NCG170297_MONITORING INFO_20141113

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
❑ HISTORICAL FILE
Ek MONITORING REPORTS
DOC DATE
❑ Q.c) 9- 13
YYYYM M D D

ANA-
RUNERR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Fur yurdunceonflllingout thisform,pleasevisit. bttj2://uorta1.ncdenr.p 1w_e_b/lr er
Permit No:: I�/�/_/ I_/—I_I—I� or Certificate of Coverage No.:
Facility Name: :r_4 Olet- EicL.0 � ''70 F O/W -r t', ML
County:Ii'1 c OG't��t. �'-'- ---�
/l Phone No. g2-h''- 6'G&- 33-Yy
Inspector: _ _ _ 6 a M C. I" , N W � -
Date of Inspection: I/ - 13 - /V
Time of Inspection: 30 n P r- T
Total Event Precipitation (inches): .�
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes 9-no
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"'or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
! A "measurable storm event" is a storm event that results in an actual discharge from the
}. permitted site outfall. The previous measurable storm event must have been at ]east 72 hours
prior. The 72-hour storm interval sloes not apply if the permittee is able to document that a shorter I
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to. the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
t
SWU-242, Last modified 1o/25J2012

0
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1. Outfail Description:
Outfall No. J[Structure (pipe, ditch, etc.) _e�A', ny ear�
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
�� /ny r �
/71& ve' T& N_0 /o24rr _!//,,l� r1v /�vi, r1y ��cL'��✓�c, r`! l41f ��f�c_��7��:,
k• Goa'ac Gt�a %iF%
2. % Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: o ,,
3. Odor: Describe any distinct odors that the discharge may have (Le,, smells strongly of oil,
weak chlorine odor, etc,): , ,i„g " 4/a .,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of Boating solids in
the'stormwater discharge, where 1 is no solids and 5 is the surface covered with Boating solids:
/� a �/• w 1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
Arc )r/o + 1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No V�
8. Is there an oil sheen in the stormwater discharge? Yes No /W
9. Is there evidence of erosion or deposition at the outfall? Yes No V
10. Other Obvious Indicators of stormwater Pollution. -
List and describe Al o i,.-
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may he indicative of pollutant exposure. These conditions warrant farther investigation.
Page 2 U Z
SWU-242, Lastmodified 10/25/2012

ANA
Stolrmwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling outthisform, please visit: htto:///portal.nc(ienr org/web/Ir/i1udgs-storinmter/
Permit No.: i�/C/_/�/_/_/_/_/ / or Certificate of Coverage No.. N/C/�C/ i /'7/ u/ ql r)f
Facility Name: _ /� G (1/�( `r f. 4-LC, /l— y 7y �_ �9 !c! T P itlG
County: Mc^ llvw, t( Phone No, I-P 66&J il-5�
Inspector: & M c 1K :.,.-
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes [L�o
Please verify whether Qualitative Monitoring mustbe performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to he
performed during a "representative storin event" or during a "measureable storm event." However,
t some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is.preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
jA "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter .`
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office..
By this signature, l certify that this report is accurate and complete to the hest of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
Swu-242, Last modified 10/25/2012

0
1. Outfall Description:
Outfall No. 2� Structure (pipe, ditch, etc.) -4
Receiving Stream: 73Lrc &., (, r t & Ic- � 13o fah
Describe toe industrial activities that occur with'n the outfall d ainage area:
f% le_ 11i l I ��a .1✓i. c �r tiro ti✓ ti �f�� L 6 r� S� -F fr i m �,� '�t s ;. �«,- /J �,rz°j
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: NIA Ara r=%ul
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): &1& No
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear, and 5 is very cloudy:
NO r(��, 1 2 3 4 5
I
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the 'stormwater discharge, where l'is no solids and 5 is the surface covered with floating solids:
Al d r (6 w 1 2 3 4 5
6. Suspended. Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
/V, r rQVj 1 2 3 4 5
7. Is there anyfoam in the stormwater discharge? Yes No /V J F�o .
8. Is there an oil sheen in the stormwater discharge? Yes No v o F(- u
9. Is there evidence of erosion or deposition at the outfall? Yes No N J Fl o u�
10. Other Obvious Indicators of Stormwater Pollution:
List and describe /V•' ti C�
Note: Lott/ clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of Z
SWU-242,Last modified 10/25/20I2

0 r
Vj �rram. n�+�,.�� liv, 1, es
North Carolina Division of Energy, Mineral, and Land Resources
SEMI-ANNUAL STORMWATER OUTF LL DISCHARGE MONITORING REPORT DMR
Vehicle Maintenance Activitles Only
Date submitted
CERTIFICATE OF COVERAGE NO. NCG
FACILITY NAME
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert, It _
SAMPLE COLLECTION YEAR
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Vehicle Maintenance Activity (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event rainfall' or ❑ No discharge this period=
Outfall'No
,;samplq
Collected
TatalSNspend d
Sa(Ids�7S5jJmg/L
ryQn'polart7&GITPH rhg/t
ilvlethgd16645GTtt�Mj
OAandGrcase'mg/�
(iF.apllcahlc}
pH staodardgnits
(jlappllcabie}r
NewMotart)11Usage ;
Annualayeragegpl/ma ,
Benchmark_
sfob ,or 50
l The total preclpltatlun must be recorded using data from an on -site rain gauge.
Z For sampling perlods with no discharge at any quttalls. You must stfll submit this discharge monitoring report with a checkmark here.
'See General Permit text that Identifies the especially sensitive receiving water classificatfons where the more protective TSS benchmark applies.
Note: Results must be reported In numerical format. For example, do not report Below Detection Limit, BDL, <PQI., Non -detect, ND, or any other similar non -
numerical format. When results are belowthe applicable limits, they must be reported in the format, "<KX mg/[where XX Is the numerical value of the
laboratory's detection limit, reporting limit, etc. in mg/L.
Note. If you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2, or, Tler 3 responses. See General Permit text.
FOR MONITORING RESULTS:
• A single benchmark exceedance triggers TIER 1 REQUIREMENTS. See permit PART II SECTION B or C.
• Two exceedances In a row for the same parameter at the same euifall trigger TIER 2 REQUIREMENTS.
+ TIER 3: Has your facility had four or more benchmark exceedances for the same parameter at any one outfall7 YES ❑ NO ❑
IF YES; Have you contacted the DEMLR Regional Offlcel YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
SWU 25d Vehicle Mainteounce Actiyities DMR .Last Revised' August 11, 2014
Page 1 of 2

i 0
Mall an orlglnal and one copy_ of DMR, Including all "No Dlseharae"reports, within 30 daU ofrecelet of the lab results for at end of
monitoring Period In the case of `No Discharge" reQortsl to:
Division of Water Resources
Attn: DWRCon tral Files
1617 Mail Service Center
Raleigh, NC 27699.1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a
system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of 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 thatthere are significant penalties for submitting false information,
including the possibility of fines and Imprisonment for knowing violations."
{Signature of Permittee}
(Date)
Additional copies of this Form may be downloaded at: http://partal,nedenr.or weblIr n des-starmwatec
SWU-254 Vehicle Maintenance: Activities DMR
Last R.! hzed: A:igusr 11, 2014
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)"'
Calendar Year _g0 j{ -
General Permit No. NCG170000
Certificate of Coverage No. NCG17©®®©❑
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name: /)G �i� �t' LC �- �� L%{ (')Idl f 1' Ak-
County: 1_ emu.-' 1
Phone Number: (kZk ] 191�S -3 3 Y y _ Total no. of SDOs monitored
Outfall No. i
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
if this outfall was In Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
a
� , � -.
. . ,
ihw �� a.r i�"i cit�.'^�'rIs 1� e�� •1+K�'r`.1 >'7*i ���u,{Sk t � �Sd4+,y ! i�y��
" F } r-� V>Y.+ Y'� rp,Fd S��t,�,,//'''� �, !�S tI 1 �t Y f7ti{ Y% ^a Yj
���i't��Tr„-`�� '��,_�L.� ,: '!.4?��r�;yr;: ,t.;y„._�i ��'„��._._ }s�iu�,a�,.T,, ��� �t,�S,s`s�:Y
lT �� sus `r t
, Ttl l'1i 113�11 {,�3�'Y:•Z
t t��z�F._.�=r•�`s����`'5'�`S
■
■

. Additional Outfall Attachment
Outfail No. Z=
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
It this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEML.R to reduce monitoring frequency. ❑
Other ❑
.
Ouiiaif.h
'
T otalE Rainfall; r
trJches
0053t}
• 0055�
� {VehJcle
' TSS, mg1L
Nord 4 ola�
1 }
Gressel rrlglL
Usage,
gaflnonth
Benchmark
N/.4
SO/�QA .1.
..1-. i5/111/,4
,
.5X...1 .
Date Sample Co.11ected.`
moldd/yr
A

E
0
"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
Date Ill 3 �l
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville office...
[phone]
Raleigh Office ........
[phone]
Washington Office ...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Ba]rett Drive
Rateigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27899
[phone]
610 East Center Avenue/Suite 301
Mooresville,.NC 28115
[phone]
I
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]