NCG140031_MONITORING INFO_20190411

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/VCc, /-7liO3I
DOC TYPE
❑HISTORICAL FILE
C)�MONITORING REPORTS
DOC DATE
❑ O 19 b � (/
YYYYMMDD

PROCESS WASTEWATER -- Semi -Annual Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14Q L
FACILITY NAME: &MOUZ h"' rnx , InC
SAMPLE COLLECTOR:
CERTIFIED LABORATORY: Lab #
T Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
)art A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: OW /rl
SAMPLE PERIOD: Duly -December anuary-June ,)a/�, Fes, VaK
COUNTY: �.Q�d�lDti
PHONE NO.: (3jjjj
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO: NQ bI5Chf bf!3
r, ,
Qutfall No
10
Date Sam Fe
P
Collected
(mm%dd/yr}
-
TYpe of Wastewater
MD} Z
pH '
;_ .Y .:
{standard]
Total5trspended ;
.: 5oiids i
(mgt }
Settleable:
Sohds
;{mUL}
Non Pnfar
Drf &Grease
usrrrg methari
1564 5GT NEN�
;Drscharge
f7uratron
�
, (minutes)
Total Flaw ;
(gallons/day)
3 4
i,5
3
0
SGiC �:
RC F- W
I
CCN i t(i,L r
i L l=:�,
' If wastewater systems have not discharged in this quarl:er report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VQ, Raw Material Stockpiles (RM), Mixing Drurn
Cleanout (MD). Report more than one type if the waste -stream is coritrningied.
' If an effluent limit is exceeded twice in a row, the perrnittee is required to institute monthly monitoring for that parameter for six months, unless DEMLH 110 staff
notifies you to continue monitoring.
^ pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.11. for discharg(n to saltwat:ers.
Permit Date: 8/1./201.7-06/30/2022 Last Revised 07/27/1.7
Page 1 of 2

5 T55 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but
instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC
028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a
Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on
a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW ) TD:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN TNLS CERTIFIGATION FOR ANY INFORMADON 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 romplete. I am aware that there
are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
::. 46 1
(Signature df Permittee) (Dat )
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER -- Semi -Annual Discharge. Monitoring Report
GENERAL PERMIT NO. NCG140000"
CERTIFICATE OF COVERAGE No. NCG14
FACILITY NAME: -
SAMPLE COLLECTOR:
CERTIFIED LABORATORY: Lab #_
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: AO ) S
SAMPLE PER10t: ndol
� Decernber []January -June 1 ! f ���'
COUNTY.
PHONE NO.: I . - 1 (rs�a - D� 5-7
ADDTO USTSERVE? OYES ONO EMAIL:
DISCHARGING TO CLASS: OSA ❑HAW ❑PNA Drout ❑Other
OPTIONAL INFO: - /V7 AI SCI;i!2K.!tt - - -- --
^
Qu#alI too
r
Sample
Y�
Collected _
{mm%ddll��
S
TypeoillVastewater
- 3>_ �
4
,� pH
.�
Total SikS�endQd
� r -
Solids
tmg/l)
x r Settleable
Solids �
{mLlLl
1 011 & Grease f,
ti rlsingm,etlod'
2664SG1F-NFA+4�
Dharg�e
�>, -
,Duration,
(nfnutes)
k
Total Flow, 7 .
� ---fY
--'4\ ,.%`-
S h � C 1 i
a'�/.M,� k -
���- �
G ..I� k ]--
.t•LJ�v
n.LV JS
!
sF:ix/F-
n
JAN I 1
r�
-e"TnnJ
c> ``rTln:
1 if wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
'if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff
notifies you to continue monitoring.
" pH limits are 6-4 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date. 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but
instead is subject to benchmarks and provisions of Part :V, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 flow as per 15A NCAC
02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a
Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on
a case -by -case basis.
MAIL RIGiNALAND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW , "NQ DISCHARGE"), WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW TU:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CER77FICA IION FOR ANY INFORMA770N 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 foUubmjttipg false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permlttee)
Permit Date: 8/1/2017-06/30/2022
Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER — Semi -Annual Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF CO,V(�R�A E No. NCG14,Q 0_ 3 SAMPLE COLLECTION YEAR: AO) 8 Jjul /!t/
FACILITY NAME: �b+1 Y1�i 1C-
�r. SAMPLE PERIOD: ❑)uly-Decernber ❑Januarylune 1
SAMPLE COLLECTOR: COUNTY: ['&�
CERTIFIED LABORATORY: _ Lab N PHONE NO.: mitt 1 -0
Lab # ADD TO LISTSERVE? ❑YES ❑FI0 EMAIL:
LIMIT VIOLATIONS? YES ❑ NO Er DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO: VQ 6 SC Lr
,art A: Wastewater Monitoring Requirements
Outfall Na
, r
Date Sample
Caliectedi ,
'.
{mr+�/dd/lfr?
Type of Wasbewater
a [VE, RM,1AD} z
r.
pH
[standard}
Total Suspended
Solids
{rng/L}
Settleable
5ol�ds �`
{mllL}
Non -Polar
Qil & Grease a
rn
us g method
-
1664 5G7-FiEN1s
: plsche
Dust bon
[minutes}
°'Total Fldw
,
[gai[ons/day}
t
�3
{ is}6
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLB RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
s Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but
instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC
02B .0224. Permittees who discharge wastewater to IiQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a
Summer 7410 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on
a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF l HIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" NO DISCHARGE") WITIAN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Resources T
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1,617
[phone]
YOU MUST SIGN THIS CFRIVIC4_ TI0N FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to'assure that
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible forgathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there
are significant penaltgs fry submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
Permit Date: 8/1/2017-06/30/2022
)D_- lb -IAA
(Date)
Last Revised 07/77/17
Page 2 of 2

PROCESS WASTEWATER Semi -Annual Discharge Monitoring Report
GENERAL PERMIT No. NCGI40000
RECEIVED
PLE COLLECTION YEAR: ai01
CERTIFICATE OF COVERAGE NO. TA
O � 1 S
FACILITY NAME: P6h X0 rtiu�c�.�l r i Cl- ���- SAMPLE PERIOD: uly-December []January -June *) Maq Put)?,
SAMPLE COLLECTOR: FILLLOUNTY: n If�
CERTIFIED LABORATORY: Lab # n\jyR SECTtCPHONE NOQ7A - 0qs--7
Lab # ADD TO LISTSERVE? ❑YES []NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO: A /D D )SG_ W-CIC T
art A: Wastewater
' If wastewater systems have not discharged in this quarter — report "No Flaw" or "No Discharge' here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO `staff
notifies you to continue monitoring.
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date: 8/i/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but
instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC
028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. if the permittee cannot obtain a
Summer 7Q10 flow for the receiving waters at the discfiarge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on
a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF YHIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW . "NO DISCHARGE") WITHIN 30. DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW') TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORHW71ON 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 sign'iq n penalties for false information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee)
Permit Date:8/1/2017-05/30/2022
(Date)
Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER — Semi -Annual Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 Q L 1
FACILITY NAME: &�P, Xto T-,ea d.!,
SAMPLE COLLECTOR:
CERTIFIED LABORATORY: Lab#
Lab #
LIMIT VIOLATIONS? YES ❑ NO
art A: wastewater
SAMPLE COLLECTION YEAR: ;yb
SAMPLE PERIO : []July -December ❑January -June JIW -P�h' %KQv
COUNTY: IPh
PHONE NO.:
ADD TO LIST5ERVE? [—]YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout [—]Other
OPTIONAL INFO: NO DlS�
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RD staff
notifies you to continue monitoring.
A pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but
instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC
02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a
Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DE~MLR, and the DE VILR Regional Office may require an annual flow report on
a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF YHIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW" "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW" TQ-
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared Lander 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 ise information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date: 8/1/2017-06/30/2022
g
(Date)
Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER — Semi -Annual Discharge Monitoring Report
CERTIFICATE OF COVERAGE No.NCG140 _0 3
FACILITY NAME: �z-))f 1wUneo4fd 1'Y), 1 hC_
SAMPLE COLLECTOR:
CERTIFIED LABORATORY:
GENERAL PERMIT NO. NCG140000
Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO Qa
art A: wastewater
SAMPLE COLLECTION YEAR: a�01 7 JAN 19 .2018
SAMPLE PERIOD: gully -December ❑1any � ry T P 3k% ION NG u T G
COUNTY: nao) y)l� _ H�PP
PHONE NO.: (3;(f 1 Ta. OAS
ADD TO LISTSERVE? ❑YES ❑PIO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑Haw ❑PNA [-]Trout ❑Other
OPTIONAL. INFO: / S G t 0 r✓
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge' here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
'if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff
notifies you to continue monitoring.
A pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

5 TSS limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored forTPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but
instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC
028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a
Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on
a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF TH ANNUAL SUMMARY (INCLUDING ALL "NO„FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE AT END
I„S ,
OF MONITORING PERIOD IN CASE OF "NO FLOW1 TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699'1617
[phone]
YOU MUSTSIGN 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 property 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 th information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there
are signifiyafit penalties �r Wbmitti99 false irlf ornation, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 8/1/2017-06/30/2022
/-//-/0
(Date)
Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEWATER — Semi -Annual Discharge Monitoring Report
GENERAL PERM NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 1 REC E I+� I���MPLE COLLECTION Y R: AD1 % _
q �o - —. — _.
FACILITY NAME: 5_ 1 hog f� 0 AMPLE PERT uly-December ❑.lanuary June )uL-y
SAMPLE COLLECTOR: Q[ i 2017 COUNTY: _ de ip� CNo do Q>
CERTIFIED LABORATORY: Lab ## PHONE NO.: IVko 11p 1 �0 g 1
CM L FILESADDTOLISTSERVE? ❑YES ❑NO EMAIL:
Lab #111 n�IT0N
LIMIT VIOLATIONS? YES ❑ NO ❑ DISCHARGING TO CLASS: [_]SA ❑HQW ❑PNA ❑Trout []Other
OPTIONAL INFO:
an A: wastewater
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD), Report more than one type if the waste -stream is commingled.
'if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLK RO staff
notifies you to continue monitoring.
° pH limits are 6-4 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

5 TSS limits are 20 mg/L for wastewater discharges to FIQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but
instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC
02B .0224. Permittees who discharge wastewater to I IQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a
Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on
a case -by -case basis.
MAIL QRIGINAL AND ONE COPY OF PHIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW 1 TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CER77FIC477ON FOR ANY INFORA4477ON REPORTED:
"I certify, under penalty of law, that this document and ,ill 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 miffing false Information, including the possibility of fines and imprisonment for knowing violations"
is-/1-/7
(Signature of Permittee) (Date)
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2

PROCESS WASTEVI/ATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NC614 0
FACILITY NAME: A)5_hr;bp& 2e
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: — Lab #
Lab li
LIMIT VIOLATIONS? YES ❑ NOLP
Part A: Wastewater Monitoring Requirements
a f)
RECEIVED
JUL 0 3 2017
CENTRAL FILES
DWR SECTION
SAMPLE COLLECTION YEAR: f 7
SAMPLE QUARTER: Rul-Sept ❑Oct -Dec ❑Jan -March April -June
COUNTY: 6ndc 1 ?—
PHONE NO.
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout []Other
OPTIONAL INFO: /Ii' L
Outfall No.
Date Sample
3
. Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD):
pH
(standard)
Total Suspended
Solids
(mg/L}
Settleable
Solids
(rrEL/L}
TPH using
method 16644
SGT HE&?
Discharge .
Duration
(minutes)
Total Flow
,
(gallons/day)
-
-
-
r}93..
303's
53
(15)6
-
-
Na PiSG
C
1 if wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ.RO staff
notifies you to continue monitoring.
.' pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.878.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

'-,Process wastewaterdi5crgeMshall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a. limit for wastewater,.
but ms#ead �s sujectrto bemar�kfsrand:provisions of Part IV, Section A, including the z.Tiered Response Action.. -
F164 rate can be mess seed co�i#Inuousiy or calculated.:, Flow.limits for wastewater cfischa�ges to HQW waters shall be to' of the Summer 7QZ0 Flow it per 15A
= NCAC D213 :0224; Perrnittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer7Q oflow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ.Regional Office may require an annual flow
!I' Siiif 4Fs w=1 t
repnrt;on a case -by -case basis.
:_F IOT , ip
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOWN. „NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE': (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") 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 dlrectly responsible for. gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
coryiplete. I am aware that the are lk'nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violatlOP'' n
(Signature of Permittee) (Date) .
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

• .gip'
PROCESS
WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 3 i
FACILITY NAME: rblehdr?.d_ 62¢!264
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
. Lab #
LIMIT VIOLATIONS? Y£S ❑ NO Cg
Part A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: - A017
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec Jan -March ❑April -June
COUNTY: " 'Poldolof
PHONE NO. (3S&j (v 7-� ` D S5 _
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ❑Other
OPTIONAL INFO: IP. s &2 -- /)D dacAffitrz
Outfall No.
Date'Sample
collected'
(mm/dd/yr}
Type of Wastewater
(VE, iRM, MD)
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(MLA
TPH using. ,
method 1664A
SG-HEH►d
(mg/L)
Discharge
Duration
(minutes}
Total Flow
(gallons/day}
6-9as
3es
53 -
(15}6
-
-
0 �15G
W0n.v rr��
1lvV ViVi 5
IAIrV[�4Y��iV1'�` „-
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring. "
4.pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

sProcess;wastewater�disc rgesshaI only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a. limit. wastewater,.
but instead is subjectto ben rrnarkiAnd provisions of Part IV, Section A, including the Tiered Response Action.,.
Flow rate can -be meas red co stirapously.or calculated.:; Flow,limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow is per 15A
NCACO�B;02z4erm�ttees wha dlscFiarge wastewater to HQW waters shall obtain a 5umrrier 7Q10 flaw"and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow -for the receiving waters at the discharge location, the perrrittee,shall notify DWQ, and the DWq Regional Office may require an annual flow
t1 ' f:'+n[jeflfri:b rL;:f -r' ...., - -..••t _ .. -
�epora;'on.a case_by case•basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY JI CLUDING ALL "• NQ FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE IOR
ATEND OF MONITORING PERIOD IN CASE OF "NO FLOW') TO: -
Division of Water Quality ,
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh; North Carolina V699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"1 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 theme are signi�cant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violatioi'-:`
IS. Of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14�
FACILITY NAME:iP7�.�i°Alii
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: w Lab #
Lab #
LIMIT VIOLATIONS? YES []NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: _1�20 l 4P
SAMPLE QUA E�R: DJul-Sept Oct -Dec ❑Jan -March ❑April June
COUNTY:: 0 r
PHONE NO. i � i LP?T, - OBI S'%
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA []Trout ❑Other
OPTIONAL INFO: f f' CA2,26d Oki- f oW _
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
:.
[VE, RM, MD) _
pH '
(standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/LY
TPH using .
method 1664A
SGT HEII46
(mg/L)
Discharge
Duration
.(minutes)
Total Flow
(gallons/day]
-
5
6-93.4
W0
V
(15f
JAI
Ub c i-
DWI
SECTION
�1
WAM
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshWraters, and 6.8-8.5 S.U. for discharges to saltwaters.
S TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

Process wastewaterLdls es shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a_limit.for. wastewater,.
.. r •, ..
but instead is subject to b "n hmarks and provisions of Part IV, Section A, including the Tiered Response Action._,
:. 5.
-Flow rate.cambe measire�cotinuously.or calculated Flow.limits for wastewater discharges to HQW waters shall lae set Eo 5096 of the Surnmer 7Q10 Flow is per 1SA .
" NCAC 0213.0224; Perm►ttees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to D WQ. If the permittee cannot
obtain a Summer 7Q10 flow_for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
iepo en a case by case.basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL `.`NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT -END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: -
Division of Water Quality -
Attn: DWQ Central Files
3617 Mail Service Center
Raleigh; North Carolina 27699.1617 r
[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 thatilualified 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
40m, plete. ;I am aware that the59 are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violation. '
I zi �4'
1...=17
(Signature of Permittee) (Date) .
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
CERTIFICATE OF COVERAGE No. NCG14�
FACILITY NAME: Asht�A `f d��MAI
PERSON COLLECTING SAM
CERTIFIED LABORATORY:-j
LIMIT VIOLATIONS? YES ❑
Part A: Wastewater Monitoring Requirements
GENERAL PERMIT NO. NCG140000
SAMPLE COLLECTION YEAR:
a1�I w
SAMPLE QUtTER: ul-Sept ❑Oct -Dec ❑!an -March ❑April June
Lab # _A/C,! -
Lab #
COUNTY: ,-*
PHONE NO. (j�& 1 &7a _[��`
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
'
Outfall No.
Date Sample
i
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
(minutes)
Total Flow
�
(gallons/day}
-
-
-
6-93'°
30j.s
53
(15),
-
-
9ryo
S'
< "
4o.1
0� nit
C
ENTI?AI P11 G
()WR
SECTIOr
1 If wastewater systems have not discharged in this quarter — report "No Flow' or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
.S TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
X
Permit Date: 7/1/2010-06/30/201S Last Revised 07/13/11
Page 1 of 2

&;Arocess,wastewater:dischges shallJonly be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for. wastewater,
but instead is subject to benchmarks and provisions of PartIV, Section A, including the Tiered Response Action. t
Flout rate can fie .measured coptinuously. or calculated., Flow.limits'for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow a's per 15A
NCAC 028.0224. Perrruttees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer-7Q1 flow. for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual Flow
�epor on a case-by-case.basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL `.`NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW-) TO: -
Division of Water Quality '
Attn: DWQ Central Files
1617 Mail Service Center '
Raleigh. North Carolina 27699-1617
(919 ) 807-6379
YOU MUSTEGA THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based'on my inquiry of the person or persons who manage the system, or
those. persons directly responsible forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that theme are significa t penalties for submitting false information, including the possibility of Tines and imprisonment for knowing
viola'tior^" A
(Signature of Perm- ittee)
Permit Date.,7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 D _01 3
FACILITY NAME: ebvxo i 'Inc.
PERSON COLLECTING SAMPLES: % dd 0
CERTIFIED LABORATORY: seolth I Lab # AIC,3q
fi`Caf 14S Lab #
LIMIT VIOLATIONS? YESE]N6 ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: A0/ 40
SAMPLE QUARTER: Dull -Sept ❑Oct -Dec ❑Jan -March April -June
COUNTY: 1710rd0
PHONE NO. (31 & - Z4b7
ADD TO LISTSERVE? OYES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA. ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
:
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-HEM'
(mg/L)
Discharge1
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
-
6-93A
303,5
53
(15)6
-
-
ic.8
Lo.
q
6O
n _
Z
C�
W R fk
4W
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Pl�e" ake sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cl6aUgP VE Raw Material Stockpiles RM , Mixing Drum
p yp g� g( ). P� ( } g
Cleanout (MD). Report more than one type if the waste -stream is commingled.
a ev
if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
,4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
.5 TSS limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 last Revised 07/13/11
Page 1 of 2

s: f?rocess.wastewater dlsch` rges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a. limit for wastewater,
but instead is subject to.benc�marks and provisions of Part IV, Section A, including the Tiered Response Action.. t
;;, ;. va.,f " ..r,�t
Flow rate can be rneasbred continuously or calculated. How limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 1SA
NCAC [)2B;0224. Permttees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain -a Summer-7410 flow. for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on.a case;by-case,basis.
.,q:dc,;:g
_MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL'.'NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW) TO:
Division of Water Quality `
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh; North Carolina 27699-1617
(919)-807-6379
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 qualifled 'perionnel 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 gathRring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete: •I am aware that they are sigpificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violation^"
(Signatu of mittee) (Date)
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No., NCG14 0 0 3 1
FACILITY NAME: �'?L 1?0 °4 '2 .06 __L"11 X
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ® - " -- ^ - -
Part A: Wastewater Monitoring Requirements
,0:,0
FA
SAMPLE COLLECTION YEAR: 1A0 rb �
SAMPLE QUARTER: Jul -Sept ❑Oct -Dec Jan -March kr April -June
COUNTY: rd0
0
PHONE NO. I'�}
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout []Other
OPTIONAL INFO: f ;A
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
:
(VE, RM, MD)"
pH.
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGiriYE)
(mg/L
Duration
(minutes]
Total Flow
7
(gallons/day]
-
C
-
6-93,4
30"'
53
(25)s
V I.-
Ni"TRAL
AIR SE(,
�
1 If wastewater systems have not discharged in this quarter — report "No Flow' or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

e Processwastewater-discha{rges;shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a.limit.for wastewater,.
but instead is subiect to:berichmarks and provisions of Part IV, Section A, including the Tiered Response Action... 1
Flow rate can be measjrecg' �coFr dously or calculated.; Flow.limitslor wastewater discharges to HQW waters shall be set fo 50% of the Summer 7Q10 Flow 39 per 1SA
NCAC C36- 0224:_ Permittees.who discharge wastewater to HQW waters shall obtain a Surf riser 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a S6mmer,:7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
�epora~;on.a.case by-case.basis.
YOU MUST SIGN THIS CERTIFIG4TION 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 they are significantrhalties for submitting false information, including the possibility of fines and imprisonment for knowing
ViOlatlO.^" '
Signature of Permittee) (Date)
Permit Date,7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2

1 7 PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 0 3 L
FACILITY NAME: "ht1" /I ada 1) u
PERSON COLLECTING SAMPLES: -L d P• fi diowdson
CERTIFIED LABORATORY:_•bSPA,,& Lab # NL
�I hCatl t0h3 Lab #
LIMIT VIOLATIONS? YES 0 NO ❑
Part A: Wastewater Monitoring Requirements
aD�S DEC 0 2 2015
SAMPLE COLLECTION YEAR: rIENTRAL ILf�,
SAMPLE QUARTER: [ Jul -Sept aoct-Dec Il�tarE I� April-iun
COUNTY: T4,Xg0/ph
PHONE NOo ) (P 7.2 -04 51
ADD TO LISTSERVE? [_]YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
OutFall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEIR
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)T
-
-
-
6-93.a
30"'
Ss.
(1S)6
-
-
DO
f- 5
L7
8•
��
QC).
.�
If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (IRM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6:Process wastewater tlischYages shall'only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a. limit for. wastewater, ,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.. _ r
Flow rate can lie measured contmiuously.or calculated.:, Flow limits for wastewater discharges to HQW waters shall beset to 5096 of the Summer 7Q10 Flow as per 15A
NCAC,02B;02Z4: Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow acid report this information to DWQ. if the permittee cannot
obtain a Summer,7QID flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the aWQ.Regionai Office may require an annual Flow
repor�on a case by case basis.
,�:a�.:�
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT1ND OF MONITORING PERIOD IN CASE OF "NO FLOW") TO, -
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh; North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS'CERTIFIQTION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure -that qualified 'personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that the% are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
{Signature of Permittee) (Date) .
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

ri ? -01 Y � +rfF1t .es 'ti u - 7 � s s �• - r ' i ':.. � _ - .. ..
�� � tS�'�1'�j'a'''\lh�# F"A''z Gs � •r K. - � � - - -
kp
�fx -. .yrk ih� i meµ, Yl- 1 '--s 1`".?:iP' - ;-!� �• �;. •' .. � . .., - / - .,.
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL. PERMIT No. NCG140000
.
CERTIFICATE OF COVERAGE NO. NCG14 0 O 3
FACILITY NAME:`. �ShLD K.E!lY1C�u M�
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #,_____-___
Lab #
LIMIT VIOLATIONS? YES E] NO M
Part A: Wastewater Monitoring Requirements
RECEIVE
SEP30,,
RA
SAMPLE COLLECTION YEAR: Ao/ 5 DWR L FIL A's
SAMPLE QUARTER: oul-Sept []Oct -Dec []Jan -March �Apf ftJ' une
COUNTY: PlaO62_h
PHONE NO. (_V)ia ) of -OgS
ADD TO LISTSERVE? AYES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW []PNA [Trout [-]Other
OPTIONAL INFO: i �is ejurid-_ &U-4so &�o
diG.cl"& ai4.c1_11Mj 7f v IF ulT
Outfall No.
'
Date Sample
Collected'
{mm/dd/yr}{mg/L}
Type of Wastewater
{VE, RM, MD)' -'(standard)
pH
Total Suspended
Solids
Settle
Solids
{mL/L}
TPH usingable
method 1664A
SGT-HEM"
(mg/L)
Discharge
Duration
{minutes)
Total Flow
y
(gallons/day)
4
6-931
303'5
53
(15)6
_
1
SEP 30
r
CENTRAL
S
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM)., Mixing Drum
Cleanout (MO). Report more than one type if the waste -stream is commingled.
3if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for ail other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process. wastewaterdischarges shalhonly be monitored forTPH when commingled with storm water discharges from VMA areas, TPH does not have a limit for wastewater,
but instead is sbblect,to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate'can be measured continuously.or calculated ,Flow -limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAc 026 ;0224. Permittees who discharge wastewater to HQW waters shall obtain a Surn rier 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the D+NQ Regional Office may require an annual flaw
repojrt,on, a�case;by-ca se, ba sis.
_MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
.Attn: DWQ Central Files
1617 Mail Service Center
Raleigh; North Carolina 27699-1617
[phone]
f
YOU MUST SIGN TH1S CERTIFICATION FOR ANY INFORfl/MATION REPORTED.
"1 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. 'l am aware that the�rare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violatior� t
of Permittee)
(Date)
Permit [late: 7/1/2010-06/30/2015 Last Revised 07/L3/1 I
p1g,.e 2oft

-nPROCESS WASTEWATER — Quarterly Discharge
GENERAL PERMIT N0. NCG14000U
CERTIFICATE OF COVERAGE NO. NCG14- D j_ J_
FACILITY NAME:
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
Monitoring Report
SAMPLE COLLECTION YEAR: AO Jr'
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March , ZApril-June
COUNTY:. &ndo/ai)
PRONE NO. (33,6y ' tp7a. - 09S---1
ADD TO LISTSERVE7 []YES [[NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNAOTrout []Other
OPTIONAL INFO: /s cleatedOyu- - v 7 //
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT HEAe
(mg/L)
Duration
(minutes)
Total Flow 7
(gallons/day)
-
A/0 DiSCP19
-
6-9''0
31)3s
53
!�E7 i R /I--
�;
JUL a
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
l

6 Process. wastewater discharges shall only be monitored forTPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
bt�t instead is subject to -benchmarks_ and provisions of PartIV, Section A, including the Tiered Response Action.
` ured '`'' inU c. or calculated. Flow.limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 13A
Flovir•ra#e can be measured continuously, ,• . g
NCAC 02B A224. Peer 14ees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer.7Q10.flow for the receiving waters at the discharge location, the permittee shalt notify DWQ and the DWQ Regional Office may require an annual flow
report-on.a,case by-case,basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY YNCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE 10R
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW" TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
V1151eigh; North Carolina 27699-1617 'j�� --
'(9) 807-6379
91Il
You MUST SIGN THIS CERTIFIG4710N 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. Base l'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. 'l am aware that they are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violatio!—
(Signature of Permittee (Date)
Permit Date: 7/1/2010-06/30/2015 fast Revised 07/13/11

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF C VERAGE NO. NCG14Q © a
FACILITY NAME: 1 j 4 2h/,
PERSON COLLECTING SAMPLES: LLt
CERTIFIED LABORATORY: iva Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Reouirements
SAMPLE COLLECTION YEAR: o�•C� `
SAMPLE QUARTER: Jul -Sept Oct -Dec Dian -March ❑April -June
COUNTY:
PHONE NO. j —
ADD TO LISTSERVE? MYES O EMAIL:'
DISCHARGING TO .CLASS: [:]SA ❑HQW ❑PNA ❑Trouf WOther
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr}
Type of Wastewater
{VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mgJL}
Settleable
Solids
(mL/L}
TPH usingDischarge
method 1664A
SGT-HEM 6
{mg/L}
Duration
(minutes)
Total Flow
{gallons/day}
-
6-93'4
303'5
53
(15)6
-
r
CENTRAL
FILES
L TRA
FILES
TION
F if wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout {MD}. Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
' pH limits are 6.9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to 5altwaters.
5 TS5 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised OV13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer, 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") 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
violas." n
�q4�� - 6
(Signature Permittee) _ (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

STORMWATFR DISCHARGE OUTFALL (S,DO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000 RECEIVED
CERTIFICATE OF C VERAGE NO.=CGD
SAMPLE COLLECTION YEAR: �� � � •' "DEC �' �' Za�4
FACILITY NAME:. SAMPLING PE IOD: July -December ❑ January -June CENTRAL FILES
PERSON COLLECTING SAMPL S
COUNTY' DWR•SECTION
CERTIFIED LABORATORY• _ Lab # PHONE NO. ( )
Lab # ADD TO'LISTSERVE? DYES IRN0 EMAIL:
OPTIONAL INFO: DISCHARGING TO CLASS: [:]SA DHQW ❑PNA [:]Trout ther
Part A: Stormwater- Mon itoring Requirements
Outfall No:
Date Sample
Collected
(mo/dd/yr OR
_.._..NO FLOW)'
pH
(Standard
Units
TSS ;
(mg/L}
Event
Duration
(minutes}
Total
,
Rainfall
(in}
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
• z•-: -.,
Z Samplin9_, -
6-9Z
100
I .. .
`
11.
17
f
I
if "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each cutfall here. Please make sure to mark the 5amafe period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier i or Tier 2 responses in the General Permt. Tier 2
Monthly sampling shall be done unt;l 3 consecutive samples are below the benchmark a[ within the benchmark range.
' T55 benchmark values are 100 mg/l, except when discharging to OR".AJ, HQW, Trout, and PNA waters where they are 50 mg,li.
s
For each Sample mt�35urable StGrm ?+;enC the tCC31 ,rJf2CioiCatiGn mUSi C2 feCG{rJeC':Sif;y Baia ffrr;'+, 3n Cn-Site rain gauge.
Permir Da'_. 7/ li _ 1 1-6C/ 3fj/2C 15 Lai: -' aewier_ 7 - . - -

Part B: Vehicle Mairitenarice Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month -averaged over a calendar year.
Outfall
No..
=
Date:Sa.rr!pie
Collected
(mo�dd/Yr)z
pH
(Standard
Units)
TPH using method
1664A 5GT-HEM
(mg/L)
Total Suspended
Solids
(mg/L) -
Event
Dbration
- -
(minutes)
Total a
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier Z
Sampling'
E
6-9
15-
i
,
ti
HAS YOUR FACILITY -HAD 4 OR MORE BENCHMARK EXCEEDENCES ATANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCEP YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL'OFFICE'CONTACT NAME:
Mail Original and one copy of this_DM_R (including all "No Flow" & "No Discharge"- reorts) within 30 days of receipt of sample or at end'of mor itoring period
in case of "Na•F.low" to:.
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service'Center D.
Raleigh, North Cabiina 27699 16I7
YOU MUST37GIV Th115-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. Basted on my inquiry of the person or persons who manage the system, or
those persons directl responsible for gathering the information, the information submitted is, to the best of my knowledge and be;ief, true, accurate, and compiete. I
am w e th -there ar ignificant penalties for submitting false information; including the possibility of fines andJ1im risonment for knowing violations."
(Signature of Per ittee) (Date)
Date: 7/1/2011-5Q!30/201> >_as_ Rev!5eC 7 :3,
D�ga 7 3z

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
• � n
CERTIFICATE OF COVERAGE NO. NCG14 V °O� SAMPLE COLLECTION YEAR:
FACILITY NAME: Pl ' �. SAMPLE QUARTER: Jul -Sept ❑Oct -Dec Dian -March []April -June
PERSON COLLECTING SAMPLES:COUNTY:
CERTIFIED_ LABORATORY: _ . No m_c _ Lab # PHONE NO.
Lab # —_-_ADD TO LISTSERVE? ❑YES ;RNO EMAIL: tE
LIMIT VIOLATIONS? YES ❑ NO ❑ --DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑TrouttoOther
OPTIONAL INFO: ' '
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total Suspended
Solids
i (mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
c
5GT-HEM
(mg/Lj
Discharge
Duration
(minutes)
Total Flow
7
(gallons/dayj
-
-
-
6-93,4
30IS
53
(15)'
-
-
i
OL 3
2014
![7 r
I If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge here. Please make sure to mark the sample quarter above- •..
'` Report the abbreviation for the type of Authorized Wastewater Discharges here:.Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM); Mixing Drum
Cleanout (MD). Report more than one type +f the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
S TSS limits'are-20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is 'subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater ;discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 0213 0.2i4,-P&r ittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis. `
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALC "NO FLOW". "NO DISCHARGE"j WITHIN 30 DAYS OF RECEIPT -.OF SAMPLE {OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone] .
1. -_ ----•----.�. _
t 7- ;
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 a% are_thafthere are significant penalties.for,submitting false information; including the possibility of fines and imprisonment for knowing —
violations."0,1,
-
f-
o
(Signature bf Permittee) , (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF C VERAGE NO. CG 4Q O SAMPLE COLLECTION YEAR:
FACILITY NAME: ' SAMPLI" QUARTER: Jul -Sept ]Oct -Dec ❑Jan -March- April -June
PERSON COLLECTING SAMPLES: COUNTY:
CERTIFIED LABORATORY: Lab # PHONE NO. ?JQ_�__)_qR1-
Lab # ADD TO LIMERVE? DYES �<NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NON
Part A: Wastewater Monitoring Requirements
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Other C
OPTIONAL INFO:
Outfall No.
Date Sample
Collected)
(mm/dd/yr)
Type of Wastewater
Z
(VE, RM, MD)
pH
{standard)
Total.Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-HE)
(mg/L
Discharge
Duration
(minutes)
Total Flow
7
{gallons/dayj
-
6-93'4
303.5
53
(15)6
-
-
mrkjiG%
V I—v
�J
f-c
MTR 1_ FIL
ES
DWaraOC
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TS5 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .D224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permit tee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") 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
violations." . .
(Signature ofVermittee)
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO, NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 ©© _� SAMPLE COLLECTION YEAR: L
FACILITY NAME: SAMPLE QUAR ER: Jul -Sept ❑Oct -Dec t9jan-March• ❑April -June
PERSON COLLECTING SAMPLES: Lje,S COUNTY:-3,
CERTIFIED LABORATORY: �r�Qv�_ Lab # PHONE NO. (�_)
Lab # - ADD TO LISTSERVE? YES J�JfQO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO _ DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout';gOther
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
'
Outfall No. '
. Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
{VE, RM, MD)
- ,
pH -• '
(standard) _
Total -Suspended
Solids
�
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-HEM a
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
6-93'4
303s
5;
(15),
-
APO A
7 )n4A
• "
4v1'f
QEN FRA
_ FIL S
UVVU1
30G
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report ,more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff_ .
notifies you to continue monitoring.
' pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date:-7/1/2010-06/30/2015 Last Revised 07/13/11
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e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of'Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shale# be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
{919) 807-6379
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
viola
(Signature I f Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
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