NCG020097_MONITORING INFO_20190225

STORMWATER DIVISION CODING SHEET �
NCG PERMITS
PERMIT NO.
DOC TYPE
0 HISTORICAL FILE
B'MONITORING REPORTS
DOC DATE
❑ � V) 7 V q� ��
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year _�20 iy- -
'Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH i of each year•
Certificate of Coverage No. NCG02
Facility Name: ,kibus �r/a9rt�A1✓ - _�'t ,4-
County: _4 1,..
Phone Number: (1jq) 6y6 31 y� Total no. of SDOs monitored I l
Certified Laboratory )04 clx Lab # qz7_
Lab #
Stormwater Discharge Outfall (SDO) No. 1W& -n VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Ter 2 for any parameter? Yes ❑ No ❑
Was this outfall ever In Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? RECEIVED
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ FEB 2 5 2019
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑ Ef�!Ti<;��F1i"
Other ❑ R =� -TiOr
Outfall No.
Total
Rainfall,
inches
TSS,
mg1l
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
hrdlcata NO
FLOW fl
Ilcahlo
Circle
13enchnwrk
) Qal�
I] •
Lards
Benchmark
5tJ12511
I
NIA
Water Quality
Standard applies
N/A
Water quality
Standard applies
1 5
'
avoreve ye rpqueTalrua
'TSS and Nan -Wrier
O$G nwnitorin
Date Sample
Collected,ar
• r
,y r
t:a. �
y, rc. R 1 s 3
� i s
+° t
t1
s
- ar'
�... t : fi ti
.w - r
. e �r .
1�4�'� �a. �'g.,
°%
.i... of i. • [
d
d
4z,
v
Permit Date 10/1/2015 — 9130/2020
Last Revised 10-2-2015

r
Certificate of Coverage No. NCG02 j]2HI
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. �. jf!�tw VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Ter 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes. roccived approval from DEMLR to reduce monitoring frcquoncy ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
m111
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/1
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Senchrr,arks
dedlerr° NO
r cow„
a flcabr°
circle
Bmiehnwrk
9 00150
0.1
6enCnmark
mZnm
50I2511 a
NIA
Water Quality ty
Standard appll¢s
NIA
water Quality
Standard applies
15
'�`""equt
averagerequerex
T55 and Neu yotar
G&G monilorm
Date Sample
Collectedmo/,
ddlyr
try; y��//��
Ny
i
r� N
t
V
r
di.�._-r
' 1.�
i1 C '�Y i"Yif lF
4 fV14q 4 A
J' 1- r l�
3.
&V.�
1 12--Aldo
1
i
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 QOIJE
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfa[I? Yes ❑ No ❑
Is this outfall currently In Tior 2 for any parameter? Yes ❑ No ❑
Was this outfall over in Tier 2 during the past year? Yes ❑ No ❑
I} this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yen, onough consocutivo samploa below benchmarks to decrease frequency ❑
Yes, received approval from DEMt_R to reduce monitoring frequency ❑
No, turbidity benchmark oxcocdances did not roquire monthly monitoring ❑
i Other _ ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
U Turbidi
{ } ty
NTU
Downstream
(D)Turbidity, Turbidity,
NTU
Non -polar
Ol&G, mgfl
(VMA),
Now
Motor Oil
Usage
a[Imo.
Watf-jr
+i3c:rrr,irrrrarkS
_
tralM:.w NO
114
11C.4O1n
r:lrrlu
IHmchnurh
100150
0-1
Ord
lir;nrhnL'
50125/10
NIA
VWX.-gur,.,rry
SUndara applies
NIA
Walffrpualily
:itrndard aplAias
15
_
>Sti ralhnu.
rveoqja rm¢nrrg
riSargliue,r-iwlnr
(AG rnoultrlYln
Date Sample
Collected,
rno1dWyr
,
* ?
�sz g;3,
S V,1
^, ;.
:_.
ii
Permit Date 10/1/2015 — 9/30/2020
Last Revisod 10-2-2015

Certificate of Coverage No. NCG02 ❑O ❑D ®©
CERTIFICATION
I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons -who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the nest of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.22]
Signature
Date 21 m r1l 9
T�
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C.' Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year zo 1 f
[:Report ALL WASTEWATER monitoring data on this form (include "No Flow"Mo Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: Z
County: I _,✓ G r Ate✓
Phone Number: (jrAr ) LI?rk- 3f,14 Total no. ofoutfalls monitored X-
Certified Laboratory KWeit _ Lab # !L n -
Lab #
Wastewater (WW) Discharge Outfall No. eL
Is this an industrial sand mine (See 40 CFR W6 Subpart D)?
Yes ❑
No
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No
If so, what is the 7010 flow rate? or Tidally influenced
waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No R1
Were there any limit violations in the calendar year?
Yes ❑
No M
;;
Outfall'No J
Daily Fiow'
pH,
'TSS- ,
-SS,
IDlidbarge
UpstreamR
Downstream
°.Coliform,
tRate, cfs'
StJ
;•mgll.
mlll
Turbidity,
(U) Turbidity,
(D);Turbidity,
`coll100<rnl
"NTU'
NTU�
SA
_
-
Industrial Sand
Effluent
NOW or oaw
50% of
freshwater
6.0-9.0
25145
HOW, ORw,
No Limit
NIA
NIA
Limitations
7010
st,r
Now orORW
20/30
SA,sa,PN0.
or any Trout
Circle Water
es
taardW
Water Quality
N/A
6.8-8.5
0.1/0.2
Quality saard
snda
Standard applies
NQworoaw
that applies:
Mo. Are ! Dalty Max.
Indicate NO FLOW
i g Tr or PNA
50/25/10
Naaprlcabia
10/15
Oate SampleF
sl' b
7 . 7
Alio
Ale
3-7
_112 fIJ6 V
I ape i kPOA
7r
1�r
too., IPA
7..f
Ally
2.0
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ . No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No ❑
outfall_No: .
Daily Flgw
at cfs '
...
p H
SU
�..
TS S
mglh,
SS,
m111
rr.avneera
schar ;
Dr ge
Turbidrty a
NTU � .,;
Upstre '-
. am
,(U] Turbidity,(D)
... _ ...AT U -`
wn r m
Do st ea
Turbitlrty,
NTU.A�
Fecal"
,Coliform,
col!'100 mf
Effluent
Limitations
me. Ave t Daily Max.
HOW or ORW
50a�, of
7Q10
Ondlcate NO FLOW
it applicable
freshwater
6.0-9-0
saltwater
6.8`8.5
tndustrlal Sand
25145
HOW orORW
20130
Haw or oRw
ad Tr or PHA
10/15
HOW, alxw,
SA. Sa,PKA,
Or any
0.1 /0.2
No Limit
ot;ii ty Water ,O
that applies:
50/25/10
NIA
standard applies
NIA
Standa:� Quality
NIA
;Datd Sample
.,.Collected;
r. _,mo/dd/ r,.
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.22]
Signature
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2018
`Report ALL STORMWATER monitoring data on this form (include "No FlovV'T'No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG020123
Facility Name: Martin Marietta Materials, Inc. - Benson Quarry
County: Johnston
Phone Number [phone] Total no. of SDO's monitored 0
Certified Laboratory Pace Analytical Lab # 12
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes No X
Is this outfall currently in Tier 2 for any parameter? Yes No X
Was this outfall ever in Tier 2 during the past year? Yes No X
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, received approval from DEMLR to reduce monitoring frequency
No, turbidity benchmark exceedances did not require monthly monitoring
Other
Outfall No.
-----------
Total
Rainfall,
inches
T55 :;
mgll '
SS,
"mill
Turbidity,
NTU `
Upstream
(U) Turbidity;
NTU -
Downstream
(D) Turbidity
NTU
_
Nora'=polar
O&G, mgll
VMA(gal/Mo.)
New
'Motor Oil
Usage
Stormwater
Benchmarks
Ind NO
FLOW if
a licaale
benchmark
Bencrclehmark
100 50
0.1
circle
Benchmark
�25110
NA
Waler Quality
Standard a lies
NA
water Quality
Standard a lies
1 5
>6be Tequi
average requires
T55 and Non -polar
O&G monitoring
Date Sample
Collected,
molddlyr
RECE
tU
Cl n nn
No Observed Discharge in 2018
i Ci
i /+ �� iu
CEN'
'RAL FILES
Uvvi
; 'SLU I lui'-1
Permit Date 1011t2015 - 9/30/2020
Last Revised 101212015

Certificate of Coverage No. NCG020123
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather
and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violation."
(Required by 40 CFR § 122.22] _
Signature
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR ( not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 - 9/30/2020
Last Revised 101212015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar YearB Z __
`Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No Discharge" and Benchinark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: 24kr
County, ,,),oec't.,v,
Phone Number. ( f2jr ) to 110 - 3 Ty 4 Total no. of SDOs monitored ;z
Certified Laboratory e)M Lab # qe
ti
Lab #
Stormwater Discharge Outfall (SDO) No. A d fK VMA Outfall? Yes V1 No ❑
Is this outfall currently in Tier 2 for any' parameter? Yes ❑ No
Was this outfali ever in Ter 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued??�'`G! `' �]
Yes, enough consecutive samples below benchmartcs to decrease frequency ❑• R G v G l " E
Yes, received approval from DEMLR to reduce monitoring frequency ❑ JAN 2 4: NIB
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑ CEN l t�At_ FILES
uAm T ON
Outfali No.
Total
Rainfall,
inches
TSS
mgll
SS
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
urditaro NO
FLOW if
a Ucahlo
Circl°
8onchrnari<
0 50
J
.f
0. 1
nchniCircle
k3anchmar7,
V
gW25i1 0
NIA
avatar Qu+lit1y
Standnrtl app{!rts
NIA
tauter Quality
Standard appliaa
4.5
1 J
y55gaUrna,
avarayo tapulras
YS5 and Nokoring r
06G nronitorin
Date Sample
Collected
molddl ��*Z�
,I
W0.1
1 4*.
r
'C04it
31'
o
Permit Date 10/1/2015 — 9/30/2020
Lost Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Ter 2 daring the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consocutivo samples below benchmarks to decroase frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity bonchmark oxceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
r
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/1
(VMA)
New
Motor Oil
Usage
gal/Mo.)
Starmwater
Benchmarks
IndlGatp NO
F`p"' `'
a IkaAld
circle
Benghrnark
100/50
0.1
Circle
!!¢nchmarL
50/25M 0
NIA
water Ouaflry
Standard applies
NIA
water Quality
Standard applies
15
I55paUmn.
average requiros
TSs and Non polar
OdG m nitOnn
Date Sample
Collected,3:,�
molddlyr
'- , 4-. i` ��
i 4 r�y
s,. 13:;t
r xf
r, ' f
x �Ailnr�rt
,�.; �, x .. :,.
y��kp.
a ��at��,
�; tf n
i
� % �
1S4rF��4t ijkx
Permit Date 1019/2015 — 9130/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year .207
'Report ALL STORMWATER monitoring data on this form (include "No Flow"1"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: I A!Kr A&wsjt4Ae Rv#&PeAD1 _
County: I lAl,-- pb;,L.,
Phone Number: ( lay ) Afk, syqt1 Total no. of SDOs monitored o2
Certified Laboratory mici Late # qo
Lab #
Stormwater Discharge Outfall (SDO) No. S. rd.-re VMA Outfall? Yes ❑ No 51
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring. discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑•
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS
mg/1
SS
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmor
Stormwater
Benchmarks
indicate NO
rtowif
a lirabla
c'r`l°
B°nchtnark
100150
0.1
6°ncNmark
Benchmark
50125/10
NIA
water Duality
Standard applies
NIA
water la ality
Standard applies
15
>55eaUmn.
arerape reQVl FYa
TSS and Non -,Aar
t)aG rnonitortn
Date SampleW
Collected, molddl r
s&�
r
I�'a.
�r. <;
`
7
49
S
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity bonchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Nan -polar
O$G, mgfl
(VMA)
New
Motor Oil
Usage
a[lmo.
Stormwater
Benchmarks
frrUfCafe NO
FLOW it
a ikable
C1hm
Benchmark
100/50
0,1
Circle
Benchmark
50/25/10
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
15
>5Se FegiUr,
aValra{,o reQlRr69
r5S and NonixAar
monttonn
Date Sample
Collected.ai
molddlyr
I T.frG:r
p�itiq*
>>a rr47 t�.Ykti�.v
6AY{✓3
i'1-8�iti
%�
a
T�
f1
2 .ire lu�a riP�
LFt J 1 �l
r iftFx
11Yx If�f Sr
Y5;
cF�jf(�{L 9.
iyPt S
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [E[j1®©
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR § 122.22]
Signature
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011 /2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR-STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
'Calendar Year z o 1 c
'Report ALL STORMWATER monitoring data on this form (include "No Flow"rNo Discharge" .and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH, of each �1^;�/"}
Certificate of Coverage No. NCG02 DOOM
Facility Name: kAk f 11,04g "* l V — CENTRAL FILES
�}--" � t .. , �FCTIONCN
County: _IjAlto, .. --
Phone Number Qg } Total no. of SDOs monitored
Certified Laboratory Lab # _mod
Lab #
Stormwater Discharge Outfall (SDO) No. S. rmy V1VIA Outfall? Yes ❑ No
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in -Ter 2 during the;past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfaii No
Y°S i, rrb
'Total
�£' s�
Rainfall;
r. •
Q TSS;
ifi0; a
'ASS,
rntll
Turi�id� ,s
,.,k ty '
.. >..�
Upstream"'
gTurbidi :
[U} ty
NTUr
"DownstreamY
•.
`(D} `Turbidity�
" 3,(NTIJb �
�08�G,7mg11�
New
Moior,0il
Usage
ailmo.
Stormwater
Benchmarks
L�dM.,. No
Ftowu
i;'r<le.,
1,amh„ ark
100150
0.1
""'°
50/25/10
NIA
staatffrQuamly
tandard ap0i ft
NIA
Water
Standare+wK�
15
'�°"""°
`arerape regwree
lar
TO& �„itoring
DataSampie
4
a:Coliected
5
q 3
Permit Date 10/1/2015 — 9I30f2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA'Outfdll? Yes [] No ❑
Is this outfall currently in Tler 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedanc es did not require monthly monitoring ❑
Other ❑
_ '
`�Outfall No: `�
�.-inchres�
3Total
"Rainfall'
7 w y i
' TS5►
i'' �_'�
�,mgll>
��2�
` ' '`
4'�
' SS''i
:mll! ro E
z Turbidity,'
Upstream ,
' UTrbrtlr ' ;
() ty
NTU
,..NIA E..
'Downsiream
y(D)Turbldrty„
,N-��
tf
Non oiar
p,.
�O�G;nr9��
f, , New
` ,
r;Motor�0i1
i Usa e
Stor"mwater
Benchmarks
,,w,
�0;;�_
-
100150
0.1
BWKh a
50/25/10
s a"Ay"...15
N/A ,
.
maw ,.qW,a,..;
Nanimlar
TAG °e"°,,
Da#e5ampie
Permit Date 10/112015 -- 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [0 0®©
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
]Required by 40 CFR §122.22]
Signature
Date 2 J is I
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised'? 0-2-2015

-i
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year v 16
Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
FEB 2 3 2011
Facility Name: _ 44 W;Z iy/ort aml- c llArmK l ..� . .
—L-0193 rVAL r-ILES
County: 1,A✓ -- DWR SECTION
Phone Number: (1x7 ) .irk- Styli Total no. of SDOs monitored
Certified Laboratory t°AGr Lab # 4 L
Lab #
Stormwater Discharge Outfall (SDO) No. goo o, VMA Outfall? Yes ® No ❑
Is this outfall currently In Tierl for any parameter? Yes 0` No 91
Was this outfall ever lnr Tier 2 during the,past year? Yes ❑ No Rl'
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfa[I No
44 ,ri aRainfall;';'rrt`gll,
Total ;
}k inches.
TSS,
-
S3,
mill
,-
TurbidEtyr,
-Upstream, -'
`{U) Turb�drty
NTU3NTUfzO&G,ingfl�,
Downstream',
{©) Tdrbldit
,x. Ta'r,4I
r
,Non polar
f{VMA)
.. �Nevr�
Motor Oil
;Usage
pia ailmo:
Stormwater
Benchmarks
hi(f�f.3iO ilio
FC°"
,a
����'..
Q rk
50
0.1
Circle
134 =hmarr
25/10
WA
ab
SU rd applies
NIA
WaW �li
Standard applies
.15
>sspau�,w:
iYBfipB frgLL{fOf
Taolar
O&G�tafft
�Date'�Sample`�
�;:g,:Col lected
q
! 3 .'t
rI t
2 "I . o
Permit Date 10/.1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of. Coverage No. NCG02 ❑0C�❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall ($DO) No. - VMA Outfall? Yes ❑ No ❑
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedanees did not require monthly monitoring ❑
Other ❑
f
OutfalltNo: +
;
Natal
` Rainiai),M
.;inchesr
,,'
<
,
M ;
i tsS ,.
5Upstream
l Turliidlty,i
NTU
" ' M
;{U) €Turbidity,
NTU rciNTU'''
; Downstream.
'" "'"
{D)aTurbidity„
4 A.t=,. G'
`ya r
Non alar
, P1Motor4Oil"
OSG,rrngll
�.A)Na
y
s' New
'�
Usage
'allmo.
Stormwater
Benchmarks
hMicsta NO
F`°„ _
8 �hMM*
100150
0.1
c�
50/25l10
NIA
sty ..
NIA • •
. s ,hmity�iu K
,
:., 16
'55 s'b'"O
ern. MgWr"
rO&G w Mon-paar
�DaeSatriltpie�
(Collected,
...
W.
i
Permit Date 10!1112015 — 9/30/2020
Last Revised 10-2-2015
L

,J
Certificate of Coverage No. NCG02 02 F7
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.221
Signature
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY➢AMR - STORMWATER RECEIVED
SEND TO CENTRAL OFFICE * FEB 16 2015
STORMWA TER DISCHARGE OUTFALLS (SDO) CENTRAL FILES
GENERAL PERMIT NO. NCG020000 DWR SECTION
*Report ALL STORMIVATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH ) of each year.
CERTIFICATE OF COVERAGE NO. NCG02 O o q 7
FACILITY NAME: )-4K)` w, fA41 41494V _
PERSON COLLECTING SAIIIPLES Sri•Vr' ✓ .4 ;)S
CERTIFIED LABORATORY JOAUZ- Lab # N.p
Lab #
Part A: Stormwater Monitorin2 Reaulrentents
SAMPLE COLLECTION YEAR: _ �;zp ) y
COUNTY L-li✓G 4Af _
PIIONENO. g _4ft- 3$y41
ADD TO LISTSERVE? YES ❑ NO ❑ EI%IAIL:
t�
'Outfall
No., ,
Date Sample
Collected-•
-(in6ldd/ r,OR_
Y
NO FLOVI)t
In Tier 2
;Monthly
_Monitortn ?-
g
(y/n)
o, s>
=# of M' nths ln°
TI 2
- Z ,
Sampling
�~
Total )Flow
- (MG): '
„ a.
Total Sttspended�
Solids;
{mg/l);
..,.:...
Turbidity
-(NTU)-
,;h..;
, -
Settleable
"Solid-(tnlll)-
-
- Total
Ralntall.
(in).
-Event
Duration-.,
(intnutes}-
SeelFootriote-
0:1
`
J10{0
1 J,
{
Y I
o
2 ZS
3
+
Al
/V'
f.
V
'If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
2 Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
TSS benchmark values are 100 mg/I except in ORW. HWQ, trout, and PNA waters where they are 50 mg/l.
`The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters: 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: 1 I112010-12/31 /2014 Last Revised 0 1 -21 -1 l
Page l of 2

Part B: Vehicle Maintenance Activity Monitoring Re uirements for facilities using > 55 gal of new motor oil/month on average
Outftilli
No:'
Date ample
' eC611&tedo
`'' i3,
t (mo/dd/yr OR
In Tier 2' �;
a r
, Monthl -_.--
y"
•%
Momtortng j
�,
j.# of Months'.
h 4,
a,_.- Tter'2,:-+
2.,
r Samphitg.
`:, `
,New Motor.'
:.
Oii Usage,-
. ' •
>iflmonth
Total Flow;
(MG)
,
TPH usr» methotl:.
R
1bG4ftSGT HEM
i
m 1
u...,;. r
-Total Sus ended
p. # _.
Soiids
• ,
m r ._
r 7
t= II;
r P..
(Standard'
iJnits
Totall,-
r
..'•Rainfalls
i:
in + _:
+ z
~Event ,.
Durations=
minutes_
-s r
v3r +I19fd
d
,v
IIAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
AT ANY ONE-OUTFALL (INCLUDING VEIIICLE MAINTENANCE)? YES ❑NOR '
IIAVE YOU CONTACTED THE REGION? YES ❑ NO
WIIO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL. ORIGINAL AND ONE COPY OF THIS ANNUAL SUA'IAIARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORAIATIONREPORTF_D:
"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."
(Sign atureof •Permittee)
Permit Date: I/l/2010-12/31/2014
j 1
(Date
Last Revised 0 1 -2 1 -11
Page 2 oF2