NCG210104_MONITORING INFO_20181119

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C& aID10*+
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ OI v I L I q
YYYYMMDD

ire
I.}
W
RECEIVE
CENTRAL FILES
MAI i SECTION
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVER{.kGE No. NCG21p L Q
FACILITY NAME ;oCAq — 4- Ca
COUNTY Cl
PERSON COLLECTING AMPLE AEIT4 g6ac
LABORATORY Lab Cert. # i7
Comments on sample collection or analysis.
SAMPLE COLLECTION YEAR 20( B
SAMPLE PERIOD Wan -June ❑ July -Dec
or Monthly' &,6- month
DISCHARGING TO CLASS nORW HQW ❑Trout ❑PNA
❑Zero -flow ❑Water supply []SA
❑Other
PLEASE RF.Mtn.7E3F_F TO SIGN ON 1►9E REVf F:-_ •-
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??
tJutfall 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/0
W
z
to hkesv
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 fnrmat. 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, '<X5mom:",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?'
Dutfall Na.
Date Sample
Collected'
(mo/dd/ r)
24-hour ralnfall
amount,
InthPcy
Non -polar O&G by EPA
1664 SGT-HEM)
Total Suspended Solids
Benchmarks ==
]S mg/L
100 mg/L or 50 mg/L
I
Footnotes from Part A also apply to this Part B
Note: tf 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.
01
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 VIER 2 REQUIREMENTS. SEE PERMIT PART lI SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAM ETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONALOFFSCE CONTACT NAME:
Mail an original and ane cony of this DMR, including all No Discharge" renoiu within R days_ of recelpt� th_ a lab rgsults or at end o f monitorina period
in the rose of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQCentraI Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belie., true, accurate, and complete. I
am aware that there are significant penaltie3jar, submitting false information, including the possibility of fines and imprisonment for knowing violations."
e
(Signature of ermittee) (D e)
Permit Date: B/l/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

RECEIVED
OCT 16 2018
CENTRAL FILES
IDWR SECTION
Semi-annual"Stormwater Discharge Monitoring Re port '
for North Carolina DEMLR General Permit No. NCG210000
Date submitted IDI r Zr,
CERTIFICATE OF COVERAGE NO. NCG21a J•--a i
FACILITY NAME 1 t101_A;7dj
COUNTY e;'
PERSON COLLECTING AMPLES C- ' (°CX
LABORATORY e/ -Lab Cert. # i6b
Comments an sample collection or analysis:
SAMPLE COLLECTION YEAR aZO g
SAMPLE PERIOD ❑ Jan -June ❑ Julyec
.or ❑ Monthly'" ' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []WaterSupply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERS: ? '
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only ifthe'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?'
4•,
Outfali 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/0
2 1
s
L 2z)
Q0.0
a-91
Zs
L 2�
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' 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 v'rater classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. Fore m le do 13oi 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 1.
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: 8/1/2418-7/31/2023 SWU-245, last revised 8/6/2618
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
F1 No discharae this Deriad ?z
Outfall No.
Date Sample
collected'
(mo/dd/yr)"
24-hour rainfall
-amount,
'Inches'
Non -polar O&G by EPA
1664(SGT7HEM);.
- -
TotaiSirspendedrSolidsr
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 77er 1, 71er 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 PART11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE"OUTFALL? YES [-]NOD
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 recelpt of the lab results (or at end
In the case of "No Discharae" reoorts) to: - - - -.
L MSion of Water H:esourr-es
Attn: DWR Central Files -
1617 Mail Service Center
Raleigh, North Carollna 2769911617 "
•1 certify, under penalty of taw, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to r r
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 possibllity of fines and Imprisonment for knowirig violations.,
(Signature of Permittee) , {Date , r
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/612018.
Page 2 of 2

A
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE ► o. NCG21D ( b _
FACILITY NAME 49DAN-Hoc \/
COUNTY U41-! _
PERSON COLLECTING SAMPLES Cry AU6 0 7 2W
LABORATORY Wa+*V•h-=cj, Lab Cert. # ,.-,.,­RAL-ILE:",
Comments on sample collection or analysis:
P Y D1!VR 5!✓CTlor,!
SAMPLE COLLECTION YEAR ZD (S
SAMPLE PERIOD [] Jan -June V July -Dec
or ❑ Monthly'_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flaw ❑Water Supply ESA
[]Other
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?'
s��`ll!-
r
w;� ��I� �IQ �C= �
r -'+ `r�
.i ��'� . --c•'• 4 -I
Collected-'
�? �.. �.ca-.!���'R�
-, amvun} =
tci..r '�,kr^k� ✓y, �t
Fyn •3 a'r��� ,�,.i-, �:
Afr'r.i
S•
�'s
3 -. 44Y�1
s K`
Demand
.k"'k1;.
,Total 5uspended;5olids
0rh
dlnl:'
r�,�
,-i
r
Serichriiarks >
�, , +5�, t t= a
a ,�
�4�r wp m r w
ti, s
a' i , l R1gf l �
t �..
f•100 tg/L Dr'S0 �Ttg/L *
..n..f,...e:':i;11P'ts�.k3-..`-.
`��..,
si....xis.. Y`.+?s •5.
.. r.a �,�,. ,�-� ..u�.,-•:'
`�,re n. .}„p'� .9.�,.5;
7 z is
a'X,!�=,
420
ITT
33
31.0
K
L 7-7
�20 0
' 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.
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.
See General Permit text, Table 3, ident,fying 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 re orted in the format "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.

❑ No discharge this period?'
t
j
hour
r Fx•, ,
�Outfali Ida , , �,
Date Samle r
24 rainfall
�.,
CuIIJeCWd- ,t''�amoun3;
rsta� h
Total Suspended Soitds
.Incites ;x
16;(SGT.=HEM);r
;BErlChmafkS >
. _
-
+ 15 mgJL
icb rngf 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 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 it SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [:]NOD
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 recei t 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, 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 signifjcant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
(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 DEMLR General P rmit No. NCG210000
Date submitted Zb /
CERTIFICATE OF COVERAGE NO. NCG210 _ D "1 SAMPLE COLLECTION YEAR Z "
FACILITY NAME �� o- HpLMA1.( LEI- Coynlu�{ ® SAMPLE PERIOD Jan -June ❑ July -Dec
COUNTY ` PPE1,t� -- V�nSCor Z Monthly' 7' (month)
PERSON COLLECTING SAMPLES i�AQE 5�"EP�1aS JUL 26 20 ISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
18 ❑Zero -flow ❑Water Supply ❑SA
LABORATORY bV/FTER CCfi Lab Cert. it 5-0r_•
Comments on sample collection or analysis: �� f�CTILES ❑Other
f (DN
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?'
i -�6
x
ucry
}ih'F d
?�
Fate 5eiin lr
e
x24=hou r rain€a!I
, 5 , ��_
».4 *;
'V; Zout#�El hio s
{
e. Cgllectetl
amount ,iz s
I
x F
{
r
c
,� k
. , - y u..
§��}• f s`•'�Q
Chemical Oxygen Demand
-1 fir...
,TotaiSusperided,Solicis
^?a�inp/.�d!!•lna.aai
d�.�FTi�47_l@S?� .;�. �.h.
1:..�i?:'T�'�«7_'.i�k`'�fi�"�5!6k4'��5
3"il� _.�_i. '�..?�'�,?�""r'"4i�+s-� .Y.'�`S.,ti'�+'
8eechmarks
� ;
ti �
i;t0'mg/i.F� t•:
W100 s, Vi. r 5© mg/i
x>`
5,
`4 ��
<�
Est
#Z
g
5
6
z.a
' 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 examples do notreportBelow 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.

}}� � _��S : { � ,( V �1 i5
�,r•� L }t
�'�
.E1r% � •1',. yi �V Y '."Ya,,,Sgl�r� Cf,�'�+["
� 1
I�Y ��:hk.r'4�i°�-1�'�i.•! ��
k ! -a ��
f&Y��2�, 3 -'ig'�
~f.� �}',a.� �� p ^� N r�
! 'p
x ; R:. „� �yF�;1y". � E� .r�..,I -,_.4
� _. �s.�'��
� ����
� .f n,• �.
Y'�a��t£�r+'E $n
r" [?i-' a,.'
��a �T
11 '��T� ,� t�
OUtfail Na
. ,� w t 1 r �•
� y r a n e
r Mi ¢ � .x.. . ,, n �, }
� �m< � .�• 1 s9 � �i �
4 t�Coliected
:
��ama�nt ��,
;Non polar O&G by{EPA
s��,
Total Susp ed Solid3
Inches,.
ifi
;tmaydei/yrj, i
,z ,
(SGT,-HEM)
_.100
8eii'rhmarks ==r:.
� - �
�1S tng%L
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 1, 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, inaludina all "No Dischorae" reports. within 30 dovs of receipt of the lab results !or at end of monitorina period
in the case o "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 18
(Date)
SWU-24S, last revised 7/31/2013
Page 2 of 2

for North Carolina DEMLR General Permit No. NCG210000
Date submitted 3 p2 I I E3
CERTIFICATE OF COVERAGE No. NCG21 U
FACILITY NAME f
COUNTY Cc.
PERSON COLLECTING SAMPLES Keirq FRaacjE
LABORATORY(LRZaC9 Lab Cert. # 5c
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2010
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' month
PNA
k �t D RGING TO CLASS ❑❑ze o-floOW ❑wH ❑WatQW ❑er supplyTrout ❑[J A
LJ
APR 0 $ 2018 ❑other
EN RAL lLe PLEASE REMEMBER TO SIGN ON THE REVERSE
ON
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?Z
Date Sample
24h66r rainfall
jl
Outfal# No
e. r
Cotlected
,Nt
�r
r
W"
'e amount;"
3.
Chernlcal Oxygen,Demand
A
1Total Suspended Solids
(mdIdd/yr) t�
.Inches_;
8enchmar% � ��
-r,r- .. , m..
y�+ W � SJ ,� �
: 3...4i:.....1W. a-.a,�'- -
4 � •„1xf
...
kY ��V m�L
• i �. t, •�
4�L %e 100 hwLc
�� +..; . n..,u. _ve...#. ..ice.}'.',
z
4
ti
a6
8b.0
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 sing 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 pecially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical for at. Fo exam le 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 Omit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, rer 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

❑ No dischorge this period?z
� 4
*�
1 I* ---y
y �..n`i !� J: I�
T � 1 K 4�4�, �f��
� �� yM,,.-+ {`
! _ri. K�[,.5� -i � _
�,
� _
P
f i•l��i
'.
hour rainfall ,
:<
K:
�PiOutfall Noa
yy= , k,;.;,,�am4unt,
C011ected
�.*IVors,polar
0&G byyEPA
Y
f
ta Tol'5uspe ndedfS olids
',(tnojdd/.Yr) ..
vintles3
1664.(SG HEM4),
y ,
Berichmi diks �:.
-
i5 mg/1
IOO,mg/L or 5Q mg/l
Footnotes from Part A also apply to this Part B
Note: 1f you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainaf and one copy of this DMR, includina all "No Discharae" reports, 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
Attm 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
Z
(D te)
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 2 of 2

for North Carolina DEMLR General Permit No. NCG210000
Date submitted ! !6 lly
CERTIFICATE OF COVERAGE NO. NCG214) L O
FACILITY NAME �f Cd — cJ IZ
COU NTY , ( ,
PERSON COLLECTING SAMPLES I
LABORATORY Ub A, rTPUn Lab Cert. # SC7
Comments on sample collection or analysis:
4: Gq ss -
RECEMMPLE COLLECTION YEAR 20( 7
lhoo SP�M 113 PERIOD ❑ Jan -June ❑ July -Dec
JAN or ❑ Monthlyl yt Q {{ _ (month)
CENT 2 DWHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
C RAL FILES ❑Zero -flow [:]Water Supply ❑SA
wR SECTION ❑Other
C)u.st� 90,vs .
cC-9t6.A'za�
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.)
'N'
❑ No discharge this period?"
1� r"'' h�til
T - -r...Ir ,�•; A t eye h9,i. �.> y
'� i ; t'�- 'gin �` i,`�` M
art
� ,DatQ Sample
-24-hounrainfall
ar
}1 t � k- �
t r i s
r t
,,� Outfall Na f fu
c
�Y y �• a y
- Collected "� ,
,, r;; A
r amount,
n y,
u' _
ex n z �,
}��;�r t rr t i#
i 1
n, M
w
„ 3 ,
i Chemical:Oxygen Demand .
1 �,rTotal;5uspended Solids
[�
'.(ma/d/yc)
Inches�.
;Ben'chmarks "
3�� ��
mg/L1100
ar 5U mg/L
�.�
ri .`�
Kmg/L }
v I
0) 1 -2
$ .
0 A
a�
/g, 7
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.
'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.
° 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 Genera! Permit text.
Permit Date: 8/l/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

❑ No discharge this period?z
yesy�yx �Sr'i
r r
10 S'
tiriiid«�
�T�`�.'i��1"J,.
yy5�X34lF.*tSli1vrN��r,gC*
it[yC:
43�4'_
Date Sample a
24 hour rainfali�.
�f�' #
F �" F4- Y''i1 �� 1•CF. iY
;
��, t �
"nw:�r h ., +SrR'
i ��,
;
ed
mount
w+��" aInthe,
Nanpolar0&GyEA
tiy
�pTotal Sus lidsr
f,k'
`•�
;3
s
> :
16 64 SGT
ended�SbK
m/d/yr)
:.:~a�
„F
js
rng/L
_
O,mg/Co Smg/15
,-
_v•
h.�...�.r.. , _ i--4=�wae�'.r__�e?
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 ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainol and one coDv of this DMR. inciudina all "No Discharae" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharae" reoorts) 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 4r submittjng4alse information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:8/1/2013-7/31/2018
i- 6-l8
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

for North Carolina DWLR General Permit No. NCG210000
Date submitted /o2z6117
CERTIFICATE OF COVERAGE N0. NCG21 1 SAMPLE COLLECTION YEAR Zc) i - - -3 r� ' CZt-2`
FACILITY NAME to LD N - L %p SAMPLE PERIOD ❑ 1an-June ❑Jul Dec -
COUNTY e A L DW or ❑ Monthly' 3} (month)
Q.ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
PERSON COLLECTING SAMPLES �e �e�[� ISCH, ` n
LABORATORY WkkeI :6�c Lab Cert. # s�� 1� ilk ❑Zero -flow [:]Watersupply [:]SA
Comments on sample collection or analysis: OCT 3 0 ❑Other
l/a 1n! I'/�l j?�2EUlpclf (p 6u Q �1Sr t'cord.�i°^is CENTRAL FILESPLEASE REMEMBER TO SIGN ON THE REVERSE 4
Rock- L) 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.)
n No discharge this veriod?2
-+hrrN6-:S
�* r
S� Y
- Date Semple24h
i._
ain
rfall's
`Yotltfall No'.I
Vic.
sy
, Y ?,
Coliectedr� �_r
iamount„aM�
r
a !
x Chemical oxygen Demand
Rx Total Sus ended Soliasi�r
r:
;(mo/dd/yc},'
t.,lnches t>ay.,-
, �., ,
., 4 �, p x.., ....,
8er�chmarkr' �
`�: T5*
Iti`- 4
qv ",', ` 12fl mg/L •� -,
' tau mg/L 6i0
} 3 acts is
;�- I
. a
�q
K
N
a
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: 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:
MrtY C i : ,y').
��ti"�t��S
�, Dutfall No A
N
'�ua
e �S lc¢• fxa. "} 'C
Mate Sampl
w
ollected
t 1; 4+ 1ri
N
��., '�`[,...�.,,,
24 hour rainfall`
Inch
f+.�,v; S,
r �* + A =`' t
° 4 r
Norpoiar0&G+byPA
iG:
1664(ST-HEM,);
�w.-ri }}x•5 �+ � $t
r,
�Y1 yam, �?
oTalSundeo
Benrhmorks ?'�:,
yi: we:_"s
,x _ir
? bla lop
s"#10O: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.
S i �
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE 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 eriod
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:
"# 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."
m
(Signature of Permittee)
16Z- 7
(Date)
.,_...__.. . 1I^,n,^, ter„ J-- C%A111 Inc 1—+...,A—A'7h1 hn10

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 7119//7
CERTIFICATE OF COVERAGE No. NCG210 ' / `O'Y_
FACILITY NAME So A 4 0, k1oi „AAA
COUNTY (2AI-Dlt]C [.—
PERSON COLLECTING SAMPLES
LABORATORY W4ef +gf6, Lab Cert. tt 15-6
Comments on sample collection or analysis:
RECEIVED
JUL 21 NII/
CENTRAL FILES
DWR SECTION
SAMPLE COLLECTION YEAR _ ao / 7
SAMPLE PERIOD 2Jan-June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
[]Zero -flow ❑Water Supply [:]SA
❑Other
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?z'
' � y_'•tt'�
I}{,A,�y 4�Syd `JJ .:-
5 Y..'fr.J✓W� ! il-
-i 1-
i h • iY4Y� Jf.<+. G t x:Yi
j y xS5 p a
i' k.f �.,3> �; rl i, k�'�i9'Z}
l•:r i�
,, �Ltis,tr;..A'
%Date Sain lew k
f24hour rainfall_
t : i.r
r } �,
,hCollected:t"
{amount; 5•�<�
ash�'�4�
>�E�
f``Y" W
Oxygen Dernand�
3 TotaltSus'O ed 5ol�ds
•::. ., ..
'( _I. IT•� "'�
". ti-�
-'Chemie�al
�..-..:. . _. SAS.. �.'i, "''`_h". �. ::C".
'Benchmarks
4�100 mg/! or0 mB/L,
i�,.^.w,
x.wi..5 yr- .. t. : [..`;
#
613olilO
SS
�a
#Z
is tf
n N
of
3
-P0
�r� b
7r
7. 8
7
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 sing4outfall, 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 mgjL", 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, SM-745. last ravicPrd 7/'�1 /7n1 :t

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outall No..l�,
�.% k
� . 4 `'
. iP4dV Y�1WK. yA+VW.:L .gk LN
Date Sam le `�
xp r&�,
Collected �d
¢ •"r''s .,t, ,
mn dd r1
1 r� f ., .di .,
>,.24 Hour rainfall
"� 1
amount °�°
, �..
l_u Inches § *
tiLN-YN; +� �`
MR,
_
Non-polarO&G byIEPA'
ar
$ 1664 SGT=HEM1Fr
i -.`Y �.
kL.:
u'tf �'T
eTotal'Suspended Sofitls
Benchmarks � �`
tIlY
�•�: ; .� •...r, Eg,�,t
� �-- <
15 mg/L�,,��',�,,��x
;�i100,mg/L';or 50Fmg/t.,� i
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 I 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 [9
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coov of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results (or at end of monitoring oeriod
in the case of "No Discharge" reporisLto:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
4
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
/ b�
(Date)
Part r)n+a• 52/1 t-mi ]_7ii1 I niQ C%AII I 1AC I.r+ -,,;,-,4 7191 f'lhv

� �- .. � ' `� - '1 r ��, .y �,)R ' � }` :. - - w .� 'ri. 4 i � ;,. - t k 1 's-T � _ ♦ ,! 3
�..pM1 � l• - - .�•IS r+4"Y y_ T !ice } r �., { 7,^ ! %"ra ia' i
Semi=annual Stdr nwMer D�ischarge> Monitoring Report
for North Catolina•DEMLR General'P&fnit No. NCG210000
Date submitted _ 317
CERTIFICATE OF COVERAGE NO.-NCG210 I� o..
FACILITY NAME -ai) ?_vF&,3 - Nnl_rrl A*: % e, Csa
COUNTY-. CAi.D,
PERSON COLLECTING SAMPLES QI er
LABORATORY # 5o Lab Cert. #
Comments on sample collectio6,dr analysis:
SAMPLE COLLECTION YEAR ZO I
SAMPLE PERIOD. [ Jan -June ❑ July -Dec
or ❑ Monthly' ,�4IQ ' niGtn c¢. (month} - (,' kg I I
RECEIVff ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water supply ❑SA
MAR 0 9 2017 ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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:
ffillgl _Fig ,
r3`Y�""'�
�^OutfallNoM'',p�A
^t n ,
xy '� ;'
• ; � ,
k iuL�,yYLjwG'�'r
�^
�SlI•+�`�S
:Date Sam ie�
Collected ,i�
;"'try+ r�
� ii�?o/dclln) ,
,
.:.s71, r'L�,t
'' 24hour ra�rfall.
�_ r
arrmoun
�1 •ss 13gM
� .Inches r, a ..
4 viLYfs*� ,t
�� �^
;2k� R �}
`Chemical emandpTotaf35uspendec#
+' � .:_:� , t
�4i ,... 4; a' ''n. "
sy
and dli��,r�.
Solids
� #� �, se"2
V>r 'sri
Benrhmarksu .� �
,�.%� � _.N. Y ci:T
�h'�. T
fLt A � � .�
��. �W' t��
�. i,`S._I 3✓:'�' F'.1 a+. « �.
.��,kf �.�•v�,1�D�,mg/L�����
� Y lv yW' 4 - `IF1 QM Q ] �'$
� 100�����O�m�E.�..T.S
• 6"
6$
a9y
$A
;��
s
a8
P4
7.3
-r, 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 exam le do not re ort 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 T, or Tier 3 responses. See General Permit text.
n___-.. n_. _. n/l�n� �/-1 •s /�nn f1111 'Ar I�.-... .....J M/11-Ins-1

B: Vehicle Maintenance Area Monitoring Results: onlyfor facilities averaging > 55 gal of new oil per month.
F-1 No dischorae this period?z
t •-� t � .[ l.4
z .
y
ICI0utfall No
l
g ..
a H- - :` _, � .rA
� � +a. r' ' `
Date Sample
C011ectedl ' r�am�oun3�
+
(nio/dd/yr) k
_� 'yy... ',�, ',N "
��}', y' •4
•?, �. t
;24 hour rainfall
ray <. �;. a
I
_Inches ,,
I. t 6
1'. W {-,y "F !,� {' VZ
,s: :� P �
,
f
a'._ - u.lt' S li'iw •�
Non�polara&G by EPA'
1664'rSGT„HEM1 -
\ 1 i
/ --- Pll f 'fW r �.y 1� s,� � •$ lf.�.
av -i ,. t i'4 .�..r`
.Q �.-b.n � iw ro• '4'' }
a
Tot IlSuspe ded Sol ds i
H b�
benchmarks => '
.i r'�: S."s:.i].:'�
.',", 1r '';
�, :•'S
�x '
xvw. i;,+..:i �;,,.,
"' + 15 rtzg/l
.[r •.,.-4.,.f- �i.. ..L.-rJ i'
.w s.-:: nti... .�, n ..f>; +afH
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 a.
• 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, includina all "No Discharge" reports, Within 30 days of receipt of the lab results (or at end of monitoring period
in the case -of "No Discharge" reports) to:
Division of Water Quality
Attm 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."
'a— _ 3. 10 �
(Signature of Perm ttee) (Date)
Permit Date: 8/1/2013-7/31/2018 { ,
SWU-245,.1ast revised 7/31/2013
d Page.2 of 2,

r,t-;NYs AJ, I'll-KMIT NO. NCG210000
a'l lZ'r11'1(.".A'1'1� OF COVERAGE NC). NCG210-1 ][Jn
►.C11,lTv N� Nu: _ To.RoA I._ -�-bl tnr LSR. Co•
PERSON C:{)I.L1 CIVINC SAMPLES
a ';1d`t'1F11,:1) LARIMA"!'d.lRy
-----
V-nrt A. Specific Monitoring Requiremems'
f)utfall l).ite
No. Sample Collected, `Total Rainfall,
_ w mu/dd/yr... inches
-mil -_ �x 6/ie
SAMPLES COLLECTFID DURING CALF,NDAR YEAR;
(This nionitoring report is ducat the Division )m later than 30 days from
the date the facility receives the sampling rcsrilis from the laboi•€ttory.)
col ji'' 'ry--C tA_l1.1- L. ... .
]� _
'7rter =:,tl.�l RECEIVED
00530
00400 --
00340
__ _ _
Total Susp,vnded Solids, �
— — PH,�M
_
~ Chemical Oxygen Demand (COD);
m�
100
Standard units
Within 6.0 - 9.0
m
120
'Monimt-ing is required only if the facility stores exposed piles of sawdust. wood chips, hark, mulch, or other similar rru=terial on cite for longer that) seven (7) days.
if the facility elects not to rnonli or because accum.ul;atcd material is removed within seven (7) days or less, the ctertificat;on below must he signed. 'file facility shall
.also resole] and maintain a log in its SPPP (Storrnwatci 11olluricn) Prevention flan) of dates when maw6al is generated and mi-noved, how, and by whore.
JAN 0 5 2017
CENTRAL FILES
DWR SECTION
*Note! If you report 2 vaiue in excess of the benchmark Vadue, or outside the henchmr irk range ffor M), you must imp4-mcnt 'Tier or Tier 2 responses in the. (central Permit.
l7stctIiIje� tllat do not sim- exposed (either exposed to incident precipitation: or exposed u; ,etorn)w;atrr rill) Q11% riles of sawdust, woad chips, hark, mulch. or other similar material for
?on es than seven ;7) days as) site may so certify, and the recluirctrterrt fair analytical ncunitcrrins may be waived. For those facilities that qualify for the. analyiic:atl m n horin,: waiver, It)(-
disch:}rrer shall sign the following cc rtilicati :rn statement:
"ba.wd upon arty inquiry ol, the person or Pei sot", directly responsible for immerging compliance with the i}email requirement for
,inalytical nionitliring., I certify ihm to the best of my krx;wledge and helief, no piles col, sawdust, wood chips, Nrk, rimich or
other similar nmalals we t store(! exposed (either to incident precipitation or to stortrtwater run oil) for longer thim seven (7)
days hefort: removal sine(, filing Iht: last discharge mortilorinr report..
Nam(. (Print more)
Ttalc Wfcart title)
(Signature) A � (Date)
0
S W IJ-245-072909
I':tgo ; of 2

DID THIS FA(-ILI'rY PERFORM VEHICI,E; MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MON'r1i, ON
AVERAGE, IN THE CALENDAR YEAR?
❑ Yes X No (if yes, complete Pat-1 B)
Part B: Vehicte Maintenance Activity Monitoring Requirenients
UutfaH
No.
Date
Sample Collected,
mo/dd/yr
00400
..__._.._......_.....
00556
00530
fatal Rainfall,
inches
New Motor Oil Usage,
Annual average gal/mo
pH,
Standard units
_
Oil and Grease,
mg/I,
Total SErspended Solids,
rng/L
_
Benchmark*-
- -
-
-
6.0 - 9.0
30
I00--
*Niue: if you rcpont a value in excess of the benchmark value, or outside the benchmark range (for pl-1), you must impleunens `l'ier 1 or'1'ier 2 responses in the General Perrnit.
r Mail original and one copy to -
Division of Water Quality
Attn- Central Files
I1617 Mail Service Center
_ R,ale�&h, North Carolina 27699_-1617 _—
Y(9l; lilia'1'til{;?:'!'fil4 i'I•;RTIFI( ATION FOR 1NV INFOR!\1: TION Itl?POR'l 1?1) IN I':1HTS.% Ah1) OR B:
"I certify, under penalty o: law, that this document and all attachments were prepared tinder niy direction or supervision in accordance with a
system .designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry ol'the person or
persons who manage the system, or those persons directly responsible for gathering the information, the information suhrrtitted is, to the hest of my
knowledge and belief, tr;re, acCurate, and complete. I an, aware that there are significant penalties for submitting false infor-mation, imdluding the
possibility oi• fines and imprisonrncul for kimwing violation..."
�_._....._. 17
(Signature of• Permitt �eA (Date)
a S W I 1_^.15-0728018
`'c 7 cif, 2)
f �,

STORNMATER DISCIIARGE OUT1•'ALL (SDO)
MONYWRINC: REPORT..
GEM,'RAL PERMIT NO. NCG210000 SAMPLE'S COLLECTED DURING CALENDAR YEAR:
C IERTII ICATE OF COVERAGE NO. NC:C.a21k0nCOP P (This monitoring report is dire at the Division no later than 0 days from
the date the facility receives the sampling results from tine laboratory.)
I'A ILITY NAME .,,,-
— /Of/(-/ GLg Cam,
_._ ori`
PERSON (.;')LL1 C'?'ING SAMPI.e:S.,._._.._ �t,�G, GCee�
:K' k".0 11V-1) LARflRATI)R2Y I.tah if 50
1—lb # ...._... -
3':!.•t A: Specitk: Monitoring Requirements'
Ou
i N
COUNTY
i4GOL4J�LC
I'l.i'.;i..'�i: 3te, � i,. .,3t'. tin,•. ;..1+...Rt: ..-i
(COD),
Monitoring is required only if the I. -wilily stores exposed piles o1 sawdust, wood chips, bark, mulch, or other sirnilat material ort site for longer than seven 0) days.
if the. facirity elects nor to rnonitrlr because accuanulsted rnatcrial is removed within seven (7) davc o: less, the certification below must be signed. `fine facility shall
1' PI'r f i� tes wan pate ial is en i rted and--r.ved h rw and by wi
•v
tfall�_---�-00530 ---W__ Y flf1400-------_-------_- 04340
Stjmpie Collected, E'Uta! Itainlali, 1'oW Suspended Sr,lidc, P11,-- -- (,hennical oxygen Demand
tnu/dd/vr inches m Standard units m
mark_* 100 Within 6.0 - 9.0 _ _ 120
N
_l_�?.._..may
H
r
RECI Y E®
AUG 19 2016
CENTRAL FILES
DWR SECTION
r., .r.rr at:r Mirrntam •� of. to its P tSwrmwaier o unon r`
e.ntunn n) c c a ,, un r r K c , c n corn.
If yoo report P v,r)ue i,', vxcess of the bencitmr:rk value, or outside the: benchmark range ( for pll), you must iniptement 'Pier I or Tic:r 2 responses ill the G nc:ai Per
f r-ilitir:: that do nor stow-exposer-i (either exposed to incident prccipiurtion or exposed w 5tonnw:zter run on) pies < f sawdust, ,,00d chips, bark, mulch. ni either situ;l- r i'rir
la):rgr:r than "uvt r] (7) d; iys on site may so certify, and the requircmoml for analytical rponitoring inoy Ise waived. F'or those facilities that qualify for the analvtiral nnonitorin e.z• t.hc
uiscinarccrsl:all sign the following certilieslion st. temeut: 9�<
"based uporn trty inquiry of the person or persons directly respnn4ible for m<:mJging compliance Nvith the permit requirement for
t.4nalvtical nnanitorin€ , 1 r cell€y than ru the hest of my knowledge and hell-1, no piles cf sawrlust, u.naz(i ctsips. bark, mulch or
Other similar niateriak were, stored exposc d (either w, incident precipitation or it) stonnwater run on) for longer than seven (7)-"'
clav�; before removal since filing tic lase discharge monitoring report." f
�t�itll' tPf'nnt trll�=l
(.Signature)
(U.ae)
S W U-24 5-072808
RECI Y E®
AUG 19 2016
CENTRAL FILES
DWR SECTION
r., .r.rr at:r Mirrntam •� of. to its P tSwrmwaier o unon r`
e.ntunn n) c c a ,, un r r K c , c n corn.
If yoo report P v,r)ue i,', vxcess of the bencitmr:rk value, or outside the: benchmark range ( for pll), you must iniptement 'Pier I or Tic:r 2 responses ill the G nc:ai Per
f r-ilitir:: that do nor stow-exposer-i (either exposed to incident prccipiurtion or exposed w 5tonnw:zter run on) pies < f sawdust, ,,00d chips, bark, mulch. ni either situ;l- r i'rir
la):rgr:r than "uvt r] (7) d; iys on site may so certify, and the requircmoml for analytical rponitoring inoy Ise waived. F'or those facilities that qualify for the analvtiral nnonitorin e.z• t.hc
uiscinarccrsl:all sign the following certilieslion st. temeut: 9�<
"based uporn trty inquiry of the person or persons directly respnn4ible for m<:mJging compliance Nvith the permit requirement for
t.4nalvtical nnanitorin€ , 1 r cell€y than ru the hest of my knowledge and hell-1, no piles cf sawrlust, u.naz(i ctsips. bark, mulch or
Other similar niateriak were, stored exposc d (either w, incident precipitation or it) stonnwater run on) for longer than seven (7)-"'
clav�; before removal since filing tic lase discharge monitoring report." f
�t�itll' tPf'nnt trll�=l
(.Signature)
(U.ae)
S W U-24 5-072808

Part B: VeNcle Maintenance, Activity Monitoring Requirements
,_-,w
CiutfalI
No.
Date
Sample Collected,
00400
00556 _
00530___
_
Total Rainfall,
New Motor Oil Usage,
pH,
Oil and Crease,
Total Suspended Sol ids,-�
mo/dd/-yr
inches_
Annual average gaVmo
Standard units
mgfL
nth
Benchmark*
-- -
- -
6.0 - 9.0
30 -
100
*Note: If you report a vahte in excess of the benchmark value. or outside the benchmark range (for p1-1), you rnust implement -Pier 1 or "Pier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attn: Central Files
L1617 Mail Service Center
Raleigh, North_Carolina 27699_ 16 € 7 _—
Y {.)l; tIl'S'I',ti11;.N,'11I.S C1•;I:I'IFICA,1,1()\ V0k A INV 1NFi)kNIAI1I()N' RI"P0R I'V1) 1N P.AIt'FS:1 ANI)/i)R It:
"I certify, under penalty 611 law, that this document and all attachments were prepared under my direction or supervision in accordance witli 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 hest of na,y
knowledge :and helief, true, accurate, and cornpletc. I am aware that thert! are significant pertaltics for subruittinf; false, informatiot,, including th<<
possibility of fines and imprisonment for• knowing violations,"
(Signalure of Peraa►it cc>)
SWI

STORMWATER DISCIiARGL OUTFALL (SDO)
MONITORING RI+'TORT
1;UNRRAL PERMIT NO. N(:(.;.2113000 SAMPI.I:S COLLECTED DURING CALENDAR YI,AR; _3_ _
CIERTII' ICA'TE OF COVERAGE NO.fP (-CU2 ZC)F [Y� ("Phis monitoring report. is due al the. Division no later than 30 days from
the date the facility receives the sampling results froyn the laboratory.}
VACILITY NAME. _._�QfA_Clr`_-�TO(mNo I-- r3Z- CD --
VE RSO N COLLECTING SAM PLC� i+c, (:Z eece
t.Ar�l:�,F�'t~trtiV.._ fe►�. Tech.....
Larb i ...... —...._
11:-wf A, Specific ;kfon4oring Reelrrire.ments°
COUNTY Cc?cp1,IGGL_
PIP)NE Nis,
R1—i r''1
i= ' D
APR 2 i 2016
Out.fall
No.Sampie
Renchmark*
iF 2-
_ .
i)ata
Collected.
rnuldd/vr
�
t 'Total Rainfall,
inches
00530
60400
-
00-340
'ToUd Suspended Solids,
rn
- pH,
Standard units
_ _
Chemical Oxygen Demand 70- 4ATl
m
100
Within 6.0 •- 4,0_
120
-- -- .ZO-- .....---.-.--------_
YR SECT)m
)j,l M)CESSINCrUUIT
Morutunne is cquiicd only if the facility stores exposed piles of s%+wdusi. wood chips, bark, mulch, or other Similar material cm site fc>r longer Ihan seven 0) clays.
If the: fac;iliry elects not to inoniror because accumulated material is ramoved within seveTi (7) days or irss. the certification below must he signed. The fac_ilir_v shail
�Ilsn rc-card arsd rnainta,in a lof,, in its SPIT (5toirnwater Pollution. Prevention Plan) of slates when material is generated and removed. how, and by whore.
,goto. if voli rc.port -a v,31Lie it) exc:e.s,; of the benchinr:rk value•. cx urstside tN, benchmark. rang. (for );hl), You trtust ins}lIenient 'Tier 1 rsr T'ic:r 2 responses il: the (.ic:nr.ra! Permit.
f srrilisies that tit lJol su;,? i'_IXP ]S(:ct (:.idler exposed io incident precipitation w exposed to siurrnwater ern Ern) plies of sawdust, wood chips, hark• mulch. or other similar material for
iunLca than scve r; (r) d;tys on site ;nay so certify. and th<; rec}uirerne nt for analytical nuxtitprittg may be waived. 1=rii these facilities that qualifv for the analytir:a} :nonilorjn,_, waiver, the:
riirCliwgcr shall sign the lollowing certification staiterneul:
"13aseEi upon n1v inquiry of the persfm or persons d;rectly respnnsible fur managing compliance with the permit requirement for
analytic,il m��nits,ritt) , 1 certify that to the hest of soy knowledz e and helief, nn piles of sawdust. wood chips, bark; mulch or
other similar materials were stored exposed (either to incident precipitation or it) stormwater run on) for longer than seven (7)
days before removal since, filing the last discharge monitoring report."
r:uI 'I,-3'r:nr nrrnc
l7tic (i�F'iirl 11lIC)
(Signature.) (D'iIC)
S W IJ-245-(172fi0a
PIge 1 of, 21

AVERAGE, IN THE CALENDAR YEAR"
-�
ANo (if yes, complete Part 13)
tart B. Vehicle Maintenance Activity Monitoring Requirements
Outfall _
No.
Date
Sample Collected,
mo/dd/yr
._-.__— -----
-----------------
----- 00400 —T
--04556 .....------
-- 00530
� 'Total Rainfall,
inches
New Motor Oil usage,
Annual average gal/rno
pH,
Standard units_
Oil and Grease,
mg/l,
Total Suspended Solids,
ntglt,
Benchmark*
Y -
-
6.0 — 9.0
30
100
*Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier l or Tier 2 responses in the General Permit,
Mail original and one copy to-,
Division of Water Quality
Aim Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699_ 1617
k ()t; :\IIi5`l',SWN,I'f11S (..'t':Il'HFICA'HON FOR ANY RkP()RTJ%'I) IN PARTS A AND/0I4 It:
"1 certify, under penally 61 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 gathea- and evaluate the information submitted. Ratted 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 ruy
knowledge and hefief, true, accurate, and complete. 6 am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment fqr knowing violations."
(Signature of Perntittce)
46
(Date,)

STORMWATER DISCIIARG E OUI'FALL (SDO)
MONITORING REPORT
GUN �QRAL PERMIT N0. N CC,2 10000 SAMPIX—S COLLECTED DURING CALENDAR YLAR:
('1014TIFICATE OF COVERAGE NO. NCG21� jj UJ,,fqjn (This monitoring report is due at the Division no laterthan30 days rront
the date the facility receives the sampling results froin the laboratory.)
FACILITV NAME' I L
`C
-ORPI- lJoI.AJ41 L'I" Co- COUNTY
PERSON COLLECTIM.; SA MV�1;4-'ES. AIDONIIN0�.�-
CERTIFIED LABORATORY Lab It
Lab 11
Part A. Specific Monitoring Requirements'
No.
Sample Collected,
ina/ddlyr ---
Total Rainfall,
inches
00530
Total Suspended Solids,
Mg/L
MOO
PH,
Standard units
00340-
—Che-Wm�al Oxygen Demand I--- (COD),
nig/L
BenchniarF
100
Within 6.0— 9.0
120
X:
Momforing isequired only it the taciliiy stores exposed piles of sawdust, wood chips, hark, mulch, or other similar material on F)tc for longer than seven ("j) days.
11' tile facility elects not fo monitor because as cumulaied material is removed within seven (7) days or less, [lie certification below must be signed. 'File facility shall
also record and inaintain a log in it's SPPP (Stoirriwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom.
*Note: If you report il vaiue. in excess of the benchmark V;j]UC' or outside the benchmark rniige (for pH), you must implement Tier I or Tier 2 responses in the General P-.Yntii.
MOM
Facilities that do not store exposed (either exposed to incident precipitation: or exposed to Naorinw2a(tr run un) piles, of Sawdust, wood chips, bark, mulch, or ozhci- similar- material for
!4)q!er than seven (7) days oft site may so cerlify, and ih(,- requirement ftir analytical monitorin- may be waived. For those facilities Ih-w qualify for the wiziNfical monitoring waiver, the
dischnrper shah sign the following cc, tlfic:ition sliterneur
"bLISCLI Upon MY MillitV of the person or persons directly responsible for rmmijging compliance with the permit requirement for z.
analytical monitoring, fccrfify that to the. best of my knowledge and hel lef. no piles ofsawdust, wood chips, bark, n tulch or RECE!'... D
other similar Illaterials Were stored exposed (ciffier to incident precipitation or so Ftorniwoter run on) for longer than w.ven (7) NOV
days: before removal since filing tart, last disch;irge tnoriiioring report."
CENTRAL- -
DWR SECT '-Q'q�
(Signature) (Dale)
SWU-245-072908
Page I of 2
t

f. l-.sDID THIS-FAi:ILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON
AVERAGE, IN THE CALENDAR YEAR?
❑ Yes [ ( No (If yes, complete Part B)
Part B- Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00400
00556
00530.
T'olal Rainfall,
inches
New Motor Oil Usage,
Annual average gal/mo
pH,
Standard units
Oil and Grease,
m9fL
Total Suspended Solids,
Benchmark*
-
-
-
6.0 — 9.0 .
30
100
*Note: If you report a value' in excess of the benchmark value, or outside the benchmark range (for pl-I), you must implement Tier I or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attw Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
El
4'0Li :tiit i5'i' SIC1.1 Hlls (F;R' 111C:ATION I't?I:.:1i1'7' iN11)RIIATION RI, PORTED IN I'AU TS A AND/OR I;,
"I certify, under penalty 61 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."
(Sigtta ure 4611P'crmittee) (Dat
S W t t-245-072808
J',e2of2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
'N Date submitted
CERTIFICATE OF COyf RAGE NO. NCG21b `
FACILITY NAME
COUNTYAl; (�
PERSON COLLECZ?C140
SAMPLES
LABORATORY Lab Cert. # C'/Z6 -491
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 0©l-5-
SAMPLE PERIOD Dian -June July -Dec
or ❑ Monthly'_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW OTrout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
�ther�'/ass C
NOV 13 2015
PLEASE REMEMBER TO SIGN ON THE REVERSE
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is requ ed onlV f tMacility 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 So mg/1.
0 az ,S
D 7"
Z LOf
ON
onthly 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.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
M
Note: Results must be reported in numerical format. For exam _IA a —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
SWIJ-245, last revised 7/31/2013
Page 1 of 2
�d

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
El No discharge this period?1
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
/ a
�ircf�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 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
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one cony of this DMR includina all "No Discharae" reports, 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 REPORIED.
"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
thpsTp5r,sons directly responsibl for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
m awarq that tpere are signiXa is t 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
- G% If
-
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
CEN"RAL PERMITNO. N(J-.20000 SAMPLES COLLWIT'D DUPING CALENDAR YEAR:
Cl."HTIFICA,rr oil, COVERAGE NO, NC(;2.1(This monitoring report is dije:jt the Divisionnis later than 30 clays Cro"I
the dale the racility receives, ffic sampling results I'voill the laboratory.)
: A CIL ITY NA NJ F CO -
PERSON COLLEC"VING SAWtPLE
I'111< IA FWD lVA.TORV 1)
Lab 4
P?,Oo. A. 66"Pecifli- Mollitorhig Regifirements
00530
No, Sample Collec.tecl, Total Rainfall, T061 Suspended 5qlfids,
1--7 100
77
. ...........
COUNTY
C-tL
RECEIVED
0 i-,
AUG 13 2015
CENTRAL FILES
DWR SECTION
(HWOO
00340
eman(I (COD), PH, -en .11 iien 1)
Standard units
L
Within 6.0 — 9.0
120
C====
Morlm)ring isrefurred only if file tacilily stores rx-josed piles of sawdust. wood chips, bark. mulch, or other similLn material oil slie fur longer than seven (i) days, C1=5
If lht: l`aC,1iTvt!lC(-tS not lo material is removed within seven (7)clays or less, QIC Ce tLjjfjCaZio!l "Yjtj,'j he signed.'fhe-
facility shall
also rl:cwf! noel Illainrlin a )or" in its SPIT (Sfo[lTnA,ale.i Pollution Prevention Plan) of'datn.s who.-il mwfrial is gcnevaie.d and rcmoved, how,and by whom.
`Nowt lf"Jo"j ItPo"I a v;J1l(-. ill exces'; of bellchruar)< V;duc, or the henchm;irk. railge 0,0", 1,H),yoollmst irllp�en oi- Tict 2 responst-.s in ffic. C�vnc: al -,,,r w. I - P �T
"it) lint stl"ll, cxpostd t1xPo"t-d 10 incidPill prec,1plullior" cr etxl)4lswj [e slosunvater rull Oil" Plies elf sawdust, Wood chips, bark. mulch, or othersijiiiNtr in2rcnal for
411W4'r I lt;ll! st"Vt1l i'i dl;jw, on silo n-lay so ccrlify, and the I equil mnoni For analytical riiunitoriuo rn.jv bc wnjvCLf. Fol Ifiose hici hlics that qLl.'IljfV I'M OW itla lytiCR) Molli[Orill," WljVcj the
t!isch;trgei shall sign fl-Le (0ilowirig cei (ifficain-m slatclileffl:
"1 aseG 0t)oll ITIN, Inclijiry of the person m pri.sons directly lesp(Illsible "0; MAD"Wq compliance Mili the perniii requirement for
alinlytir, I al nion'toring Iy . L
I I cf,-r0' 1hal lo llu'. o", lyly L-n(,,Mcde and hchcf. w pile's of ,sawdust, wood chips, bark, mulch or
odLjj�,!jj PIL(.c:"D1­111(ffl (�!'lo SttffQjw;j
h��,-.,;irnflar malert.ds Wen, stored (cidlcr to ilw,jU-11, run 011) fur 11);Jll s('Vell (7)
clays hcf'0r.- winovall sinci, filing 11w Iasi (fischal-ee lllotlilorill—.Opm."
IM
-rv('. Wnlv ww.v)
SWLI-24-5-072808
flav " of, 2

DID'fHES FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE'rHAN 55 GALLOJNS OF NEW MOTOR OIL PER MONTH, ON
AVERAGE, IN TIJE CALENDAR YEAR?
[) Yes X No (if yes, complete Part B)
Part II: VChiCIV Maintenance Activity Monifariag Rettttirernents
Outfail
No.
Date
Sample Collected,
mo/dd/yr
_
_
00400
_.__.
00556
00530
_ _
'.I'olal Rainfall,
inches
_
New Motor Oil Usage,
Annual average gal/mo
PH,
Standard units
_
— Oil and Grease,
ing/I,
Total Suspended Solids,
engfl,
Benctttnaric�`
_ — -
--
-
6.0 -- 9.0
30 —
100--�~.
*Note: if you report a value in excess of the benchmark value, or outside the benchmark range (fOr pil), you must irnple:tnew `]'ter 1 or'fier 2 responses in the GenCrol Permit,
_ Mail original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
RaEci h, North Carolina 27699_ 16 € 7 —_
1 ()(; Ill ST.SIGN'1'llIS CEIINITIl 1C:1TI N, WN lily )ORIT1) IN P.1itTS:1 AN1)/i71t Ji:
"l certify, under penalty et: law., that this document and all attachments were prepared under my direction or supervision it% accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Batted on my inquiry of the person or
pe sorts who manage they system, or those persons directly responsible for fathering the information, the information suhmitted is, to tite best ()f my
kttrrwledge, and hdiet', true, accurate, <ind completes ( aw aware tbat thery area sig!nificano. penalties Cm- submitt:int; fahm. i►lfe»-ttJ;:Won, im-11.111ing, the;
possibility of fseJe.,ti alld imprisoniveni fp. Eomwing -violatiomi.,"
(SJI;JIAtUJ'l; of �;V,'tltlitf:L"")
(Date)
SWt -U721M)'c -

yI'l:}RNIWA'I1:R DISCHARCE OtJ"1FALL (SDO)
MONITORING REPORT
CEY RAL PERMIT NO. NCG210000 SAMPLES COLI.ECTED DURING CALENDAR YEAR:
('➢ wrIFICA'rE OF COVERAGE NO. NCG21�f� % l�d1t-,-I (This atonitoring report is due at the Division im later than 34) days from
the dale the Facility receives the sampling results from the laboratory.)
q=A(ALFFY NAME, _ TDRPAA _FJrf.r N L8 . Co • __---
PERSON COf,UX I'ING SAMPI,I?S____-_
t.'.i:ld"1'irI'It;FA LAIC MA'dORY_.- lab fl -sib'
..-
fart A. Specific. Monitoring Regnirementsr
cO'timi-Y L- _....
DECEIVED
1'l.tl ',AsI`ili . r is-. I{!'.SV '4
MAY 0 7 2015
CENTRAL, FILES
WR SECTION
Outfall
Date
- --___-.----• -
-•-- -0053(
_. 00400
00340
No.
Sa><mpie Collected,
Total Rainfall,
Totais Speii&d Solids,
i pH,
Chemical Oxygen Demand ((;011}, T
Chemical
__ ___
-
;no/dd/ rinches
- -- Y
_ m
_._ ... _.. -.
- _ Standard units
m
Benchmark*
6
100
Within 6.0 - 9.0-
J24
M ! . -
. ...71.
_
'Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, hark. ruttish, or tither similar material on site for longer than sevcrt (7) days.
11' the facility elects not to moniiur because accumulated material is rernovecl within .sc.vori (7) days cu less, the certification below must he signed. 'T'he facility shall It
«fsn reenrcl and maintainn a, login its SPF'P (`31c>:rnw, ter 1'c�ltution Prevention Plan) of ri:;tes when material is generatcd and removed, how, anti by uncont. e
*Notc: It you report a v;tlue in excess of the. benchmark value, or outside the benchmark range. (for pH), you must implement 'Pier I or Tier 2 responses io the (_ienrral f er:rrit.
P"Icilitics that do nqt stoic exposed (either exposer) to incident precipitation: or cxposcd to stormwater run on) piles cif' sawdust, wood chips, bark, mulch. or otaet similar materiai fur
ionvor thant seven (7) days on site may so certify, and the requirement for analytical menitorin shay be waived. For those facilities that qualify for the: analytical ntonitorist}t. waiver, the
ciischarrc r .shall sign the following certification statement:
`b;iSed upon: rrty inquiry of the person or persons directly responsible fur managing compliance wish the permit requirement fox
;uralyticai nsonitsuing, 1 certify chat to Ilte boss of my kstewledre and belief. no piles of sawdust, wood chips, hark, mulch or-
othe; sirniiar materials wort: siowd cxposcd (tithes to incident prccipit;rtiort or io stor MWater run on) for lortgr;r than seven (7)
clays ltcfcrrc rcrnuval sincc, f-ifitr;; the, hest discharge rnoriitcrin,,� report."
(`hrnt�°_(I'rir�t na;titc�)
Tide (Priiat till )
(Sicrrautre)
(Date)
S W U-245-i)72808
1'aT;a . of 2

' DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE: THAN 55 GALIANS OF NEW MOTOR OIL PER MONTH, ON
AVERAGE, IN THE CALENDAR YEAR?
❑ Yes 0( No (If yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
01,tfa1
No.
hate
Sample Collected,
inoldd/yr
m
_ _
00400
00556
00530
_
Total Rainfall,
inches
New Motor E)iI Usage,
Annual average gal/mo
pH,
Standard units
Oil and Grease,
mg/L
Total Suspended Solids,
mg/L
Benchmark*
-
_
6.0 — 9.0
30
100
*Note: if you report a value in excess of the benchmark value, or outside the benchmark range (for 1)i3), you must imp€ement Tier I or Tier 2 responses in the General Permit.
r Mail original and one copy to:
Division of Water Quality
Attn: Central files
1617 Mail Service Center
RaiejEh, North Carolina 27699-16 1 -1 _---_
1iI i S'I',till:!"' "flit.,; (:t;12 E'llA(:AT1()\` l ()I::1i\i" s\'l t)1?l]:1't'tf1V 14"I'0104:I)IN I'AWI'S A ANIf/ M 3:
"I certify, under penalty o." 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 inquire 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
knowled$,e ;And belief, true, accurattc., and complete= I am -aware that there, are significant Iienalties 1'ttr sUbMitting false information, including the
possihility of fines kind iniprisonrneni for knowing violations."
(Signalure tit Permit (Date)
S W I 1 -`T1-072809
1

a6
Appears 4

..tea
Y
s' ~'GENERAL I'I-RM1'T NO. NCG210000
STORM WATER DISCIIARCYE OUTFALL (SDO)
MONITORING RF,POR'T
CERTIFICA'TF OF COVERACF- NO. NC(;21E IUDYJ
I'ACI1,17'Y IVAMr. ,TDIRP/W IJ
PERSON COLLECTING SAM PUS.
CFRT1FIRD LABORA'roRy - -
Part A: Specific Monitoring Requirements'
Lan Co —
- - Lab #f...__.
_- - -.._......_Lab # -----
SAMPLES COLLE;CTE;D DURING CALENDAR YEAR: �La/
(This monitoring report is due at thr. Division no later than 30 days from
the date ceives the sampling results From the laboratory.)
((��
�_��oUN�ry
JAB 2 0 21111 JONE NO.
CENTRAL FINS$;; !: �;i�,;, z„ 'I'tt:., iti.v'::tiSV.-4
DWR SECTION
Outfall
No.
Benchmark
Date
Sample Collected,
moldd/vr
— - -
`—�
'Total Rainfall, _
incises _—
r
00530
00400
00340••
_—
Total Suspended Solids,
m
-----
100
pH,
Standard units
Within Cr.0 -- 9.0
_—
Chemical Oxygen Demand (COD),
m
---- _ _
120
S
_W6
AS —
Monitoring is requireri only if the facility stores rxposed piles of sawdust, wood chips, hark. mulch, or other sirnilar material on site for longer than seven (7) days.
If the facility elects not to monitor because accumulated material is removed Within seven (7) r.itays or less, the certification below must be signed. The facility shall
also record and maintain a log in its SPIT (Stormwater- Polhrtion Prevention Plan) of dates when material is generated and removed, how, and by whom,
*Mute: if you report a value in excess of the benchmark v::lue. or outside the benchmark. ranee. (for pfl), you roust intplement Tier i or Tier 2 responses in the General Permit.
liacilitie.s that cio rent store exposed (either exposed to incident precipitation or exposed to Stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material®
longer rhan seven (7) days oil site may socertify, and the requirement for analy(ica€ monitoring may be waived. For those facilnres that qualify for the analytical mUnilorini_. War zt c>
discharger shall sign the follou+ing certification statement;
"based upon my inquiry of the person or persons directly responsible for managing compliance with the persnit requirement for
analytical monitoring, I certify that to the hest of my knowledge and belief. no piles of sawdust, wood chips, bark, mulch or
othersimilar materials were stored exposed (either to incident precipitation or to stornrwa(er ran on) for longer than seven (7)
days hefore removal since filing the ka s€ discharge monitoring report.'
Nium: (1'rarrt name)
Title (Print till(,)
f Signature)
(Date)
S W U-245-072908
Page : of 2

DID THIS FACILITY PERFORM VEHICLEMAINTF,NANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON
A VERAGE, IN THE CALENDAR YEAR?
❑ Yes 0 No (If yes. complete fart B)
Part 11: Vehicle Maintenance Activity Monitoring; Requirements
C)utfall
No.
_ Tllate
Sample Collected,
mo/dd/yr
___..—
--------------------
--- 00400
00556 —.----
--- 00530 .w
Total Rainfall,
inches
New Motor Oil Usage,
Annual average gai/mo
pH,
Standard units I
Oil and Grease,
mg/L
'Iotal Suspended Solids,
mg/L
B3 n- chmark-
-
-
-
6.0 — 9.0
30
100
*Note: li'you report a value in excess of the benchmark value, or outside the, benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Wailer Quality
Attn: Central files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU :1IIi5TSIGN Ti11S (;'1';I2'1'11''1(`:1'1'1(1\' 1'()R ; INY iNl'1)1{i11::1T40):N REPC)RT1.;1) 1N PARTS A r1NDA)R B:
"I certify, under penalty a. 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 property gather and evaluate the information submitted. Rased 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 hestof my
knowledge and belief', true, accurate, and complete, I am aware that there are significant penalties for submitting false information, including; the
possibility of tines and imprisonment fqr• knowing; violations."
Fct-
{Signature of I'crmit.
ti S W I 1-') 5-072808

. v - --MX vt WA'I'EH DISCHARt. E OUTI'ALI., (SDO)
MONITORING REPORT
GENI^IRAi, PERMIT NO. NCG2I0000 SAMPLES COLLECTED DURING CALI.NI)AR YEAR:
CERTIFICATE OF COVERAGE NO. NCG21CO[O:]n (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME arAPrlt`! -ttblllN LBR. CO• COUNTY
PERSON COLLFCTING SAMPLE;; --- PHONE Ni. �w T 2.
CERTIFIED LABORATORY—_ - _ Lalr #
#._..-
Part A: Specific Monitoring Requirements'
Outfall
No.
I)ute
Sample Collected,
moldd/yr -
'Total Rainfall,
inches
- 00530-
00400
00340 - _
Total Suspended Solids,
mgll.
pH,
Standard units
Chemical Oxygen Demand (COD),
m
Benchmark*
�
_
100
Within 6.0 - 9.0
120
-
-. .....-�
y. -
---7, z
Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than ,seven (7) days.
If the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall
also record and maintain a log in its SPPP (Stolmwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom.
*Note; If you report ;i value in excess of the benchmark value, or outside the benchmark. range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit.
Facilities that do not store exposed (either exposed tc incident precipitation or exposed to s€ormwater nun on) piles of sawdust, wood chips, bark, mulch. or other similar material for
longer than seven (71 days oil site may, so certify, and the requirement for analytical rruonitoring may he waived. For those facilities that qualify for the analytical monitoring; waiver, the
discharger sh;rll sign the following certification statetnem:
"based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for
anatyticni monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or
other similar materials were stored exposed (either to incident precipitation or to stormwater rim on) for longer than seven (7)
bays before removal since filing the last discharge monitoring report."
_ Name (Print name)
Title (Print title)
(Signature) (fate)
AUG 4 2014
CEI1 NAL FILES
DWQ/BOG
S W IJ-245-072809
Page : of 2

DID THIS FACILITY PERFORM VEHICLE MAINTENANCE AC`I'IVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON
AVERAGE, IN THE CALENDAR YEAR?
❑ Yes �y No (If yes, complete Part 8)
Part 13: Vehick Maintenance. Activity Monitoring Requirements
Outfall
No.
Date
Sample Collected,
rno/dd/yr
44400_..�
04556 -----_--
------ 00530
Total Rainfall,
inches
New Motor Oil Usage,
Annual average gal/mo
pH,
Standard units
Oil and Grease,
mg/L
Total Suspended Solids,
m9/I1�—__
Benchmark*
-
-
-
6.0 — 9.0
30
100
*Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pl-I), you must implement Tier I or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attn: Central files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
)'(Ai IN[I itiIT SICK `I'tliS C[,J%' 1'Il-'l( ATlO\' RKP(}lt'1ED IN l.',iRTS A AND/OR 15:
"l. certify, under penalty W 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
knowledgee and belief, true, accurate, and complete, [ am aware that there are significant. penalties for submitting; false information, inchtding; the
possibility of fines and imprisonment fQr- knowing; violations,"
(Signature of Yermiktec) 4.t
i

i QKNI VVA r I'll( kWA—J1AXlIxl- (W] PAW, (,M-00)
MONITORING REPORT
i.ENERAL PhRMIT NO. NCG210001)
ti7j1.AZ `1 lC'ATE 01' COVERAGE NO, NCG21k _lri")CJ���
r,rkCt[,1TY NAMt1 _L�t F p13t'+ i. Lit.
10tTdi
Pn -( A: Soer-ilir: Njc:ilit+)r•il)g Rt:lr}irelncrllst
SAMPLES COLLECTED DURING CALENDAR YEAR: _
(This monitoring report is dire at the: Division no later than 30 slays From
the date the facility receives the sampling results from the laboratory.)
coUNTYPHONE No 2
--
-outfall _ y....-. --Date"--y- 0053(l 00400
No. 1 5aniple Collected. ' Total Rainfall, 'Total .Suspended Solids, pH, Chemical Oxygen Dernand ({:OW,
mo/Ldd/vr
3enctandard— units
_._
l ? M l 'Within 6.0 - 9.0 120
-- -� ----- ----_- _ -_..--------
N]on}toring :s ; egtaired only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or anther similar material on siu, €or longer than seven (7) days.
l€ the facility l !ects not [o rnoniiar because -,cc,millated rnatcryal is removed within sever: (7) days or less, the certirtcation below must be signed. ?he 1�iC,lity shall
JNO re-cmd and rnaintain it log ilr its SE'E'F- (Stoamwatcr Poiltttie3r} Prevention Plan) of dates when material is ocnerated and removed, how, and by whom.
'�lou:: if you rcErrra a value in rxr_zs:: of ther benchmark v lire, or ou[sirie. the henchrnark. caner_ (far lE), you ma.s[ irrtplernens Tier i or Tier 2 respon;cs in the Gerrrra! Perrni[.
i r r_ilitSC. !hat -Ic3 1101 stt;r cx;7n;erl ;ei4l�er s,xt oseri Er, sncid'ent pree:ipilatinr, o. e:P:;src! Ie ctorrnw,,trr r,}n on! piles of sawdust, wood chin:;- i[:}rk, nx[lch. or ozhe: sirnilar rnateria} ror
lh} -Il f, 11 1=2�'S t?ii slle rTiu�,✓ SII CC.ri]€V, and }he ]e(l ii?rcrna:ni f4Tr &n31'y[I�?,! rrit'}nli)rin� [clay �"� W31V- I Fnr I[lup-, faz-'!'Iics that 4tl:illf.' for the analy[ir:a l rilonilortrlq waver, the
dischargr.r silail sign the following cer?iftcatiUn stateine[}l:
"Based upor) my inquiry of the person or persons directly responsible for mam gin- compliance wil,ti the permit requirement for
rinal-ytical rrla)ititorirs,;, 1 certify that to the. hest --If my knowledge and belief, no piles of sawdust, 'wood chips, bark, mulch of
ether similar materials were stored exposed %either to }lacidcnl prec:f.'il-atIon or to siorrnwater run on; for longcr than seven (7)
days before removal since €-ilinr the last discharrne moniwring report."
,Narnll ('ri;o narn.)
-
r'IIIL' (PTTIll titir;)
(Signature)
(Date)
RECEIVED
MAR 2 7 2014
CENTRAL FILES
DWQ180G
SW U-245-072808
Page : of 2

DID TRIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NIsW MOTOR OILPER MONTtl, ON
AVERAGE, IN THE CALENDAR YEAR?
�' 0 Yes �( No (ff yes, cornplete Part 8)
Part B: Vehielf, Maintenance Activity Monitoring Requirements
—
a7trtfsll
No.
- - -- - _-- -
E Bate
Sample Collected,
-'Total Rainfall, -
— - -
?Veit° Motor Oil Usage,
. _-._ - ---t
[lfl40(3 _
-- -- P11,
___----_. _.-.-----�--
11A
0R55C
I Oil and Grease,
------------• ---- --• -- -
00530
�_._w_ _...—._—_._
Total serspended Sotids
Beaacianiark'�
hniark
rnofddlyr
_.
inches
a ch .s
i Annual average llrna
anu g ga
_
Standard urri#s
-= 6.4 - 9.0 .��_w-_._..---•----
rn /t,
g
30
rn
_ _
��---..._-..-
100
—
_..-- —
_ _ ----
"Note: If you report a value in excess of the benchmark value: or outside the benchmark range (for pH), you must implement Tier t or Tier 2 responses izi the Gencral Perrnit
Mail original and one copy to:
I3ivisiOn of Water Quality
Attn: Central Files
€617 Mail service Center
Ralcihh, North Carolina 27699- € 617
Y01- )HST M6_. '111 r, 4-11.11;TIFI(`ATION I;'("R ANY i'�`i'()1?;1i:1'{`ifi�i REPORTED IN' i':ilt' Sid AN." /OR
A. certify, under penalty W law, that this document and all attachments were prepared under my direction or supervision in aceordancc with a
system designed to assure that qualified personnel properly gather and evaluate the information stabmitted. Based on my inquiry of tlae persona or
]persons who manage the system, or those persons directly .responsible for gathering the information, the information subnaitte_d is, to the best. of nay
knowledge :and belier, true; accurate, and completr,,. f am aware that there are significant penalties for subt.-rtitting false information, including thcr
possibility of fiiies and imprisonmt,W for knowing Violations."
� /
tt (, ignaive of Pernai We" ; Ila e I
ti
SvV1 I.'-15-072z(W
";r '. of 2

-T !
�t L
_Pi�GS�Se!_r7
o (Z R coJ T �'ro�nGJ/�T>�Je �ffr�Pl.��1JEr
D rs� us.sFA D t,�tzrr�G Q � r �►'sr ¢; G'�LL �'�
AT aye
eed 2/ 7 - vs-i?
UG z 5 201
ASHEVILLE RE' ;0NAL OFFICE

ryl
ti
t7
I Ll
;., , . I
Wi

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE NO. NCG21 OQ©❑O
FACILITY NAME -0Q'D Q" 2
PERSON COLLECTING SAMPLES ck.G�-
CERTIFIED LABORATORY Lab # S'O
Lab #
Part A: Specific Monitoring Requirements'
SAMPLES COLLECTED DURING CALENDAR YEAR: 3
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY 64C 06, LL.
PHONE NO. (5-X) - 3 7-;?
PLEASE SIGN ON THE REVERSE, 4
Outfall
No.
Date
Sample Collected,
mo/ddl r
Total -Rainfall,
,inches
00530
'00400
'x'•.. 00340
Total Suspended Solids,
m
pH,
Standard units
Chemica'I x 'gen Demand (COD),
"'- :.rn
.Benchniar•k*
"' " -
100
Within 6.0 - 9.0
'' 120
tI
7S-
12 7.
L
*Nose: If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
'Nionitoring is required only if the facility stores exposed piles of sawdust, wood chips, hark, mulch, or other similar material on site for longer than seven (7) days.
A facility that does not retain exposed (either exposed to incident precipitation or exposed to storrnwater run on) piles of sawdust, wood chips, hark, mulch, or other similar material on
site for more than seven (7) days before removing the material is not required to monitor for the parameters in Table l of the General Permit. If at any time the material is not removed
within this time frame, the facility must begin analytical monitoring immediately. (Reminder: This condition does not exempt any facility front qualitative monitoring of SDOs.)
Ifthe facility removes such materials within seven days to meet the monitoring exemption, the Permince shall record and maintain in the facility's SPPP a log which documents, at a
nunimum, the dates when material is generated and removed, how removed, and by whom. The log must be sufficient to establish that no materials were exposed for longer than seven
days. For record-kceping purposes, the Permittee may also maintain in the SPPP this form with the signed certification below:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with [fie permit requirement for analytical monitoring, I certify that to the
hest of my knowledge and belief, no piles of sawdust, wood chips, hark, mulch or other similar materials were slorcd exposed (either to incident precipitation or to _
storrnwater run on) for longer than seven 7 days before removal since filing the last discharge monitoring report.
r tf. u.I .�1 �.Hi [ �� SK' ^' .R .. L•f
Name (Print name)
Title (Print title)
AUG 2 5 2011
(Signature) (Date)
1WA T Er`i -]'JAL iTY S_ rJi.
S.W.U_245-140408
_^� Page l of 21

1
0
0
HIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW'MOTOR OIL PER MONTH, ON
:AGE, IN THE CALENDAR YEAR?
s ❑ No (If yes, complete Part B)
Vehicle Maintenance Activity Monitoring Requirements
(fail
fo..
Date,,"'
'Sample Collected,
ino/dtUyr; :.
- '
00400; :,
00556
00530:
} . Total Rainfall, s
,inches
New. Motor; Oil,Usage,
Aniiiial aveia'e gal/mo
pH, ,
Staridardtunits,`
Ott and Grease, ,
iu
`Total Suspended Solids;
iti
marker
-
-
6.0 _ 9.0 7 '
30
. •=100
If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier I or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED IN PARTS A AND/OR R:
tify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
i designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or
is who manage the system, or those persons directly responsible for gathering the informations, the information. submitted is, to the best of my
F ,
edge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, mcludin—obb--':r
ility of fines and imprisonment for knowing violations." r ""
z I ,
FF
ure of Per ittee) (Date
AUG 2 5 2011
W"N T CFI r 'jP _;Ty ` C,T; )N
�. P.S.SWU-245-110408
�^ _ Page 2 of 2

S'I'ORMWATER DISCHARGE OUTFALL (SDO)
MONITORING impowr
C.ENS"RAL 11j,"RW7'NO. NCG210000 SAMPLES COLLECTIKI) DURING CALENDAR YEAR.
[CATE OF COVERAGE NO. NCG21FO JIFO [Y� (This monitoring report is due at the Division no later than 30 (lays from
the date the facility receives the sampling results front the laboratory,)
l"ACILITY NAML TDRPM ffiao L. Be COUNTY —f . 011 OWC L L _W,C 6V7
PERSON ('01.1jCTING SAMPLES I ::CL PHONY' NO.
Lab
#
Bart A: Specific Monitoring Requirements'
0 —trill
ate
00530 0W40 00340-
Sample Collected,
Total Rainfall, Total Suspended Solids, PH, Chemical Oxygen Demand (CO
/dd/y
inches Standard units MO,
,enchmark*
1 /16 It
100 Within 6.0 — 9.0 120
/69 ,0-. A'a
3
—Lot
Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, hark, mulch, or other similar material on site for longer than seven (7) days
lfthe facility elects not to monitor because accumulated material is removed within seven (V) days or less, the certification below must be signed. The facility sh'nl
also record and maintain a log in its SPPP (Stotrnwaici Pollution Prevention Plan) of dates when material is generated and removed, how, and by whorn,
//X/i/a
�kx to
Ir4 V1,;
—Do WO E-TK is 4)
"'Note'; lf'y()u repot t a value in excess of the benchmark value, or outside the benchmark range (for 1M), you must implement Tier I or Tier 2 responses in the General Perrfjij.
1*acilillc� not store exposed (either exposed to incident precipitation or exposed to, ether similar material t 0(� Slorinwater run On) piles of'sawdust, wood chips, bark, mulch. of c
fk)r
longer Than seven (7) days 01j.site may So certify, and the requirement for analytical monitoring may be waived, For these facilities that qualify for the analyti(_0 monitoring vwajv
discharger.iliall Sign the:following ccflificatiort slatement: e 1. the
"based upon my inquiry of the pet -son or persons directly responsible for managing compliance with the permit requireni
analytical monitoring, I certify that'to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch
other similar material,.; were stored exposed (either to incident precipitation of to stol-mwatcr rim on) I -or longer 1hans.evc
day,; before removal since filing the last diSCNiTgC t11011it0rillnu report,"
Murat, 016iil riai,nO
Title (Print LitIC)
4.
(Signature) (Dale)
"age

DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIIS USING MORE THAN 55 GALLONS OIL NEW MOTOR OIL PER MONTH, ON
AVERAGE, IN THE CALENDAR YEAR?
❑ Yes X No (If yes, complete Part B)
Part B- Vehicle Maintenance Activity Monitoring Requirements
- Outfall
No.
Date
Sample Collected,
rno/dd/yr
-
00400 -_
_ 00556 _
---- 00530
'f otal Rainfall,
inches
New Motor Oil Usage,
Annual average gal/tno
pH,
Standard units
Oil and Grease,
mg/L
Total Suspended Solids,
mg/L
Benchmark*
-
-
6.0 - 9.0
—
30
100
*Note: If you report a value in excess of the benchmark value, or outside the benchtrtark range (for pH), you must impiement Tier 1 or Tier 2 responses in the General Permit.
Mai! original and one copy to;
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Bale North -Carolina 27699-1617_ -_
101: 111 IST SI(;"%. ,I HIS C11,12' 1FIC ATION, FOR ANY iNI (W.,,]A'CIUN lt!<:I'O12 I F;1) IN' PARTS A ANU/(7IZ B:
"l certify, under penalty ox 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 #test of my
knowledge and belief, true, accurate, and completc,, I am aware that therm are significant penalties for submitting false information, including the
possibility of fines and imprisottmcni for knowing violations."
(tiignatu c t' crmittce) {U. te)' � -
SWf 1-7AS-072808
",e '? oi' 7

v
r
b., FER6TECH LIVIRSh,'.
POST OFFICE BOX 1056 • g5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
(828) 3964444
SAMPLE: Jordan -Holman #1
COLLECTIONDATE:
11/16/2011
PERMIT #:
COLLECTION TIME:
11:00
ADDRESS: Jordan -Holman Lbr Co.
RECEIVED DATE:
11/16/2011
650 N. Main Street
RECEIVED TIME:
12:46
Granite Falls, NC 28630
REPORTED:
12/5/2011
VL1 AR... 5
H ��,�„ANAL�YSlS�`, ra.','RESUL•"TSB_,
lill�TiS, �
;DA�TE,�� :�;
``
"�ANA`L�tYST;� ��'
;
.��U' ,Y .
...
TSS 59.0
mg1L
11/17/11
jrg
pH ' >holding time 6.8
su's
11/16/11
lag
COD 71
m91L
11/23/11
jdg
LOG ID: 1111-265
REPORTED BY: NC CERTIFIED LAB # 50
fb�
Tony Gragg, Lab Supervisor

r
wk.. rER6TCCH LRESYn
POST OFFICE BO; 1056 • #5 MNEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
(828) 3964444
SAMPLE: Jordan -Holman #2
COLLECTION DATE:
11/16/2011
PERMIT #:
COLLECTION TIME:
11:00
ADDRESS: Jordan -Holman Lbr Co.
RECEIVED DATE:
11/16/2011
650 N. Main Street
RECEIVED TIME.,
12:46
Granite Falls, NC 28630
REPORTED:
12/5/2011
TSS
pH ` >holding time
COD
169
7.0
<20
mg1L
Su'S
mg/L
11/17/11
11/16/11
11/23/11
jrg
lag
jdg
$�;.1x,3.G, '3- ���,-
'�,'+.• .l,F:" a�7:s+Mn•
-y
't�ii'�� '.�„�
,�� r7
U
.FYI
LOG ID: 1111-266
REPORTED BY: NC CERTIFIED LAB # 50
fl�
Tony Gragg, Lab Supervisor

jrR6rwCH LIVESP
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Jordan -Holman #3
COLLECTION DATE: 11/16/2011
PERMIT #: COLLECTION TIME: 10:45
ADDRESS: Jordan -Holman Lbr Co. RECEIVEDDATE., 11/16/2011
650 N. Main Street RECEIVED TIME. 12:46
Granite Falls, NC 28630
REPORTED: 121512011
LOGID: 1111-267
REPORTED BY: NC CERTIFIED LAB # 50
f�*
Tony Gragg, Lab Supervisor

r
14 - IKR6- TECH LRES,
POST OFFICE BOX 1056 • 05 PINEWOOD PLAZA OR
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Jordan -Holman #4
COLLECTION DATE:
11/16/2011
PERMIT #:
COLLECTION TIME:
11:10
ADDRESS: Jordan -Holman Lbr Co.
RECEIVED DATE:
11 /16/2011
650 N. Main Street
RECEIVED TIME:
12:46
Granite Falls, NC 28630
REPORTED:
12/5/2011
A. NALYST
TSS
112
mg/L
11/17/11
jrg
pH " >holding time
6.9
sa's
11/16/11
lag
COD
44
mg/L
11/23/11
jdg
�� � •� •'i��Y � s. 'i�'+:S
�',-0
Z of .^.
e N
LOGID: 11 11-268
REPORTED BY: NC CERTIFIED LAB ## 50
f11111
Tony Gragg, Lab Supervisor

�nlirccm Lovirs.1
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS. NORTH CAROLINA 28630
[phone]
SAMPLE: Jordan -Holman #5 COLLECTION DATE: 11/1612011
PERMIT #: COLLECTION TIME: 11:15
ADDRESS: Jordan -Holman Lbr Co. RECEIVED DATE. 11 /16/2011
650 N. Main Street RECEIVED TIME: 12:46
Granite Falls, NC 28630
REPORTED: 121512011
TSS 113
mg1L
11/17/11
jrg
pH " >holding time 6.9
su's
11/16/11
lag
COD 22
mg/L
11/23/11
jdg
LOGID: 11 11-269 REPORTED BY: NC CERTIFIED LAB # 50
fvl�*
Tony Gragg, Lab Supervisor

W A
-TERTECH LABOn. Inc.�
5 Pinewood Plaza Drive — P.O. Box 1056
Granite Falls, NC 28630
Phone [phone] — Fax [phone]
CLIENT: Jordan Holman Lumber Co.
Cl�«. kC- rrg
cl�qs) a 17
PHONE NUMBER:,828-217-4519
TYPE SAMPLE: Storm H2O
No. LOCATIONS: 2
SAMPLER NAME: Keith Reece
Sample Collection
Information
TYPE
CONTAINERS
ANALYSIS REQUIRED
Sample Location
Facilityo Name
DATE
TIME
TEMP. °C
Grab/
Composite
N
Plasticl
Glass
Site #1
!i Ib rl
If rro
Grab
f�
Plastic
COD, TSS, pH
Site #2
4fil
Grab
Plastic
COD, TSS, pH
Ir 1 1(
1 Y
11 /6
Am
1/'10
'
vt q
K
! f b ►f
Relinquished B
Date:
6r
Time: -' ,Re
Date:
Time:
Relinquished By:
D te:
Time:
Recei d By:
Date:
Time:
PRESERVATION:
ff-Cbol 4°C- pH<2 W/ H2SO4(0y
-
(�-Ml 4°C- TF A
SAMPLE TEMP. @ LAB (°C)
;Please�fill out figh�ligfited,boxes ., ,
NC CERTIFIED LAB # 50