NCG020515_MONITORING INFO_20190205

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCG OaO515
DOC TYPE
on i+o� r rn
DOC DATE
❑ abi q () 06-
YYYYMMDD

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"1"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARQ44_1_of each year.
Certificate of Coverage No. NCG02 ❑O ��0 <_L_;,
zors
Facility Name: _o u r-c
County: © W DI^,�R ��CT
�ON
Phone Number: (�0�•L) X? g - 5- 30 L Total no. of SDOs monitored
Certified Laboratory, (k XnJ4�,( Lab # q4 O
Lab #
Stormwater Discharge Outfall (SDO) No. _� VMA Outfall?
Yes ❑ No
Is this outfall currently in Tier 2 for any parameter?
Yes ❑ No E'
Was this outfall ever in Tier 2 during the past year?
Yes ❑ No Z
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.y
Total
Rainfall;
inches
TSS, -
mg/1
SS,.,Turbidity,
mill
NTU .
Upstream
(U) Turbidity,J11)),T
NTU
Downstream,
_ u�bidity,.
NTU
Non -polar
O&G, mg/1
(VMA)
New
Motor Oil,
- Usage
atlmo.
Stormwater
Benchmarks
!ndlcea No
FL°'"''
a Ikable
Circle
aenehmark
100150
0.1 .
Circle
Benchmark
50/25/10
NIA
Water Quality
standard applies
NIA
Wat�r Qualityand
Standard applies
15SS,
>55 gaifmo.
average requires
IN16ri-polar
To&G monitoring
Date Sample
Collected,
y:A;�
aroJ.
hs,'f
t .S
lo�
1,
°F'�"ta
me,µ
�.
1.rmolddl
1f
01s s
J5 '
5,375'
o.
�Ilq
N (A
N 1A
N/
N 14
430'r
rJ
Permit Date 10I112015 - 9l3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfails)
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 benchmark exceedances did not require monthly monitoring ❑
Other ❑
o .
TotalTurbidity..
inches-
NTU
DownstreamUpstream
r .
...
s. ,
Oil
Usage
• •
wa
storm ter
Benchmarks
"c";e'O.,
FLOWd
appikable.
Benchmark
50/25/10
Quality
twanad'ea'rd applies
Water Qui
Standard applies
Date Sarinp
• - • +
• f •
4
4 fW V'sN i,
- SQL. -
...4iil''• 4 '4'
�1
1 F .6
k�
ifs}J: l
S�_ '` t`i
�1 ,.':,.
ilL� f e�. `V
•r b
.�_ �� .eta
` + w [% ?�
o ail i. _
R... •`YI..,�tl
S
j V+v,.Sr L lr
S .� Sn �Ta. Vtyv
•• 61 �+
�l $ ;p
y,i''S.'4, s.
Permit Date 101112015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 Q© t0
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
h
Signature
,Date
Mail Annual Summary Stormy vater 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:
(919). 707-9220
Permit Date 10/1/2015 — 9130/2020
Last Revised 10-2-2015

- Analytical Results
ST.ATES'VILLE
ANALYTICAL
0
Hammill Construction Co., Inc.
5051 St. Stephens Church Rd
Gold Hill, NC 28071
Receive Date: 11/05/2018
Reported: 11/12/2018
For:
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
181105-19-01
Settleable Solids
Kluttz#1
0.1
mill-
SM254OF-2011
11/07/2018
CL
181105-19-01
TSS
Kluttz#1
7.875
mg/L
SM2540D-2011
11/09/2018
WC
181105-19-01
Turbidity
Kluttz#1
8.8
NTU
EPA 180.1
11/06/2018
MD
181105-19-02
Settleable Solids
Kluttz#2
<0.1
ml/L
SM254OF-2011
11/07/2018
CL
181105-19-02
TSS
Kluttz#2
5.125
mg/L
SM25400-2011
11/09/2018,
WC
181105-19-02
Turbidity
Kluttz#2
8.93
NTU
EPA 1B°'
11/06/2018
MD
181105-19-03
Settleable Solids
Zion
0.1
ml/L
SM254OF-2011
11/07/2018
CL
181105-19-03
TSS
Zion
5.375
mg/L
SM254OD-2011
11/09/2018
WC
181105-19-03
Turbidity
Zion
8.14
NTU
EPA 1801
11/06/2018
MD
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 4

Condition of Receipt
Sample Number 181105-19-01 Temp on Arrival: 3.2
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
Sample Number 181105-19-02 Temp on Arrival: 3.2
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Settleable Solids
Received on ice
Parameter Schedule: Turbidity
Received on Ice
Sample Number 181105-19-03 Temp on Arrival: 3.2
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2_0f 4

1� �• ••• ,� :��
.`s`� ,t
�o -� �
�.. �•.L
5TA7ISV1LLEANALYTICAL
122 CStemvi 1M 21B
0. NC 2868T
[phone]
Cho of
r...
Address_
�'s C- ago 1 t
Contact Peisors: + i Phone ,Q FAX# 7Q•i a4 7
c. v • l
No #
_
Requisitloned by:
(Time Date)
Custody Record
CusrxnM I
sampte IDi
La
Lb -ID •
Timm samled p
(Grab
Date saleW mp
(GMb
na
W
W*
Parmmun mauased rot analyse
1105-iq•o3
r0
of
r+ l�
s
S
Relinquished by:
Received by:
Relinquished by.
Received by:
Time begin am, pm Date _f
Time end am, pm Date _/
Compgslte Sampling #2:
Timm begin am, pm Date
Time end am, pm Data
—� - - -
�l
1_
Ttmeam, pm Date(I l571 Sampled by:
Time I -' am, pm Date fir! Si �� Transported h po by:
Time am, pm Date ,__..1____.�� Holding times met:
Time am, pm Date
----------- — Compliance work.
Non-compliance work:
Lab Comments: Samples Transported On Ice:
00
N
N
X
O
m
O
CL

r
7
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
:. SUBMIT TO CENTRAL OFFICE
General Permit No. NCG020000
Calendar Year a0 1' 7
"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 ®© {❑©
Facility Name: ©�
County:
Phone Number. 20' ) '�? - S Total no. of SDOs monitored
Certified Laboratory Lab # L*`r C
Lab #
Stormwater Discharge Outfall (SDO) No. �1'_ VMA Outfall?
Yes ❑
No �
Is this outfall currently in Tier 2 for any parameter?
Yes ❑
No [;I�
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
❑
RECEIVE®
Yes, received approval from DEMLR to reduce monitoring frequency
❑
FEB 15 M3
No, turbidity benchmark exceedances did not require monthly monitoring
❑
Other
❑
CENTRA, L FILES
Outfall No..
Total.'-
Rainfall;
inches
TSS,
mgll
`
SS,
rnI/l
Turbidity,
NTU
Upstream •
(U)'Turbidity,
NTU
Downstream
(D) Turbidity;.
NTU =
Non -polar
O&G, 'mgll
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Stormwater
Benchmarks
IntllcateN(]
FLOW if
a llcablu
Circle
Benchmark
100150
•1
circle
nchmark
50 251 i
NIA`
water Quality
Standard applies
NIA
Water Quality
Standard applies
1 5
as erequi
.average requires
TSS and Non polar
08G monitorin jL
Date Sample
Collected,
molddlyr�
4 J
h
Syi,'
+
t: rt a
"
*
/G� 4r
•L"' r:
l .''.i''? R _54,-.:M
f l �a R t�
i;
, r
ass4 why
'�Y
k r R"
r `'Ct}•'
s s 17
1;A'
a14,>,aa
.co.
ti,
N
Aj
Permit Date 1019/2015 — 9/3012020
Last Revised 10-2-2015

0
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 benchmark exceedances did not require monthly monitoring ❑
Other ❑
•
Total•
..
inches
.
• .
Downstream
t .
. ••
•: .Usage
'
New
Motor Oil
.. •
Benchmarks
.
" .'
OEM
Circle
BenchmarkWater
/25/10
Quality
Sliandard applies
wat�/!lity
Standard applies
.:
Date Sample:
Collected,
• • •
�L. 7� '�`.'�'�'F
5 �` r4,
}
-.. � �
r;
f L �°J
S � �y � � y� • �
.� „1vY i 5
3 L. � . �
r�.V L; �
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

u
Certificate of'Cdverage 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 §122.221
Signature Z�
Date D /
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 1011I2015 — 9/30/2020
Last Revised 10-2-2015

Analytical Results
Hammill Construction Co., Inc,
5051 St. Stephens Church Rd
Gold Hill, NC 28071
Receive Date: 05/05/2017
Reported: 05115/2017
For: Stormwater
Comments:
0
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
170505-05-01
Settleable Solids
Kluttz#1
<0.1
ml/L
SM254OF-1997
05/05/2017
WC
170505-05-01
TSS
Kluttz#1
35.5
mg/L
SWWD-1997
05/05/2017
CR
170505-05-01
Turbidity
Kluttz#1
55
NTU
EPA 1801
05/05/2017
MD
170505-05-02
Settleable Solids
Kluttz #2'
<0.1
mi/L
SM2540E-1997
05/05/2017
WC
170505-05-02
TSS
Kluttz #2
11.125
mg/L
SM254OD-1997
05/05/2017
CR
170505-05-02
Turbidity
Kluttz #2
17
NTU
EPA 180.1
05/05/2017
MD
170505-05-03
Settleable Solids
Zion
<0.1
ml/L
SM254OF-1997
05/05/2017
WC
170505-05-03
TSS
Zion
24.222
mg/L
SM254OD-1997
05/05/2017
CR
170505-05-03
Turbidity
Zion
38
NTU
EPA 1801
05/05/2017
'MD
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 4

Condition of Receipt
Sample Number 170505-05-01 Temp on Arrival: 3
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
Sample Number 170505-05-02 Temp on Arrival: 3
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Settleable Solids
Received on ice
Parameter Schedule: Turbidity
Received on Ice
Sample Number 170505-05-03 Temp on Arrival: 3
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 4

Client: .
^1 �••� _ d � �t� �1 �'� C 1 C` 4 C +� � �� n�. y ra � -.`
� :1. C.
51'ATESVILLE ANALYTICAL
122 Court Street • P.O. Box 228
Statesville, NC 28687
[phone]
Address: ii
�'3 2 d� e -, i - �r t ti <
Contact Person: l'� : t ,� : [ t
Phone # �a I) '-t 4� _� FAX# '70,( -� / y `['�
Chain of
Custody Record
PO # Requisitioned by: (rime
Date)
Customer
Sample IN
Lab -ID k
Time Sampled
(Grab Onty)
Date Sampled
(Grab Only)
°
a
Matrix
Parameters requested for analysis
g
W
ww
Relinquished by: r
Received by: T�
Relinquished by:
Received by:
Composite Sampling
Time begin
Time end
Composite Sampling
Time begin
Time end
_ ��— a ,7' ?
#1:
am, pm Date _I_I_
am, pm Date I_I
#2:
am, pm Date I_I_
am, pm Date _I_I_
Time ll/ S m pm Date =/ S 1_ Sampled by: �t(i
Time �1•' 2S wpm Date 31 1 Transported by:.
Time am, pm Date _I I_ Holding times met:
Time am, pm Date 1 l�
Compliance work:
Non-compliance work:
Lab Comments:

S
Analytical -Results
Hammill Construction Co., Inc.
5051 St. Stephens Church Rd
Gold Hill, NC 28071
Receive Date: 12/20/2017
Reported: 12/27/2017
For: Stormwater
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
171220-16-01
Settleable Solids
Kluttz#1
0.1
ml/L
SM254OF-1997
12/21/2017
CL
171220-16-01
TSS
Kluttz#1
13.167
mg/L
SM2500-1997
12/22/2017
WC
171220-16-01
Turbidity
Kluttz#1
32
NTU
EPA 180.1
12/22/2017
MD
171220-16-02
Settleable Solids
Kluttz#2
0.1
ml/L
SM2540E-1997
12/21/2017
CL
171220-16-02
TSS
Kluttz#2
19
mg/L
SM2WD-1997
12/22/2017
WC
171220-16-02
Turbidity
Kluttz#2
25
NTU
EPA 180.1
12/22/2017
MD
171220-16-03
Settleable Solids
Zion
0.1
ml/L
SM254OF-1997
12/21/2017
CL
171220-16-03
TSS
Zion
18:4
mg/L
SM254OD-1997
12/22/2017
WC
171220-16-03
Turbidity
Zion
33
NTU
EPA 180 1
12122/2017.,
MD
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,�
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 4

.Condition. of Receipt -
Sample Number 171220-16-01 Temp on Arrival: 3
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
Sample Number 171220-16-02 Temp on Arrival: 3
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Settleable Solids
Received on ice
Parameter Schedule: Turbidity
Received on Ice
Sample Number 171220-16-03 Temp on Arrival: 3
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 4

Client:
Q. .M .' C—Q +t j J C-
:O CO --
n. ti -'k ``
STAMNILLE ANALYTICAL
122 Cnan Sum - RO. Hnx Mll
statesviIle.NC 28687
(704) 872-46Y7
Address:
i J r Q
� �
Contact Person: / Cf
P1orde. R • a� �- 3o FAXQ �� a-7 1 -
`t
Chain of
Custody Record
PO p Requisitioned by: (Tlma pate)
Customer
Semple IpN
LOWD a
Tuna sampw
(Grab Only)
oOle Samptad
{Grab Gnly)
Mat
x
Paramc+ere requested for analysis
ardq.
w
ww
�bxi:4
f3efiaquishect by:
Received by:
Relinquished by:
Received by:
Co!nRos1tq SaMALing #1: _
Time, begin am, pm Date /�1
Time end am, pm Date .^,_I—
Composite Sarpp�lrtg #2: _
Time begin am, pm Date
Time end am, pm Date
Time l am, pm Date �2l��? Sampled by:�I r -'
Time ICI2116 am, pm Date _I_J_ Transported by: 1
Time am, pm date _!_/_ Holding times met:
Time am, pm Date _I I_ 1/
Compliance work:
"`-n-compliance work:
Samples Transported on Ice
by.
r-
00
LO
00
N
U
z
ti
•j:
a,
ro
rn '
00
N
N
X,
O.
on
O
tz

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR— STORMWATER
SUBMIT TO CENTRAL QFFICE
General Permit No. NCG020000
Calendar Year o
'.Report ALL STORMWATER monitoring data on.this form (include 'No Flo%AAA o Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MA"RQl-1,; of each year.
Certificate of Coverage No. NCG02 ®�[T
Facility Name: P -Qki r J� ale
County: AOa. Y
Phone Number: ( nq) oZig ~ S-301 Total no. of SDOs monitofe'A i
Certified Laboratory -S4-4 es&" 11e Lab # 'I q 0 '
Lab #
Stormwater Discharge Outfall (SDO) No. I 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? RECEIVED
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ JAN 19 2017
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other ❑ DWR SECTIoNj
Outfall No. =
' Total ' ,
Rainfall,,,
inches
Y
' TSS,
mgll
SS;,'
mI/I ,
Turbidity,
1.NTU .
Upstream .
(U) Turbidity,
NTU
Downstream.
;(D) ;Turbidity,.
NTU
Non -polar
08rG, mg1l
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
indicate NO -
FLOW it -
a plkable
Circle
Benchmark
1
OOf `r]O
fl' 1
Benchmark
Benchmark
rJOIZ�I� O
N/A-
Water Quality
Standard applies.
. NIA
Water Quality
Standard applies
1 5
>5gereq i
average requires
TSS and Non polar
O&G monitoring
Date Sample
Collected,
molddlyr
R
�'�`,�s
tT, i
WWI
r
of
r
.
.
S 17 6
© .A5
6 921
0-1
4T
Old 64
ZAf�"�
A
ra I IG
0,4O
'3
Zr !
-
A
A) >'A
N
q
Permit Date 10/1/2015 -- 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 �uu0
r
Additional Outfall Attachment (make copies as needed for additional outfalls) ;R
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 benchmark exceedances did not require monthly monitoring ❑
Other ❑
•Rainfall
•
inches
•
• f
•
• ■
` f f
• f 1
0 • •
•
Motor Oil
•
L-Lka •
water
Circle
66.chrnark
water Quality
Standard applies
wate�Quall�
Standard applies
Date Sample
• •
',�, >: �� yv
�kk � '� i
� '�
rl ,T�
«9`'Y `�{'�
�k d .1 �
�iT �i_a. 4 Y
*4 �.f• L f��
�� w b k
v„ft. �' S �t-3 ni
.�' L M i�1r F }I
V',f"� j��'t ,4��
�„'I•t �jvti.' `i�
1 J1 ��s QIJ
:L+fai- i5. �3 �. .
,� � � il�CJ I
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ENEt
r
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 0 7-, \
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 DM Z - STORM WATER
SEND TO CENTRAL OFFICE1* �
STORMWA TER DISCHARGE OUTFALtS (SDO.j,
GENERAL PERMIT NO. NCG020000 uupyt
_IAN 11 2016
*Report ALL STORMWA TER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MAR CHI ofeach year'RAL FILES
CERTIFICATE.OF COVERAGE NO. NCG02 C) 5� S
FACILITY NAME: ?_­^.tr n CKJ tc__
PERSON COLLECTING SAMPLES, �v i
CERTIFIED LABORATORY ��i a{c / e Lab # y b
Lab # 3"7`? S-S .
Part A: Stormwater Monitoring! Reouirements
SAMPLE COLAECTION YEAR:
COUNTY c,j a �
PHONE NO. 7( 4y) A -) `i - s 30
ADD TO LISTERVE? YES El NO Ll EMAIL:
TOTAL RAINFALL: ..S INCHES
EVENT DURATION: MINUTES
Outfall No.
Date Sample
Collected
(moldd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in
Tier Z
Sampling Z
Total Flow
'(MG)
Total Suspended
Solids (mid)
a
Turbidity
(NTU)
Settleable Solids
(ml/I)
-
-
-
-
-
100 '
See Footnote '
0.1
c
A 1-7
--
0ad4b978
aa. as
an
o,
t If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
Z 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/l except in ORW, HWQ, trout, and PNA waters where they are 50 mg/I.
S 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: I/l/2010-12/31/2014 Last Revised 01-19-10
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on averaee
Outfall
No.
Date Sample
Collected
(moldd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2z
Sampling.
New Motor Oil
Usage .
(gal month)
Total Flow
(MG)
I
TPH using
method 1664A
SGT-HEM
m /l
Total Suspended
Solids,
(mgll)
pH,
(Standard
Units)
-
-
153
1 [10
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES [:]NO
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL -AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMATIONREPORTED:
"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)
Pernut Date: 11172010-12)31/2014
Last Revised 01-19-10
Page 2 of 2

ANNUAL SUMMARY DMR - STORMWATER
SEND TO CENTRAL OFFICE
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year.
CERTIFICATE OF COVERAGE NO. NCG02 O Ste. S SAMPLE COL CTION YEAR:
FACILITY NAME: ; n �_CJJ��'s c� : ,-2-- --- PHONE NO. (7Q`�) A`� REVEI V ED
PERSON COLLECTING SAMPLES ,;
CERTIFIED LABORATORY s'f1 end = e Lab # q, q j_-) ADD TO LISTERVE? YES NO EMAIL:
Lab # _ �'77 SS TOTAL RAINFALL: INCHES J U N ` 25
EVENT DURATION: MINUTES
Part A: Stormwater Monitorine Re uirements CENTRAL FILES
Outfall No.
Date Sample
Collected
(moldd/yr OR
1
NO FLOW)
In Tier 2
Monthly
Monitoring?
(yin)
# of Months in
Tier 2
Sampling Z
-
Total Flow
(MG)
Total Suspended
Solids
(mg/1)(NTU)
Turbidity 4
Settleable Solids
(mul)
100'
See Footnote '
0.1
'If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
Z 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 pl-1), you must implement the Tier 1 or Tier 2 responses in the General Permit.
4 TSS benchmark values are 100 mg/l except in ORW, HWQ, trout, and PNA waters where they are 50 mgll.
5 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.
CTIQN
Permit Date: 1/1/2010-12/31/2014 Last Revised 01-19-10
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Outfall
No.
Date Sample
Collected
(moldd/yr OR
NO FLOW)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in ler 2
Sam ling2
p g
New Motor Oil
Usage
(gallmonth)
Total Flow
(MG)
TPH using
method I664A
SGT-HEM
m /1
Total Suspended
Solids,
(mg/1)
pH,
(Standard
Units)
100
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES []NO
HAVE YOU CONTACTED THE REGION? YES []NO lid'
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL -AND ONE COPY OF THIS ANNUAL SUMMARY (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
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMA TION REPOR TED:
"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 subnutttd. 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."
e
(Signature'of Permittee) (Date)
Permit Date: 11t72010-12/31/2014 Last Revised 01-19-10
Page 2 of 2

Analytical Results
Hammill Construction Co., Inc.
5051 St. Stephens Church Rd
Gold Hill, NC 28071
Receive Date: 06/04/2015
Reported: 06/10/2015
For: Stormwater
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed Analyst
150604-21-01
pH
Kluttz #1
6.86
Std. Units
SM4500HB-2000
06/04/2015
MD
150604-21-01
Settleable Solids
Kluttz #1
0.1
ml/L
SM254OF-1997
06/04/2015
MD
150604-21-01
TSS
Kluttz #1
35.5
mg/L
SM254OD-1997
06/05/2015
WL
150604-21-01
Turbidity
Kluttz#1
40
NTU
EPA 180.1
06/05/2015
MD
150604-21-02
pH
Kluttz#2
6.62
Std. Units
SM4500HB-2000
06/04/2015
MD
150604-21-02
Settleable Solids
Kluttz #2
0.1
mI1L
SM254OF-1997
06/04/2015
MD
150604-21-02
TSS
Kluttz #2
36.5
mg/L
SM254OD-1997
06/05/2015
WL
150604-21-02
Turbidity
Kluttz #2
42
NTU
EPA 180.1
06/05/2015
MD
150604-21-03
pH
Zion
7.01
Std. Units
SM4500HB-2000
06/04/2015
MD
150604-21-03
Settleable Solids
Zion
0.1
mill-
SM254OF-1997
06/04/2015
MD
150604-21-03
TSS
Zion
35.25
mg1L
SM254OD-1997
06/05/2015
WL
150604-21-03
Turbidity
Zion
50
NTU
EPA 180.1
06/05/2015
MD
Respectfully
submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 a Statesville, NC 28687 e 704/872/4697
Page 1 of 3

Condition of Receipt
Temp on
Sample Number 150604-21-01 Arrival: 3
'Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: pH
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
Temp on
Sample Number 150604-21-02 Arrival: 3
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: pH
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
Temp on
Sample Number 150604-21-03 Arrival: 3
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: JSS
Received on Ice
Parameter Schedule: pH
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

Parameter Schedule: Turbidity
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 3 of 3

�t .sue• S,��K't„ h
Client:
{M► . Cd
' C J
. a--1 %tr {
� ^ �
[Addrr
��.
. � � w -i , ✓� C
STATESViLi E 0.Nr�LYTICAL
122 Court Strcet ­ Y.O. Box 228
ess "' ' Si N. ff L L ;i
_
4$latcsvillc: NC 28687
a S o fi ,
Contact Person�f �,` 1
Phone #; _ 5 �� FAX#
Chain of
t
GUStOdy:Record
PO # =° + "' (rme
'{ i' Requisitioned by ;
Date}
Mom`=�i
Y
Customer �y'*'�;
Lab !p,#
Time Spmpled
Date Sampled -
Matrix
parameters requested for analysis .' 4t
swage
w
ww
Sample IN ,} x TH
y, ,; , -
(Grab Only)
(Grab Only)
i`
. 0✓�u{.���'2�3
fti� ` IS.�. �,,
6{3�',
A
r%"`S
Ate'
A,
Relinquished
byr -` ,�,
Time �: Zbam,�pm
Date.
/�1_ _ -Sampled by
>r
'Time
yl
Received by:: _ ;'
Z.: 70 am,pm
Date
1 Transported by'• _
x
*
b
Relinquished r
,tea, c•Tlme .. am, pm
Date�1
Y
Holding`tlmes met:"-,,
55
� \i •�S � Y �
�
- i `ri.
d�
' T,l
{ � - j
Received by: i
'fir
Tlme am, pm Date
s_
Compliance work
Composite 5a Mina
'
li
Time begin `yam; pm -Date
"Y `
Non-compliance,work:
—1-1—
Time,end ° .� am,'prp Date
Comments:
"
Composite Sampl ng #2.
Lab
w;r.a+4rri�,
"�'
y
Time begin °� _ am prn - Date =1 I
Time end prrt. Date
yam
'.--..-..r�S_�Tyi�.. `R'�3:"i�.:���.ak°'.T,: - .: - r.,�fia-"{✓�-'.!:'y�:"�`s�-i?�,.r•:i:5i.' -. ... -_..

I ANNUAL SUMMARY DMR - STORMWATER I
11 SEND TO CENTRAL OFFICE * 11
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWA TER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 ojeach year.
CERTIFICATE OF COVERAGE NO. NCG02_ () !K- S
FACILITY NAME: �Z,0 J �rr—
PERSON COLLECTING SAMPLES i u `
CERTIFIED LABORATORY Lab #
w- `r _Lab #
Part A: Stormwater Monitorine Reauirements
SAMPLE COLhECTION YEAR: a i -
COUNTY O o r ck %,k - -
PHONE NO. P t4 )-an of - 'S-���
ADD TO LISTERVE? YES NO 0 EMAIL:
TOTAL RAINFALL: d S " INCHES
EVENT DURATION: MINUTES
C V�,0 ,
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)I
In Tier 2
Monthly
�
Monitoring?
(yin) _ .
# of Months in
Tier 2
Sampling 2
Total Flow
'(MG)
Total Suspended
Solids
(mg/1)
Turbiditya
(NTU)
Settleable Solids
(mill)
-
-
-
-
-
100
See Footnote '
0.11.
�a
.�-
o01-7-5133
9 16
G
nrT 1 4
KAL
FILES
TfeN
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfali here and the Date Range.
Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
s 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 respons+s in the General Permit.
4 TSS benchmark values are 100 mg/I except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
5 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: 1/1/2010-12/31/2014 Last Revised 01-19-10
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities usine > 55 eal of new motor oil/mouth on average
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)t
In Tier 2
Monthly
Monitoring?
(y/n)
of Months
in Tier 2z
Sampling.
New Motor Oil
Usage ,
(gal/month)
Total Flow
(MG)
TPH using
method 1664A
SGT-HEM
m /l
Total Suspended
Solids,
(mg/1)
pH,
(Standard
Units)
-
-
153
100
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO Lrf
HAVE YOU CONTACTED THE REGION? YES ❑ NO OK
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL -AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality r ;
Attn: DWQ Central Files r
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMATIONREPORTED.
"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."
bc�
(Signature 'of Permittee) (Date)
Permit Date: 1/1/2010-12)31/2014
Last Revised 01-19-10
Page 2 of 2

Analytical Results
Hammill Construction Co., Inc.
5051 St. Stephens
Church Rd
Gold Hill, NC 28071
Receive Date: 09/25/2014
Reported: 09/30/2014
For:
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
140925-12-01
pH
Kluttz#1
2
Std. Units
SM4500HB-2000
09/26/2014
MD
140925-12-01
Settleable Solids
Kluttz#1
0.3
mI1L
SM254OF-1997
09/25/2014
CL
140925-12-01
TSS
Kluttz#1
6.78
mg/L
SM254OD-1997
09/26/2014 .
CL
140925-12-01
Turbidity
Kluttz#1
2
NTU
EPA 180.1
09/26/2014
MD
140925-12-02
pH
Kluttz#2
8
Std. Units
SM4500HB-2000
09/26/2014
MD
140925-12-02
Settleable Solids
Kluttz#2
0.2
mIIL
SM254OF-1997
09/25/2014
CL
140925-12-02
TSS
Kluttz#2
8.89
mg/L
SM2540D-1997
09/26/2014
CL
140925-12-02
Turbidity
Kluttz#2
8
NTU
EPA 180.1
09/26/2014
MD
140925-12-03
pH
Zion
6
Std. Units
SM4500HB-2000
09/26/2014
MD
140925-12-03
Settleable Solids
Zion
0.2
mI/L
SM2540E-1997
09/25/2014
CL
140925-12-03
TSS
Zion
6.61
mg1L
SM2540D-1997
09/26/2014
CL
140925-12-03
Turbidity
Zion
6
NTU
EPA 180.1
09/26/2014
MD
Respectfully
submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2

Condition of Receipt
Temp on
Sample Number 140925-12-01 Arrival: 2
Parameter Schedule: pH
Received on Ice
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
Temp on
Sample Number 140925-12-02 Arrival: 2
Parameter Schedule: pH
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
Temp on
Sample Number 140925-12-03 Arrival: 2
Parameter Schedule: pH
Received on Ice
Parameter Schedule: Settleable Solids
Received on Ice
Parameter Schedule: TSS
Received on Ice
Parameter Schedule: Turbidity
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2of2

Client: I I
r .
J C, 0"g r\ rA.
STATESVILLF ANALYTICAL
122 Court Street . P.O. Sox
Statesville, NC 28687
Address-
j 11"a— J
[phone]
Contact Person:
t-A
Phone FAX#
7 1
Chain of
Custody Re'Cord
PO# Requisitio'ned by: (Time
Date?'
Customer
Sample ID#
Lab-11) #
Time Sampled
(Grab Only)
Date Sampled
(Grab Only)
12
Matrix-
Parameters requested for analysis
Relinquished by: Time
C
M /
a Date' -1/ fSampled by:
2am,
Received by-
Time
pm
D ate
Transported by:
Relinquished by:
Time
am, pm Date. I I Holding times met: ✓
Received by:
Time
am, pm Date
Compliance work:
Composite Sampling
#1:
Time begin—
am, pm
Date
Non-compliance work:
Time end
am, pm
Date —/—I—
Lab Comments:
Composite Sampling
#2-
Time begin
am, pm
Date
.Time end
am, pm
Date"—/—/—

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 10/10/2014
CERTIFICATE OF COVERAGE NO. NCG030055
FACILITY NAME Meritor Heavy Vehicle Systems LLC
COUNTY Henderson
PERSON COLLECTING SAMPLES Claude F. Laughter____
LABORATORY_ Pace Analytical Lab Cert. # Proiectr92217507
Comments on sample collection or analysis: O_u_t_f_all #2,_north side
creek
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
monthly'or N Se RECE �ARGING TO LASS ❑ORW❑HQW fTroutm❑PNA
OCT 16 2014 ❑Zero -flow ❑Water Supply ❑SA
❑Other
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
❑ No discharge this period?Z
outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks ===>
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
Outfall #2
09/16/14
.68
< 2.5 mg/L
7.0
.008 mg/L
< ,005 mg/L
.0347mg/L
36.7 mg/L
.015 mg/L
' Monthly sampling (instead of semi-annual) must begin with,the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially,sensitive receiving water -classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirerrient to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/1/2012-10/31/2017
5WU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the 5tormwater Pollution Prevention Plan."
&WU ,cam /71 .C�U6iYr.E1� --
Name (Print name)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX m /L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15-mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SLI
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are sign jieant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
\-41 lo] 1.,
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

Meritor Heavy Vehicle Systems LLC
1000 Rockwell Dr.
Fletcher, NC 28732
Date: 10/10/2014 (Sept. report)
North Carolina Dept. of Environmental k Natural Resources (NCDENR)
North Carolina Dept. of Energy, Minerals, & Land Resources — Land Quality
DWQ-Surface Water Protection
2090 U.S. Hwy. 70
Swannanoa, NC 28778
Dear Ms. Herbert,
Based upon Illy inquiry of the person or persons directly responsible for
managing compliance with the permit monitoring requirement for total toxic organics
(TTO), 1 certify that to the best of my knowledge and belief, no leak, spill, or dumping of'
concentrated toxic organics into the storruwater or onto areas which are exposed to
rainfall or stormwater runoff has occurred since filing the last discharge monitoring
report. 1 further certify that this facility is implementinsg all the provisions of the Solvent
ManaUcment Plan included in the Stormwater Pollution Prevention Plan.
Thank you,
Lick Anders
Facility Manager
[phone]

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htti)://portal.ncdenr.org/web/wil/ws/su/nndessw#tab-4
Permit No.: N/C/G /0 /3 /0 /0 /0 /0 / or Certificate of Coverage No.: N/C/G/0 /3 /0 /0 /5 /5 /
Facility Name: Meritor Heayy Vehicle Systems LLC
County: —Henderson Phone No. _f828L687_2000
Inspector: Claude F_Laughter
Date of Inspection:_SepC. 16, 2014
Time of Inspection: 09_30 a.m.
Total Event Precipitation (inches): 0_68
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
71 Yes 1-1 No
Please verify whether Qualitative Monitoring must he performed ehiririg a "representative storm
event" ar "measureable storm event" (requirements va+.v, depending on the permit).
Qualitative monitoring requirements vary. Most permits rewire 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, 1 certify that this report is accurate and complete to the best of my knowledge:
Pagel of 2
5WU-242, Last modified 10/25/2012

s
1. Outfall Description:
Outfall No. _2 Structure (pipe, ditch, etc.) _Ditch�nort-h side
Receiving Stream: _Cane Creek
Describe the industrial activities that occur within the outfall drainage area: Heavy
_manufacturing=weldin&, machiniLig, rinding
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as des criptors:_blue, light
3. Odor: Describe any distinct odors that the discharge may have.(i.e., smells strongly of oil,
weak chlorine odor, etc.): none
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 O3 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:
O2 3 4 5
G. 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:
10 3 4 5
7. Is there any foam in the stormwater discharge? Yes G
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes S
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
sWU-242, Last modified 10/25/2012