NCG210379_MONITORING INFO_20190626

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v o3 1
DOG TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ O
YYYYMMDD

Semi-annual Stormwater Discharee Monitorine Resort
! for North Carolina DEMLR General Permit No. NCG210000
Date submitted 0
I i 19p,
CERTIFICATE OF COVERAGE NO, NCG21 O 3 1 g SAMPLE COLLECTION YEAR (901 i
FACILITY NAME a cDQ r- � SAMPLE PERIOD Q Jan -June ❑ July -Dec
W COUNTY 0,yy_Gl t _ or ❑ Monthly' _ jmontii
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS it DHQW OT.,out ❑PNA
LABORATORY Ls Cert. u GILCj 1 []Zero -flow ❑water 5 pply �5A
Comments on sample coil n or analysis: QOther_,C y�- —
PLEASE REMEMBER. TO SIGN ON THE REVERSE -)
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
�ND dischorge thus period??
Outfall NO.
Date Sample F24-hour rainfall
Collected' amount,
imp/dd/yrJ Inches
I. 3 "
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
I 120 mg/L
100 mg/L or 50 mg/0
d0
t
J
!,L X x rY, L u
I
_ �
Monthly sampling (instead of semi-annual) must begin with the Second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge ai any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver cif the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limp, BOL, <PQL, Non -detect, ND, or oihez similar non -
numerical format. When results are below the applicable limits, they must be reported in the forrnaL_L<XX_m_jl where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: Ifyou report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SINU-245, last redosec S/6/201E
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month,
No d+5chorge this periods
outfan No.
Date Sample
Collected'
(-o/dd/yr)
24-hour rainfall
amount,
Enches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===s
4 -
E
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part e
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION a.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE: SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMAR{ EXCEEDENCES FOR THE SAME PARAME TER AT ANY ONE OU IFALL ? YES NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Moil an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for of end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699.1617
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 Cuecuon or 5uperv,5ion in accorcance witn a system Gesigneu to
assure that qualified personnel properly gather and evaluate the information submitted- Based on my lnqulry of the person or persons who manage the System, or
those persons direcify responsible for ga;herj'ng the information, the in7ormaGOn submitted +s, to :he best of my 'anuwledge and ceilef, ttue, accurate, and cumpiete
am aware thaWhere are signiticaApenatpeijjfor submitting false information, including the possibility of fines and imprisonment for 'knowing viota;ions."
l
(Signatur r ({tee] (oat )
Permit Date: B/1/Z018-7/31/2023 SWU-245, last revised 8/5/2018
Page 2 of 2

RECEIVED
JON 2 B 2%
Jr+c:irf;' CENTRAL FILES
Stormwater Discharge Outfall (SDO) DWR SECTION
Qualitative Monitoring Report
For -guidance onfilling ow lhisform. please visit https://deg,ric.-,ov/about/divisions/energ%•-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NICI6I,:;?11 14 /0 /o l0l or Certificate of Coverage No,: NICIGlaI1 /0131 71`�l
FaciI Ity Name: r4 rc o t o- Lt-%-mbcr- Ok)rf �r-c..
County: W rr n Phone No. asa - 05-7- ti92
i nspector: (3a �(14�
Date of inspection: Ca� 13� i9
Time of Inspection: O-M
Total Event Precipitation (inches)
3 it
All permits require qualitative monitoring to be performed during a -measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
€ Outfall. The previous measurable storm event :gust have been at least 72 hours prior. The 72-11our storm
interval does not apply if the permittee is able to document that a shorter- interval is representative for
local storm events during the sampling period. and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Sig/ature of Perr{iittee or Designee)
1. Outfall Description:
Outfall No. CO I Structure (pipe. ditch. etc.): D t+Ch
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: rQ�-mi 1t. -t-�[J1Q►�Y-!
milk arc+ v t ki woe - oo ticnwS
Page 1 of 2
SN'U- }4'-. Las[ modified 06l0 1 /2018

2. Color: Describe the color of the discharge using basic colors (red, brown. blue, etc.) and tint
(light, medium, dark) as descriptors: bnx)-- $1
IJ
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil. weak
chlorine odor, etc.): r)one-
4. Clarity: Choose the number which best describes the clarity of the discharge. where 1 is clear
and 5 is very cloudy:
1 � 3 d J
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the numberwhichwhich best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 O 4 5
7. Is there any foam in the stormwater discharge'? O Yes ( No.
8. is there an oil sheen in the stormwater discharge? 0Yes cv<0,
4. Is there evidence of erosion or deposition at the outfall? a Yes Via.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242. Last modified 06/0]/2018

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG21OOOO
Date submitted
T—r
CERTIFICATE OF COVERAGE No. NCG21 Q g SAMPLE COLLECTION YEAR O90 t
FACILITY NAME Air. o� _U l.nr v- C,{}m� t^+c SAMPLE PERIOD QJan-June ❑ July -Dec
COt1NTY�ac-n or ❑ Monthly' month
PERSON COLLECTING SAMPLES CmQY Lt C • rt-auyy% DISCHARGING TO CLASS ❑ORW ❑HQW ' ❑Trout ❑PNA
LABORATORY La Cert.# ❑Zero -flow ❑WaterSj'pply [_]SA
Comments on sample collecti n or analysis:
QOther C ' WS)C
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Part A: 5tormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.(
No discharge this period??
putfall No.
Date Sample
Collected,
(mo/dd/yr)
24-hour rainfalr
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks
, 3 r r
120 mg/L
100 mg/L or 50 mg/L4
0oLoinP9
11ILYM10 IL. "
114 X 7x rtn L. �
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be efigibfe for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example-, do notort Below Detection Limlt, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XXmpjI-", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023
41
SWU-245, last revised 8/6/2018
Page i of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Dutfall No.
Date Sample
Collected'
{ma/dd/yrl
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
15 mg/L
100 rng/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note, if you report a sample value in excess of the benchmark, you must implement Tier 2, Tier 1, or Tier 3 responses. See General permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DM
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
l all "No Discharge" reports, within 30 days of receipt of the lab results (or at end
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 gather ng the information, the information submitted is, to the hest cf my knowledge and be!ief, true,'accurate, and comp!ete- I
am aware tha here are signifit penal le for submitting false information, including the possibility of fines and imprisonment for knowing violations."
S
{Signature r ee) (Dat )
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 2 of 2

RECEIVFD
K�`Z` JUN 2 6 2019
Environmental CENTRAL I~ I LE
Stormwater Discharge Outfall (SDO)
OWR SECTION
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-storm water-g ps
Permit No- NICIEbI,-lI l /0 /0 /0 /01 or Certificate of Coverage No.: N/C/G/a/. I / 0/3171`Yl
Facility Name: Arc ala Lyn)oC - (?,Ompaj1u :rr-,G-
County: WCA-nocn Phone No. a53 - 057- 4`ia
Inspector: Goocu �' . HCL)06_5
Date of Inspection: { p f r 3i In
Time of Inspection: $, as
Total Event Precipitation (inches): . 3"
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
c�"
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. Ca0 2-- Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: l `}p!
'
Page I of 2
SWU-242, mast modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown. blue, etc.) and tint
(light, medium, dark) as descriptors: Ylt 6rmwn
3. Odor: Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak
chlorine odor, etc.): ,C�7y-V ,
4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
] 0 ' 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
l 2 O 4 5
7. Is there any foam in the stormwater discharge? o Yes WNo.
8. Is there an oil sheen in the stormwater discharge? OYes Gr' lo. _
9. Is there evidence of erosion or deposition at the outfall? o Yes (94
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of
SWU-242, Las( modified 06/01/2018

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE No. NCG21 0 3 ! �L SAMPLE COLLECTION EAR aO I l
FACILITY NAME Ayxc: lo. Lj,..mQKr, jz) 3 zrc-. SAMPLE PERIOD Jan -June ❑ July -Dec
COUNTY W%1(Y<_n _ k or ❑ Monthly' month
PERSON COLLECTING SAMPLES _ COOLY A Q • +4aYY1aa DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA
LABORATORYPQLj-_ An La Cert. u _Ci 14 aCIJ 1 ❑Zero -flow ❑Water 5 pply ❑SA
Comments on sample collecti n or analysis: ❑L Other C
PLEASE REMEMBER TO SIGN ON THE REVERSE -9
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?"
Outfall No.
Date Sample
Collected
(mo/ d/yrCollected'
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ==->
-
120 mg/L
100 mg/L or 50 mg/L
Oo
[a i3 1
.3"
'1 xwq
r Monthly sampling {instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark aaplies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2016
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period-?
Outfall No.
Date Sample
Collected`
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
15 mg/L
100 mg/L or 50 mg/L4
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. .
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE5 FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this OMR, including all "No Discharge" reports, within 30 days of receipt of the tab results (or at end of nt
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: OWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27599-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
1 certify, under penalty of law, that this document and all attachments were prepared under mydirection 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 bellef, true, accurate, and Complete.- 1
am aware that there re significant 6ties for pubmitting false information, including the possibility of fines and imprisonment for knowing violations."
A��>
(Signature of Pe itte (Dat[nil
4
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 2 of 2

tltttiit�
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfrlling out this form, please visa htipsaldeq.ne.govlabatst/divisions/energy-mineral-land-resources
npdes-stormwater-gps
Permit No.: NIC/6l-1 l Ip p /O /OI or Certificate of Coverage No.: N/C/G/a/ I /0I3 / 7I9I
Facility Name: A rc o to- Lj-xrnber COrnCX�tica S►�G __ _
County: WCk-rr Y� Phone No. �35a - 0�5�- L19a3
Inspector: (gyp_ �' . N0.m S_
Date of Inspection: lb .1 ,3oI g
Time of Inspection: I0'. W Qrn ED
Total Event Precipitation (inches):
3.,
NOV 19 2018
CENTRAL FILES
DWR SECTION
All permits require qualitative monitoring to be performed during a "measurable storm event
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
l
interval does not apply if the permittee is able to document that a shorter interval is representative fbr
local storm events during the sampling period. and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PeVittee or Designee)
1. Outfall Description:
Outfall No. QQ l Structure (pipe, ditch. etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: SC U�pAj Al
thni M_._PYWk r,--hcn UL-i.A-h' _)Cx- s:tz�02Q e
l
Page i of 2
SWU-242, Last modified od/01/2013

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 14— 1pMLO n
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor. etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and S is very cloudy:
1 10 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
Cr
1 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of'suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there anv foam in the stormwater discharge? O Yes (PNo.
S. Is there an oil sheen in the stormwater discharge? oYes zo.
9. Is there evidence of erosion or deposition at the outl'al l? O Yes cs�' o.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Lov,- clarih,, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions «arrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCGZ10000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21 O 3 -1 g SAMPLE COLLECTION YEAR a d 1 O
FACILITY NAME A_dt0. L.-LryAoicC- C,pCncm:i =tX SAMPLE PERIOD ❑ Jan -June July -Dec
COUNTY W ' �.� or ❑ Monthly' month
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LA80RATORY Cert. # q aa-1,a{ y aco j ❑Zero -flow h Oter_ C_: WSU
❑Water S pply [:]SA
n Comments on sample collects or analysis: —s-
PLEASE REMEN48ER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?2
Outfall No.
Date sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
-
120 mg/L
100 mg/L or 50 mg/L 4 j
60 1
v 30
1 "
u xx t~ rl
�J ✓ J,
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
d For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
The total precipitation most be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the formaicXX m L", where XX }s the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report o sample value in excess of the benchmark, you must implement Tier J, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No dischorge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24•hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEMi
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/l.
Footnotes from Part A also apply to this Part B
Note: Ifyou report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE: SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE QUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE OEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1517
YOU MUST SIGN TH15 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
am aware at there are signif t pen ti s for submitting false information, including the passibility of fines and imprisonment for knowing violation5."
11113 l
(Signal re of Permittee) (Date(
Permit Date: 8/i/2018-7/31/2023 SWU-245, last revised 8/5/2018
Page 2 of 2

r: nt;nnm rr:; C7
i )iipilf}
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onfrlling ow thisform. please visit https://cleq.nc.gov/about/divisions/energy-mineral-land-resources/
n pdes-storm water-gps
Pennit No.: NICI6Ic:;?I i /0 /0 /0 /O / or Certificate of Coverage No.: NICIG/a/ 1 I013 / 7l `;,/l
Facility Name: Arco 1Q 1.-1_t_rnbcr- L'ornpotnu �tY.
County: lnle,> r,(-Cn _ Phone No. :35a - aS-- Li 9 a
Inspector: Go"ru`C. HCXY-65
T
Date of Inspection: 101 30/ 1$
Time of Inspection
10 :yS am
Total Event Precipitation (inches): E • 3 rr
..... _...... .............. ................. _.................. - _._._. - ..
All permits require qualitative monitoring to be performed during a "measurable storm event.'*€
E
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfail. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the peri-nittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMi.R
Regional Office
By this signature. I certify that thi report is accurate and complete to the best ofmy knowledge:
(Signature of PenniNee or Designee)
1. Outfall Description:
Outfall No. OOoL Structure (pipe, ditch. etc.): Di h
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: _*cxWn3i 11 � i�Iwner
m } 11 fl� rr�,u�,ti o+n acti.n t-i eS Icy e. � 5
Page l of 2
SITU-242, last modified 06/01l2018

2. Color: Describe the color of the discharge using basic colors (red. brown, blue. etc.) and tint
(light, medium. dark) as descriptors: 11G h-� byu>1'-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): (lphe'
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 u 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7.
8.
9.
1 2 0 4 5
Is there any foam in the stormwater discharge? o Yes d No.
Is there an oil sheen in the storrrlwater discharge? oYes Q 111o.
Is there evidence of erosion or deposition at the outfall? o Yes Q40.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low• clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Pane 2 of 2
SwU-242. Last modified 0610112018

Semi—annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21 Q 3 ! g SAMPLE COLLECTION YEAR C90 ) V
FACILITY NAME 0. , rc-. SAMPLE PERIOD ❑ Jan -June July -Dec
W COUNTY 0,yyY .n n L.. or [:]Monthly' month
PERSON COLLECTING SAMPLES C-3C�Y--l4 01 • •Y�'MS DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORYPQLiL ArQj Laken. # ❑zero -flow []Water S�1pply ❑SA
Comments on sample collecti n or analysis: [1?6ther
PLEASE REMEMBER TO SIGN ON THE REVERSE --1
Part A- Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
-
120 mg/L
100 mg/L or 50 mg/L4
Ob
O
kX l_
Ptxrnq1L ..
Monthly sampling {instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
a The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg,/L', where XX is the numerical value of the
detection limit, reporting limit, etc. in mg1L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7131/2023 5wU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
F } No discharge this period?2
Outfall No.
Date Sample
Collected`
(mo/dd/yr)
24-hour rainfall
amount,
inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
15 111
100 mg/L or 50 mg/L4
Footnotes from Part A also apply to this Part U
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE: SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALt7 YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of m
in the case of "No Discharge" reports) to:
Division of Water Resources
Atin: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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 d:r ctly responsible for gatherin the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that Tire are significa?r`p ltie jf r submitting false information, including the possibility of fines and imprisonment for knowing violations."
I �V v
!'
{Signature of Permittee) (Date
Permit Date: B/1/2018-7131/2023 SWU-245, last revised 6/6/2018
Page 2 of 2

Stormwater Discharge Otrtfall (SDO)
Qualitative Monitoring Report
Forguidauce on frlling otrr ihisform. please zisir hops/,tieq.nc. ovlal}or�thli� isions/encr��'•mineral-Ianii resuurcrs
npdes-storm++ aver-gps
Permit No.: N/C/6/c/ 1 /0 >D io 10 / or Certificate of Coverage `'o.: N/C/G/a1 / f / 0/3 / 7/r7/
Facility name: Arcola.. Lu.r ):� r (tp SY.G•
County: ln/CcrYein Phone No. a5a - a57- y�la
Inspector: _�� _S_ Hai —nf�_
Date of Inspection: I01.30/ 1 S
Time of' Inspection: _W -14S OLM —
Total Event Precipitation (inches}: I • 3
it
All permits require qualitative monitoring to be performed during a "171MIsurabie storm evcnt.
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable stornt event must have been at least 72 hours prior. The 72-hour storm
interval does not apple if the permittee is able to document that a shorter I'merval is representative l'or
local storm events during the sampling period, and the permittee obtains approval from the local DEMf.,R
Regional Office.
By this signature. I certify that thi- report is accurate and complete m the best of my knowledgc:
(signature of Permit ee or Designee)
1. Outfall Description:
Outfall No. OCA � Structure (pipe. ditch. ctc.):
Receiving Stream.
Describe the industrial activities,that occur wIihin the outfafI draina-c area:
ht,,z I r)1-2
SWU-?a-'. Iasi nwdoied {1hVl/?pr5'

?. • Color: Describe the color of the discharge using basic colors (red. bro�,rn. blue. etc.) and tint
(light, medium. dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., srnelis strongly of oil, weak
chlorine odor. etc.): f\CDne-
4. Clarity: Choose the number which best describes the clarity ol'the discharge, where I is clear
and 5 is very cloudy.
I i 1 5
S. Floating Solids: Choose the number which best describes the amount ol" floating solids in the
stormwater discharge, where I is Ito solids and 5 is the surfZtce covered with floating solids.
I � � d
6. Suspended Solids: Choose the nulnher which best describes the amount ol'suspended solids in
the stormwater discharge, where I is no solids and i is extrentelY Pluddv:
7. Is there any foarn in the stormwater discharge? o Yes C3' r\'o.
8. Is there an rail sheen in the stornwater discharge? oYes �'o.
9. Is there evidence of erosion or deposition at the out1a11? o Yes (:;141.
IQ. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity. high solids, and/or the presence of foam. oil sheen. or erosion/deposition may he
indicative of pollutant exposure. These conditions warrant further investigation.
Pate ' of''
StiWU-2-s?• Last modir)ed Uo/W,2 118

Semi-annual Stormwater Discharge Monitoring Re art
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE No. NCG21 C 3 ! g SAMPLE COLLECTION YEAR O
FACILITY NAME AYcalr I�rnr�rlrnlr St't; . SAMPLE PERIOD ❑ Jan -June Jufy-Oec
COUNTY_W¢1��r1 �^ or monthly' month
PERSON COLLECTING SAMPLES (ys DISCHARGING TO CLASS []ORW ❑HQW oTrout CJPNA
LABORATORY La Cert. a 9 a'7 n 4 y @LOD4 IDZero flow (Water S pply CSA
Comments on sample collecti n or analysis: Other C
PLEA5E REMEMBER TO SIGN ON THE REVERSE -)
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
i! No dischorae this oeriod;'�
Outfall No.
pate Sample
Collected'
_ (mo/dd/yrl
24-hour rainfall
amount,
Inches'
Chemical Oxygen demand
Iota! Suspended Solids
Benchmarks
120 mg/L
100 mg/L or 50 mg/L'
I
t
Monthly sampling (instead of semi-annual) must begin wi,h ,he •;econd consecutive benchmark exceedance for the same parameter at the same outfall.
r For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report whin a checkmark here.
;The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligibfe for a waiver of the rain gauge requirement.
4 See General Permit teM,, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmar'x. applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, HDL, <PQL, Non-de,ect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the _format, <XX mg/L,,, where *.x. is the numeric.l value of the
detection limit, reporting limit, etc. in mg/f_.
Note: Ifyou report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Oate: B/t/2018-7/31/2023 S%Vu-245, last r,-vised 8/6/2016
Page I of 7

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
[ No discharge this period?'
Outfall No,
Date Sample
Collected'
lmo/dd/yri
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT.HEM1
Total Suspended Solids
Benchmarks =__>
15 mg/L
100 mg/t or 50 mg/L`
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESCILTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERfM17 PART ll SECTION E.
• 2 EXCEEOANCES IN A ROW FOR THE SAME PARAMETER AT THE: SAME OUTFALL TRIGGER TIER 1 REQUIREMENTS, SEE PERMI i PAR I II SECTION B
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL) YES ❑ NO
IF YES, HAVE YOU CONTACTED THE OEMLR REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME
Mail an original and one
in the case of "No Discho
this OMR, including all "No Discharge" reports, within 30 do
Division of Water Resources
Attrr. DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
to:
f the lob results (or at end of monitoring period
YOU MUST SIGN THIS CERTIFICATION FOR ANY IWORMAI ION REPOR FED:
"I certify, under penalty of law, that this document and all attachments were prepared under my directEon or supervision in accordance with a system designed tq
assure that qualified personnel properly gather and evaluate the information subml;ted. Based on my inquiry of the person or perSonS who manage the System, or
those persons dirfctly responsible ror gatherin� the information, ,he information subrniaed is, ,o ;he best of m; 'tnov,iedge and belie.`, t: ue, accurate. and comule,e
aaware that t re are sign i
m X apnal;re9i r submitting false iniorrrtation, including the pOSsibdity of fines and imprisonment for'•.nowing violations-"
�a IIII, 113 IS'
(Date
Permit Date:81112018 7131/2023 SWU-245, last revised B/6/2018
Page 2 of 2

4loo I
NCDE�R
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit http:/ Ucdenr.o[gf web//Jr/n12des-stormwater/
Permit No.: o/ -�/ or Certificate of Coverage No.:
Facility Name: _A rcoicx- Lu rube r C 3mj;)ar�U
County: VJa( r� Phone No. � 5 -�S�- g933
Inspector: G - k
Date of Inspection: 5Z 1 `t (IS t i it
Time of Inspection: IO :'la 0-m
JUN IS zo�8
Total Event Precipitation (inches): O. 1 CENTRAL FILES
D�VR SECTION
Was this a "Representative Storm Event" or "Measureabie Storm Event" as defined by the permit?
(See information below.)
[R(Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By'this sig atM ;ure, I cer 'fy t a this report is accurate and complete to the best of my knowledge:
! fig
(Signae of Perrl�ittee or Designee)
Page 1 of 2
SwU-242, Last modified 10/25/2012
{

I
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICIG01 1 I O1010I 0I or Certificate of Coverage No.: NICIGI4:2I! Iol3I -7191
Facility Namc: A Y-Cc,�C& Li irn)nP `A:-, .
County: WO-YYe- Y) Phone No.
Inspector: Liu Y3��___,�Y `r y
Date of Inspection: S 1' 1 g
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pdrmittee or Designee)
1. Outfall Description
Outfall No. 00 , Structure (pipe, ditch, etc.) J::)i -iCh
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage arca:5p,U3rn i 11 a l'� ar)je r}
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors:
3. Odor
Describe any distinct odors that the discharge may have (i.c., smells strongly of oil, weak chlorine odor,
etc.) r1oV12
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
3 4 5 6 7 8 9 10
'0
S WU-242-020705
Page I

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
l is no solids and 10 is the surface covered with floating solids:
l 2) 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stonnwater discharge
where I is no solids and 10�is extremely muddy:
1 2 ( 3 ) 4 5 6 7 8 9 10
7. Foam ��
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfali? Yes No
10. Erosion at Outfall
Is there erosion at or inunediately below the outfall? Yes No
11. Other Obvious indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
5WU-242-020705

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted _ L-0 5/ i %
CERTIFICATE OF COVERAGE NO. NCG21 0 3 ­7 9
FACILITY NAME Ar'Colo-_ e_,7 7&T �rC
COUNTY WarYerl
PERSON COLLECTING SAMPLES _ Garg C _Ray_ l�
LABORATORY PaCe. Aryxl�jt1CG0.. Lab Cert. #I 1�1a cr1OtL�-DOd I
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 901 `b
SAMPLE PERIOD [� Jan -June ❑ July -Dec
or ❑ Monthly" _ T(monthl
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
Nther [' ' NSW
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =_->
_
-
120 mg/L
100 mg/L or 50 mg/1.
Coo 1
5 1 `] 18
O• `�
a x x L, "
x X rn L <�
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note. Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<X , msr/L". where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period ?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 5o mg/1
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cony of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina Period
in the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
V("Li "t'r!.!cz 'YGI '. HI$(113T iICA-iI!_ i ,= IR r nj„ INVOMI11A i`•ON F Et'OF.7C-0.
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,
am aware that there are s nifi t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
t"-AJAA (DI sit 00
(Signature a mltt e) (Date]
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

��
AL
NCDE.
Stormwater Discharge Outfall (SDQ)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: h3tA=//PortaJ,ncdennorg/web/lr/nudes-stormwater/
Permit No.:/-Q/-C or Certificate of Coverage No.: ZI/�/Sa//
Facility Name: Ay-c-!2lr u . SrG �^
County: W0.�re-r) Phone No. 25a-,35 -g933�_
Inspector: _ �-0,fLA C._- hkci�+ri
Date of Inspection: ts 11
Time of Inspection: i : 1'
0
Total Event Precipitation (inches): O. 1
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[2"Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit),
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
f
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
Bylthis gnature, I rtify.t Atat this�report is accurate and complete to the best of my knowledge:
(Signature of P�rmittee or Designee)
Pagel of 2
l
SWU-242, Last modified 10/25/2012
i

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICIGIa_l 1 1 alb lO I OI or Certificate of Coverage No.: NICIGIa/ 1 l01 l �I9I
Facility Naive: �4r — — — � a, , � Y-ti.. T
County: VqO--rYe-n _Phone No. _tea, aG;`} - y9 43
Inspector: _ C�C[�^r_
Date of Inspection: J W 1-1
By this signature, I certify tl�4t this report is accurate and complete to the best of nay knowledge:
(Signature of Pdrinittee or Designee)
1. Outfall Description
Outfall No. pia: Structure (pipe, ditch, etc.) Di-�Ch
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: ElU�m;11 * Ptar&C
Q prod utCfi a t,. ac ti v % A-i �S ] o-.j e _ rq-tio s�S
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, mediurn,
dark) as descriptors: U q Y)t rPacpUJn
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) Nome,
4. Clarity
Choose the cumber which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
2 0 4 5 6 7 8 9 10
Page 1
S W U-242.020705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
l is no solids and 10 is the surface covered with floating solids;
1 20 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the nurnber which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
1 2 O 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall?
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes No
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Yes 0
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
5 W U-242-020705

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21y 3 1
FACILITY NAME fA rc nl ot_
COUNTY WCLy-r<Y-1
PERSON COLLECTING SAMPLES mS
LABORATORY g:�C2_ ArnW-\ i Cry_ L b Cert. # _9 a3'7o1 ci a001
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR o_�0ti
SAMPLE PERIOD [31an-June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
206ther C . NSN4
(.iJ".:;:
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour ralnfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. for examale,do not rgaort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they mus#be rep _ ed in the format<XX_mrr/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =_=>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mil an oriainal and one cwy of this DMR including all "No Disch r reports, within 30 days of re ei t o he 1 r sul or of en o monitoring
erlod
in the case of "No Dischig e" regortsl to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware th t there are sign ifica / penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permi ee) (Date)
Per Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted i1 a X1 n
CERTIFICATE OF COVERAGE NO. NCG210 i 9 SAMPLE COLLECTION YEAR ao 1-1
FACILITY NAME LfCOICk. r— mnc,. SAMPLE PERIOD Jan -June July -Dec
COUNTY Q�fYe,f'� or ❑ Monthly" (month)
PERSON COLLECTING SAMPLES GL C. O�rr1S DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout❑PNA
LABORATORY?)C-e (-\mE�t� Qaj _ L b Cert. # ` 9,a�o ti�lao E i� � []Zero -flow ❑Water supply ❑SA
Comments on sample collection or analysis: NOV 2 9 2017 Other_-- C -. NS N
CENTRAL_ FILES t 7 . , . + , F rig; ' P ,
DVVR SECTION
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
R No discharge this period:"
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfali.
2 For sampling periods with no discharge at any single outfali, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be rcoorted in the format. "<XX ma/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 5WU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ==_>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO [j
REGIONAL OFFICE CONTACT NAME:
Moil an original and one copv of this DMR, including all "No Dischorae" reports, within 30 days of receipt of the lo-b results for at end of monitorina period
in Lhe cos "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YCU ^01j ;i `,ICJN1 711Is f.ERI'lf ICATlC-N rOR 'N!ORiJ1AT!( N isCIPOF', ED.
"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 gatherin.g the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there re significan alti s or submitting false information, including the possibility of fines and imprisonment for knowing violations."
f� a, 1 7
{Signature of Permlttee) (Date
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

NCDERR-
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit: http://©ortal.ncdenr,org/webllr/n dp e.s-stormwater/
Permit No.: or Certificate of Coverage No.:
Facility Name: Ay-coicx- L����be C c�rnr ctinu S 1
County: VJaY-re— Phone No. -- 1-19a3
Inspector: C . N
Date of Inspection: O q I
Time of Inspection: 3,4c) cx.m
Total .Event Precipitation (inches): 1-^1
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this sign ure, I ceir,17
that his report is accurate and complete to the best of my knowledge:
ignature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012
CP

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
is no solids and 10 is the surface covered with floating solids:
1 V 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
1 2 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes 3�Io
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall?
10. Erosion at Outfall
Is there erosion at or inuncdiately below the outfall? Yes No
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Yes 1'Q
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
S W U-24 2-020705

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICIG&a / l 101010101 or Certificate of Coverage No.: NICIGILI! I of 1�11 �l
FacilityNamc: Arco_lc�- LaxrnbP.yr- (',Q af)c.
County: WO-�<Ye, Y I Phone No.
Inspector:
Date of Inspection:
By this sifiature, I certify thgthis report is accurate and complete to the best of my knowledge:
(Sigdature'of Pertnittee or Designee)
1. Outfall Description
Outfall No. 00 i Structure (pipe, ditch, etc.) L)► -�Gr1
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: SauDML Pl lk )ey-
11k a-cxV
kio '(i- S " e-
r
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: L.i!�j n+- a"a4x-)
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) t)one-
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
10 3 4 5' 6 7 8 9 10
Page
S W U•242-020705

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit. w w
Permit No.: or Certificate of Coverage No.: M/-L/Q/2/ 1 / G/ 3/2/ `a/
Facility Name: Av-c!2i0.. j�,rY,b� f_ CLOrnt7Cl f-,w , = rG
County: WO-frcn Phone No.
Inspector: �L� ,r
Date of Inspection: O`U q ao I
Time of Inspection: am
Total Event Precipitation (inches): I -1
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior, The 72-hour storm interval does not apply if the permittee is able to document that a shorter t
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By',this sig ture, I certify at this report is accurate and complete to the best of my knowledge:
(Signature of PJmittee or Designee)
Pagel of 2
i
5WU-242, Last modified 10/25/2012
CP

VJAT�
5
o �
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/CIG/d_I 110/010 / dl or Certificate of Coverage No.: NICIGl�2/ I I0l --�l 2/9I
Facility Name: A rC c- IQ` :j:rL.• — — A �
County: W0.rYe- n Phone No. o`���
Inspector:
Date of Inspection: J I1 1 9 1 11
By this sign Lure, I certify Wthathis report is accurate and complete to the best of my knowledge:
(Signature of PeOnittee or Designee)
1. Outfall Description
Outfall No. 00 a Structure (pipe, ditch, etc.) D 1- -_-
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:Sawmi 0 -�- Pkxne-r,
i l l Produc+i on ac�b-4 i ti e5�Lc%3 r[ e ** ratio n!-5
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: U q hA ?fin
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) -None-
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
2 ) 4 5 6 7 8 9 10
Page I
S W U-242-020705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
I (D 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
1 2 4 5 6 7 8 9 to
7. is oa rn .Y
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Deposition at Outfall
Is there, depo'sition of material (sediment, etc.) at or immediately below the Outfall? Yes o
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes . No
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
S W U-242-020705

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21 0 3 —7 9
FACILITY NAME Arco 1a. L.A,im ]may— Cn
COUNTYVj4_YY-en
PERSON COLLECTING SAMPLES _—��Q.�.I C . boar y1s
LABORATOR nLX is �Cert. # 9 aal6 ly 'XW 1
Comments on sample collectioh or analysis:
SAMPLE COLLECTION YEAR a01-1
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (months
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flaw ❑Water Supply ❑SA
[Other_ _ aL Il�SW _
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?2
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L
00�
mil 9 l--7
1--7
" xxm L "
"LKxm /L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall,
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported In numerical format. For exgmt)le—dg na r art Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date:8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
No discharge this period?z
Outfall No.
Date Sample
Collected'
Imo/dd/yrj
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
_
-
15 mg/L
100 mg/L or SO mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES FIND ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this DMR, includina all "No Discharge" reports, within 30 da r-s of receipt of the lakresult for atend of monitorina- veriod
in the case of "No Discharae" revortsi to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raieigh,,North Carolina 27699-1617
YOU %-9l1 1 ',!'.:i1' THIS C-.ERT?i I1:ATIC Ni PO-N itci���: F,'. E-C.
"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 th re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
i
�l all, l-7
(Signature of'Permlttee) (Date)
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit:
Permit No.:
Facility Name: A r'co A cA 4�i�
County: WO—V" re
Inspector:
Date of Inspection: ov q
Time of Inspection: _ 'S ,a5 o,r
or Certificate of Coverage No.:
Phone No. - 5--1- H9 3
Total Event Precipitation (inches): I • -I
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring mus be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event l or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall '.
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
i prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter ,
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
Bythis sig tore, I certify at this report is accurate and complete to the best of my knowledge:
-1 CIA"
(Signs re of Permittee or Designee)
Paid 1 of 2
SwU-242. Last modified 10/25/2012
AD

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICIG/a/ I / 0/0 /0 / O/ or Certificate of Coverage No.: NICIGI,:Z E / 013171 ail
Facility Name: Af-c c l« j LIQQw2.r ('x, -Trc , _
County: WQ-YYe n Phone No.
Inspector: Z )2—!Q'_'S
Date of Inspection: J_9 1 1
By this sign tore, I certify that his
^report
tiis accurate and complete to the best of my knowledge:
V""yv
(Sign re of Pe)mittee or Designee)
1. Outfall Description
Outfall No. Cper_ Structure (pipe, ditch, etc.) ^ TDy -�Ch
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: i Il
Mill Prodtaicrl _xt -41t es Lcaa s�a►rcxxe � owe ro:�iohs
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: Li A h+ Rrw)n
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) oyle-
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
1 2 L..1 4 5 6 7 8 9 10
Page
5 WU-242-020705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 0 3 4 5 6 7 S 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
1 2 (D 4 5 6 7 8 9 10
7. Foam .Y
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall?
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes QD
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Yes �D
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
5WU-242-020705

Semi-annual Stormwater DischaEe Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted . Lo z 15.1 ri
CERTIFICATE OF COVERAGE NO. NCG21 d 3-7 9
FACILITY NAME -A rco lo, LunnberCo_• S►1c • __
COUNTY 1�O�rrgrl
PERSON COLLECTING SAMPLES _ aQXr!�l C . baY-XjS
LABORATORYPtXe Arr� 1-Sa i Lab Cert. # 9 a a-1 o l U aoo 1
Comments an sample collection or analysis:
SAMPLE COLLECTION Y AR 0 l-1
SAMPLE PERIOD Jan -June ❑ July -Dec
REF(� {� or ❑ Monthly' month
CO -� r �/ C u TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Ze o-flow ❑Water Supply ❑SA
JUN 19 2017 �ther C '• NS 1ni
DWR SECTION
L y r � � �. ...I , - I'k � ! I',,CENTRAL ON
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?'
Outfall No.
date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
-
-
120 mg/L
100 mg/L or 50 mg/L
CCU
(-OAP1-7
° xX rv-,q IL , .r
+l 4 X X m / L rr
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, o r ort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be rCRort!ld in the format. "<XX mvJL", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Out -fall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES [_1 NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an adin I ondQewa y o_f h►s DMR include all "1Vo. Dlschsrr�xe" repor#s, within 30 s�pvs of receipt of the 1p,� results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
tiCii! :V]US !6,,N -HI=,(EFt'.€i,-t'tTf C-N P_)R rk"'. IONZ!Ak t l 'I:I 1),
_ _ r �. N r c. i. L�
"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.
am aware that there fare significantAenaltiesfor submitting false information, including the possibility of fines and imprisonment for knowing violations."
�s r�
gnature of Permittee (Date)
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

RV, -
NCDEE
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this farm, please visit: http�./Iportal,ncdQnr.org/wt,,bAi:/ni2de5-stormwater/
Permit No.: or Certificate of Coverage No.:
Facility Name: Arco ire Lurr,k» r , rxx rnOC)Lr-u -1 1
County: War rtf-' y-i Phone No. o'l 5 -,q S-1 - ti9 a 3
Inspector: G C1fj. C t lcz�ri 5
Date of Inspection: (0 1
Time of Inspection: 7 . yS urY1
Total Event Precipitation (inches): • H
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
0 Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
-• F
permitted site outfall. The previous measurable storm event must have been at least 72 hours r
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signatu fe, I certify tq
th''s port is accurate and complete to the best of my knowledge:
pre of PermitteV or Designee]
Pagel of 2
SWU-242, last modified 10/25/2012
E

Stornmater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NIC/G/cal I / 0/0 /0 / 0/ or Certificate of Coverage No.: N/C/G/a/ 1 / 0131_11 ` /
Facility Name: Ay-ca x U jLYr,hP.Y- (' b -IM-
County: 1r%J0-YYeY1 Phone No. S
Inspector: Gan-4 C. +Aavy-►S f�
Date of Inspection:
. ,
By this si Tnature, I certif that this report is accurate and complete to the best of my knowledge:
or Designee)
1. Outfall Description
Outfall No. 00 Structure (pipe, ditch, etc.) i�) i +C-h
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: sawm 1 i
M;11
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: By-o g►1
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) 'Non e.
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
Cloudy:
1 2 D3 4 5 6 7
Page 1
3 W U-242.020705
8 9 10
,

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
1 0 3 4 5 6 7 8 9 10
6. Suspended Solids
Choosc the number which best describes the amount of suspended solids in the stormwater discharge
where 1 is no solids and 10 is extremely muddy:
1 2 4 5 6 7 _8 9 10
7. 1+ oa ni
Is there any foam in the stormwater discharge? Yes No
8. Oil Sheen
Is there an oiI sheen in the stormwater discharge? Yes 0
9. Deposition at Outfall
Is there deposition of material., (sediment, etc.) at or inunediately below the outfall? Yes No
10. Erosion at OutfalI '
Is there erosion at or immediately below the outfall? Yes No
11. Other Obvious Indicators of Storm►vater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
S W U-242-020705

.w.' i �n k
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: httRJ/oortal.ncdenr.org/webIIr/nodes-stormwater/
Permit No.: o/�/ or Certificate of Coverage No.: NI.CIEQ/ l/O/3/i/9/
Facility Name: Ay-colcx Lambe r (' r-npa, , SriG
County: WO0.V-re Phone No. g933
Inspector: C - N y-
Date of Inspection: ! /2-5/ 1
Time of Inspection: is 0.m
Total Event Precipitation (inches): • 5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See ei formation below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm intervai does not appiy if the permit -tee is aisle to docLiment that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I ce ify tha this art is accurate and complete to the best of my knowledge:
(Sign Ame-oWermlttee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012
JUN 06 2017
CENTRAL FILES
'`bVR SECTION

�D4 V•J A 7��
n
r
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NIClGO/ l / 010 /0 / OI or Certificate of Coverage No.: NIC1G1C/! I of ---�l 719l
Facility Namc: Ar c, IC& LL
County: Wc-ryt✓rl Phone No. c) �3
Inspector: ��a (" � . �Lc
Date of Inspection:
By this signature, 1 )*rtify that t�,4 repprtlis accurate and complete to the best of my knowledge:
(Signature of Pcn-nittc or Designee)
1. Outfall Description
Outfall No. pCj Structure (pipe, ditch, etc.) T—:� C Ifl
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: Sa m*, 1� + P iCLn X'1
N1 i I1 1PC2d UVbQr.) ACb V J es Los S+oroKe_ +
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors: _LLq 1�1 + B r<3w n
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) 1'�o ne— --
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
1 ✓ 3 4 5 6 7 8 9 10
r
Page
S WU-242-020705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
I is no solids and 10 is the surface covered with floating solids:
1 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
1 2 (3 J 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes o
8. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes Flo )
10. Erosion at Outfall
Is there erosion at or iirunediately below the outfall? Yes No
It. Other Obvious Indicators of Stormwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
111dicative of conditions that warrant further investigation and corrective action.
Page 2
S WU-242-020705

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210OOO
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21 O 3 -1 q
FACILITYNAME AfCnJO, Ukmber- Co =rc
COUNTY C rrY p 1C7
PERSON COLLECTING SAMPLES
LABORATORY (-L �7f'1a1Vj"iC0_ L bCert.# 9 -,;-A-7C,, 114
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR a0 11
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water upply [:]SA
r*Rher�' NS\
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharae this aeriod:2
Outfall No. Date Sample 24-hour rainfall
Collected' amount,
(mo/dd/yr) Inches3 Chemical Oxygen Demand Total Suspended Solids
Benchmarks =�_> _ 120 mg/L 100 mg/L or 50 mg/L
xX m L'1 "i C XY rno,/L ►r
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
4The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported In numerical format. For example, not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

0
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfali No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
16" (SGT-HEM)
Total Suspended Solids
Benchmarks =_=>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a somple value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mall an oriainal and one copv of this DMR, includina all "No Discharae" reports, within .30 days of receipt of the lab results for at end of monitarina Period
in the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Y0 U 111E-!1;' ' 14.'"1Is,(.2;1,1'0<I lGPON PE10f-'I.A,
"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."
(� _fle,4�
(Signature of
to- i-1—I
(Date)
Permit Date:8/l/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG21 O ',�I a
FACILITY NAME Arcola- I o imn a2 r Ck^ay-iC._.
COUNTYy4o rren _
PERSON COLLECTING SAMPLES aXIA�YIS
LABORATORY�bCL', J\Y-,UO�I '�iCCa-1 _ La Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR a9C)l
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly'_ _ _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
[,2bther C , NSV/
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen
xygen Demand
Total Suspended Solids
p
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L
(5ol
q a91LO
C7
'iLXx /Lu
��LXYm /L«
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, 8DL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they trust be re orted in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last reviser) 7/31/2013
Page 1 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted
CERTIFICATE OF COVERAGE No. NCG210 3 __? g
FACILITYNAME AYc•ucn. Lurcoa�_ CQ. anc_ _
COUNTY Wa Y- Ye Yl
PERSON COLLECTING SAMPLES a n� S
LABORATORY_, • cc'.•_ Arn)vhCQI Lab Cert. # q a-a-i o l L. a,00y
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR g Ci } Lo
SAMPLE PERIOD ❑ Jan -June my -Dec
or ❑ Monthly' T (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
�� ❑Zero -flow ❑Water Supply ❑SA
r ®CE�` i'{V Other C
V1M,16
Wv -TRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results [Monitoring is required qro c) f0 y stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches -'Chemical
Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L
IL
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Dote: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier T, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWLI-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART iI SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an onlainal end one,copy ot this DMR inclu i all "No Dischgrge"reports, within 30 days of receiot of the 1 r su! or at end o monitorin eri d
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YCO %FiW.;3 `;IG,N THIS( ERT;rIt.ATI._N FOR ?:1Fi','!;',VGRFilAT:;]N F'.(Pc:f 7f'U,
"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 the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware thatAhere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
ion �5L?
(Date)
Permit Date:8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General P rmit No. NCG210000
p Date submitted I ai go
CERTIFICATE OF COVERAGE No. NC-G221 O 3 rl i SAMPLE COLLECTION YEAR �,
FACILITY NAME W- 1�P� SAMPLE PERIOD g Jan -June ❑ July -Dec
COUNTY WQATen or ❑ Monthly' (month)
PERSON COLLE%T-ING SAMPLES N cr tS DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY�Y Lab Cert. tf -QQ'10 f a ODI ❑Zero -flow ❑v�15WSupply ❑5A
Comments on sample collect on ysis: [v�Other� �{
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.) won
No discharge this period?,
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===i
120 mg/L
100 mg/L or 50 mg/L4
ODD
WWI Ito
3Q
114 X l i--"
,1 u x-'
JU
_ T-T 4 l
annom
loci
` Monthly sampling (instead of semi-annual) must begin with the second ' ifut[v faaer{Glirn�fk exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here?"
The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
' See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL�Noii detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must_ be reported in the forrtLtr_"<XX m_ Jt/L",where XX is the numerical value of the
detection limit, reporting limit, etc, in mg/L.
Note. If you report a sample value in excess of the benchmark, you must implement tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/20ts SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
15 mg/L
100 mg/L or So mg/L°
Footnotes from Part A also apply to this Part fi
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail on original and one cony of this DMR includina all "No Discharge" reoorts. within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to
Division of Water quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons direct) 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 re significant penal•' fcr submit 'rig false information+., including the possibility of fines and imprisonment for knowing violations."
! ri I Lo
(Signature of P rmitte (Dat
Permit Date: 8/1/2013-7/31/2018 SWU-24S, last revised 7/31/2013
Page 2 of 2

CERTIFICATE OF OVERAGE N�o.'NC.,G21 a;3-
19
FACILITY NAME COVERAGE
COUNTY W
PERSON COLL CTING SAMPLES l
LABORATORY e kab Cert. q _Q,?Ajq j_ Q iO I
Comments on sample collection or analysis:
Aoe
RECEIVED,j
Jl;L 2 � 2016
CENTRAL FILES
DWR SECTION OA
Semi-annual Stormwater Discharge Monitoring Report 540
for North Carolina DEMLR General Permit No. NCG210000.
Date submitted rip ri I LP
SAMPLE COLLECTION YEAR 0
SAMPLE PERIOD RI Jan -June [] July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water upply ❑SA
©Other G a
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
n No discharge this period?r
Outfall No.
Date Sample ,
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
120 mg/L
100 mg/L or 50 mg/L'
OO 1,
I.sv
1- X L '
„L X X �51Lil
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be re orted in the format, "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
Permit Date: B/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
I —I No discharge this neriod?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT•HEM)
Total Suspended Solids
Benchmarks ===>
15 mg/L
100 mg/L or 50 mg/L'
Footnotes from Part A also apply to this Part B
Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tler 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, Including all No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring perlod
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based an 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.
am aware tha there are significa penalt fo submittin fg� information, including the possibility of fines and imprisonment for knowing violations."
AA
(Signatur of Per ttee) (Dat4)
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 2 of 2

FKA4
�i
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For, guidance on filling out this form; please visit: http;//oor a-1.ncdennore/web/Ir/nodes-stormwater/
Permit Na.-
Facility Name:
County:
Inspector:
Date of Inspection: _
Time of Inspection: _
1/-Vo/ p/ O% or Crertificate of Cover4Ae No.: N/L/CI a/.1./ 0/3/'7/-9/
0
a❑
Total Event Precipitation (inches): 1.50
Phone No. ` a5A - --q3Q 3
Was this a "Representative Storm Event" or "IvleasurR WI Ve-ty) as defined by the permit?
(See information below.) JUL 2 9 2016
Yes ❑ No
CENTRAL FILES
DWR SECTION
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfali. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office. '.
By this siggature, I certify thatplys report is accurate and complete to the best of my knowledge:
(Signature of"Per-Atee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICIGI Z l i l 0/ 0/ 0/ 0/
Facility Name: µhWo,- . Lu-m
County: Ww«2fN
Inspector: C. aft 5
Date of Inspection: �3 ]
Certificate of Coverage No.: N/C/G/A/ 1 / 01311 / 91
—
Pho a No. A5a1- a51 ~ 49 a3
► ►
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature oFNnnittde or Designee)
1. Outfall Description
Outfall No. 001 Structure (pipe, ditch, etc.) T jitk&N
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: AI ar P�t�nC�
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors:
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) /\JOf1Q,
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
(2J 3 4
5 b 7 8 4 10
F�
swu-242-020705
Page l

i
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:
I �
1 t 2} 3 4 5 6 7 8 9 10
3 �
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
I
1 2 0.
4
7! Foam
5 6 7 8
there any foam in the stormwater discharge?
8! Oil Sheen
there an oil sheen in the stormwater discharge?
9! Deposition at Outfall
Yes eo
Yes No
9 10
Is there deposition of material (sediment, etc.) at or immediately below the outfall?
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes No
I
i
r
11. Other Obvious Indicators of Stormwater Pollution
I List and describe
1
Yes No
I
I
E
I
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
f -
i
Page 2
i
S WU-242-020705

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http;//� gczl.ncdenr.org/­web/Ir/npdos-storrnwater/`­
Permit No.: or Certificate of Coverage No.: hoc/QI / I
Facility Name: Y-o l gk m e Y' (gym c-
County: �(o��re r� _ _ Phone No. J .25a - a5'l - yG 2 3
Inspector: - GOLYru C - _ Hay-y- i
Date of Inspection: Le / 3 O Ip l.v
Time of Inspection. P"l', L46 CL!rn
Total Event Precipitation (inches): n 30
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
,7/yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit),
--- ... - ---- ----- -
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior: The 72-hour storm interval.does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office•___..___-....------.------..._____----_.._._.------------------------_
By this sigpature, I certifhl th t h's /report isaccurateand complete to the best of my knowledge:
(Signature o?Permittee or Designee)
Page 1 of 2
5WU-242, Last modified 10/25/2012

vdA TAR
n
10
Q �
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NICK/.,2l_7/ GY D/ D/Q/ or Certificate of Coverage No.: NICIGIQ I t / O/ 3/ 71 �l
Facility Name: q tb1C�_ I-L%mbe r L'pm�CLnV :—D -
County: W&rrer1 Phone N . .9-5a -.25'7 qU3
Inspector: Qy
Date of Inspection: t Cn
By this sign Lure, I certify that this report is accurate and complete to the best of my knowledge:
(Signature p ennitt a or Designee)
I. Outfall Description ,, --ll
Outfall No. d0a Structure (pipe, ditch, etc.) 7bk'+C "1
Receiving Stream:
Described}industrial activities that occur within the outfall drainage area: dl ar 0-02.c
2. Color
Describe the color of the discharge
dark) as descriptors: .Li(�I }�
basic colors (red, brown, blue, etc.) and tint (light, medium,
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) 1 -Drier_
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 D 4 5 6 7 8 9 10
Page I
S W U-242-020705

5.1 Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids:.
I
1 2 3 4 5 6 7 8 9 10
6.1 Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
1 { 2} 3 4 5.-. 6 7 8 9 l ��
7I Foam
I-
ls there any foam in the stormwater discharge`? Yes No
I
8 j Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
i
I
9: Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes N1 0
10, Frosion'at Outfall
I
Is there erosion at or inunediately below the outfall? Yes No
E
1I1. Other Obvious Indicators of Stormwater Pollution
List and describe
I
i •
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
I
E
I
Page 2
SWU-242-020705

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted �- //-Z'
CERTIFICATE OF COVERAGE NO. NCG21 D -,1.— 7 7
FACILITY NAME 4A C'O.44 ��[ difiGi2 Co. -rNC
COUNTY R 2 & 0 it/
PERSON COLLECTING SAMPLES /1,4RQ S'
LABORATORY 014C'E AMALY 7'!CA /_ Lab Cert. # 9aa31f1ye0/
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR &01 �
SAMPLE PERIOD N Jan -June ❑ July -Dec .
or ❑ Mbnthlyl (month)
DISCHARGINGI TO CLASS �ORW ❑HQW [:]Trout❑PNA
RE EI1, D ❑Zero -flows ❑Water Supply []SA
JUN 15 2015 ®Other_C:_ A/S W
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?'
Outf all No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
-
-
120 mg/L
100 mg/L or 50 mg/0
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling, periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Al n,

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall Na.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids',
Benchmarks =__>
-
-
SS mg/L
100 mg/L or 50 mg/L°
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NOEI
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one coon of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitoring period
in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
Permit Date: 8/1/2013-7/31/2018
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2
6

S Semi-annual 'Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted _T //- `i- /
CERTIFICATE OF COVERAGE NO,.pNCG21 D 3 IL E
FACILITY NAME
COUNTY
PERSON COLLE9rING SAMPLES Gtilc�iC. rlit�
LABORATORY Lab Cert. # 91Z'?A/'71764o/
Comments on sample coil ction or analysis:
SAMPLE COLLECTION YEAR o� Q L 7_
SAMPLE PERIOD ❑ Jan -June ® July -Dec .
or ❑ Monthlyl month
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout❑PNA
RECEIVED []Zero -flow ❑Water Supply ❑SA
NOV 0 5 2014 ®Other C : A/S K/
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =-_>
-
-
120 mg/L
100 mg/L or 50 mg/L°
x
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling, periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be resorted in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part a:• VeNcle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?Z
Outfall No.
Date Sample .
Collected)
(mo/dd/yr)
24 hour''rainfall
amount,
3
Inches
Non -polar 08eGby EPA
1664 (SGT-HEM),.
Total Suspended Solids ,
Benchmarks ==_>
_
-
15 mg/IL
100 mg/L or 5o mg/0
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE. BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO []
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail on original and one copy oLthis DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorina period
in the case of "No Discharge" reportsl to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware thap there are sigyriific�nt,pekties`�or submitting false information, including the possibility of fines and imprisonment for knowing violations."
G
Permit Date: 8/1/2013-7/31/2018
/Pg r//
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2
a

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No, NCG210000
Date submitted _ 4 •_ //- 1Y
CERTIFICATE OF COVERAGE No. NCG21_D 1 q
FACILITYNAME 4,e &I/_A .L�mdee
COUNTY
PERSON COLLE ING SAMPLES QAe
LABORATORY eo9k Lab Cert. # 24191e,780d/
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 4_014
SAMPLE PERIOD to San -June ❑ July -Dec .
or ❑ Monthly' (month]
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
Mother �f : A/_Sul
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
-
-
120 mg/L
100 mg/L or 50 mg/L°
M41AjUN
i
CENTRA
, FILES
Monthly sampling (instead of semi-annual) must begin with the second Vo"nsecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling, periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page I of 2

.�. "^h'c'e Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample .
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/0
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier z, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART I] SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMI_R REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR. including all "No Discharae" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that t ere are significant penalLsfor submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2
Permit Date: 8/1/2013-7/31/2018