NCG060185_MONITORING INFO_20190618

STORIVIWATER DWf510N CODINGSHEET
7'
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
L0' MONITORING REPORTS
OOC DATE
❑ a O
YYYYMMDD
10

SEMI—ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Reso rc s General Permit No. NCG060000
Date submitted D ! ?0c
CERTIFICATE OF COVERAGE NO. NC606.Q L SAMPLE COLLECTION YEAR . aO I _ I RECEIVED
FACILITY NAME W.LyAc LL L FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY .5 u Crj _ ❑ use/process meats ❑ use animal fats/byproductsJUN 2 5 2019
PERSON COLLECTING SAMPLES �`� o+�►I�h DISCHARGING TO SALTWATERS? []YES [t.]f O CENTRAL FILES
LABORATORY Mer; iee� Lab Cert. # DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform I,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
15
100 or 504
Within 6.0 — 9.0
120
30
1000
500
00
f10 0
00�
00
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑yes ❑ no (Lf ye, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5
SWU-249 Last ReviseJ., Oiruber 18, 2012
Page I of 2

*FOR PART A 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 II SECTION B.
9 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES,FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES UekO []
IF YES/HAVE YOU CONTACTED THE DWCL REGIONAL OFFICE? YES [�'FIO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR includin all "No Dischar e" re arts within 30 da s o recei t o the !ab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Resources
Attn- DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
— 4 �i4 o&. tg Zt�!
(Signature 11ermittee (Date
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wglws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 20I2
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECOVER
for North Carolina Division of Water Resources General Permit No. NCG060000 APR
Date submitted 4 - �L LI' 1� GENTitAL PILE`
• D11}JR SECTIONCERTIFICATE OF COVERAGE NO. NCG06 O SAMPLE COLLECTION YEAR �� 1 -` _
FACILITY NAME �e Vc" rt 5 L tr C FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY "' ,, t-c� _ use/process meats ❑ use animal fats/byproducts
_
PERSON COLLECTING SAMPLES � P re.r^ �iZ� 1„_1 _ DISCHARGING TO SALTWATERS? ❑YES [ N15
LABORATORY ft)e C ,� c h Lab Cert. #�(Ds-
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A; Stormwater Benchmarks and Monitoring Results
Total event rainfall z : 13 _ or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
S00
o)
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
1
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor ail per month? [] yes no (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
ma/dd/yr
i Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 -- 9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Novised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEFDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO [B
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of his DM& ncluding 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" reportsl to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
O;l 2'f ZOt
(Signature of P mittee) (Dat )
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wq/wslsu/npdessw#tab-4
SWU-249 Last revised: October 18, 2012
Page 2of2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date submitted Y - :)L q - I c'
AP19
CEM
CERTIFICATE OF COVERAGE NO. NCG06D j_ SAMPLE COLLECTION YEAR QL0 15
FACILITY NAME W e_ ,�A e Fee _tins_ LL< FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY j o, t -/ rr�� ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES `-De t-c r^ L36 ,l I /� - DISCHARGING TO SALTWATERS? DYES [L]KO
LABORATORY rA r, C ; Q c I. Lab ert. # _ .&�
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2. 93 or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci I,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 - 9.0
120
30
1000
500
00
-- Qi9
a
.q
a
00
- I
10
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? ❑ yes Q o (if yes, complete Part Bj
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0-9.0
I only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART S MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
r
• 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 DWQ 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 lob results (or at end o
monitoring period in the case of "No Discharge" reports) to:
3
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, i luding the possibility of fines and imprisonment for knowing violations."
1292.4 a/z,�
(Signature of rmittee) (Dat )
Additional copies of this form may be downloaded at: htttp://po_rtal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

In May we submitted our Semi -Annual storm water Discharge report. It was noticed that the PH was left
off the report for COC NCG060185. Included in this letter is the revised report with the PH.
Also on COC NCG060185, and COC NCG060186 I may have left the submitted date off. You will find both
reports included with a resubmitted date of 5/8/2019.
If you have any questions please give me a call. 336-386-5867
Thank you,
RECE lFI)
MAY 14 2019
CENTRAL FILES
DWR SECTION

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCGO60000
Date submitted fkc s 4b... t,..t S - $-tI
CERTIFICATE OF COVERAGE NO. NCG06 O I $ _'j SAMPLE COLLECTION YEAR _ at) ICY
FACILITY NAME a_jAe_ l cirM 5 LL C FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY _� € use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES I . DISCHARGING TO SALTWATERS? ❑YES PN6
LABORATORY Me t' ' -1 f < I. Lab Cert. fi
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 : J_� or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 -- 9.0
120
30
1000
500
O J
CI
S
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at a_y outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [ -no (i'fyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor all/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
i Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5_ a
S W U-249
Last Revised: October 18, 2012
Pago I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS,TIER 1 REQUIREMENTS. SEE PERMIT PART it SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFACE TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR # ACILHY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOFi THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ 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 for at end of
monitoring period in the case o "No Dischar e" reports] to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
�'7 o `f 21f 7a01
(Signature of Pelmitte )
('- 7
Additional copies of this form may be downloaded at
(Dat)
OSl g ?,a# e L
.http://Portal.ncdenr.org/web/wq/ws/su/npdesswHtab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date submitted . Re- S - Ir-t' 9
CERTIFICATE OF COVERAGE NO. NCG060 _J.(a SAMPLE COLLECTION YEAR a b f 5
FACILITY NAME - m s L14 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY S u s c d _ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES _ Lc �1 �0'j l�-__ DISCHARGING TO SALTWATERS? ❑YES gjKO
LABORATORY_ [Yo e, r 4 p c Lab 6rt. tt
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfo112 -'33 or [:]No discharge this periote
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
500
00
air
aq
7.
a
©D
OD 3
!0
i Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [Oo (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TS5,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 •- 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at a� outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October K 2012
Page I of 2

*FOR PART A 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 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 DWQ 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 o "No Discharge" re orfs to:
Division of Water Resources
Attn. DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, i luding the possibility of fines and imprisonment for knowing violations."
aclzI ZOI
(Signature of rmitt ] (Dat ]
os or3 ZvtQj
7
Additional copies of this form may be downloaded at: http://portal.ncdenr.or�plwebZwg(ws/su npdesswHtab-4
5 WU-249 Last Revised: October 18, 2012
Page 2of2

SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCGO60000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 O 1 SG
FACILITY NAME We.fA&FarMs LtL
COUNTY r
PERSON COLLECTING SAMPLES
LABORATORY AW%e-rZko,4, Lab Cert. t#
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
MAR .2 6 2019
SAMPLE COLLECTION YEAR ;10I g _ CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): Dk,%'R SECTION'
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES [�JN0
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall 2 or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Collform ,
Colonies per 100 ml
Enterococc. ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
5o0
eo
-_xn
St
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here,
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 05o
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH, .
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(ifyes, complete Part B)
t, r
SWU-249 Last Revised: October 18, 2012
Page i of 2

*FOR PART A 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 li 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 DWQ REGIONAL OFFICE? YES RNO ❑
REGIONAL OFFICE CONTACT NAME: CA•d-e
Mail an original and one c_ouy 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, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. i am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
/of �
D-3 /
(Signature of fermitteW (Da )
Additional copies_of this form may be downloaded at: http:/112ortal.ncdenr.org(web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date submitted a - 19 RECElhl:n
CERTIFICATE OF COVERAGE NO. NCG06D 1$(V_ SAMPLE COLLECTION YEAR,20 / 2 FEB 2 6 2019
FACILITY NAME Fc�rmg LL C FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats ❑ use animal fats/bypro&eYTF,AL FILES
PERSON COLLECTI&IG SAMPLES � �reT^�ec I,, DISCHARGING TO SALTWATERS? ❑YES e❑. KO DWR SECTio&t
LABORATORY Lab Cert. ft
f
fart A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Collform ,
Colonies per 100 ml
Enterococcl ,
Colonies per 100 ml
Benchmark
f — p
100 or 50
Within 6.0-9.0
120
30
1000
500
6(:)l
ti 0
00
O
'only py as p ell s to facilities that use/process meats.
2The total precipitatlon must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at d'a outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
. Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 - 9.0
I Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site raingauge.
3 For sampling periods with no discharge at any outfalls, you must still summit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part Bj
SWU-249 Last Revised: October 18, 2012
Paige 1 42

*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 II SECTION B
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES RrNO []
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES .2NO
REGIONAL OFFICE CONTACT NAME: 14.IA: Jc_
Mail an original and one copy of this DMR, including off "No Discharge" reports, within 30 days of receipt of the lab results for 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, NC 27699-1617
YOU MUST SIGN TH15 CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information/r-7
ing the ossibi ity of fines and imprisonment for knowing violations."
UOZ ?_o 147
(Signature of Per
(Da
Additional copies of this form may be downloaded at:.http://portal.ncdenr.grgZweb/wci/ws/­su/npde55wittab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

a, SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date submitted - a/
I CERTIFICATE OF COVERAGE NO. NCG06 d 1 Z ,_ SAMPLE COLLECTION YEAR ^20 1$'
FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY S u rr: _ "use/process meats [✓]ruse animal fats/byproducts
PERSON COLLECTING SAMPLES _-5 cre_ e"'I DISCHARGING TO SALTWATERS? ❑YES L�JNO
LABORATORY Me e Lab Cert. #! _ / G S
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall z or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcl ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 - 9.0
120
30
1000
500
Do 1
a- n I
110 1 o�J
Q�rr:R
JAN 2 2 7I
Ic
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge. CENTRAL FILES,
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. DWR SECTION
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Frno
-Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH, .
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark.
-
3U
m os 5A
5.0 -9.0
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfaYs, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit *ex, 7dabie 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if yes, complete Part 8)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

N
*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 [ rNO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [�NO ❑
REGIONAL OFFICE CONTACT NAME: -&J k l A,i
7 ,
Mail an ordinal 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, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and al attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the;system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
{Signature of
(Date
Additional copies of this form may be downloaded at: http://Portal.ncdenr.orq/web/wq/ws/su/npdesswl#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

r
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCGO60000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 D J_ SAMPLE COLLECTION YEAR 0 I .
FACILITY NAME Ws:gA r F—r M_S, L L ( — FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY 5 Fuse/process meats Efuse animal fats/byproducts
PERSON COLLECTING SAMPLES _75 e- ce-1 &a j I : n_ DISCHARGING TO SALTWATERS? [—]YES [;jNO
LABORATORY Me f : * e 4 k Lab Cert. t# / G S
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall or ❑ No discharge this perlod3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococd ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
50o
001
a - ao t X
flo local
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge. ,
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Arno (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
3A
Im os 54
5.0 —9.0
-
Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge-
3 For sampling periods with no discharge at any oulf0s, yuu must still submit this discharge monitoring report with a checkmark here.
°See General Permit teat, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
SWU-249 Last Revised: October 18, 2012
Page I of 2

IN
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION 6.
• 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 ANYONE OUTFALL? YES Q" NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES aNO
REGIONAL OFFICE CONTACT NAME: t,/k;A-L .
Mall an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for 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, NC 27699-16111,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perniittee)
� -0 j li,i
(Date
Additional copies of this form may be downloaded at: http:/Zportal.ncdenr.org/web/wglws/su/npdesswgtab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
f Date submitted . 12 -_a -/ it
RECEIVE)
DEC 19 2018
CENTRAL FiLEB
i, CERTIFICATE OF COVERAGE NO. NCGl16Q �� SAMPLE COLLECTION YEAR . a 0 l9 DVVR SECTION
FACILITY NAME (�1 oTe ��r_� (L G FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY .Burr _ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES ,> �r� n. o�.a ., `�. DISCHARGING TO SALTWATERS? ❑YES [eNO
LABORATORY fer, } e ck- Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
f Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall or [ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci I,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
0
0
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (•ifyes, complete Part B)
t
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH, .
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A 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 ANYONE OUTFALL? YES [I`NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 5;�N0 ❑
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 o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST S1GN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, in lulling the possibility of fines and imprisonment for knowing violations."
(Signature of P rmittee) (Da e)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

t
M
S'I'()UNINVA'I'IOt IIISCIIARGUP ()!I'I'I+•AIA., (,SDO)
NIONI'I ORING iilia'(:fRT
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CENTRAL. FILES I'IXASK SIGN (1N'1'HE 14EVEItSK 4
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Clii1 thin [ai-.11lty, hcrf'nrnl Vniktcln Mlllilwni,ncts Antivltira ushl nl,srr, Man 55 iyn!links of new nulititr ilil 1wr iniltlill? __ yea _no
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•'ikU + i i.. I 1 ill_' '!�(iU [kF f+) hill d 4rin i!'1ji. 11VU'rlt �L` 411 kllk
11i4tI1� 1-.I _ _ t 11 S//l,, i 1 / I� ? --.' ' w---------GG�
11!i:tl lilt Ekljl l'Ii.—"___r.- = , l ao i + 11 7i � j - , a e , ._ . _,— 100: I 1 6 . Y -- ''' Yll,l
hh"cl; If yatt witnit a samided vahm h 11 ccm of die IlC31Gl11kl u k vuhq im illlt`Jt o A 17ClAnwl Itingr, fill- IV, ytlll must im1dontco '.Tier I 111' Ticr 2 1 osp nsos.
it300 0011Cr111 !'cllnll tONt.
5'IY)l. KA EVENT C11ARAC TFAUS'I'ICS;
I
Ilnte (firsi twenl solnpleil)
I•nllll I!.Vlall 1't'ClailllllllUll (ikll;llia); _ �
i
I)lkfe (list each ntlilll[unll! cvl:ltl S'Ik!lkjtlL'[I IIkId !'Cllllt'tliljj jlCClfk{l, u[III !•t;iliklll nrklnitktlj
�1'itinl li:veui l't',i:ajlifiililriu (hu:hca): _ .1
lVlllil Original wld olkc coley to;
I )ivisitill nI• kvilicr ( )[lnliiy
Attu; DWO GrntEnl Files
161,1 Msil Scrvicc C011tv'r
Itnlctgit,Not tit Cacolinn 27699-16t"/
I

"l certify, llilllel' Irellnit.y of 1i151', IIl111' tills document nild all n(tilc-llillellis 1vere prepared 1111der lily direction or
,mpervisioll ill llceoroalme with n myst.ellA llesikilled IV sl9sul-e. (1171( qualified persommi properly gnl.11el- dill Evidunle lite
illforlllatlon 9111i111ilted. lased oll 1113, illllllil-y of (Ile 1?ersoll.or persolls Ivilo Illallllge (lie R�rstelll, or limse perwim
directly responsible 1111' gathering file iliforllisltioll, the inforlA illioll 51[111ilitled is, ('o the best of Illy 1CIIIlE1'ledk,P, illld l)elief,
ilccll'l'flle, mid Complete,, I All, slivare flint Illere nre siOd icaill penalties for R11limilltill 1-illso illlilrlll7111ou, including
the I1119sibility 1r iAles t ill risi► ment. 1'clr IcnoSvillk vildillii�n9."
(Siklliltlll-e of el•luitlee) � (i)ut .j
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S•I ORNIWA'1 ER UISCIIA11(`O'Ee ()I1'ITA1,I., (S1)0)
rVI 0 N ITO It I N G It E P0 III
(','V.N V11Al.. PERMIT NQ- Wi-,,66olltlio p 5AMI'LES f'C11..1..LC E1► MIItIN(; CALENDAIt'VVAlt;
(.'10('I'IFICA'i•li; OV CC1'VI IAO'K NO. NCC A6i (''11111a 1110fli(orlug Verlurt IN due of file 0108lurc'lln ILtt-W ihull 30 duye' Frn,u
REl, E Il ili Flk�at filly rer.eivey tilt euutpling ,'cekrlltd fruru like l+tlrurntorv.l
I(:1C'll.,l'1'YN�IMII:__W,�,[_�._tC—J� .�r^s —�_ L_� COTIN'1'Y -50 r ��;--,Ir`
1'li;ltSON COl,i.1?{.'_TlN(: S�t1VtI'T..ILS �,/ f � N. I'll(1N1!; N(1. ' .3 S c�'
�r_� my_d.a: ' AUG 2 2 2018-� o_�� ._��— 7
CIl'IV1.11j•IED 1..AllnitA'ro11]'
r.Hri1F CETRAOELE PIXASKSIGN(1NTIIE,'Ml;VVIIS1!: 3
DWR SECTION
!'tirl. A: S11t;l;lllc Mnnilorlilg Iteitulrcnlculd ,
llulfii�l, ii"� ]likf�:r, •p115t;t1u�r,°a < < '� .� ;p;.11q�ltlfl. - ..r_', tf1Q3:•!{1 !'!� (;�,�ii7•.afl ��tta; , �,:.�;'c'�,-�•.1�.-:
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+ r�r1�1uCt'ad `f.''�,011/15 ;}�t''k`"j :"r '�I�l�t�IIRl:YI`:Illllly �' I.CY�]�kYYii',� r t j YID piai''°:� a (�I iDI�'IE1d:
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Noic: If you report it stimplod VH1lIC ill CX(lcy8 of 111c 11ondiNIOli( vallm, ,It. (111(tddo kllc hISImbillm IC t'ttilgc For pllI pm must inlpi0ntco Ticr I or Ticr 2 respi NlsLd.
ilea (icllcllll 11C1'illlt teat. ,
hilt {hid hirllity perl[1r11k Vahicle Mt11111CI1i1i1CG Aotivttio8 using tllm-c-, Maki! 55 p1loils o mw 1114)I11C (lit 11Cl- foolllll'1 -_ yrs _110
(iryed, compl0(o PuII 11) 1
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:..!?ulFull---- --•--- Il,kio' __ _�- °'� _ (i0 Sfi~;�;,.:r�: - IIb53f1. _ _ �w�l, _ �011�tflf)�:r::, '," ,�: ;:• _
iilnik+ef::ikllai:;ed; (111.Hu,l 'rek�e,i� r,.' ,T,)tcll ics�lluriud 5r1y1.iilt♦',.N>r'w 'Iiiini (i11.TTdu1;c;
nuk/ddl i.r. -.t., �Tiil(L,i',+.' ,l� 111,; S1it1),A)lrrl;ilillle i AYi1n1V'i7'He
i' ulhnu
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_ll�elk Ftlkt111i !'h. _ i ra,�41 70' ` * I1J0 ,. i+ � i ..+``.� .!,• -i` ,
0
114110: IFyoll report ti sHtilltl011 vtiluc ilk cncGss id111c
Son (icucral Pcrttlit lcxi-
lrrltirk Vu1uc, Of ML18idr, 111C hcnclulu 11C. I AHU6 fill' I1F f, YOU NO& int111clucnt Ticr I or "Ticr 2 rosponsce•
I
S'1•OUN1 1!',VKNT ClItiltA("1'1!.i ISTICS;
1111Ie (first ovenl sampled)
Tiitul I[vent Pce(:lillinlloll (11tches): —_
NlHt1 Ilrtglllill Hilt Milt' lo:
Division of WHtcr Qualily
k Min: D\VQ Crillrtil Fi10s
i 1611 Mmi Sri vil;nComa-
r ltHlni�Il,NurtllCtu'olinu '?76J}-Iri17
illiiE; - (11s1 Ctli:h Hil(E11I011111 cVelit 201mpled this relint-filih' pi'l-lad, iltlll 1'11111fH11 uNlullnl)
I'(tl Id I':'.vl:lii 'Prr:clisllnllun (Iur.11e�)
i

r
I
rr1 certily, 1111der penalty or 11111r5 that (his doctullenl and lilt 11t(,llchiliell(R were prepared under 1113, (Il("ectio(1 or
supel-ViOull ill Accord"l1Ce With 9 systoll (Impled to 11RRlll,e Oat (111il.1itied I,el'sollliel properly gather lull evulllate (.Ile
illf(ll-lnlltion Rlll,illilted. Basel (oil Ill)' iu(Iuiry of Ille I,el"so11.(IL7 persons 4 110 (L1a1111ge idle S310eill, (li• 1hose persolls
(Ilfect13r responsible for p(Itel'lilg Ill(! i,lf()1'Illllti(lll, the ill fol-Ivaltioll silllillitted is, to (lie hest of Illy kliowledge alld belief,
Irue, llcc(lrll(e, and Complete,. I All' aware lhat Il(ere are siUn,ilIclult. penalties for Rubmilling false iliformation, Ilicludillg
111E poRslloility of lilies and iu1 ,l isr,nnlent for ]tuo►� illy vioiati(,uR."
(Sigllatllre of Ve tli(:tee) {[)nl.c
S W U-24y- l OZ l o,I
Page 7 of)

S'1'(1UN(WATIt±~11 I)ISCIIAI Gle, f.11l' TAI.A., (SDO)
MONITORING 10+P(31t'I' l `
-ALNERAt, I'1!:IIMI'I' Nl)_ NC(:,060080 SA111!'1..l±:S (r(11..1.,It±("1'ILIf 11�1fIIN(; (.:AI,I!:NII.AIt 1'i?Alt; _�
(.114TIVILA'I'1±, Otl' C 6VVAAA.CV, N(]_ NCG(Ib t? 1g(o _ ('1'111n nsilli!Illritig rej)(11-1 Is allat at Ole Iliviefllo mn later tliari 30 days frutll
file (In(o Olt: falalily
__ 'C:eIV" �Iurr-J
211111ag 1-enatld frown the fahuralury.)
I"A(.AI.ATVNArvw, 41IN'IT
PVUS(.)N C0LK.(TN%S--A-M T,lg---3
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-Lull 11 JUL � � ��}� PLEASE 41(;N ON TI l±: Iti!;`VERSK 4
Pnrt �tullcr ltfc Muiillnl'ful; Ilt:[liilrcnlcnta CENTRAL FILES
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TTclic; Tf You 1-nport a salllhlod vailic ill Gxl:GBs of tfle I,GnGlnnhlli valitc, ur nulnilln IIIG hnru. mitid, 1 a11g'G fl,l- 1111, YMI Itlll9t Ir1111IZIlWW Ticr I or Titr 2 1vsponscs
tir,a I.SGnGra1 1'Grimit tnxl. t
i
Did Illia fsaility pei-f bill Vchicln Mi iiornance Anlivilins using wore thall 55 gtillolls nhtow IIIL.liol- tlil por niflildl? yea _mL,
(tl'Yca• (-nillpictc Pull h) 1
t
!•Carl li:_VchlctL: MaluienalleC Acliv.1till llul'Illh' 11 (IulreuLemta _�_f
(3ulfall
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niL tanlE i3 i7 c lye r� ,', To(lil yuaEiF triluil 4r11[il'�, ' I riCf,; i 1 t' N�W,1tnl 011 Traal;e,�
_ ; Ii1a/1!'1liyi r !Illli�l,a r1L 1 ` �111�,rYr,l tl r,lltd �.nlllr,�l 1��e1,t �� ui��111,
I
hlnlG: Tf Y()u rnll(rrt n aauglled vahlr, ill oxcrss of dir, brnl hlilwl — valur, or flusitlG if c IIGmGlimar';c imigr fill- I,ll, you must impict11ent Tim- I m-Tirr 2 rnal,(lnsas.
Sor C e'llcl11l 1'(3i'nlll (CM. ;
S'I'C INI EVENT CIINHAC'I'I RISTICSc Mail Origlual and 011ie copy IOl:
Division of, Wlitcr 01111lily
Dale (flrst event 111un111e(t) Atltl; DWO C cntral Fills
Told E've-111 PiwAllitntiuu (Inclies). 1617 Mttil SGrvicc C rmitrr
Ralnigil, Nilldl011ullnlL 27699-Ihl7
1)It1e (11sl ("It(:h adilltinnill event siuilillcci t111s reliorfillg licr1011l, it11d l lilni'aIl 11111fllllit)
I
"!'mast i!:vl:nl 1'rl;r:fllilllllnli (illcfiry). i .

I
"i certify, ulllier liensllt.y lof la►ti, that this duculueut au[l 1111 111t1lcllutellts 1ti el a lrrel►are[I 1111[lel' my [iil ecliurl ur
auptarvi4iurl in s1c:c1►rllaus:e rvitll :t sysletu Ilesiglle[i tit 11R14111'e, 111111 Ilualiflell personllel pruper•iy glit11er au13 evaluate t1te
itlfol 1ll11ti111R 91llllltllte[l. 1311sed loll illy inquiry of Ille persull.ul• persons who n1111111ge the s}'slelll, [1i' tJRl1Re persons
responsible l(R' lltileCing thei11f11R'1lllliiun, l,lle itllUi'l:'11171111 8111)111il:tell tU the Ilest [1f jlly kilo wle[lge will belief,
true, accui'ale, .:Intl culnplete, 1 lull 1lrvare 111111. Iilere are si n icalll pellallies for Rulrluilliugr false itRfuru>tatiull, irlclulliu Ole li[1RSilii111y [if ices arld imprislollnlellt 101' kilmi'illg viuialil'alq."
00,
(Nigllature of y'erutitl
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S W l l-249-1 u71()7
Page 2 uf2

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S'l'(IItM�NA'1'I!;It DTS(AIAtt(;,E U11'I'l!'AI.,I., (:r'!1())
M(INI'l'(I ONG Et.l!,P(ilt'I'
(;V.NINIAI., PRIt11dIT NQ_ NC(:;0601)06 SAlvll'1- KS (201-l.,l!:(_'I ED IlIIII 1N1, (:AI,RNDAR VLAR; a� _
f_` NVI'll ICA'1 E 01+` Cf)VI!:R.A(;h N0- NCf-,06 ISS {'I'IIIS IIIo11t1Orh1reIIIkN IS 4119e al the IIIVIS14111 IIU Inter 111a11 38 clays fruni
tl,c (lute fllr fuctlI(y rcl:elvr`d Ih suulllliIIg I-enulla tl'O1kI the InhurIs ry•)
NAIVIP'.—W rc �^e {`r�-s 4L C ` `. C(li.tN`I'Y furry
I'I!:(tLsf;1N r2(:11-.I.i!�O•T'TNC A11'Tl'T-.4?.S �¢�^cn. �o:-+i'.'� '-�'. •T � I'll Ir:sNl!; NO.
4_:u:1'1II=1101I,AHnIt.A'I'ClliY.5_JUL 1 2�1IS
-I..all M Pl..la'ASK SIGN 0N'I'IIIE: UP"'VIi:Ivir 4
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DWR SECTION
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6ro (.lalicral Pri- 11t text. 1 '
Did this fllellhy 11er1i)f111 VOIIICIG IViallltriumcC Anlivillcs using Iilorr thall 55 g10101Ia flf new Illwor' oil I)rr rlulrll117 _ yes no
(it ycs, C(]mplOte Pal't li)
I
Vavi I!:_Viddele NIalutcnance Activity M4I,lit+Ir1116 Itegillrellre[lls _
-a liD 51i ," r 01153(i.
3nitili(c C.,4)i11 C�cit;' ': ~. (1ll unll rl euye, l r ' rr..' ','I rllt[I Stl,alt,�Itrfts+l �i[Iklilll� L , „liT�„ 'llli.TTs,[�e; ,
1)hbyil4.'_ . .�f{ilrl'[�ht[t l[Lit9 _ ��Arll�!![Il.�ilv�t'ii ' •+1�1/�IIu
Itchalullau'1t - a"(flit.-.
l`I1110; If yfw report a SWInpled VWllla Ill bmxss of 111c I,61101111ar14 vallic, fir (u,ItHidr, [fir I)C1101111diIC rWllgr, f(II I)II, y(HI IIILINI illildrnicilt Tior I nr Tlcr 2 rCylffmscy ;
!ien On[lrrdl 1'e1,11lit taxi.
STORM livltN`t clrAltAc'4'l!:rt1`sl lc:S,
Delft (first evElil sampled)
Total vVeni Pre(AIII(I loll (Inches); J
Dille (11A each Ild(IIt1n1►I11 event Samllled (Ills I•cpIll•tlr,g I►cl'lull, lend rainfall urlriilmo
Mall (IIrIgIIIW! Will clue ci,1)y In:
1.1iVi8ibll of 4Vnlcr (Iuilllty
Athi: 1)WQ Central Filas
I f l ] Mail Serv(GG Conirr
V aleihl l• Noi d l Catcllhifr 27691- t h l'1
i
•I'raWt 1Cve„t I'rt:ell,ltl,rinll (I1,r:hes):

"1 certify, Gilder penalty of law, film 0114 (.1octiment and I'll WI1.achment:s Were 1)repared mover lay (Ili-ectioll (il-
super�risivll 11I accurdnllCe With a Nystenl desigued to nasure tl(nt 4111111ifie1l personnel prol)el'ly gaoler and evalutile the
111for1ullIion submitted. Rased all my h1quiry of the person.(:x- perso(ls j,q](, nlana9r- the system, or Illose persons
directly i-esponsible for gathering 1.11e inforniatiou, the biror(f(ation stibluMed i5, to the Best (if ply knowledge and belief,
It -tie, accurate, and complete,. I sill, 3111nre IJInl 111ere are slkWificaut pcllnities for .I1 indt011g false infol-1n1111011, Including
the possil)iiit if fines nud imprisi)nnient for lcnowinl~ violslli,nls."
07/3 17.1v8
(Signature o 'ern)itlee)
(1)at !)
SW1j-?.'Jy_tu7lq7
Inge 2 or)

STORMWATIIM 111I8CIIAItGE OITITAI.1., (Su(.))
- �1
CId'VERA1-. 111?, MIT NO. NC C,0600n0 S A �,l I! L FS COI.1-,VA- -" KI1 11111JUING CALENDAR '1 EAR;
1'L;ItTIVICATIt: OV (A-WhAIAC±I+, NO. NCC;(i6 C) $I;o (This Imilkllnrillg reporf Is due lit flit: I)ivisiukl lia Ialer lllall 36 duyel f -iltu
� j like IItula Idle/rurality recelves (lie autkkldiuy k-eain11S (l'uni the I+klxurlttnry.)
II'A(..11-,1•IN NAMIt: �/1c_ Farr-s i\ V�� V C (111N"1'1' v_tr%
PERSON Col,l.X(_TIN(, STMPl. WS �f3ow1_,. - � l"•�'rl()N1,: �vo. (33G�)_3_Sro�� "I
(.'11'.1t'i'II"Ih;l) LAIt1)1CATOIIY _M�r- }�. s,_ _ —l.rih # 1 (c�_ JUN 19 201$
——l..ulr 11 I'I.,Ikw4SNa 51C;N ElN I`[]lf; Ill?:VIi:ItSL: 3
CENTRA.L FILES
l•HI'I A: Specifici�I111111111'II1g Ill:lllkll'CII1r1iI'J DWR'SECTION
I
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Soo Gc[lclat I'crltlft lc3xl. '
Nit illia fhi,11hy herfnrul Vc:hiclr. MuintnnL!iwc Ac[liviiios using ouuc tllall 15 gililons nl ilow nu 1ol' oil 11cr Irlotall'I —yin's _lul
(if ycs, cnnllltctn Pill I B)
!`nrl It; 'l OILAa Milinleuaill•.c Ar.ilvlly PrinlliluY'llra Itellllll,c,nculy__
7luiks;--
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r 1ri(rE1 11�ud 5rli.iilli,
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I or Tivi. 2 resliiinsms.
Nt--rv�t i ii i�. fl l l. T iel a g e,�
�innultl'iiveru��ulh�ul ;
N[ In: if yiili rchrlrt a eautlllcll vahlc in nx(;caa r1F Illc llrnchnlllrls value rlr nuisirlr fhc hrlu.hrllarlc raiigr, Fnr I)II, yuu 11111St iutillcincnt Ticr I or Ticr 2 rnspatiscs.
N Or finucral 1'crlllil tax( -
STOMA EVENT CIIARACI'I?.I ISTICS; IVllit 1 0dKi IIli alrld u[tr lolly lo:
Oivisilm of Walcr ( 1Ilklily
1)11le (firm evellf sallipled) Attic l.)WO C:clilral files
Told Everll I'rrcfllftntlau (inches): 16IV Mail Scrvil:c Celllck
' Ilalcigh, North C uroliuki 27699--1617
I
I)ilfc ([lal cllch liddldsmal evl:nt S11nII11C11 Ihl3 I'VIMIAlig Ilcrhul, 111111 1'11111filfl 11111fllllltl
-1'111i11 F.Vinil I'ret:lllffulinik (iur.h+:s): i

,
"l ceIAV3', ullller pensilly of ijjFy, 111511: 111i,9 lloclllllent. mId all llf achillellts I'vere prepilrecl 1111lier Illy llil-ectoll or
supervlail111 ill accl►rllilnce ►vith 11 gygleill lle9igned ill mmire 11150 yiniiliell per milllel properly gather "Ild evalunle 111e
information sllllillilteil. Based OR Illy iillilliry of the persoll.w. ]persons who 1ii1111i1ge tile. syslegn, ill- those persons
tilreclly responsible for glllllvrilli; the illiorinatoll, Isle lllformillioll Sullllliiltell is, III Ille, IWO: of I113' liilowledge mid belief,
Irlle, liccui-Me, ailll coIllplele, 1 lull $111"We tlllll Iliere are siklll;ic'lillt peilalfies ills 41lbiilill.ilig iillse ill llll-111111ioll, hic�lullillg
the poAsibil►ly a 1I1e9 ailcl illipl-i.5611111eill Ills" Imolving vinlati gills."
{�i�llsllure of i` rlllitfee) ([)iil.e) .
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S W IJ-Z49-1(1210-7
Page 2 oQ

STORIVY WA'1.V'R DISC HAI OV, 01i'llyA1.,1a (sm))
MONITOWN[' P.EIVOUT
r,tl;NIJ'AtAJ- I'1l;.I1MIT Nr:l_ NC r,n6or[riu
C1l;i2`i'1tr1CA'1'Ii; (JIB C'OVIi;RA(�I NU. NCCf[!s O 1 ,
ItA CI 1 T1'Y NA M11', f�t%G I� ��rtY► 4 <
t'lf:USON CO L&'1'1'NG SAMPY. ES
C:1t,lx',1'I1111l;I1 1_,rLIS013A'1'r1124' Mrr q c1. 1.I0h 8-
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Puri: A. Stli!d c N101tilarilIg 11.ar1utrenleuis
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fiat �I-a fS ✓tn
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MR; 7F yan report a HnIIIphd Vnh1G Ill GXG688 of file bolldllYllll� V1111ln, nr nutsirlc 111c
iJ [7G LI tlllCrlkl PGf11111 iGX.t.
SAMU:I1.>S r_xYI,Y.,l6:CTIM 1)lJltlfN1-.r CAl.UNDiiLR YKAIU _
(This moldliu-1112 report IN lllte ut the Divlefhm Im Vital- thall 30 flays fi-rlln
BONY& 11l l ,ll a f ll:1111 Ict:clves flea nttn1t11lpy 1-4 e61djal t'1 Qlk1 [he l°k1k°lrtlfax-y.)
I'I70I1�
MAY 2 2 2018 NNO-
I'1.,KtV8le, SIGN ON -1 OC' 111?,'VEAISlt:
CENTRAL FILES
GWR SECTION
�Q:i�I.(i�l.1al�; i�',.�tl.�.+,�.��lrr�+ll��;` 3{�.� 4:'�,�Y��►f6:��',.:�•
l�,j+l}f.l: y�fJI�;11Y11113(><I'r;il�l,�I�'���,,, Y+�4Y�1f,�t�11f{►,.►t1,:ar:�.
ICFi�nitll, '';' lefty tYril��1; �1 fu.1 , CItY��iliuli�ll,Y }liifl r►il
jj '_5IIIIuuI 0
i.
���: •`'r �►�ify a � I I �:�::1 1 ,1(i� �;I�
nnrlc range 11w 141, you must hnplmncnh 91cr I or `fief 2 mupe1t scu.
Did this PaGIIi[y perinrm 'Vehicle Mninttnotwte Acllivities using Marc 11Lnn 55 gniinrls nl'llew Ill( Wlr cllf Isar f11(In1117 _ yea __fur
(ifyCH, cau11)101e N1111)
Pao I.t: Vehicle NinillfelLltrtee Adtvlty Murkllnrinls Iiulktlrenl n",
[�fu:
milli:—
3;11�1s1e c:,tii°��:44i1;
()'11,,�klf[ rii'i91yC,t �f-
1',lltll
�J11�i71�k�11,�I �titY�i51;',.
I�rr� t
_
llLrl/Act/Y 1:.
r t �lil'Ylf, I '
Ile 1h,- : I
�fllllt�ihl",°I lft►i,f 8'
�.Nvl:rlina'C�n.C.Ib11�c;
AYIYlliltl,'i1ViS1 it is ul/tsul
y,
�t1 CY1f11k llYjl 11[,
~ _.... la�i: L
i t�T 'l f�l :..�..� ai`:..°;'1--
'
t 11i1, �- l3 •
I � 't, r11 f, n,... ,.
ls: ,, "i ::
�
M
Nnln; Hyfllt [Gll(llt a 3nII1111C11 vahm Ilk tx"ms ill'We Iltrtllil11111111{ value• or miul& t11G l lCll(i1111!adc rHngo Or 141, yoll 1111181 IIlipIrliltnt 1 tCl I Lll' riel- 2 rualmnscs.
Hoc General 10mlil InK
STORM 1'(,VlCN'I' C11Alt AC"I'VRISTICS; ' Mutt 0112111111 Mill una rally iu:
t_ilvisllln ill' Wnlclr QLlufity
Hate _ (rirai eveui flumplell) Atin; 1.)WQ Crntrul files
'['tsinl 1rvtmi f'rcr.f1111ill llul (Ill+ales), —__- 16l7 Muil Scrvl(.r, Conicr
l It.0 r"IL!h, I`los di Gt ndintl 21699- 1 t11 I
Illsic___T (11r1 t:ut:h tlrlclltlnnul evollt sallllll8ft thla I•ellnl-fin( Il[:ktllfl, tall[ ralui lull lintmillf)
I

"!. cerilfy, lulder pellalt3, of law, t:llal: Illis documelit mid ail 110.1telmle11IS ►�''j-P prepared under illy dlrectioll or
allpel"visiSrls ill a("cord sill UP, wi.t'11 sl A)'sl:eill deaiglled tli 11F1411re t:i,slt (lllflllfied perHollllel properly galber alill evalll11te the
illfill-Mation slillillitied. Base([ oil Il'1)' i11c111irY of I. le persoll.or persoils vVIlo I111111age flit, systelll, or t,1lose persolls
dll'ectly I-espollsible for g1lthl rillg the illforllia(ioll, the informat:ioll Subillitied is, to the hest of Illy lWowledge and belief,
true, accurate, !(fill l:olllplete, [ iiiii awave tllflt tllere are1gi ilB.flclillt pellalties for suili(littillg fills[" lllfol'111iil:loll, Including
the possii)il1t; J lilies fled 111'1pl-i4ua111clit for Julmi'lligr violat!Wls."
(Slguature of4'e1-1111ttce)
SWU-7�y-Iin19'I
!'Flge � Ufl

STORMWATER DISCHARGE OUTFA_LL (SDO)
MONITORING REPORT 11
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: I
CERTIFICATE OF COVERAGE NO. NCC06._ 01_$(t _ (This monitoring report is due at the Division no later thanTO days from
the date the facility receives the sampling results from the Laboratory)
I+ACILITYNAME Lt�� c F�rr+ti L.L t'_ j COUNTY urn
PERSON COLLECTING SAMPLES _s�rzrc..� (JjQ.tiJI: � � r �I @ONE NO.
CERTIFIED LABORATORY cC_APR3 Q
Lab # 2018PLEASE SIGN ON TIIE REVERSE 4,
Part A: Specific Monitoring Requirements
CEN i ttAt_ FILES
DU/R SECTION
Dutfnli:;.,
-Date _
0053�
G 00400.
�:. ':003`40 •3..:'
:; .;Q45S �,
. L�J16I6.`..::•
No
,
F Sample .
:Total Suspended a e
r ' pfi;
Chomical.Oarygew-
Orland Grease,
Fecal C6liform,
Cn11' ted w
,SoLdS� , ,
andard. umfs
.Demand,
mglL= ��
Colonies `per 100 tnl
r:, 4
yh y
t
gnu/dd/`
asp
: m
Renclttnark
�... `100:, , ;r:
!Within 6:0:=_9:0
120:
3t1,.� .. r k F
`;1000 ,
dQ Z
00
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes —no
(if yes, complete Part B)
Part B- Vehicle Maintenance Activity Monitoring Requirements
O_atfall.
No: ` .
Date
Sample Colleclea;
mn�aa�
:- QOSS6�. °. �
0053fl.:::; =..:,
Q0.4QO is.
Oil and Grease,
:'1'otnl Suspended Sgl.ids?
:m /G._ '
pII,
,Stan'dard1.iaih
; New.. Motor Oil Usage;
':Annual `avers a allmo
Rettchmarlc.'
9`0:}-'
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM. EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):
C\1rTT Inn tf,n+n',

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. I am, aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of P mittee)
S WU-249-102 107
Page 2 of 2

STORMWATIrT DISCAIAR(sle, MJTFAIA, (SDO)
IVI 0 N ITO H I N (I 11M H) 14T
GIC-NIIAtAl, PEIMUTN10- NCCj1I61 iIM1 SAf\'1llLE,,S 4:01,LF.CTIA) DAMING CALENI)All VDAII: - I - II -f
C'EUTr -
IVICATIL Me C'(.)VhAAAt,E No, (Tm his oliffisving I-culincl Is ollit..' lit flit-, DIVISIoll 1141 hilev (Tian ian A days
1: -1;iory
ilrll
It eml Htl-.Ifkt I AL y 11,cc iv s II it IL I III ill; 1-wisgIl & 6-4bill flit: lab btil
REGE I EUo N"
I'V31SON ("(11.1-ECTI-NO AN[PLES 111MINC NO.
I.A11011AT(MV MAR 26 2018
CENTRAL F i LE'S 1 ' 1 ' 1 'i !,, 8 1 (L .'N 4IN-TIM, I1I!A1EI.tSE 4
Vill-I A; Sliccific rV1411111411-11i6 lluillilv(mirlild DWR SECTION
k L k
-.2 -
T"61,6
`Mill: Ai
y 0.11. ulfll
-4 I 414i'l it'�bc 0 A 0A llil
P. A rkA 6:
.1 jj�
V, P.-
k!� i Ic --;T ""T
i
NC
lfd�lk 0 i E W1 o' 4i" 4
-IL
Holt-': If You Kilt)!'[ a wimpird V11111r ill rx(;Css ofillobonc,1111LAA fiw11I1,pmj11118( implinnirai T6, I m- Tici- 2 vtGspmiscs.
Srr (Licilujill I'dililit JCXL
Flid 111k fitcilily pCI-611-m VellicAr. Midotwift1wc Aotivilics kisilig 111ofi; 111all 55 gkillmis f)l.,Ilcw 1111itol- oil pul. 111ollill? j 's lit)
(ifyos, follillicli; flit, 1 1.1)
TRIA It: VLWCItl TV1jJIILjJ:lIAllCt! Actlyllyj
A
lot) - fi
17
8 it 1i a ft�. 4) 44- p i sil'bi i All .8 6 li� r" 'N6w.X1G, di-011. sage,
--6iifls tillud Aiv'd Omit
Ingoilt /Yl
'-T7r17'
Molo: Tifyi-iii 1-011(il'1 a swuplod vullic, ill vxctlss c)FIlic 11cli(11111111h villim, ol-41111sido, 1110 Flil. fill, Yoll must impIcinorif Tiri- I oi`rim-2 i-viponsrs,
STORM EVENT CHARAC"TEAUSTICS: Mail ()l-ighlul alld 1111i; colly (l..
Divisitill of Water- Qualily
1) a I t! ol --m 1 eveill filimpled) Atfw I'M) Cbwnd Pilo
Tooll I( veld 1617 Mitil Scivicr, Contri-
North Cniolim; 2/699-161'/
b11.It1__ ([Isf each arldfillmill evolt S11111111cd lids I-ellm-ting pi-viod, alld
l'ohil

i
n � eertlr � r �
y, under l)enFlll-y UI• lllvl', tllllt I'lli9 (ili('ument Flli(l I'll 111°Flclllllellk 1'1`('.l"e 11. rollUred under Illy direction or
9111)el-Vlgi4)11 ill acellydilllee witll :1 51191e111 (legipllell I,1) s199111'e 1.1SIlt (palil•ied l)el"A(Illllel properly gnlller and evllllinte tlk"
il{inl'n1F1tISln 9lll)nllttell. Based fill 111), Illllllil')+ of Ille ller:9ulvor llelsous 11'llfi 1111111F1ge file Aysfell{, fit' (1{(lse Ilel'RIIIIA
(ll1 ectl�' r'esl)fil1fi11)1@ l(11' glltll l'lllg file illlll{ IllFltlllli, the inl'(ll IWit:i()ll sl{11111ittell 19, t(T file llest llf i11y kliowle(Ige and belief,
ll'lle, SlCL'llCflte, 111111 Complete, 1 AM aware IIIRt tliel-e ills 9i1111i(fcFlrlt penalties for911I)rilltllllk lAlse 1{lll)I"lllllllllll, includingIlse, ll()AAII)lllty tt tllleg Nlld 111 pl- olllllellt for lulowillg viollllilms."
(Sipil"I. lUe of Pe lllil'lee)
S W U-24 y_ l f l7. I wl
Page J UI.7

I
3
S"1'()1(1VIWA'I'IC!( 11I5[ IIAli{..L++ (311'I'1'rll,l. [til)f))
MONITORING !{H,Y(.)k'I'
<J1i;NERA l, PUN N11IT Ni}_ N('f.416o0flfi T,3
5A1<,II'L ES Cill.l,l±:f '!'I!aS DI1111NG (AL,1l:ND26tYEAH;
( II;It'1'1 frlf_':1'I'1+; [11? f:f}VII'ItA(;1?. NO. NCGfIh—Q (This nlunlfuriul; repal'1 IN glue III the 111vistou nri infer (huu 3.11 day's frisul
' (;������HIe 1 f1: he-hlcfllly rcccl'I�cs Iflc aunlµll]Ib rc:dulls truth fhc EalluruEurY.)
FACILITY NAMI='. W..�nc ��rr►t_LI_L C RE�x
fM_ -�QW_r r 1'111}NII: Nn_
• (_l:.ff 1'lll'1l:11 i.Ali(:}It:l'rr1l(L l.ilh l� / z01$
I,uf,`N PL EASK SIGN (1N TIlli: Itli;`Vli:HSV1 4
�— — �-- GCN�s ►�E'.�- FI�.ES
!.'iu-t A; 511eciflc Mnulluriug 11eydramenia J)WR SECTION
IVr� �:_ ',s•'Stll�i,Tr'It'..� 1:r E �,t`I'n{ul'',,�iltillc.liii4rl r ,
wlih�lf;P: i,, rysl bf'
i)euiailltltt•lt'�.: '_ - ..... �.- , ! .,��'���' I � r:,
�_:_ .�:_.�. �; .� _ nr► �:f�� �,I,' �, ` �`l�f. Tom_. ��,����I,,�, - ,' ;.ta.� �'��'1 fi.'�"— -
�.('r114111iS�11Y:C� �}�'lliif� �iflll urllf ��Gtl�r��';I y, T'rrLgyl"�nll nl:,sl; �.:. ,
+ p
': 11i111y i. '?.' IyeYlllilltl, - `F � p,. ,,,-(tli�hiti LN�ti ti l lljr} rug
( VI �I I
"',IV, 1� l
.r..i. ! PIL�' ''i L: n'r ai I114f-i�
�_ —
�d� � S 70.000 •:
1qn1c: Tryoll 1,quirt it sattlpkil vultie in VXGCss of 1hr, 11CIHatmLrill,{ vultte, m, mtlbidr, ilie henohuutd, ningrn IOC pTl, you must iniplonittlt1 11cr I or'hlel' 2 I'C:Apt srsG
$rls Gollorld 1101-mi[ tew.
Dill I1011 f[willty 11ei'101-111 Vcltiele 11 ainiciiilllf:C AnfivilirA tlyillg nlilre tI1u11 55 gII11011s flf IICW W6101' oil
1,61' 1110111h'1 _ yCy _III]
(If yCy, cost1ldrio ],fit( Ii)
V011 It; VdIll:lC Mi11tifCILUn c Acdvlly n'I 01311,41111kJ& 1Z1:11111rC1]lC ltl
- —``,, ----
_ _
It
nnp5�yn
-; .,�_
:,
-_
�11111111(C-(Cti![L'C,1,CfI''. . t}II4—B 1111 �1-Wlylt, I E
_ _ y-�
-:'hllfllf �J 119111, 11pii11 iiil�til d,
_--�iri•i�lr
� -I ..11}i11 I -'
_
'i. hl'CW �L:Q �fl r:f111.rrbn[a C��� 1
q1 fflllitl[11�lntiltill.uvrli};bn1/nut
�h
Yl-eflc)Iultu lr - 1 �1, ;�_w ��a �.�`
ill�i �' �
-:;Y • `„�hi[i-�= � n ,,.�
r,�
1 —1 _ _1 4 _l 1 -
N,Iin: If ynu sport it sutnpled value in oxocss uu rlhe IInIwliiIiitiIf vhic, of fullsid fllc bdiI(Alltlnrk runge ri)r u I,1I, yoIlursl iitilfleuuail •1'icr 1 oI- T1or 2 rmil ouscs.
lieb C}arrerill 11crinit fax[.
ti'I'(.)IlM I!'.V1l,N'I' CIIA1tAf iV11111 01-1gluul tied One Ctij)y 10;
I 1livisittn Of' Witter Qukilify
(first eveul Niln1111sd) ; Altn: L}Wf`1 CnulruE l lies
TOM Eveltl T'rediliffttluu (Inches); .�,5 1617 Milil ScrviGv Co llcr
1Zulcigh, Nurllt (1111()lilllt 27699-1617
Mife (Iisl c111 h u1111WO11111 Chit dutlipled 0118 reporffllg 114;rltld, ungl r1111I.F1 ll iuu(uill)
'I'ntul 1!:vhtit I'rer.lpllu[Inn [lur.hrs): i
I#!

"I certify, ullslel• 1►ellulty of law, tl171t this 1Iloctililellt Rill[ 7111 Ililachillellls were 1)repurell Ilililer Illy 1lirec(Toll ol-
quilervisioll ill accl►1'llllnce ITItls a Ay9(eln deaiglle[i to jimire 11111t (11111I1IEed 1)erl►s►illlel 1)rul►el'1)' Blither llllsl e�ralul110 llle
infol-111RIII)II 91111Illilled. Basel[ cell illy biquiry o1' (lie llersols.o:' l)ersuns who maliuge File gyGtEln, of tiluse ilersuilq
directly responsible for glltllerill�j file iirforilladoll, (lie ilifor11,111doll subillitlell iq, to Zile I)es(: of (uy lzliunvletlge suit[ Relief, true, acclirnte, su111 complete' i lift[ aware disit (llere Ill-e 41�I1!ficslllt per171llies fug' sublilllting 1Rlse infurnuMmi, Inclutlilig
(Ile llussil MO, of fine ulI im isi)l nleut for1t1111►5'illg vlolatic►ns."
i
03
{5'ip'ilsitllre of Perluil e)
l
I
f
f
i
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l
5 W U-•l,i y- l w. 10'1
Page 7 vf'J.

RECEIVED
FEB 2 7 2018
S'r(1ltWWATER t)ISCUAR(rll, OIJ'1'Ii'ALL (,SDO) dG-N`i REAL lwlr�,ES
lv10NrroR.1NG i'ZVTO1t'l' ' DWR SECitON
0.11-M IAT PRUMI'l' Nr)_ WC060080 SAly T.I-.ti,'S COLLEC-i•ll;T) 1)UMNO CALENDAR VIII;A1t.; D
('Ii;lt_'l'TleTL'A'1'1±, OV C'O'VKHAC11; NO. NCCU6 O 1 $ (!•hire 11101111)[-ittg [-eliurl la JUL'ut 111e l)fvletnit k41 111181- thall 30 llnye f -rIllk
thr, Yule- Iltu f'kCHUY rrcei'ves Old eu1k11111n1; [-rrtulia 6-4)n1 (11c lullnrutul^Y-)
t�'AC1L1'T"YNAlVl1i; tit�c-ant c.cMs �t _��—_ 0")tIN-I'Y SUrr� -
I'ti;ltISON C01A 1wTfNC SAIVtt'Lr?,S �r�,„y - «�[: ^ —_ _ I`rlr:►N1i; Nt). (33��� Slo �S SG7
c11;1t•rllTrlt,l)1aA.ur.)rf��•l•oTiv �«: �«�. _ r,f>>k ii
I�n1, )I PLEASE 81CN ()N rl'Mi; tt f?,'Vll;li`• K -4
I'art. A: 811Lr-111c 1Vtnn1101'llig It+:ryl(ll-cnlrtlta
N'rl 11' �3liflt[Ill! ,.I µ 4T1'oilil ,. fly ILiitT411 r .17°.r �
f f:Fi{t iY)
. r ,�,„ );�!, �!}, <'It. 7 1' .t��' Iz 1 a 1?�t1 rfjT.i r 1IfuY [t►;:
tillillli:'IItV'..;'dnYlltll'V=it:titklfll ,Iell f1f11V11 i �I
.:�'y';•:'Iltlk'ii1?� °a 7'![1ffV1ll3k'.T(SY�1-iIQIYi1
.� '. . I i li i y'I �. •�j!5 - :�`Jrr,, .t : i}1 - y 1ilt�i � -, Y., -r,R� '`!"�,�''�il_ �'L' [ -;.1, � l I q I ',I. , 'V'i 71. .1
Y r Y I:Gf :
�Li_ _trk`ultlrl•xtA;��JyI l_-.__�_,..d ,V!hll�lt� 11�;',,'y' '� G. tI ! ., ) -;[
•:TSJ8111:11•t11E11,1i!t� - "i.''i.! S '11lI1)t1sad:y¢Illli.11� 'I11 �iiY Y�+S,.•'- �r1ru! 'CIS,-•.+ ht' .S
_....�-_---__---�•_�.,.,_.�.`- .,_•__-_�::J.. �:_vf�_ ....�..a-AY:.�: s._.::,. -emu..-..y.- - - ---:ice_ .._,...._�, 1: �...«n_.:..:.-y-�L,.I:._..
noN�lo+�
f 20f�
Moir: Tf ynll rdpol l a .41im ilcll valllc Ill cX(;nss (if 111c hol1G11111 A v,thm, or nullliflc tlic 6cnoinnarlt 1Il igr full. 1iT1, yoll lfms( implant .111 `I'inr I o). Ilinl- 2 f('dpllrlal;li
Sou Gonord Polltllt 1cxt.
Old 111k hildIi(y perrol111 vbhioln 1v1(1 in1cmim.c Afllivitina Ming till)] r 11111f1 SS gtslinlls o17 Ilrw 1116(ol oil Imr' I1111nt11 r -- ycs 1I
ff ycs, cnmplota Part H)
"1 )I; - L' 1�llaltktL'!i knee Aci 1 run a to • Ilcd lL rsueuid ).'i!� �L'lllf.t i tVt_y_� _.1(_k �.���_I1_.—.....r�___._. � --_ - _ _.---_ _ - __ • �-_—_..
ASK. -_, ,'.:.::.
11I164�Lil� lltl trail Culi.il�LL,t ,11711 . 1y 1al��lViilurl udrl.r1
tl y:' •r♦tYtYtll'd1�Vl't171-A b' n1/ Lu
nlnlflll/} l ! y
I 1i
Itcsr[til [II(I C:II.-- -°.�'_.�-,k J�.-.�.',:..'�C'�.-.��'4�.-.:�''f
TITG1c: Tf yQ1l rGp 11Lf U 20111p1G11 V011.10 ill trilCVSS (if tllo 1imi(Alliall l( vallin, fa' Ulltl iA 1110 11011G111(lar li FIlogG fOl- pT 1, y(ll[ must t1 piriiiriii Tior I or Tial 2 rosim)i iitm.
Srr Gmicrul 1lcrinil taxt.
a`l`f 11tM ll',v l�N'l' C1I Al;Al'-'!'l! fl lN'rlCS;
1)IIfe - (drul dwelif d11111111f'.(I)
TWO y,i NCTlf. TtlTtApl110l0kl (1111:11cg):
Milil Orighlikl atul (111L copy to:
1 �ivkkin of, Wtiter Quality
Atin: C)WQ Contllll Fllcs
1617 Mail Scrvier. Cuntcr
Raleigh, Ndlrth Carollnit 21699-1617
11
l)IIIY, _ - (Il1!1 ttist:ll 11i1111l1f1TVtl1 [:vcnl �I)flllilcfl fllltl 1"Cllrii�t111(; 1Y81"liffl, !lull }'6lI1I1111 A[Ilrllitit�
;'!lilt! ;�.VL`i1i 1�':';:f:llsftlillilli (111r:11i:y};

S'I'OIINIL'UATIN? MSf:ILMI.ii; C1L€TFAL,I., (SIM)
NIONI'I OWNG f.il{:I'OUT
l�N;IVIi;ItA1, I'I+ IfMi'1' N(.3_ NC(;01511fi01! SAN111,LK5 (01,1.,1+C'I'H:13 DIA1INC; CAL ,NEAR VEAR;
'V„3
ON COEMAOC, No. NC(.�E16 O �_�•�= (Thfit Itkold(urillg rt:lurl-i Is dfle,ili flit, DIVISlull un la for thall 3A dayd from
Jr11 date the rstcllily rarcivea fhe rsaufllllnb I-CHUHd fl-uul the lahuratury_)
NAME Ws..�r1t �ar_n1! LL (�. RECtIVED ('(IIJNTY
+.�� to rll()NE Nlf) l33_(o_)_3g6-5_Sr4 7
Cli:li'l'It+'ll!:!l I.Aliflli.4'1'OI{t' jll er: ��.L� r.al� # 16.5_• N C
I,nh 11 J1 2018 PLEAS SI(:,N (IN Tllll: I4IM!"RSli: 4
DWG RAL kEq
M Part A; Specificuni(urinb Itelluii-cmentu ECT1Olq
I '
Oul lull, iluil (►OS 4f! r� .° : tl ( Pi+ ;.ffQ: ilf} .; ., �1;''I�1 ate;..; �: i" t. S k �i l am;',.�r_ '�ti
-'1'. - ' J1SI1_'. ,`'1`�►„i,;�(ii)tll1i)ll1r4trl1'j:i(1lCedti:'`.Sti. i'r ;+t' .e+I1 tl s ` :,1`+:i1n�1'i'�!l:,t'�'L,t�,7+ nslllrl,e-"j:=u'``'+.l}�`' 4`.' i�(I�{:Y, `' ;j.E:it�3F :`4�, r:11k,� ��`41 wi`'i)h Ill.tlr'ra✓'�,11'.. ': lt i. '1=i(f'iI-l.l !�'.•r.irhlIl�A!r' '1:i l{:1'1::(L�h. ' •±7i�f�i:t'.rI ci `kFi•r•
(liyi + 41ii'.l,••�.l 'lsClf-I)ikij,.,tyr.. 't;rr1 lfll..(�V,17,I�.r?ri4,�1:YT,'i-,ez.ktlf. 53^�tia.: d.+y lLs ,.1_'r'�.epp `LfVY: fillti17(t1i.li:ln� 1l4kl.'r}.leIuI``.lu�yEl
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Y�Lni,lnk(nf 1t' *.._'!-!{)I) { 3r r ' {1 41i IIir.Fj'{}. n 1 ,tl r 1,2p 1 cif) •,i I t '' ii., 11O0 1.
—o+a 1 1d - ao - ) %
_ pot, 1 �0 -1 7 i `?y f0 7 �(S� — c 5 — —
003 $a 10 - ►1 0' lab Ci • b 7�8 4 S
Nets: Tf yiw repftrt it salnprcfl value in exress of the linflublumh villue, or nulsirle the licnclsnlnik gunge fnr pI1, ynrl must impicutettl Ticr I or Ticr 2 1espnnses.
�cn (irllet'al 1'crlulf Icxl. � '
Did ilils Fncllity perform Vehicle Maintenance Atifivitics hying Illfli'r (hail 55 gi}Ihuls ttFncw lusher• riil per awuih7 — yea -_110
(lf ycs, comillciG
f
Pklr! It: 'Vs:hlr.lc Mstku(cuaul:t: Acllvilr ]�7UulltlI-IIt liceluh-clueu!a
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1�1u1lIlk lstlsY':illlle( fed; T 011 a''tid G,i'i 19�, t -.' r „']'alai 5usp�nilfssl y/k11i11�F , ailf, I'• ' i Ntiiv.lCriitli.OILTIeia(;c,'
u�illlTirI �l.tilt►tdl -Altliii111''ili�=Isl u u dal/�tiu
'I1L'Iittll lrlll l'li�-r___-_.»-.-: °_��.. �.._�..�..1'}���1�';., ate.. lil� l' -.(' �r •' ...�I.y�'.-.1:=.��lil YI11 >�- '�'- .:..-�.5_.''"�''.1 :t.
Moic: TFy(u! Ieport a suniplcll vnluc ill oxcrss 4if the henGhllmik value, ill- flnlslflt: Ilie 11r,m;h1lutdc 1l ngr f+ir I1Tf, yfilt mu.41 iniplomcni Tior I or Tivr 2 rnxpfnlse5.
See 61,11Clill 11011nit Iexl.
+
STOWA M1111 ()HgfllIll and ulte col►y Iit;
i iivisinn ni, Wilt r 01-110i€y
Dale (fit'a( event altnlldt!d) AUn: UWC;) Guntral Kilos
Total Evcuf Pretapitallun {luchus); 1617 Mail Sorvit r_ colder
I(alruigh,NoidtOutilina 27699-16IV
1
i)ille {Ilsi t nr.h tlllllilil1E1111 CVeltf 51011llled (Ills !'CI11lr(llfls pl'1'i(tll, ltlld rillllHill 11111f111111)
`- Tailll Icvertt ? reLipllnl€rul {Inr.hts);

"I cerlity, under pcl►alty of lslw, 1.11111 this 11uC11111ent sllul sill slttslcltinelll.s were l)relsltt'etl under lily tllrectlon or
s111lerr igiun ill accurdallce with a sygt:eill tlesiglled to llssure 1.;1s11: tlusllllied j)ersl)nliei properly gslther and ev)llttsite file
111forlilsllioll Rul))llided. Based oll illy inlilliry of the persoll,oIr persons who ilistnslge Me systelll, or lliose persons
directly revollsible for gathering the irlfui-tus)tiotl, the III forlt'lsltion slibinitted is, to the hest: of Iny knowledge aml belief,
true, ltCClii rite, stud complete,. I 1.11:11: there sire 91 Ilificslsll. pewillies flit• slllll)litting fillse information, including
lite possil)illly of lilies and iniprisoliment for Ictlowili viulrtt� ;Its."
-
(Sigulltllre of Ve iuiliee)"' -
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ti•I`1}ItN1AVA'I MAt DIM, ()UTICA1,1., (S1)(.})
MONITORING I(ti:I'OIt'1'
C�ENIIAIAI, I'Ii;IlMIT N(,). NL(Alhl)rlr}U _�
('If.l TIVICATIl', OF CO'VKHAGC NO. NCGIIri v 1_b_6 ('I'lits Illolllf(ll'llig rell(Il-I Is 'lilt!111 111(: Illvishlll Il(t Ialnr' thud 3(1 deya rPoIll
Ii1c. 1111 tlV-61 :fitly 1'Cl-.ClVkA lilt!ttullllrllug rcd1111n iti'nlll the I,Il/,lr,lful'y.)
VACII-.1'1'Y NA11'll! H �I Ly C1)IIN•I•Y
1"ENS(1N (,,OI.1,K(" fTNG SAMPLES 1'II(.INK NO-
JAN 10 2018
Y.uk, Jl
I..Ilii !1 i 1'I.ICAyI+ ,SIGN ON TII I!: lll!:Vlmsu'. 4
—� — -- UN"R SECTION
Part A; 5111:clllc IVIunlla hal; It(:1I1111' Mm"s IN!FORMATIONPRCCESSINGUNIT
;.(ilil-li�Il, r` . lZbfu: (IOSa(I ::9';. `_, r : Q(1�IOA .: ' . t1:7=10` a :�;` r ;.-1 h`:1`' i'.`1 �''1�`::','
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Nulghsjeir-I 'I;I . li1C°,', C 1 li;t yI. ,jlli)�1;[j +�.i1 'a If T 11,1 iri 11.Ctelliej .,1 1 k1 �ec1}I,ril�urn>;:
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r .y F�'i 4 �•.� �-,�i �,I� 1, y -�I t. r _ � J �sC.�1-'r,,r. 4�. 4 •�a 11::•.
_ � 'YIYIfI(ti�i�Y_ [ '� iYt 1[ i ',�; 1 I �- } C .5. "�l- � � -L � a •� ri.l!1! +�_71 ri ;f N� �:;'1�S-;al .:..'Yr,Y:.: .: �.I r.• -i
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Noic; Tf yim 1'cl ort a unin0e(1 vubc hi c%l:ttss (if tlic hundllllialh- valllc, lit ontsi(le the hcacilllnatic 1unlyc flfl' 11TT, you llk m Illllslc nma'Nor I ur Tlnr 2 rmpoiltics.
ilcc (icllcltll Pcrnill lcxl. '
1)ill 11J8 ft(Ality llnr(i)rIll Vclticic Muilltrnalu:c A(ltiviltes using nwrr, ilmn 55 griffons of new ntolorilll Ilrrmonth? _ ycs _no
(if yrs, i:olillilnte hill 14)
_1'lirl if_ �1Lir1(:11.`
Nl klill lf:ll ll ll L'C_A.:11 VIIx n'11I171 E,11'1116.[11;(11111.1.1111:1k1n
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Alnlc; If ynu lcllnrE a aan)t)ln(I value in nxcnss of the hcnrl1111111'li v!llllc, nr (a11sido IIiG 11C1lGlllnlllk rtingc frlr 1111, y(ill ltlllSl 1R1111Clllelkl i`lc1 �1 or Tim rnalutuscs,
Soo Grilerill Pri'lliil texf• I
5'1'O1114I 1i:1l1�N'l` (_:11A1.tA(:'1'1!:Itl5'I'ICS: lhlail 01-Ighiul 1511(i idle cilpy In:
1 l)ivisit)ll of WHIM' Q11111ily
1111te _ (firml evelit slimplell) Alin: DWQ) Central Piles
Told h,vent Precipltlitjua (lnnc�y): I6l"1 Mail Service Coma
Raleigh, Norlll Carolina 276))-161 1
I)Il1C (llal L'a(:Il 11(1111111)l1111 CVC10 $a111111C11 llils I-el)(11'fiRg liCr1(HI, 1111(1 1.0111'1111 11111011111)
'1'11hil kvl:rlt 1'r(;4:11111nilna (filches):
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}l certify, Uli[lel Iles{ally of law, 111311 s'lli9 docullielif: 511"1 $111 71i1.1' lIl1N.{l1A We1'E I}1"E±17li1"Ell llli[lei' ili}r sll{'eclluu or
Alillei'VIAII}Il iil aL'C111"flSlilt:0 Wi111 Sl A)'A1e111 ileRigll�+11 I1} slRAlll'F! I�1'` lEFF3]�11P,11 ]Se1'AUIIIiF!I ]?!"i}l/�*1'l}' �1Fll:1ie1" iliil� E1'lill{Ftll'� (ile
illlurillRlivli 9111111iiltCtl. J3fi9Ql] fill Illy' iilslidry or lll(! lier9o11.111' F ,*::,Mll5 11,1111 111111111ge Ill() 9y5[t'111, 01' Il{11SC pt,,.C911119
direelly responsillle for gathering file lllfol"11111tiU11 Idle 111rol-vull tj
sl SIIi)111111e1! 19, tll [Ile best of my Itliu►ti°ledge 11111i Relief,
t1'ile, Fll'C111'ate, 1l1111 CUIIIIIIP.Ie, l 1i111 Fll�'Sll"e I11111 ll ere s!i"e Al 1{�ril::Sl`' ilella]lle9 fill" R1111111illiliv- fsll9e Illfor7Fialioll, ilkeludilig
(lie I1o99llllllly of MIPS Fllifl 1111pukollmelli for ltllllWiill.) 1'iolsIG."Olm",
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STO111VXWA ITOt WSCRAR(Ae, 013TVA.M (51)0)
MON1TOUING 111 1'OltT
( 11;NEL13AL'I'ERMIT NO- NC(;.86011011
C11;1.1.'.I'11TTf'A'I'1l; oft COVIMAGE NO. NC016 d 1 $(
VAC-11..1TV NAMYI; _Wc_ r1t_Fs-�Y*►Sk �LL__-C _
i'11;ftuON C1.11,i..1.?C'Y'TTVC SAM'PI..rS _..].nret►�-� Q.ow-L' �_-_____�_. T.�
(:11:12TIVI1i;t) LAT161tA't'OD Y-
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PILO A. Specific Monitor'Ing ltequiremen(s
SANIW.LES COLEEC11 11:1s D.11111NO CALENDAR VIEA'1ti
('fills Ill"TR M-IlIg (chart is (lilt' aY Ilke 111viafrlrl nu latek- than 30 tlayerfrimi,
Ella (lulu the takdIlty recelwea fire aaurlkllk g reetnita f -om file lallul-llt/lry.)
PHONE NO.
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Na1c, IF you report 1i Ballildrd valkic ill r'xGcss OF the he'lldilliftik vklll.le, or olllaidc llie licnchnlnrlc I-"llgr Flir I)l-1, yell Illilat Insult 11kVilt'1'lel- 1. or Tier 2 rcmpclnllea.
500 GtlilGral I'er[rlit text.
Ditl IIIiIt fac;IIity 13erforlll VG11idb Mllialcnt.inGo Ao(ivlilcs llalI19 11101'G tlk(111 55 I;a110[IS 0FILOW 111(:1t4lr Od 1)01 MOLL d17 _ yes _ke)
(Iryca, Gotilllloic furl 1i)
I'nk-I 11. Vchlde' Mallklauan4C Acllvitnalink-illa Re1ulrekaeala —_ _ —_- -- —T_ — -- ----�
"..-..t�.rlll..�.,(�. �r.-�"''. ' II'n S�'�li_ I _ (.,1 ,. -_i.tit) 't tl
1Va: '�ikl�i lf!u C: lll(a'ei1 C111 tiil(I ri'i:abt! Y� ''I t11iiiiYarl�a�liilli: ` Ntirtni'bll lfYaal;e,
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_ In(k�arl/' i-:�; .t:,: .,,'.,•�i`. .:�rtt�rll.;;c 1, :Irk 1111`t ; �:�i�tifli'(�i�t-(D;�1ril� 6�.��_ 'Akkgkfill','[1vi:�',( �u allkun .
tltlYkallllllll'I( :. r _.. '1 �•kll:� ,, -, p. ly�l�d!.yi J'J l"' ail„ _".:' 100.,.' (.1 �t I,, " ilrlil-: 11+ : 7,,.,�W.'~� .. 3
....._.-_ � J:.._..i�.:.u. •.3- ter.. x..'_.L, �.._ +-.. 14.11
MI-10: ]Fyou ropart it ullo Hell valklo in exctas Of dic I]ondiumpk. vallke, Or (ell(aide, llle 11O1lGIlt11tirk range for plf, ymi nikist impiG[I ont Tler 1 nI T6- 2 rompnikscs.
See norlmill Ponflit toxi-
yTO11M EVENT CHAIUCT11 RISTICS.
btlte Q y� (final event aankl►le(!} l
Toifil Fvelrt Precfpltailrlll (luches}; _ • 3
i)t11c (]eat racle addifillnlll e'vulit stillyle(I ihfs re'llnrting lusriml, a1[d I-1110,1111 antillkrit)
Tahll 11',Xent Y'l-lu'lptllkll(111 (1llidlea);
]Mall 01'iginnl lirld (like coley to:
E71VIRillll Of Wnlel' Qualify
AlI1l: 1'1WQ Central Files
1617 Mnll Sorvll.c Crnirr
1talclall, N0l-dl Gin -tiling 27699-1617

"f eel-tify, under tlelllllly of IIIW9 that t1118 (toClllllellt llll[l llii 8 ;.liCillllellls 1NeA-e i?1'elllll-ed 1111(te1' Illy (ill-ectloll of
supel-Vi0oll ill slecordauce will, a system de0guell to n9slive, tilllt (ll13111fleli 1)el"9U11ilel tlrol)eriy gather and ev#iiillite file ~
lllformatioll s11bmitted. 1111"d oil Illy inquiry of the persoll.o.' persolls who lu.11111ge the system, or tllose llersoll9
directly responsible for gllthel-illg tile illformatioll, the 111forl".11tioll 5llhlllitte(1 is, to the hest of ply kliowlelige a1111 Belief, .
tr11e9 Recili-Me, llllll colliplele,. I Filll awilre that illeve are sigulficallt pellnitles for s1lilllllt.tlllg false 111formalloll, 111cluliing
the posslhility of (Illes and i11 prisolllllellt: for lulolv11ig vlolli iUlls."
(Sig11111ure of Pernlil:lee) (17ai.e) Y`
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5 WU-249-1 U21 W
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S'I'(IIIIVIWA'I`KU DIS(:IIAR(:Ie, OU'1'1rA1,1.. (S110)
MONI'1ORIN(; it1 PO11'1'
6kNEUA1.. 1111:1111 IT NO. N[" (;{i601ifiU
tyli;14:1'TI+ICA'I'll, OI+ COVEHAGC N(1. NCO06 Q $lp
FA(:'1l.,1"1'Y NAMR C —
VIVUSONCOL,LiceTYus.tATptj?.a :". Qy Qo�r.t�t` _
CI?:12"1111101 1.AI )11A'r0111' (YI c=; tec_f, _Lab 11 lab))
PRO A: !'specific Maiiltnrfng Ilc(Iittrefuculs
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IVtf Sift lisle. 4 ;Lw .illilal,tis
''. i;Clerl''i m ps11I,1v.
i ► c -d3_11 1—_(v—oil I I a. 1xo I< 5 I
lgolc: If Yon report a 9aif1111eti valtln 111 excuIs of Ills bonch"ka li vhh q or onit hh 11(G bCl Muim i( tany Ar 141, pm nwst il1lldcutrif1 Ticr I or Tlel" i rCdI Yolks.
S= ()cncral !`cnttit text.
SAV'1lti
U,II..L,Ii;C'I'1!:If I1IIf11N(:; GALMNIIAIt 1'I6'A11;
(This luonffuring r-elrisd Is due al the Ilivishin no later 1han 36 days front
the 11nIL Ihu Cuclllly recelvea (IIC 1rau11illag rcnulla fY»ru the laliuralury.)
---
PHONE, NO. (33 re
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Purl It: Ve1110e IV1a1i11L'1111fiCe A1:11yity Nlimi111r11 a Rtmulrcineuly
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Noin: 11 yotl report a salnwod vah,c In uxccss (If (110 Im1whivar1( valuc, flr UtINN10 111G IMIWIn,tari- IJIIWc h" Id1, you !,lust ImpIrnio It I jor I carter 2 rosponsrs.
1, Gro (ioncitil I'crinit
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N'I'Ol2M li l�!!;N'I' C11A1tA(:`i'liatl8'I'I(_'S; Mull 0ri6intil and fine i:ui)y in:
i I fivisioif of W11(Gr (lutilify
lhtic jp ,r] (lirsl even) snolpled) i Allir DW(,) (Clll -td files
'ha(al Event Preciliflttlinn (inches). _ ) • 3 1617 Muil 5orvice Cnntcr
Raleigh, North Carolina 27699-161'1
E
Ilul1 (111i each afI(IM(Inal evcltt sttn1111Lr1 011s I-CIl(frling !t(:r1041, fill(! I.011hill 11111onlit)
'1'uiid lilvelli 1't-Li:1p11itHim (: och,:sl:
is

icerl.iry, miler pensllty or is,"" t1181 this 1l11cullicut $111t1 sill sir slllillientR were llre.11slrell 1lllller lily tlirecliull or
RllllerviRioll ill new.ordstllue wills st RyRteill 11eRikllell tip FIRRlil'e Ilial quillilled perRonnel prolleriy gnther scud evslluslle file
Informalion Rill)lllitiell. Mused oll lily 111tllliry of file Ilel-sollmr llersols who I11111111ge the 5j'Rtelll, or those persoll9
tlll•ecily reyousible for gstlll�,rhlg Idle I'll (•Ill'luslt'loll, t11e 111f111'l: ulion submitted IR, to file IIeRt of lily knowledge Ilud belief,
true, !1ccurHte, wid cllnllllete, I Sink sl►vslre 111s11Illere, are Rigill l.ie'liill pelkslities for sNlJrllil.liul,► false 1lifllt'liisltl(lll, including
(lie 1111R9ibilil.y tlf (IneR and ijilprlRollilleilt for knowing violsll.61119."
(Siglislltn-e of Pei aa16c\V\e) I (I)llle)
k
•
5 W U-249-102 4 07
PngP 2 uF2

S'I'ORMWA'i'IM IIISCIIA.II Ar, OIJTPA-LL (SILO)
MONITORING REPORT
(vri;NRAIA1 PERMITNO. NCC060000 SAN41 I-ICS COLLECTED DY.111:ING ("ALENDAR YEAR;
Cfl:lt'I WIC_A`I'lt; Olt COVINAAGE NO, NCG06 $5... ('!•Ills n 111110r111g 1'el,4lri IN dlla: Ili. Ilhe Iflvishla I,n rllitr 1111111 30 daya f1 rail!
the daie flit faclliiy rcceNt'a 010 snrlklllina I-or4111(tJ A-41Y11 itka Itklnlratal'y-)
COfrNTV
rrl:flsON cc►l.,LI CrIN(; SAnrrl,rs 1.11ONle, NO.1�jL..._)_.� (o .S'9G
Crt:ft•1•fn'r11;1t zwAfloffA'rOf��u �m Gr:�<<� --- r.nik �,!-�(i?S__-- '
1,,,IIk rE r'LCA15fG SIGN ON TIrli: 0-'Xli:IBIt', 4
i'lirt. A; Specific Monlloring ReglklrenlcntS
.:.�..,.�_-,._�:::
1V�1, 1�a5i tii il�: 4j,I,if=;�:llioiul 1laykeiril a lyiT hi . t117' i.�i7i'rill �)ky'(� r1.11ri I'• f7if',,Irlll iJ.� art III '� ,:5f+;•..r1'6ti�I Cali liFOl:lyl }1'..
_ .i. .l. X Ir111. •1 fyl- r:, L. i. I; J.JrI �M I 'i '4J:i?.lF '1' Isf'.�-y1�jt#�:I'._?. �fyjl'jl ,�, I. �Y a1 1ti
5- 5 til�{:Ile�l I �f. 4, y.if11 .1.•_11•'" 51:=a' I"1 l4-L• t;,l.l1I _I' I k�'I•. iYI Y 'V {4'�y ���r i( r
'k1:11o11, lr: hlI ifkli k d. i•' :lrfll:,,+4: 1` it I ,t1�T'I(sd,flliV lilfl kkil
1. r -h(Gl 1 !� 1. �,.'�:,�i1-.'��: �_. ,51:4i'
Y1tinIl1Y(1�i1`: w�11 ili �1t� ax rI t t i.s}% ' Y11 4��r S E _ ijn� '[ Jl 1� (� T�5��i -. I4y ]���ry"yf: ,j��a //{(�j[�1
1ie1141i5kiai 1t?I� �• � �'i:' 7'' I i 'l ll �' ! i. I .lit i, {�11 illki .l11'�, h-} V �TI r Y �,� d 4 '-YtM 111. i� ht i 11 fl I l ltllll
— - _ �l _ 4 - 1� _ is 1 ..1_ ...�i.w 1:1�...��_....__.f_�_._,..
Mott: If yotl rehort h Sankliled value in cxvrss (if 111e bonchninih. vulklc, or nkllaidc ilic bcnc11111n11.c i1111go For Jill, you 1111181 inll)ir.,llrnl Tirf- 1 ol-Tier 2 rtip(mara
Sec Crnoel"nl .Prnui( laxi.
NA {lied N(Alhy perform VoldiAr Midntvninwt AollVilicS tlsilig lnurc rllall SS gb11011S of r1cW 111ofor. oil her ra(ulill? __ yrs vfi(J
(if yes, couthlcfn Pfirt r3)
Vnri 1i: 'Viddi-le Mall,teaanrL AAAlvily lVlollllnr'i Ig ItCilkllrCMCIlis -- _ -- --- — - _ --
nllir�kir ValI
�
Nli; Silkiiliit f:l11[�C t lip 611 t��Ill ri, ny�, i'` r�kllit ,tyi,�Y14�11rI'1 1,l.lala, : : ` , ,: Tay � 7':nr�� hr�, n�'oll.rrda�t;.
k t
_ 1uo/dill l:f: i ±r i I�i11V/l.'r;� 1 11 y7ihI1115Ct1: Yli 5 AnllitlililvCrG �a' Es{ullklw
Y_.. Y_..i5 ,t.-..I.�.il _ — hpl i:.._..�.,._._ r-I «y.,-.�._�__ __37..—..._.._.
J13L`Il li lk llkp l:l{� _ y��J. L' ;-'3il-t -.t:!'t ' ~I IV�I tl,"'',:',: 4} - I :.•,'�� -i�il�
Tloifi: IF ynit rcJlorl-ir annllp1611 v111t10 in nxceaS of the hcncllnlflll( vkllut. or 11111aide ilm 1lcnolnnm i{ rungr, For I)lI, you i1lllai imlilmnont Tier I or Tlor 2 1't 111i113tlCy.
Sco Clclkrrni ponnil lnxi.
, 'TOIIM EVENT CIIAIIACr•ERISTICS; M1111 OI-Ighild itnd enc c011y lo;
Diviaihil (If Wald- Qualify
1)ill c /0-23.17 (final eve111 aalnikle'll) Alin: DWQ Central Filrs
I (11t51 Emil Preclllilatillil (melee); -3 1617 Mail 1SorviUc CoulGl
Hi11clgh1 Noi(it Carolina 27699-1617
11111e (11M elkch liddlllamil evens finlnhlell filly r-ehrlk-Iing 114, ind, sell r1111iffill amatlrll)
3
'fatal Yveni Yh'crlldlitilrin (1nc11cs); _ --

"I certify, 1111ou i.lemilly of law, tilat tills 11(Il lilllellf: 31111i Slli 31(tiscilnlellts were prepared hillier illy ciireetioll oy
.,mpervisloll ill accorliilll{:e 11,1til 31 eystellx lieaigned to Iumlve t4hut liilillllleli pounounei properly gather lllltl eVllillllt:e the
1111'orlllntioli Nllillllilted. Based 011 Illy lllsllllA y 111 like ilersoll.m. persons ►Pilo 111111111ge lire system, (if those persoll9
directly real)olksible for guttering file illfor1111111oll, the litfor'1Tmiio11 silbujitteli is, to idle best of lily ltliowledge and belief,
true, acci6'i1te, and complete, i Am 3 ware Owl there lire significsint penililies fol' st1bn11lting false information, including
the pus9111111ty of 11110!1 all[i illzill l4Uillllellt iUl iclli11Yi11 1'lU]31114?11s."
(Sigllatlil'e of Perillittee)
S W U--2,19- k 02107
Page 2 of 2

,Y'1.OIMIWATE'k 1115C11AUGE M 1'ITA LL, (SILO) f
` MONITORING REPORT
lA',NKHAI, PERMITNO- NCCO60000 SA11'rll'.1..1i:S (:f.11.l,lt;C'I'En I0111t.INC; C-A1,MDAR YEAR; a
CIGFt'!'lFICA'1'll'. Ole COVIA.IAGE NO. NC606 i $S (1'111s Ilkflll{Iall'Ilig 1•C11111-1 Is 4111L' III (it C 11INNIon no loin,' than 30 drays Elena
f114 d11ft: Ilia: I'nt:1llIy 1'cGCIVI:a 1110 9MI11111lf1g 1'C91Il(b A-MLI Ihn 110101-1,1tlry.)
VAC:II-ITY NA11'lIL �a.�//►�_�c.r_m.5— C C _ _ C itINTN'
PERSON C,01.I.i CTMO sAfiif,TS i'il[.)iVI+', NCI. 07!� _) 3:FG--S_%G i
(:t!:R'I'11+'IMI L,ABONA'I "14Y —MST-fc�.h _ i,11111a
I_uh 11 PLEASE SIGN ON T11Y, I4A/VAN'1i'. 4
Pad A; Slrnclllc MoullrwMg Refiuil't;nkents
;.C1ulhill • t TJlala J '(i05fi"iA
!V't1 , •. t,,�>�'il1�11�11d•:,1, �;�y.Rnilil•�IEsYreiili:}�'ri':t,?`,;'.
`r• '� i{�+(i�llt;tled� � 41 •�,. ,}I+1 fS�i,ilalg ;rr`11' � I
§'. Iriu/kltll'vy. l`• 1�i l; r(1111�'l l.?
Z
AS {400 a+1 f}3y0 F 1 r 11{ Sfl�l?;� 11 ,I i
MOM ,0 badC)ii";nrlille�l�(I :± ��; 1!�i l)1 C�nliFo, n1;:
�itwyTi]nSifnily ' w,1IeriI1111I
iJ���II
1 `f1�,. V..1E, `?1 Y E7N�
-.f C%4,� I---` y- 5 rr �-.. � r7 i 1r ry �i�., � r-f Y :}- �... [-� •_
a itlJ100607jups " i';{2p tyu; r�l;1i� ;I w, s +.It::i`.1 .I.t,l'00{S.,
Mo1C: If ytrll repori t1 8d11I0Gll va111C hi c)Scns of Ilro I7ol1ia11uml vt1111o, tn' Ir1lwidc tllo 11G11r11111a1k 1altgo Ila 141, pal oumt t111111cmcni Tier I or Tier 2 insponschi.
Soo cielleral PCI-Mit to]C1.
t '
Md teals ftuallly llc Awm Vellloln Mahou" uux Anlivititw using nituc thirfl 55 gallons of ucw rlullor nil [lot- 11nnt117 — yos wof1u
(if yctl, rowpictC furl 13}
I'ul-t li; VeLlr.lc R'laiutauuncu_ Activity Nluulfol'lug Regolrcn:e11
Nl{l �'OOSC►: +� -- _ 0053(I ; �I•, -—f10:IQfi':II:� -. ;_ . _ _
_ .t , �.; 2. _. ... i..�:. .._._ ry `ter. -
h11L'. `3itluli�.'C::1LII c4�ti; 1111, 1raf141 Csi:euyel t 1 :. .'n,Id! l�yj1:$iji]ud 5r111d , �syliF(Y�::I. N yvt 1liii CIII.T.}uugn;
_ 'III(IM4 ! 1 f: -I" .Ifli l/1,-_I:"i' 71p 111;' 1' �-,'I',iy111ryFlEgt-ll tillrtd � Afllilidl'�SkVdl'F1 �' nlhuu
I71:ll li [a llkill lt. - I-J.' •IFy.iL4L i.'i Eli dE 1 , _-.�}-Illlr• -i - Il Ifs ';�"' l�lll, :1 fl tie' .I 1,1. .1. �;
�l l p 1 �1p �I
Tinto: If yotl ICJUAI n sanllllCll V1111tn in oxecss Ill tlic bcm; lFmuk vultlr" or 11111`JI1lo the 11oltollimu k farlgc Fill 1111, y011 111I1y1 implG111C[rl Tier I m- Tlcr 2 rrsimuirs.
Ncr OcIltrnl I'vollit I0><1-
1
STORM 11;1IENT CUARA('I ERISTICS;
!)a1e le (first eveul aurulklnll)
'loin! l+velll I l-CcIllllafinn (Inches);
Mit11()r1gi11itI it it uueCopy lu:
I)lvisltl,l (it' WalEw 011111ily
Patel: I )W I Ccidial hllos
16 17 Ma11 Scl ice Cotarr
ittllC1g11, NllrtllCtunlina 17699-161"1
Il11it: (list Gat:11 atlflltlonal cvnrll yttnli►lctl ibis raaknrllni; Ilta'1atl, our! rairll`nl! tlnullult)
'l'r11111 Evctk! I'rrt:iili{u!laln (lucilcs): —

t
llliller llellllll:y of I11L1't that tiliq 4locillilellllllkll all Ifi.taclllllelll9 rarel a prepared @(1 liil(IQI' [II?' (iIl'P.l'I.lUll 1?1'
gllllel'Y331t/i1 111 aveord"llve IYllil St g3'g1:elli 11CgI�l1P.i) t.tl 41Rgill'e Itint (11111liliekl IlerRoilliel properly g1llliel" and evaluille like
lull?1'11141i.1o11 Rubilllllell. 1311se(1 oil lily iliquirj' (11 file I1e1:sowoi' persoliS who I114111age ille sysle111, ill. those persons
(IIIWI13' responsible for guiliefillg Zile ilifol'ililltioll, (lie 1111orlmatioil whillitle(I lsl III tile. best: (If Illy Iill(1wle(ike llli(1 Relief,
true, 41mil-Ate„ and Complete, 1 1411 aware 1:1141t Illei'e kiro sikl0fic4111I pellllllies Cor guimli(ting I, Ise 111111i'llllllillli, 111CIllllill�
the iIURAlllilllj Urfllles liil(I ili'lprlsolllllelit: lot" l(Ilolvillg violllti:�lis",
(5ill4llul'e of 1'erlllilaee)'
j
G
. i
I
t
S W lJ-2�iy- i ()1 I U7
Inge 2 or),

1
S'1'OIMlWA'IVl(I11SC11All(:;ISflrrl'1i'AL,1 (SDO)
Ivi0Nl'1'f)I?ING !t11N)IIT
T;li:N1r,ItAI. II. T1411�1ITN(.f-NCC(i6(I060 `� lvll'L.[!;S 1r1.11.1.1i:C'1IA) IMMIN(.; CALENDARA'1?All-,
f_'llat'I'1leICA.I'I4; Me C(1VERACIi; N(.f_'N('(;q� D'�g(p -- � ('�'hiy 11101LUOr101; 1-clllli I Is dn8 ul flia DIvialnn n0 IuYer than 38 rllky; F1iuu
, , 11.1r dn(c flip faclllly recdivem (INC da mptinl; repulla frugal 01n labor'slory-)
1rAClt.,1'r�'NAlvlli, �n1��ns___-_�a.r_r�s LL C I �:(►IINrASuet{ -
r1t;ItSO N r�f1LLECTMO AMPTA.S �er�_ .1—_3bW,.----,,; 1 i 1xI10NIi', Ivn. (_33� �_3_�rG�s_8fo7
r-11,lt•1,11i'lli,1) I.AIs(:►li �rlklt��_�,e<<f<<r; r.iiI111_1.(oS
I,l1L 1; I'1.,11',AaSE SIGN ON T111i; IIEVERSK, 4
I'i1l•! A: Slit;cltir. Munllul-1ub lttlluil'cnleula '
T)itii ^� }'fl(!5!jRl•,r , s I fl();I{)fi
w.l.,ly,,.,-....� Y_..�_—... Y :�:.;1:,„�.i. a.C.
IVrI I•auril.►16 ;,', 's :'I?i)is)l i)sY�cEiillri�r:'I� �d. II7,, I.Gllcrf;l1Fh1. 8+ rcki (7i1,,()ui:. 'e11�e++-, +�:Tr cxil oilFornl
�. 5. : ,I ql' •I, •Yi 1. Y- 1 ai' l P It 7•�, SDI, 1 'i .1 � I j d .f'.
•I' ` - -' :�1 �i - I •a 1'_.,.II fa, 1'I dlf I �' -F ]q;` 1l. j
'! `� dtilaicted"•u�- IE...a {kllds: Jk I' -I +i�''Ia �lkYit)1kr.d'llnits -1 '�-1ieilllllit u.�r;.'-,,.1=-:Py^ j (Ul llitl78' itir'!(l 1tl' -
;j', .. !I'"I .j1. a,i1. ,�:,�.� �,,L_i,n..r.: '11 PI..i. I II:}•'•;:ra•:I- h-,� .l l r
._.i. nit l/1ti'll Y' t cl ii' ( "`a1 /r �I h' r%�1 �I� :t1,"al k !''i1�1! ..a F i -a} p1�1111,;:9,:.Ir:.4 It. yi1 ',y: I, '�k- ,! _i i. 1•a
.i31►li;lilllnr lt,'' i 101 A. ± a t3 4kt}11`41 ,f}, �I I ir:(y II w., kid Y • r 1 ; Ion
08 �
l`IISIc: If Yon f-ep It 11 ydlliplod valuC III cm"cSB i 1hr hoil'Allllloh vablo. of ollisid0 Lim ISCIfG�S111pCIC I'lillgc riw p1l, ytm must iilslllonirt l Ticl' I gar Tim- 2 rctlpoomcs. 7
nn (.icoolisl I'nrnlit lcxl. OCT 2 7 �U1!
Nd this Fatality l)crihrnl Vchiclr, fvlhinlcnauLc ALA ivillcs 11861A Ill(lc than SS Lllflculs nFncW I Mulclrrlil 111:1 luuillll? ycy no CENTRAL FILES
(ir yea, (rIIIlI11Cli r,1r1 II) , - — CWR SECTION
i'nr! r1: Vtl11clr: M111111c11rkn CC Aclivll Mnlliloi lu liar nlIt111c1119
---------n'i�i,. __ <-n+1�s�`� P•;. - '___n_on:�f�.: —
. Nu: '' .3iIIu1►(L (:(1!!'GCl�d, liil� WWII rrdelaN, k ;'1'ulniuuxj?!i:iirlud Stllydit•P 'I'. ',�•Ii17i7 I ', Ne'tv.�1'in4nl'011.TTdn�c;
i'ii'lil;'iiueil,r i 111/slm
'•1Tr:llrillMlljll'l[. �tv:_—. .�_5.....__-kl'Y..:_'�{l'J.� '.-.-_..-._._.�.. Illfl. - 'f II i�tli)- -it'n.�_.—....._.__.-...-
II[Slr3: IFyilll CGhOIt a MIMI)IM VLAUC Ill e3XCc88 OFIF1c ilcui;llllltttl(. VLIILIC, 411' 1111(Sidr, (110 bViliillloullk. Itlllgc 11411' IIII, yell II1118t impicllrcnl Tlcr I or Tirr 2 1r.ilulnsca.
uca f icllernl 11cr11111 lclil.
'I'01t1v1 ICNEN'1' C11AiZAf '1'I+',ItIS'I'ICS: Mnil (1rr611kn1 rllld nne coley 10;
t I )ivisirrll nI, Walcl. Ca11111ily
1l111e (Mrst event anlnpled) Attn: DWf) Crnlral Kilos
Total Evelll pYeciplllltioll (1!l('1lL'$): I 160 Midi NGIVIGe Cenirr
I611cigh, Nurt11 Cllrnlinll 2'1699-160
11111e — (11m ellch a(Iditiolkal eve(lr sllllipled tills reporting pt:riodJ. (lild 1.9111i llli i1111011111)
I
'I'M111 lF'.vunl i'r12111itilllrlik (Inches);

f
"1 certify, 1111(lel- l,e,lsllty (of 111w, Ltlill 111iF ducIlRllelll lln(I 't:llE:lullE'.nl.s rvP.l"e liRQIISIR'e(1 nnclE'r luy (llrecllvu ur
slRlre -visiull ill aces>-dallce )Vill) a sysl.em sle±3iglle(I to smrm- : �"11
of (lllllell llel"RUSRIIeI IIR�VIsei'lj' l;alller rrl(i er�alllale Ilse
i11f111"illlltl(Ilr 9111"llitle(l. Dwyed (ill tlly ill(pir-y (if Ille lrrrrgs►:� tliliel5(nls who tlrllllll (! llte sysletn? Vr 1I1V4e 1i(?r8ons
recll}F regpatlsilile for lllltllorinl; ille inf(ia-ntllliult, Ilse itllll± 1 �:1liurl S(1b11111tc(1 is, I(i file hest of tuy IEliufvle(il;e au(1 belief,tt ue, 11cCllrl#Se, mid cunllllete, 1 1i111 <Irti':ll'e 11111t I11pre Art, Sid !'-t4 `l�'ant llennlfies for s(ilillli((illpi 11115e ilif(11-1n1l1iVll, ill Ill(,
(lie pVssiliilit.y of lines and in�lirlsiillrllellt fuR lEllurtiin vioillfil iGs."
(Signulm-e of Perlllila.ec) ' (5I -- ,
�11'
k
i
i
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i
F
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i
WU-219-1w 107
Nge 2 uN

I
`i'r(lftM'lVr1TKIt n15(::11AUCY'V: (1l1'I•IfAIA, (NII(.1)
M()NIT01t.IN(. It Ii;I'(1RT
ii"Ai:N1CAW PERMIT NO. N07.'060111111
tAi;it't'[l�iCA"I'li:
ItA(=11TITNAME 9 w/dp�f e_ ati�+_PAws L _4
i•1MS(1N C01.1.1!:CTYN(;'SARM'Y.,I?.9 �cr�.��-1 �vwl.•- -
(AfAt'1101DA) l..Al1(31tAT(Ml' };►� Y"lllili f(es
5AN11'.I"I±:S Cl.lf.i.,1±;C'1'I±:11 DURING CALENDAR VEAlt; (
(Thin ulanifttring relulrt Is Itlit;'ut the Illvlaluu tltt litter 1114111 30 days Friuu
like, Illtic ILt; fitdilry rcct;ivc8 (he rianillllug reaullrl from the 11khortliury,)
(-'OIIN V sure _
PI10NI!' N6. (3JG_) 3�G�Spb 7
' !'1,If ASf✓j ti1GN ()N'1'l11±: !t1!:Vli:liSli; -i
1'Hri ri. 8lleci[lc Muullut'iub !te(lnli�cnlenta +
�(lulf'al.- I)iili:�T .-`- ::d' �IItlSffl�cl'�' �.-,.(��:.:�'0'`r1,•ji'io 4311Y1-1:4�i.wl ._,owS-:I''t:11„..•{.-'i`.-' 1i.t,.l,�.� �t�' (rli�..... � -
[u'li: °,,"�'Irr�t:jite� � ��„•.�ft►ial��ile ICilt1 it i' '.j.'',��;.,,:�1� i17•,-, � .Crligrn! s7il'(:l ;ctfr �' C1iY,liil(I'+�� a!i t;=G,s �1� T+I;C(�l' t)11 urri) r
-.{.. , -'I �I , ,, , , , Y.. _, � � ��'.' � �'I I� �,.,I..l . � ,., : ,:,�., :7 ,�flat �' . t,, i • t � .i: ,l. 14 .� .� .,
' (r(l�lt c['elt 1 . i1-IfI1t 31 .t' r.I'..t,.
, l ; :'�°;,i�}iiliii�',nllila ., 1 �elliitil,il' f ld'.I ;k: rr�/[ ' f; tC II))I'rilesx.liLil i(IQ Ili!
-9 .• , �- J �t 't I � 't�e4r,�--, .� I' •1 lik, ,. •� �I - � , �sI'i-w 11�hi�' I ' [�.4- 1 ' -
t t ,_ 3 ri_rtr� +•_ F'"'l?, i a f K ,1{ F _ L - �, �`4, ;-4M11(111.� ir` n .�,rt; : 1---�1 r - i ;ram I -r—t'_
�y F}
Wll
NIItG: Tf y(Nl rr'l)O11 it da111111C1i Value, ill C➢(GCaa (Ir IIIC 11Giti"IitIlilt h Val urn, I I r nUIHil10 11ic 11clidtlnHr11: I'1ingo fill- 11Ti, ynii (((list 1111111G1nmil Tier I Or Ticr 2 I'G41-imisRECEIVED
EC E I `ED
wiCG ! iC1lC"!'HI I'Cf[l,lE IGlii. 1 {�/!
Nd 1111d filliilily he,forlli VCllidr, Mdi[ltenancr Atilivitius 11: ing mOrc 111$11 55 gHIInr19 Of HOW 1111)tll[' nil [)Gr 11101 t1l? _ yea _lui OCT 2 [;01%
(lf yCa, cmll111C(C Pat i !.i) I CENTRAL
L FILES
1'iwt_It: _Vc_Iiir.le MaInluliance AcAlv_i! _M_ouilul-In g Rel nil eulellty : l©GWIVRI `v�1CfT+OCR
--Tl'a(I " gOSfi r; r� :.� O6�i3tY.:. _r q(itl►ti'=;.� r'if'i `''
Nu;itri►liYe fi11Ilei Ecd ()ll; and (rl tiye, l 1,nlLit 4ltall�uitel1l Sijliillli I 4l}YT„-'. i.Ne— Fv_1Rrilrii.()[I.CTaage��
.'Itlniliatyi i-'...-:''.:..r,,. l.illfl/L�r:�_'�ati1111Litlhtyli�h{�nItltl.tl7 Aiiiitlii,liy'Cra'[sb'L,ul/luo)
_IlC}Il hill j11'iL cr: �.F .-'t :1 IJt
IF
I I l I 1
NtAG: 1[ yflll IC130ft d '8g111111G(l value ilk nxCCda OHM llcuclllnllrk WdLIC, ill(Ill18l(1G t11C llCM-11111(Irk Idngr3 f w plf, you must 1n1111G[ ont T1Ct l Or Tior 2 rrspOlisrN.
One Cioncrdl PGrnlit text_
S'I'MINI EVENT CIIAlt AC"1'lUtiSTICS;
Date — (firm( event sampled)
1'lllal EvCni Precipilillitut (lllelles);
i
liitlr. (1151 catal 111111itickul1I CVCttt 611111pletl (Ills rellorting llet-11111, and rall,l'all aninitrl!)
!'(1in1 ]i:vl:ttl 1'rc(:I11ile!lnrl (inclll:a}:
- I
M a!! Orlglual hell 011C gully It)'.
lAvisioll (1f Wd(cr Quality
Atilt: DWO Cridral I`IICd
1617 Mail Sorvlcc C morr
ItalCigh, l`Initll (�tuulill l 27699-161 "/

"! Certify, unllel" pullFllly of 11111', 111111- (his documetll Rlrl! 01 FI1,l.11c11t11e1115 Fvere llreparell 111111el. Illy [direction or
91r1rel t i9iurl ilr slCcurllFlnce Willl ., Aycl:em de9lgrlesl lu Fl49ul a I0slt 11tIF1111'iell llel susin:si llrnlrl?rly gulher F1111! evF11u11te like
infllrlwllion 91111111itted. Bared oll ill}' Inlilllry ill llle lrersoll 6- persons who llluxulp! llle gyslelll, or 11m.ge pet -Roll's
(iil'edly responsible Ior g,Fltilel-iligl the ilif(11.11111tillll, the 1lllllClii?Rl.iflil Sttbiniilell is, to (Ile best (If Illy kiiw lellg►e dual relief,
I1,1Ie, Flccullt l•e, and clrnllrletl:, . I F1rlI :lFv:sre IbFlf 111ere Flt'@ si�n;i;ic.F1r1I: lls?'IlF11ti85 I'),-9111rnlitlllt�r flslse lnffll'n1lltllJll, lltl:lslllillk
file l)1r99illility of f111P.3 F1Ils1 lil�lli'lgollillell) lUl' lulowinK violikVI.11s.,
{Siklll1111re aC!'et"nlitit�e)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING R1+11ORT
GENE RAL I']- RMET N4_ NCG060000
CIorrImCATE OF COVE IAGE NO. NCG06_- O I Alta
FACILITY NAME Wt. Vtlt .-M.S L t C
1'latSON COI,LECTIN(C SAII7PI,ES ere M w t: r.
CIe,wrivia) I.,A-BoRATOR'Y MLelk rah ll 1L5
I ah #
fart A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: I_
(This monitoring report is due' at the Division no later than 30 days from
�I��.t e it Fa} t# receives the sampling results From the laboratory_)
mt CCIV UNTY Sur
PHONE NO. (33G) �' 3 fi(� a& 2,,,, _.
5EP 28 Oi!
PLEASE SIGN ON THE REVERSE 4
CENTRAL FILES
DWR SECTION
:.
..No
-late: ,_
:'. � .0053 : �
,' 0�;
k ... �� :.(14A00
�(103�1 � �
; w, .,OQ�S rJ,
;
4�; '.'�•1616.:
rye;:'
�''r�4, «�,°fplX,:
J Clt�rrli�atil`.Oxy�elrJ
F++OiI-arrd C�eaSe#�wa
i.
�'� �:.Irecul:Collfilrm,-
i„i,yample y Y..:.tl'otalnslteiidd
�.,,4••,_�.
'iillecled;�4'
Iry )�..
y;SnlidS
41r -ti 4.4_ � I'� .-�:
rl �,StAririarll:ilni[s
Ijl {7
ti- Det,matlt, F:,
,�:� 'trl;/C: xl
;, oionles:per•'tf)0 ml
> `r
_
i Ym ��
i.
t
riiuliidY :
. U 1 r
s?r ]'��l
Iien+ 1lntarlt
LO(}
{ . , V1�iljlin G:A :9
;420
.I:000 '
oe
of
oa
Note: If you report a sampled value in excess of the benchmark value, or outside (fie benclunark range for pH, you roust implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month'?
(if yes, complete fart H)
fart. It: Vehicle Maintenance Activity onitorhiR Requirements
yes _no
(3rltfull.
No:'
Date'
SariiEile Cgltecled;
:'.. '.:: Eno/dd/ r i'....:,
- 00556r: '>,t�.:
0653Q.::, ; .
}.. 00!i40 s;:
-:: -
011 �nd Gtease,,
.._:. .: +.. _:41ti /1., ., • _ .
Total uspeuded S41rcl�,
m !G:': ..
;IiA;f 4 '
S,Stunclyd,imits
Ni, . ntoi•:Oil Usage;
= Anrfu:i!'siverage.?" /Ill. .
13eilchmul k.'
_ ��4:
F ti "l0; 4 t
100:' t
A.,_
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pI I, you must implement Tier 1 or "Pier 2 responses.
See General Permit text.
STORM EVENT CIIARACI'ER.ISTICS:
Date (first event sampled)
Total Event Precipitatior (incites):
I i to (list each additional event sampled this reporting period, and raillfall-amount)
Mali Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Totill Event Precipitation (incites):
V jj1 Ti n,n , n.„ --

If 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 inforillatioit, the information submitted is, to the best of ply knowledge and belief,
tree, accurate, and complete, Z Ani aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Perinit ee)
S WU-249-102 l 07
Page 2 of 2

STORVlWATKIt DISC rArZGE,O1.1'rh'ALL(SIM)
MONITORING RH:I'()RT
(]VN61A1., I'.ERMIT NO. NC0860nn0 SANII.! Ln;S C411.1.0 11,11HINC CA -,ENDAR ` KAR.; _
f"14'.fr;' 110CATE OIL COVERAGE NO. NC(,nfi—Q1jjr _ ('fells Inoldfol•ing reporf Is dilc III 11w 11ivM1,911 nn Intel- 111a11 � 1iys fl•ilul
nC �I'f y I-CI;CIV" Iha nuutllllug rcntlliu lYanl llic l+ll,uz utnry.�
VAC1LITV NAME Wo.- - �c.cM _ R��/ � !� �. (1IIN'IA' f�
n ^s_I, CS_ol_
PWRSONC(11..LEC ING,S; 1M-PI,IiS 3o_rer^� 130.�� .. _ I'I10NI!:IVCI_(�JG
CIi',R'1•II IIt:l1 LABORATORY _ crY4 <<.F, _r,,lll r� _/(�S SER 2 8 2017
Melee 1'I.IICASI, SIGN ON T11F. 111!:vPAISI!: 4
1'OO A: tillcciftc Moultorillt; I2iyulrcllleuis
CENTRAL FILES
DWRfSECTION
', ,•;;.r}lYlfii(1, ��= �nu1l, � �t151t���::�. �!�:; � ,,,;n't}_n _
N'ti l;w'�`tlii Id 4'"I';' .`I?n(ul ails leiiti 'il';i,'. •'`>r- ;,� ii7 Y.ii)i irll ill] Ih rl:ifr:: ,,nil.aulj:.(i "l'il N,. d it i '17@c 1 ('rillfllrlt§'
...11.. �. n. 5 . - d - I % � 4 7 S � a �.j. 1- i .Y . � i t� �! . I
. 'I- ';•l �e, i i!It ,I��. ;.,l' "I_�da-{�_"i .:i ii::, �..r.:, hryr 4�'�. ,:+.. !: "�w �i� �!.I
( 1i114c1'�il'' t:'Srrlill5 1;,_� § 'I :, p s'iJlritll►i:ll:ullifS. a ' ,lieliitilttl, Iri{��l`( iliu}i[u� liel'.ti►i7
t rtl�l.. 1 k�1':i4 91
1 __• - Illtl�il CllyY� l l � Ji_{t �l f�'.. ��� '�! t ���1' �-`1' jiL:r--_- �j,1, i'f. ,��il ilJl l{l/��': �ti n-•I�� h_I'. I .'� � I. - .. �. I.�� I `='.
.'�elkl:llYllkl1lttl—•' '�` I, •i i{ ':1,�1)' �'y �.'�`1 r rr��Yll 1111���?(1' �� II'- �i�il 'Yi,��r• }I l.-,._.I�i'1� i �b�i) tl,�� 1`,il[ '� t inii�' .il
Not$: Tf Ynn I'rpol-I 0 tlrii" lod vullle hixxcros of dic Ilenl?Vunm k vllhq u Ulmer Mm dw 11Clidull irk t' uTc tear Q, you natal 111gdmimut Tier I or Tier 7 mapnimm
Do Gcocrtil I'ctndt text.
Nd ihie FwAlity porfi,rin Vcldwis Makluni,noc Anlivilics oshlg more tluul 55 gallons o flaw nuttier oil per nunlill? — YGx —Ile,
(if yen, collipicic Ptit1 11)
I
I'al'1 li:\Jcl,t.acll'lntulelluucc?lrllvlly n'Ie,uflut'UI� t✓icltulrcluuuly _
v.i
_
nn�56 f
_
naS�n , , •
. _.i0[1"kf�nl
'.—.Nvtnl
Nil';
�alll 1!C'(:: 1Ilfc LI, li
�_
(l11', trGt
__
$nTud'Sd
rotti1,l l�
iTT ;
nii.�u
� TTeueg;—
uutlrldl t :.'rli
►11,,a' I
tJI 1'11 i,
r!
:': �iiu [ r �� illli 8
c�'Cllllllll atvl r'a (!' all�lln
II,...1T.�-?�._....�..�..
Maio: Tf yna report a stlntpld vuhm in exoess of Tc lamdurank value, 1w imlAda Ilse lterlchntarlc range 6" 14L you must implonient Tint I or Ticr 2 responaes.
vre Goort-al 1'rrinit tw&
`sTORNIIi;VI1:N'I'(;IIAI�AC'l'i!atlS'i'1( S;
DOE (firtit event sanllllell)
Tollll 'Emit T`reclplilk (loll (II14"lles); � c
1
1lllil: (11a1 each lldliftinllnl cvt:nf yrl11ll1IL'd i1lls }'L'pUrllll� lil:r'IIHI, uud rt11}lnll atllalunt)
•'l'nt,il FVdif Prte,alltIlk 1111TI (inrlws): _
Nlail Original Mill nlle coley Io:
livlaioll of Wuicr (illalily
Alin: DWO Central Filos
1617 Mail 5la1060 CtIller
kalciglt, Nm Ill Carnliiw `11699- l b l'l

i
S
'l l Certit}', lrlider' I)ellsrl(y of law, illat (l1ls Il[)Clllllelll $lllli slit a tt:4clllllelllg I've[ a Prepared e[1 Illlllel' Ili1' [llreclilrll Ill'
culrervialrin ill uccur[lstu[ a wltll sr �ygtelu Ilp"911e[1 111 ARNIII a 1lllll. [Ill}Illlled I)er'Sunuel properly gAtlrel" illid evlrlullte (lie
llltVl-n1At1011 sublilifled. flared Irli 111), inllliil'y of Ille person or 1?el"s()115 11'1)l} llllllifl�e file R�'9telllr IIl' (illl3e llel'R(111q
t
llirt?clly responsible llll' glill1Qtiltl► IjIC lil�(Il"IllAllilllI the ilif[1ClimHoll subilliI1ed isl to idle hest of illy` ImOwledge and belief,
l"lie9 Ilccllrllte, A11d colli 11efe,. l lilll A11'Al'e 111111111el-C at-e s1 E1it'lCAiII 1lenlllties rUl' g11I11i11ililill false IIICUiIlll1111111s lilClli[llll 1'lle 1)[)95Ililllil3' Ut I{Iles And ill1pr1s1111111e11t ror ILII[)14'llig 1'I01111i)11s.71
(siguulur e nt 1'eliilil:tee)
5 W U-2-19-1 U .1 o'l
I'oge 2 uN

Si.
'ITC11iMWA'I•I1'.It DISCIIA14t.-M (11.1'1'I+'AI.I, (SIM)
MONITORING REPORT
(-,KNVIt,.kL PI!:1lMl'l' Nt:1_ W.'6 60111111
OV COViMAC,11; NO, NO'M6 Q� a
l'lf 11"a(.1N C�i.11.,1..1�.(�`TTNC SAft�s'T'T_,T,S _ j��,,..�=tyo.�, ..• � —. --
C:I!'J1'l'II�lI!:Il L.A1301IA'I't)lI1' Mtn ; }t�l. _1.mL
' 1.iili /I
I'll Ft A: SlICCI(1C M(1111111r11ig ItLAIIiIFtIIICILItj
Nn
�'4..�'llt�ijil�",4�,;?snflliial�,Silnq►eiill;�if:ii,�;,•
:T4L'Rt;lYLil111'1i.i
SAMI'1..l!'S < C11,I,IrC"I'H:11 ""HUNG (',AI- ENDAR 'YI?;AII.� I
(This 111Ultitolhig 1'ellort Is due at the llivleton ml Infer (hull In slays froth
the dille 11kc filciilly )-ccelves the nnlutslllig ruaithel ft'41111 the Inharntory.)
I'll[- ?NI!: NO.
RECEIVED
I'I..ILA S1!: SI N [1N:I'I11!: It IfY FIt8E 3
A.UO 15 M?
I
CENTRAL FILES
T12%
�01 rfll}t��1:,I1"y)ar,If+u I �f)ij nd1y1 �+1'oiII1C(I-!,I )i.i 11'dc1�l,( (►ll�orril,: _
Illlliy 1" ,Fr.{� I!i'F'l]11I1f11 � �Lp.i E''11,ty;'• �If1 1rr'��,' CY r�'''+` i:1-,�;illlll�l�tl'I1t41 �l.11t�.11t1�;
{ 14
' :11„
Nole: If you icllnrt it dHinpirll valllC Ill cxcnss of the 110I1C11llialL_ VH111c, or nutnillc 11le 11c1161uuru tc lHl1) G fl,l 1i11 y[Hl lllllal 1i1ill 1c1ltCl11 Ticr I nl' ! icr 2 r'cal3nnaCa.
SccliGlscl'nl1'GInIII tcxl.
I
l id 11iis 11i:ilSty periflrin VrAtitAc lt'IHilllt;IlanL'C Aolivll!es 11a1118 Illflrr, thall 11 gfl l lulls id 1loW 11161or sill I IGr Illonill7 __ ycs _nn
(If yGd, 1:i11iy11Glc I'alt H)
V INVI 11: V011 a rVI1l I1LteLLn kctt Activil�h'161111111.11% 1llailltl'CIIIC,tial
-., :( uff 111 _
--..55
;
— -
. 1VIt, '
++n'I�tu
.7-ii11111lL'f::t111LCICII-
'rnllilll,Il Y'CiL�e,t- _''i
[ll,l l� �sl>Iiills.l'isll S+lllilti,
i -
I.la4o1:011•Cfeiugu;
nuihfd/ Y r,; .:'.•.
t. ��rtl i/l:, i ,
r11�i1;' 1
-:IiIT,h;�v
: i11111'ry(It lJ i11i1la7
Anrl`1hii1 11v'L9ru u'li till1no
ii�--
'�Ili:u111,Ll�u•II.
—
I.
Niitt); 1Fy(]l1 I'd170rt a !Jk1i111,EG(I VaIIIC 1l1 GACCss itf fIIC I)C110E1111filh value, or olltan EC Iflc hC11 EItlial� langr fill 1111, yflll 11111st ilrllslcniant Tirr I orTim- 2 f0sl)l11 isrs.
5CG ('1011cral 1'011111f tort.
S'I'C)ItM EVENT CHARAC'I'H;IUS`i'ICS: Mull Orlgllial and nrle copy Ill:
I)Ivialisu of, walcr Qluilllty
11111c (drat everil sauiplell) Alin: DWQ Ccnlral l"Hos
Toil11 Evem PreclµlIlk (loll (Ill(:Iles): _ 161 ! Mall SCI'viCG Copier
llalcigh, Nullli C•nroliva 27699-161.1
1)lltc _ (1131 eaC11 111111fdollal evollt $allillled (Ills 1'C)lil'flllb 1ll;rfoil, arl/f Inll1f1111 alnollilt)
i
'1'nlnl 1!:V('t(I 1'rer.ill!tallrilt (l,Lr.hes}: ^_ d 1 .
f

"I eerfiry, lillller penally of law, Iilat IBIS flovinileul rend sill slitucilnlelrts Ivere llrr+lrslreil rllider illy clireelioll or
sirllelvisioli irs aceordullce ITRIJ a syRlelll 4100glied Io umilre-l�:ut ililsllilieil lrorgollnel properly grrlirer sand evail►o(p Ille
mfornintion sulnuMed. Based on Illy inquiry of the irersoll.atpersons iw bo lilllllsige the sysienl, of those per. oils
directly responsible for gathering the infol-llllltioll, the illfont'ilation slairmit(ed is, to the I)es( of Fuy luimvledge and belief,
tree, Reell'rRfe, surd corialllele,. I lirll aware, Illril there are sikll�ficllnl penrlllles for salilnri(Ihig false hiforllii (iml, lalchidillg
file poissillilily of lilies and impl-isilnnlelit for Iclloivilig vioisltii,lls."
{�ignsltrlre irf F'erinit.lee)' � •(•Dsil
S W I I-"?,d Q-107.107
1'11gQ 2 of, Z

STORMWATEU DISCAIAR(3: (111TVALL (Slit))
V A.Cl L ITY N A IVI K-
41101VORI&I 1AROHATOCI1'
Y WJ-6s—
Pik It A; S I Necifle M 41111141 H I ig I It: ilta I reliku I I Is
SAAMMS COLLmurEn 1"141IM! CALEN"AR VICAM — i
(ThIs ThImillm-fill; reparf Is dtic'at the Divisfou na later (limn 36 dijys friml
Ow doe Me humq f"Ov" the umnpHng remnlis f""" 16C w1w1awryt.
C4. V I I NTV _5
FS EZ PIMNF, No-
SWN ONT11h, 14EVERSIC 4
AUG 15 201l
t- ftj-
.77
ip[e-- �q �f
cjqilly� Iff 0 -Oihiillf led,
Noy
I.
Nile 1 Wall, 4' lkil asmwioA,i S'
—vi �. -n .. . - 1
Q
d1jo - . .- . — -4, 1
All 0-
ills
LLLi-" 1�..fj�-. -i',,; 15 I �'�(I' !. �fLi' gY t1 it I +��'` i.t ''�.i r ti'(iii -'_..' 'ii
7. ;1 1> 17(Oct
Notc: ff yAw i bluirt H smqdcd vHWO ill cxccatl of the 11cildul 1111 k vultic, or ()nwMu Ow hmd"m ; k ron, Fur 10 yn" u oW %%mia Scr I ny TV 2 imspnimcn,
8041 fjolmnd I'millit
1:1itt this fu(,j lily perl'on" volude M ahlananoc Aalivitics using moi r, flam 55 Lf! I 11111S Of flvW 11H ItOfOil JIM' M0111 IN? _ YUS _1LO
(ifycti' (-'41111111cfe I'm! fi) I
Vavi It: Vehicle rvialkitewmet Acilvqy 'lloulk"O"l; lugYpynew!
s3 Mile. t
Wo why (inijayge,
t. .TF4 I—hd N11,
177 Ion , yyyy a p
Now TF yau teporl a sampled vahm in excess of Ilic bmwImmi k valur, m- imwhN dw 17alo"Wi1j( range rm. I)IT, You must imp1rmcni I or flor 2 rrsponsrs.
800 00ilm-til 11crillit loxt-
STORM
111100 (first tIVC1111 N11WILIOC(l)
Tand E veill PrOcIldlatioll (Irlelles).
Milli OvIgillill mill 1111t Copy lo;
Divisicm (I - C wittru. Q11fifily
Atfit: DWQ Central FilrN
16 17 M W Su vice Crmcr
Kuldglq Mm I Camli"a 27699- 116 17
DJA (INN 4,ilch lidditimild e'vellf sampicil (ills reporling pm-lod, 111111 1.11111rall 11111ollylo
TiA111

r
f
s
,
"I eertify, Itllder penally of h1w, 111111. lids docilluelll: stud ail slr,ill{'illllellls here prepared under illy direction or
9llllel Vi9iUl1 ill AC{:{11'[lsllli`e Ivit:ll $t Nj`91e111 designed tolt9A111'e Illsll: 11n1iitliL'1] 11ersollllei properly gatiler 111111 et'alullte Ille
illforiultti{lll Rublilitted. Based on illy inquiry 111llle llersoll or persolls who 111111111ge lice systelll, or Ihose persons
direclly respunRiille for glltherillu the informalioll, 1:11e illfor11u111ion s11innilted is, to the hest tlf i11y kifin ledge sold belief,
11'Ue, stcellt'stte, 1111d cilllllllete, 1 71111 aware that there are 9igllificam pe11llilie9 for sulm.dttilig fake information, indiltlilig
the pow.Ribility of Hiles and llltiiI.1-so meat for lUlowhip, violsltii1119."
i
Si llstlure a erluil.tee � 1'lalte
E k ) { )
F
r
S WU-2 4y-I (12. I WI
Inge 2 uf2

S
STOI(MWATIN: 1)1S(AIAItGM ()I)'I'I(A1,1, (S1)())
MONITORING ORING ItI+;I'OuT
f,Ot:NI!:fiAl.. 1'li;l(lt IT NIl- NCG11601106 ` SA11,11"'IAS C01„1,KCA-10.1 D.1114IN(: (ALENI1AR VEAR.-
(:1i'.ft'i'1!+'1t'A'I'1+; 0I1' CQV Eli: MK NO. Nt-XA6- o _1 � � (ThIS ouutlfuring 1'epurl IN dut:'ul Illy. Illvtelfun uo luier 11LU13 3!1 dtlys fl-ltlll
lllcf�fnlcl1lt1tc fncillfy rarcivcy the attn1111iug resulis hunt the lul�r�tvliury-)
I:�Cli,t'r"�'N:1i191? f.�d nq-��.rr�s-1-` R�L;�IV 01►NTV__--,5acif
nrnl.r, �erelr-_Y—._�0f.. t,_ __ 1 ! 'llf►N1!: Nn.133G_�_3_S_�-_S_�Sb "?
417A t'I•lirlli:ll 1,:111111t i'f'C112]' _1Me-C-}c ci. 1.ukt 11 �(D.S� fli✓ ; 2 4 "0'
I..111111 E'I.,I!;ASII� til(:N f1N �I'llf!: lIli;Vf!:ItSli; -�
CENTfRP,L FILES
Pill(. A: Spulflc Mofllloring Ilcllltlrclllcnia DWR SECTION
1
i�ktltill.l lltlfu'J113_rl�l�l,� 'l' ds nQNfill- •.i'13ItI l Ii ril {Ifs J{lhl)u' �"','J',ii'."11F41,
Nrl �H 5711Iflilf.' li s a '{r1ill11tCIS�fLl�lillltf�.Iv { t�lAl'ITI�'I!'i:l r4'lli Al
l?,-F4i4 11�IIIIfilllll�::h.
�!' r.,. •il ri ! i-.. .�.!•s.{{�'.,. !,-;
,Mg
.1l.,
°<'' 'L•Ilr •P.` ,i ji??•i,
M r xY _ ' '.{!:•s
aAylecl , � n11rIs .,_: ;,p igrillnrit:ullify eti�nrlti, k: 'll; �.: ,. ,(:.nl�►iilu�;li 1 IiZ� 111!
t �3.c.t t'�•
't to
__ luullltl'1 'r: .' :1.' :. �r .111;,-•, s{;` 1�'?t•.,.•: ':111G1 1 Ill sli:,
.Nni:lilrinr_lr' _'.��.� ' +. �[1(I 1; �'`,�.+'� ` �?li�►lYli' ,0���� a.' L w Z{?._ 1: _ ?u, h� �� L_';'�i _' te'`' L.I�If1fL_
OoI_ %�a�I1 nt, oLi
O 0 3T 1
Woir; [f yltll I'fLIMIt It 911t1Ii)1t cil vahir ill Cerny of the lictichn tllt� VI111 11r, or outtildo IIIC but111I1111titjk t't111gG for JITJ, pill 11"Isl I11IplbmGul Tic,- 1 m-Tlcr 2 sospi tlacn-
ucc (iruel-ttl Pe-imii Icxl.
I)i+l thin ft"Hily pertilrnl Vclticlr Mulnlcatulcc Aotivilics naing nlorr than 55 1;1tlhils ofI1cw moloroil por 111olilIt'? _ yrs _no
(if yeti, Gh111111Gto furl It)
1'nrt It: ViAAOAl NiuLttcuntice Aclivily Nlultitol-tub Iteauireuteuts
N. ' '
.+41111Lltl4
(_'Itn&ricll
•
till luul (r�uH�, p :'t'..
Tultil . uslp
ud ,Stllltli+l t,till,
�V' �' - .iilHllf1141:11
it�._.....
T1.11r: 1f yr111 irnp lrl n St1 oploII vt1111G ill enccd8 orlho 11r11+11111111FIf vt1II1C, 11r+11118iIIG IIIC I1CI16111111kth- I1:111gG fl I II11, y011 11111St It111VIg 11 G111 Ti CI- I oI Tit•.I- 2 I-CyI ll1115rS.
icr Gonrtnl Pulnit 1cXl. i
S`I OPM Ii VIA N'I' CilA1ZA(:'I'1!;ItIS'I'ICS:
])tile (first event sllmplet()
Tot+lt Evel11 I,rcl:fllJfAtt0II (llt(:lles). i
I
!)ilia (IISI cnc.Il iillllltifllllll f:Velkf Sll!lIIIIC+I Illls f'CI1n!-{It1g II+:!'If1fI, Hurl rniltlllll rloulnnl)
'1'nllsl lC.vrltt 1're1:111I1tlllnrl (In+:ltey): � I�
M11111Idgill Ill itn<1 one copy In:
Division of Welcr (1ultlity
Alin: I'M) Conl,rlll files
1617 Mail Srrvit:r, Cnntcr
Italcigh, Nur(It Cal ollnu 27699-161'/

"t certify, under pensdty (if law, tilslltills ijoellillellt SII'd all HI' Ihichilleuls were prepared under fitly direciloll or
glllle!'Vlgii)Il III slecllrlislllce Ivith sl sys(em Cleaimslled to slsgtire lilac quali.rwO pc!1's111111e1 properly gn(her and evulllate the
illflrl-Illatillll sublllitled. l3llslA.oll lily 11111111ry of lilt! persawor persons who Illlll111gf! Idle AyAtelll, O: L11oAe ]lel'A0113
llilecli}� reApcltlAilrle fur gathering till! illlorinatloll, Elie 1111•ir1-litalion slibillilfell is, to file lips(- (if lily Icliuwledge stud bellef,
Irlle, accll� lllc, stud cunlpliMe" 1 11111 aware 111111 there slre si�111ficallt. penalties fill' s116luillillk false information, including
Zile lllrsObili(y of Hues send illtlrrisonment for knurving r lulllli;nls."
(illslfllre of 1'et illillee) S (I)af:e
SIM-2 4y-1 U7 i 917
PAge 2 UN

S'r()WWWATlt;lt DISCIIA.Ittf,!!; (WITALL (81)0)
MONITORING Eti!'.Pl. 11T
I
CAPNERAI.. ltli.ltll'II I Nt1_ N(Y—I'0(10081) SA1•sll.LES ts(-11. LECTIN) I111HINC, CAL,ENDAlt A'1?.AU; 1
(Al.ItTIVICr1TIC Olt (AWPAIAGIi; N(i, i*!C'60h—Q _ $ 5_ (This mallifuriug I'tporl 6 ltltti 1lt the nivistoll uu later lifuu 3(1 drays fr'Imi
r ©ice f le[V u�lllfy rCCLII sere the aau111161i; rcdtllls Fruiu 16c I,LIFurniory.)
!�A(..'II.,ITV NAIVIIi: �1e. n,� r-e.r�> �. c RECt 'o (.;[1IlNTV
I=ll;lts(,iN t.'tll..l..lt;c'TTNr, an'rTT,%.9 `3_cr.iMa VI ��___-- _IONli; NO.
(_'It:lt•FIVIVII I.ABORA'I'ORV !"►er: +crl' r.11h as _►� 5 JUL 2 4 2011
Lido N PLEASE SIGN ON TIlE, ItKVI!;It51l; 4
—CENTRAL: FILES
P iu-I A: SIlct:lfl(: NI(L1111u1-1fig Itet1 1111'e111nn ill DUVvR SECTION
' • t1i1
N'ri. =:-'
h^�111 )lilt.
1 liotsil lsYlciitl d 1 F :IVtCfil
$ct}I,(ri►i1F(11.111;:
,5
llvld.0 I-Ilil46li';
:;l •; Ta
•� , !
'111lit:rel! '
r ;�. .r:11•
:,pp'Snlids ;r,. i
t` IN '
�p .:7 i •+
i ;l�elilfltti F:-
k n!
i ��"; ni►%I, �I
t ':`': i
::, (_,ulfsriEeei:11s4' I�lt1'nil
.11��.• ..
i"'! i
ti'iy;
•f'. :I.
L ° r,'
?'�• _ �, cS Fi.h',a:
? ,t �,� t
�;��,ar 9,
•,l .•l.'_ �w".f.'t!+,,
i.
l�eni;lil►Iaf,le.
s"�
_rn�ii�=:
-'
_
rl �1. -
r,
tL�:_.a6L(�4.E
_� ._ . _�'
Nolo: If y1111 roport a `Jalllplod valur ill vxccC s of lflc Imll(Alnuuls Vnill', or oll(silic 111r, br-noI mail l'allgr Im hII, yuu nliisl iu11)1cuirnl T i c r 1 t)r Tic12 1Ct1poii9C11.
Sro Cirliol'ill Pr'1111i1 InXt. '
1
Oid lhiti facility pr'd,inu Vnhil:la Mtlllllcl1t111i:G Aolivilica using look luau 55 p1lolls of ucw 1luiiur oil pr'l lluslllll7 yes _nu
0fyos, 1:(tulplcln Pill !i)
I'ru'i IA. VOlkide [\'latnluunucc At.f_ivlfy iVluuilnrlul; ItLtlulIClutnly _
. :[:IIIlf1111,--- _...._-_..11'
hlu;u11t1IIe f:?11fl��1c11; ' OIL+L11tI �I L1LyLFt l i' , Tutlif .S�uyt�l iiifpd
_ nut114/!/+i •I ; { :'i1111Lr' + _ e, gl};ili;:
1•Inin: If yell IU11urt a saullllnll VtiluG ilt OXCCsy of Illc 1lcltolun111k value, 411'lxflsidr, dic hcuclul
?s'o (_iclwad 1,01-11lit text.
STORM EVENT CutWAC•rlt;RISTWS;
Iillitt (first Lvunt a111111pled)
TOM P1,vclli Ytrodpilltticlrl (hlcllcs);
�Sr f lip,
�'1iTT„��! �,-�
r Nrw.1�i.(111.r.Faul;a;
-
E
.';t�Iligl�Ill,tl�llllltOt
-": t,filllPltl-a1Vel jI •L•-gill/Kill),
range for IIH, ylltl must illipinnlanl Tior i m Tirr 2 rosllnnscs.
Nlltll Orlghlill Wald one clipy lo;
I )iVisiltn ol, %vatcl' t 11dity
Alin: DWQ Colllral Iailos
1617 Mild ,Scrvic;n Comet'
ltBlcigh, Noith Caro[inls 27699- t h 17
Ifl',tt: {!!�I each fu[1liflnnnl evcitt ystnylled tills rellol'iirtg perloll, ttutl rainfall tunonnt)
I'at,l1 Kvetlf Vi-l'i pItatioll

„C Ce) tlfy, llil[]eC I)enslity of hlvv, tlls[t this []()['_Illness(- sill[[ sll.l 111.LaiC11t1teIlIS VI'ei'lw 111"elsal"ell ilit[lel' Itly direction ur
sllllel'Vislllil ill sll`_col-dance with .1 Nystelll [I"eOpled to JIMS111•P. t�lnt 1111stil[ie.[l 11e11i[rnn41 properly g11t:ller slllil cv allilslle the
illfol'lllsltioll snlllilitt:e[l. 1111s1W oil Illy inquiry of file 1)ersoll.oi• persons who lllliilsigle the rysteln or (hike per3ulls
directly 1'e91)Ulls11)le 1[1C !!t]lel Illy► Isle iilf(Il I111111011I Ilie 1111orlivitloll silbmitted is, to the hest of;ny kliowle(lge stll(l I)elief,
trite, a velll•alte, iill(l conil)lele,- 1 sins sm.,tre tllslt Ihere slre sik' nillc1111I penalties for gulllldtdlig fFllse ill formal kill, i11c111111112
Idle possibility (1f Mlles and 11111)risolilllelll for l(ll(11 ing ►riulslil ,ilq.”
i
(5i�rilslture o erii[il:Iee)
f
3
' ' SWU-7.�1y-l111{S17

STORMWATER DISCHARGE OUTItALL (SDO)
MONITORING REPORT
GENERA!, PERMIT NO- NCC060000 SAMPLES COI..LECTEI) DIJRING CALENDAR YEAR: I
CI!:R`11FICATne or, COVERAGE NO. NCG06 ('this monitoring report is clue at the Divisfon no litter than 30 days front
to date the faellity receives the sampling results from the laboratory.)
FACILITY NAME wcIn& ��-s�? —L _ R ���IVEDCOUNTY_S�r� /-
PERSON COLLECTING SAMPLES 3e re f^y 130"+= n PIIONE NO. 01-r) 9.(1 _ S 9 -
CEKTrFIED LAROIiA•roltY _y+.; c : +� _ Lab 0 r&s JUN 2 2 2017 --
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
DWR SECTION
Qutftill,
nets
^Suntpie:, r
Cc111ected;l
�: O0S3Q, �,
�.I- (}adUO
0.034(1 ,
'. ..aQS5dli;
l.: Totitl.tts endgd �L� ,:
�,�.1 �`
*Solidi
N� w1, .:; rpll,',
��Ir i,,l
::.'r;x:Starfiliifcl:tuifts
,. fir
Gii�m! ir1.0 ►eii,:
P :_{t IQ�.�. �_,
:- lyemailt�,-
;�!� •' 4'E+
•rfOil'.,and.GTe�ise =
k,� ,.i,-• �J... .I
}'; mgll;
i +�y; { v
:.Feetil`Caflfcre-rii
y•S- ; _
GoIonles�Ifir•'ll}Q.nil
33eitcriiniick'.::•
�., :.,><ao:"y: ,"
4,"witlitn.6:DI,i�loa
p
-aa-i 7
oo a
60
Note: If you report a sampled value in excess of the benchmark value, or.outside the benchmark range for pl'I, you rricrst irnplenient Tier I or Tier 2 responses.
See General Permit text.
Dirt this facility perfonn Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _-_- yes _no
(if yes, complete fart B)
Part 13: Vehicle Maintenance ActivityMonilorin Ite(uirenients
Ontfall,
No,
Date.
Sarrtlile CoI1e61ed,
nil:and Greasy, F ::
Totui us I Sohdd,
:. `, a�FI, y
New. ator'OII Clauge;
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pII, you must implement Tier I or Tier 2 responses.
See General Pennit text.
STORM EVENT CHARACTERISTICS:
!late (first event sampled)
Total Event Precipitation (inches):
late (lis( each additional event sampled this reporting period, and rainfall anurttnt)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Totai Event Precil)itutim,
0an. n..n .n ,—

"I certify, under penalty of law, that this docuineut 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 oat illy 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 pty knowledge and belief,
true, accurate, and complete.. I ant aware that there are significant penalties for submitting false information, including
the possibBity of lines and imprisonment for knowing violations,"
ja
(Signature of erinitte) {I)at
S WU-249-102107
Page 2 of 2

STOItMWATER DISCHARGE OUI`1+ALL (SDO)
MONITORING REPORT
CENERAL I'1mmrr NO. NCC060000 SAMI'LL'S COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NC006 O � $� � (This monitoring report is due at the Divisfort no later than 3o days from
the-d to he ac y receives the sampling results from the laboratory.)
FACTLITVNAME (�l,}a iAk FG,•+hs LL �1�-ULIV ,L&UNTV Svcs
C._.
1'11'-12SON COLLEC'1'IN(: S'AMPI,ES ��re,...i �ov! - P11ONIe NO.
CE ZT]FIED LABORATO11Y llncc: }.� _ Lail # __I t; r JUN 2 2 2017
Lab # PLEASE SIGN ON .THE REVERSE 4
CENTRAL FILES
Part A: Specific Monitoring Requirements IDWR SECTION
..00400. `;.:
w,.:�I otui . irs Reid d �,r,::�
1 $
d w , p IL - ,
i.Cti mi ish. x '%eii
4,., ��
Oilrxit +..::,
�.. d Gr eitsc,_
N ., ,
FCC (r,olifnrrit,
:.rF Sxni `le'
p
r ,,.,.
�_
Coliecled;
p:
Solld� ' `$
..�
: • r4ridurd units
, :O .:,{."�.L:
' 1�e'rtiant, I ; -
,.
�"i„
;$ ; mg(I� * t3tiInnies".per
i _
1(1(1 nil-,
I
w
t
Iry
_
.IIL om f�/ r .AI
I11
�'t :.1.
I3eIlGlltltarl{ x.ry,;
%:' 10 ,. r'.
..
' �k- :'1VLt rin' G'0
i2U {;
r } q, N ,
f
©t) 1
- N o 1 1
1 4 tr•�
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pll, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes
(ifyes, complete Part 13)
Part. If: Vehicle Maintenance Activity Monitoring Requirements
Outfull.
No': ` .
Date
S1!n1p1e'Cg1le6leil1
_ 0055h
0053i1. `
0040(I':;„:.
:: •, ':r'.:. '>
Otl:and G�'®ase,,
Total us&e ided Sglidi,
m /l,°.-
A. ,:Pfj!I—+�
-.Stiu2il$rd".Knits
NeW- utoF:O11.Usage;
Afinu tl"rivers a al/mo
Tlenchrnark °
wl.
w, ; i:�30.'
100: ;, I,:
6A 4 0.1:':
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pll, you must implement Tier 1 or Tier 2 responses.
See General Permit text_
STORM EVENT CIIAIIAC'CERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (frrches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
ltaleigb, North Carolina 27699-1617
.,,n, ^,.. it .—,—

"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person -.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of jny knowledge and belief,
true, accurate, and complete, - I am aware that there are significant penalties for submitting false information, Including
the possibility of fines and imprisonment for knowing violations."
(Signature of iaittee (Date)
s.
Y
Q
i
S WU-249-102 E 07
Page 2 of 2

STORMWATER DISCIIARGE OUTFALL (SDO)
MONITORING REI'OR'T
GENERAL PERMCT NO. NCG060000
CERTIFICATE OIL' COVERAGE NO. NCG06 0-1'g"(*
FACILITY NAME (V C1 16, G [ C
PERSON COLLECTING AMPLE5
CERTIFIED LABORATORY_41 e r : e --T - _ I�ah ✓I
Lah #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report Is due at the Division no later tl►an 30 days from
(lie dale [lie facility receives the sampling results froin`the laboratory.)
COUNTY . Swirl
1-110NE NO. Q3(V ) `
PI I+ASV 011r'N ON TIIE RV V -1 E EIVED
V1�RSI:
Outfall::::
-
" `,
0053t1 _ :
T .Oil.
' • yy - 400
' .'I
,.; Il(i]10 I
I .' it- ''
c, Oq dry
i']8lti
�.Li - jJ'
Nb
.Date
Sumple .
ti;,. Total t►sjtt i tl[�id t ':
C. I.T ''I-
E� I L lI °,,
''.Cli ri:iclilCO' sett
r�;._ill
Oil artil:,Grease w,
,f
I t �1`I+ecal"Cifllfor-rit
.f
� :��]lected`� '
"` "Solids? �-_'.','
:'�'�u;�tariilaril':u►uts "°
�.'-�Denffint� �-'I
'�-' in./Y;-�;.?;'1;�*�
x;�alrinfe� er"1Qb nil -
:�
roll
[..'rf..
:Reucli►tiarlc
1OQ' ''r .', r.:
Wttlrtni
3
1000
.`.. '�
;r
i
.. r• .s,
'�. .
DO i
D
f3 %o
O �
03
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Aotivities using more than 55 gallons of new motor oil per month'? _ yes _no
(if yes, complete Part B)
Part B. Vehicle Maiutenance Activity onitoring Rer ►►lrements
'Outfall
N►i: `
5u:iilile`Ct►II`iSCled;' y:
' nil.a`nd Gceaiie y _;
W.iitf '/I,::: ',;:
;Total uspended Solid's,
`-m /L,`.
.CaH^..'-'_. -
; - iStitrit!$a d'•iiiiIts
New -Hindi• 011.Usage"
Anriusil iiver>i a alhuu
�T►et►chnrurl{.
J,.I.�
�� ,,�� �3t1,'� � `
- .1110`'I, .i; G•:
:.1�I '61tI.l nA`�. .ri.
'k��k+.'
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pI-1, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM UVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
Ditte (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (irielies):
Mall Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
MAY 2 3 2017
CENTRAL FILES
DWR SECTION
01111 I ' - I - 1 ^1

"I certify, under penalty of law, that this document and all attachments were prepared under Yny direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based un my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the hest of fny knowledge and belief,
true, accurate, and complete,- X om aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations." =
(Signature of P&4Wttee)
I
(Date
S WU-249-102107
Page 2 of 2

"I certify, under penalty of law, than 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 piy knowledge and belief,
true, accurate, and complete. I Am aware that there are significant penalties for submitting false information, including
the possibility of fuies and intprisonrnent for luiowing violations."
(Signature of Peranittee)
(Date
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING R-Emirr
GENERAL PERMIT NO. NCG060000 / SAMI.'LES COLLECTED DURING CALENDAR YEAR;CERTIFICA` E OF COVEIZAGIP, NO. NCG06 o / ��__ _ (This monitoring report Is due at the Division no later than 30 days from
the bate the facility receives (lie sampling results from the laboratory.)
FACILITY NAME c- �-/ RECEIVE OUN"rY r n�r. � .f L/_L
I'l�i2SON COLLECTING SAMT'T.,I�S l: n llONI NO. ( ) &G - 5-r&-7 W
CERTIFIED LABORATORY.Me64&. Lab # f MAY 0 2 Zb1?
Lab # PLEASE SIGN ON TIIE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
DWR SECTION
Outfall.;.,_'•.
No
.Y x
t
Dafe .=w-0053Q
�intple
Y,
ollcted, I
,..
ooat�o.'
�.. a0 ta34o
orl'sd :�i�ls
`rotir4Sttsrleiitid ,l 1,
��:.,�:
l;,Sollds " ,
ink
w 'qq, pIT, :
P 1.+;'•C' r._� �+�_
4e 6
+;Ifaridsiril lirltts
-19-
Gliytm atiT.Ox� sett+'
J _ .I.j�•:r-..:
{ I)elmaul;.::'; =':�
all�
�1
:, f13
; Oil,artd ,(:east Y . i
,,
m �(Il ^�`��olonies:pt•r
, y :.Fet at1 Ciillforril
,•h .f
:1l)0 rlil
1Zenelltnark}
_
rti "']Qi);� uxr:''r
�r'WitI11r1,:0'-_9:
�2U'' I5'1-
r 0.' .f'
�r* t,XOtiO
00
- o
o
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pII, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes
(if yes, complete Part 13)
Part It: Vehicle Maintenance Activit onitoring Requirements
na
Outl'all.
Nn:
Date
5atii�ile collected;
rno/dci/ r=i .: =
0055Cr ,:'' :�
OOS3(}.::•-:
t1U,400 -t
.-�•:
01I cad Gt e'use, ;
?
;. "I Dial 1r,sperided Srtlids,
iIT,+ I I ,.
:St;tttdhi ct' hits
;.New' Mcttor Oil Usage,
Aiiitiiliil'ttvera e.. all"lo
100 `;;, a I:.
;., CtiO.' 90,
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Pennit text.
STORM EVENT CHAi2ACTEIZISTICS:
Date (first event sampled)
Total Event Precipitation (Inches):
Mae (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Atin: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):

STORMWATER DISCHARGE 0UT1+A_LL (SDO)
MONITORING RE' P01ZT
GENERAL PERM1'I' NO- NCC060000 SAMPLES COT.,LECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCC06 Q i 8 s' ('ibis monitoring report is due at the Division no later than 30 days from
the (late the facility receives the sitnipling results from the laboratory.)
FACILITY NAME COUNTY --
PERSON COLLECTING SAMPLES tJr- 1'l1ONlN NO. (33G) $ 7 ?
CIt wr][F1ED LABORATORY Meri tc c1 Lab # 1& C
Lab # ]'LEASE SIGN ONTHE HE REVEIISE 4
Part A: Specific Monitoring Requirements
:Outisill.
Nit _
,•,ri y :.
hate
: ! Simple ,. �I
. a
f�,pllected;y, ,
, -•- :. _.
_ ,mu'Iddl w: :i
�:0053f?;` =:
�f, O'Qi100. _
..; OU3t1 '!
, +:i;,-:Of)'SS�iYi�!1
y.::'i iitul Stiseisild r;,
_ ..s ,i:.r;.., •:
y,Salid9 I
�43 -- 1- T.�.-
m IL ..•'.. .,. r.
r , �ff s..•pFI°; :
-4.If•,•N,l- '.i:.
,I t,tgrfdard''ttrllts
ylYr1 4�- ," l�r.- +, •I,
r..:,: af. '_ .-.,'
Clit;mil.07ry ■eii
tl .�A,•,.
ti" lye1t-leant,
f' CTII I P d tl1!
L. '. ". ,.1
d Oil and .Cf eAse; ::.�
f r , ,"
i, '.:: m/[ �x t�"
14ik'4
+ r -l!ecal `Colifrr:-li1,
,i, -
a, rilnn p l trl
le s i~r' ] t D� t
:I3ell�lllltariL �
- -
°•ti.= (e
:,1,' 'I.ti �: i,
i
r•IT ..V "A t-:
� VY ltlllni 6.U'=: �:
�'Fi•. < :1�
.i. i'�I.20
A�:;l' �' I,i'I .h.
a7:'.�0�' 1 "I' �'x ..�
I j.,t.:
•¢; � ;1000
Note: If you report a sampled value in excess of the benclunark value, or outside the bencllnlark range for 17I-I, you must implement Tier I or Tier 2 r E IVED
See Generat .Permit text.
. MRY 2 3 N17
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per montli?
(if yes, complete Part B)
Part 13: Vel(icle Maintenance Activity Monitoring Requirements
yes _no
CENTRAL FILES
DWR SECTION
Outfall
No:
na1c:
Sa111ple'Collected-""':
mold'd/ r.r'
'005S6 :
00530.::•'
`..; 'ti0Afi0 =ru
Oii:and;Giease,; :,
:'Cot(ii ua eiiiled S0 ds?
piT,+
Stiiudarrl'.iii%rt§
;:Nivw_ iRtoi:011.Usage;
'An>iriil liver a •e ail;nu
IZeirciirrrurit.'
_ 1.L
Note: If you report it sampled value in excess of the henclulark value, or outside the benchmark range for 10, you inust implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CIIARACTE111STICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall-aniount)
"Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
1(aleigh, North Carolina 27699-1617

"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a systeni 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 Iny knowledge and belief,
true, accurate, and complete,- I anz aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature (if 1 WI—Ilittee)
S "-249-102107
Page 2 of 2

STORMWATL:R DISCHARGE OUTFALL (SDO)
MONITOR]NG RE PORT
GENE'RAL PERMIT NO. NCG060000 SAMPLES COLLECTED DMING CALENDAR YEAIt: I}
CERTIFICATE OF COVERAGE NO. NCG06__ __d ISIp _ _ (This monitoring report Is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME a M S COUNTY. .5 u rf.4
i'15RSON COLLECTING AMPI.,I�.S'Z, PHONE NO. I& - 5-S 6
CERTI IED LABORATORY Mere +ell,_ Lab It _ -j�,�_RECEIVED
Lab # PLEASE SIGN ON THE REVERSE 4
)'art A: Specific Monitoring Requirements
MAY 0 � %li;(
CE TRAL FILES
SECTION
Unffall:
note-:.'
00594 f.
'at ;.0p�00
M
,�'
S'um
I ilx,,
Glic,rtii >�I.O rein
xS>a.
f)i1 and .Greirsc; :
,.�<?-:'Fec l: oliform,
;*l
Cdllecfeil;
.•l yl�r = - -1 e'ds .}.
*S�lid� :.; �,
. V ..y J
ws i d�: tari`flAril:iutiits
r:.
.�,J�: _ ...�'..
ti . Demanl ; : _
.�� Lid' .. a i:2
m /f� s
- .'Si, I
3r G�eil�niesz;pt r ll}0 nil.
/Lr..'1.1�7�i'�'
j: r1114,�',{.��
Ilent:lintarit
- -
�:,. '�I.U4: ���, c
:�•cWlt}iin:6:D• .� `_��
�',,.'��:,::"�'20 l .`.I
��; f ti `�3U,�,' t tia5,
� ',:a: � �;lOUb. '
n o
0
00
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pl-I, you must implement Ticr 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, complete fart B)
fart B. Vehicle Maintenance Activity Monitoring Requirements
Qutfull,
No.
,... Dula
Sample Collected;
:.(lii and Grease; t:',,
.Totut uspended SOIdsrNevv_Motor
nu /la.
�':Stagdard•.ulrl.ts
OI1.Usage;
- Annwtsti:uiverrige gal/rrro
'ileiuchutark
�� �.:
wr '•��f�:`;=��30:
1tZl]`;•,`, � l;
.,.;.��,: .6;t1:
,,��... -
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range For pil, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT' CHARACTERISTICS:
Date (Frst event sampled)
'room Event Precipitation (inches):
Dale (list each additional event sampled this reporting period, and rainfall arnotint)
"Total Event Precipitation (iticlies).
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-16I7

"I certify, under penalty of law, that this document and all attachments were prepared under niy 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 Ivy knowledge and belief,
true, accurate, and complete, f am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
+,(Signature of Permittee)
a
• i i �! i � '� J _
9.
(Dat)
S W U-24 9-102 l 07
Page 2 of 2

RECEIVED
FEB 2 8 2017
STORMWATER DISCHARGE OUTFALL (SDO) CENTRAL FILES
MONITORING REPORT DWR SECTION
GENERAL PERMIT NO. NCG066000 SAMPLES COLLECTED 1)URfNG CALENDAR YEAR: i
CERTIFICATE OFCOVERAGE NO. NCGO6 (This monitoring report is due at the Division nu later titan 30 clays fri►rn
the dale the facility receives tite sampling results froth tite btborafary.)
FACILITY NAME s L L C COUNTY. ,5yrr-1
PERSON COLLECTTNG AMPLE, c^, .jt:,. PI10NE, NO.
('EWrIleIE1) 1,A]1011ATO11Y @rs r,ub #
L.ah 9 PLEASE SIGN ON 111'E REVERSE 4
Part A: Specific Monitoring Requirements
:'Otttfall:;.,
D t
:OU534a
.: �.0634{1 I'
r' 04 5 r�
a,;, fi'T�i.:.:
.
s
aS'xntnIe . �,
.l' •_
u;:;`C?otal'`(�+itsy�eutl I,G :'
t -
*r i1l<;:'
G1i�rrtic6f Ox 'refitOii„art&:C:re3isc
l:=l
,;-,:Felisl`Collfornt
_
..
I--1-
CtlllecPed'
..":. 55 �9'
Solids'
,,:'�.... .}�,"
I; �•Stari`aaril:tinits.
r"; I)ettiastt f'I
�-
Ir
.�It,u
m tl/�. r� �`'
; ' olt►tties'' t=r•'11 0 tii
g
x, �,.
. � r,
3 �
:13eucltuutrlc'
-
ik: -Wo'-,.." r
,, 'W- 10iiri,'fi',:Q :9.4.
*y' :i24_
`, > f130,=r r,�'s;
,�. t,1404
001
1 as -17
sy
a t
c
7 113
00
•ao -
a
v 8"
-7 O
< 5
Note: If you report it sampled value in excess of the benchmark value, or outside the benchmark range for pll, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Aotivities using snore than 55 g; llons of new motor oil per month'? _yes _no
(if yes, complete Part I3)
Part tt: Vehicle Maintenance Activity Manittorint; RecluirerttentS
Ontfall.
Nu:
Date
Satnitie Cttllei t d''r :
- 00 .56�.:,.
00530.:
;:' .:, `:66400
' Oil and'lQrea�e r
Total tls��endec! Snllda,
II ~.
StanclgrdA;inits
Nt w.Mat6r;O11-Usage;
Attiitsl'tiverta a al/�tta
6i6-: 9.0
Note: If you report a sampled value in excess of the benclunark value, or outside the benclunark range for pII, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date ►" ao _11 (first event Sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the persozl 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,
trite, accurate, and complete,. I ani aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Peer tiittee)
I
(Dat )
S WU-249-102107
Page 2 of 2

FEB 2 B 2017
STORMWATER I)ISCIIAItGE OUTFALL (SDO) rENTRAI�FILES
MONITORING REPORT
GLVNERAL, PERMr1' NO. NCG060000 SAMPLES COLLECTED IIURING CALENDAR YEAR:
CEwrihICATP Or COVERAGE NO. NCG06_ Q Jgs (This monitoring report Is due at the Division no later than 30 days from
the (late the facility receives the sampling results from the laboratory.)
PACTLITY NAME_in1c.�� �.r (rLS L L L COUNTY 5 UT t j
PERSON COLLECTING SAMPLES PHONE NO. (33(c ) , 38(0 - S_S(o 7. _
CERTI.I+IED LABORATORY Ott{ ; IIe L K Lah 4_ j('5
Lab # PLEASE, SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
()uffail
No
Date:' :,
, S4nile,. .
t�'bliccteii;
/1t UJ✓ r:
'=00530,, r_'
a ?t 0QA00. _
�: .0.030
r,,.:Ff'otal'Sixspeiiddd f ;,:i�,
'.
Siiltd�
, r ? iT ,:
y't'.yy- I •,!:
( LS�EAildar�i:units ,,
:Glic,ml $1:Oxy'=elf(.
tl -.. fi x, .:?... gellki,..t
ti; - Dematrt, I'.,--
,�
=,vil;atltl-t reAser ;
-} r 'r" I• -�?t'
a ; �;'# in(7 _,:�_ ; ;•
,:ti, .`I'ecal'Coliforin
{ ( _
�rolonies'per tQ0 ml
Y •i
Ifen0niilrlC'
fr! ')I.{)Q,'I,ar
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pI-1, you must implement Tier I or pier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete fart D)
P-4 R• U,00-1n NAol.d— — A,-iiui(v R/tnni4nrino Runnirvnunaiv
MM�,.+ V
RG 2 8 aii
0Iltfali.
No'.
Dille.
Sanilile C'ullecteil
'005S6r + ".
00530.::
00400 =i„.
=t
OiPund Gieuse, l .1
/C:,; a_:
.'total uy elided SoII'd IS' t
iniri' l;,
;,:�II,�
Slljd>li d";iuit9
;_Neiv, (Itnr 0I1-Usage;
Ailttitlil"Itverli ■e al/mn
Ilcilallmtrrlt
-
e :�t:'� 30;A.
Note: if you report a sampled value in excess of the benclrrtark value, or outside the benchmark range for pll, you trust implement filer I or'1'ier 2 responses.
See General Permit text.
STORM EVENT CIIARACTERISTICS: Mail Original find one copy to:
Division of Water Quality
Date I 'aaj,) (first event sampled) Attn: DWQ Central files
Total Event Precipitation (incites): a (0 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dale (list each addifialiul event sampled this reporting period, anti rainfall amount)
Total Event Precipltalinit (inches'):

"I certify, under penalty of law, that this document and all attachments were prepared under niy direction or
supervision. in accordance with a system designed to assure that qualified personnel properly gather and evaluate titre
information submitted. Based on my inquiry of the person -.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete,. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of rinitte) W )
s
y� S W U-249-102107
Page 2 of 2

The result for Fecal on 1/23/17 reflects a number Of <9091. When discussing this issue with Meritech
Laboratory, they informed me that bracketed the dilution too high for the fecal sample, resulting in zero
visible fecal colonies. They did not have enough sample to retest and therefore reported the sample
result as <9091.
Jeremy Bowlin
L
(n'vVir'onmental Manager Wayne Farms LLC

Meritech, Inc.
Environmental Laboratory
Laboratory Certification fication No. 1.65
Contact: Jeremy Bowlin Report Date: 1/30/2017
Client: Wayne Farms, LLC
802 East Atkins St
Dobson, NC 27017 Date Sample Rcvd: 1/20/2017
Meritech Work Order # 01201724 Sample: DOB Storrnwater 001 Grab 1/20/17
Parilmeters Result Analysis Date Reporting Limit Method
COD
31 mg/L
1/26/17
15 mg/L EPA 410.4
Total Suspended Solids
88 mg/1,
1 /23/1-7
2.5 mg/L SM 2540 D
Fecal Coliform
<9091 col/100 ml
1/20/17
9091 col/100 ml SM 9222 D
Oil & Grease (HEM)
<5 mg/L
1/24/17
5 mg/L EPA 1664A
1 hereby certify that I have reviewed and approve these data, a.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

STORMWATER DISCIFARGE OU`I'I+ALL (SDO)
MONITORING REPORT
CCENERAL PLRMIT NO. NCC060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 3
CICR'l'll ICATE OF COVEttAG1N NO. NCG06_ (n $� _ ('This monitoring report is due at the Division no litter than 30 days front
tlke date the facility receives the sampling results from file lubaratory.)
FACILITY NAME W�>±LI ��Y MS L L L COUNTY Utt•-1
PERSON COLLECTING AARECEIVED MPLES t: �. PHONE NO. _ 8_ (a • g -$ CR 7 _
CERTIFIED LABORATORY _ ,�
Lai)9
__.• JAN 2 0 2017 PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
DWR SECTION
Ouffiill,f.:06530vx:;:.
No
Wi
,. .
Suntple... Y_:I
tllleeted'; ,
; ,.QQ400
ww.a „OQSS '
Crf6
otal $tts(�eidgd r;,
Sohd� ' `, F
L ,
` F," ',pFl,'
t t 'taridaril unifs "'
4"+'p. .i.t.l! �.. .�;�
GtiGmi�iil'.Oxy��eri
`{ I)enianr ,
+ ,�,+'' _�y.,�RF.IIj
i O,i! and .Greast; .�
;: t m�(f�
Try„�'�•,� ik .�
I ccal.(�oliform;'-:. .
s 4�ulbnies?fi r l ij0 trii ;
'
I3enClnrtarit
- -
1.0D`?iac�::''r.
;IODD.
oeI
1 OdaO
0
00
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pll, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part. It: Vehicle Maintenance Activity onfioring Requirements
:,. . O_utfall_.
No;
D�atd
Sa:iilileCull'eeleil;
:: Eno/tid/ r i : ::
�-�L10S5(t :•.- �'.'_ -
00530.:::�.; •
::�;'. '�0[1400�:�;;
: r �• .
Oil.aud Grease,}
? rtl
Tote{ Susparidcd Snhilb,
' -niih,
;.;tiH;�
;Slandt rd':i hits ,
New: .Mntor Oil Usage;
-°Aniiuill `average allion
36;
t0D ".'i, d:
F` .. .�iiQ.- 9 �.}'• c
w+:
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pIl, you must implement Tier I or Tier 2 responses.
See General Permit text.
S•rORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall antunnt)
Total Event Precipitatinn (inches):
Maii Original and one copy to:
Division of Water Quality
Attn: DWQ Central l=iles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
/1111IT I,A 1.,n. n..

"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 oil 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 any knowledge and belief,
true, accurate, and complete,. I ani aware that there are significant penalties for submitting false information, including
the possibility of fines and inipriso" "lent for knowing violations."
4--t- - I ' '
(Signature of Perniattee)
(bate
S WU-249-102107
Page 2 of 2

STORMWATER DISCIIARGE OIJTFALL (SDO)
MONITORING R1.I'ORT
G1sNI?RAL I'ERMtT NO. NCC060000 SAMPLES COLLECTED RURING CALENDAR YEAR: 3
CERTIFICATE OIL COVERAGE NO. NCO06 (Phis morritat-1119 1'eport is due ut: the Division no Miter than 30 clays fr6111
•r the (late file facility receives the sanlpiiiig reyulta fr-orn the labor•atury.)
FACILITY NAME G- �y1t t`c-rr�> « C COUNTY. S u ar
PERSON COLLECTING SAMPLES DECEIVED
C'ERTIF1ED LABORATO fly _ Mr.J+e ��._ _ _. L6b # --1(, CEIV
Lah Y DEC 2 2016 PLEASE SIGN ON TIIE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
Quttiili.
N'n
Sunt le
r..Toiai St�s eiii d tf-,-
4 �,,; :,, n rl
Gli rn€ ati1.0 eii
fy +5.
Ofl aiitd ,rexser
t ,
,r:.. Fecal Crolifornl,.
11 �cte'd"
4"p e ,�
Snl $ a
id
`� Staif ard.T1lit
'•'t' a tl is
,
� ;t5eriiaitt� , „
,s
:'/[�.
fiilariiee ptr 1(►0 ml
..�q-.Ilillldd/l.-
F
t t, -r''�t-
-'4 �n r
[i �I,, i�x��-,'
l3enclimaric
-
-100r r
4�4�(fflin 6:0
„ 20
rx, t' 1(100
x.
:9.1}.
,
061
I(- 20—IG
/to /ow
a �•
0
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pil, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Antivities using more than 55 gallons of new motor oil per rnonth'1 _ yes _no
(iryes, complete Part B)
l'art. It: Vehicle Maiuteoance Activit Monitoring Rer nireuxenis
nutfall
No:
,...-
nine
Sample C'utlecteei,
7065S6.._ :..,
Q0530..
Q0400 lac
,., :� •:.
O11 ark d Gr ecisre, F _
/L,:'
Total uynen�led Soltde,
n1 lla.ttirr
�... ._ r.
[iTl,w
dard•,ttaaits
New. [rtiii OiLUauge;
.Annuitl.xvrru e' allluu :
Itcnchrntarlc.
- ;`
,o. .i,� �3Q; :
16�`•.',`, �.
:, 6!0;-
Note. If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pl-I, you must implement Tier l or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
'total Event Precipitation (Inches):
Dittt (list catch additional event sampled this reporting period, and rainfall amount)
"fatal Event Precipitation (Inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
0 l- I I' A ,---

"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 oil my inquiry of the person.or persolls who Manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of ply knowledge and Belief,
true, accurate, and complete.. I Anl awal•e that there are significant penalties for submitting false information, including
the possibility of fines and inYprisonnient for lulowing violations."
(Signature of Pei• ittee) (D;
tec
S WU-249-102107
Page 2 of 2

STORmwA'rER DISCHARGE OUTNALL (SDO)
MONITORING REPORT'
GENERAL PERMIT NO.NCO060000 CERTIFICATE OF COVERAGE NO. NCG06__-0 1 _83_
FACiL1TY NAME w-A, L
PE' E4SON COLLECTYNGSAMPLES
CERTIFIED LABORATORY Merz ALab !i _14.5
Lab #
Part A: Specific Monitoring Requirements
SAMI'I. ES COLLH CI ED llURCNG CALENDAR YEAR: _-3 _
('rifts 'ES
report is ttue at the Division no later than 30 days fr'on,
the date titre facility receives the sampling results from the laboratory.)
COUNTY
RECEIVE® PIIONE NO -3
DEC 2 2 2016 PLEASE SIGN ON '1'III, REVERSE 4
CENTRAL FILES
oirffsill:
Ni►
,• ..._
pate
; 5:urttpie
tw'pEleCteil,� iSolid
...-,. kll[liddl r: ..I
, ,.ab53b:i ,:'
.., n(iaoo.
rw : CotalSnsp�nfdt:s��IrTT°,
"
•, : - -.'.fin /I ,- I::
`
+� 5,iytuil[IACt�'.u,lits.;'
;tr�f .... .:.' t `-'
Gligmlhl':Oxy ie,f
i-.l)e4,rhAfl,}-_
i..`..:• . r111 Ia .:-YL
Oil an[1 Gretise;:==;„-:
a i 'In�L `s
"' :-w4'+, , ,
Fecul;C'oliform,
ay,ColOilles':per lUQ rril ;
Benchfltii�lt'
Note: ]f you report a sampled value in excess of the benchmark value, or outside the benclunark range for pll, you niust implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part B: Vehicle Maintenance Activit onitoring Requirements
yes _ao
Ontfull.
No: ' .
Date'-
Sa,nple "Cnilecied
(1D5_StS :.,
0053(1.
,. • . O(1400 .�,;
.,
Ott and qi ease,
Totut uspeuded Snlidli, PIiI7,+
ibtitk14r"& n 6
New_Motoi.OEI•Usuge;
- Anqu'iil'avera e al/lnr►
)lei►chrnurlc
- �`
>r i:'v �30 a' �:ti,
Ib0``;; ! r
; , 7.
6i0;� 9 0
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for 141, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall antount)
Mail Original and one copy to:
Division of Water Quality
Attn: ❑WQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):

"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 un my inquiry of the person.or persons who manlge 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 #fiat there are significant penalties for submitting false information, including
the possibility of fines and inKprisonment for knowing violations."
(,Signature of Permittee)
S W U-249-102107
Page 2 of 2

RECEIVED
NOV 2 9 2016
S'[ORMWA`i'ER DISCHARGE OU'rieA.11, (SDO) CENTRAL FILES
MONITORING I1.EI'011T DWR SECTION
GENERAL PICRMIT NO. NCG()6o0()0 SAMPLES COL.LECTE1)1WRING CA-LENDAR YEAR:
C'EUTIFICA•I E OF COVERAGE NO. NC006 0 (This monitoring; report is due at the ]Division no Miter- than 30 days friirn
Tile Elute the faculty r•ecelves MC aaurpling results fl-orn t1le IrrlJoratory.)
1rACil..l'CYNAME �.I�CVn 4 ( COUNTv Sytq-
1'It:12SON r[]I.li.,1i.CTTN SAMPLES-3 e tsA% y od 1:,.. PHONE NO. G3fr ) 3 8b - S g-b-7
CL±;l2'1'11?I1l;]) 1..A.ItO1tA7'OR4' er+�� Y.ah IV 1 t'iS T
L,ah P PI.,EASI!; SIGN ON 'rin—o R1?VI,RSE. 4
Part A. Specific Monitoring Requirements
ti�In��U, I .iI ,
'
i
r ;.!` FK li'1
N'6:
!�^S]ir�tnr�,le {
.4. .1'.- +I 1
�I�.::�rltni le�trsyleltf d��}}'I�� '.f�"q
j: .j :I' •' I.� l. I':.�-.'I
►l7
.I.:'� 411- liI�y�,1..
�ili� ■rrir.h y i
k Lli!'.fiztt: etl a
F.,"a[
I.,:I+ec1{1" olifor:rit.
1I .� ./
,�1
" �',i
,:;�'t;,[sl fnri`dard':tiuit8 i
;'. lyetiiatt , F:-'I
l Y[i tl�, r
.
i (I Jnlee±i •'ti10 nil.
13cllr lintark'L
-�
; 1.0�� a +
ylj f
l 1
Fit",
Qn!
/b -aoi4
��'Io_ low► _
NOtc: 1f YOU report it 801111)61 Vallee In um"bas of the benchmark Vallee, m- ont8ldC tlir henGhnmrk rhngo fair 1)1-1, you must impionient Tier l or Tier 2 rcaponscii.
tieo 6onerat Permit text.
171r1 (his facility verlorm Whic1c Maintenance Aolivities tiling i lore than 55 gallons of new motor oil per month? _ yes _Igo
(if yes, complete Part 11)
Part B. Vehir.le Muilitenuueu Activi!Monitoring Ytewdrenrenis
-_ . tlutFull.
Nn:
IDale'�
Samli(e f t111eClitl;n:
00:�5iS'rr';`.
t10536.::._ + ::.
,'!.:., 110JIQ0
' . 011 and Cy euke,-�
311 4' `
Tolttt n:apCucl�d St11td�+
1011?'�'' � �,�'
n 4 i
Stit:lrlgrd`tittls
4 u;1 i�•1 9 (]�:sr-' ,, r,
Neyv rttnr_Oi1.YJdage;
�Ani�itdfiiv�ragesl;al/inn_
�- ':i.
Mote: If you report it sampled Valtic ili excess of Ilic hont:lmnurk value, or outside llic 11aliclunartc range For I]If, you ]nest implement Ticr I or Tier 2 responses.
See General 11nnllit text.
STORM EVENT CIIARACTER1STICS:
Date (first event sampled)
`I'otill I+vent Precillitatlon (illclles):
Date (Iki eill'll additlOTH11 Mitt 5atnliled tills rellnrting perlod, ]tine raii{fall animint)
Mail Original and olio copy to:
Division nfWater Quality
Atin: DWQ Central Piles
1617 Mail Service Cr nta
Halnigh,North Carolina 27699-1617
Total Rvellt 1'rec1p11alion (inches):

"1 certify, tinder penalty of law, that this docunielit and all attaclllnents were lirepsll ed Under my direction or
s+ilservlgion in accordance with a system designed to :1-mire that quallfied personnel properly gather and evaluate the
information silbi'nitted. Based oil Illy hiquiry of the llerson.or persons who inanuge the system, or those persons
directly responsible for gathering the information, the inforniatioll submitted is, to the best of my knowledge and belief,
true, accurhte ,acid Complete,. I :im aware that: there sure 814"ificiliit penalties for submitting false information, lnclildiilg
the possibility of filles and hilprlsinimexit fur knowing violatir►ns."
C�-
(Signature of l e ixittee)
(bate
5 W U-249- m ] 07
Page 2 of 2

STORMWA"i'E R DISCHARGE OFTrleALL. (SDO)
MONITORING IZ.LI'owr
CENEItAI, PERMIT N0_ NCG060000
C-11 t'11FICATE Off C_'OVI+0,IIAGE NO. NCC06 O M-5
FACILITY NAME-7 - n, _F, I. / C
PERSON COLLECTING SAMPLIsS
CN:Ii'i IFIED LAI30IIAT01tV _r r4=4
Lub #
fort A: Specific Monitaring Regklirenleuts
R,FeF1V1ED
mr;
� EIV tvAL FILES
NR SECTIO,,j
SAMI'.LItS COLLECT 1) D.IMING CALENDAR YEAR: —3
('this n1n111to1-Iug 1-e1301-t is due at the Division no Inter than 30 days f1-011)
the date the Fadlity receives the eanip1hig results tl-onl the hhorutovy:)
COUNTY
{
/v
PHONENU. (�3� 1_.� S$G 7
PLEASE SIGN ONTIIF REVERSE 4
1inCfiill:.
�:i:.. hater=4059Q
t ,a:VI,i;
;?,�bra+-
lYn
11S f#l
� lyr:
Lk
Glglr i4
,1I-.l lj: ��- i:1l. '(7� �r1r-,lti�•,l
t G� �'l• l.a- iiyttl 'l e�. +
I1.1M. -i�. tc t4 I . 1
�;.
y:
Y�
,I7Thfill
rrili%Ii Cll rj
m"ry (ry't�
1� l+ Ay
t'r 1.
`, psi: lti�1/i[,t'rA, N
a
yw�
:1{e11 t.Illitflrl{
(+�/fk';
Y i.i'�i -.I U_�i� ,'��-r,:. i'
Yti5i
`i :F�ii�i.I�11174 ," r.. `•I�'
I i.'�k' {� I
�'': 71i �{ 1..i`
(�
-lk+L f ,Al10 '.
00 1
id or
no to
Note: If you report a Sampled value ill cxcess of the hellGlnikadc valve, or ontside the hcllahniark raangc for 141, you ]rnlsl implement Tier I nl- Tier 2 msponses,
Sce GcnCra! Permit text. RECEIVED
Did this facility perform Vehicle Maintenance Aolivitics using hire than 55 gallons of new inotor oil per montlil _ yes _no
(ifycs, complete fart 6)
1'111-1 It: Vehirle Maintel►lNice Activity M011ifill-Illf! Requhrelneuts
NOV 2 9 2016
-:ENTRAL FILES
CTION
-- (AIL 11
No:
...
YICl1a:I1111i1T'l{.
Ilutc'
3i11iiJi�e C?tlllec�eil,
:: ruahtd/yt r
_ _ ..�r..
'[It155ti t �+ ;_
00530. i .
Olt-ulid'Cti asc,t 'r
.��/r,? :
1 c +r
,Total I�sp�erlrli d �'llclri,
Iklgil,:_
—'. ---T --
'I fy 4 -
5#a11r�Re 11+ritti s
--�. — -
i New.. rktnr Oil.I7sage;.
Ani�it'rti:iivrn a uI/t:lu
Note: If yule report a sampled va111c ill excels (if the he11011mt1ric valuo, or oits iale the henchinark- rang' frlr III I, y011 11i11St IIIiplekllent Tier I or Tier 2 resporks vs.
See General Permit text -
STORM EV1 N'r CHARAC'I'll',RIST11CS: Mail Original and one copy to:
Division of Water Quality
Date _ (first event sampled) Attn: DWQ Central Files
1'r►lal l<,veut Iirecipitatioll (inches): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1)l11t: (IISt each additiallill event xa111picd this reporling period, and rainfall amainit)
T411fil il.vent Prltclpitatlon (inrtles): _ —

"f certify, sander penalty of law, that this document and all attachments were ,pl•epared under lily direction or
supervlsioil ill accordance with u syslean designed to aassure that qualified personaael properly gather slid evaluate the
illforination submitted. Based oil my inquiry of file persowor persons who manage the system, or those persons
directly responsible for gathering the information, the information subiuit:led is, to the best of illy kiiowledge and belief,
true, accurate, and complete,-1. aim aware glint there are significant penalties for subimittilag false iilrorlllatioil, incluilillg
the possibility of r'ines and imprisannlent ror knowing violations."
(Signuture of 1'ernaittee) (U4t)
5 W U-249-102107
Page 2 of 2

STORMWATER DISCHARGE OIJ'I'FALL (SDO)
MONITORING REPORT
GENERAI, PERMIT NO. NCCO60000 SAMPLES COLLECTEi) IWRING CALENDAR YEAR: 3
Cini'rf1+lCA'I'P 01� COVI,ILAGI+4,NO. NCG(!6 t f $ (This nionitoring report Is due'at tale Division no later than 30 days from
the date the facility receives the sampling restlits frank the laborutory.)
FACILITY NAME; i/l� a Fc-rAl.5. 4 L COUNTY _ S ei t t-1 _
PERSON COLLECTING AMPI. ES _�Q�m� �pwl r� 11110NL NO. 3( 3(o )_ 2L4 - J? 4 7
CERTINED LABORATORY _ty��r �. � Lah #
Lah # PLEASE SIGN ON' 11E, REVERSE 4
Parl. A: Specific Monitoring Requirements
Cluffiiil.
N0:"'
Date
S'ttm le . u,,.
l
Cr}Illu ed; I
niokl d/` i.; s+
-0053Qr;= ...
;.0Q40(I.
a„ 1103j() +;
11"' OQShi, '
/ r' �w3tC1It5
r.: , `I otuI bus leiitl d
r m /(.
�+, i1I; '
t'u4.1e,-.' rt• ll'u: ntts,.'
sl .° i <x. �1:
.Cli tni �il'.D rein
:: �{�
eia-u�, f:1
_ 'r l'it I�'4,-
f)il,an[�1.:+ <;retiSeta 1.
L^VG`. �•' I':iY .: bi.
mglC� �� '
r i
1".1 + ,=reegtl ` oliform
- �J�-:
4�tilor►led:per 10(1 nil ;
r, s
_
13e11cllnt k
I i '101J1. , u 7 1 t
I.tl .,YYlEli in'.'*�l/'�,�
y'•t`"
�1 lL
dd f
- r�
O ow
no a
003
+
Note: If you report it sampled value in excess of the benchmark value, or outside the bencbntark range for p1I, you must implement Tier I or Tier 2 responses.
Sec Genera] Ferrol[ text. M t —1VED
Did this facility perforni Vehicle Maintenance Aotivities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part It. 'Vehicle Maintenance Activity Monitoring Recluirelnenls
yes _no
0U 1 2 5 ?u i`i
CENTRAL FILES
DWR SECTION
.�C)ntfnli.
Ntr:
1)ate�_'
Siuillilc i�irllccied :
nu►/tld! r r;,`
y
•�-�0f155C1•r:,:�;..-�•:" -
� � 00530.::.:..; .
�.,'!.. `'`Q04O{I�':+;;•.
;�:„. ��c-. .
' ... ' Oil and fsi euse,r
1
rota uspeiided Snlld,
::.nl 1T °
Y [iII,^ I r
:_,�tanrTard:unl.ts
i New..Motor OtI.LTsuge;
-' Annititf.'averti i al/mu
_
�leilchnlark
- �."
�F: 1;1 301�1' ° ;
100 .';;:
:EiiO.- ,�:•
_
Mott: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for p1I, you must implement Tier I or Tier 2 responses.
Sec General Permit text.
STORM EVENT CIIARAurnuS'1'ICS:
(late (first event sampled)
Total Event Precipitation (Inches):
hate —_ --- (list each additional event sampled this reporting period, and rainfall amonn()
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inehes):

"l 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
illf(11'lllatioll submitted. Based on Illy inquiry of the persoll.or persons who Illallage file system, or those persons
directly responsible for gathering the infor11111tioll, the information submitted is, to the hest of filly kliowledge and belief,
true, accurate, and conllllete, I and aware that there are significant penalties for 5111)lllftting false information, including
the possibility of fines and imprisolllllent for knowing violations."
(Signature of erllli (ee)
(var
S WU-249-102107
Page 2 of 2

STORMWA'TER DISCIIA.RGE OUTFALL (SDO)
MONITORING ItEPORT
CENFRA.i, i, RMI'r N.O. NC0060000 SAMPLES COLLECTE1) DURING CALENDAR YLAR: _
CI? It`I'IFiCATE OFCOVERAGENO. NCGOCr_ _0 MS(This nrnnitoriug report Is due'at the Division no later than 30 days from
lire [la(e lire facility receives the sampling results frorn the. laboratory.)
TACILITY NAME _.�c.r,K3 1 L COUNTY- -5vlr.(
PERSON COLLECTING SAMPLES �M� �o���� PHONE NO. (.12a (v 7
C E, RTIi FED LABORA'TORV Mrr}- t Lah It _16
I,ah # PLEASE SIGN ON TIIE REVERSE 4
Part A: Specific Monitoring Requirements
Qtrtlall.
Nu
lisle::,:
Sant ile:
t?Illtited;y
uto/dill 'r:: ,i
UU534, �.
:kY.,._.;,+.-�tlaao.'ia�4b
_;�,.� r.oRS�r,,
•� 3af1�
w. ; Tiitiil• Sus )eiid d i y .
tSoil
;m /I ti • r - r
;rill' :
r I7 �_,
..'! 5�taridartl itntts
I '�l--
sir k., his t
Gli 'mie,iih:O =eii
A -, fdT`" =f�_
ti:.I�emt�nt F:
r in +o�C�
C)Ilaiitd cease ,
.'' 7-,.•?,y-�--
rrr lyl.; ,t
r
GtoIori#es:pl'r.I nil
t
Bencirrcurrlt
DO
- 0
AID
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pff, you must implement Tier I or Tier 2 responses.EWE
See General Permit text- OC 2 5 21716
Did this facility perfonn Vehicle Maintenance Aotivities using more than 55 gallons of new motor oil per month?
(if yes, complete fart H)
Part 11. Vehicle Maintenance Activity Mnnitorint, Requiremmits
yes _no
CENTRAL_ EKES
DWR SECTION
.'(]utfall.
No:
Dale _
Sari►lile Collectea :
-=ilUS5fi. *::
o053U.
r`.•, . '{1UR00 <i:.
: „ �~
' .' Otl and Grense,.
Tote( uspereded Sc►licie�
iilI,� ..
$tttridhrd;ttnfts
; New_Mntor 0i1•Uyage;
Antr►t'til'livers a al/n�o
9
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pfl, you must implement Tier I or Tier 2 responses.
See General Permit text-
S'rORM E'V11NT CHARACTERISTICS:
Date (first event sampled)
TONI Event Precipitation (inches):
Date (list each additional event sampled this reporting period, an(] rainfall. amount)
Mall Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Totni Event Precipitation (inches):

"I certify, under penalty of law, tilat this document and all attachments were prepared under lily direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete,- I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Yerinittee
(Dnte
S WU-249-102 107
- Page 2 of 2

STORMWATER DISCHARGE OUTIrAL,L (SDO)
MONITORING REP011T
GMNERAL PLimm T NO. NCG060000
CERTIVICATE OF COVI,RAGENO. NCG06 d /Ve
PACIlxrYNAME W& e, Fa-r#+5 LL L
11L:RSON COLLECTING SAMPLES
CERTIFIED LABORATORY _MerVL I:.ab 4463
Lab H
fart A: Specific Monitoring Requirements
SAM PLES COLLECTED DURING CALENDAR YEAR: �-
(TILIs monitoring report is dne' at fire Division no later than 30 days frern
(lie date the facility receives the sampling results from the laboratory.)
C( I r v S e r
RECE1VFMU NO. (.� �. 3'8(o- sf-1
SEP 19 M%ASE SIGN ON'l'IIit REVERSE 4
CENTRAL FILES
DWR SECTION
Q0Outfiill
Q43t
Iw.:.05
N'o
' Seim Ie
P.
, . Totals . us erid 1 t ;:rig
I?. 4
+r- �� IT°,1
P
Gli�mi ttf .0 �etir:
�j'�
Ui1;Iiitit .Creiisc". ,:
is
,-,q Fee ollforlit
�°
Cg1tecred'
h ;,,. ,+
Sil�
" IF' , • . .
t>tritliLr.II'uutts
o ft
niy/Ca 51 t
9
r,C4islbnies.`ir'lil0ml
'' p
dl
13cnehtuiii 1 `_`
-
a:, °lad,
-�
Witjitn,�.4 —:9:a
P30,-^r . i '
(�
.: • ] 000
mot
$-.3-rt.
t}2,
(o '!
30(.8
3 X
Oa ?
b
�[
I
Note: If you report a sampled value in excess of the benchmark value, or outside the betnclunark range for pIJ, you nlust implernent Tier 1 or Tier 2 responses.
See General Permit text.
[did this facility perfortn Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes .t ro
(if yes, complete Part B)
Part H- VehIcle Maintenance Activity MonitorinL Requirements
Ontfall.
No':
Date
Sarilplu Collected;
nro/dd/ i'r•;
- 06S56�
Otl' and Grease I777
!ntII;,;'
[ nGll upeuded Soltiii�t
rn !lb`
r ;; , !
Stunliaic!•U�tita
;New. otor 011•Usuge;
A. nrrriiil'av:er-aa alInto:
1610IInf1I'l{,'
- .f
1k 30. ;.
f00° 1
,:. .6ii1.-9
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pFI, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CIIARACTERI3I'ICS:
Date !J/3 (first event sampled) ti J
Total Event Pr Precipitation (uncles): la.
Date (fist each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Italeigh, Noitli Carolina 27699-1617
Total Event Precipitation (inches):

"1 certify, under penalty of law, that this document and all attachments were prepared under niy direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information subnuittcd. 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 tiry knowledge and belief,
trite, accurate, and complete, I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
•__
(Signature of Permittee) - - r �^ (Dat )
S WU-249-102 107
Page 2 of 2

STORM' VATER DISCIIARGE OUTFALL (SDO)
MONITORING REPORT
C.ENERAL 111 RMIT NO. NCC060000 SAMPLES COLLECTED DURING CALENDAR YEAR: Z
CERTIFICATE OF COVERAGE NO. NCC06._ Q_( �j _ (This monitoring report is due at the Division na later than 30 days fro►it
the date the facility receives thp sampling results from the laboratory,)
FACILITY NAME i leei._ 4e_ _ o�r ,r► i LL C COUNTY >y sr e
PERSON COLLECTING.. SAMPLES meI'1IONE NO. (7y_`) 3Q/o - S86 7
cc, wrl Film LABORATORY finer ►(,—c Lat► #
Lab # ------RECEIVED PLEASE SIGN ON.THE REVERSE 4
Part A-. Specific Monitoring Requirements
SEP 19 Nis
�Uuti'a11.••: •
N'n
'�:, ,,. ]]ate '��:
S'iimple ,
bllt cfed"•
-mr�/dd�' P "I
�}�0053U�;Y
r',�"t Q(jaOQ. -
- �,b -�;
� � {-s(1q�5 r,i1
.�, ,�' b'1G
,+ ,31 of uluspeiid¢d :
Siilid .• �'t
ra` °' -I 1I�_ -'�. _[
�{ r pIT, D
:°4, bgiarCllartl� irttits
- ��r� !_-- +•q 'ii. ,m,-�
yet ii
emAii F _'
yOrl;ait[I:.reuseS :''
•` �`i ' '' rii/L n
':gay.
', L" 1�et;t1 Califirrrii;
i Cirlonies" 1'r'1Qb ml
+ -
fi
I3enehnturlt
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for IIII, you nuist implement Tier 1 or Tier 2 responses.
See General Permit text -
Dirt this facility perform Vehicle Maintenance Activities using niore than 55 gallons of new motor oil per month' _yes -✓o
(if yes, complete fart B)
Part It. Vehicle Maintenance Activity Monitoring; Rettnireuietris
:. . Ontfall.
Nn:
D'atd _
Si►rnlile'Ce►Ilected;"
Q65.56
00530.: : -
:•, . `°QQ400 ,l;;.
: r,
.Oil:a Car ease, t
t.:
Cola1 uspi:rided SOidt;►
m L`.
:Iirl;� r
Mhiidi%i•d:uruts
, New-Mrrlor 011.Ussge;
Anriititl tivera �e al/Run
6 g
:'fieirchnrark.':.
_ 1..►r
= ,,3Q,a <:ti
.1t1Q I. I
64p.
Note; If you report a sdnlple(I value in excess of the benchinarit value, or outside the benchinarli range for IrII, you rnust implenient Tier i or Tier-2 responses.
See General Permit text -
STORM EVENT CHARACTERISTICS;
(late !g3 (first event sampled)
`total Event Preciliitatiou (inches): � �
Ilttte (list each additional event sampled this reporting period, and rainfall aniount)
Mail Original and one copy to:
Division of Water Quality
Attn. DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitalion (inches):
l" J

I certify, wider 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 tiie
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 ;ny 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 imprisoi nnient for knowing violations."
(Signature of Peri 'tfee} (Date
S W U-249-102107
Page 2 of 2

F
t'
ti I; orzM�vA I I�IZ vlsClrA��cG1, OUTFALL ALL (SIIo)
t' w MONITORING REPORT
CI?NI?'II.A]_, T'I?,T2Mi'I' No. NCC060I100 SAMPT.,1?,S COLI.,II:C'I'E1) T3rlrt[NG CALENDAR YEAIt: ___
C IPin'II1iCA'I'r ote Co)VI+�IIAGE NO. NCG06 ev ('Pills monitoring report Is doe'ait the I)lvisiolt no Cater titan 30 days fi-orn
111C lisle the facility receives 11W fl11n1111ilkg rcerults fl'orn tale lulloratury-)
IFACII:.I'ITNAMT' W -1nt 1="�r.ns PLC _ � (EIVE� COUN'r�r_��,r.r
PII:ItSON COIaI1T�CrrNr sAIwPLES 754r��-� haw":,- 1111ONE No. (��) � _ ss��
CI,R'I1 IED LA11oltA'rli><t�t ��! : c Cull rl 1(0S AUG 2 9 201G
k _ —La b # PLEASE SIGN oN TIIr WIWERSE 4
Part. A: Speclfle Monitoring Rerluirerneuts
CENTRAL FILES
OVVR SECTIn'
�, j: y� +i
r
itl tl.
* y
:/J;. j "� .�:I.tul. ?-•.'-r
�L'_"/hy-T: _'.�f,'�r+ ^ii�`->_.•i1
i l - � [I
'.Fec_til-C41i
1�r1
SSSI 1,"ll'11 >ICtlrl%i.' L I I
'
r4: ..11 (]'l aI' tlyy)'e tk rl C`�rI '�i�
ry. .. - ` 1:T�
�{�r- err 1, a�S'} 1.F41'r
I
.I:fIF �,I/.�11�`.1�'{1 t���iti�
A I "-J Y,. J
f �1-/l l;�:r r1 (I-.ti+7 %�t LL/11•
.i
.�.
kr =1;, For•r11J. 'I
�n V,
..4., - h I
:�,I,
I .IF .41.- I
ri[lil,
r_{. ,,�7'.r ._,5
:•1 1,,
;1, tii�(1 s
,- -,4 li'ie [f(Y'• lfi(1 rril
y
Ilkllllll1il11lsrt
1111�`IilaJ r" `�E
.-
er tiI lY1}_ . �`{ rtti
y' "I11' 7r.-�..�r"
;l"Iry, �FCj • ' 1r
r �rFt.YYSI!t� .11 l/
r� { �^=fs zlJlIf'4�
h: : t ifL?Q' I t
a ' r� �j : ,�i
u4 I� �1"I i IlYryr
t , '.
If00
=doi ��
aor-4
0 /.w-
Tod a
oo3
Note: If yoo report a samplyd value ill excess of IIIe Ilrnch111atk valor, (it- nutsldt; the Ucnedimarlc rmigc for pII, yore must implclllow Ticr 1 or Ticr 2 respmitms.
SL t-iellClnl t'ertlllt text. '
Did this fatality per -form Vchlcic Ma111ter1ance Aolivities (king ltlorr tharl 55 p1lons of flew motor oil per 111olitil? _ yrs —110
(ifyes, colllplete fart 13)
Parl 11; Vchtrle Ma[Itlenarlce Activity Mnllilllrtug Il.e(tuirements
-[)lltfl,ll-�
Nat:
'
'fly ll(111�I,Ir lr
---ilut4 --
aai►llie'('o11eLleil,"^
':: 111(3I(I11/ '.{.�,'.
— mot'+..-_._-..
-
_:=f1b5a5.r t fi ' ;r
o)il send Cra:uase,r
- ;.:. ,.::111t I1�r`I� i •' �
.y.�-_..,�.._.,«�-....- ��.�
,��
OQ531f_:.Tj7
:,Tollil nsii�riil li 6i1'liiild� ;.
� 1}Y�fly`:" "'
_ _ .T.�L I
i �Ii1I;s _
'itklrli�itr(I 11iiiI9
•'•1�-.' p.—.r
I Nr w)1i46i--OII.T.Tsnge;
=: Anri_ilitI"avcruge-gal/tun
I Inlr. If yoll reiulrt it sasnlidrd vnlllrs ill cx4:eals of the hcna:luuarlr vaiuc nr Outside ilia llrnc}Irnarlt range fix pII you rllus! implranrnl Ticr 1 (jr Tim- ? responses.
Sce Gcuksral 1'01fn[t text-
S`f'(MM VVICN'[' CIIA[tAC'I'Li'llIS'I'ICS:
])nfe (fret event. sampled)
Trltnl Event I'rce..ipl(allon (1tldley):
Dale (lisi elich liddltiontll event Sampled (Illy repor-fing period, Itlld rainfall anlonlal)
fllial Kvc.nf I'1'etildIll doll (irlr.hrs): _
Milli 01-ighlal and one copy to-,
DiViSNITI of Water Quality
Alin: DWQ Central files
1617 Mail 3ri-vicr, Contri-
Kidrigh, Not-th Carolina 27699-1617

STORNIWA`I ER DfSCIIARGE OUTFA' .f_, (SDO) FILE COP
MONITORING REPORT
g
GENi+RAL. PERMIT N0. NCG060000 SAMI'I.AN COLLECTER DURING CALENDAR YEAR: !'
C UTI1+ICA'1 E OF COVI+.RAGE NO. NCGO6 0-113u (I'Itls monitoring report is due at the Division no Inter thnn 30 days from
the date the facility receives the sampling results from the laboratory.)
FNCILITY NAMI;tllo-40e ��rM 5 (L r! f � COUNTY �t rf_�
I'LIt50N COLLECTING SAMPLES �eTLrn.( �.a_W1 REGt I'EIONI NO. ( , fo) - S�(d ' S�(e7 _
C1±RTIVIKI) LABORATORY f)'?er,�_t Lab # /65 ���6
Lab # A G �2 9 PLEASE SIGN ON THE REVERSE 4
Part A. Specific Monitoring Requirements
CEWRAL FILES
DWR SECTION
Qnlfall.
I7att
Saniple
•I'h..
+Coil6c'fiM•'.;,
00530
y. `Total Si{sl,e,idA�d ':
1)! �` �I-i;,7.��
7{tI1dJ �lY:'l+
, N .', �p17,,
4i..1/'1"nI,I } I C
yl. �•5°ttrrtdar.{i:rr,rit4
Ctigmi�alAxy �enr
-dl�� A yf
yr�I+�e all '
,iOt1 antj (:rexse; a
.17._yl,._•: �.„r15�
l' F;
�� m1,/1: zi
l + .ecHl C6lifani,,
Yu =Y..
k. h
*3 Gtiiontes.licr"11)0 rnl
7+- Witlitn' .0 —,�. ' _
�: i`�ZQ�'- ;'
....� ;�++ ti''•7 . - t-! !
S�
_ I �,� . r r , lOtl -{...
cot
/70
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
Sec General Permit text.
Did this facility perform Vehicle Maintem.ince Aotivities using more than 55 ggllons of new motor oil per month? _yes _no
(if yes, complete Part B)
Part 11; Vehicle i4lalit tenazzce Activity Monitoring Requirements
C)ntf'fill.
No: ' .
Date:
8a,nlife Colleeleil,""^
Qo530.: ' <:
i 004(tO
Oil anti Gi ease,,
;Tutul usneiiiled Sglidiv
nt /l, c
Pn ': + '
s^:St'ririda�rtl',ruits
;:New_ ot6t OII.Clsage;
rini(itiiLriv'erac ullmo
:ileilell ilia rk,
30:' ' "
id{1•..„ t �.-
, ; ;hip _ 9 0 �+ -: _::
Note: If you report a sampled.value in excess of the benchmark value, or outside the benchmark range for pH, you Hurst implement Tier I or Tier 2 responses.
See General Permit text.
5'rORM EVENT CHARACTERwriCS:
Date (first event sampled)
Total Event Precipitation (iruclles):
Ditte (list each additional event sanipled this reporting period, and rainfall amount)
Total Event Precipitation (incites):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
lialeigh, North Carolina 27699-1617
C"I", , — ,' n. .

"I certify, under penalty of law, that this document and all attachments were prepared under illy direction or
supervision ill accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based oil nay 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 significaut penalties for submitting false information, including
the possibility of fines and imprisonment for knowing viol atiims." - .. -
! U
(Signature of rlilittee)
I
(nat
I
SN U-249-1021t
Wage 2 of j\

AXh
I��
STORMWATER DISCIIARGE OUTFA L (SDO)F4 oruop y
MONITORING 11H1'011T
GIB NET,UkL PI RMIT NO. NCC060000 SAMVLES COLLECTED DURING CALENDAR YEAR:
CE]t'I'11?ICATE OI? COVERAGE NO. NCG06__ ('Phis monitoring report Is due'at the Division no later than 30 days frnm
the date the facility receives the Sampling results front the lalnoretory.)
FACILITY NAME ("/CO[JN'['Y S u C r
I'1eItSON COLLIJCTINGAMPLES �"cre... �' �- � ����a PHONIC, NO. (_3j&)
Cl?, ITII+IED LABORATORY �!S� t Lah 4
Lab # - 11JL 2 9 Z016 PLEASE SIGN ON TILE REVERSE 3
Part A: Specific Monitoring Requirements
CENTRAL FILES
lc3:rTION
Oufiiill
Daft
niolkd/ r:
ooss4�[,
r.' Otj�i{)0
;:: 1l034(l ,.
,: , Uf1�SiW1
4Solics
,va-nrt�ot'
..m:'lyfl8ettti-iiil
i gG11.i ea1sel �:{
t��.:. •.:
0it;n'i�l
o:[�?l' tetnlel "sCpoelirF:,}n
irt
Wif�iin,:�:'0
I l0ilt}
170 ow
Mote: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for p11, you must implement Tier 1 or'I'ier 2 responses.
Sec General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 g�llotts of new motor oil per month?
(if yes, complete Part I3)
Parl 13: Vehicle Maintenance Activity Monitorlau Requirements
yes —no
nutfnli.
No:
Duce
Si{nilile f'olleeled;
d/ion
'005fi + ;_
OOS30.::•
;a:.:.:' tiOQO(I <u;:
ntl.gin d Grexsc,;
Tolal uspeiiilecl 5glulss,
m !l _
:pli,+
Stitgiiitrd': nits
-r.New utcit.011•Usal;e;
AniittiC'iiviirfr e' �allcno
66 4
Note: If you report a sampled value in excess of the henchniark value, or outside the henclunark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text_
STORM EVENT CHMIACTERISTICS:
Date (first event sampled)
Total Event Precipitation (itrches):
Dafe (list each additional event sampled this reporting period, and rainfall aniolnit)
Tatili Event Preciltitafinn (inches):
Mail Original and one copy to;
Division of Water Quality
Attn: DWQ Central files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons wholmanage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of fny 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." ,
{Dat
5 WU-249-102 107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CENIMAL RERMIT NO. NCC:060000
C_'I?UTIFICA`I'E OF C(.)VE11AGE NO. NCC06
FACILITY NAME Wa,�nt �. nL� LL C if Kph,)_,
P1sRSON C0LLEC'rING 'AM PLI S
CERTIFIED LMAORA,rORY 0L9rf:c � I..ub IE �(2.5
Lab #
Part A: Specific Monitoring Requirements
i s IVED
JUN 2 2 2U16
CENTRAL FILES
DWR SECTION
SAMPLES COLLEC'I'1♦ D DURING CALENDAR YEAR: oZ
('1'ltis monitoring report Is due at: (ite Division no later that! 30 days-fr6m
the date tite racllity receives the sampling results front file lilt) orutory-)
COUNTY Surrl /z
PHONE NO. (33w) - 3S�a-,SSG7�1
qN /
t
1'LEASI, SIGN ON=I'IIE ItCVEItSE 3
Outfit;A.
No
Sample ,
a>..f OtA1tlS�)eI1(1i1-Ff,'.µ
w r1, .: Ir,: - -
Gli�rrli atil.0 Lel
�o;i.antl,�C: ease.;•`:.;
i� ',,,:leettl"(�yi411fornl,
Cpllrcied;y ,
t5olld' '
�;�':S'�ft31�darcl untfS
, ,I�etfiatlt(, r-
f;� tnl;(I �t'
}3cilOil les:ptr•If)Q nil
- -
'.IIlO�[ifl�:M. AI
. "� -f-
�'+5 t:.7'hT-+-
-,trli1.,'v-.,+-"��.I'
I
"r120
rg rt Q: r i +'
aj
03
S - !7• /L
7 (a
oG
(--/2- /&
! 72
7•
G,o'1D
CS
Note: If you report a sampled value in excess of the benclunark value, or outside the benchmark range for pll, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 galions of new motor oil per month? _yes —no
(if yes, complete Part B)
fart It: Vehicle Maintenance Activit Monhoriu g Ret tdrelnents
Uittrall.
IYn.
Ditie'. : ;'"s.
Siutillle`CillleCleii
.. _ ooss�:
ons n.::._; .'.._'..
; '.,.,..,.'.:,06406a7.
Dil artd Ci east, , .r,,
:r
,.'Total uspeiided SRl,itlit,
IiYI + I :':'
t..' .. :.
units
v Nr;w..Muior()il-Usuge;
-ASnnual"overage gulltnu
"
:Ylcitcltntarlf.
_ ._ ;-��;`I,
',o k3Q�s. � �.�
� _ 1U0` � � �,-
� ` ;6iQ � 9 Q :4,•.
,
Note: If you report a sampird valtic in excess of the henclunark value, or outside tte henchir ark range for pH, you roust implement Tier I or Tier 2 responses,
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date-f -f2- r (first event satupled)
Total Event Precipitation (inclies):
slate (IiSt t:ttCli atiditiottal event Sampled this reporting period, and rainfall amount)
'!'hi411 _Vent
1,
1•CClliltiltltlll (Ittclies):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Haleigh, North Carolina 27699-1617
7 -Z'
C­! h — , /fin' —

"I certify, under penalty of law, that this document and fill attachments were prepared udder my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based oil 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 Lary knowledge and belief,
true, accurate, and complete,- I AM aware that there are significant penalties for subniittilig false information, including
the possibility of fines and imprisonment for knowing violations.'1
J
(Signature of 1'ermittee)
(Date)
S WU-249-102107
Page 2 of 2

STORMWATER DIS .II GE I r + A/44
C AR � O 1 C l AIL (SIlO)
MONITORING REPORT
CENCItAL, PI RMIT NO. NCG060000 .
. SAMPI.,LS COLLECTED IIUREiVG CAl,I?NI)AR Yh;AR. -
CERTIFICATE OF COVERAGE NO. NCO06_ :O_j .$(P � (This monitoring report is due'at the Division no Iater than 30 clays f_r',hnl
tile date Tile fi1011ty YCCClVCs the HEIM[11111g I-C9illts from the laboratory.)
FACILITY NAME �%�„� �,.� S �, L C COUNTY 1 r
PICItSON C()I..i EC`TiiV(: sA1VIP ES emu+ owr' — PHONE NO. (jap FG 7
CI R'1'llll) ll I..AI30RA'I'ORY Be, t l:ah #_.'Yj$
Lul► 1� PLEASE SIGN ONTHE REVERSE 4 RECEIVED
Part A: Specific Monitoring Requirements
t)ullall :
1]ufe
O(1534;
,.._
03
�1i
.
I�t'n
Sample. L,
_`I ota4tlsisetiii¢ti i� ;.
iti.;,,;{,_.:,,. tI7;::= -
I
GIiY,Cniulsl`[� e`reri,
�il,aitiitrefisBrw'+
1.=i?eet11"C iillfo:ail t
"i•-.
-C`t*tfrcfed
5nlid9 'r, 1 `:';
�i d,#ariiiard`uutfs
ti:•;Ilettanti►neesJ'
it l b nil ;
p Q
,6.It.ri.y..;
i' - 1`
;n
�f r J- 'r,
��,'I-a'.�,
6I}i •.J[�,, �, `.F'�I;
k �h.i-
I1111/dd/ l' :. I
-A _ r%IJ 4; f.
y�.�i
i `
I?i111s
`I00.1
e a
`ria,3
cVVtt itn20
is
00
nab
Nate: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for p1i, you must implement Tier I or Tier 2 responses.
See General Permit text. '
Dirt this facility perfnnn Vehicle Maintenance Activities using more than 55 ballons of new motor oil per inonth'? _ yes _no
(if yes, complete fart H)
Part It. Vehicle Maintenance Activity Monitoring Requirements
-.'0utf11ll.(10$56
No:
San k4ileC.III eeieil 4.
Oil.apd Greu'se,t .;:
glI;'"
:Total usperiilecl SnEidir,
- nr /L '
;[iFly
:Stiire'iiarei;iiiiit9
New. lttoi 011 [Jsage;.
'- Annuill.irveru •e cal/tno
r3�ll7
Nnlc. If you report a sampled value in excess of the benchmark value, or outside the benchmark range for p 1, you must implement Tier 1 or Tier 2 responses.
See General Permit text..
S"I'ORM l+,VI�,N'I' CIIARAC'I'EIZIS'1'ICS:
Date (first event sampled)
Total Event Precipitation (iuclies):
lliite (list each additional event Sampled tliis reporting period, and rainfall amount)
Mail Original find one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
P,aleigb, North Carolina 27699-1617
MAY 2 0 2016
EI TRA�L FILES
\-f-mP
}'hid i. 1
Total Event Precipitation (niches):

"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 persou.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best: of lny kiiowledge and belief,
true, accurate, and complete, . I Ain aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of 1'erinittee) (Dat
S WU-249-102 E 07
Page 2 of 2

STORMWA'TER DISCHARGE OUTIPALL SD t
{ O)
IE
MONITORING REI'OR'l`
CoP
CCLNEiLAL PI.IZMI'1' N[). NCC060000 SAMPLES COi..Li?C'I'LD DURING CALL' YEAR;
CERTIFICATE O COVERAGE NO. NCG06 't7-1''9�- (This monitoring r•epart. is due at the Division no later than 30 days from
the date tiro Facility receives tl a sampling results from the laboratory.)
FACILITYNAME �.tirMS 1-1-L COUN'rY
PERSON COLLECTING SAMPLES PHONE NO. 4 S6 '
CERTIFIED LABOHATORV �LL � /- Lail It 371jr
Lab 0 PLEASE, SIGN ON THE? REVERSE 4 RECEIVED
Part . A: Specific Monitoring Requirements
.olktfall
nbt� :,
Collected;
a4s�a�.�':=
�t. ,.0040o
m.No ,.
gSilli!�5 ��� r
T
:,�'t`trtriiltirtl:untts �"
r::rill"I�q
`',"lyett►arrri, hvl
fY+
11all(
mgjl.+ Fk
r
I:y„r;eexi:GnllcmuFtple lFurri►,
Gtrilnntea':per`![)(! nil
nenclintark
fi., "I4tl
�a�
-Zor4
0
Note: 1f you report a sampled value in excess of the benchmark value, or outside the benchmark range for p11, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Antivities using more than 55 gallons of new motor nil per month?
(ir yes, complete Part B)
Part B: Vehicle Maintenance ActivityMonitorin ltet uirentents
yes _no
Nu: ` .
:,...
Sariyile Cnllecled,
-
..-� .::'run/tfd/� t•:i��'.�. �,.,,
Z. .Oil:and Grease,; _
. �
arli�/1-+:` . , _ .
Totlil u�ti;eiided Snitdrlr
, = m !'._
A^
Stiirtdilyd';tiiiiit9
Ni'wih7606r'0I1.lfsage;
== Aniirtit.`siver a �e gal/Tarr
3tiitell ulurlt.
i
,i: 30, :
;6,1)`- 9:4 I ...
-
Note'. If you rCi)Ort a Salilpletl value Ill excess of the benchmark ValllC, or uutsitie the benchmark range for pll, you mist implement Tier 1 or Tier 2 responsc8.
See General Pennht text.
STOIMI EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (hnelles): _
Dide (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (illehes):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
MAY 2 0 2016
-ENTRAL FILES
~"AIR SECTION

"I certify, under penalty of law, that this document and all attachments were prepared under my direction 01'
supervision in accordance with a system designed to assure that qualified personnel properly gatl►er and evaluate the
information submitted. Based oil Illy inquiry of the persom.or persons who manage the system, or those persons
directly responsible for gathering the information, the informtation submitted is, to the best of my knowledge and belief,
true, accurate, and complete, I ant aware that there are significant penalties for submitting false informiation, including
the possibility of fines and imprisonment for knowing violations,"
v31911aiure of t'ermittee)
(Date
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 1
CERTII+ICATE OF COVERAGE NO. NCG06_ flb (This monitoring report is due at the Division no later than 30 days from
R����'+ � facility receives the sampling results from the laboratory.)
a
FACILITY NAME Wn-L c,rm C c C COUNTY ucr
PERSON COLLECTING SAMPLES �� �Q,pr�(,� PHONE NO. (33(, )
/�
CERTIFIED LABORATORY , tf- - n._IN i f 4. t Lab # 31-73WAR 2 4201
Tom- Lab # LES PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FI
DWR SECTION
[lutfall:.. ..
Date=
No
�r `Sample ; -�
rrti :Total Suspendedi
�,_ �pH,
{ GliGmt�cal Oxygen'
Utl,und�Crease;
Fecal Colifornt,
a
Cplleeted,
,S011dst ''
r1S#andard untts
s '.Demand,k
mg(L F
Colonies per 100 ml
:.,
r.mo/dd/ r::
'1..:.. kri /Lyi '`-J+
i
::
:Wifhtn.6:0
120,,,.
° 30 .° ..
'r
oo
a-
110
_
/o
oz
.3 A -r(a
So'
8,
o
00
-r &
Too
g.
i?7
O
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for p1l, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes ,,,<o
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall.
No..
: Date
Sam pie Collected;
/ddl r ..:,,.
Olt and*Grease
:.
`„ _.:rrt /L: .:.:.
Total Suspended Solids,
° :m /L.': ...., ',
pH,�
:Standard,uuits
New. Motor, Oil. Usage,
Aitr uEff.avera a al/mo
JBenchmark.'
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Datea•3-1(y (first event sampled)
Total Event Precipitation (inches): 75
Date (Iist each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attu: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
QXIfT T.1An In'II n`+

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. I am' -aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Per ttee) (Da e)
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAROE �i
CERTIFICATE OF COVERAGE NO. NCG06-01 W5 (This monitoring report is due at the Division no la erZtthan*301dFy�s,,yyfrom
the date the facility receives the sampling results from thetlabgratfy.)
FACILITY NAME 4.Z _ COUNTY -5tirri
PERSON COLLECTING SAMPLES PHONE NO. 3 gG - s ImP 7
CERTIFIED LABORATORY �,� � �� l Lab #1 T '1,�$ j� EC E I� EDEASE SIGN ON THE REVERSE 4 ^�
-Lab # + ` v V P�
Part A: Specific Monitoring Requirements
MAR 2 4 20116
Uufrall •:
-Date :> : ,:y
0053U*�i;` �.,
:4 00400
,
No
Siimple .y
~.;Total Suspended aid
a r ,
j C ietni�c ,,
OiI^andGrease;
Fecx1 Coltfornti;
I
C61 eeted
�Soltd?;
4 LpH,
=� dStandardunifs
r,
n. "Demand,
m /L= x °}
- g
Colonies ier, lUO ml,
_.
i,'
., �{
-. _
n► [;,"'�:!`�
mo/dd/r::, ,
L MgiL _
;:
h
;5
Within--G:O-.:9.0.
120 ,.:
ter.,. `I30•',. a rw'
4 000.
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ___. yes _no
(if yes, complete Part B)
Part 13: Vehicle Maintenance Activity Monitoring Requirements
Outfaul
No:
Date
Sample Collected;
rno/dd/ r •.. - ,.:..:_
`-00556 -
00530,:: : -:: ..:. .:
Oil and Grease, ,
' ,
. Total Suspended Solids,
:' .
;pII,
an .
New_Motoi-.Oil Usage;
iriiuLaverage allmom
A
:Benchmark.
.10VIn
— ,�..
-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pl-1, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 43-1(first event sampled)
Total Event Precipitation (inches): • i0
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn. DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Q X1lT T --)An Inn I n'7

"I certify, under penalty of law, that this document and all attachments were prepared under niy 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 finny knowledge and belief,
true, accurate, and complete. - I am aware that there are significant penalties for submitting false information, including
the passibility of fines and imprisonment for knowing violations:"
(Signature of Permittee) (Date)
S WU-249- I 02107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDOJI�po
MONITORING REPORT
GENERAL PERMIT NO. NCO060000 SAMPLES COLLECTED DURING CALENDAR YEAR: C7
CERTIFICATE OF COVERAGE NO. NCG46__0(o T _ (This monitoring report is due at the Division no later than 34 days from
the date the facility receives the sampling results from the laboratory.)
FACILITYNAME r-x!! COUNTY U;1 r
PERSON COLLECTING SAM LES PHONE NO. (33(e ) _3 F& - 5
CERTIF IED LABORATORY Lab # 3 7 738
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
Outfall.
Date" :
; . ..: QOS3Q� ±..
':.: :.00400.
,00340,•s
. QQ$Sti ia,�.
;'. 23'16'16 ,
No
?.:
Sum le
p a
.fatal Stts ended
p
pFi,
ChQmtl al.Oxyen
�Otl.and�(:rease;
r Fecal Colrfarm;
Collected,,,
,5
Sohds =
l
Staiidard:untts
+ ;Demand, F '
MglL. � �
� CoIontes per 140 ml
moldd/ r
m /L , ..,
: r.,t ... i ..il>
m_,. L. ,
r.
13eneltma
120'
{ 30 Vcl
1400 CI:
8
a
oZ
lr
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity MonitorinR Requirements
Clutfalt.
No.
Date
Sample Collected;
:: 00556 w:
00530,;:
O►1 and Grease,,
Total Suspended Sghds,
:m /C,. '
„plf; 1
Stundard,uriits
New..Mator;oil .Usage,
-Annual'avera a al/mo
I3enchzttark....:
: _... ��:..: ,
.,4. ��' 'x'ti
,30
I4Q 1.i
G.O:- 9
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):
QAX"T I A 0 inti�n-r

"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." ..v
(Signature of PernIittee) (Date
S WU-249-102 [ 07
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
t
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 O; 1-$' 5
I+ACILITY NAME Wo. ra r&%S L Le
PERSON COLLECTING SAMPLES —Zerea••{ Q o..rl -,
CERTIFIED LABORATORY _ A,.�l.r�t c—I Lah # 72
Lab #
Part A: Specific Monitoring Requirements
m
4(ej O*AP
SAMPLES COLLECTED DURING CALENDAR YEAR: d
(This monitoring report is due at the Division no later than 30 days from
the daterr the facility receives the sampling results from the laboratory.)
ECErVEDPIIONI NO. Vrtj
FE 3 17 2016 PLEASE SIGN ON THE REVERSE 4
CEN NAL FILES
DWR SECTION
Outfiill ;.,:
No
Date :,:.
Sample .4
Colleeteil
'rno
00530 3,
i ..00400.
x •` :00340
ti''31616.::.:
�� .Total 5uspertdcd �+
.Sohds y-'
ii pII,
r �Standard':umts
Cti rtucul Oxygen"
','Dernatid,
��Orl'ana grease; i
4 mg/L x
, i Fecal CaLform;
, Colonies, 1110 nil
Benchmark
=
100,
; Withrn20
..�
oa I
1 0/6
I
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, complete Part B)
Part B- Vehicle Maintenance ActivityMouitoriu Re uirements
Outfall.
No:
:... ..
Date-
Sannlile Collected;
n�o/dd/ r •:.. ,
00530 ;::
'.00400.2�;,.
.OitAnd•Grease„
�•
.. '•:,. ' , .. _ ,lit /L,:., ... _,
.Total Suspended -Solids,
`' .m' /Il::_
. ;pII,
Standard units: _,:`._.:
;•New.Motar Oil Usage
An""nunl avers a aVmo
:Benchntark.'
- '
4, , 3Q ,' ;
100
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CIIARACTER.ISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
CIIrT 1 140 111-7I A'

"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. X am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations." '.
J
(Signature of Perinittee) (Da ) }
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06_ _ ��-�•�_�o_ (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the�sampling results from the laboratory.)
FACILITY NAME Lt%o- o- � S COUNTY .]Ur
PERSON COLLECTING SAMPLES .here PTIONE NO. 3( W 3 2t!-114 2
CERTIFIED LABORATORY r - Lab # 1
Lab # ��VeD PLEASE SIGN ON THE REVERSE 4
J
Part A: Specific Monitoring Requirements
AN 15 2016
Ouffall: ,
Datt
0053U :
' ;" .00400
S.' ks
.' a
�� OQ55d�,;r
= „'316I6
No
;, Simple
:Total 5ttspendt'd iP
n : r gip$, -
a Clie xygen
��Oil;and�Grease; ` :
f Fecu1 CoLfarni;
Collected;,,
Soitd�
wr}Staiidard unrfs
_
emand
D,
mg�, rj ° :
} Colonies ger lOQ ml
fL/
'm
^ t , ,
,- m'
,7120
60l
/ 05
f10 lov
bpi.
03
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier l or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall.
No
Date.
Sample'Collected;
0.0556:: ... "'
00530.:
L}040U':L;-
OiI and Grease,
iri /L :'''., .. r
Total Suspended S61ids�
' :m /L. '`
pH,
° -Standard units ..
New.. Motor Of1.Usage,
-Annual averse aUmo :
Benchmark.'
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CIIARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
C\1r7T -1 AA 111n1 A"

"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."
(Dad)
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MnNrrnuiNG REPORT
GENERAL PERMIT NO. NCC060000
CERTIFICATE OF COVERAGE NO. NCC06 b i$to
FACILITY NAME_W!:: , `-laps L. cc ^
PERSON COLLECTING SAM LES(3p, rc-�
CERTIFIED LABORATORY f it /4", Z l Lab # 1)7 3a'
Lab #
Part A. Specific Monitoring Requirements
RECEIVED
NOV 1° 8 1015
CENTRAL FILES
SAMPLES COLLECTED DURING CALENDAR YEAR: °wp SECTION
(This monitoring report is due at the Division no later titan 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY _Syc_-
PHONE NO. (3j.%,j
PLEASE SIGN ON THE REVERSE 4
00534
<< ;.04404.
043+�0 . 'i 1+, i
�"::.00SS6,
31616..=.::.
..+1.
Nd. : ,
Sample
, :Total Suspended a
j . r ' pH, -
GtiGmic l Oxygen '
, O�I,;andtGrease,
i Feeal "Coltform,
Collected;,
4 Sohds
: r}Steiidard:units
;Demand, ; '
` ng/L '1 ^
Colbnies:per 100 ml
�•1no/d, •r ��
'J ���� :il
k 4 9 ,il '-
I3cnchntark-With
tn.6.0== 9 0
.120 ,
1000 ,
b /
b -rta
d ovJ
001L
003
Note: If you report -a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part 13: Vehicle Maintenance Activity, onituring Requirements
:.. Qutfali,
No. ` .
Date
Sample,Collected ':
J 00556 - :.
00530
00400 +is'.
Oil and Grease,,
:.Total Suspended Sghd's',
=.pII,
^Standard Units'
New-lYlotai.Oil Usage;
?Annual'average gallmo
Benchmark."
9
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
clilTT inn in�,,n-r

III 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 Tny knowledge and belief,
true, accurate, and complete, - I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of 1'erinittee (Dat
11
S WU-249-102107
Page 2 of 2

STORMWATER DISCIIARGE OUTFALL (SDO) NOV B 201$-
MONITORING REPORT CI`
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 b I $�
FACILITYNAME__W�Y..� P"ra.S _L L ( _
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY _Q..e� /ln�� t-,�� Lab # 3?7.3�
Lab ##
Part A: Specific Monitoring Requirements
DVV v! HAL FILFs
EFC
SAMPLES COLLECTED DURING CALENDAR YEAR. 1I_ ON
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Surti_
PfIONE NO. (.,3(, 3 Erto3 8(07
PLEASE SIGN ON THE REVERSE 4
:. Uuffiih • .
Date
: , 0059D .'
: 4F 00460
-,� ,003 a•
. ; , -. 0055
�s=: i' 3
Total Suspended*,
�� pH,
3 GhGitucal OxygenOt1,;and
Grease,
y Iiecul Califorat,= ;.
No
Sample n
Collected,
�Souds ''
`�^
r` Standard ui.nits
':Demand, ; '`
` mg/f �i r
, Colonies':per I00 ntl
S
'r-
in /L'� ''
't."
, m
,,s
-[no
tlti
Benchmark`:•
-
r , `100„
: Within 6:'0 - 4.0
120
", 30 , k
.1000
dp
JD- aol5
0 faw
Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes —no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Renuirements
Outfall.
No. ` .
Da: :.,
Sample'Cullected;
mo/ddl r:,•:::,:m
" 00556 ::..
0053U.::
06400.':e,.
;:,.; ''• '• .
_.' - Oi! and•Grease,r .
;•:Total Suspieriiled Sghds,
/I:`._
pH,,
4
;Stundrd.uuits.:AnivaLaverage
; New .Mot6F-011 Usage,
al/nio:
Benchmark.'30,
,
100
;,_; 6.0:' 9:0,
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
IFJ
Q1,1111 1AA 1(In 1 An

"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system; or those persons
directly responsible for gathering the information, the information submitted is, to the best of any knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false uiformation,` including
the possibility of fines and imprisonment for knowing violatiaons."
(Signature of Per"ttee) (Date
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFA_LL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 Qi ZrI&I
FACILITY NAME Fl-r
PERSON COLLECTING LES u efY o» [=
CERTIFIED LABORATORY 91, r,; Lab # 7�
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR. w
(This monitoring report is due at the Division no later than 30 days from
' da.te the a ity receives the sampling results from the laboratory.)
REG�E ���� COUNTY Sty r
` l
OCT 2 6 7015 PHONE NO. (33
CENTRAL FILES
DWR SECTION
PLEASE SIGN ON THE REVERSE 4
Outfall:,.-:
No
:
Date;.00460
Sample
Collected; I
�.Ino�dllf •r.., AI
0,0344 ; a`a
04 5dr�,:r...
��_ : y' 31616
r Total Suspended r
Sohd�
'J .,- �,A
r t xplI, - -
r Staridard units
C ht nucal Oxygen
t ":Demand 1 I
011.;and Grease; a
mg ,k
Tecul Conform,
Colonies per 100 ml
Bencllmark
Do(
001
003
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
fart 1S' Vehicle Maintenance ActIvIty
OnitorIng ice utrements
'Outfall.
Date
- 00556
00530 ::•-: - ._
-; 00400 �[;".
No:
Sample Collected,
Ott and Grease,
Total Suspended Sol�ds�
„pH,*
New_Mottir.011.Usage'
mo/dd/ r:..:,:.,
_iitt /i,:',
" m /L.'
Statidi4rd,units
A4h`uA'avera a al/mo
enc k..
r ll.
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pl-I, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date (first event sampled) Attn: DWQ Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
QWIT.IAn 50'„n-1

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of My knowledge and belief,
true, accu'rate, and complete:' I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Per"ttee (Date
0
1
f SWU-249-102107
Page 2 of 2

�EGEI�E�
STORMWATER DISCHARGE OUTFALL (SDO) QCT
MONITORING REPORT ' CEN-rrRAl F _
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06_ ) 9 4�_
FACILITY NAME t/Ja Fw 3
PERSON COLLECTING SAMPLES '.5ar e_^
CERTIFIED LABORATORY Qac.4 A....� l _r.,l Lab # '77ja
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due at the Division no Iater than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY _ 5u came __
PHONE NO. (��G SSiG 7
PLEASE SIGN ON THE REVERSE 4
l7uffull:
No
Date -;;�.
x Sample
Collected w
•.;�-00530�;,�� �
..�, � :.OQ400
':;. �0034b `.;_�.;.5
,, , OOS5�i+„4.. •��;
., .a, w`�316.1b
5 '7 otal Suspended
4Solisl3 '''
'100: ,.
L =rpH, :'.
-w � fandard-units
Chemical Oxygen
t'"Demand, K'
a Ot! and�Grease,
'r mg11r r
r
i Fecal Coltform, '
, Colonies per 100 nil
t
y ' 1000
0 ow
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gaIlons of new motor oil per month? _ yes `no
(if yes, complete Part B)
Part B-. Vehicle Maintenance Activity onitorinR Requirements
O_ulfall,
No:
Uater .: ',
Samlile Collected;
QOS56 ..
00530 ::
00406:i:..
:.
OiP and Grease,;.: _
::'Total Suspesided-S6lids,
:m /L;.0
=,:pH,
S'thndhM,'4n
r Ne'w.Motoi-,OffUsage,
n-'-i6 "ua'l "avv' - a al/mo
Benchnzark .
-
30. i:;
100 d'
�. 6`:0,- 9 0
.
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):'
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
c%XIT T-IAC1 In']1Al

"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 Tny knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fates and imprisonment for knowing violations."
(Signature of`Permittee)
E
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO60000 SAMPLES COLLECTED DURING CALENDAR YEAR: 1
CERTIFICATE OF COVERAGE NO. NCG06 �_j_9t�_ _ (This monitori report is dtre'at the Division no later than 30 days from
� ei t l 1 ity receives the sampling results from the laboratory.)
FACILITYNAME t-.� -._ n u. g L e L COUNTY SUr tV
PERSON COLLECTING SAMPLES _ ePGr p,n11-n SEp $ 0 ;,; t PHONE NO. (3 .
CERTIFIED LABORATORY _ ��_ �S4 /�� ),y :ct I [.ab # _
Lab # CENTRAL FILES PLEASE SIGN ON THE REVERSE a
Part A: Specific Monitoring Requirements DWR SECTION
'.Q.uffall ::
No.
Date z ..
Simple u
Collected,,
mt;Mdl C
00530r `;:;,<':;;
:�,; .OQ400.
... a:00340
"31616
,, okai Sus(�euded
7
rSohd�
i 4 :a.pH,
w h.
r b Stattdarti:untfs
Y y
CiiGmtcnl Oxygen
i
'.Dematid, r
�Mil.;and ;Grease?
e r
{ mg/I t"
Feeai Coltfornl;
y. -
, Cal`anies.per 10Q mi
-ltenehinark
100•` :.
i-withtn G10--9 0.
1000
0
IL
n
003
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text -
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part 13: Vehicle Maintenance Activity Monitoring Requirements
.'Out
No:
:..:. Date =..:,
sample, ollected=
mo/dd/...�.
='. 0[)556: :..
.. 0053D :: '.
00400',_i::•.
Oil and Grease ,
Total Sus ended $ohds
Stan ard',uniO
ew.Moto
. _•Aitizutil average Oi1.Usage,
ra" a allmo
Benchmark
i..:::
100`_
9 _y�..::,
6'0- 0`
s
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for p11, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (incites):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
currT-nnn ,n"t9n-r

"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."
............ �- N
(Signature of Permittee)
-ZJ
(Date
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06 O j$� T _ (This monitoring report is due at the Division no later than 30 days from
�9"I f� , hreceives the sampling results from the laboratory.)
FACILITY NAME �% n r s I }}// UNTY _10 rr-Y
PERSON COLLECTING SAMX LES —e-re-m o.j l � �;, PHONE NO. ( 1_;#5��, - S��i
CERTIFIED LABORATORY ram. a q„Q 1, .� = „� I Lab # 9�� P 3 4 2015
Lab #
CENT PLEASE SIGN ON THE RE,VERSE
• DWR EKES
Part A: Specific Monitoring Requirements CTION
No : ,
Simple §
;M
.mo/ddl r:.; ,'i
06534a t.
Fx 0040 0.
�: a00340 ;
N ;Total Suspended Syr
+SoLds
_ry
..... ?m /L . `
r .pII;
J
u S{tandard unitsCollected
,
:. ` e ,
4hGmtrral Oxygen °
m µt,
�O.;andarease; '1
mg
1!ecaLCiltform;
Colonies per. ml
~'L00;:V1'if#itn.:0-90;
120.,
�. 30 i
1000
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pl-1, you must implement Tier l or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity onitoring Requirements
Outfall
No.
Date
Sampie'Culiected;
'OOS56
00530.::'
00400-
Oil and Grease,
:Total Suspended Solids,
:pii,
Standard,Unit''
New,Nlutor O11 Usage;
A_ r, utilaiverR e' allmo
Bei3chmark.'
6' - 9 0 -X-.
-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (Iist each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mall Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
L
00
C�
Q %V'T T, I A 0 1 W1 l n'7

"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 guy 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." _
S�::- � U 1 ik
(� �-..
(Signature of Permittee)
(Dad)
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) SAP .0 2
MONITORING REPORT CENTRAL
GENERAL PERMIT NO. NCO060000
CERTIFICATE OF COVERAGE NO. NCG06.
DWR SECTION
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due"at the Division no Iater than 30 days from
the date the facility receives the sampling results from the Laboratory.)
FACILITY NAME GLIc. >� L .. COUNTY _JJrt
PERSON COLLECTING SAM LES 3ertr _ ry I-v— L��"� /1 PHONE NO.
CI 12TIFIED LABORATORY Lab # � LJ os va
Lab # 0 2 2015 PLEASE SIGN ON THE REVERSE 4 0001°
Part A: Specific Monitoring Requirements dWR t FILES
Ecr
<:!Outfall.:.,:"
:Date ':
,.. .Q0530 ..,'
OOA00.
,.
No
Sample
Total Sltspend'ed
ric: "pII,
C1iit3tc I,OxyenOil'an@#Grease„
;
,� Fecal Collfor�,
,.
Collected; , I
� Solid§
�� 5tandard.units
'.Demand, ; -_`^
mg/L= 1
Colonies per:100 ml
`
r
,
:nmodll
W100.Benu:4 -:9.c 0
120,
001
O
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes `no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity onitoring Requirements
Outfall
No
D"ate ; ; ..
Sample Cotlected;"
; . '- OOSS6 ":' .. , , ::
00530 .::.:.; •..... ,
00A00 a,; .
, ". -
Oil and•Grease,,
Total Suspended Solids,
/ ,`.-
gII,
Stan dard,u"its
-.New.M6t6r"Otl.Usage'
Ani<ual averageaUmo
:Benchmark.'
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pI"f, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):
cuIrr.r)nn InI,n7

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or .
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted, Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information., the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. - I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCC060000
CERTIFICATE OF COVERAGE NO. NCG06 d
FACILITY NAME WG4114- Fc.i r^S
PERSON COLLECTING SAMK LES ieten.i Bowl-N CERTIFIED LABORATORY e,wi f Lab # `f
Lab #
Part A: Specific Monitoring Requirements
JUL 2120, J�
SAMPLES COLLECTED DURING CALENDAR Y
(This monitoring report is due'at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY 5 u trI
PIIONE NO. (12(e 1_ Ff.
PLEASE SIGN ON THE REVERSE 4
Outfall::., •..
Date "
-. OOS30� -°
� �
:rF 00400.
.., 00340 ; a'a•
, ...'� Q55��, :w
1_ :'316'I6:
No: :.:::.
Sample . -,
r, - Total'Suspepded i f .
y : r pli,,:..=., '-
CtiGmi al.Oxy en)_
�Oil;and , ease, i
Fecal:Colifornt;
('p11eCtCd.ti.
,$olyds ,
r rStilrxdard hurts
,
w ',"I)emaiid F ',
mi/I;- t °
g
Colonies'`. er 100 rril ;
1?
mo/ddl r:.;
�tri /L `'I`4:r
`.,I c
'�
r
9.'0
120
.. r k+ :
r ' 41400 ,
CO 2
ba3
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text -
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes `no
(if yes, complete Part B)
Part I3: Vehicle Maintenance Activity onitoring Requirements
Outfall.
No:
Date
Sari4ple Collected;
':00556
OiI and Grease,
_.�irt "/4:: ., ..
Total Suspended Solyds,
.m IL._
:pII,
Standard units
New.MotorOil, Usage ;
Anuual `avers a aUnro
l3enclrmark.'::
_ a
�...,3D.,
too -�.. E
_ 69.0..:
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (Iist each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
c\IM 'm t) gn7in�

"I certify, underrpenalty. 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}subinitted. Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible forgathering the information, the information submitted is, to the best of my knowledge and belief,
true, acetkrate,, and complete:- I am aware that there Are significant penalties for subinitting false information, including
the possibility of fines and iniprisonment for knowing violations." '
(Signature of Per
16
(Dat
S WU-249-102107
Page 2 of

ST_ ORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06 01 (This monitoring report is due at the Division no later than 30 days frbrn
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME W Fes,; 3 COUN'rY _5 v tr—i _ -
PERSON COLLECTIN SAM. '[.,ES t n• �.I f = n 11I10NE NO. C (e ) . 3 $f. - j $"(e']
CERTIFIED LAI30RA'I'OIZYca,�,T
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
�.. ontfnil .:., ..
• ,,:: ;:..nat�, ..
.a �oos
. oo�tio -
� :;oo��a0
� � �,, ti. �
-
N'6:
' a Saiilple y
a� ��otltl $uspenti d
a,,. pH, -
CliGml >S1 OXy en
Ofl';nn( Gr'90e;
r ,'recal Collful nl;
C'dllecl ;
Solic��tti
ta[idlird units
l)enlan�,�
�r, 1,
ti, m1L w�
(in esti61r•1Q0 lri1
fH
,"
..
. .
Itenchm$rk
=:
XDO
�h �, Witlitl�:0
.1001) ,
OBI
0
b
oa ]
boa
Note: If you report a sampled value in excess of the benchmark value, or outside the bench mark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Aotivities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part 13: Veleicle Maintenance Activit onitoring Re uirenlenls
putfall.
No'.
Date:: :::::
ilmlile Collected;
IIIO/ddl r i.., .
:< UO 56 .
0053Q
6,40t} -`
Oil:lli[d Gre'asc;
:.Total uspended Sol[ds,
m : ,
;liH,
:$tund4ej .uti't.ts t
New.1V16tor 011-Usage;
:Anqudl"nvera a al/mlo
'Benchmark.'
_ ,;w:
r ?� 30:,` °
100 ;:;,t
, y.,,
Note: If you report a sampled value in excess of the benchmark value, or outside (lie benchmark range for pH, you must implement Tier I. or Tier 2 responses.
See General Permit text.
STORM EVENT CIIARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
c 14rT T -Inn 1n'I lfAT

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERA-. PERMrr NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06_ d i $,� (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME_ kla A e. 0% COUNTY _ Sou.l
PERSON COLLECTING9AMPLES O W ti : f` PIIONE NO. (33G) $te - 516 1
CERTIFIED LABORATORY Lab #
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
Ouffall...
Date
00530
.-OQ400
`O.U34U
OgSS�:�,
W3161ti
No
Ssmple;,
Total Suspended �y+ ,
fi spll, ' -.,:-'
Ghmical Oxygen"
Or1and Greasea i
, ' Fecal
Collected';;
�Sol,ds� ''
�r d Stundard:unrts
m d
'' , �'
tng/L y t
Colonres per I00 ml :
:
i,
_D
i� n.r
Ilenettmark'.•
'100;,4 w r
'�'-Withrn 6.'0=:9A
�;'`12Q
a ��
'ri. `.1000
�.
i
�'30 _�. t
a
OO 1
110 I
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part 13: Vehicle Maintenance Activity onitoring Requirements
:.. Outfall.
No. ` .
" : -. Date
n
SitriiJile Collected; -
-_`...Oil-Giease,, :` -
:ant /l. r'''., . _ _.
;Total uspettded Sglids,
:'-m IL1
-,;pl-,
',^StAndacd Units'
Nerv.MbtoF OII Usage,'
Annual average a11mo
Benchmark
100
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS. Mail Original and one copy to:
Division of Water Quality
Date (first event sampled) Attn: DWQ Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Q'UnL,Inn in-11A'

.rf
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete, I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Pel-mittee)
AL j S
(Da ) .
S WU-249-102107
Page 2 of 2

r4
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06 61 $ S_ _ _ (This monitoring report Is due at the Division no later than 30 clays from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME ale, COUNTY _ _Sum/
PERSON COLLECTING 9AMPLES 14Ow►:l` PHONE NO
CERTIFIED LABORATORY (�.,�,¢— Lab # .3 V
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
O.uEfal!
No:
Date y',_f.4US34
;' Sarttple ;
Cotected':"
-w:
Ind/dd/ r::',�' I
1.
;_' - , : 0:l]g00.
,, �. 0034i)
r� otal; upend d
;Solids ; 'rl ` w"
�,-. �4.'
,
z , .,i. ....-. /L.<;.�.
r ;rw F, Li E�,
t,�,"tssard'tinits.Col..I0
_ r'c'�.Y
R ,
r, p m1. .r�
C;ti inl hl.Ox� en
011';nri[i Gr�aSe �:+
_i;a.,�
: Fecal:Colifor.10
oniesY�r 0 nil
-
»t
Beni ltntark
-
�. L00;1 ," rWlfjin'0
�.9:0 .`
? ,124 �.
P� , ;� p ,
i .. 000a•
OO
-2601
/1 D
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did tli s facility perform Vehicle Maintenance Aotivities using more than 55 gallons of new motor oil per month? _ yes —no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Moultorlog Requirements
Outfall.
No:
j
S"attiDCa'toel<fected,'
mo/dd/ C :,
06530...
,:;; '
''0t0i,4tl0,^U
CrNs
Oit ,
Gease
Totat usp�uded Solldeple`
,. . , �
r-`
�;u
l
e'•
:w-
1Vitor;Oil.11sage,jnd
itrg;
' a/Rt4 e
kienclrmark.•::
:. _ :.. _... : 4`: -
�to �3Q'
140
�_ 6,0; 9 0°.. ::.
k -
Note: If you report a sampled value in excess of the benctunark value, or outside the benchmark range for pl-I, you must implement "Tier 1 or Tier 2 responses.
See General Permit text.
STORM. EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
Dale (list each additional event sampled this reporting period, and rainfall arnount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central hiles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):
et[rF1_9,1n IA')IA"

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO_ NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: I —
CERTIFICATE OF COVERAGE NO. NCC06 Q (This monitoring report is due'st the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME�IJ !"+S L L R„ COUNTY_�tit=�
PERSON COLLECTEN SAMP ES �� t'� �v- ..� ti - C; PHONE NO.
CERTIFLED LABORATORY Lab # —3 JUN 2 9 Z015
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
DWR SECTION
No. _
Sample
Collecfett; ,
m0/dd1`
0053p
yr „00400
r. ; „ .,'Ot1340 i;.
:,0g55 €,
:316I6
:Total Suspended r
SoLds �' a
.. ...... ^
. + "tStartdard untts
a ChGttucal.07ry�en _
','Dematid, r 'r
x� Qil;and Cireasea ��
mg lL
,' + Fecal CoLfornt;
Colontes'ler 100 m1
Benchmark'.. - .
;, .= , . ; .
a.,. � .
i00„
', Wiflttn 6:0 — 9:0 .
:120
cot
r7 i
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part 13)
Part B-. Vehicle Maintenance ActivityMonitorin Re uirements
Outfall.
:. No:
:..
Date _
Sample Cphecied;--,-.Oil-
00556
OOS30:::
OQ400-:�;.
r.
and Grease, h
Total Suspended _Sglidsr
m Ili
-Standard �inits
; New•Motoi Oil Usage,
: AnnuaL'avera a aUmo
13enchmArk.'
100 - ' € G
6:0=9 0 `
-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):
c11rir qnn 1M, n.1

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. - I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violatiiDns."
(Signature of Perinittee) (Date
S WU-249-102 t 07
Page 2 of 2

STORMWATER DISCHARGE OUTFA_LL (SDO)
MONITORING REPORT
GENERAL, PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CER'T'II+ICATE OF COVERAGE NO. NCG06 $ (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory-)
FACILITY NAME q � COUNTY � ilrry _
PERSON COLLECTING SAMPLES ,J I,fn _' RECEI V EM)NE NO.
CERTIFIED LABORATORY _- l�h� A Lab # ^may
Lab # MAY 18 ZOIRLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
DWR SECT1QN
530: '
a.� :,; ..00400.
':Q03'4b
OQSSd
No =
Samp le
:Total SuspeM a�
i;; pl[,I
Cli011deaiAzry en'
0il,and�•Greasea
i' Fecal Co1ifor-m;
+'ollected;
}So4ds
Aryfy
& SEandard:unifs
:Demand, F
mglL= 1 F
,_ Colonies per 100 ml
1
-
rno/dd/
Benchmark
:. ` a . 100 : w r
" Withal" 0c= 9 0
120
�r; . ` 30 :' ...
t 1000 ,
o�i
-IS i
a I
7) 1
j
00a
- -i-S
?'a0
a
v
(Do
IS
a-7
xn
7
IS•
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part B)
Part 11: Vehicle Maintenance Activitv Monitorinia Requirements
_. . Outfatf.
No.
;., Date ' •
Sa' taPle Collected;'
mo/dd/ r;•:.:,
., = 06556 . ' :.;
OQ530
0040(l i.,
-.Oil-a'nd'Grease,r : .' .
..dirt /I.:: , :
,::Total Susp•eaded•Solidsr
':m />,`.=
p11,1
sStandaid,iinits
;. New.Mut6r.Off.Usage;
_^Aiiiital;avera a af/mo
Benchmark.'
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses,
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date q J5 -1 S_ (first event sampled)
Total Event Precipitation (inches): 5
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):
Q11rT T_'1An 1A'11 n•1

"I certify, under penalty of Law, that this document and all attachments were prepared under my direction or 1--� ..,a
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 guy knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
S WU-244-102107
Page 2 of 2

!Z;"
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO60000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06 O (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
I{ACMITYNAME VC'-5 U C COUNTY J tUrr ,
PERSON COLLECTING SAMPLES ,j 1, PHONE NO.
CERTIIE{IED LA130RATORY e—rj Lab'# 31_
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
Ouffall "
- No. .::= _ .
Sam ie
p ,
Collected;
trio d/ r.:,:.
:,;.QQ3:40
Total Suspeni3ed , ?
4Solidt
'- - 'J - r , -:fL r,
m /L
w� p H°
S�tsindard:untts
yam. . - -i r +`-
it , ,4 r
�Gli rru �i. x eu'
U
;Demand,
r + -tea - - ,-
111 M1 i
Oil"and, Crease,
mg/L r
' r:�• :�' G ''
Fecal `Caltfarrn;
, Colonies"per100 m1
,
1. J.♦
13enchntark
a., `100; ; :'
' : Wifhln'
�7.
o
S
O
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pl-I, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part B)
Part B- Vehicle Maintenance Activity Monitoring Requirements
. Oatfall.
No
Date
Sample Colleted;
,mo /dd/ r
:. OOS56r
00530.:
.Off and•Gre9se
nt /l, `'
:Total SusPeriaed Sglids,
m � /L;: '
;.,"pFI,
Stundhrd units
New.Moto� 011•Usage,
Annun i`.'�ivera e" al/mu
:Benchmark.'
_ _ �:"
�':.30. ; r;. Y ti,
100'='.;;:; �.: -
-:_:: ' 6.0—
_
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for p1l, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date y q-1 (first event sampled)
Total Event Precipitation (inches): 5
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):
C VU7 T-)n n , n7 I rl T

"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 ply knowledge and belief,
true, accurate, and complete, I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Dat
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCO060000 SAMPLES COLLECTED DURING CALENDAR YEAR: O
CERTIFICATE OF COVERAGE NO. NCG06. Of S [p (This monitoring report is due'at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME W -.ins I�r�+►j t! C_ �'��� /�pQUNTY i
PERSON COLLEC IN AMPLES [5 „J+ V Li }"ONE NO.
CERTIFIEII LABORATORY $�,Q cny� � ,._._ Lah #
Lab # T APR 2 8 ZQ f JrPL11ASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
D WR SECTION
?.Ouffah
No.
Date y,
Sampie
C451 OF ed; , , j
�fl053Q ....r.
F -00400
..:.:.0030 ;,.
, F..Oij55�hi+
3161ti
y otal Suspended �;
boll ds w
i►i 2
r�' }; fAH,
: r`s Standard''umts
+
" f t i
CHmret,l OxyenriOrl
n "Demand,
E
and�rease� ;
a Fecal Col#form;'
per 100 m1
Benchmark
!
�: :100, ,
-With ifi:6.10a—.9:0:
120
*�*3D
'' '} ' I000..
97c"
(On
4
ObJ
�
Note. If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorine Requirements
yes _no
Outfall.
No. '
Date
Sflmpie-Coftet�&
mo/ddl r
_:0055G�,:;,,:,:,
06530
00400'a::
�..
nd Grease,
�._:
m /1.. ., ..
Total Suspended SOI
":m /l ._ ' ,
„phI,+ i
Stitndard.u'nifs
: New..Motoi•:Oil Usage'
_ Anrival'avera a aI/mo
Benchmark.'
- ':
:,x -,� �-.3U;�� °.- `'
- 100` •_�.:";::.
:_:, ;Gil)-- 9:0 +
- .
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
cNxnr..nnn +n'++A"

"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 Tny 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 iniprisonment for knowing violations."
(Signature of
(Daiej
It 1
S)VU-249-102107
Page 2 of 2

REGENE®
APR 2
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT CENTRAL FILES
pWR SECTION
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06 o 't 1? 5 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME {,✓ n c 4 L C COUNTY _ S 1 r Z
PERSON COLLECTING SAMPLES u< n-- ow 1=„ PHONE NO.
CERTIFIED LABORATORY p(G Lab #
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
-:.:•: Outfall:.,.
Date
06530qku,.'-`.� ._�.
F 400 00
Nd.
Sample
µ ..:1 otal Sttspetidgd�;
�;�,pH,
Clit mtcal Qxygen :
4 ,Oil and Grease
; a r: `Fecal Colifor•�, - `
t<ollected;;
„Solidi:�St'aridardunrts
';Demanr�,
m lL k
Colon ies''er10.0m1.
mor:::
/L�
to
�rtr 54
;Withm:6.0;--9
CO1
p -,cols
110 law
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activi Monitorin Requirements
_..'Outfatl.
No:
:: Date ;
Sample-ColIected;
00556..,
00530.:'
, r °.;0QQ00;,: •;•.
Oil and Grease,;
dirt
'Total Suspe�tded-Sghds,
pII,
;Sthndard.units
::Ni wW.Motor,Oil-Usage;
_ Ann'ual'avera a al/mo
Benchmark.'
- y`
>. a,.�30.� Y:;,
100 t �
:Css0.�90 +'
}
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
QC1rr 7.'l nn in'I i A^

"I certify, under penialty 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 kniowledge and belief,
true, accurate, and complete. am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Date
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFA_LL (SDO)
MONITORING REPORT
GENII RAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06e) 1 3
FACILITY NAME We—✓1-r (—L L
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY A Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: C7
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
RECE/ �NTY _ .S u r r % _
V ONE NO. C: 3i _-3 5'&- 591y -)
MAR 23 1OWLEASE SIGN ON THE REVERSE 4
CENTRAL FILES
DWR SEC77pN
Outfall
Date
: -00530~m-
{,, .-00400.
-; Dp3'4b;
Total'[YSuspened':"+,:.r
pl,:
'.Clirtu`ui'.Oztygen>'
�Oitand-grease
Fecal;Coltfarm`
No
'
((1�Snample.
'♦.wplleeted7�, �[--S
011d� 'A r115
+r,
's i" l91"'
Standard tintts
1. r :�'
Demand,
f1 }-,
mg/L
- - - ' -
3 Colonies 1i r 100 mI
'.ma/dd/
''..:..•gym /L'� :�
� ; r -� .�
'�+� i
. . ,. ... ..
r::, ,
� .
,
Benchmark
-:;.,
100;, .�. `w.
•, , Wifhtnt�:0 - 9.0 .
77
`120 „•
`�30 r �" '
1000 ,
01
C) 15
oo
0o Z
00
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes `no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
:. OutfalT.
No.
Date ::
Sample -Collected`
mo/dd! r ;... , :
.: . , -1,06556.., =`
:. 00530 ::::.; _..:
60406,"1:
: ,.
OBI and Grease,
,r
rri /L :: , ..:
Total Suspended Sgiids,
'' .m /i,.:' ..
Standai d.units
• New-Motor.011.Usage'
_ Aniival avers a ai/mo
T3enchmark"
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):
c i n r')A n 1 n'1 1 n'1

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete, I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Yermitt`ee)
i
r
1-3 U
(Da e)
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL, PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCC06 O $ (This monitoring report is due at the Division no later than 30 days fr6m
r the date the facility receives the sampling results from the laboratory.)
FACILITY NAME L [ COUNTY U s ; - _
PERSON COLLECTING 9AMPLES met e_r�� (jew i.� ^ _ I'�ELeEJV�NE NO. Qj(p ) -
CERTIFIED LABORATORY jke..nd A Lab # .3 y "^
Lab # MAR 2 3 20)FLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
MAID C=el-rinpo
Outfall:., .
=: ;:. Date
OOS3Q
:.00400.
�;•
;.OQ5S6 i
31616.
;Total Suspended a,
F� r x pH, -
CtiGrtue, Oxygen '
,s, Otl:and ,Greases
Fecal Colifortii; - '
No
Sumpie
Collected t
14
ySolid9 �'
r �IStandard:units ,
+ 'Demand, -r
,.{ idg/i,: 4 t
Colontes'Per 100 nil ;
mo
a
Benchmark
=
400: ti _; !
'Withtn, 6;0 — �.0
120 ,
`°3(} V_r
I000
,:,.
� .
'
.. r +
;
()Of
a, 7o f
0 Iowr
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part 13: Vehicle Maintenance Activity Monitoring Requirements
Outfall.Date
No:
.;; :.
Saml}Ie Cullected;
mo/dd/ r:, .: :.,:...
- 00556. ,. :'"
00530.:'
;-00406 ::,
Olt and Grease,
,
'... .`.,.,nt /4:' •. ..
Total Suspended $ohda#
m lL.
pH,1
_Standard.units
Nerv_Motor.Oil .Usage,
Anduallavera a allmo
Benchmark.'
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for p1l, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
- -3
C All IT 'Inn tW11 r"

"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, accuirate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Perm -it -fee) ;. (Da e)
SVWU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTEALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCC060000
CERTIFICATE OF COVERAGE NO. NCG06_,_, O 1 $'(p
FACILITY NAME w,. nt F•c-r L C_
PERSON COLLECTING SAMPLES —K M t:
CERTIFIED LABORATORY _A,,,,t Lab #
r
Lab it
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: v
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY
PHONE NO. 3 2r4
PLEASE SIGN ON THE REVERSE 4
OutfxiL •
No
a
Date
�' R Sample
Cpllected;w
';:40530
F _ 0040Q
Total Stzspendgd x+.
M Sohd�5tandard
/L
fpH,i
units
ChGmt�al U ryen>
;Demati�, _'�
;> m'
rfOtl,and,Grease;
mglL .t E t
Fecal Coliform, =
Colontes',per'ltlt) nil
r .
BenchmarkV.a:..
100,, 7777
120 ,
bo 1a
0 IoK/
Odd
a3
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tjer 1 or Tier 2 responses.
See General Permit text. RECEIVED
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Requlrements
FEB 19 2015
CENTRAL FILES
DWR Sprrin,,,
No:
Sample Culleeted,--'
-'
00530.:
.Oil and Grease,,
_din ' `
::Total Suspeflded Solids,
=-In /I' ° '
.'= ;pA,
Skimdiii d,tinits
New_Motor.OlLUsage;
Alai%ual' avers a al/mo
Benchmark..'30:{
100`
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CIIARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
4Zt3rr T.-IAn ,1)n, A'

"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. lam aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations.,,
(Signature of Permittee)
SWU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06_ O M ��
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due at the Division no later than 36 days frbm
the date the facility receives the sampling results from the laboratory.)
FACILITYNAME, _LJc-jn•c- Fes; r^5 C L L 'COUNTY _ Sy c , d
PERSON COLLECTING SAMPLES " t`- PHONE NO. �) ' -7 T
CERTIFIED LABORATORY Lab # Lab # ECEIVE® PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
JAN 2 8 2015
^rr$L6�
Outfall
00530 ?°
-.00400.
0 ' 'x�.,
OgSS� ,
r ;:•�'�31616
No. .
',,.Sample
r�..Total'Suspend daf
`;; =�pH,
Oxy eu
1. �Qil;andGrease'
:`FecalColifarm,'
_
f '
Callecred,�
1 - '>J �1,
►SoLds
4.1F'"' Li-�
.r S:Standard iinits
-_�. �.� �f.: .... {�
; .,Demand, r.
t. Y 1�, i+l. :-.�
.� mgf[r n
�Y _
Coloriies:per 100 ml
,.
r:;
in
5
,
mo/dd/
I3euclrnlarlt
-
100y,I.
s� •Withtn:6.0'-�.0.
:120'.I000
a
l
no
(2 b '�)
of
its 3
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Aotivities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity onitorinp Requirements
Out. fall.
No. ` .
= ;. ;,, Date .. - .
Sample CUllected;
mo/ddl r,•'•
: -00556.:, s,
00530::.,.; ...:..
.� 00.406 ;•.
::;:r•: .:. .
:'`.. Oit and Grease ,
iit /L4;..:
:.Total 8usp:eaded Solids r
m 7L:
1 .
pL,*
-Standard units
New..Motor Oil Usage;
Annun l;'avera a ai/mn:
Benclimark.'
100 a
.-,: 6,0: 40 �..
�
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pf1, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
Date (lis( each additional event sampled this. reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Q\IIr T_-)An 1n'71("

"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. - I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
Q ��j L -I%I
{Signature of Per
(Da(e)
j
S WU-249- 102 I 07
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCC06
FACILITY NAME_ (A) G1t'%c �c, r (115.1 L L
PERSON COLLECTING SAMPLES S ro ++- ke,,J , W
CERTIFIED LABORATORY , j V` . Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: X
(This monitoring report is due at the Division no later titan 30 days from
the date the facility receives th sampling results from the laboratory.)
COUNTY _ U .- r/ .
PHONE NO. (33G. _JS (r, - Sify(e7
PLEASE SIGN ON THE REVERSE 4
•:,.Ouffall.:,.
Date =,
-..:.
,- 00530';=. ..t.
00400.' _.. :'-
.00340
AQ55��i',�:'':":IG16:
:..-
Na.
yl...
,' Siimple
w :,total Stts#elided i+,'k.plf,.
Gti rtuciti.0irygen =
r Oil antf•GreaseF'=
?-`Fecal"Coliform; :: '
Collected,, •
Solids a.,StaSldBCd,nnit5
]Demand
, + mglL ra °''.
Coon#es per 100 nil
�� }'•~
, W;'
-
.ma/dd/
?'tIl /LP
iwrm
7'�' .,iL.
t
SenCiimark .
-
3,,. I00; ti w l
:�1
"��,: Wifltn 6:Q :9 0.7.
7.'120
30.1000,
I;`l
(o c'
I�Iflo
'1
j jacoo,
a1
I- -q-lq
4 3
o a
odc
n
- -2 -/,
01
1359
")0L)
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
RECEIVED
DEC 23 2014
C T all ES
I N
O.utfall.
Na., ` .
Date'- ; ; ' w
Sample Collected,
.: ;° 00556'r''
00530.:: :::..
06400 :i:.
Otl and Gre'ase,�
Total Suspended Solids,
= pH,^
=Stan'da.rd.units
New.. Motor.OlLUsage,
_ Annital'avera a al/mu
Benchmark.'
-
30. y Y is
100` t. I
tiA:= 9 0 �1
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date i {-1 1'I�j(first event sampled) Attn: DWQ Central Files
Total Event Precipitation (inches): 135 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
cAnrri.')hn tnglA�

"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 ply 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 violati+ons."
al/L/4.
(Date)
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: i
CERTIFICATE OF COVERAGE NO. NCG06 (This monitoring report is due'at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME ����I�E� COUNTY-. L��
PERSON COLLECTING SAMPLES �f „r.. y (3.3Lj
CERTIFIED LABORATORY n Lab #
Lab # NOV 17 Z014 PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
DWR SECTION
Outfall •..
No
Date
Sample
Collected
s
.trio'1dd/ r::'
:. 40530 �.
4�.1: :AQ4ll0.
yW :1 otal Suspended 'i ,:':
,Solids ' "
:i�
trs 2
r : „ AY p11; _
: '` Stki kr&tintts
r :�T,
� Chemical'�.Ozy�en _
h 'Demand,
m.
��OTl,;and��rease; :�
mg/L y
, i fecal'Coliform;:
, Colonies per 1q0 ml
BenclatiTark
a-, '1.00.".
�: Within
... r ;
} `,1000 .
Oa 1
10
o lnw
Op
Oo �
Note: It you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes `no
(if yes, complete Part 13)
cart is: ventcie iviamtenance Activi
onitoring Ke uirements
Qutfall.
Date
^
00556�: �^,;
00530::: . ,. ._,
".-OI404
No':
Sariipie-Coil&'t"':
Otl and Grease-
Total Suspended:Soltds,
„ p I
New..Motor:0il Usage;
'mo/dd/ r; , .:,
'' .... :gym /L r ., . _ .
-m /L .` ' .,„
a
Stand&rd.Units' :...
. - `Annual `averse aI/mo .
:Beitchmark..
.'
r. ;f' .�30 : `
__ 100 ., `
6:0:� 9
Nnte- if you rennrt a samnled vahle in excevc of the hpnrhmark vah1P or otltcirie the henchmark ranaP for nN vnn mwa iron)P.mPnt Tier 1 nr Tier ? rPennnePc
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Q lin i..'1 An 1 011 n-'

"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 any knowledge and belief,
true, accurate, and complete.- I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
w&&C
(Dat
S WU-249-102107
Page 2 of 2

RECEIVED
OCT 0 9 ;j,
STORMWATER DISCIIARGE OUTFALL (SDO) CEwrRAL FILES
MONITORING REPORT DWR SECTION
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: I
CERTIFICATE OF COVERAGE NO. NCG06 _. SS (This monitoring report Is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME COUNTY 3 Lj; r J _ T
PERSON COLLECTIN r SAMPLES K ; t ;w ,-j i •` PFIONE NO. Q&;�j -a _ 554,
CERTIFIED LABOtu,ro v 6,J I Lab # .2LI____
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
:.(}uffall
Dule
F'053t2„":• r.y
, w :`Iotaluspeticl¢it
., I'-I�•f'-
rw;.pII, -
.I+•�LI� •L'} I':
C1tGiniS!irl.0acy[�en'
�; �P'�__��� -" .iy'..ZCr'i::-
I ','DemAnt,C�linles:
031°;anti Gi;ease'u
•. i"- "�-
lx becl:"Coilfornti;:=;
.f.h�. ..f
6r:1Qt� till
Na: :..=
_
Saniltie"Al
-.i I.
--djiecteii;;_,4:�`„tarfdard"units
�Ir
.
..�+`,
�I�.�.K ,r.11„-
ltl
13cnehmark-
�.,..'100;1° rr r
'•k�`VViflillttfR:O -<�
w I •i 12p. i
r, •.'` Q't:.t+?,
r.'t. �,I'000.
Url
_oly'
C1 a
5" D 6 0
t
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Fier 2 responses:
See General Permit text.
Did this facility perform Vehicle Maintenance Aotivities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part 11: Vehicle Maintenance Activity Monitorina Requirements
Qotfal1.
No_
Date;
..SanklileCollected,"
- 00$S6' ,.+ :.
00530.::':-; -
,� 00400<i..,
Oil `ndGrease, r,.;;Total
trt /I;
u0ende&S0lId' M
InI4-
FiFi,1�l
5tanilhrd,uult5 .
:New- 6t6t.0lLUsage,'
w°An u>jl"xvera a al/ntio :
T3enchmark.'
- `w`
K ..30:
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text_
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (Inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system; or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete,. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
7
SWU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCC060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 1
CERTIFICATE OF COVERAGE NO. NCC06 O r$ (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sainpling results from the laboratory.)
FACILITY NAME U A c -c-l' ( COUNTY Sorrl
PERSON COLLECTING SAMPLES er a r. c t �`M1 PHONE NO. ( )
CERTIFIED LABORATORY �n� y� r Lab #
Lab # PLEASE SIGN ON'THE REVERSE 4
Part A: Specific Monitoring Requirements
Ontfall:.:
hate ;...
:.'. ° 00530 .
!. , 00400.
�.: �i . Q03'40
No
r Sample .
N .;Total Suspended a Y
Fs pH,
Ch0mical.0:►ygetz
OiI'.aztd Grease, ,.
, Fecal Colifarm;
Collecte
4Sohda '+
r b Standard tintts
;Demand,
mg/L= 1 `
Colonies pet 100 ml
mo/dd/ t::.
ink
,F=
rA Y�
;I
u
'
I
l.
Benchmark
a,;. `'100, I
" Withtn'.�:0 - 9 0 .
124.
�
0 �
• as �{
-
o
F ` a•Cry
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part B.- Vehicle Maintenance Activity Monitoring Requirements
yes _no
Outfall.
No:
Date
Sample Cgllecled;
mo/dd/ ;
r
- 00556 r,
00530
Oil and Grease
`, . : , .: ni /I,' ...:.
=.Total Suspended Solids,
m /L`.`
pII I
St
;an'dard,.units
NeW,M6toi• Oil.Usage,
- Annuat average at/mo
Benchmark `..:
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
DECEIVED
SEA 0 5 2014
CENTRAL_ FILES
DWR SECTION
Total Event Precipitation (inches):
Q XJRi I A 0 1flt 1r"

"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."
91111144
(Date
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 0 1 D (n
FACILITYNAME-
PERSON COLLECTING SAMPLES er �.r I `-•�
CERTIFIED LABORATORY ALab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: F
This monitoring report is due at the Division no later than 30 days from
F2eives th sarnpling results from the laboratory.)
4..0 �TY Orr
AUG 0
7 ni41IONEN0,(jj (. 2 �_ -7
CENTRAL FIDES EASE SIGN ON THE REVERSE 4
DWQ/BOG
„Outfall ,; , :
i;'' ; Date,"'
xk� ...OQSSd'a
Total 5us�etided ayN
'� �, .:c pIf -
QQ
Clic rwinf.Ox1 eQi'
a Oij,and..Girease; '
'� .`Fecal Colifor�;
No: .:..
Sample
Ciillected,
SohdJ
l Sti}ndard units
.:1Demarirl, „ _'I
mglL F t
Colonies per 140 rril
/itdly­r;.
,
Within,�:0 -, 9:0
,.
130'30
.r .. r
�6
0�
no •e
ba
0
Note. If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pll, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity onitorinlz Requirements
Outfall.
No.
Date"'
Sample-Colfected;
i
00530,::
06400' i,.
Oil- find,
., ..
...Total Suspended Sghds,
m
,..;pH)
i
: ;.NbW_Motp'r Oil.Usage
ivamo/dd/ a a11mn,
Benchmark..'::
:..._ ��:.
-
w. :, ., a30.:.,:.. ,:... ;;:
100` : x . I -
x-, . :6.0; 9 0;..
-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (Inches):
Date (Iist each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
C 11rl i rl A A l n'l 7 A'?

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete, - I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Yermittee)
(Date
S )ArU-2a9-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 S�
FACILITYNAME
PERSON COLLECTING SAMPLES ;)ere_ ow f
CERTIFIED LABORATORY _ �,.J Xq - — Lab 11
Lab #
Part A: Specific Monitoring Requirements
RECOVED
JUL 0 7 2014
CENTRAL FILES
DWO/BOG
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due'at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY SU6f1__ _
PIIONE NO. Q_j3 , )•_�${a
PLEASE SIGN ON THE REVERSE 4
Outfali::::
Date =,
;. , .. •:Q0530 �.,
?s.; ;,.00400
.:, . 0034b
„ "� raOijSS� ti
,;3161ti
r4. Total Suseoded k
+:. Fi
p -
ChGrrucal Oxygen,'
Oii:and Grease s
a
Fecal Coliform
Collected s
a
y Solyds
ua Staodard units
`:Demaii�,
d
mglL 't * �'
Colonies per 100 ml
SI
"� R, i '�. r
F i,` i •+'
r ' e ew"` , '
ply, { I
-ma/dd/y r..
til
.
I3enchntark
- -
,., 't-100,� :w''
Within-6:0=,9 0
`120 ,
r�` `„30,-_, I +
`,1000
o
� log.✓
Note: 1f you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes —no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorinp, Requirements
Uutfall.
No.
-
Date .
Sample collected;
':.•mo/ddlis.,
;_ OOSS6�.
00530.::.: ° .::.
-40400 a,;'.
..;
Oitand Gregses
.in /I,. '.,
Total Suspinded Solids,
':-m /L`;:' .. ,...- .,
pIl,�
�Stitndard units
New_Motor;Oil Usage;
_•�Annual'avera e� al/mo
Benchmark..'
,_... ;�_.
`- ` 30,}' Y ti
100 d.. I>.
6:0:�9 0: t.
w.
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement "Pier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
cti►rrr.�nn �n��n-r

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate'the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee
/'�"
(Dat) � O
S WU-249-102107
Page 2 of 2

RECEIVED
STORMWATER DISCIIARGE OUTFALL (SDO) JUN 0 4 ,2014
MONITORING REPORT CWNTRA
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06�
FACILITY NAME �J ng— c r rnS L t �
PERSON COLLECTING SAMPLES , I_ n
CERTIFIED LABORATORY 04 Lab # L
Lab #
Part A: Specific Monitoring Requirements
DWQIOGE
SAMPLES COLLECTED DURING CALENDAR YE
(This monitoring report Is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY S t rZ
PHONE NO. CU_U _3 L, - 5_g6., -7
PLEASE SIGN ON THE REVERSE 4
�Outf`rill:
�.�,s Dute�';. .,
�.,.{..,DO Qr�4=,' �_
•�r A400•'}�
44 .r
e.�,.; .,0 Stih,r
�. �a,�':. '"3X$I6
:'i'061'.$uspen[led y' '
rie, t.: pFl;, -.;.T'
=.GIi iY4i l.Oxygen
s Qil slid Grease ;a
�C
-.
r s4 I+ecal Ciiliforul;
Satnple'.
C�o]lecteil`,,.'
o�id °'
tie d';Stlaridard'units "
+�'`Iyertratr, n
t ,�
; m/LColbrtiesptF
'
3Ob ml
s
r 1�d .a:- � �r. r
_ _
r
V
n7o�dd� Y, .I
f;l k' {ti'
r A.�
3encltmsirk?°
=
''I OQ= " r.�
4`it#►itta :0 d
�� 120 i
0 M� •
' �'
�,•.
:9
+
, ;',r ;1000
ao
0o
r t "77o
o
` • 'r
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorine Requirements
Qutfall.
No:
Date:;
88, 'Mole Collected; ry:
mo/dd/
' 00556','.;:',,;
00530:.;::.< =
=,d.;.;.' `°.0040bs i':.
:.• .
1 Oft and Grease;, :
-Total Suspended SolydsT
m II;:° -
pH; i !
$tiind>tcd•.t�ttits .,,:
• NbW.h kda Oil Usage;.
: Annua :avert a al/4no ,
'Benchmark.,'.--..
Note-, If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
4ZAxr1T.1An IA-11"

"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 pay knowledge and belief,
true, accurate, and complete,- I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Dat
S WU-249-102107
Page 2 of 2

46.
STORMWATER DISCHARGE OUTFALL (SDO)�
MONITORING REPORT p
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 1
CERTIFICATE OF COVERAGE NO. NCG06 ©� (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME a r1G a{ rnS L L COUNTY _ S v t r-I
PERSON COLLECTING SAMPLES 'acre .n _ n PHONE
CERTIFIED LABORATORY - Lab #
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
:.:
Date a
,.. �..Q0530 :...
;,fik 00400. '
:,~ 40344OQSS�
16'16
.Outfall
Na."
;:`
,Sample'
.:Total Suspended
is p1I,:
Cliemicol.Oxy
Oil;andp
I'ecal,Coltform;, '
y
C'oflected ry;
Solids F; I w
Standard units
`;Deraan�, n _'I
dE ±"
— mg/L I
, Colonics'per 10.0 ml .
moldd/ a =;
1 I
'..,
I 77
f 'e
r 6
to ::
.r C
m`
-
0o
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes
(if yes, complete Part B)
Part 13. Vehicle Maintenance Activity Monitoring Requirements
no
Outfall.
No:
Date
Sample Cullected,'
_ 00556 ::.
00530.-::' -. '..
ooaoa':, .
::.+. ` .. :_
Oil and Creese,;
Total Suspended Sohdsz:Nevv_1VI6t6r.0iLUsage;
:m /L`.:° '
Staniird,units'
_ °An nuaavl"era a aUino
Benchmark.'
_ .- y`
_ 30,a1'
100
:610;- 9 4 Kt r
-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
cNxnr_1nn tnntn-r

"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 any knowledge and belief,
true, accnirate, and complete. - I am aware that there are significant penalties for submitting false uiformation, including
the possibility of fines and imprisonment for knowing violations."
(Signature of
In f
(Dat
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO_ NCGO60000 /
CF�RTIFICATE OF COVERAGE NO. NCC06 0 i15 cy
FACILITY NAME LOJ -e— —o•r L
PERSON COLLECTING SAMPLES cJ '
Cl?:RTIFJFD LAB0RA,r0RY A J Lab it 3 q_
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED D[IRING CALENDAR YEAR:
(This monitoring report Is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY _tC �—
PHONE NO. (3 3() 38G. ; Fri 7
PLEASE SIGN ON THE REVERSE 4
Outfa l
(
Doti :-:.
.....;: 0 3
4 S
N'd.
',;''Sari[ 10 i
S..
//_:tlt5tal'.us endp`ii tt -
sz �tll`
-+`44:
Climl kl.0g eii
1 xyg
f1Oil,and Grease+�
,4�:r:;-Fec$1 al;_nllfor-ny:
S
11
dllected, '
_�- _ '�t,,.
Salle t , ° `�
"ir.`�`, r..�l''c
i�' ',,l; tafidtird:'tinits
r7' � _.i
' De1rtiant 'I,'
�(4} I. 1� �. Y�
mg/Ii ''
., ;,
G�olonies per 140 ml
�'+
CJ
tJ � !y 1 12'1 h�t�
Ir
i.:7.
, s
rl µ:l��,
i
I.. pie
}'
�nQ/11d r::.
wl ,;i
d ry 4
�i-.."1�[r� -F"f-4'
Y 1Y T
•tYlf
asencitntark
=
"t09
`.�:0 ,..9 0 `
i'� �2Q'.: l
'`r 3Q =r
' x. 000
a:... r
r�.�V#ih'il
:..
no
i N
S
> / Voo
('� 0q115
?0- (02
1
< 0
7 Doc)
o
i15 r
N9a
6.
< o
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part S)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall.
;, Data
9nColle6led
00$56
Oittnd
G/Crr;'•�'��,
Iotui
' ,StatxdpNo:
itHrd,r��,units
;:New_ otor,0il.ilsage;.
.:•Anz�uttl�'tivera e• al/pio .
30,E ° `s>
I00 =l °'
'610:•9.0
-
Note: If. you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date -/5 -1 (first event sampled)
Total Event Precipitation (inches): S a
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inclies):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
ijnci� GU,'+jtrJL�t��^
UAale� c:ors�rd4�=••`

"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 Iny 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."
tl
(Signature of P uttee) (Date
S wU-249-102107
Page 2 42

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCC060000
CERTIFICATE OF COVERAGE NO. NCG06 01 � Le
r" FACILITY NAME "a uC,
PERSON COLLECTING SAMPL S e &, & C .
CERTIFIED LABORATORY Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED RURLNG CALENDAR YEAR:
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY �yz2 c.z �`
PHONE NO. (13 Gr, � S le %
PLEASE SIGN ON THE REVERSE a
O.utfill :;':
00536�' �_.
�; F ' 00400.
No. -
Satnple'..Total'Su5{,eridedrt.::�r+.:":
H,: -
CZiGmieai.O en,
Ott:;and,Orease'>'
�r 'Fecal"Coliform`
t pilectedy
Soitcl�
r Srtandard pntts
:Demarid
g
, o nies per 100 ml
mo/dd� r- !
�� _ �m /I, _
"'"� i-.itr - .•. ! !'
-
-x000
T
Z
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes ✓_no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Qutfall
... Date
Sample
.. _ 00556 ::,-,.w :.
0l}530;::. ; .
0040D-a;.
:. .
aseNo: ,
Total SuspdedCgllcle
Svhds,
:III ir;,_
pI{;
1
stauaara units
: iVew_MotvF Oil.Usage;
_••A i ual:`av6 ' e' at/mo
Benchmark.'
I00 •d'.-'
`6:0,-904!
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
LU
tJJ
Q
"`
_jCD
X O
UJ
to
c�
M
�O
U
W
t
Wo
Total Event Precipitation (inches):
Q 11HT')A0 1n^7t n-r

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person -or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. - I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature o ermittee) (Da )
t
S WU-249-102107
Page 2 of

STORMWATERDIS4AARGE OUTFALL, (SD0)
MONIT61'UNG RE -PORT
i RAL PTRMIT NO_ NCGO6t]o00' fit} 5A1VMI,LVS COLLECTED DUMG CALENDAR,yEAR., p
0 TIFICATE OF COVERAGE NO. MCG06_ (��L3� _ (This mimitoring report is due at the Division no cater than 34 days frbm
the date the facility recelves the se pl' r nits from the iaboratory.)
r, j NA11. W �iiC#IL COUNTY._ 41
ON COLLECTING SAMPLE r✓L r ,fPFIONE NO: f2
f I.A
TIII'IED LAB ORATORY C� Lab#97773�(�}Lab # PLEASE SIGN ON THE REVERSE 4
Vf : Specific Monitoring Requirements
e � �II �','rY: ,r'- - ��_ .k�- .'1.: ` �`•.•i, �'.:f<�..c;l - -- - - ^� �.�,�I. i ' _ _ _ k, 1..,.• a..: r.0U�5�1J;� u::tl._a:��'3� 6I6':�;�'•-'-� _
_ .�..
Gli y`riiiGi1`:O en: Oii' artd r� r5e .� r�, Fecal"ol` m
'1 . �' '" h I n :j - _ i,o Jy, :.k;'�� ?i�'+ , ;� :::i'; .I ., r if "'' _:-,7'wv „5.. • .I .`;:
J `-.d'�' =i:Xc a err'• 1 iµ`' �y.J'• _ya ;m +'s" ,� do
, .,.5, �cfe'd•'�''�: •,,, ��al�� �,�-+;�_..�:'����'fa��ar.d:units�.'r,.: ;�F� TSeruA��,•'�_�:• .,::: (L'=.:.�;;' :�ol ies: �er,1' 0-tnl�;
;�.i�i `v .ti,:..r, .? -i•,•i, .i;f{.�i ,.,��„�,,4. _f, , .��. .:•i�.....:..stt .2-::, - :el+j,. .'�'; .�„ �,Ir. p Q
•.I:r �,. - .r �:f'�' - tf�.S ;:.�F'�• .ii e �� w. '�' d �Ii,.'.JI:���{�.�e � 7. �-2:.': ` ��, � � :I' � �: J �y�:'�iJ.�lnii. _ .:1:: •�,�,. r�_s �s;_.;^r : ter; .
..�. :.�'.Ti't IIi� �S..,aY,�' !}T.,_�YY� �-��,r:}':h, •,, t�..,ll'�.. +.}: I�.'1'r'4C'u f• jjj t.Ly;k Y J� � I4. ��; %... �.; ii:'
i ' �L '• 1 :2 4.. � 117' Y',[;�. �.1'y� , ! � !J</.�«l!.: �1'rG ��. :. dF tl' :.7. ilYf. J._ - .�J__ ��,'�.� : j �Ln .P..�l:-: S�YVS—.'Y'i-r _I: �+'"- �'I.I '.
!im r:
,%•. 5+•`
J.17
of i
'I If you report a sampled value in excess of the benchmark value, or outside the benchmark ranee for pH, you must implement Tier 1 or Tier 2 responses.
S encral P ermit i6xt RECEIVED'"
.
] his facility perform Vehicle Maintenance Activities using more than 55 gallons c,1. n.-w motor nit per month? _ yes /no
( Is s, complete Part B) FEB 19 2014
WB: VehieIe M.aintenance'Artivifv Mnnitnrinu Requirements e F-NTRAi_. FILES
- 1Vo1
-
D' f '.
;�`axn (e.'CainiitCsrease,Tatul
z p Q _ r a
u,�
mold}d/` :t;n .:.,,
,,, r:l! .�L :JS J.. .'1
: Y,:''•s..-
°, 1" ;H-�z:'rrl r ,.-.!'.:yl;
.0 :crided Sglic!
.5:. 11. .i,'.
:m %r:-: ,,
H fr
-
:: �: ram, '
:Sffipdard^units .s.
:Ne�v 1V[otoi
'�':t':ai:5
1. �.M
AnAutll"avers e aumn
� rlrl;,
- :'�r r: ';ia'r:_...�,�a.`:
�`t�'"=.:3�07.. _- �-•
�:i. 0�.:r�a;�`,�.s;>�::�:,
:;;•�.:.,16 -.9 :�;,.
:',.,::�:"::•...:- -
Ifyou report a sampled value in excess of the benchmark value, or outside the.bUnchmgrk range for pH, you must implement Tier I or Tier 2 responses.
encral Permit text. '
tMEVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date (first event sampled) Attn: DWQ Central Files
Total Event Precipitation" (inches): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, p,�d rainfall ilniount)
Total Event Precipitation (inches):

"I certify, under penalty, of Zavv, that this doc urYient : ud all attaciimazzts were prepared under my directzozz ox
supervision in accordance with a Vstezin designed to asszzxe that qualified personnel properly gather and'evaluate- the
information subnLitted. Based on my inquiry'of-the Pc.-gon�or"persons who manag. the system; or those ersozis
directlyresponsible for at . z h rizi the ' � '
P g e. . g zzxiarznatia z, iLe information submitted is, to the best of #1 kxiowled a -a ' Y.. g nti belief,
true, accurate, and coziiplete, X zizn aware that there are signaf eAnt p enalties for subinitiiztg, faro information, inCZudjlmg
the possibility -of fines and in prisoriment for knowing viola" dom.
(Sinature of errrdte) (Date
SW[7 24 ' ` 210`
1'u �. oft

RECEIVED
FEB 19 �(�'STOii;r�
MWATER DISCHARGE OUTFALL (SDO)
CENTRAL FILES MONITORING REPORT
DWR SECTION
GENERAL. PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06 O ($ S (This monitoring report is due'at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME tV a nk rl,.,-3 L L C COUNTY
PERSON COLLECTING SAMPLES 3c Anwt"r-PHONE NO. 3 8G - S £ (e 7
CERTIL{IED LABORATORY /4G Lab # -7
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
:.OutfAIl
DAte, :;�,
�:O0S30f.`
.� 0Q400.
0.03'40
Na
Sample
:Total Sitspenilf d r?
rs pIZ,
Ciigtrucal`.Oxygen
011:and Grease; a
v' ,Fecal ColiforIn
'
a
Collected,4
1
�Sohds
r Sfain dardun�fs
r
-
100 ml
i
mo/dd/ r.
,
,olonesprm
Benchmark `
-
a , °300 i ° ,r
�`: Within G:0 =;9 0
120`
OO I
110
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 ar Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part 13: Vehicle Maintenance Activity Monitoring Requirements
Outfall.
No:
Date'.-
Sample Collected; '':
mo/dd/ r :.
0055E r- w. r
00530 .
004062 .
' .'' -.!.Oil and,Grease,, -:
ant /L..,units
:TotaI Su sp&ided-Solids,
:;..:pTI,
,
New.Motor.OlLUsage;
._ Aniiunl"averse aUmo
Benchmark.'-
100` 't
Y- 766 90 �..
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attu: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
C li I i.-1AA +Ml,m

"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 ►ny knowledge and belief,
true, accurate, and complete. - I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
,6-
(Dat
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFAILL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCC060000
CERTIFICATE OI+ COVERAGE NO. NCG06 O l `$ (o
FACILITY NAME Lt10. &rrv_s t' L C.
PERSON COLLECTING SAMPLES_�Cc
CERTIFIED LABORATORY Pars _ /.� Lab # 1773$
Lab #
Part A. Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due nt the Division no later than 30 days from
the date the facility receives the sam ling results from the laboratory.)
COUNTY
RP_ O E NO. Q3b j 3 7( - S 2 _
PLEAkISfG�Q TIIE REVERSE 4
DEC 18 Z015
CENTI,AI mi cc
:._•. Outfall:.....,
:: Date ::,
:. a 00530=:,y:
,.' 00Q00
l}034011`P.E�
,�
:G3161t5.
Total Suspended a
xpFi, :-
Cht mtcal.Oxygen'
d0�1 and Grease, i
,Fecal Coliforn,
No.
Sample
' Collected, ,
,Soltd�
+ �tStaridard:umts
'Dettiand, h '
mg
Colba�es.per 106 nil
f
r:.:ry ii ^
mU7dd/ Y. f
m
1.1I t
lien�hntark
- -
�:.�'100,, � '.�.
,_� :. Witlm,;6'0- 9-0 .
•.,,, ,.120• ,
"• a 30 i �
, ' :I004 -
o�
Io. 44
(' l-o
1
03
I- -tS
il 4,0
_�%(o
S
- o
601
11.9-13')S
• 'I
-3
0
O
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes `no
(if yes, complete Part B)
Part II: Vehicle Maintenance Activity Monitoring Requirements
.'Outfall.
No.
;•., Dute; . :.::.::
.Sample Collecied;
ma/dd/ r:` :'.::
.: Q6556 r
00530 : -: - .::.
:..;_ :.-'..06406
Oiland-Grease ;
itf `/L,
",Total uspeuded Solidsr
.m /L.; '
;pHI
Standard units
7 New.Motor Oil.Usage;
: Annuuf'avera a al/mo
'Benchmark.'
_ GF.:,
: 30.:.':,
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pfi, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date /- -1 (first event sampled)
Total Event Precipitation (inches): - as
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
fs�
curer')An tn'11n�

r
"I certify, under penalty of lain, 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 any knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Pen ttee) (Date)
S WU-249-102107
Page 2 of 2

STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING R.l+',POAT
GENERAL PERMIT NO. NCC060000
Cl?;R'I'ICICATE 017 COVERAGE NO. NCG06
FACILITY NAME_(d2A,.4n-t_ "c_ MS
PIV, RSOI`I COLI.,EC'1'ING SAM!'I11i S - gyp _ ow I-r-
CI.RTIF1.l,l) 11ABORAT011V �Q—(�� t=l tali # 12M
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2-
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampting results frank the lahoratory.)
COUNTY _ J., rr;�
RECEIVM- (U&J J;w -s86
DEC AEI' SIGN ON 'CITE REVERSE 4
CENTRAL FILES
MIA— — -
Nd.
, Su` `litple `i
C"Vlfecfeil,
/a( 1 ' rl
0530
00400
6
�Lhfal ilspelitl cl fi
,SOT d�
r�', >,�,� rll' %L' -�� +�.,
;„, { pl[,
C 7�i41�d81 (�'tlI11t5
ar,;f �' i .k"'`�'' r
GI1Gttli� ti Qxry en >
y I�em Ilt��i f r
s -+�rnl -+� •�'' a"�.�
U11'.nitd G� eased
1 t 111liiEes:p"fir
4
�, f
I+'eclll Giillforni,
30 ml
f, - -
IiCI1Chll11111C '
.',. 10
+lir, .)ti�I0
001
0
s�oo
Note: If you report a sampled value in excess of the benchmark value, or outside the benclunark range for pIl, you must implement Tier I or Tier 2 responses.
See General Penuit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorhiv Requirements
= C7ntfn1l,
Na:
-
Date';
Sam;ile Colfkte —J; :
�'mol(I d/'� i- i:•
'OV SG
' Oil lin�i G� ease, F
W � ill III a
:;Total usj'eniled Sgliils, :
=
` '` _ .,
; 4. ,;pll,* i
"
-•_Stiiniihi-d,aiii §'
Naw_�1le�tor OfLUdage;
.�•Atllit>il' fivcrn a ailn(o
Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pI I, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTUUSTICS:
Date (- - o rst event sampled)
Total Event Precipitation (inches): -� 5
Vale (list each additional event sampled this reporting period, and rainfa1l amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
0 .%
-Total Event Precipitation (inches):
C IFl1 T -'tAn 1 11 ' In7

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERA=, PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: .Z.
CERTIFICATE OF COVERAGE NO. NCG06 O ($S_ (This monitoring report is due at the Division no later than 30 days from
rr the date the facility receives the sampling results from the laboratory.)
FACILITY NAME W-.fnt I i.rM S - COUNTY tre•
PERSON COLLECTING SAMPnLES— cre,.- ljewt" PHONE NO. (�3L) 86 '66'7
CERTIFIED LABORATORY L�< < �. I�, k l � Lab•# Olj
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
RECEIVED
Outfall .
.Date :
a.-00530 t.
�f 00400.
:. , 00344
Olj55d
Fr; ;yw31615.:.
Na
;
Sample .:J
:Total Sttspended �+
is „ ;;� pli,
CtiGtnical Oxygen
, OlI and�rease�" -
rye Fecel Eoltform;
CQ Ilected`,
4Sollds� .
u
`Standard' units
:Demand,'
mg/J(= t
Colonies per'10 �6aIlT
Lt
,.4
Benchmark_
�'„ .%too0: ': ,' ' r
'' Wiihtu
Oo
/ - 414'
/�ti c ✓
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, complete Part B)
Part 13: Vehicle Maintenance Activity
onitaring Ke utrements
OutfaW
Date':
- Od556
00530 :
00406 .a:..
No_
Sa, n pie Colfecled.'
: ' Oil an&Griase,,
:.Total Sus ?ended Sgtid's,
;pFI; ...::
N6w.Mot6i- Oil -Usage'
maiaai r
I
irf `/L ';;,:;`-. :
:m /L:''
_Stanaard;units
Aniivat'avera a al/mo
:Benchmark..'- -
100
�6:0.- 9 0 .,*.
Note: If you report a sampled value in excess of the benchmark vahie- or outside the benchmark range for nN_ you must implement Tier 1 nr Tier 2 r05nnnSe.0
See General Permit text.
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date (first event sampled) Attn: DWQ Central Files
"Total Event Precipitation (inches): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
15 2016
tAL FILES
SECTION
c 1111 T.q An 1n`l Ir%7

"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 piy 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 violati-ons."
a
(Signature of Per -mitt {Date'
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFA_LL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 O IDS_
FACILITYNAME Wr- I—t'_ L
PERSON COLLECTING SA 'LES -3ercot✓ t
CERTIFIED LABO RATORY�e n.
I+ c ,v, l _ Lab # '7
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives thy sampling results fronn the laboratory.)
` OUNTY c) r r
GlIONE NO. (b 1
SEP 0 2 2015 PLEASE SIGN307V THE REVERSE 4
CENTRAL FILES
©WR SECTION
O.uKall:
Nd
Date
, Sample
Collected,
0053Qr::;'
0Q400.
�: '00340 ,..;"
r, 1:-.00556
:Total SirspetCded f
,soi,d� �f
�� ;rpH,
** standardntts
, CtimicaLOxygert 'Atl.andGi
:Demand,
fiifVL''
Baser :i
:. m'g/L=
v r Fecel Colifornl; -" `...
}Colonies pIj
er 100 ml .
Withm
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses
See General Permit text -
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance ActivityMonitorin Requirements
'Outfall"
No. `.
Date'
Sample",Collected;
-:0Q556 t.
00530.:::.: .::
60406`1'
Oil and Greases
/L :':., ..:
:Total Suspended Solyds,
::. ::m /I;' '
„pll<,
Standai , d iinit§
;.New.M6toi-.OlLUsage;
_ ArniiaC'avera a llmo
a
i G
;,- 6`:0' 9.O :k;. ; ..�..
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement'rier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):
CurrT inn 1n'lSn'7

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete, - I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
n
(Date)
S WU-249-102107
Page 2 of 2

STOR.MWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NC43060000 SAMPLES COLLECTED DURING CALENDAR YEAR: l
CERTIFICATE OF COVERAGE NO. NCG06 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME �er ��. �
PERSON COLLECTING SAMP ES ECEIvC ® PHONE NO.V�3Lr.',) _
—
CERTIFIED LABORATORY Lae # 1_ JUN 2 9 2915 Lab# PLEASE SIGN ON THE REVERSE
-- ----
Part A: Specific Monitoring Requirements
CENTRAL FILES
OWR SECTION
:.:.,Outfall::..
No
Date::>.. ,,..
Sample
Ciiliected"
00530
..00400.
00 40 �,•
0Q55dd
ra- z 3 16•I6 -
r� total Suspended if
,SuLds " i
ink/1
f;: w }:p, _
`d StAndard':untts
�Chttucal.Oxyen _Otl;andGreasea
.Demand F-'
m'i;
t
m /L= ° `
g
q r Fect►l Coltform;=r
Ealbnies'' Wer. 100 ml
-Benchmark
�. `L00, r
fb . Wlthtn .6.0;- 9.0 .
120' 7 1
�k l30 - . i
(� /�
r ' 1000 i
0 (tut
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pl-f, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
. Outfall.
No
Date
Sitmple Collected;
moldd/ r •.:: ' -
- 00556".:
Od and Grease,,
}i>* /L�:' ., ... :
Total Suspended Sohdsr
n► /L.' ' .
pH,^ i
Sten'dacd units" :..
.:New.Motoi.Oil-Usage;
. _ Anriiial`'avera a al/mn
Deitchmark.
ar. .+ „30.
100 ;i
6:0:�90.'
- -
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Hate (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
c%jLrTT--)AO In-)'"

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or .
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted: Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. - I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Perniittee)
(Dat
S VIU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTPALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCCO60000 SAMPLES COLLECTED DURING CALENDAR YEAR: ---
CERTIFICATE OF COVERAGE NO. NCG06 O &0) R .5 �� i �ng report is due at the Division no later than 30 days from
r cility receives the sampling results from the laboratory.)
I+ACILITY NAME c. r4t' S L C COUNTY r•
PERSON COLLECTING SAMPLES JAN 2 8 2015 PHONE NO. ( 3 3LI -
CERTIFIED LABORATORY 4. 9 Lab # 31 CENTRAL FILES PLEASE SIGN ON THE REVERSE 4
Lab # DWR SECTION
Part A: Specific Monitoring Requirements
Outfull ..
No. :r?
s
Ditbl
,Sample.'.
Collected Y
mo/dill, r:..:
005M
;, 00460
`Total Sitspendgd r+
�SohdS
�, rm
ply,
b}Standhrd:dmts
714 ti
Chertucal Oxygen
:Detnatid,
r:
mWL .;r_
Ott,andiGrease;
mg/L a
r -Fecal Coliform;
Colonies ger ]0U m1
Iienehntark
, '1.00,
Withtn ,G.O=_�:{).;:,
120 ,30
r . r �"
:'+
001
i - cl
i7 iovJ
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part Il: Vehicle Maintenance Activitv Monitoring Requirements
Outfall,
No •
Da
Sariiple Cullected'
- mo/d
00556 :.. r'
06530.;::_:
Oil and Grease, t.
Total Suspended Sglyds,
;pH;
New.Mot6rOil Usage
nivalastanarunt9 or ; :
'Benchmark.:
��:
i, fi :: 30.
- 100`.
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pil, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date -(list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Total Event Precipitation (inches):
QX1rT T _'Inn 1 f) 1 n-r

"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 intprisonment for knowing violations."
(Signature of Permittee) ;, _ (Date
S WU-244-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: 3
CERTIFICATE OF COVERAGE NO- NCG06 G Cc to I $ (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME L J COUNTY _ u (r;t,_
PERSON COLLECTIN SAMPLES _�2r r- pw.lY n PHONE NO. [�;,1=) 3 �f� ' S•gi 7
CERTIFIRD LABORATORY � rA Lab #
Lab # PLEASE SIGN ON THE REVERSE -a
Part A. Specific Monitoring Requirements
Ouffall
Date :,,
00530
N; 00400.
r ,.. :00340 xs
a ' ..ODSS, r
F,}, +',:31.61G
Ni)
Simple
q ;i ofal Sttspeiided a,
k 5' pH, -
Chrrual Oxygen '
Oil„and Grease, IF
, Fecal Coliform;"
A
Collected M ,
' µSoLds �' }
e-� an units
':Demand,
` utgfL," a E
, Colonies per:100 mI
Im
.Aenchinirk'
=
,.. L00, p .;w:'' : '
"' Within :0 - 9 0 :
120°
80 rr.. # k
' ;1000
60
Ll
1 3 'S
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must tmplement 'l ier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no RECEIVED
(if yes, complete Part B)
. DEC 2 3 2014
Part R- WhirlP Mnintpnsauce Artivity Mnnitnrino Remdrements
IL
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date f[-I)-I`i (first event sampled) r�
Total Event Precipitation (inches): i 3 5
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
cxxnr.)An I(In 'f%n

,f f 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 any 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."
Q;Calw, �'
(Signature of
(Date
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06 O I (This monitoring report is due at the Division no later than 30 days from
RGV U11 as lity receives the ampling results from the laboratory.)
FACILITY NAME_ We - •I n t F4rr� S 1 L C GV COUNTY 3y10
PERSON COLLECTING SAMPLES NOV 17 2W PHONE NO- (3aiL) - S S% 7
CERTIFIED LABORATORY fkl-- Lab # 3
Lab # CENTRAL FILES PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements DWR SECTION
OQ4 00..:.:..; :.
w0Q340 't•s
'� 04SS'r1,�.
16'I6.::..
No::.: .:
Sampler
`TotalSusended,�
,��r ;�pl�,
Gtimtaai.0arygen
Oil;andirease,
1 FecalColifartn;
Collected
�Sohds �'s w
*Standard:units
�Demarid,A r r
, + ;,. mg/L w
Colonies per 100 ml
-'- 2 :w
r t h
- m ' r,
:...: Crri . .,
. , . �- ESP.. ...- c
.,. ., ..
Benchmark
a:;. '100,
"120 { '
.." ,'30`r.
0 0 r
a01
6 ow
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
.'Outfall.
No'. '
:,.. ,..
Date:,::;"•:;'�
Sarisple Collected;
ma/d'dl r.,,.
00530,:-
OD400-<i.:.
Oil and Grease,,
"
Total Suspended Solyds�
:pH,
ut§
New_Motor:Oil Usage;
almo
Benchmark.:'
- ':
::� • , 30:,:
100
w.:
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
Date (Iist each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
c\l1r i_')nn I Al 1"

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person.or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete, - I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Datei
Swu-249-102107
Page 2 of 2

RECEIVED
OCT 0 9
STORMWATER DISCHARGE OUTFALL (SDO) CENTRAL FILES
MONITORING REPORT DWR SECTION
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: :Z
CERTIFICATE OF COVERAGE NO. NCG06 (0 1 (This monitoring report Is due at the Division no later than 30 days from
the (late the facility receives the sampling results from the laboratory.)
FACILITY NAME t.J - LL L COUNTY 5
PERSON COLLECTING SAMPLES PHONE NO.
CERTIFIED LABORATORY a,, a A _ Lab #3 L/
Lab # PLEASE SIGN ON THE REVERSE 4
Part A. Specific Monitoring Requirements
otrifll:
-
.: Date.
Cpliected;
m6�ddl
059 u;'
;0 404
:, ;:: 003i4 ir;
tk + �t
t'
alSisPen
dample
Solldg
"r
Ina
lI
a`� a� 4tariilard'>units
v• •
Ox
Chd$
r
g.L,ancl`ease,
�i5 E
I"ecal 4'allform;' '.;.
Goliinias pt r 100 rri1:
i-' -
I3enCitntark
i ,I00
G i
�ii
1)G •i lo.J
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pl-1, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, complete Part B)
Part B: 'Vehicle Maintenance Activity onitoring Requirements
. Qutfall.
Date
"7:'m oId'd/ r
_ 06556' :,
00530:. - _
`'004UO
and Gs e#
"!m
-Total �
uspeid$liNo:
IIr,
011"'
$tsq units
N6 Matai 011-Usage;
.Anrttt�lL:av'er e. avtr►o ,
A3eirchmprk .
36 4'`
100
Note: If you report a sampled value in excess of the benclunark value, or outside the benchmark range for pfl, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Mail Original and one copy to.
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
hate (list each additional event sampled this reporting period, and rainfall amount)
'fatal Event Precipitation (inches):

"f 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 any 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 intprisanment for knowing violations."
(Signature of ermittee) (Date)
SWU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06 n (This monitoring report is due'at the Division no later than 30 days from
r the date the facility receives the sampling results from the laboratory.)
FACILITY NAME W nz 1-c..rtn LL COUNTY �- � .zcr
PERSON COLLECTING AMPf�LES �,m 1 . PHONE NO. (3�� )_-3 (, - ,i ,, (a
CERTIFIED LABORATORY !S 47ot A Lab # 3�z
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
No:"" .:..";
Sample .'�ti
Collected 4
mo7iid/ r:'
x "TotahSusperidgd €w�
-Solids •'
rri /L
•ir; w S xpH, ;.
�.1'Xiandardl:unjts
3 I ;. a'lv i
CtiGrrugul.Oxyen'.
'.Demand �'
; d►` L :�
r�0il;and Grease;
-'i mglL F
i > :Fecal:Coliform,
Colnpies per(} tn 10l
r
I3enChntark
k:, . '100., !
= ' Withtn ;6:0 - 9 0
17I.
--"loll
A 0 Vtollr
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tie) # Lm IV E
See General Permit text. ' 1
Did this facility perform Vehicle Maintenance Activities using more than 55 gaIlons of new motor oil per month?_ yes _no
(if yes, complete Part B)
Part B: VehicIe Maintenance Activitv Monitorine Requirements
SEP o 5 2014
CENTRAL FILES
DWR SECTION
Outfall.
Date ' ' , .;
SaritpleCollected;
00556 �:..
00530 .- :
011404 : i
Ojl andGrease,
nddSlcdNo. ,
pH,i I
Standurd.unit§
New.Motor;Oil usage'
_Arinuel'avera a aUmo:
30:,
100 P
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (Iist each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
c lun r.Inn sA-Itfl9

"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 Fny 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."
i
6-
(Signature of Per"Uttee) (Da )
a�
S WU-24s-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06_ % _ (This monitoring report is due at the Division no later than 30 days from
�ov
�#qity receives the sampling results from the laboratory.)
FACILITY NAME Wt e— fe�M L L COUNTY 'r
PERSON COLLECTEN SAMPLES t LVI PHONE NO. ( )
CERTIFIED LABORATORY Lab # 3q AUG 0 7 2014
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
DWQIBOG
Ontfah, ,
Date
a 0053Q::; ;.,
.i ," :.00400.'
.,. '00340
5� 0©556tiA
3x616
No.
Sample
; x,; Total Suspended 4.-'
- r -pf[,
Chertucal Oxygen
Oil`and�Grease� i
Fecal Coliform;'
C'ollectedj4
S611ds `
6�S�tai d' d units
,
''Demand, - it
mg/L r
Coloiiies''p�r 10.0 nil
1
-
Within _6:'0 - 9 0 .
120'
'S. ".30-'r
a ` „1000
O/�-
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes /%
(if yes, complete Part B)
Part 11: Vehicle Maintenance Activity onitoring Requirements
_ . Ontfali.
No:
Date
Sample Cgllected;
; 00556
Oo530:::
00400':ii.
OII and Greasc,x
Total Suspended'SQhds�
:m IL ' w. _.
pH
Standitid.units
New.Motor:0ii Usage;
-,A r a a�ImQ;
Benchmark.
- ' ''
k. a: .30
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date?-C?-1g1 (first event sampled)
Total Event Precipitation (inches): b
Date (list each additional event sampled this reporting period, and rainfall amount)
Totai Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
QNILRT_'IRn inq+n-r

"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, t am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permit -tee)
{Date
S WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL. PERMIT NO. NCC060000 I SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCG06 Ci S s (This monitoring report Is due'at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME_ w_�,. ,j e- -rm_ s L_ C L COUNTY u r t
PERSON COLLECTING SAMPLES r w / PIIONE NO. (ajj )
CERTII+IED LABORATORY Lab #
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
Outfali
Date
0053Q
..QQ404.
i00340
QqS' J'
No.
Sample =
s. Total SttspeQded
p13, ,-
Ci�emlcal Oxygen :
011,and Grease;
immmFeeal Collfarin
Cal�ected
�Sohd�
4��Standard':units
Demand, -�'
` m/1� r�
Colonies per 100 m1
:-No%dd/ 1 '�
Iti ��h ' ', '
h: Yt.f ' I
,.,
r }��4 S k
t
::.
r .-� i
y:�
Benchmirk_
�:i., ''100; :.' ' !
;:4 , WItI11n:�:Q'=.� Q :
! �'ZQ. i
k' •
i iQ�Q ,
t5 0 1
- Zo ►
a F/ �•�
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier lRECENED
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes —no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
JUL 0 7 L014
CENTRAL FILES
DWQIBQG
Outfall.
No:
Date
Sa�iiple Collected; „
00556 ,..
00530.::'
O►1 and Grease,,
:._Total Suspended Sghde,
..'f:m /L:_
:pH," i
Stan'daid•.units w...-.:-
.New.Mntor Ot1.Usage;
AnauaL'avera a aIlmn
Benchmark.'.
Note; If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Q 111Y I _-) A 0 I ill I f%-?

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Daje)
S WU-249-102107
Page 2 of 2

RECEIVED
APR 3 0 2014
STORMWATER DISCFIARGE OUTFALL (SDO) CENTRAL FILES
MONITORING REPORT DWQIBOG
GENERAL PERMIT NO_ NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR:
CERTIFICATE OF COVERAGE NO. NCC06, d i (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME L[l . L L COUNTY S f r-
PERSON COLLECTING SAMPLES PHONE NO.
CERTIFIED LABORATORY Q c ,,,� Lab #�
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
Qutfall .
No.
Date
Sample
CaWeted`,,�
n7o/dd/ r::,
00530 f -
, , r 04400-
..°;. ' .00340 . �:s
,u' ::4QSS��I+,ik ..::�
.., ,.. ,.;"r316I6
N :Total 5us(�endg4
�Snlid
< tpH, _.
5tandarif':nnrts
x ChOnu�itl .Qxy�en :
L "Demanc(, n-'
,COI ind� cease,' a
i� `Fecal Coltform
Colontes per10U mf
-.9:0 :
120
i h
1000
�7La
O 1
-1
7
C 5,0
Doo
Note: if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part 13: Vehicle Maintenance Activity Monitorinp, Requirements
yes _no
Outfall,
Na:
Date
SampleColiected;
mo/dd/ r
00556 : ,
00530.: :: ..:.
-•06406.44%.
Oil and Grease;;
�iri /L
'-Total Suspended S41id's?
-m /I,:;
=.:pH;
^Standatd.uiiits
New..lVIntor Oil•LFsage;
Anival'.avera e al/mo
Benchmark.'
-
�:,_,30. 3 `"
100
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date y� (first event sampled)
Total Event Precipitation (inches): , t7
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-16I7
CIITT 1.IAn 11)11Al

"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 any knowledge and belief,
true, accurate, and completes I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
o 1
(Signature of Pe mittee) x (Dat
al
B
9
S WU-249-102107
Page 2 of 2