NCG020285_MONITORING INFO_20150706

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGUL OC-1
DOC TYPE
D
O10{llt'glnuls
DOC DATE
❑�I� U
YYYY M M D D

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DIVIR)
Calendar Year o /5 + 'h 1
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or e',>
Certificate of Coverage (COC) No. NCGU Z❑M❑2 ®0 �41'""'
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPk?P
C 1 � a v w � fe � 62n t' �►e `9
Facility Name:
County: Po
Phone Number: (7 U ) Z y r Total no. of SDOs monitored y�tie?y�
Outfall No. 1
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ Noe
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑
Parameter, (units)
Total
Rainfall,
inches
Benchmark N/A
Date Sample
Collected,
mmlddlyy
SW U-2B4-Generic-13 Dec2012

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 imprisonmept for knowing violations."
Signature
Date f S
For questions, contact your local Regional Office:
DWq Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
°To praserwe, profecf
t Jt 111�L and enhance
North Carolinas wafer..."
SWU-264-Generic-I3 Dec2012

A717
MCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance oa filling out this form, please visit: httn: //portal.ncdennorg/web jr/npdes-storm, water/
Permit No.: N/C/�a/ Z/J/ or Certificate of Coverage No.: N/C/G/-?/2-,621AZ 151
Facility Name: berg Ir —,r-t+e�a--
County: I?AWa �- Phong No. 70 `i s; 3G z V /
Inspector: �"f:;se rt60 , 40 _ -
Date of Inspection:
Time of Inspection:
yj �I 5CI� s4 46 t f L Zo/S
Total Event Precipitation (inches):
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 AZI
event" or "measureable storm event" (requirements vary,
�d dui m3.9 "reb're,sehative storm
r �.
Emir on the P? mp ,
Qualitative monitoring requirements vary. Most permits requires OW)$Abve monitoring to be
performed during a "representative storm event" or during a "measA kstorm event." However,
some permits do not have this requirement. Please refer to these defini 10
of 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 sidoature, I cqf tify that this
(Signature of Permittee or Designee)
rt is 4ccurate and complete to the best of my knowledge:
SWU-242, Last inodi&ed 7/31/2013
Page 1 of 2

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: b=:/LW=I.udenr.org/weblir/nodes-stormwater/
Permit No.: N/C/_/_/_ / /�/�/ or C tificate of Coverage No
Facility Name;, ���' y �►'�(1v�f3 -rh_c
County: vv (G n
Inspector: �5-te, A Z a, e-
Date of Inspection: 7 1
Time of Inspection: (-prh
Phone No. C %0y
i(ae �, -
Total Event Precipitation (inches):
s!� •' ►
Was this a "Representative Storm Event" or "Measureable Storm Event' as.defineN$he pe% t�?`
(See /infmation below.) .
bs
,���,; 'y�,'�►
Yes ❑ No
y� O�
Please verify whether Qualitative Monitoring must be performed during a "representatii rm
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 signature, I certify that this„report �s accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. l Structure (pipe, ditch, etc.)
Receiving Stream: ! O w in C /Lee 4. � T
Describe the industrial activities that occur ithin the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: h, ^ ,-') '-
3. Odor: Describe any distinct odors
weak chlorine odor, etc.): Pe-'—�
the discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 4 5
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:
0 2 3 4 5
6. 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-
1 CJ 3 4 5
7. Is there any foam in the stormwater discharge? Yes oNo'
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10, Other Obvious Indicators of Stormwater Pollution:
List and describe no
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 7/31/2013

F R DISCHARGE OUTFALL DOi`5'
STORMWATE 4 ,
-ANNUAL SUMMARY DATA MONITORING REP RT (DIVIN'
Calendar Year ✓ ° 1�9Fs�
General Permit No. NOW 60000
Certificate of Coverage No. NCG 02 95
4`%►,�h
This mortitorirtg report summary is due to the DWG? Regional of#ioe no than 30 days iro date
the facflity receives laboratory- sampling mwits from the final sample of calendar year
r�cil'ity Name. C L FA k-w. ATE 6e--'7'`AYt UI2 ` CLAY 1& O U0-s r;
County. 0 w �r 3
Pone Number. =7036 - -e `/f l _ Total no. 01 SDOs monitored pj
outfall into.
1s;this outfail currently in Tier 2 (monitored monthly)? Yes ❑ No (�!J
Wps this ouffall ever In Tier 2 (monitored monthly) during the past year? Yes ❑ No
o
If this outfall was in Tier 2 last year, why was monthly monitoring discontin ?
Enough conserve samples Mow benchmarks to decrease frequency ❑
t
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
=� 00530
00400
:Vehicle
Maintenance
Activities
New Motor Oil
usage
Total{Raitriall;
gnumohm
outiail
TM ft&
Niches
._
' Benchmark:
WA
1ta0
-
WA
4
- -
DWO ftm& co
- s-
AM
k
- C
—
sl
i
MARV
YY
F
�
9
C
Y
X
1_ast RevrsW 7-1-2M0

5t I
1 �
1 V
1

PROCESSIMINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
11 Please Mail Original And One Qppy To Mailing Address Below 11
GENERAL PE% NO. NC 020000
Part A: Facility Information Qkr�
a _ Q y•`' x =� Z41y
Samples Collected In Quarter: 1 4 Il samples shall be reported da A to onitoring period
all,) � s
Certificate Of Coverage No, t�Y ' 2 [`) �' 0��� c1 unty of Facility IeULtrC!►"s _
Facility Name C I ed Y. kr cl ►- �4T f = -� ame of Laboratory _ _ g r ': k _ hs_
Facility Contact �,� ,eU 0- *n f a nd' m t E t✓ 4 J Lab Certification #
Facility Contact Phone No. cma_Lw
�r
Pm•t 8: Process Wastewater and Mine Dewatering Wastewater Monitoring Requiretneq�op if
Qu.tfal���
1, M 1teCl:iviog'SttCRhl
Nu�n6lci;
•.. I � .I S I.A ,
Nntne ,'� r,
S• l.: .L :I ,..}irl.v,ii•:-:'l}}'i
�I:���1i}r,.rslii��fl�%d'I•�
15am�ll''alttected;;>F:
r:i1:�T%r:(tOi
'y ,vr I
r13;M{,i:litoSvls�,IpHr
5�.�}I.�:�{b
1�
`r'.
�';!',otal5>aspeudail;5ollds �.:'l;µr.�
tr::.l.:'. JS'.
:}::pl�;'�IQ
di �,I
7} 1:{,�INIn I
f. I
I'^�' ., \.�` i 'f•'
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3
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. •yI,iI ir . -(Ij- -
rn y.II :r �: .:u.{.]I Ii r I rti1 .J
I ! ..�f.� "<,. I��+rm.r.lr�ar h..•-fd'rrr :t._:Ir. rIHI` �F:'1I-1�1rVr'1I�,,tt.;
� �1�F3 ��Uyii'i7il�lr��i?,-I�th�.�I'�t�
11kF;iuStljitt.r�I
-I • s Ir:{ y.i{Il,.vr:i°k. Ps:.....r;.
i��• ':I Yrl �,{.
^k F ��•�ryM�+l
Mr,: -�k� �•3U.�1 �nle
ti4 +5r�d t
t
IiuM�r{�4+mVi�,..l L -. I,
//� /�;„�}'�.
LA
I Measured continuously using allow meamring device or estimated using manufacturer's pump curves and pump logs,
Part C: Certification
"] 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 ray 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, If am aware that there are significant pe altles for submitting false information,
including the possibility of fines and imprisonment for knowing violation "
/y
(Signature of Permittee) (Date)
Par( D: Mailing Address
Attn: Central Files, DCNR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
# 1V � D►rrMA�esE sEuw KA IF tatl;�! 4&=W-
SWU-244-012005

� SRO
gNN0A
G e/ �•, Sc��`�C/
Stormwater Discharge ®utfall (SD®)%,
Qualitative Monitoring Report �`' '� �•r �S
U
For guidance on filling out'this form, please visit: htt! :/lh2o..er.state.nc.us/su/Forms Documents.htm#mj
Permit No.: N/C/ or Certificate of Coverage No.: N1CIGl_?IO]�I,�11
Facility Name:. C 1 e t i Vw r M ;,Il e
County: 20zc et 1-% _ Phone No. 70 Y -3 20 U �13 7
Inspector: I
Date of Inspection:
Time of Inspection:
V t9- +-, R (rr, n Lc e
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) Q Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfail Description:
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfail drainage area:
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.):
Page 1 of 2
SVAI-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
l 2 3 4 5
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 2 3 4 5
6. 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-
1 2 3 4- 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Storrnwater Pollution:
List and describe
V'- V' 1 LL i' % r1 1 C 4-j %l T
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- l l 2608

t .
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2e.enr.stati.nc.us/su/Forms Documents. htm#mi scforms
Permit No.: NICI I_I 1 I I 1 or Certificate of Coverage No.: NICIGI ' /7l 0l UI 6�181
Facility Name: Jay1ar CjaJ .Producf-,� Pla-tf , i; Ie
County:
Inspector:
Date of Inspection:
t'a
,.,4eetibe
La t `f
No. 0`- ZO-d 3"7
r
Time of Inspection: 1 U: UO 6r'`
Total Event Precipitation (inches): 0,30
Was this a Representative Storm Event? (See information below) 2Y s ❑ No
Please check your permit to verify if Qualitative Monitoring must be per fonned during a representative
storm event (requirements vary).
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. -
By this signature, I certify that tbi&repoq is acculate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. �^ Structure (pipe, ditch, etc.) ;
Receiving Stream: jQ w ►n r 4
Describe the industrial activities that occur within the outfall drainage area: c C
kjc► r
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: i 1 u
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weals
chlorine odor, etc.):
Page 1 of 2
5 WU-242-112608

4. Clarity: Choose the number wWch best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
] 20 3 4 j
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:
D, 2 3 4 5
6. Suspended'Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
l 0 3 4- 5
7. Is there any €oaten in the stormwater discharge? - Yes 0
8. Is there an oil sheen in the.stormwater discharge? Yes 0Nq
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe A o'l e ---_ - -70 (y G) r ') e"C st V) YJ C Mt C (-% _
n cq se-7 5 C LAn
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU 242-! 12608

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility h for•rnation
Samples Collected In Calendar Yea
Certificate Of Coverage No.
Facility Name
Facility Contact
Facility Contact Phone No,
Part B: Land Disturbance and Process Area Monitoriniz Requirements
reported within 30 days following monitoring period)
County of Facility
Name of Laboratory
tj014> ✓ Lab Certification #
Outfa11.1
No...:
Receiving Stream
Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity.
Settleable
Solids
molddl r
MG
mg/1
NTUs
mill
r
CSC
!sfi hct ,F Zoe
Part D: Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours):
Pan E: Certification
Part C: Vehicle Maintenance MD itoring Re uir•ements
Aatei,•;
. 50ii50`'
;.;OgS56,:.
00530
0044D.,
Oulfall
Receiving Stream:.
Sample `
Total
Old and
Total .,
No.
Name
Collecte
=Flavin
Grease
Suspended
plE
.
Solids,<
moldd/ r'
„MG .
rite 1
m I'
unit
ninefr+
.t rtii= i i]P
tl ►:�R.11l IRi
:YC
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sarnpled)
nail QUALITY SECT01
, , a i— "' -` •''"
JUL 7 2014
UL.. --., U,-,,,1i1UN1ViEN'i
AND NATURAL RESOURCES
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordancc 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 ther are significant penalties fo submit ' g false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date) 7
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
5W U-243-012005

r"
�r ..SSNtd
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling orcf this form, please visit: hgRJ/h2Q.enr_state_nc.us/su/Forms Documents.htm#rniscforms
Permit No.: NICI l�l_l 1 I / I or Certificate of Coverage No.: N/GG/QI%IQ/Ul�l l
Facility Name: a / P-a--dvc--f3 x4i c -
County: Kf?wO - Phone No.
Inspector. 6 0Y k)ary S . r rT
rr
Date of Inspection: ��1-�Y� 1 20- t z o I y R r
Time of Inspection: _ �_ �(� P.M -
Total
Total Event Precipitation (inches): 6.60
- r.a
Was this a Representative Storm Event? (See_information below) C/Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must he performed during a represen}dtive
storm event (requirements vary).
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.
By this signaturep c r*tthat this rcport)s acculate and complete to the best of my knowledge:
(Signature, of Permittee or Designee)
I. _ Outfall Description:
Outfall No. I Structure (pipe, ditch, etc.) -Q
Receiving Stream:. To ,-j-x C p-,P-a 4
Describe the industrial activities that
within the outfall drainage area:
r-11 f_
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:. ]t3l h
3. Odor: Describe any
chlorine odor, etc.):
odors that the discharge may have (i.e., smells strongly of oil; weak.
Page 1 of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: C2)! 3 4 S. "
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:
i
0 2 3 4 5
6. Suspended'Solids: Choose the number which best describes the amount of suspended solids in
1—n Watur'AISUWdrge, where 1 is no solids and 5 is extremely muddy:
1 ( 2] 3 1 4 5
7. Is there any foam in the stormwater discharge?
I!— Mr. `ii yit_rn in Uie s{ormwater discharge, LG,i iv`V
i. L7 HiVi�. V Tluaruw Vt �a w...a• us vrw..l...a .: - -_ _ __
List and describe -- 'k-e rs !
.�L� �.%h- �... �IJa S ��a ti r v e � s •a ns ,
___.-•__-•; �C: �-_ M�f ia�tAYfT nr11l,C1TTA- ! T,PSN l:f,lllr711111f\ WA11 i111I. 1UA Ll2G1 111VG.Zti>;¢11VL.
i
it age 2 Ji 2
QWLT-242-112M