NCG020869_MONITORING INFO_20190205

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑%� ISTORICAL FILE
C�' MONITORING REPORTS
DOC DATE
❑ OaU�
YYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
❑HISTORICAL FILE
DOC DATE
p
YYYYMMDD
N

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000 t' LUEJVE_.
Calendar Year zS� 0 . ($ FEB 0 5 2019
'Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No Dis ilw 111 rtdtE3eiio''imark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 o , a ; �3 r, CION
Certificate of Coverage No. NCG02
Facility Name: n C_ o • k aj
County: t� t O s
Phone Number: (-7 � � - Sl0 Total no. of SDOs monitored _
Certified Laboratory 4 1E-_ r Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall?
Yes ❑ No �
Is this outfall currently in Tier 2 for any parameter?
Yes ❑ No [J'
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 bEMLR to reduce monitoring frequency
❑
No, turbidity benchmark exceedances did not require monthly monitoring
❑
Other
❑
Outfall No.
yTotal i .
Rainfall,
inches
TSS,
mgll
SS,
mlll -
Turbidity,
NTU,..
'Upstream
Turbidity,
NTU
Downstream_,
D Turbidit
.( ) y,
NTU
Non -polar
O&G, mgll
(VMA)
New
- Motor Oil',
Usage
allmo.
5tormwater
Benchmarks
lndlcafe NO
FLOW ��
ap lkabfB
circle
Benchmark
00150
_
O•
circle
ttBenchmarlk
JtJ1251 I O
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
15
�55 yallmo.
average requires
T55 and Non -polar
O&G monitoring
Date Sample
Collected,
molddlyr
ya.ir ix,'
aYic.�i•f 1i;K
�E
...�. P
F
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

r
Certificate of Coverage No. NCG02 0❑❑❑
Additional Outfali 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.
Total
Rainfall,
inches
TSS,
'mgll
SS,
mlll -
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA),
New.t
-.Motor Oil
Usage
allmo.
Stormwater
Benchmarks
Indicate NO
Fl.ow,r
a licabla
Circle
Benchmark
100150
0-�1
..' Circle
Benchmark
50/25/10'
NIA''.
Water Quality
Standard applies
NIA
water Quality
Standard applies
-
15
- >55 gairmo.
average requires
TSS and Non -polar
o8G monitoring
Date Sample
Collected
molddlyr
g
. ° y-r a. � � S-J
R� zr
t
€_
t �
����j'
L
��
!Y_'�':
us t
`i[ 'vy
'
<;r
a, Y P
c cry}
,, .:x.�r �_
I
i..„;
f f
V.
Permit Date 101112015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ®®
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 false information, including the possibility of fines and imprisonment for knowing violations."
(Required by 40 CFR §122.221
Signature
Date I/3dlC�_
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, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

s
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year aO { q
'Report ALL STORMWATER monitoring data on this form (include 'No Flow'T'No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02®®❑ 1
Facility Name: _ �4 c^�s^'- �l �� t�0 ���� P l
County: C'f--
Phone Number. (�!a`f ) )-1 S - S 3O Total no. of SDOs monitored
Certified Laboratory Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. `� VMA Outfall? Yes ❑ No Pj'—
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 ❑ -�FCE I V ED
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark oxceedances did not require monthly monitoring ❑ FEB 22 Z018
Other ❑ CENTRAL FILES
Outfall-No.
'
Total.;
-
Rainfall,
inches
TSS,
mg11
SS,.
mill
Turbidity,
NTU
Upstream'.
(U ) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
.Non -polar
08G, mgll
.(VMA)
New
Motor,Oil
Usage
atlmo.-
StormWater•
Benchmarks k5
Indicate NO
a,a,�FLOW
able
circle
Benchmark
100150
(�• 1.
circle
Benchmark
50125I10
NIA'
s Standard appWater lies
NIA
Standard applies Water Quality
5
>55 gairmo.
average requires
TO&andlar
monitoring
Date Safnple&
Collected
molddlyr
r
, r M
r
$
_
`r t•
r ,
I
V
W
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG_ 02 ❑❑❑❑
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.jear? 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
;
..Nan -polar
O&G,, mgll
(VMA) ,
New,
Motor Oil
Usage
Stormwater
'Benchmarks
Indicate NO
IFLOW Ir
applicable
Pirate
Benchmark .
100150
a•�
Circle
Benchmark
.r70125110
NIA
Water Quality
Standard applies
NIA
_
Water Quality_
- Standard applies
t
15'
�$s gallma.
average requires
TSS andNon•poiar
OSG monitoring
Date Sample
Collected
molddly r
��;
Y
,M:: r . ' etr�
t3:`� , e a � is
5•; .a�-i�� . ,.as✓f'
:� s �i. ..:ti'
3
''�i_r�t � )-t:�k�
Permit Date 10/112015 — 9/3012020
Last Revised 10-2-2015

f
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 false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.221
1
Signature
Date- oZ•% 11 118...._
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, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
r
REPORT DMR STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCGO 0000
Calendar Year d
*Report ALL STORMWATER monitoring data on this form (include "No FlowTNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH of each year.
Certificate of Coverage No. NCG02 ❑O ®[][� `` rr
Facility Name,_ N. ,,� �� ° '� �1 P • T
County: t't c�, C e
Phone Number: Total no. of SDOs monitored t
Certified Laboratory Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. r( VMA Outfall? Yes ❑ No P"'
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? RECEIVED
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ JAIL
19 YOther El es, received approval from DEMLR to reduce monitoring frequency ❑ FAL CENTRAL
No, turbidity benchmark exceedances did not require monthly monitoring ❑ iLES
DWR SECTION
Outfall No.
Total.
Rainfall;
inches
TSS,
mgll
SS,
mill
Turbidity,'
NTU .
pstream
.0 rbidity,
NTU
�
Downstream
(D) Turbidity,
NTU
Nor! -polar.
O&G, mgll
,(VMA)
New
Motor Oil-
Usage
allmo. -
Storm water
Benchmarks
l,dicare NO
FLOW if '
a rlca6,e
Circle
Benchmark
10110/50
0.1
Circle
Benchmark
50/25/10
;.
Water Quali
Standart
NIA
Water Quality
, Standard applies
15
>55 galfmo,
average requires
TSS and Non -polar
osG monitoring
Date Sample
Collected
m old dlyr
1 mat
3 ` �i�i
>
q "
_
r�
i' '�. �.iF1:i.
�,
.s�:
F 4 5 i �.`. } P -
.' �•?Ie�
i S "�� F .._
,
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

f.
Certificate of Coverage No. NCG02®®
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.
•1.XF
s
•Downstream
+ ,
•
•..
• •
(VMA)
11 i
• .
i.Samplet
Collected,
y7.1
�4 si tii�r4:.i
�� ,,t.
agRy x 4
]vm�.`r�
�•.-t
'- a
..�_•
'
s
n �f �
C e
v r, s'iscf
� i�''� �r�
kf
S yi -*
� 1 n �.y,> y;Y
C. b a
v, 4 r1,-rL`'�
� l �faj �
E-4s-
:a u 7 y,.:.
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

ti Certificate of Coverage No. NCG02 ®®®[j
i
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 false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.221
Signature -Z
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, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY )N R - SWORN WAT 1R
SEND TO CENTRAL OFFICE
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL, PERMIT NO. NCG020000
*Report ALL STORMWA TER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year. I n
— -
CERTIFICATE OF COVERAGE NO. NCG02 SAMPLE COLLFjCITION YEAR: �� (S � � � •'"�� 'N�` 5
FACILITY NAME: COUNTY
PERSON COLLECTING SAMPLES PHONE NO. (7�f)
CERTIFIED LABORATORY Lab # ADD TO LISTERVE? YES NO EMAIL:
Lab # TOTAL RAINFALL: ? 5 INCHESv.D
EVENT DURATION: MINUTES �4tE
Part A: Stormwater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)!
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in
Tier 2
Sampling Z
Total Flow
(MG)
Total Suspended
Solids
(mg11)
Turbidity 4•
(NTU)
rFN ff
Settleable SblM
v'+V
(ml/l)
-
-
-
-
-
100 '
See Footnote"0.1
QD
ALTILES
:,Fr N
t 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
' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
4 TSS benchmark values are 100 mgll except in ORW, HWQ, trout, and PNA waters where they are 50 mg/I.
S 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 reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1/1/2010-12/31/2014 Last Revised 01-19-10
Page 1 of 2

Part B: Vehicle Maintenake Activity Monitoring Requirements for facilities using > 55 sal of new motor oil/month on average
Outfall
No..Monthly
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monitoring.
(y/n)
# of Months
in Tier 22
Sampling.
New Motor Oil
Usage
(gallmonth)
Total Flow
(MG)
TPH using
method 1664A
SGT-HEM
m ll
Total Suspended
Solids,
(mg/1)
pH,
(Standard
Units)
-
-
IS
100
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO [�
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL SAND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMA TION 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: 1 / 172010-12/3 U2014
E 6��6
(Date)
Last Revised 01-19-10
Page 2 of 2

I ANNUAL SUMMARY DMR - STORMWATER
11 SEND TO CENTRAL OFFICE * II
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
RECEIVED
JUL 10 2015
CENTRAL FILES
DWR SECTION
*Report ALL .STORMWATFR Monitoring Data on this form (including No Flow and No Discharge and Permit Limit.Violations) by MARCH I of each near.
CERTIFICATE OF COVERAGE NO. NCG02_ SAMPLE CQ�LECTION YEAR:, 1T - t
FACILITY NAME: a � ^'N = 0 - M �� ��� COUNTY / A '1�
PERSON COLLECTING SAMPLES 0. v M : PIIONF, NO. ��ti�f } a� ' _ _ 1
CERTIFIED LABORATORY 1.ab # ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL:
Lab #
Part A: Stormwater Monitoring Requirements
Outfall
No,
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)
In Tier 2
Monthly
Monitoring? '
(y/n)
# of Months in
Tier 2
,2
Sampling
Total Flow
(MG)
'Total Suspended
Solids
(mg/1)
a
Turbidity"
(NTU).
Settleable
Solids (mlll)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
-
-
-
100'
See Footnote ,
U.1
O
O
1 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 1 or Tier 2 responses in the General Permit.
4 TSS benchmark values are 100 mg/l except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
5The 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 reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO
Alternatively. the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1 / 1 /2010-12/31 /2014 Last Revised 0 1 -2 1 -11
Page I of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Outfall
No,
Date Sample
Collected
(mo/dd/yr OR
t
NO FLOW)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
2
Sampling"
' =
New Motor
Oil Usage
(al/month)
Total.Flow
(MG)
TI'H using method
1664A SGT-HFM
(m }
Total Suspended
Solids
(m )
.
PH
(Standard
Units)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
I5
111t1'
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑ NO
YES [:]NO
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (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
[phone]
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
(Signature of Permittee)
Permit Date: 1 / 1 /2010-12/31/2014
(Date)
Last Revised 0 1 -2 1 -11
Page 2 of 2

I ANNUAL SUMMARY DMR - STORMWATER I
11 SEND TO CENTRAL OFFICE x 11
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report Al L STORAIWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 ti e( •h rear.
n
CERTIFICATE OF COVERAGE NO. NCGOl�' 9 SAMPLE COLL YCTION YEAR: ,:Ab ( `E -
FACILITY NARIE: H --- - t — Do na1a� 4�-
PERSON COLLECTING SAMPLES 1�o�4 : cA i" l � ([ @ L`
CERTIFIED LABORATORY Lab #
_Lab #
Part A: Stormwater Monitorinu Rettuirements
COUNTY P, to t`�'
PHONE NO -�ALJ an - S'3A `j
C.
ram.;
AllU'l'O LI5'l'SERVE? YES ❑ NO ❑ EMAIL: da a A ..�', [ l�f ��7 � ��lb a • Wr!
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLONV)I
In Tier 2
i•lonthiy
Alortitoring?
(yln)
# of Months in
Tier ?
Sampling Z
Total Flow
(MG)
Total Suspended
Solids
(mg/l)
'1'urbidit�• a
(NTU)
Settleable
Solids (mUl)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
-
-
loo"
See Footnote"'
(I.l'
-
o
o a
i.] oeIVI
CENTRAL
FIL
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or' NO DISCHARGE" for each outfall here and the Date Range.
Z Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier l or Tier 2 responses in the General Permit.
4 TSS benchmark values are 100 mgll except in ORW, IIWQ, trout, Lind PNA waters where they are 50 nig/l.
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 reservoirs, and all salt waters: 50 NTU for all other streams and surface waters. Turbidity may he monitored at the. SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
=D
=S
N
Permit Date: 1/1/2010-12131/2014 Last Revised 0 1 -2 1 -11
Page I of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oillmonth on average
Outfall
No.
Date Sample
Collected
(moldd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring'?
(y/n)
# of Nionths
in Tier 2
Sampling'
New Motor
Oil Usage
(al/month)
'Total Flow
(MG)1664A
TPH using melhod
SGT-HEM
(m )
'Total Suspended
Solids
(m /I)
PH
(Standard
Units)
'Total
Rainfall
(in)
Event
Duration
(minutes)
15,
111W
6-9'
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCF,EDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)?
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑ NO Z'
YES ❑ NO
MAII, ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANI' INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my directiowor 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." N
(Signature of Permittee)
Permit Date: 1 11I2010-12/31 /2014
(Date)
Last Revised 01-21-1 1
Page 2 of 2

,j
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year O ('7
"Report ALL STORMWATER monitoring data on this form (include "No Flov/'1"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ®®®®
Facility Name: tTo'. ( � - o � ��d �� C� iCC -1 LLj
ty: l� O d C e. County: v v " _
Phone Number: (`} a? - S 3a 9 Total~ia >9 of S'DZsinonitored
Certified Laboratory Lab # CENTRAL FILES
Lab # D1/VR SECTIOIN!
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No L�
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [K
Was this outfall ever in Tier 2 during the past year? Yes ❑ INCE
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? `��
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ VEP Is 2013
Yes, received approval from DEMLR to reduce monitoring frequency ❑
cl"N-rRAi_ FILES
No, turbidity benchmark exceedances did not require monthly monitoring ❑ DVVR SECTION
Other ❑
Outfall No.
Total.,,-` ,
Rainfall;
inches
TSS,
.: mgh
SS,
mill
Turbidity,
-'NTU
Upstream ..
(u} Turbidity,
NTU• :
Downstream
.(D) Turbidity,
NTU.
, Non -polar
O&G, mg/1
(VMA)
New
; Motar Oil
Usage
allmo.
Stormwater
Benchmarks
IndicareNO
FLOW if
applkable
Circle
Benchmark
100/50
0.1
Circle
Benchmark
50/25/10
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
� 5
�55 gallmo.
average re quires
TSS and Non -polar
O&G monitorin
Date Sample
Collected 1
rnolddfyr
, •
r•F �, ry ��.
Y r
s,
�5 1 =
�t `rr I
; ,R
,t
4
d •
�,< s
A Y+.' µ
t Yl {
r �$
! - Ix
-, ��.
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-•2015

Certificate of Coverage No. NCG02 ®M[3]
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.
Total
�.
NTU
•.
�.
Stormwater
Benchmarks
or-M.T.T.17"I"M
Benchmark
50/25110
WN/A
Iter Quality
Standard applies
NIA
Water Quality
Standard applia.
average requires
TSS and Mon -polar'
Date
Collected,
• • •
- cs.
�c t4-.
'.r.
G.j:iC ,n"?•;x
�Y' �,;, �:_.
s n'
4 �R� _.eta,+�
*^,�iys.,..
Permit Date 101112015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 FOW©ff]
CERTIFICATION
N 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."
[Required by 40 CFR §122.221
Signature
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, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2015-913012020
Last Revised 10-2-2015