NCG210407_MONITORING INFO_20190206

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV UC 210 40
DOC TYPE
❑ HISTORICAL FILE
) -MONITORING REPORTS
DOC DATE
❑ 01 � 0 Z
YYYYM M D D

• Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted��
CERTIFICATE OF COVERAGE No. NCG21
FACILITY NAME 0 c3 n
COUNTY
PERSON COLLECTING SAMPLES DyiS Ls ao
LABORATORY Lab Cei . # 40
Comments on sample toll ' tion or analysis:
SAMPLE COLLECTION YEAR aD l J
SAMPLE PERIOD y Jan -June ❑ July -Dec
or ❑ Monthlyl (month}
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ❑Water Supply []SA
Other_ �c_It 1r1 Pill Cfrc_L
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stares exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
_
-
120 mg/L
100 mg/L or 50 mg/L4
1
61A9q11q
o.5a
c 7 / m5 IL
opq i L
o /(7-
3 q-9 Z4
l, rn
L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit: text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX. me/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected,
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLRREGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case o "No 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 P
LP
//9
(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 Permit No. NCG210000
Date submitted gjag't g
CERTIFICATE OF COVERAGE NO. NCG21_D Q / ?/
107
FACILITY NAME
COUNTY
PERSON COLLECTING SAMPLES 0
LABORATORY Lab Cert. # 40
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly'_ ._ _ Lmonthi
QI A GI G T r-J ASS ❑ORW ❑HQW [:]Trout ❑PNA
�..` �J ❑Zero -flow [:]WaterSupply ESA
AUG ei1 zQ)$ [ZOther-jci[a7[fC��
CENTRAL FILEaEASE REMEMBER TO SIGN ON THE REVERSE
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 perrod?z
putfall No.
Date. Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
120 mg/L
100 mg/L or 50 mg/L
.-
s
. sa
N D
al 1g
5
' 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, NO, or other similar non -
numerical format. When results are below the applicable limits, they must be r_epo_rted in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier.1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWLI-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME 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 co
of this DMR, including all "No Discharge" reports, within 30 da
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
IF the lab results (or at end of m
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re
S
(Date)
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted I%TIT
tlctra/ 04/0 7
CERTIFICATE OF COVERAGE NO. NCG21� i l_ 0 SAMPLE COLLECTION YEAR a018
FACILITY NAME i d CAS m� -M RECEIVE MPLE PERIOD ©Jan -Junes ❑July-pec
COUNTY rESi<[_t' _ T __ or ❑ Monthly (month)
PERSON COLLECTING SAMPLES hCjj Ctn FEB O r1 2018DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
Zero -flow Water Su SA
LABORATORY �{'� �ftiOl�jSq�Lab Cert. ii ❑ Supply ❑
"ENTF�AL FILES Other J �eju eG_
Comments on sample collection or analysis: DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: 5tormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
_
-
120 mg/L
100 mg/L or SO mg/L
#
D I
I a
18
o CR5
3 rn L
-a
m 0
18
0 rno L
3.
' 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 General Permit text.
Permit Date:8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L4
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS.
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION 8.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all 'No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorina period
in the case of 'No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Centrai 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 ali 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 $hat there,are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
f�
. /lB
I (Date)
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMER General Permit No. NCG210000
Date submitted 121291 ICE
5a
CERTIFICATE OF COVERAGE NO. NCG21D
FACILITY NAME \lalviond corvora
COUNTY r.hrrok-eG —�
PERSON COLLECTING SAMPLES Cris Laur)
LABORATORY?Oct IAnalU+ita.l Lab Cert. a
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR _ QQ1 U
SAMPLE PERIOD ❑ Jan -June © July -Dec
or ❑ Monthly' _ _ _(month)
�����DI5CHHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
❑Zero -flow ❑Water Supply ❑SA
DEC 3 0 2016 Mother H iawosi is —
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?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L
'7
. U !s
L a• 0 mg/1-
/, 0. co m 1-
'7 1 IU
O •V5
/L
.O M
1 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.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =_=>
_
-
15 mg/L
100 mg/L or 50 mg/L4
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Dischar e" reports, within 30 days of receipt of the lab results or at end of monitorincl 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 a�W significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signfif6re Oermittee)
Permit Date: 8/1/2013-7/31/2018
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

STORML WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG210000 SAMPLES COLLECTED DURING CALENDAR YEAR: ao rs
CERTIFICATE OF COVERAGE NO. NCG23®H00 (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.)
NTY
nkec
°�r7 RECEIVE�PESON COLLECTING SAMP S ONEN9a$
CERTIFIED LABORATORY_t-uf t lea_ Lab #40 ,�qN 0 4 2016
Lab # PLEASE SIGN ON THE REVERSE �
Part A: Specilic�MonitorinWRepui'remeFi9',
CENTRAL FILES
n+nin crt-Tent
utfall '
Date �
amp,le�y]4Co#wl6eCie d
+:L .Y�:u
rnnl,1 r�a
`
_-TatalRRamiall,y ly
Ii��1:i9[ tA�
�>inches..�#"
c00530jNji —,1!'k'''1
t> ,vF400'A "r o,
quAw-, fo 0 340`u r "
Natal Suspended Solitis;`r•�pH
�h T�yi. n7. t
's�`rµFStanda"rdlettnts'�'
.�- #A� .a.y-1 �ni i!
CEietntcal'OxygeiiiDe'uiatid(COD},"H
-F
Bencliunall£*l�Mw�,�kSf��ii00L
Witfiint60i , 9:0?
h;;talt120;k1eri rn'
�.__..-ILI
io
-(s0
-
�!
*Note: If a value is in excess of the benchmark, or outside the benchmark range (for 13H), you must implement the Tier I or Tier 2 responses in the General Permit.
Monitoring is required only if the facility stares exposed piles of sawdust, wood chips, bark, 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 stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material on
site for more than seven (7)-days before removing'tI4`material is not required to monitor for the parameters in Table 1 of the General Permit. If at anytime the material is not removed
within this timme'frame, the facility must begin analytical monitoring immediately. (Reminder: This condition does not exempt any facility from qualitative monitoring of SDOs. )
If the facility removes such materials within seven days to meet the monitoring exemption, the Permittee shall record and maintain in the facility's SPPP a log which documents, at a
minimum, the dates when material is gene.rated'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 -keeping purposes, the Pennittee may also maintain in the SPPP this form with the signed certification below:
f
"Based upon my inquiry;of the,person or persons directly responsible for managing compliance with the permit requirement for analytical 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 fo incident precipitation or to
stormwater run on) for longer than seven (7) days before removal since filing the last discharge monitoring report."
Name (Print name)
Title (Print title)
(Signature)
(mate)
S W U-245-110408
Page l of 2

DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN SS GALLONS OF 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
o:
Sample'�aliected;
wo-
+iVivkMotor
.;s & ' 0• .. �
r "r''siD0400 ,��s �;
i� 's��110556 �
�'' 00530M�
Tgtal9Rain""€ally
ouches .`,ra
.
0il«[1sage;
Annualve age gal/mo
,+ p_H;t
Standardumts�"m
,: _ Diland Gre`semiawn
i'Beiich_mas=k*�
. ` �"'
•ta a�
Wr—M=M
Mo!#R9TOM
w '30-,MWI
W-AuQ 00 '
r.
- AFT, •
*Mote: If you report a value in excess of the benchmark value, or outside the benchmark range (for pIl), you must implement Tier_l.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
Ralei h, North Carolina 27699-1617 _. r:::
7.
YOU ,- IUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED IN PARTS A ANWOR B:
"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 oUthe person or. .
persons who manage the system, or those persons directly responsible for gathering the information, the inforination'submitted is.16 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 o f es a7d'prisonment for knowing violations."
(Si
ttee)
/s
(Date)
S W U-245-110408
- -2of2