NCG210379_DMR_20210617

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted Le 1 1-71 Q �
CERTIFICATE OF COVERAGE NO. NCG21 0 31 9 SAMPLE COLLECTION YEAR _ cIO a• 1
FACILITY NAME Anc=o1o_ 1 m1xr CSAMPLE PERIOD EPI'an-June ❑ July -Dec
COUNTY W0.Vyf.r or ❑ Monthly' month
PERSON COLLECTING SAMPLES �(1(N DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
LABORATORY La Cert. # CA a►a'1 a 1 C.I a w 1 ❑Zero -flow C ❑Water S pply [:]SA
Comments on sample collecti n or analysis: QOther ' 1J�
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
I-1 Nn rficrhnmo Chic norinrg2
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
Z4-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
120 mg/L
100 mg/L or 50 mg/L
M L►�
N Z. N
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non.
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this Deriod?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part 6
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Trer 2, or Ter 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE: SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30
In the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
t of the lab results (or at end of monitorin
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those perso s 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 t at there are sigyicantAenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permitt ) Date
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted Lot 1~l l
CERTIFICATE OF COVERAGE NO. NCG21 3 g SAMPLE COLLECTION YEAR ao a
FACILITY NAME O o_ r' SAMPLE PERIOD Jan -June ❑ July -Dec
COUNTY WaYYf_n or ❑ Monthly' month
PERSON COLLECTING SAMPLES C'Ly3tl C - i-kxmDISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY La Cert. # _, 2��'1_a� 1 ❑Zero -flow ❑Water Srpply [:]SA
Comments on sample collects n or analysis: QOther C . t4S 1N
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n Ain rlicrhnrno Chic norinei22
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
_
-
120 mg/L
100 mg/L or 50 mg/L
L of
b
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX ma/U' where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n Nn disrhnrna thk narinr02
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
_
-
1S mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
In the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 dir ctly responsible for gathering the information, the information submitted is, to the best of rr,• krc:vleage and belief, true, accurate, and complete.
am aware that t ere are signi t p ties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Lol� I I
a
(Signature of Permittee) (Date)
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 2 of 2

NCO
,:, r
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onftllingout thisform, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-storm wat a r-g ps
Permit No.: N/C/6/a/ l /0 /0 /0 /O / or Certificate of Coverage No.: N/C/G/a7/ I
Faci I ity Name: Arc0l0- LJ-t.mbcr (29m q Inc-.
County: lnlCt,r ren Phone No. a5a - a5.7- L19a3
Inspector: GOB• )U (2. Harris
Date of Inspection: (p1 y oL
Time of Inspection: 'd: 10 a m
RECEIVED
Total Event Precipitation (inches): 3 • I JUN 2 8 2021
CENTRAL FILES
-- — RWRg-�TJON
All permits require qualitative monitoring to be performed during a "measurable s orm
A "measurable storm event' is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that
-this report is accurate and complete to the best of my knowledge:
(Sign Lure of Pe ittee or Designee)
1. Outfall Description:
Outfall No. OC] Structure (pipe, ditch, etc.): D i +Gil
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: —CtY Wrni ll tt n QLne-rj
Mi 1\ OY1�ttciioltl atC.ti JI �i G� I � CiTT f ern�fii UY1.S
Page I of 2
SWU-242, Las( modified 06A)IQ018

.
.e �
�
.
1 i
2- . . 1 .. . .. -
i J

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): none,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
. 1 ,�� 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 � 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 'D 4 5
7. Is there any foam in the stormwater discharge? O Yes 00-�o.
8. Is there an oil sheen in the stormwater discharge? OYes o�lo.
9. Is there evidence of erosion or deposition at the outfall? O Yes Flo.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018

4
n ,: vo-,:,,:I vi„
11ra7rr.
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onfilling out this.fortn, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C161QI1 /0 /0 /O /O/ or Certificate of Coverage No.: N/C/G/a/ I /0/3/ 7/9/
Facility Name: Arcola. Llkrnbar Ccrr q sryc..
County: WcLrre.n Phone No. c9za - 1351- 49a,3
Inspector: Gooai C. Ha.ryiS
Date of Inspection: Lei L41 a I _ _
Time of Inspection: $ . a.o cxnn
'
Total Event Precipitation (inches): 3.1 rF�FCP6VP
'IN 2 8 2021
CENTIR
All permits require qualitative monitoring to be performed during a "&1t8Ri8k;event."
1
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable stone event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
WAI M
(Signature 2ff Pem6ittee or Designee)
1. Outfall Description:
Outfall No. _Qpa, Structure (pipe, ditch, etc.): Di +C,i)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: SCIA-0 `n'i Il 4 DjaYl6r,
Mikk producMinn acbs uti k5 sh=A�Gripe ra'hcN-tS
Pagel of2
SWU-242. Last modified 0610112018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ UQN00rown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): � SY�
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 � 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with Boating solids:
1 (2) 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. is there any foam in the stormwater discharge? o Yes Qf No.
8. Is there an oil sheen in the stormwater discharge? 0Yes all o.
g ZNo.
9. Is there evidence of erosion or deposition at the outfall? o Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018