monitoring mast be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
f is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
i
! occurred. A single storm event mdv contain up to 10 consecutive hours of no precipitation.
By this signature,.l 4e4ify that 44 report is accurate and complete to the best of my knowledge:
(Signature of Perm)ttee or
1. Outfall Description:
Outfall No.
Llbo 3_ Structure (p' c, ditch, etc.)
Receiving Stream: LLB 5 I DA-�E"iL-
Describe the industrial acti hies that occur within) outfall ainage area:
- TDlN7 GG. 7� /1i2,9i1J1,V� l 20/77
2. Color: Describe the color of the discharge usi basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:2
3. Odor: Describe any distinct odors t4at the d' harge may have (i.e.. smells strongly of oil, weak
chlorine odor, etc.):
Page t of 2
SWU-242.112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
2 3 4 5 I 5
5. Floating Solids: Choose the number which best describes the amount of floating, solids in the
stormwater discharge, where 1 is no lids and 5 is the surface covered with floating solids:
n
2 _ 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge. wshere l o solids and 5 is extremely muddy:
1 2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. IS there an oil sheen in the storrnwater discharge? Yes IN, r?
9- Is there evidence of erosion or deposition at the outfali? Yes No
10. Other Obvious Indicators of Storunivater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further 'investigation.
Page 2 of 2
a; U-242-112608

- - - - - -
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JOB NO.: 07112
DATE. MARCH 2013
DESIGNED BY: WML
CADD BY: LJJ
MINE PLAN DESIGN REVIEW:
CONST. REVIEW:
FILE NAME:
07112 - BASE -mine
I modification . cation 2013 PERMIT_
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HARRISON CONSTRUCTION COMPANY,
DIVISION OF APAC ATLANTIC, INC.
WAYNESVILLE QUARRY
PERMIT NO. 44-01
HAYWOOD COUNTY, NORTH CAROLINA
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