NCG210023_MONITORING INFO_20190618

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. l V (�� a ti a3
DOC-TYPE ❑ HISTORICAL FILE
�. MONITORING REPORTS
DOC DATE ❑ aol cl Z)CQ g
YYYYMMDD

1)
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted t-C,— 5- 15
CERTIFICATE OF COVERAGE NO, NCG21 U Z
FACILITY NAME_�
COUNTY _P_ C.ILArnIQ�� RECEIVED
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. # JUN 18 Z019
Comments on sample collection or analysis:
pCENTRAL FILES
_'""' ;EGTION
SAMPLE COLLECTION YEAR 2- O I
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ['Monthly' /V1,:e �j (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
©Other ' v i
PLEASE REMEMBER TO SIGN ON THE REVERSE —>
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
[�o discharge this period ?2
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =_->
-
-
120 mg/L
100 mg/L or 50 mg/L4
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The 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.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND; or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or.Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023
SWU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
[v--KNo discharge this period?Z
OutfaB No.
Date sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 rng/L°
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
e A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
e 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:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt ofthe lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files.
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible forgathering 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 possibility of fines and imprisonment for knowing violations."
. IL co - j��L) �T
(Signature of Permittee) (Date) IL
Permit Date: 8/1/2018-7/31/2023 SW U-245, last revised 8/6/2018
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted l 1- ,3 - 2 8'
CERTIFICATE OF COVERAGE No. NCG210 o Z 3
FACILITY NAME AAAeST �rc�Se,r
COUNTY 0—"Iu rn kAA.S , +
PERSON COLLECTING SAMPLES i C (le.10044"
LABORATORY Pd O—i �nwtiy+i eel Lab Cert. # l 'Z--
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR ZC I g
SAMPLE PERIOD ❑ Jan -June 'July -Dec
or ❑ Monthly' (month}
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
Other (,•i v'i nos+n C/l§A-L�.
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A_ Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or SO mg/L°
1301I
t I �. - l 8
2 3611
31.2--
4aQZ
11• 12--1V
7-3
2.6.3
l3•0
0�3
11-13-ig
.c��o
.�
�8•0
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
A See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, the„y, must be reported in the format. "<XX me/L where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L'
0 0
11- l z-1 g
, Z.3
�
3 1. 2-
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTfON 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 FACICI7Y 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:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who. manage the system, or
those persons directly responsible forgathering 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 possibility of fines and imprisonment for knowing violations."
_ _ PCt3!L
(Signature of Permittee)
Permit Date: 8/1/2018-7/31/2023
(Date)
SWU-245, last revised 8/6/2018
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted I - 7- ) Y
CERTIFICATE OF COVERAGE Noo. NCG210 c�. Z 3
FACILITY NAME �e,s� C` fa►�J�f� _ --
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY P Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Zdl d
SAMPLE PERIOD [])an -June ❑ July -Dec
RECr I=r) or L--]-Monthlyl l _ (month]
DISCHARGING TO CLASS ❑ORW ❑HQW OTrout [:]PNA
AUQ I a 2018 ❑Zero -flow Water Supply OSA
CL NTirAL FI Other_
NJ
DINi� S�=CTfOn1
PLEASE RENIFIVISEER TO SIGH ON THE P VCRSE -4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?Z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
120 mg/L
100 mg/L or 50 mg/LQ
�C�3
'?- Z3-� P
2,Z-
�Z►
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L". where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected"
(ma/dd/yr)
24-hour rainfall
amount,
s
Inches
Non -polar 0&G by EPA
1664 {SGT-ITEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/O
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 Genera! Permit text.
FOR PARTA 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 F�l NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Ff NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one conv of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results (or at end of monitorina 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."
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
i
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 14— 1 L— 1�
CERTIFICATE OF COVERAGE NO. NCG218 6 2- 3
FACILITYNAME 'WIPZ-�
COUNTY Co ju L
PERSON COLLECTING SAMPLES _,/& L e) P644 r
LABORATORY P4" 4ra►!4L,CaI LabCert.# I L
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2' dl IF
SAMPLE PERIOD [!�tJan-June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
E6EIVE0 ❑Zero -flaw ❑Water Supply ESA
,iUN 14 W8
CENTWI,L FILES PLEA5E REN1EIVI8r'R TO SIGN ON Trl£ PFVERSE 4
DWR-)ECTION
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?Z
outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
120 mg/L
100 mg/L or 50 mg/L4
2-
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 5WU-245, last revised 7/31/2013
Page 1 of 2

PartB: Vehicle -Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
3
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L4
444
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 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 E/
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one coov of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorina 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 CERTIFfCATION 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 Permittee)
Permit Date: 8/1/2013-7/31/2018
12
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted _6` - 4- 19-
CERTIFICATE OF COVERAGE NO. NCG21� � 2 -3l,Lk FACILITY NAME A E+ l f_<A S'�-f
COUNTY i �s
PERSON COLLECTING SA PLEB
LABORATORY-0-L Q 1. Lab Cert. # ZZ
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Z(�) IS � _
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
��� or E6'fVlonthlyl lsa _ (month)
NiDISCHARGING TO CLASS ❑ORW ❑H W ❑Trout ❑PNA
JUN 13 2018 ❑Zero -flow ❑Water Supply [:]SA
[j6ther L,'ly i ng#ta.•i c�)C,
CENTRAL FILES
WIZ SECTION. P:.EASE RENIFNIPER TO SIGN ON T,aF REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No dischorge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
120 mg/L
100 mg/L or 50 mg10
43Cj 5
5-2-7-17
4.0
40q.
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc, in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 5WU-245, last revised 7/31/2013
Pagel of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar 0&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L4
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 responses. See General Permit text.
FOR PARTA 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 Pl�0 ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REG ONAL OFFICE? YES J�f NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coov of this DMR, including all "No Discharae" reports. within 30 days of receipt of the lab results (or at end of monitorina period
in the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27G99-1617
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."
L& CL&_,4_ L.,'-4-IT
(Signature of Permittee) (Date)
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Cardlina DEMLR General Permit No. NCG210000
Date submitted J - 3 iv
CERTIFICATE OF COVERAGE NO. NCG21 G
FACILITY NAME
COUNTY e, W 1 }l '
PERSON COLLECTING SAMPLES [I
LABORATORY Lab Cert. ##
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2 Y
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
�ecfl -'-or © monthly' _F}Ti (month)
DISCHARG.ING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
MA� U Lkj su ❑Zero -flaw ❑Water Supply ❑SA
CC�R.� G 0 QOther/. l
GW
PLEnS[ RENIEM&ER TO SIGN ON T-Ii• PrVEPSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
2INo discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L4
I Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc, in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > S5 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(rno/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L°
Footnotes from Part A also apply to this Part 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 PARTA AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART I I SECTION B.
• 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO ❑
IF YES, HAVE YOU CONTACTED THJ§ DEMLR RE IQNAL OFFICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME: LL Leza
Mail an original and one coov 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 Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS_CF_RTIF1CATION 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 Permittee)
(Date)
Permit Date: 8/l/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21� �- 3
FACILITY NAME V18,S+ 1-r4S1--X
COUNTY Gb 6LX S n
PERSON COLLECTING SAMPLES IULi� I@, f` t,4tov
LABORATORY Vag A,_c !cj '1L cta I Lab Cert. # 1 2-
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Z a) 4
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or 'Monthly' rC
.. month
CHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
RE*((```` EI LDIS"t"" ❑Zero -flow ❑Water Supply []SA
APR 17 2018 ffOtherL--v � ,3-t1:�.rt Cr,& tx_
CENTFV`L FILES P'.EASE REMEMBER TO SIGN ON le f REVERSE �
I;WR SECTION,
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =_=>
_
-
120 mg/L
100 mg/L or 50 mg/L'
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L,,. where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part 6: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L4
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 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES �lo ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 21 oeNO ❑
REGIONALOFFICECONTACT NAME: J�C�¢,��� 5�-�-
Mail an original and one coon of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results (or at end ofmonitorina 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 INFORM_ATI_ON 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."
PCM
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
"-a-1
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG210 o 2 SAMPLE COLLECTION YEAR C� 1
FACILITY NAME UA,4S+ SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY Lp b,,,.a or [}'Monthly' FL 0 (month)
PERSON COLLECTING SAMPLES _ �, �!-rzl1 Pa� 10—k DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
LABORATORY PqC_L AriAjW4-jr_4 Lab Cert. # I'Z RECEIVED ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: Elbther L.
MAR 15' 2018
PL_ASE REMEMFER TO SIGN ON T,4E RFVERSE 4
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is requiredSonly i 'the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?2
Outfafl No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
IncheS3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
120 mg/L
100 mg/L or 50 mg/L4
81-
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XXme/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?z
Outfall No,
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
IncheS3
Non -polar 0&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/L4
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 PARTA 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 ErNO
IF YES, HAVE YOU CONTACTED IIJE DEMLR REGIONAL OFFICE? YES FLIrNo ❑
REGIONAL OFFICE CONTACT NAME: QIZ r-
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 monitorina period
in the case of "No Discharge" report) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU_M_US_T SIGN THIS_CFRTINCATION FOR ANY INFORMATION R£PORrED:
"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)
Permit Date: 8/1/2013-7/31/2018
3-l2--
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit,No. NCG210000
2 V L VV� I
V= r y t r. �- Date submitted Q
CERTIFICATE OF COVERAGE NO. NCG21a o Z 3
FACILITY NAME We-S+ r rA-W-C —
COUNTY Il uiLcrn � 5 _
PERSON COLLECTING SAMPLES
LA130RATORY Pn ,@__L Lab Cert. # '1 2.
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2- d ! y
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [ Ionthlyl ; F �rl�ar' month
DISCHARGING TO CLASS ❑ORW ❑HQW Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
FER [Other L'.y;n9 J'3, e2 ree L
PLEASE REMEMBER TO SIGN ON THE. REVERSE --)
Part A. Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks -__>
_
= �'
120 mg/L
100 mg/L or 50 mg/L°
�tp
I-z3-1
, 12
ZS
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mp/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-ITEM)
Total Suspended Solids
genchmarks ==_>
_
-
15 mg/L
100 mg/L or 50 mg/O
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 PARTA 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 If SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q'NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 2/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 tab results (or at end of monitoring period
in the case of "No Discharge" 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 INFORMATfON 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 cr 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 possibility of fines and imprisonment for knowing violations."
f
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
L 1 q,
(Dat )
SWU-245, last revised 7/31/2013
Page 2 of 2

.,,
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG210 _Q
FACILITY NAME � 0 W_ _ .
COUNTY
PERSON COLLE TING SAMPLES P
LABORATORY rO-Ct 9l'rQJ Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 1 l _
SAMPLE PERIOD ❑ Jan -June ❑ July-Decrr,^,__
or [-IMonthly'�tnrail (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
R Pr' P1IFr.. ❑Zero -flow ❑Water Supply ❑sA
J�N Q 9 [ZOther iv+ .�.z�
%0l8
MYRZCTION PLEASE REMEMBER TO SIGN oil THE REVERSE
`0Rk1AT!0N PROCESSINQ UNIT
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period:
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
120 mg/L
100 mg/L or 50 mg/L4
L
L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
s The 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.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they, must be reported in the forma "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018
5WU-245, last revised 7/31/2013
Page 1 of 2

0, Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
I
® No discharge this period:2
Qutfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar 0&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =_->
_
-
15 mg/L
100 mg/L or 50 mg/L°
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier,3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 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 0 NO ❑
IF YES, HAVE YOU CONTACTED T E DEMLR REGIONAL OFFICE? YES W NO
REGIONAL OFFICE CONTACT NAME: _ %q 0 f . q S C O
Mail an original and one coov of this DMR. includina all "No Discharae" -reports, within 30 dovs of receipt of the lab results for at end of monitorina period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1627
YOU MUST SIGN THIS CER_TIFICATIOT I 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 tha there are si"cant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
o>'lV o
(Date)
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMER General Permit No. NCG210000 -
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21
- , SAMPLE COLLECTION YEAR aQ
FACILITY NAME 'ef SAMPLE PERIOD ❑ Jan -June X July -Dec
COUNTY _ nn or ❑ Monthly' _ (month)
PERSON COLLEC ING SAMPLES �� Y(�d� 2,� _ i,�- DISCHARGING TO CLASS ❑ORW ' ❑HQW� ❑Trout ❑PNA
LABORATORY GLC.d- Lab Cert. ii �.4 j ❑Zero -flow ❑Water Supply 5A
Comments on sample collecti nor analysis: Mr? SECTION ti
(} 1PPr)rr.ggjN(, Ar PLEA:E R£f1 EPABER 3'0 SIGN ON THE REVERSE -3
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
., otal Suspended Solids
Benchmarks =__>
_
120 mg/L
100 mg/L or 50 rimg/L4
Y�
r a.F . .
JAN
VE D
0 9 2G `1
1 'SECTION -
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parria met erf `tytheoameucoipUtuv;l:
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a check mark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible fora waiver of the rain gauge requirement.
A See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not resort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar hon-
numerical format. When results are below the applicable limits, they must be'. reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. -
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit texi: "'"" ..
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

..,_. r ZOO
min t 1, .,
f _

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L4
7
CL
v
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 ATTHE 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:
Mail on original and one copy of this DMR including all "No Discharge" reports, within 30 days of receil2t of the lab results tor at end of monitoring period
in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN 1HIS CFRTWCATEON FOR ANY IISiFORMATION 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 aAsignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Sign4bre of Perm
(Date)
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

al
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21 o -L .-Is
FACILITY NAME
COUNTY C�d
PERSON COLLECTING SAMPLES
LABORATORY aL4 l6�- Lab Cert. # —�
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR *Z- �1 7
SAMPLE PERIOD [:)Jan -June ❑ July -Dec
or [,�]"Monthlyl_ o� (month)
p ECi�DISCHARGING TO CLASS ❑ORW ❑HQW� []Trout❑PNA
T~ ❑Zero -flow ❑Water Supply [:]SA
Dec `� a io 17 QOther iL'. ,r ,: [A..i )r-
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTIOT'1
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days,)
0 No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches 3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__�
_
-`
120 mg/L
100 mg/L or 50 mg/L4
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mS/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Pagel of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?z
Outfall No.
Date Sample
Collected,
(mo/dd/yr)
24-hour rainfall
amount,
Inches_;
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =_=>
_
-
15 mg/L
100 mg/L or 50 mg/L4
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 I, 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 ANY ONE OUTFALL? YES Q NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orioinal and one cony of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lab results (or at end of monitorina 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."
P _tt _
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
1,1 I.— n
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted I C 2 3- I 9
CERTIFICATE OF COVERAGE NO. NCG21 n .O 2, 3
FACILITY NAME W 2.5 -1
COUNTY Co [1 1, rx, b i a S
PERSON COLLECTING SAMPLES NI., L? h el (q, Pa it
LABORATORY 90te c. Arscad,4._ ro.i Lab Cert. ## Z
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Z (Z l
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or .© Monthiv, e (month)
DISCHARGING TO CLASS ❑ORW ❑❑❑ HQW Trout PNA
RECEIVED ❑Zero -flaw . ❑Water Supply ❑SA
OCT 3 1 2017
/❑Other L" V/ ncX,5furi e-re-Qk,
CENTRAL FILESI''.AF ' `a5` VT"r� bCR TO ;;;.!� �� . ;� c' J Hai_
DVVR SECTION
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period??
Outfall No.
Date Sample
Collected,
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===> 1
120 mg/L
100 mg/L or 50 mg/0
00 5
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement 'Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
® No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ==_>
_
-
15 mg/L
100 mg/L or50 mg/L°
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier3 responses. See General Permit text.
FOR PART AND PART 13 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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It 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'J NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coflv of this DMR, includina all "No Discharoe" reuorts, within 30 days of receipt of the lob results for at end of monitoring Period
in the case of "No Discharc e'reoortsJ to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU U MUST IG,N.,Tiil_C-EPMFIf:AT!.0N F-OR ANY iNPORMATiCHv RFP0R'1ti?:
"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)
Permit Date: 8/l/2013-7/31/2018
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 110 `3- F?
CERTIFICATE OF COVERAGE N NCG21_a�� a
FACILITY NAME A,Jw.Gul �Ut� _
COUNTY (_C,l,Q-,,5
PERSON COLLECTING SAMPLES nI1 I� G n '
LABORATORY t R
Comments on sample collecti& or analysis:
SAMPLE COLLECTION YEAR
SAMPLE PERIOD Jan -June July -Dec
RECEIVED orMonthly' month
D15CHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
OCT 11 av ❑Zero -flow []WaterSupply []SA
CENTRAL FILES [20ther
DWR SECTION
PHASE lu !6N ON ir# PFVFF�ti': -3
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
® No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
_
-
120 mg/L
100 mg/L or 50 mg/L4
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or othersimilar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier2, orTier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

,.:
c
�Y
i
i
��
t
'I
4
I
:_
,
..
i
'
' ,
r
�l

}{���([�+}�3j���� {jam[
j7 V `iY li�� E N i� �
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: l aurtil.n�ci�:ir e r, 1ti+�h Ir 1 ��ic s st 'L�l� ii!'l �.
Permit No,: N/-C/_
Facility Name:
County: _t
Inspector: S n
Date of Inspection:
or Certificate of Coverage No.:
. A, r
Time of Inspection: L2 O " LCL,0
Total Event Precipitation (inches):
Phone No. _ 'Al U (f U 10 (Q
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes K 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 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 *gnature,I certify that this report is accurate and complete to the best of my knowledge:
re of Perkttee or Designee)
Page 1 of 2
SWU-242, Last modirted 10/25/2012

�r
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21L 0 6 (� /��— o+ % 6 0 SAMPLE COLLECTION YEAR 9-bl-�
FACILITY NAME �� l�.�r-�7E-1 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY w� v�, �,�ti7 _ or 9Monthlyl (month)
PERSON COLLE ING SAMPLES JC n� i, (�� ,��U DiSGHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY -a Fi Lab ert. #� ✓� L/ �E-]ZZero-flow ❑Water Supply ❑SA
Comments on sample collecti nor analysis:
AUG 2 9 2017 l"IOther
Ecrl�rRAL FILES
'
DWF? sPLEASE REMEMBER TO SIGN ON THE REVERSE 4
aWR
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
Flo discharge this period?2
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
3
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/0
Z
Ica' t1
I.1
5`�t-1L
22 C� i'
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the a format_, "<XX_me/L",, where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =-_>
_
-
15 mg/L
100 mg/L or 50 mg/0
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 P+ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES gNO
REGIONAL OFFICE CONTACT NAME: _ bi2OL2, R
Mail an original and one couv of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorinq period
in the case of "No Discharge" 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.
am awafe that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 8/1/2013-7/31/2018
,K-n I 1:)
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted V Z -1 '7
CERTIFICATE OF COVERAGE NO. NCG21 O a -2—:4 SAMPLE COLLECTION YEAR Zd Q
FACILITY NAME W QS+ F�as _ _ }� SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY C, 1 fy�i R EC � V E D or La'Monthlyl month
PERSON COLLECTING SAMPLES _ DISCHARGING TO CLASS ❑ORW ❑H W ❑Trout ❑PNA
LABORATORY Lab Cert. # AUG 10 2011 ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: CENTRAL FILES 20ther_sir �5�--I
DINR SECTION
PLEASE REMEMBER TO SIGN ON TI4E REVERSE -4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
�No discharge this period?'
Outfall No.
Date Sample
Collectedi
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
120 mg/L
100 mg/L or 50 mg/L°
i
1 Monthly sampling (instead of semi-annual) must begin.with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX m /L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =_->
_
-
15 mg/L
100 mg/L or 50 mg/L°
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 OUTFALLTRIGGER 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 ONO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 2 NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results for at end ofmonitorina Period
in the case of "No Discharge" 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."
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
)Z_
(Dat )
SWU-245, last revised 7/31/2013
Page 2 of 2

Serrii-ann'ual-Stormwate'r Discharge Monitoring Re
Port
for North Carolina DEMLR General Permit No. NCG210000
Date submitted LP - Ca - Z,K3 11
CERTIFICATE OF COVERAGE NO. NCG21 O c�, -2-
FACILITY NAME 'LAI -�Z t
COUNTY L' c I cA n t lPz ,>
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #i .
SAMPLE COLLECTION YEAR 2-
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or Olmonthlyx N1 A Y _ `month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Tr ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA.
[Others-iy�nn L'fe�K-
Camrnents on sample collection or analysis: JUN 14
?017CENTRAL
-
DWR SEA ON
LES
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facily stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
V No discharge this Deriod?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
120 mg/L
100 mg/L or 50 mg/O
:'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge- Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, RDL, <PQL, Non -detect, ND, or other sim ilar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mglr, where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier3responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of.2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this Aeriod?2
OutfalE No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non-polarO&G by EPA
1.664 (SGT-HEM)
Total Suspended Solids
Benchmarks ==a
_
-
1.5 mg/L
100 mg/L or 50 mg/O
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 Ter 1, Tier 2, or Ter 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART EI SECTION B.
a 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTIONS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES []NO2
iF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 0 NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one ropy of this DMR, including oll "No Discharae" reports, within 30 days of receipt of the fob results for 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 27699-1.617
YOU: f�t7 �5T 5lG:`d ;HIS CEit7iFiC.ATSU;q FOR AN INFi3rRM, TIOri F:rP0 TE- :
"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."
21111
(Signature of Permit -tee)
LQ 1-2
(Date
Permit Date: 8/l/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted J ` -A - I `1
CERTIFICATE OF COVERAGE NO. NCG210 to 2 3
FACILITY NAME _W &, -, _ Fr ckS e2 r
COUNTY L'. O I LArn bus � ^
PERSON COLLECTING SAMPLES /yti 0_he 1 e. PCA� e'c
LABORATORY PCCC Ane, 1y -i C4 I Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2- Q� l
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ![Monthly' A (-'. Month
DISCHARGI IG TO CLASS ❑ORW HQW ❑Trout ❑PNA
RF:CEIU ❑Zero -flow ❑Water Supply ❑SA
MAY 1 2 1? OGther 4.; v', rites i-o n c ro-e lL
CEWTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE -�
pWR SECTION
Part A; Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days:)
No discharge this period
Outfall No.
pate Sample
Collected'
{mo/dd/yr}
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
-
-
120 mg/L
100 mg/L or 50 mg/O
3
`A 9 i'1
► y
51 4GtQ
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX my/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report o sample value in excess of the benchmark, you must implement Tier 1, Tier 2, orTier3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?z
Outfalf No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/L4
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 11 SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES 21NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES [/] NO
REGIONAL OFFICE CONTACT NAME. L ed r SCf
Mail an oriainol and one copy of this DMR. includina all "No Discharue" 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 Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFOR_MATiON REPORTED:
I certify, under penalty of law, that this document and all attachments
fy p y � m s 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)
Permit Date: 8/1/2013-7/31/2018
,5--
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring -Report
for North Carolina DEMLR General Permit No. NCG210000 - 4
Date submitted - `4 - (.2 - t #1
CERTIFICATE OF COVERAGE NO. NCG21 � (P 2 J
FACILITY NAME W & S+ FrC4-Se_S
COUNTY C 0 ic_& rn 6jtti" S
PERSON COLLECTING SAMPLES
LABORATORY per_ Arta. }( +-, ems. i Lab Cert. # I
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Z x:) i
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
.or OMonthly' / ,49— _ (month)
RECEAI4 @kGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
MAY 0 1 ZU)I ❑zero -flow ❑Water Supply ❑SA
QOther r i otq i+o _n Gre4 r__
CENTRAL
DWRCTION PLEASE REMEMBER TO SIGN ON THE REVERSE -•�
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?'
0uiWll No
Date Sample
,.
Collected'
_(mo/dd/yr); " _
24 hour rainfall
'*'amouni,
;3•
_ _ Inches.
r
'
i�Chemical Oxygen Demand
Total'Suspeh&d 5olids
, ,
Benchmarks -__>
_
120 mg/!
100 mg/L or.50 mg/L° ,
Wga
2-
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any singie outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below'Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/l/2013-7/31/2018 5WU-245, last revised 7/31/2013
Page 1 of 2

Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Date Sample
;24 hour: rainfall
,h Outfall No
1
Collected
-amount
Non polar O&G by•EPA
`sy t
F
4
a 3'
IncFies
1664,{SCT-HEM)
Total Suspended Solids
;tmo/dd/yFj
Benchmarks =>
:;'-
15 mg/L '°°
100 mg/L"or'S0 mg/L°
Footnotes from Part A also apply to this Part B `.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
t
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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [jrNO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES En -NO
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one cony of this DMR. includina all "No Discharae" renorts. within 30 days of receipt of the lab results for at end of monitorina 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."
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
-/Z-/-7
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 2 - ZZ- 1 ' ]
CERTIFICATE OF COVERAGE NO_ NCG21
FACILITY NAME IAl es f (fr-a�5 ee:
COUNTY Cc,lur?LbuS _
PERSON COLLECTING SAMPLES
LABORATORY PoeLab Cert. a !'-
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Z t:• 19 _
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or 2tMonthlyl _ r 6 f3 (month)
RE
TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
�� i V ❑Zero -flow ❑Water Supply ❑SA
MAR 0 3 Z017 20ther L, i v;✓�n C�cfl G 2�
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 3
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?z
x all No. '
Outf
Date Sample
4
- Collecfedl
?'(mo/dd/yr),
24 hour ramfail
amount ..
3'
Inches-
'_Chemical Oxygen Demand
Total Suspended Solids
8enchinarks =_=>
_
-
12D.mg/L
1do mg .Lor.50 mg/L°
-
yoc
I Monthly sampling {instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
a The 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.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below'Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date:8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
--:,-,,.,'Out all No
r
Date Sample
Collected''
(ma/dd/qr)
.24 hour -rainfall
amount
.3
Indies
F.',
`
Non polar Q&G by EPA
16.64,(SGT.yHEMj,
3 J
' ` ' • Tf
TotaL5uspended Solids
--A, �.
Benchmarks =— -
-
15 mg/L
100'mg/L or 50•ing/L°
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of. the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 21
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR. includina all "No Discharae" reports, within 30 dovs of receipt of the lab results (or 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."
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
Z-Z3 -/7
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North,Carolina DEMLR General Permit No. NCG210000
Date submitted _Z I '� - I I
CERTIFICATE OF COVERAGE NOrNCG21 D-p ;Z SAMPLE COLLECTION YEAR Z
FACILITY NAME t�� -� C T IC SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY C a U rh '.-> L.r-S l or ® Monthly) Pt hl (month)
PERSON COLLECTING SAMPLES '� J1�USCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY �� AV Lab Cert. li � 4 c+ V ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: 2 Zg17 ®other /.� lrx.,Ih. -7 �+ree k
G��yTRAI F1Li;5 PLEASE REMEMBER TO SIGN ON THE REVERSE: 4
DVVF ��GTI�N
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
N No discharge this period?'
outfall No
Date 5ample,A
Cohectedlr
dd/yrj
2A hour rainfall
amoun
3
Inches
r
ChemFcal Oxygen bemand
'
Total Suspended Solids
genchinarks =;�`
`'
120 mg/C
100mg%L a(50 rng/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible fora waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below'Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non-
numericalformat. When results are below the applicable limits, they must be reported in the format, "<XX mg/L,,, where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date. 8/1/2013-7/31/2018
5WU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
® No discharge this period?2
Outfall No
Date Sample
1
24 houi'rainfali
_ } .
Coliected '
amount
Non-polai Q&G by,EPA
*F,,.
Total Suspended Solids
(mo/dd/yr)
IncFes3
r 1664 (SGT-HEM)
"
Benchmarks -> _
-
15 Mal.
100 mg/L or 50 mg%L4
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 11 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:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period
in the case of "No Discharge" 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."
(Signature of Permittee)
Permit Date: 8/1/2013-7/31/2018
2 49-/7
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

e-
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 11" -5` t �
CERTIFICATE OF COVERAGE NO. NCG21C", m Z 3
FACILITY NAME IiU 25�` C� r4 S e F
COUNTY L a ICjrmIPLJ' S PERSON COLLECTING SAMPLES "L Ie-t i• e, 1'n
C,-i4 4-T RECEIVED
LABORATORY PC-e-A �rla iy`)-i C,Q, l Lab Cert. # t �-
Comments on sample collection or analysis: ,BAN 10 Z01
•,-_-,QLNTRAL FILES
DWR SECTION
SAMPLE COLLECTION YEAR 2- ('�' 1 �'Q
SAMPLE PERIOD ❑ Jan -June .July -Dec
. or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []WaterSupply []SA
©Other 4-', v_; rlq S o_ C Clv-e IC.
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?2
Outfall No
4}
Date Sample
..Coll" cted'
n(rimo/dd/yr) =
v.
24 hour rainfall
amount,
Inches
�'�
Chemical Oxygen Demand, .
:F. ,�.,
`
!Total Suspended Solids
A:
Benchmarks _-_>v
120 mg/L
100.mk/L or.50 mg/L` .
92-4
fig,
002-
iz
13.1W
pt�3
iZ- cot —lt.�
�fQ�
Ln1CQ
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below'Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date:8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
s
Date Sample
24 h6ur.*rainfall
OutfaEl No.
e�
Collected
amoun3,
O&
Non polar G by EPA
a�
�A'Total
r
ro=r.
1664 (SGT.-HEM)`
Suspended Solids
,Benchmarks --_�
u.
r
' -
15 mg/L
100 mg/L or 5o mg%L°
�o
12--o1-1, Cpj
3
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 Rr
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports. within 30 days of receipt of the lab results (or at end of monitorina period
in the case of "No Discharge" 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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:8/1/2013-7/31/2018
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

0-
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 12- 1145
CERTIFICATE OF COVERAGE NO. NCG21c-) c�b Z
FACILITY NAME W 0- f �a JeC
COUNTY L' olL_,m b Ca 5 - 4 I
PERSON COLLECTING SAMPLES ni -Tyg q L Pb
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Z o 1 5
SAMPLE PERIOD ❑ Jan -June P luly-Dec
or ❑ Monthly' _ month]
RECL ��IS�i H GING TO CLA55 ❑ORW ❑HQW ❑Trout ❑PNA
DECS ' ❑Zero -flow '❑Water Supply ❑SA
0 2015 FL/rOther
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE -
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?'
Outfall N
Y4
s "
Date Sample
-1' Collected
Z'
(mo/dd/Yrj:
24 li�our rainfall
;amount,
l
; . 3.
-'.lnches�
Chemical Oxygen Demand i
4.> -
' ,
Total Suspended Solids .'
-Benchmarks
120 mg/L
100 mg/Lbr 50
5wis?
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below'Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L". where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
Permit Date:B/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Date Sample
24 hour rainfall
Outfall No
' ¢
Callectedl
amount,
Non polar,0&G by EPA
1
r "
(mo/dd/Y�)
Inches
t 16' (SGT-HEM}
Total SuspendeoEids
_u. _ f
1Benchmarks -.->
t �
:'
15 mgJl
a00mg/C or 50 mg/L°
oct
12-1��1j
4�
9.3
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART 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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports. within 30 days of receipt of the lab results for at end of monitorina period
in the case of "No Discharge" 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."
{Signature of Perm
(Date)
Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
\ Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted Lb T 15 - 15
CERTIFICATE OF COVERAGE NO. NCG21 C 0 1
FACILITY NAME V�SFc3+ Frr %ems
COUNTY t,= S n
PERSON COLLECTING SAMPLES l P
LABORATORY PC" At-k3t Is&,,Q4 l Lab Cert. # l 2—
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Z C' I S
SAMPLE PERIOD ffJan-June ❑July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA c-zgl
❑Zero -flow ❑Water Supply [:]SA
RECEIVED QOther �
JUN 17 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
r�"'qA i 'y:1 c Fm
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is UN SEC
S�Cyt �lVe facility stores exposed accumulations of sawdust, woad chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?2
Outfall No
t
' Date Sample .
: Cotlectedl
(niu/dd/yr).
�24 hour ramfallK
amount;"
3
.Inches "
Chemical Oxygen Demand
Total"Suspended Solids
'Bench"marks"===>°
-'"
12Qmg/L
!O0 mg/L or.50 mg/L' .
Z
cl,5
Q s.
[Q-3- 1
1
r h ame ammeter at
' Monthly sampling (instead of semi-annual must begin with the second consecutive benchmark exceedanc f ) g e o t e s p he same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below'Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date:8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
_.4.
n No discharae this neriod?z
dutfall No
Date Sample
1.
24 hour. rainfall
t <
Collected
L(mo/dd/yr)
amount
3
Non }polar 0&G by EPA
Total Suspended Solids
�f
;,Inches
1664 (SGT-HEM)
'benchmarks =_?
+ -
:15 mg/L
100 mg/L or 50 mg/L"
cc E
-z-Js
2-2-
Footnotes from Part A also apply to this Part B
!Vote: 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 OUT FALL? YES ❑ NO Q'
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑.NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coon of this DMR, includina all "No Dischar6e" reDorts. within 30 dovs of receipt of the lab results (or at end of monitorina period
in the case of "No Discharae" renortsJ 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 f rt�ybmitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permit (Date)
Permit Date: 8/1/2013-7/31 SWU-245, last revised 7/31/2013
Page 2 of 2

*FOR PART A AND PART B MONITORING RESULTS:
e A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il 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 FORT 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" reparts, 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
Attn: DWQ 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."
re of Permitteej
(Date)
Additional copies of this form may be downloaded at: httpl/portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 LasLRevised: October 18, 2012
Pagc 2 of 2

Semi-annual Stormwater Discharge Monitoring -Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted A 1 l G I 'zC31 S
CERTIFICATE OF COVERAGE NO. N GC 21
FACILITY NAME
COUNTY LD i�a rLc S
PERSON COLLECTING SAMPLES
LABORATORY INS +�nal� I I Lab Cert. # f Z
Comments on sample collection or analysis:
RECEIVED
JAN 14 2015
CENTRAL ALES
SAMPLE COLLECTION YEAR Z_ U � CVJR SECTION
PERIOD❑ Ian-June[91uly-Dec
REc�i �P�
or [:]Monthly' (month)
JAN IDiSCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
CENTRAL FILES QOther
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?2
Outfal! No ;,
Date Samp!e_. ;
_ Collected
[mo/dd/yrj.• "
24-hour rainfall
amount,
Inches3
�.
Chemical Oxygen Demand
Total Suspended Solids "t
Benckindrks
120.mg/L;
100,mg/Lor50Lmg
Q 02-
[2-
12-LI 14
?
iZ LZ L
7
3
R_Aj
1 Monthly sampling (instead of semi-annual) mu!:t begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below°Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format,"<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See Genera! Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?Z
Date Sample
-24 hour�rainfall
Qutfall No
s
.,Collected
amount
Nori-polar O&G by EPA
3
Ihches
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =_�
h
f-
15 ing/L '
l00 mgJL or'50 mg/L°.-
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PARTA 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 ATTHE 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:
Mail an o' ainal and one cony of this DMR. includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring oeriod
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
am aware that there ar . nificant pen for submitting false information, including the possibility of fines and imprisonment for knowing violations."
{Signature of Per 'ttee) (Da e)
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharl?e_Monitoring Report
for North Carolina DEMLR General Permit No. NC.G210000
Date submitted 1�une_ Lu, 2-()It
CERTIFICATE OF COVERAGE No NCG21(:2� 0 Z 3 SAMPLE COLLECTION YEAR Z. G I'f
FACILITY NAME �aPS_' �CckSe� RECEIVED SAMPLE PERIOD © Jan -June ❑ July -Dec
COUNTY L010r-, bLA3 14 'or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES rn�Ck� S12 �ai�-e i% JUN 11 ZbTiSCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
LABORATORY P&4-L Fl�i C,— I Lab Cert. # (2-- []zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: CENTRAL FILES ®Other
DWQIBOG
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?'
Outfall No.Collectedl
Date Sample
�. (mo/dd/yr)
: 24-hour rainfall
amount,
3
Inches=
Chemical oxygen Demand'
Total Suspended Solids ,
Benchmarks
mg/L
100.mg/L orr50 mg/L°
cc(
s '
i4
o
Z
l�s iy
LA
12.s
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below'Detection Limit, BOL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?z
-
Outfal[ No -
a
Date Sample
1
Collected,
(mo/dd/yrj
.24 hour rainfall
• -
amount _
3
, inches4 ;-,
Non polar.0&G by.EPA
16F4.(SGT-HEMj_
,� •
Total Suspended Solids-
SuE;
�10
Benchmarks __>
-
15 mg/L
mg/L or SO mg/L°
C4
Q
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you most 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 ANY ONE OUTFALL? YES ❑ NO 0
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coov of this DMR. including all "No Discharae" reports. within 30 dovs of receipt of the lab results for at end of monitorina 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 pe9gIties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date: 8/1/20137/31/2018
SWU-245, last revised 7/31/2013
Page 2 of 2