NCG020285_MONITORING INFO_20190718

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGO&OA0385-
DOC TYPE
p�
Mon�orns rf vr�S
DOC DATE
❑ a Df 9 0-0 19
YYYY M M D D

STORMWATER DISCHARGE MONITORING REPORT (I)MR)
II Please Mail Original And One Copy To Mailing Address Below I
GENERAL PERMIT NO. NCG020000
Part A: Facility information
S CE rV D
Samples Collected In Calendar Year: ZCo_��io-- gall sn"Ipler shall be kvportcd wlth1n 30 stays following amnitcring UcLrlaV 2019
Certificate Of Coverage No. NCG02 a 2Fs5, County of Facility CENT 0""`�
Facility Name CC._F A-k 1­4dT-Lg Yn it, F Name of Laboratoo" SE
Facility Contact � ��42�tn F3 Cci n��_ ,Gr r Lab Certification it
Facility Contact Phone No. V -9 7
Parr B: Land Disturbance and Process Area 1lMonitorinz Reap irements
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Part D: Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours):
Part E: Certification
Fart C. Vehicle Maintenance Afonitoting Re uirernents
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c�'f '• •ty..
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i'
» 11 r')�1�_
Total Event Precipitation (inches): T
Event Duration (hours):
(if a separate storm event is sampled)
"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 thyre are significant penalties for submitting false information,
Including the possibility of fines and Imprisonment for knowing violations."
m
(Signature of Permittee) (Date
Part F: Mailing Andress
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
swU•

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar Year: Za( (all samples shall be reported within 34 days following monitoring period)
Certificate Of Coverage No. NCG02 0 Z 9' S County of Facility
Facility Name M eN Name of Laboratory
Facility Contact 57 r V E ri ac A I ik c t,) 9 Ercf_ R Lab Certification #
Facility Contact Phone No. (2b V, 3�fr 6Vj-7
FD
JUL 13 2018
CENTNAL FILES
DWR SECTION
✓20u/A-N
Part B: Land Disturbance and Process Area Mon itorine Requirements Part C: Vehicle Maintenance Mo itoring Re uirements
Ov f
t alt
No.
Receiving.Streasn
Naitxe°'
Ilte
'SO4S0
0,@b'
I
Sample
i GSRRlieeter�
'rP�"��_..'
''I.
r :Total' I„
coral
ende S
,Tur td�
(t �ttleble
.; P�:,
�,�A � l•,
M (I M r " /A1 A-CTI V C"
Pant D: Storm Event Characteristics_
Total Event Precipitation (inches):
Event Duration (hours):
Part E: Certification
R; telvin sea
aM €:
f�a�ss
a ;,I:rr 4 E,,r
r €': To(ul
-�'.r
'.'3iio
� + k F
�
�iXts�S
pla
r x ;�( .d f :�" i•,:�'n,
rr.�• �;,.'A��
iAA4s
,i
;ti@
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"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 gapering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that theite are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violatious."
4*:7� &U 711 C/)/ , F
(Signature of Permittee)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
(Date)
clan r_,)ni _n 1 )nnc

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
DWR SECTION GENERAL PERMIT NO. NCG020000
Part A: Facility Information INFOR14ATION PROCESSING MR
Samples Collected In Calendar Year:
Certificate Of Coverage No.
Facility Name
Facility Contact
Facility Contact Phone No.
Z O 17 (all samples shall be reported within 30 days following monitoring period)
NCG02_U Z R-S County of Facility
CLEii-t2w_hT1,e M11vf Name of Laboratory
STF_ (JF_ g� �n�cc E,vf3Eur'� Lab Certification !i
(70V) -U
Part B: Land Disturbance and Process Area Monitoring Requirements
Outfall ' :
No....
Receiving Stream
Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbidity
Settleable
Solids
"-
moldd! r
MG
mg/1
NTUs
mul
Part D: Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours):
Part E: Certification
p "f eey.
(V �TI - i2 T1=—C/-ClLSO
Part C: Vehicle Maintenance Monitoring Requirements
Date ;'
50050
1055.'.
00534
00400.,
l7utfall
Receiving Stream
Sample '
Ti►tal
0i1 and
::. Total
Name
Collecte
I
'Grease "
Suspended
-.pl
No.
Fines ;,,
Solldss':
molddl rk
..`MG.. ,
m 11
m 1°
` unit
/Uo leis Cff /qr�aEf
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"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 tha there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations "
(Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-243-012005

STORMWATER DISCHARGE OUTFALL (SDO)
'ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year 2-0-7
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG©❑Z 0©MI
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: C (- W 4 Tf
County: w
Phone Number: ( 7061 )_ 3 ? 0 -_G,f �7 Total no. of SDOs monitored
Outfall No. I
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
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
Date Sample
Collected
mmidd!YY
N/A
.� •+'kS ; �r. ". �. - �`ii
y' . k' Pfif�d'„♦p�,�.F WAy.T;
,..,i�7�'F ��x,'
�'�,,'M�'^�'
:
j" ,
y
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

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 poss)bility of fines and imprisonment for knowing violations."
Signature
Date l 2 / 2- // 1
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 OF]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FAVETTEVILLE•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]
76 preserve, protect
and enhance
North Carolina's water._."
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCfv Q2 O Z!� �T SAMPLES COLLECTED DURING CALENDAR YEAR: W / 7
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME C h K UJA-7 15 r, Al JfJ E COUNTY _ --_ 10 W P(- A.3
PERSON COLLECTING SAMPLE(S) S even ate► K6 PHONE NO. ( joy) - ;Lo 0 Y 3 7
CERTIFIED LABORATORY(S) _ l>J �k_ TC n�C i_* Lab #—
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
f�
Part A: Specific Monitoring Requirements No A JZ G & S REQUIRED ON PAGE 2.I
Outfall
No.
:i
a;
Sample
Collected
I Total
Flow (if-app.)
_■
„
1
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes —no
(if yes, complete PartB) � ro P j 5C H /1-(26 r,s ' 1-f 1 L ALF W' 7
Part R: Vehicle Maintenance Activity Mnnitorino Rennirementc
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
MgA
m l
unit
allmo
Form SWU-247, last revised 21212012
Page 1 of 2

f; STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: 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. I am aware that there are significant penalties for submitting false information,
including he possibility of fines and impris nment for knowing violations."
U0 , D
(Signature of Permittee) (Dat ) 4
Form SWU-247, last revised 212120I2
Page 2 of 2

STORMWATER DISCI -LARGE MONITORING REPORT (DMR)
F- Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Parr I!: Faciliry Infonnalion
Samples Collected In Calendar Year: (all samples shall be reported within 30 days follo+ving niunlloring period)
Certificate Of Coverage No. NCG42 0'2 $:5 County of Facility
Facility Name CI eay'w a•1•e r M ;O Q- Name of Laboratory
Facility Contact S-feVo f31c,.�4e�6-e4La - Lab Cerlification 9
Facility Contact Phone No. (10�( )_ 3Lv- o y j -
Part B: Land Disturbance and Procevs Area Monitoring Requireruents
Outfall ':
No: ,.
Rccelving Str'eant
hlItne
pate
SU050
00530
00076
00545
Sample
Collected
Total
f Ia+ti
Total
Suspended
Solids
Turbidity
Settleable
Solids
ran/ddl r
MG
m I
NTUs
rnlll
f2 a W "tAj
Part C: Vehicles Adaintenrurce Mon taring Reauireureuts
O[rtfall
No
Receiving Stream
Warne
Date:: •
` 50050
00556
'00530.
00406
5aniple`M`
Collectc'
'
•Total'
�+luw
. ,..
Oil and;
Gt ensc
Tom
Suspended,
Solids :.
pit
nWddl.r
i. '1V1G .'
. .m. t
" nt il,
unit
N0 PrSc(- AAA&E-s t r --,> ►-t�t�� zol�
Part D: Storm Event. Characteristics RECEIVED
Total Event Precipitation (itiches): JAN 10 Z017 Total E, vent Precipitation (inches):
Event Duration (hours): CENTRAL FILES Event Duration (hours):
DWR SECTION (if a separate storm event is sampled)
Part C: Cerrif catfori
"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."
/ -y-�
(Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central (files, DENR, N.C. Division of Water Quality, 1617 Mail Scrvice Center, Raleigh, NC 27699-1617
SWU-243-012005

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar Year: (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 0 Z! County of Facility
Facility Name e I ea r .; -tie ✓ .' h a Name of Laboratory
Facility Contact 5-Fe ue Lab Certification #
Facility Contact Phone No. ( ]S/ )3?(9- C) 5/-3 -7
Part B: Land Disturbance and Process Area Monitoring Requirements
.
� ,�,
` . Date .'
• � 50050:
` Otf��O `
•� �0076 �,
� > i}aSaS
Outfall
Recelvii�g 5treairraTotal
Sample:
''Total
' ��"
Se4tleablei
Name
1
Suspended
; Turbi[
No.
-
Col�ccted'-
=,.Flow:.
Salads
inoldiil r'';Ev.T,Us,'
Poo 015crrttt2GiFs
Part D: Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours):
Part E: Certification
Ro"CAh
Part'C: Vehicle Maintenance Monitor•ine Reauirements
g,4p 4"
„00556
005
aaau:o
.
Outiall`
Reedivin Stream
amplelk
, ly s
"
O[i
Total'
;, Name' 4
~CptleCte>�
;`sTotal
, and z
LSu'spended
;,'pH`
:,a•:in.-,,.:r.,„rys,,
dw..
,.. .,..
Grehge
1�4 �j! 1,t 7
n.,
unit`
1 S t- A u 1 P Z G 1(,
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
RECEIVED
JUL x 1 mb
CENTRAL FILES
DWR SECTION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted Is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
Including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Part F: Mailing Address
Atin: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S WU-243-012005

t
• ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year
"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 1 of each year.
Certificate of Coverage No. NCG02 RECEIVED
� � r, I� D
Facility Name: - - i. I V
County_ - "- , •� JAN 0 8 ZU16
Phone Number:-)-� Total no. of SDOs monitored
Certified Laboratory Lab # CENTRAL FILES
Lab# WR SECTION
Storrnwater Discharge Outfall (SDO) No. % VMA Outfall? Yes ❑ No Q�
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No QI
Was this outfall ever in Tier 2 during the past year? Yes ❑ No v
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency 0
Yes, received approval from DEMLR to reduce monitoring frequency Cl
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg!
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/1
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
�.Ho
Flowit
0.1
,�
50/26110
NIA
, �°"`
+po"
N/A
1A°t.,CM& "'
SIN d.�d �•
15
w 9.'"u1m
TS5 aid Nonp°"'
oaa
,�
100150
Date Sample
Collected,`
mold r
R'
Permit Date 10/112015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Pal
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. 1 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 § 1 .221
Signature
Date J-y AIL -
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 — 9/3012020
Last Revised f 0-2-20f 5

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Par( A: Facility Information
Samples Collected In Calendar Year: P`CJ (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 - County of Facility t�7 yCi h
Facility Name ��l r r w.r'6c'✓ vu✓ Name of Laboratory
Facility Contact tO w' Lab Certification # l/
Facility Contact Phone No,
Part B: Land Disturbance and Process Area Monitorini2 Requirements Part C: Vehicle Maintenance Monitoring Requirements
Outfall
iVo.:..
Receiving Stream
Name"
Date
50050
00530
00076
00545
Sample
Total
Flow
Total
Suspended
Turbidity
Settleable
ollds
Solids
molddl r
MG
m /I
NTUs
mlil
Part D: Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours):
Part E: Certification
Date ,
SQO50
. . 00556 .
. : 00530
0040t1..
Outfall
Receiving Stream
Sample
Total
Oil and-
Totiil
No.
Name
Coliecfe
Flnw
Grease
:'Suspended-
pEI .
Solids;.',-'
.
molddl r
MG
:m 11;•
.'.:.,... t'
unit .
w,
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-012005

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Part A: Facility Information
Samples- Collected In Calendar Year:
Certificate Of Coverage No.
Facility Name
Facility Contact
Facility Contact Phone No.
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
(all samples shall be reported within 30 days following monitoring period)
NCG02 ; ' County of Facility
Name of Laboratory
�'#t.w�w,• �rlcr�r Yr �' Lab Certification #
CAI ) 3 r_ ' --t; Y -1 2-
Part B: Land Disturbance and Process Area Monitori 13Z Requirements
Outfall `:
No..:..
Receiving Stream
Name
Date
50050
00530
00076
00545
Sample
Collected
Total
Flow
Total
Suspended
Solids
Turbldity
Settleable
Solids
molddl r
MG
MR/1
NTUs
mill
Part D: Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours):
Part E: Certification
Part C: Vehicle Maintenance Monitorinre Reauir•ements
Oulfall
No.
Receiving Stream
Name
'
d......
.:• 50050 -`
...:.......
., .,.
;00556..
:00530 ,:
•00400.
Sattiple
Collects
Ta'tal
Flow .,
Otl and, l
Grease
TotaG .
nd Suspeed
'� ptl
m .,1!
unit.
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
Including the possibility of fines and imprisonment for knowing violations."
(Signature of Pefmittee) -Vp— (Date)
Part F.• Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-012005

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year �Z (�L /S + hq r f'
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCG©❑Z 9Q®®
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. RECEIVED
Facility Name: C I6a V w afe V M i hC JUL 0 6 YJ15
County: rr) ti^
CENTRAL FILES
Phone Number: Z Y I Total no. of SDOs monitored DWR SECTION
Outfall No.
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?
6�t1
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 ❑'
SWU-264-Generic-130ec2012

"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 JA-
Date 2 t l5
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
3800 Barrett Drive
943 Washington Square Mail
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
1617 Mail Service Center
7b preserve protect
585 Waughtown Street
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
and enhance
[phone]
[phone]
Notth Carolina's ivater-
SWU-264 -Generic- 1 3Dec2012

PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Part A: Facility Information
Samples Collected In Quarter:
Certificate Of Coverage No.
Facility Narne
Facility Contact
Facility Contact Phone No,
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
samples shall be reported within 30 days following monitoring period) a Ole/
Part B: Process Wastewater and Mine Dewatering Wastewater Monitoring Requirements
County of Facility
Name of Laboratory
Lab Certification #
f
Ortftf n^.
jq y(
N..�s�ii�f•�
� i 3
%�ct�Iving 5treulm Nt{tt!pi
1,,
Dole
�il•I �. �� -.I �IA �
Sarnp�Lkotttcterl'{
1 1:,.1 tit . ;!ry `i r
is 3,1 } ".Y
�I trily,'Total
I���, � ll' �'�i.: 'r l'
'I�.
Suspencletlalids
:ua ��°, i f P
•T}tfi di,
J:Iq.I h ,L I
$attle�le $oilds`
., , I ,Y
li.
+? i ll!' L 'I. If
il-Y''---t,lC', 1a11'�II,,y�{yI'I�^
�,...iho/+d t'(It. ,,,
..rk I
y}'!3
*:.unit,
- -II l�:t 1'ii',iky i`I-+-r•nILI1t:.���'.��,li
rti 1� •,. , _, ,1 ::I.
y
,NTClsr."
1,ti ,�M I,.
/
UDIS C L A-P 6,
N
i Measured continuously using a flow measuring device or estimated using manufacturces pump curves and pump logs.
Part Cl Certif cation
CEIVE®
N d 8 2015
CENTRAL FILES
©WR SECTION
"I certify, under penalty of law, that this document and all attachments were prepared tinder 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, 1 am aware that there are significant pe shies for submitting false information,
including the possibility of fines and imprisonment for knowing violation "
-amp
(Signature of Permittee) (Date)
Part D: Mailing Addrass
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-244-012005

STORMWATER DISCHARGE OUTFALL $DO)
_AmUAL SUMMARY DATA MONITORING REP RT (DMR) s
Cale:idar Year
General Permit No. NCG160000 c;
Certif'icate of Coverage No. f vc-G C3 2 95
t is monitoring report summ$ry is due to the DWO Regional Office no later than 3if days from the def+e
the facn*, laboratory_ sampting i watts from fire finest sample of a calendar year
FpciftyName: CLF_A-k i E K' -"]" y Ul2 CLf f&o UCif..
Cou P Q Ou Pr
Pone Number. (=70Y ? b 36 -e Yl I _- Total no. ol SDOs monkred r
O`pttall No.
lsahis out[all aunentiy in Tier 2 (monitored monthly)? Yes ❑ No Ell" Was this outhdi ever in Tier 2 (moniiored monthly) during the past year? Yes ❑ No
If ihis ouNail was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarlts to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
i
00530
00400
Vehicle
_
Maintenance
Aciivities
Now Motor Oil
Tcrtal airtfap
gal/mo�
Outiai!
TSB, mgll,.
-
WA
1100
NIA
Doti Sample Coltei ed,
z
-�
Tt � `
�
dfyr
Ah
Ap
i
16
_
MAW
f
_
_ k
-
I est Revised 7-1 2("0

PROCESSIMINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO, NCG020000
Part A: Facility Information
Samples Collected In Quarter: 1Q 20.1 0 4 (all samples shall be reported within 30 days following monitoring period)
tr
Certitica#e Of Coverage No. NCG02 "5— County of Facility ie 0
Facility Name M i he Name of Laboratory Gv
Facility Contact A ICA" Lab Certification # - a
Facility Contact Phone No, ()U y) (o3 & Z -11 f
Part B; Process Wastewater and Mine Dewatering Wastewater Monitoring Requirements
i.,`
..
k\tlllJfiII!'
_.
i •, F ix[ I4 I ,1 yC y
'�i �[ � I r �y`��
{ V S •.k `�} i'.ri
-}�r i•4'� rkw .:�a.4v , k, r 1. & ,
';�� p r
� rP �4.
M. r t•('l ,,ff,',+'
y,,.�41P(" ,r. e�:�tiF.
rtRR f�
�ill"��Y, �y 1! l�A. �v:.l i'
Y _ ':'1
N�S�'n i=� t
AA AA
lti �
--�. r
wr:1.,
I1t I1f
i',;; I :•. Y�'�4,! i
�Tat,a�'S�spet�d�d..tllt'At
h -� tt
.,�. aL� . ka
W GI,.
L' ..� �� �r�L'�L�.�.7
�
�Tdrtfid t�,,�
v' 14' h Ifl�� . � r,_.
�3e�leab�e
•t. I, !,
C u
s :S ;:� -I.5} 3,- SDI -i. t;�..v. �.
`� � W,w2
i' g
"?"r4im Q
.y
t� ,, r
w nl•u , isyt>* +a ILx�'SI+ V °'
d ,;;�?'IY� I�: V;iY
9�� �;,?+ i 4 �I �=�9 r .,
l Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump logs.
Part C: 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 tl#re are significant penalties f submitting false information,
Including the possibility of fines and imprisonment for knowing violations."
y._i
(Signature of Permittee) (Date)
Part D.- Mailing Address
Attn: Central Files, DENR, N,C, Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617

:,
r
r
. �� 3
�

f
STORMWATER DISCHARGE OUTFALL DO) =
=ANNUAL SUMMARY DATA MONITORING REP RT (DMA)
I[ES♦ Calendar Year 2 C e
General Permit No. N03160000
Certficate of Coverage No. NG&6E=0 N C G Z. D Z FS ..
4
This monitoring report summary is due to the DWQ Regional Office no lat than 30 days 'from the date
the facility receives laboratory, sampling results from the final sample of calendar year
Fadrity Name: C d e� rw -r 1 j-T , �.0 12 CL /20 0 0 C'rV:
County- �-�u a. - - _-- 5
Pone Number: [70Y } 636 - z Y11 Total no. o SDOs monitored r
Is this outfail currently in Tier 2 (monitored monthW? Yes ❑ No,p!r
Was this ouifall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Ter 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency � ❑
Received approval from DWQ to reduce monitoring frequency ❑ _
i Other I❑
New Mot6r Oil
1 Y. .-ifir,
1
1
-
1 -
77
®®
y
�i �
� � S� 'Sc'F � �� � {•h' S - ' �f
IV
�i�'s � i� '�
� fir �]�3�� ..T.�` .
1
yob:•- -' a�
r'-��' x7 r � � �.
,� .�,�y(`y -� �- sue' a tt -hey.. � .v ��.�•��a�'a
5 ' ` �' � :,z
� '�
t% � 3� y -'�..
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r.ra� ni.. ..
"'iii A F• !•� 'L.`a.. ��'
L �i ��� ,.�i..r.:
i' a�
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K.
W.
W,����i�
—

_i UVrt�i
RECEIVED
DIVISION OF WATER QUALITY
. JAN 0 8 2013
SWP ION
MOORESVILLE REGIONAL OFFICE
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/C/
Facility Name: _ C�crcrs
County: __ _%�Uw u—
Inspector:
Date of Inspection: Z
Time of Inspection: dyw
or Certificate of Coverage No.: NICIGIQ'?,ll
/11 �vIQ - -- ..
z
P. DU
Phone No.
4a ►r
—Z
Total Event Precipitation (inches): , l r /VO ��� C
Was this a Representative Storm Event? (See information below) es o
Please checkyourpermit 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. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within 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:
3. Odor. Describe any distinct odors that the discharge may have (i.e., smells -strongly of oil, weak
chlorine odor, etc.):
Pagel of 2
SWU-242-051308

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 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 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:
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 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
S WU-242-051308

PROCESSIMINE DEWATERING WASTEWATER, DISCHARGE MONITORING REPORT (DMR)
11 Please Mail Original And One Copy To Mailing Address Below . 11
GENERAL PERMIT NO. NCG020000
Part A. Facility Information
Samples Collected In Quarter 1 2 4 jail samples shall be reported within 30 days following monitoring period)
QU
Certificate Of Coverage No. NC602 ' r County of Facility
Facility Name �_t_Ift�,,si� Name of Laboratory
Facility Contact roe r* 81a 0% Geewbe ka i- _ Lab Certification #
Facility Contact Phone No. (Ze I9 l & a C - s
Part B: Process Wastewater and Mine Dewatering Wastewater Monitoring Requirements
Z01 2
RECE'VED
DIVISION OF WATER, Qt1ALI-i Y
JUL 0 3 2012
t . SVVP SZC i `Ur4
MOORESV1LLC REGIONAL OFFICE
A t0i CA 10%
. -' f �
y ,7.
;,:! •,:;-°�•�„�.• ,.:.:. ,r^,-
' � •; l;, '�s! I .,i, +� i I '
.: l•.4 a e rtkl P ;!! :�.i
f � Ilk. Y4'�i�1µ �
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elo
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„I S ?
1a trY
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}y.
yq, �
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Total 4spc" ed. iirir
"mupl�C(y`'•$tt�aahib;�S
� R
id�".
f, ',Yt .
.. ... .��'....51 . : cal+.'1 5 11 �'.. '�.' cat ;: ?. .;�
s:iu$7`�A11a in } ; � �
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1. •:;,
u{�i��F15 �1b?'k� ��i.W; el �@mi ff+"... i}.:
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'1-.
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t I JL_•'eI
+p 1 +.
l" ! , JI !.. 1 p 4 4l
'1,N
71,
NT[is
I Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump logs.
Part C; 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 tPere are significant penalties for submitting false information, .
including the possibility of fines and imprisonment for knowing vi
7/3f 1Z
(Sign tore of Permittee) - (Date)
Part D: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
cwt r-sea-n a ?nM

%013"
C)
SIC) I S-

PROCESS/MINE DEWATERING WASTEWATER DISCHARGE MONITORING REPORT (DMR)
11 Please Mail Original And One Copy To Mailing Address Below 11
GENERAL PERMIT NO, NCG020000
Par1,4: Facility Information
Samples Collected In Quarter: 10 2Q 3 4 (sill samples shall be reported within 30 days following monitoring period)
tare
Certificate Of Coverage No. NCG02S County of Facility
Facility Name r. tgcA r„tr ✓ Name of Laboratory V p-4e -f1c<
Facility Contact 5'teV12 6- 62 �e �t ✓ Lab Certification #
Facility Contact Phone No, (7o�) & :� (a " 2- Y 11
Part B; Process Wastewater and Mine Dewatering Wastewater Monitoring Requirements
p Err 1 7;!
i1LC��
��aDato ,
��:��
s f��P ..t
E s00Sa,.t�
1 i
fRao.A00
r . ,o0s3a t
Z
`900076,A
k
, xr0as45 '
w� A� ti ,.,y�,�
Daily Fiiitiva I
i•+�:..
pR�
: i !�.;;r
Total Suspenited'Splids�'
:�• ��.„�:'�;r�,
Turbid(ty y
��,�,s�^a���3�;t�'�4�.;
Sottlt:Wesalids";i
•�
Recei�ing Sttean !Name
Satnple Co1lt�cted
Q
N tnb r
....-
1 ��A.I {{ �'
'.... �. .....:a....••..l ..i��..:'•-. i..lv :.r:....IGYw .. S..,w.•.
l ws .s���� �t t,
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r
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Ml4'�i1}g-eg. .4r.n:R1Y.l'9!'.•` .K
• f :i
:•t-i a-;�c. .,,. 't5r4w3 S'�v. �.ti
� i r t Tr . T' � t �_ `, f r,�
1. -,�,+. .,5
!� �' � ayy� ��
�� � a
5 r
x ��-$1'•
r.-
� S,^A Sr
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+, ••
;.
f5 r`�' >
?N' r4 �� ?.. to i
Y ',"'A,.:.,h
r� y
� � �T�;,i
-
r`r
., ttiolddl r: ;
, MGD, �:,:.,,,
�Y
,�N atilt..
ai r tt
r,,;ac�n� ., in i� oir:r
iNT>ls
�+#aEY�utillri..H
tN� r5C(fA-�-� rk
Z.K,d h�f r Zal !
I Measured continuously using a flow measuring device or estimated using manufacturer's pump curves and pump logs.
Part C: 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.'
gn1ture of Permittee) (Date)
Part D: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWl t..744_017005

j STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2011
General Permit No. NCG160000
Certificate of Coverage No. NCG1601:11:1110 N C G 0 Z635 I
This monitoring report summary is due to the DINO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: Tory 1o,- rla � fi-�(�G9f/j-1 ' M /" C-
County: R a w a
Phone Number: OW 6 36 -Z
-
Total no. of SDOs monitored
Outfall No. I
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
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 ❑
Outfall
Total Rainfall,
inches
00530
00400
Vehicle
Maintenance
Activities
TSS, mglL
pH, sm.
Method 1664A
(SGT-HEM)
Non-Polar O&GI
Total Petroleum
Hydrocarbons,
m IL
New Motor Oil
Usage,
gal/month
Benchmark
N/A
700
6A— 9.0
15
N/A
Date Sample Collected,
mo/ddlyr
h I
VfE
0
Last Revised 7-1-2010

"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, ipcluding the possibPty of fines and imprisonment for knowing violations."
Signature
Date
- Z - 1 -2---
Mail Annual DMR Summary Reports to:
TWO Regional Office Contact Information:
Asheville Office .. _...
[phone]
Fayetteville Office
... [phone]
Mooresville Office
... [phone]
Raleigh Office ........ [phone]
Washington Office ...[phone]
Wilmington Office
__. [phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
AMSTO_N-SALEM REGIONAL
CENTRAL OFFICE
OFFICE
1617 Mail Service Center
To reservehar
585 Waughtown Street
Raleigh, NC 27699-1617
and e cet�!
Winston-Salem, NC 27107
[phone]
North Carolinas wafer..."
[phone]
Last Revised 7-1-2010

�CPO
l�511 �-�` " .PROCES INE D WAT RIN WA TEW
� � S1NI E E G S ATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below RECEIVED
]IVISION OF WATER QUALITY
GENERAL PERMIT NO: NCG020000
Part A: Facility Information
Samples Collected In Quarter: 10 2 4 all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02_ County of Facility
Facility Name _CLERRw }TE w Name of Laboratory
Facility Contact �S-f-R%;P 1r31gice_*._be6 r Lab Certification #
Facility Contact Phone No,
Part B: Process Wastewater and Mine Dewatering Wastewater Monitoring Requirements: ,
JUL - 6 ZG11
SWP SEA :.w:V
MOORESViLLE REGIONAL OFFICE
r ,%4er-$Pe.L C 6s
L ;��
�utfap':: '
'.i l.Ri c Y ��,��.3 t .�� .,,d
i7 4 •'15: 5 C �^ rsw7S.ke, . xY
': ' Rect ivin StreatnrName
i;Y y, 'S" i
'x ���
Satn Ie Collected
?7,
4 '1xy", t q
p� y .. ," SA
Da11y, Fiu►vi�
' l'R:
' '� 1 .�f� Y
r r j{.d.
Total SuspefidedSolids�r
v.
4d �,dz��,,a: ; • .^ 1'� �..3f .
. 47:.f x��.t
Tutrbidlty
r?a.tiNd.+
Sh . •.4ty5
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Part C: 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 luiowledge and belief, true, accurate, and complete. rI am aware that t ere•are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations., _
(Signature of Permlttee) (Date)
Part D: Mailing Address
Attn: Central•Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 27699-1617
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