NCG020007_MONITORING INFO_20190205

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V Cc000-a)l)
DOC TYPE
❑HISTORICAL FILE
d'MONITORING REPORTS
DOC DATE
o J 61 q 2ao5
VYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
❑ HISTORICAL FILE
DOC DATE
❑
YYYYM M DD

,r
Date
Week I
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 1 I
Week 12
Week 13
Week 14
Week 15
Week 16
Week 17
Week 18
Week 19
Week 20
Week 21
Week 22
Week 23
Week 24
Week 25
Week 26
Rain (Inches) Date
Rain (Inches)
000 Week 27
1 33
030 Week 28
0 19
265 Week 29
1 39
1 82 Week 30
052
265 Week 31
3 19
1 10 Week 32
227
003 Week 33
008
091 Week 34
094
2 12 Week 35
001
037 Week 36
0 13
RECEIVED
FEB 0 5 2019
CENTRAL FILES
DWR SECTION
1 83 eek 37
11 0c' f Ca y—a-
1 2 Week 38
3 30
0 86 Week 39
084
080 Week 40
000
2 13 Week 41
5 15
1 72 Week 42
003
236 Week 43
1 12
000 Week 44
030
004 Week 45
071
130 Week 46
657
IF 1 0 C'2rti CJL_
0 68 Week 47 082
0 63 Week 48 101
0 65 Week 49 123 `
0 06 Week 50 227
0 00 Wee
CWeek 52 1 47
Total Rainfall 7452

1RJECJEj VEn
FEB 0 5 2019
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER "" I "L FILE
113
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year X o 1 %
'Report ALL STORMWATER monitoring data on this form (Include `No Flow°I"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year
Certificate of Coverage No NCG02 0®[jL9 O ok 0007
Facility Name
County --,_dz
Phone Number (`}co } 3,— Total no of SDOs monitored
Certified Laboratory Lab #_D
- Lab #�-��';
' Stormwater Discharge Outfall (SDO) No. \ _ _ VMA Outfall? Yes IF
Is this outfall currently In Tier 2 for any parameter? Yes ❑
Was this outfall ever In Tier 2 during the past year? Yes ❑
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exoeedances did not require monthly monitoring ❑
Other ❑
No W
No ❑
Outfap No.
Total
Rainfall,
Inches
TSS,
` mgll
SS,
mill
Turbidity,
Y
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
-Non-polar,,
O&G, mg/1
(WA)
New
,Motor Oil
Usage
allmo.
Stormwater
Benchmarks
wk,mxo
aF' kw�
e, Cltoaen
100150
Q�'I
h'inurk
60/26110
NIA
�„a;,, app; es
NIA
water�a,�,",s
16
,,,a,p.",� s
T0&a mon°,;,, na
Date Sample;
Collected, {
fmolddl r
M"a
M 1W
.
G
L
Q
l
Permit Date 1011/2015 — 0/3012020
Last Revised 10-2-2015

OMICROBAC'
Microbac Laboratories, Inc - Fayetteville
CERTIFICATE OF ANALYSIS
K810200
Unimin Corporation
Project Name No Project
Ms Vivian Dell'Acqua
Project / PO Number P132612
541 Cognac Road
Received 09/19/2018
Marston, NC 28363-8509
Reported 09125/2018
Case Narrative
Report incorrectly indicates "Settleable Solids" as not on our current scope of certificated parameters
Analyticai Testing Parameters
Client Sample ID McLead Lake Compostie
Sample Matrix Aqueous Colfacted By Dell'Acqua
Lab Sample ID K810200-01 Collection Date 0911912018 12 20
Wet Chemistry Result MDL RL Units Note Prepared Analyzed Analyst
Method SM 2130 B-2011
Turbidity 76 010 NTU 09/20118 1011 DC
Method SM 2540 D-2011
Total Suspended Solids 272 500 mglL 09120/10 0950 MT
Method SM 2540 F-2011
Settleable Solids <0 10 010 mLIL Y 09/19/18 1425 MT
Definitions
RL Reporting Limit
Y This analyte is not on the laboratory's current scope of accreditation
Project Requested Certtfication(s)
Microbac Laboratories, Inc - Fayetteville
11 North Carolina DENR NPDES
37714 North Carolina Dept of Health
Report Comments
Samples were recehred m proper condition and the reported resuRs conform to
applicable accreditation standard unless otherwise noted
The data and !information on this, and other accompanying documents, represents
only the sample(s) analyzed This report Is Incomplete unless all pages Indkated
In the footnote are present and an authodzed signature is included
Reviewed and Approved By
1.
1 ,EJZAX e— G/Lt�°/LdZ ale
Jeanne Overstreet
Client Relationship Specialist, Environmental
Reported 09/25/2018 10 54
Microbac Laboratories, Inc
2592 Hope Mills Rd I Fayetteville, NC 28306 1910 8641920 p I www microbac corn Page 1 of 2

§MICROBAC
LabpddraaaJZ1
CIl"IeM It Name
Address
City State, Zip
Contact
I
Talephone No
Sand Reportvla
_;kWgll I ]Fax
_Pro)act
Mlcrobac4Fayettevl0e SHORT HOLDS ACCEPTED MOHDAY THURSDj
2522 Hope Mlle Rd
Feyskevllis NC 28308
Locehon
Invoice Addrm
Client Name
Address
Ctty State Zfp
contact
Telephone No
NIXON0*
�Af�M7�N 1RD
_ Turnaround Time
i ] ] Routine (8 to 7 buelness days)
CROBAC
Temp Upon Receipt rObA 3 Therm ID
[] RUSH' (notlty kb)
Holding Time
(needed py)
Samplp Received oo "I Yes No WA
Report Type
Custody $gals Intact? Yes No NIA
Results Only I ] Level 1 [] Level
2 [ ] Leve13 [ ] Leval s ] ) MO
Send Invoice via [ 1 Mall [) Fax_ [ 1 e mall
PO No Ccmplrancs
Monitoring? I ) Yes ) ]_No [_I Aganc&rograrr
Sampl.d by IPRtNTI Sampler Slgnature Sampler Phone No-
Ma0lxTyper SoW$olld (S) Sludge Ot Wipe Dnnk,ng Water (0" Groundwater (GW) SO= Water (S'M Wasla Water (WW) Olher (apeaty)
Preset Vve Types (1) HNO3 (2) H2SO4 (3) 1-10 (4) NaOH (3) Zrna AUtIts M Metharlol M Sodium Suullate (8) Sodium Thlosui' to (8) Hexane (U) Unpraeerved

Certificate of Coverage No NCG02 ®[
CERTIFICATION
"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 elief, true, accurate, and complete I am aware that there are significant penalties for
submitting fats informs Incluging the possibility of fines and imprisonment for knowing violations "
[Required by 4p (fR §1
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office
Note the address is correct — Central Files is housed 1n DWR (LZQI DEMLR)
N C Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff In the Central Office at.
[phone]
Permit Data 101112016 — 9/30/2020
Last Revised 10-2-2015

7
4o
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year Zs\ S__
"Report ALL WASTEWATER monitoring data on this form (Include "No Flow"I No Discharge"and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year
Certificate of Coverage No NCG02
Facility Name
County
Phone Number es S -- Total no of outfalls monitored
Certified Laboratory Lab #
Lab #
Wastewater (WW) Discharge Outfall No
Is this an Industrial sand mine (See 40 CFR §436 Subpart D)7 Yes`p No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HOW or ORW waters? Yes ❑ No gh
If so, what Is the 7Q10 flow rate? or Tidally Influenced waters, 7010 hot available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No 19
Were there any limit violations In the calendar year? Yes ❑ No 2!�
Out#alI No
'Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
ifSAWkSWO
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D)Turbidity,
NTU
Fecal
Coliform,
coI1100 ml
SA
s
Effluent
Limitations
Me Ava l pally Max.
HOWaar0R4V
60Io of
7Q10
fndjlappNO FLOW
freshwater
6 0-9 0
saltwater
6.8-8 6
lnduatr[al Sand
26146
HQwerORW
Rayleronyi
Ud Tr arPNA
10115
HQW,ORW
SA,98,PNl�
or any Trout
0110 2
No Limit
CkcieWatrr
Qthatapplies Standard
50/26110
NIA
WaierQuallty
Sundardapphaa
NIA
WaterOuallty
Standard applies
NIA
Date Sample,
Collected,
molddl r
0
r 1
Permit Date 10/112015 -- 9/30/2020
Last Revised 10-2-2015
:1

Certificate of Coverage No N0002 ©99[7
CERTIFICATION
"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 an elief, true, accurate, and complete i am aware that there are significant penalties for
submitting linforma n, cluding the possibility of fines and imprisonment for knowing violations"
(Required by I FFR §1 3 ( 1
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office.
Note the address Is correct — Central Fllas Is housed 1n D WR (Do DEMLR)
N.0 Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff In the Central Office at:
[phone]
Permit Date 10/112016 — 9130/2020
Last Rovised 10-2-2015

,
ANNUAL SUMMARY DISCHARGE MONITORING
fREC'FJ VED
JAN 2 g 2018
ZTRAL F►► -.
r�lA •r
REPORT (DMR) — WASTEWATER "PvK SEC '"a
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year
'Report ALL WASTEWATER monitoring data on this form (include `No Flow" No Discharge' and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each ear
Certificate of Coverage No NCG02 [2®Q©A r
Facility Name Ic
County
Phone Number (() )
Certified Laboratory
Lab #
Lab #
Total no of outfalls monitored
Wastewater (WW) Discharge Outfali No.
Is this an Industrial sand mine (See 40 CFR §436 Subpart D)? Yes'o No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HOW or ORW waters? Yes ❑ NoB
If so, what is the 7Q10 flow rate? or Tidally Influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No'6
Were there any limit violations In the calendar year? Yes ❑ No
0utfall.No -
'Daily#Flow
Rate, cfs
pH,
SU
I TSS,
mgll
SS,
mlll
'l aAWka°ls `
Discharge]
Turbidity,
NTU
Upstream '
(U) Turbidity,
NTU l
'Downstream
(D) Turbidity,,
NTU
'fecal
Coliform,
co11100 nhil
SA
Effluent
l.lmlfatlOnS
Me Avg IDaByMax.
HOw4roaw
60% of
7Q10
Andleatpp!OFL W
freshwater
6.0-5.0
saltwatel
6 8-8 6
dustrtat sand
26146
HQw°roRW
2D130
HOW°roRw
UdIrGONA
10116
NOW, OR%
8A,8%PNA,
eranyrrout
0.110 2
NO Limit
cirdawatar
Ojhstappila'artt
6D126110
NIA
watagvattty
Standard applies
N/A
Water ouality
&endardsppnes
NIA
,Date,Sample.
Collected, t
moldill r
=NMEM.1mmim
a
tot
0
7 JAG
&J
Permit Date 10/1/2016 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No N0002 ®®0[�
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yeslu No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No
If so, what Is the 7010 flow rate? or Tldally Influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No
Were there any limit violations in the calendar year reported? Yes ❑ No
Outfall'No
Daily Flow
Rate, cfs,
pH,
SU
TSS,
mg/1
SS,
mill,
-11ayptkablx
Discharge,
Turbidity,
NTU
Upstream
t(U) Turbldityj(D)
'NTU
Downstream
Turbidity,,
NTU �1
Fecal
Coliform,
co111004W,
i SA ..
Effluent
Limitations
MG Ave I Daily Eta,
HQw urottxr
50% of
7Q10
Wk fa el O FL w
metNwtar
6.0-9.0
°'r"N°""
6.8-8.6
7nduaMxt Band
26145
HawwORw
20130
Haw.oRw
=Tr or PHA 10115
How. oaw,
$A, SO PHA,
OfAtyTmut
0,110 2
No Limit
Quarr�tiisfa'n and
that upon
60125110
NIA
Standard P'p
NIA
St„law Quality °
NIA
'Date Sample`
Collecied,r
moldd! r
Permit Date 10/1/2016 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No NCG02 0EEQ
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yesip
No`❑
Does this outfall discharge WW to SA waters?
Yes ❑
No Nd
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No 19
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No to
If so, what Is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No 91
Were there any limit violations In the calendar year reported?
Yes ❑
No
Outfall No
Daily Flow
Rate, cfs _
pH,
SU
TSS,
Mgll
SS,
mUl
flawleaoro
Discharge
Turbidity,
NT,U
Upstream
,(U) Turbidity,
NTU
Downstream,
(D) Turbidity,+
NT+U
!Fecal
Coliform,_,
co11100,ml
SA
Effluent
Limitations
Mo AV* IDAY Max
HQW rORW
50% of
7Q10
AndicalsNNOFLOW
neshwaler
6.0-9 0
ealhvsier
6 8.8.6
Mdustria! Saud
26146
HQWoroRW
20130
HQworoRw
EWTrorPHA 10116
HCAORw,
SA, 89,PHA,
°renyTreu!
0.110.2
No limit
OuaRryst neiN
thslapplfee
60/25/10
NIA
Standardap'pues
NIA
Stendarrdaapp�s
NIA
.Date;Sample:
Collected,
mo/d dl r
ME
N
Permit Date 10/1/2016 -- 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No NCG02 EA MA
CERTIFICATION
"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 any belief, true, accurate, and complete I am aware that there are significant penalties for
submitting f information, including the possibility of fines and imprisonment for knowing violations "
[Required by 4f JFR§122,R2�1-1 1
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the addross is corroct — Central Files is housed in DWR (Do DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Alto.: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699.1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at-
[phone]
Perm It Date 10/1/2016 — 9/30/2020
Last Revised 90-2-2015

Date Rain (Inches) Date Rain (Inches)
Week 1 000 Week 27 065
Week 2 000 Week 28 033
Week 3 000 Week 29 5 13
Week 4 0 17 Week 30 248
Week 5 000 Week 31 0 13
Week 6 0 46 Week 32 2 12
Week 7 079 Week 33 130
Week 8 000 Week 34 057
Week 9 029 Week 35 1 30
Week 10 031 Week 36 285
Week 11 0 70 Week 37 2 31
Week 12 0 04 Week 38 000
Week 13 1 83 Week 39 000
Week 14 l 62 Week 40 000
Week 15 000 Week 41 076
Week 16 0 06 Week 42 021
Week 17 250 Week 43 1 24
Week 18 203 Week 44 000
Week 19 0 90 Week 45 078
Week 20 6 34 Week 46 040
Week 21 000 Week 47 002 V`
Week 22 0 80 Week 48 000
Week 23 0 16 Week 49 409 D
Week 24 005 Week 50 000 f
Week 25 1 20 Week 51 1 54
Week 26 2 52 We
Total ainfall 50 98

RECEIVED
AN 2 9 2olb
ANNUAL SUMMARY DISCHARGE MONITORING DWR SFrrir,�5
REPORT (DMR) -- STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. CG020000
Calendar Year D
'Report ALL STORMWATER monitoring data on this form (include "No Flow PNo Discharge" and Benchmark
Excesdances) from the previous calendar ve or to the DEQ by MARCH l of each year
Certificate of Co r ge No NCG%0` 2 UU t- LJ
Facility Name CY D
County C
Phone Number t 0 -n Total no of SDOs monitored
Certified Laboratory Lab #
Lab #
Stormwater Discharge Outfali (SDO) No. VMA Outfall? Yes ❑ NOV
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever In Tier 2 during the past year? Yes ❑ No ❑
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No
'
Total
Rainfall,
Inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
_
!Non -polar,]
O&G, mg1l,
_[VMA)
;New
,Motor -Oil
Usage
allmo
Stormwater
Benchmarks
rrtdhefaNO
FLOWN
Circle
Benchmark
100150
0.1
°�`n
Benchmeek
60/25/10
NIA
suneere spilt ee
NIA
Standard s
i s
'ag°"'"ul
sveraperaqulres
TSS and No° "ler
oring
Date' Sample
Collected,'
,riidldill r
MIT
.�
20
�1
0
9-0 ,
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No NCG02 ®®®EJ
Additional Qutfall Attachment (make copies as needed for additional outfalis)
Stormwater Discharge Outfall (SDO) No VMA Outfall? Yes ❑ No tA
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever In Tier 2 during the past year? Yes ❑ No ❑
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedanoes did not require monthly monitoring ❑
Other ❑
OutfalllNo.
Total
Rainfall,
inches
TSS,
mgll
SS,
mlll
Turbidity,
NTU u
Upstream
{U) Turbidity,
NTU-
'Downstream
(D) Turbidity,,
W NTU
_
Non -polar,
'O&G, mgll,
(VMA)
New
r Motor,Dil
E Usage
allmo.
Storinwater
Benchmarks
►�wh.ra,�o
,k;'
Crrcia
0I.Mnuk
100160
01
Circle
9anaemark
60/26/10
NIA
&iindsid appii■
NIA
Sl""'"do"fity appa s
1
i r3
�66pa M
a,n,8Qa 4W,aa
YSSa� apolar
rdna
Date Sample
Collected;
'molddl r
Perm it Date 1011/2016 - 9/30/2020
Last Rovlsod 10-2-2015

Certificate of Coverage No NCG02 ZM®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No VMA Outfall? Yes ❑ Now
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever In Tier 2 during the past year? Yes ❑ No ❑
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Dutfall�No,
Total
Rainfall,,
Inches
TSS,
, m11
g
-
SS,
mtll
Turbidity,
' NTU
Upstream
(U) Turbidity,
'NTU
Downstream
(D)Turbidity,,
NTU
Non polar
OBG, mg11,
(,VMA)
,New
Moidr oll
Usage -
allmo:
Stormwater
Benchmarks
mdr�araxo
amMkoeeh
ncha
s°ncnmark
1 QQ150
01
Circle hroNIA
e.ncnnwrk
6012611 d
Stt neird appn s
NIA
Standardappuis
16
ave.a0ersqutroa
era qa1 Ut
To90 nitoriring
DatetSamplw
Collected,
and/ddl r.:_'.
Perm it Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No NCG02
CERTIFICATION
"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 nd elief, true, accurate, and complete I am aware that there are significant penalties for
submitting f Is inform i , inciudm the possibility of fines and imprisonment for knowing violations "
(Required by C R §92g 2 r
Date I
Mall Annual Summary Stormwater DMR to the NCDEQ Central Office,
Note the address Is correct — Central Flies is housed in DWR (aQj DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at.
[phone]
Permit Date 10/112016 — 9/30/2020
Last Revised 10-2-2015

e
ANNUAL SUMMARY DISCHARGE MONITORING
L REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 1
•Report ALL WASTEWATER monitoring data on this form (include 'No FloWPNo Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH ? of saoh year
Certificate of Coverage No NCG02 ❑❑❑❑ o ac>
Facility Name,
County, t I
Phone Number (qI 0
Certified Laboratory_
Lab #
Lab #
Total no of outfalls monitored
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes%g] No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No (�
Does this outfall discharge WW to SS or PNA waters? Yes ❑ No
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No
If so, what is the 7Q10 flow rate? or Tidally Influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No 93
Were there any limit violations In the calendar year? Yes ❑ No 2
Outfall No
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
Napprrcable
Discharge
Turbidity,
NTU
Upstream
(U)Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
Mo Aveloallyldaz.
Holy oorORYl
60 /o of
7Q10
IndlettoN ablOW
froahwater
6.0-9.0
saltwater
6 B-6.6
Indualrlal Sand
26/46
HOW or OR1V
20130
HOV1orORW
MdTrorm
10116
HOW, ORA
SA, 30, PHA,
oranyTrout
0,1102
No Limit
ClrcloWalar
Ovail1yX.a,d,rd
Ihotopplle
601261
NIA
Water4uatily
Standardappila
NIA
l/aterouahty
Standardsppilos
NIA
Date Sample
(
Collected,
mo/ddl r
�--'
+. t 4'�•Ys.�,
l , i Y iy
-
6. f `
+v�v^`y�
i- +:..W "
-
_
tnYh14
S
cC
A
KA cc)
(O
r
VAWA
GEN
C
HNTRHL FILE:
Permit Date 10/112016 — 9130/2020
,Last Revlsed 10-2-2015

41
Certificate of Coverage No NCG02 [DR] Do
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes] No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No 0
Does this outfall discharge WW to SS or PNA waters? Yes ❑ No [8
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No
If so, what Is the 7010 flow rate? or Tidally influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ Not
Were there any limit violations In the calendar year reported? Yes ❑ No A,
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
lfopplrca6b
Discharge
Turbidity,
NTU
Upstream
(U)Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co1I100 ml
SA
EffluentHQYooroRVl
Limitations
Mo AwlOallyHax
50% of
�K
7Q10
Indicate lla FNOFLOW
freshwater26146
6.0-9.0
aaEllyaler
6•8-8.6
Induftrial eaM
HOworORV!
20130
HQ►voroRvj
&UTrorPHA 10115
Hg1Y,OR4r,
$A.$0,PNA.
orsnyTrout
0.110.2
No Limit
Q,IIyS ndard
thataPPlrec
I ! 12611 60l0
NIA
Sta%ndardapp[ss
NIA ttyy
AtirQuAll
SltandardapptSu
NIA
Date Sample`
Collected �
molddl r
PV
r .,»
-
�'��
�y
^R —
i Jjf�Y
�_
p
iDF�xr �c L i rq,�17Lr
��a�t�,�
�nr�
�' q
�•,.�
Permit hate 1011/2016 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No NCG02 MED
�dditifnal Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yeses
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No'j
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No
Does this outfail discharge WW to HQW or ORW waters?
Yes ❑
No
If so, what Is the 7Q10 flow rate? or Tidally Influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No j
Were there any limit violations in the calendar year reported?
Yes ❑
No
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
inlll
llappllcabla
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D)Turbidity,
NTU
Focal
Collform,
coll100 ml
SA
Effluent
Llmlt&floes
hlo Avelpallyllm
HOlVorORIV
60% of
7Q10
Indkfap HOPL W
freshwater
6.0.9.0
:altwaler
6.8.8.6
tnduatrtat Bend
21141
HOworORPI
20130
It= rORVI
;�QTrorPNA
10116
Hgw,0",
go, sB.PNA,
oranyTrout
0.110.2
NO Limit
ClrclaWalor
Othti apptlusrd
60126110
NIA
tralerquattty
Standardappllea
NIA
WaterQua14
Standardapplles
NIA
Date Sample
Collected,
molddl r
y e
- ,' €
Permit Date 10/1/2016 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No NCG02 PI® U❑[�2
t
CERTIFICATION
"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 aAd belief, true, accurate, and complete I am aware that there are significant penalties for
submitting �fICFR§11M]
de infor n, including the possibility of fines and imprisonment for knowing violations "
(Required b 0
Signature
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address Is correct — Central Files Is housed In DWR (L)-Ql DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2016--9/3012020
Last Revised 10-2-2015

r- ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year "1a 1 �0
"Report ALL STORMWATER monitoring data on this form (include °No Flow"PNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year
Certificate of Coverage No NCG02
Facility Nam
County
Phone Number. 61 -0)
Certified Laboratory
Lab #
Lab #
Total no of
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ Nola %%0,
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever In Tier 2 during the past year? Yes ❑ No ❑ ;4
If this outfall was In Tier 2 last year, was monthly monitoring discontinued? RECE IVEG
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DE MLR to reduce monitoring frequency ❑ JAN 18 20 i
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other p DWR SFrTjnKj
Outfall No
Total
Rainfall,
Inches
TSS,
mall
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo
Stormwater!ndleoNO
Benchmarks
FLOWN
e Ike6ls
Vrcl
Benchmark
100160
01
Circl
BenchmtrN
60/26/10
NIA
Sland rdaVisferQui11lie■
PP
N/A
Stand rd ealllWs
AP
1S
:4508
averagerequires
TSS a rnonit rpolar
ing
06(Smenllorin
Date Sam I
e p
Collected ,
moldd! r
a 4
t'}�
x,r's-•r
''
�� r� ►�.*µK
f
Zo t
r a
Permit Date 10/1/2016 -- 9/30/2020
Last Revised 10-2-2015

jLV
Certificate of Coverage No NCG02 EMU
Additional Outfall Attachment (make copies as needed for additional outfalis)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ Nov
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever In Tier 2 during the past year? Yes ❑ No ❑
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
Inches
TSS,
mg/1
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
_
Non -polar
O&G, mg"
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
indicate tjo
r Llkablo
cfrcle
Benchmark
100150
0.1
circa
Benchmark
60/26110
NIA
NIA
si na a°. Pi �:
NIA
si naa�c PPn .
1 6
'big' nw
Tao �i1`or�iRi'r
Date Sample
Collected,
molddl r
r "'
m.
—'
r+ /1 ,ya
�` .A
C�-tiy.'�
r
T ��� Y
_.......L:Ju..`4i,
;-� �- . -,
i.rY�, l yE
-- ,y
�,
f �..� ♦r'�jq�,C
w r� '�� , -I
.b
AV'A' .�
Permit Date 101112015 -- 913012020
Last Revised 10-2-2015

W
Lft
Certificate of Coverage No NCG02 ME030
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No VMA Outfall? Yes ❑ NoV
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark excesdances did not require monthly monitoring ❑
Other ❑
Total
DownstreamUpstream
•.Usage
'
Motor Oil
..
IM-9PTITTIN
M300102�
ff.Towu MINIM
11
Standard apple&
Collected,
molddlyr
PP,
Permit Date 1011/2016 — 9/3012020
Last Rovrsed 10-2-2015

Certificate of Coverage No NCG02 Z1®©[7 ~
CERTIFICATION
"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 Mief,
ctly responsible for gathering the information, the information submitted is, to the best of my
knowledge an true, accurate and complete 1 am aware that there are significant penalties for
submitting Vs informa n, In ludin the possibility of fines and imprisonment for knowing violations "
[Required by IC R §122 ]
Date f
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address Is correct-- Central Files is housed in DWR (nof DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/112015 -- 9130/2020
Last Revised 10-2-2015

- -% ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
MEN
SUBMIT TO CENTRAL OFFICE*
General Permit No, NCG020000
Calendar Year o1S'
*Report ALL STORMWATER monitoring data on this form (include "No Flow'TNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH i of each year
Certificate of Coverage No NCG02 0
i —
Facility Namecs
Countyt<<r On
Phone Number (1) 2A 91(V _
Certified Laboratory Lab #
Lab #
JAN 11 2016
DWR SECTION ilk
Total no of SDOs monitoreRFE�
Stormwater Discharge Outfall (SDO) No VMA Outfall? Yes ❑ Nolo 16 0
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑0
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑500
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
y -
�Outfall No" `i'+Rairifall'
-
E
' Total' '
� f,�
incl�e_s_
TSS,r
mgll
SSa, ,
mill <
Turbidity,
NTU _
Upstream
jUj,Turbldity,
NTU
Downstream
'(D) Turliidity;I
�
NIT-,
;
f
,Non �polari�
'A8�G, mgll`
s (VMA_)
New
Motor, Oil '
"
Usage ;
a11mo -
ormwater
St1
Benchmarks
lneleafe NO
appli able
Circle
Benchmark
100160
0 1
Circle
Benchmark
60/26/10
NIA
sandard applQualities
NIA
WaterQuail
Standard Appli s
15
>56 gelimo
average requires
F0&0 man torSS and Nonrffnf ar
Date Sam ple i
Collected, '
%molcltil r
AL- el -
Permit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No NCG02
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No VMA Outfall? Yes ❑ No to
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No
Total' ti
Rainfall,',
inches
4TSS b '
mgllr
`
l SS
ml/lr
Turbidity,
�'NTU11 !
Upstream `IDownstream
}(U}FlTurb�d�t b
,' NTU r Y�I
(D} Turbidity,,,
NTU ' �
", )I
, Non -polar,
O&G,,mg11-,
(,VMAJ ` =1
< °New
Motor Oil
Usage`
aUmo
S#ormwa#er
Benchmarks
lndicateNO
aFL°Cabe
Circle
Benchmark
100150
01
clti�e
Benchmark
60/25/10
NIA
Water
Standard applies
NIA
StandardWater
applies s
16
>65liallmo
avereperequlras
lar
TOaG monSS and �lorpincr
"Date Sample'
Collected'
IM&dc / r i
Permit Date 10/1/2015 — 9130/2020
Last Revised 10-2-2015

" Certificate of Coverage No NCGM [Z©®0
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
,Outfall°No�_
I
`, Total`
Rainfall,
TSS, i'.
mgll;`�,',mlll�„=
SS;.
7urbidity,l
i`NTU,, I
Upstream
(U);Turbldity,'
NTU,
,Downstream
(D),T4jbidilty,�
NTU, '
Nonzpolar'
08�G,��mglh",'.xUsage
New '
'M6t&011,
Stormwater
fndleato NO
aFt°C;b;e
circle
Benchmark
100150
0 1
circle
Benchmark
60/25/10
NIA
WaterQualiBenchmarks
Standard applies
NIA
Stands rd appoWaterQuallse
15
s56 gall—
average requires
TOlkG m n/torpinlar
,Date'Sample',
4 Collected," '
cfy��maldcil` r � y'
Permit Date 10/112015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No NCG02 EdIE JU
CERTIFICATION
" 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 f Is nformation mcludi the possibility of fines and imprisonment for knowing violations "
(Required by 4 Fl §122 2
r
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N C Department of Environmental Quality (DEQ)
Division of Water Resources
Attn. DWR Central Files
1617 Mail Service Center
Raleigh, INC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at•
[phone]
Permit Date 10/1/2016 — 9/30/2020
Last Revised 10-2-2015

4
I
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 20 I Sr
*Report ALL WASTEWATER monitoring data on this form (include "No FfovV'P'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year
Certificate of Coverage No NCG02 ®�®�
Facility Name Y -ba
County `
Phone Number q 1 O ,�"- (n
Certified Laboratory
Asti RECEIV -D
JAN 11 20110
Total no of outfalls monitored
Lab # CENTRAL FILES
Lab # DWR SECTION
Wastewater (WW) Discharge Outfall No
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No JK
Were there any limit violations in the calendar year?
Yes ❑
No
OutfallkNo ;'iDaily,=Flow
0 - �
Rate; cfsl
F
i-'pH,
SU
f
,TSS,
mgll, 5
, SS,:°iDischarge1,E
' mll6
i,
'Turbidity,
NTU
Upstream
I(U) Turbidity;
NTU
Downstream;
i(D) Turbidity,;
NTU
Fecal-
Coliform;'
co11100 ml
w SA
ss
Effluent
Limitations
Mo Ave lDolly Max
HQWerORW
50% Of
7Q10
indicate NO FLOW
freshwater
6 0-9 0
saltwater
6 8-8 5
Industrial Sand
25145
HQweroRW
20130
HQW wORW
�TrorPNA
10115
HOW,ORW,
SA. SB,PNA,
oranyTrout
01102
No Limit
QuelHys andard
that applies
50/25/10
NIA
Standard appl es
NIA
Standard applies
NIA
,'Date Sampler
'4 Collected, 11
�molddl ro 4
rt F,
-20 r
1
Al 15
-7 ni S- Vo
.1
�
O
{ 4-0
Permit Date 1011/2015 -- 9130/2020
Last Revised 10-2-2015

f
Certificate of Coverage No NCG02 ®®®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? YesW No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No
Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No (�
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No fg
Were there any limit violations in the calendar year reported? Yes ❑ No
Outfall'No
u
a
DailyfiFlbw.1
,Rate;ticK','
I _ I
l
, - pH„ ,
SU 7
i
h 75S;_
mgll'
H
SS,
h.mllll
!!applicable r
Discharge'
Turbidity, ,
NTUa !''
Upstream,"?
t(U)ITurbidity;
_ ''NTIJ, s
IDownstreams
F{D};7urfi>dity;
' - iNTU- - .I
Fecal
,'Coliform,T
�co11100vm11'
: SA ,;v
Effluent
Limitations
Mo Ave I Daily Max
HQW or ORW
50% of
7Q14
1ndicaafe N OFFL OW
le
freshwater
6 0-9 0
saltwater
6 8-8 5
industrial Sand
25/46
HQWorORW
.�0130
HQW or oRw
AU Tr or PNA
10115
HQW, ORW
SA,3B PNA,
or any Trout
0110 2
No Limit
circle Water
Quality that applies
50/25/10
NIA
WatarQuailty
Standard applies
NIA
WaterQuallty
Standard applies
NIA
'Date Sam pie p
,"Collected; ,
molddl r,' ,
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No NCG02 0 ®®
"Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes']
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
Nog
Does this outfall discharge WW to SIB or PNA waters?
Yes ❑
No`E
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
Now
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters?
Yes ❑
No)j
Were there any limit violations in the calendar year reported?
Yes ❑
No Q
`r
°OutfaIIINo s
F
IDa"ily Fl6w1
;Rate cfs ,
r ,
C,
?` `'pH;, ;
' SU
"TSS, IMF
i - m" !I
g I a ,
` SS,.
:milli
I
1lapptfca61
k, _
Discharge,
'Tu"rbidityr +
NTU
Upstream,,
°(lJ) Turbidi#
I y,,
NTU j
,3Feca1
'Downstream,)
D Turliidi
,( ) tyy
N U;
-Coliform, i
Co11100=inl
1, L _
SA h
Effluent
Limitations
Me Ave IDaily MaL
HQW or ORW
50% of
7Q 10
Indic to AI FLOW
If
freshwater
6 0-9 0
saltwater
6 8-85
Industrial Sand
266.146
HQW orORW
20130
HOW or ORW
And Tr or PNA 101
1s
HQW, ORW,
SA, SB, PNA,
or any Trout
0 110 2
No Limit
Quai ty s andard
that applies
50I25I10
NIA
Standard apps es
NIA
WaterQuality
Standard applies
NIA
,DatesSamplerr
A Collected, ,
molddLyr,
Permit Date 101112016 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No NCG02
CERTIFICATION
"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 fal a information, including the possibility of fines and imprisonment for knowing violations "
[Requrred t?y �OrcCFR §122 \ .
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.0 Department of Environmental Quality (DEQ)
Division of Water Resources
Attn. DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at.
[phone]
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

I ANNUAL SUMMARY &VIR - STORMWATER
11 SEND TO CENTRAL OFFICE *
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORM11r�4TER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I ofeach year
CERTIFICATE O !COVERAGE NO. NCG02_L D J1 I SAMPLEE OTCTIO T YEAR• Z N
FACILITY NAME. C_© COUNTY cl n+-p
PERSON COLLECTING SAMPL PHONE NO. to
CERTIFIED LABORATORY Lab # ADD TO LISTERVE? YES Ej NO C3 EMAM-
Lab # TOTAL RAINFALL. 42. '1 i 2 INCHES
EVENT DURATION MINiTTES
Part A: Stnrmwater Mnnitarmu Reuazrements
Oatfall No.
Date Sample
Collected
(moldd/yr OR
NO FLOW)
In 'Pier Z
Monthly
Monitoring?
(y/n)
# of Months in
Tier 2
Sampiing2
Total Flow
Total Suspended
Solids
(mg/1)
Tarbidi 4
Settleable Solids
( )
0.1
-
-
p -
10 o
See Footnote
013
2 2015
D
'If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW ' or "NO DISCHARGE" for each outfall here and the Date Range
2 Per NCG02 Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Ter 2 responses in the General Permit
4 TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/1
5 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters, 25 NTU for all lakes and reservous, and all salt waters, 50 NTU for all other streams and surface waters Turbidity may be monitored at the SDO
Alternatively, the pernvttee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO
Permit Date 1/1/2010-1213ll201 f
bast Revised 01-19-10
S Page 1 of 2

Part B Velucle Maintenance Activity Monitoring Requirements for facilities using > 55 4al of new motor oillmonth on average
Outfall
No
Date Sample
Collected
(mo/ddlyr OR
NO FLOVi)!
In Tier 2
Monthly
Momtorintr?
(Yin) a
of Months
in Tier 2
Sampling
New Motor Oil
Usage
(gal/month)
Total Flow
(MG)
TPH using
method I664A
SG7 =HEM
m 11
Total Suspended
Solids,
(mg/1)
pH,
(Standard
Units)
-
-
15
1{IO
6-s
HAS YOUR .FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)l YES ❑ NO*
HAVE YOU CONTACTED THE REGION? YES [:]NO ❑
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ON`E COPY OF THIS ANNUAL SUYIMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMiT
VIOLATIONS) BY MARCH I OF EACH YEAR TO -
Division of Water Quality
Attn. DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOUMUST SIGN THIS CERTIFICATION FOR ANYINFORMATIONREPORTED-
"I C rt fy, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to ire that qualnCed person el properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the
ni, or those pe it y responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accarate,
sypy'
aw a there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
atiops " F
( ature tt ate _
PermitDaW 1/l/2010-12/31f 0] j Last Revised01-19-10
', 77 Page 2 of 2

ANNUAL SUMAL4RY DMR - WASTEWATER
-" SEND TO CENTRAL OFFICE*
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PFIUMT No. NCG020000
* Report All Wmfewarer discharge monitoring data on this form (mchidmg No Flow and No Discharge and Permir Lima Violations) by MARCH i of each year If
ou have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office. within 30 days of recervma samule results from a lab
CERTIFICATE OF COVERAGE NO NCG02L
FACILITY NAME.
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY- Lab #
Lab #
LIMITS VIOLATIONS9 YES ❑ NO ❑
Part A: Wastewater Monitoring Reomrenients
SAMPLE WL4ECTIONYEAR ZO 14
COUNTY
PHONE NO 63 t 0) z�}
ADD TO LISTERVE? YES NO[] EMAIL
INDUSTRIAL SANDi? r DISCHARGING TO SA WATERS4? ❑
'te Sample
Collected
00530
TotalSuspended
Solids'
114II
! 1
II
1 1 1
11•il
!
11 1
x
r
■r!
t!!°.11►�!f!1lll?�97'�E��-
LS�!���J.�l!!R'�
` All mines must monitor W W discharges for TSS Only industrial sand mme discharges are subject W TSS limits
2 if an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remawmg permit term
3 The discharge "not cause an instantaneous measurement of the turbidity of the receiving water to exceed 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters, 25 NTU for all lakes and reservoirs, and all salt waters, 50 NTU for all other streams and surface waters Turbidity may be monitored at the
Stormwater Discharge Outbill Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
4 Only facilities discharging to SA waters are required to monitor for Fecal cohfortns
Permit Date IM2010-12/31=11 Last Rev7sed01-05-10
r Page 1 of 2

Part A Continued Wastewater Monitorinz Reauirements
Outfali NoCollected3
f
Date Sample
50050
Total Flow
00530
Total Suspended
Solids=
00400
Turbidity'
00545
Settleable Solids
00400
pH
31616
Fecal Coliforms
-
mmlddlyr
MG
mg/11.1NtU
mill
Standard
col/ml
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMA'IARY (INCLUDING ALL "NO FLOWN". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH 1 OF EACH YEAR TO:
Division of Water Quality
Ann DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
ify, under penaltz of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
that quandWr5e-rqvnuq properly gather and evaluate the information submitted. Based on my inquiry of the person or persons wbo manage the system, or
ersons by r o Ie for atherinthe information, the information submitted is, to the Pest of my knowledge and belief, true, accurate, and complete
war there �1�-eeoalhes-�forsubnuftlng false information, including the possibtypf fines and imprisonment for Imowmg violations1 1 I
e of F f riq`i I)
Permit Date 1/1/2010-I2/3I/2v
Last Revised 01-05-1 0
Page 2 of