NCG080946_MONITORING INFO_20190621

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO
/V U& b b o qq�
DOC TYPE
❑ HISTORICAL FILE
Ly, MONITORING REPORTS
DOC DATE
❑ Q0)_.q_(D0c)-j
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Rel2ort
for North Carolina Division of Water Qualit General Permit No NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO NCGUS© Lq
FACILITY NAME if1 AlJd_72Ay75 6 1Ox1
COUNTY
PERSON COLLECTING SAMPLES rLt4 (, Mry-1
LABORATORY fZ-+ A Lab Cart #
Comments on sample collection or analysis
Part A Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR c;LOI
SAMPLE PERIOD [}Jan -June ❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
RECEIVE] ❑Zero -flow ❑Water Supply ❑SA
RECEIVED Other 5heeci` D2A/A/
JUN 2 1 2019
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
©WR SECTION ❑ No discharge this period'
s Outfall = a
7`.r
� I � � } r
Not "
X`����` r=
t �- � ix+ i
" `Date 1 i t Gay
} 5 i
A i
� �1�.-� �'.+�'r�r �r Rt
Sample�Collected,
�( trµn+o/dd%yr1
J ( [!
w "2 J 00530
j x - k
�0©400 , '�:5
Rs. tR4"�m }i -iik�
�
� �r -iat � x,. +uc .per r
otaliSuspended�
�ttSol�tls,�mg/,L�5tandard?u4n
�#�.�.�a 's'yh is "� "F,� ti,�Y_�,3�
F pH y �, r �
its �
Jw� y,�.a__ iR X�r-a-..I mn�s^ r r �,
�on-Polar 0il+and Gr�ease/TPHsiEPA;�
Method11664A[SG(TY;HEpM),xmg/I.YAnnual,aVerage
+— c t i r r'1t
Ff- NewyMotor Oil:Usage,—
gal/maz„
Benchrriark - r''
Cx� J w P �+,} Y -g » yiktt s(t
r , , SI
JL x5 3+ass,! N1s. fM"F4
50_ `or 1003see permit
: tv,� l3 ; JIB St ��i
, 6 Within�6 Oi�a9 0 °
1�r r �:S.Y S01+lS,.� u� i `
��, r��"� t�� 415�,
to-.aDIQ
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, report your analytical results in the table immediately below)
Part S Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
� �r
sOutfall f
s S�.,zl .�1
'" No
J
4 � e,. 'k 7 �,�5-
Date
r ,����
� as r � ..,,,5,..
Sample(Collected,�
? �Y"�id���'�i�bL�1.�D � Y� �t�1 i k� �,1 S^ C��•,� �
�a J� w�
t,� ryaJ ,00556�� , �yt, �rr��
�'` t ' ���ls'l�v, x �
a 2 ��, r� A� r �r f
,s�r3�00530;�Y;� ��i� t i'�
, (�,� ", �_ i
00400
,n.�. �"' � � � c�- ,ram s
��Non-Polar Oilcan Grease/,TPH EPAIMethod �
Ai',{YcanlP+
iG64 (SGi HI=M};,mg/L
�,ar ���
� �7otat'SuspendedSalicJs,��'�;"�_�
t 7'r 7 3s
`�` ��`�_►g%L
0, tandard units,
1
Perrriit1imit
Y it t � m�l f`
,i� _ � ,�
14 ! � }
Y � 'i '1 � '7F �I�*4"' 1L '2! V' `!'[ "tl �eTM'
as {"ii '� g5' p' � T� fir((A yrt
trY'1 .. � � _ ri� J Y" 4a.n NEr iY+J
Y[. lY w.n _ Tl>•i r
'��" �50`orG100 ee'permit r r t'�
f Y'J �( R iN�
" `r+6`0 9 L3r.
J 1
5
. �(/
i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
SWU-250 last revised O _ 01 age ] of2

STORM EVENT CHARACTERISTICS
Date 40-8 (first event sampled)
Total Event Precipitation (inches)
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches) ,
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART 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 EXCFFDFNCFS FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO a
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an onainal and one copy of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results tar at end of monitoring period in
the case of "No Discharae" reports) to
Division of Water Quality
Attn DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699 1617
YOU MUST SIGN THIS CERTIFICATION. FOR ANY INFORMATION REPORTED
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who 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 Permittee)
aoIF
(Date)
Additional copies of this form may be downloaded at http //portal ncdenr ori;/web/wg/ws/su/npdessw#tab-4
SWU-250 Iast revised October 25, 2012
Page 2 of 2

pwoeVED
JUN 2 0 2019
CCNTF?AL FILES
MIR SECTION
Semi-annual Stormwater Discharge Monitorin Re ort
for North Carolina Division of Energy, Mineral and Land Resources General Permit No NCG080000
Date submitted / 7 S III,, 4 g
CERTIFICATE OF COVERAGE NO NCGO8 D & O rZ
FACILITY NAME Ad/ N a G A S
COUNTY P'l C
PERSON COLLECTING SAMPLES
LABORATORY.. 3 Lab Cert # 2
Comments on sample collection or analysis
SAMPLE COLLECTION YEAR ?D 15
SAMPLE PERIOD.N Jan June ❑ July -Dec
or ❑ Monthly[_. [month]
DISCHARGING TO CLASS ❑ORW ❑HCIW []Trout ❑PNA
[]Zeroflow ❑Water Supply [:]SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month?,0yes [] no (if yes• complete Part A)
Part A Vehicle & Equipment Maintenance Areas Monitoring Requirements (if applicable) ❑ No dischorge this period'
Outfall No
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
inches'
Non Polar Oil& Grease
y mg/L
Total Suspended Solids,
mg/L
New Motor or Hydraulic Oil Usage
gal/Mon
Benchmarks
,
15
100 or 504
Parameter Code
i 46529 1
n { 60552, '
r 11COS30 +
NCOIL
o G D
2
D r�
' Monthly sampling (instead of semi annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall
1For sampling periods with no discharge at any single outfall you must still submit this discharge monitoring report with a checkmark here
3The total precipitation must be recorded using data from an on site rain gauge Unattended sites may be eligible for a waiver of the rain gauge requirement
° See General Permit text Table 1 identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Note Results must be reported In numerical format For example, do not report Below Detection Limit, 8DL <PQL, Non detect ND or other similar non
numerical format When results are below the applicable limits they must be reported in the format, <XX m(tlL", where XX is the numerical value of the
detection limit reporting limit etc in mg/L Conversely where fecal colaform results exceed the dilution upper limit report the result as '>XX
Permit Date 11/1/2018 5/31/2021
SWU 248 last revised 11/1/2018
Page 1 of 2

Part B Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) ❑ No discharge this period'
Outfall
DNo ate Sample`5"
mo/dd/yr rtr v
X k44aomoun�lfail
t :`a ,lnches3 �i;
{s mple mo/dd/yr Collected'
r, �� f s # atrl+#
Toxaisohds d r
s'Yt L
"t"St ndardrumtsv V
� `n � r r �, r
�NonG el sOil #;
mg/V ,If
Permit Limit
"' •-Y
u '` t, T,
i100or5W I
I&t'"60=9O',
J'.415- I
Pararneter Code
46529 : i
d i, I 'r4 i —� it i i
�ir+x AK0530 w _: Zi
- :. _, ' 00400_
00552 `
Footnotes from Part A also apply to this Part B
Note If you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2 or Tier 3 responses See General Permit text
FOR PARTAAND PART B MONITORING RESULTS
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION 8
• 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 ❑ NO ❑
IF YES HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mai! an orvpina! Cop�otthis DMR, mcluding all "Ng Discharge" reports within 30 dp s q receipt o the lab resu►ts or at end 4f monitorino period in the
case of "No Discharge" reports) to
Division of Water Quality
Attn DWQCentral Files
1617 Mad Service Center
Raleigh North Carolina 27699 1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted Based on my Inquiry of the person or persons who manage the system or
those persons directly responsible for gathering the Information the Information submitted Is to the best of my knowledge and belief true accurate and complete
am aware that there are significant penalties for submitting false Information including the posslWity of fines and Imprisonment for knowing violations
Signature of Permittee Date
Permit Date 11/1/2018 5/31/2021
SWU 248 last revised 11/1/2018
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No NCGO80000
Date submitted 01 /-2DIS
CERTIFICATE OF COVERAGE NO NCG08 D cj q
FACILITY NAME :SOuu+;l (aWd, 72A�3S� G (r (Ion 12A�_
COUNTY �11� ICL,..i
PERSON COLLECTI G SAMPLES !2
LABORATORY Lab Cert #
Comments on sample collection or analysis
Part A Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION Y 0 1,9
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly'_ _ (monthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply [:]SA` ther
y PLEASE REMEMBER TO SIGN ON THE REVERSE 4
�U ❑ No discharge this penod'
CENT4 tE'.L FILES
nUdR SEC lo�
Y
Autfalh'
x No rat
r , °
� '�! .it� a 7 E
�, L, z�z ©ate -,f�
Sample,Collected;'n
r
Imo/dd/,y °
f i'$M%.� � % � � Yi
��00530;� ° SEA=�+�v�i30400'��
'L
00556
-s ^wr .L« r
�, Total;Suspended �'t
R��4'Wn
4 ,{ Y SoiEdS m �
, g/ , z�
'P�� .. F
��,° F t1 pH,71 jt. � <�
��..r� "` � �P'
>3 � � Standard,unLf$
,�c �nv a cF 's; 7 � >r^r�
Non;Polar Oil and Grease/TPHIEPA
2�y�N•y N'J{Az3�%.d ���
� ,,�'Me Roc ' ( SGT
h_
� ,e. K �a��- a^ .• .,
<�New Motor�Oil�Usage,"�
3 rFti
n� g� I i i
Annual a�eraLie al mop
Benchmark
g5�
_ }" -, ,=-r,L�
f �
�50 or 100xsee permitir
'A �f °� Fsir y
1d Within fi 0 ��9 0�1
S16fi4ti
�3 2 d 'C i i'" l M �ry �'• { . r.�`0Ir sir � i 1
f _15
4 � -, SQL'„ < #4t :nF 'Y i � 1. h
s 3 la 0l
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month'?_ yes _no
(if yes, report your analytical results in the table immediately below)
Part B Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
., F c
Outfall , F,1
No
r =. ,. } yl `
rY� -•• �`S.
�,,
y7 - n �' ° a 3i1
' ^;.. Date 155
J t s- ??, ;J*=. J J r
Sample "Collected, .
' ` 22�" ,,, ^ r.t.F'-� i e ram?
,I`t' i � �' �
�m,mo/dd/yrCn
,.i�`* ;
t3f,�-
Yi 'R. :'+" Y E Y M 'I f
+ Non-Pol`arxOfl{and,Grease/TRH=EPA MethoaN'
,j,�inL" `5, afi �1'�x'ys`CiTrsri +�' s� '- a +
�l "�-r�t5\l ✓!sue F Y {�`i C�� Y Tu ��i+
Wl,<:,�x 11664 (SGT,-HEM),Fmg/L , i `W
}A 'i.'� e L ',-Yt i Y d Y
its , Total Suspended s6hdi ; y� �,
vrr r� .t t `% .d-r f» s4 -.,, a +2�.thtl�`
k � iV"� 'Pt '4 lL.i (� 9 �'.w � f
att +►ng/L�,� irssv-��
! 1'Y- S i
"� - T'pHj,, L° t Y
?
Standard units; 4FSh
VPermit,Limit 9e^
O}1 Y-K
l x
I
3l
CS
5
i For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
SWU-250 last revised O gr 25, 2012
Page I of 2

ka
STORM EVENT CHARACTERISTICS
DateIfirst event sampled)
Total Event Precipitation (Inches) _
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches)
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART 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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an orrarnal and one copy of this DMR, including all "Na Discharge" reports, within 30 days of receipt of the lab results (or at end of manitorina period in
the case of "No Discharae" reports) to
Division of Water Quality
Attn DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699 1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted Based on my Inquiry of the person or persons who manage the system, or those persons
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 "
(Slgnaturekf Permlttee)
13 Q1 G
(Date)
Additional copies of this form may be downloaded at http //portal ncdenr org/web/wq/ws/su/npdessw1ttab-4
SWU-250
last revises! October 25, 2012
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO NCG08 6 S� SAMPLE COLLECTION YEAR
FACILITY NAME r1<}y) d SAMPLE PERIOD © Jan -June ❑ July -Dec
COUNTY Y L'I �] or ❑ Monthly'_ _ ..._ (month)
PERSON COLLEC INGSAMPLES I�� h?mf -S DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
LABORATORY `�'1-CnnLab Cert # ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis��ROther s
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
PartA Vehicle Maintenance Areas Monitoring Requirements Cr--N1Tj,,LF1 O ❑ No discharge this period'
puV� SeCZ
Outfall�; -
_ No R
Date _"
Sample Collecfeclp
� , k mo/dd/y� °, ,
f` ;,00530:�';"
_ = 00460
- a- ` r`` - 00556
`Total Suspended T'
7,' Solids,�mg/L
- " - pH,
A Standard unkts ,+
ti Non -Polar Oil and Grease/,TPH-EPA t
-,Method 1664 (5GT-HEM];�mgJL� V
New Motor Oil Usage,
�AnnualIa�erage gal/mo x
Benchmark
�t - - -y"
50 or 1b0 see permit
a Within 6 0 —9 0l' ti
_ s' '� "45
4
<5
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _✓yes _no
(if yes, report your analytical results in the table immediately below)
Part B Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall x
No ti
Date ,
Sample Collected,
ma/dd/yr, r 3
-' z , ' 00556- h &,i, _
W' ' �� 00530 - p, , _
F r ; 00400
Non -Polar Oil and W6r a/TPH EPA Method .f
1 a�' i i"+,.I
x '�` ;V" . 1664 (SGT-HEM), ��� �}
- ° Total Suspended Solids ;S,,
t r
y i t .�
4J �*�� � ��smg/L � M ' � - �<�
y dip H'
-- ,
+,� Standard units
Permit Limit
- ` ~ -''- _
, P n —15 = L
� a 50 or 100 see permit-%, -
; 6 0 = 9 0,
-, 1 t\
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here
SWU-250 '"" last revised O r 25, 2012
,Page I of 2

STORM EVENT CHARACTERISTICS
Dates, (first event sampled)
3��
Total Event Precipitation (inches)
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches)
Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses See General Permit text
FOR PART 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 ANYONE 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 of "No Discharge" reports) to
Division of Water Quality N k
Attn DWQ Central Files
1617 Mail Service Center
Raleigh North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
"I certify, under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who 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 "
I,1
Additional copies of this form may be downloaded at
r-
� /0 7
(Date)
http //portal ncdenr org/web/wq/ws/su/npdesswtttab-4
5 W U-250
last revised October 25, 2012
Page 2 of 2