NCG080161_MONITORING INFO_20181203

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/vU&bD� �� 1
DOC TYPE
❑HISTORICAL FILE
� MONITORING REPORTS
DOC DATE
❑ � �� � 1 a �
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted t,)w ork%r, a 7AD
CERTIFICATE OF COVERAGE NO. NCGO8 O I Le I
FACILITY NAME �— �c�4�t �� C CO. I r,,C.1
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY SL�, S Lab Cert. #
Comments on sample collection or analysis:
e % _ . it _ & . ♦ % l -
SAMPLE COLLECTION YEAR ZOig
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or []Monthly' (month)
RECEI IRTHEii ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow [—]Water y Supply l ,, [:]SA
5-
DEC 0 3 2018 ®Other 0 a " yaa.�E
-,ENTRAL FILES
VVR, SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Ono
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark .
='
50 or 100 see permit
Within 6.0 — 9.0
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L_
Total Suspended Solid.,
mg/L
pH,
Standard units
Permit Limit
-
1S
50 or 100 see permit
6.0 — 9.0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page l of 2

STORM EVENT CHARACTERISTICS:
Date `P��g (first event sampled)
Total Event Precipitation (inches): ,25
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
[Vote: If you report a sample value in excess of the benchmork, you must implement Tier 3, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE 1 RIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION a.
• 2 EXCEEDANCES tN A ROW FOR THE SAME PARAMETER AT THL SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART 11 SECTION S.
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: _
lillail an original and one cooof this OMR including all "No Discharge" reports, within 30 days o recei t of the Jab results for at end of monitoring period in
the case of "No aischaroe" reportsreportsi to:
Division of Water Quality
Attn: UWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN TH15 CERTIFICATION FOR ANY INFORMATION REPORTED:
"€ certify, under penalty of taw, that this document and a$? attachments were prepared under my direction orsupervision in accordance with a system designed to assure
that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
11
-&b-, QQ"' - (Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: hull/mortal.ncdenr.orp../weblw(/sulnl)dessw tab 4
$WI;-2`0 lust revised April It, 2013
Yagc '- 0l'^

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted Sta 20`k
CERTIFICATE OF COVERAGE NO. NCG08 0, 1_ U I
FACILITY NAME;�c�G� �s��[ Cv�`L �[�- L�-,C_. _
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY — Lab Cert. # CASZ
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 70\A�
SAMPLE PERIOD r.Jan-June ❑ July -Dec
or ❑ Monthly" lmonthl
�� �IDIS&A5GING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
❑Zero -flow ❑Water Supply ❑SA
JUN 4 % ZQ)$ [Other— g e � m,
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Xpo
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Gil and Grease/TPH EPA Method
1564 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
l
�`� Zola
! ,
Z L40
S. Z
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Pa-e 1 of 2

STORM EVENT CHARACTER1STiCS:
Dates 17 L (first event sampled) c�
Total Event Precipitation (inches): Qa S
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 7 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SFE PERMIT PART 1€ SECTION B.
• TIER 3= HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OU CFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy o1 this DMR, includincLall_'No Discharoe" reports, within_30 days o receint othe lab results for at end of monitoring period in
the case of No Dischorge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SiCN THIS Cti=RTIFICATION FOR ANY INFORh':ATION 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 persor%s
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."
a&Az:�� Wly
(Signature of Perrnittee) (Date)
Additional copies of this form may he downloaded at: htty uortal.ncdenr.or web/wt "ws/su n .,desswgtab-4
I ti 'tj=L50 Ins., revised April 11. 2013
Pane 2 oi'2

%4
rf
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted May 23, 2018
CERTIFICATE OF COVERAGE NO. NCG12 0 1 0 7
FACILITY NAME Great Oak Lanfill
COUNTY Randolph
PERSON COLLECTING SAMPLES Steven Yarbrough
LABORATORY Research & Analytical Labs Lab Cert. It 34
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑ Monthly' MaY (month)
pISCEI AF}tCtN�T o CLASS ❑ORW ❑HQW []Trout❑PNA
v I:" t V U ❑Zero -flow ❑Water Supply ❑SA
JUN 0 7 2018 []Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
MR SECTION
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks
-
-
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L
SB2W
05/16/18
0.73
225
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For exam ie do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc, in mg/L. Conversely, where fecal Coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017
SWU-248, last revised 10/25/2012
Page 1 of 2

�r
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period ?2
Outfali 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 =__>
_
1S mg/L
100 mg/L or SO mg/L
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 0-,
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one cony of this DMR. includina all "No Discharae" reports. within 30 do vs of receipt of the lab results for at end of monitorina period
in the case of "No Discharae" reaortsl 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ignature of Permitteej
Permit Date:11/1/2012-10/31/2017
-S Aw Zo/e
(Date)
SWU-248, last revised 10/25/2012
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted z
CERTIFICATE OF COVERAGE NO. N0008_0 9
FACILITY NAME
COUNTY V—'3
PERSON COLLECTING SAMPLES N-Z_ L`` . ]
LABORATORY Lab Cert. # -2—
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 0\_-'-�A-
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly(_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW (-]Trout ❑PNA
RECEIVED
�� []Zero -flow ❑Water Supply PSA
f1ECI V ® ®Other��2e�w��
NOV 2 2 2017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new.,motor oil:per_month? _yes io
v�...r .r�1ti . �%. -v
(if yes, report your analytical results in the table immediately below) MVR SECTION
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
005S6
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 - 9.0
15
-
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
O utfa l l
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 - 9.0
Z SID
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page l of 2

STORM EVENT CHARACTERISTICS.
DatetO'ta\�?c jfirst event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING_ RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 3 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART 11 SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWO REGIONAL OFFICE? YES NOFJ
REGIONAL OFFICE CONTACT NAME:
Marl an original,
and one copy of this DMR, including all "N_ o Discharge"reports,_ within 30 days of receipt of the lab results!or at end of monitoring period in
the case of "No Discharge" reports) to
Division of Water 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 property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
�1 In
(Date}
Additional Copies of this form may be downloaded at: http./jgortaLncdenL.or web w %vs su n dessw#tab-4
SWU-250 last revised April 11, 2013
Pave 2 of 2

m
„ •srP.

1�1
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
date submitted
CERTIFICATE OF C VERAGE NO. NCG08 ®
FACILITY NAME c Ir\
CO NTY f-w IN
PERSON COLLEKK-\-AeS;X--
G SAMPL 5
LABORATORY Lab Cert. # U Sy
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR ZO\- -A-
SAMPLE PERIOD 3Jan-June ❑ July -Dec
RECEIVEn or Monthly' (month)
DISCHARG NG TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
MAY 0 4 2017 ❑Zero -flow ❑Water Su ly [:]SA
CENTRAL FILES MOtherrh
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes �no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfa I I
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
Lp 637
Zo'o
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S%VU-2`)0
Iasi revised Aprii 1 1" 2013
Pace 1 of 2

�f
STORM EVENT CHARACTERISTICS:
Date LkIZ�1 \mil (first event sampled)
Total Event Precipitation (inches):
Date . (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
■ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorina period in
the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations,"
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: httpi//portal.ncdenr.orp,/web/wglws/su/nodessw#tab-4-
SWv-254
last revised April 11, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO8 Q [ U \
FACILITY NAME�.r�4s____
COUNTY �12s-y
PERSON COLLECTING SAMPLES
LABORATORY f2[,-IS Lab Cert. tt Llq\
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR Z�-D
SAMPLE PERIOD ❑ Jan -June M July -Dec
or ❑ Monthly' (month)
®��ER§MnING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
RR CCii ❑Zero -flow ❑Water Supply ❑SA
SEP 2 2 -?� o ®Other (��1z_�C��"Q��-e_r.
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Did this facility perform Vehicle Maintenance Activities using more than S5 gallons of new motor oil per month? ___yes )Cno
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 - 9.0
15
-
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
7.664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
15
50 or 100 see permit
6.0 - 9.0
2 \
5,0
k5o
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S\VU-250 last revised April 1 I, 2013
Page I of 2

STORM EVENT CHARACTERISTICS:
Date (first event sampled)
a
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitoring period in
the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
nature of Permittee)
d4u)
(Date)
Additional copies of this form may be downloaded at:: http://portal.ncdenr.org/web/wQ/ws/su/npdesswtttab-4
SWU-250
last revised April 11, 2013
Page 2 oF2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE No. N0008-Q-J —(q-t
FACILITY NAME c - s_ c ��Cac,
COUNTY
PERSON COLLETING SAMPLES N-TL
LABORATORY (�- S� _ Lab Cert. is USZ
Comments on sample collection or analysis:
e cLrn.:t-,� ., CAr-w-. t1G 0 Q.-c_�
SAMPLE COLLECTION YEAR ZC k U
SAMPLE PERIOD 2` Jan -June ❑ July -Dec
or ❑ Monthly'._ (monthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
�^pP'..f1/� ❑Zero -Flow [:]Water Supply []SA
t I I [Other
AP'? 2 5 2016
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
DWR SECTION
Did this facility perform Vehicle Maintenance'Activities using more than 55lgal(q,!!sjoflnewjrna r pillper month? _yes �no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) F COP Y'No discharge this period'
outfall _
No.
Date - t
Sample Collected,
p
mo/dd/*7
:< 00530 %w
00400
' -- - 00556
p r'
= Total Sus ":ended,
'Solids,.mg/L{ -"
p H;
Standard units
Non4blar.Oil and Grease/7PH EPA
",".'Method 1664 (SGT-HEM), mg/L
New Motor;Oil Usage;
Annual average gal/mo
_Benchmark.
a ` 2
- rg
td or�106,-See.6ermit
Within 6:0=9:0-
z 15 -
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfali
No.
Date ;'
��
Sample Collected, -
mo/ddz*--
00556
'r 00530
00401j
Non -Polar Oil.and Grease/TPH EPA Method
166a (SGT-HEM), mg/L'
_;Totai Suspended Solids,
_ _ mg/L
i pH,
Standard units
Permit Limit
1s
_
50-or:100 see permit
6.Oi:'9.0,
IzA \�v I
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page 1 of 2

STORM iVENT CHARACTERISTICS:
Date 13 1 (first event sampled)
Total Event Precipitation (inches): C Qr
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an arictinal and one copy of this DMR, including all "No Discharoe" reports, within 30 dovs of receipt of the lab results for at end of monitorina period in
the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
g,�D1 lLn
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wa/ws/su/­npdesswt#tab-4
SWU-250 last revised April 1 1, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE'NO. NCGO8 O 1 _Co 1 SAMPLE COLLECTION YEAR 2-d\
FACILITYNAMEa�.,szc'��,�_ _ Y_ Cam, lz-,C' _ SAMPLE PERIOD Jan -June Dec[July-
COUNTY �Q or ❑ Monthly' (month)
PERSON COLLE ING SAMPLES ^CC�P\SSC� t DISCHARGING TO CLASS ❑ORW ❑HQW6- T out ❑PNA
LABORATORY b��� 4 Lab Cert. # J53LA Z. ❑Zero -flow ❑Wa err pply ❑SA
Comments -on sample collection or analysis: t ®OtherC6_
�� C1:iA5E REMEMBER TO SIGN ON THEIRREV R�tSE
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new m3tor oil per *n%? _ yes �no ��
(if yes, report your analytical results in the table immediately below) �yt
\0 :xA
l- 1
GENTRAEG��p�
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) S ❑ No discharge this period'
Outfall.
No:
Date
Sample Collected,
mo/dd/yr
00530
00400
0 556
'.'Total Suspended
Solids; mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark .
-
v 50 or 100'see permit
Within 6.0 .9.0
.15
-.
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
'Outfall
No.: -
'
Date
Sample Collected,
mo/dd/yr
00556
00530
00400 -
:IVon-Polar Oil and Grease/TPH EPA Method
1664. (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
_ 15
50 or 100 see permit
6.6 - 9.0 '
�Zu, Za5
?-S$
g.2
I For sampling Periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page 1 of 2

STORM EVE NTTCHARACTERISTICS:
DatetZl"t NT (first event sampled)
Total Event Precipitation (inches): - 1
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):,
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESUI.TS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 'TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
,.
Mail an on final and one copy of this Dlti7l;! including all "No Dischvr e" ?e arts within 30 days of recei t of the lab results or at end of monitoring eriod in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Maill Service Center
Raleigh; North Carolina 27699-1617 t
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 an'd 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."
(Date)
Additional copies of this form may be downloaded at: httP://Portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2

P/z A%
Semi-annual Stormwater Discharge Monitoring Repo
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted g— \1 — 7A\S c000ke
CERTIFICATE OF COVERAGE NO. NCG08 O 6 1
FACILITY NAME
COUNTY W13 f-
PERSON COLLECTING SAMPLES L.F
LABORATORY 1�P v tiro,,� r ,j Lab Cert. 4
Comments on sample collection or analysis:
,r�CLA S>sSW _ soli
SAMPLE COLLECTION YEAR Z0\5
SAMPLE PERIOD ❑ Jan -June b4 July -Dec
or ❑ Monthly' (monthl
AktGIN LASS ❑ORW ❑HQW ❑Trout ❑PNA
t �I v t— ❑Zero -flaw ❑Water Su ly ❑SA
AUG 2 6 2015 Bother p Vies _r
CENTRAL FILEI&EASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? __ yes �no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
No discharge this period'
Outfall _J
No.
- : Date
Sample Collected,
/dd/yr . -
00530•
00400
00556_
.Total Suspended,'-?
- .Solids, mg/L .y
- pH;,� _
- Standard units
Non -Polar Oil and Grease/TPH EPA
Method.1664 (SGT-HEIVi), mg/L
New Motor Oil Usage,
Annual average gal/rro
Benchmark
-
: 50 or 100 see permit ;
Within 6.0 - 9.0 '
J 5
-
Part B: Oil/water Separators and Secondary Contz inment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No... ;'
` -Date'
Sample Collected,
mo/dd/yr
': 00556 -
00530
00400
Non-Polarbil-and Grease/TPH EPA. Method
1.664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
PH,
Standard units
Per Limit
-
'
15
50 or 100 see permit
6.0 — 9.0 -
1
0$ 03 o�S
S.'z S.O
80�
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date &114V5 (first event sampled)
Total Event Precipitation (inches): 3 N 1y
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report o sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEE DANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this DMR, including all "No Discharge" reports, within 30 dovs of receipt of the tab results for at end of monitorina 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
81a I Ls
(Date)
Additional copies of this form may be downloaded at: http:Z/portal.ncdenr.org/web/wq/`ws/su/npdessw#tab-4
S W U-250
last revised April 11, 2013
Page 2 of 2

(�IacieAnalyfical
www.pacelabs.com
ANALYTICAL RESULTS
Project: 45.41005,0001
Pace Project No.: 92261588
Pace AnaMytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersviile, NC 28078
[phone]
Sample: STORMWATER OUTFALL Lab ID: 92261688001 Collected: 08/03115 09:30 Received: 08104115 09:30 Matrix: Water
#1
Parameters
Results Units PQL
MDL
DF
Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
8.2 mg1L 5.0
1.1
1
08106/15 09:41
1664 SGT HEM, TPH
Analytical Method: EPA 1664B
Total Petroleum Hydrocarbons
<5.0 mg1L 5.0
5.0
1
08/06115 09:45
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
364 mg1L 16.7
16.7
1
08/07/15 02:44
4500H+ pH, Electrometric
Analytical Method: SM 4500-H+B
pH at 25 Degrees C
8.7 Std. Units 1.0
0.10
1
08/05/15 15:10 H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 0911012015 09:19 AM without the written consent of Pace Analytical Services, Inc -
Page 6 of 14

Semi-annual StormWater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted -5
CERTIFICATE OF COVERAGE NO. NCG08•0- 1--La I
FACILITY NAMEx�a.o.\.-
COUNTY
PERSON COLLECTING SAMPLES JCL
LABORATOR���.®t�,Q Lab Cert. i#
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR ZO\-_
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other �D� fZ _- �� •,
RECEIVEOLEASE REMEMBER TO SIGN ON THE REVERSE -!
Did this facility perform Vehicle Maintenance Activiti�ss using more than SS gallons of ne�w"ojo5oL1;per month? __yes no
(if yes, report your analytical results in the table immediately below)
CENTRAL FILES
Part A. Vehicle Maintenance Areas Monitoring Requirements (If applicable) DWR SECTION
No discharge this period
Outfall
No.
.=Date
.Sample:Collected,:
ff6/dd/yr
-00530
00400 r..
- _ _- 00556
Total Suspended
.,Solids, mgr'L
pH,.,�
'Standard units
: Non -Polar Oil and Grease/TPH'EPA .-
...:-`Method 1664 (SGT-HEM), mg/L
New Motor Oil,Usage,
Annual average gal/mo
Benchmark
--
50 or 100 see permit
-Within 6.'0,- 9:0 y
_ r • 15
'
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall;
No..
f.' bate==
T
, Sample Collected;
,4rnd/dd/yr'
0055fi- ` ;:
- r 00530
'00400:"
Non -Polar O;I and Grease/TPH EPA Method ; :
1664 (SGT-HEM), mg/t
_
�'.. . Total. Suspended Solids,
mg%C
pH,
Staridafd units
Permit Limit. <
: - -
..
15 _
50 or 100 see permit
-_fi.0 = 9.0
3Z0.1 or'S
Is
15Ck
got
I for sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date' `Z°1S5-(first event sampled) t `�
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART 11 SECTION B.
2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oCkinal and one copy_ of this_DMR Including all "Na Discharge" reports, within 30 days o receiptof the lab_ results or at end of monitoring period in
the case of "No Discharge" reports to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 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)
4(-`?-Z2(S
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SW U-250
last revised April 11, 2013
Page 2 of 2

,�.
.. �,
t
��.
•
1=L

Semi-annual Stormwater Discharge Monitoring Report _
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted 1 Z- 5- 7- 014
CERTIFICATE OF COVERAGE G
1ERAGE NO. NC08 0 I
FACILITY NAME s � 5. xi\ca . k CD.2, 3t c-• _
COUNTY
PERSON COLLECTING SAMPLES �[ti
LABORATORY e Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR _ ZQtL-11,- ^_
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ;KMonxhly1 (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-floww^ter Sup ly [:]SA
-RECEIVED ®Other 0�_. �3��
` DECI"2�� PLEASE REMEMBER TO SIGN ON THE REVERSE
Did this facility perform Vehicle Maintenance Activities using more than S5 g4ftK99(AE%FjVpWr oil per month? _. yes no
(if yes, report your analytical results in the table immediately below) DWR SECTION
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)t`
:. } .. �rj
❑ No discharge this period'
' Outfall
No.
: 'Date
Sample Collected,
m6/dd/yr
00530
00400
00556
.Total Suspended
Solids, mg/L
pH, _�.:' `
Standard unit's-. .._
' Non -Polar Oil and Grease/TPH EPA
•Method 1664 (SGT-HEM), mg/L
New Motor,0il Usage,
Annual average gal/mo
Benchmark ..'
-
50 or 100 see permit
Within 6.0 -9.0 _ ___
_ .. 15
'�-
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall'
", Date
00556 _ ' ^'
''' 00530
00400 '
No.
..Sample Collected,
Non -Polar Oil and Grease/TPH EPA'Method 0
.i Total Suspended Solids,
pH, ;
mo/dd/yr
.1664 (SGT-HEM), mg/,L - �" Ef
t'r' ' mg/L
Standard units'
Permit Limit.'
15 " -
='' 50 or ] see permit
-
6.0 - 9:0
t
`t
- —M
-SO.0�—
f,m,wr--.%-,%T-M!M1`4'y7�`I
E For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. -
S W U-250 ``4`'''''�t �' " last revised April 11,•2013
Page l of 2

T-J
7, :-1 H

STORM EVENT CHARACTERISTICS:
Date 1zuojIU, (first event sampled) "
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 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 8.
• TIER 1 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 oriainal and one copy of this DMR, including all `No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in
the case of "No Discharge" resorts 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
PrPSIr%r�� is 11D III
(Date)
Additional copies of this form may be downloaded at: httL://portal,ncdenr.org/web/wq/ws/su/nAdesswtttab-4
SWU-250
last revised April 11, 2013
Page 2 of 2

__, -- _
.1 :K�f.f
i' �' •_ l
_� — 5-t-.F�w .-.._ _ _ �
-�n-�.�-....'.. 1
... _. _._._ _ .�. r _ ..
i
', .. `J:r
' .. _ 'r_j �..-� r.

<-
Semi-annual Stormwater Discharge Monitories Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted ZS ZC(L-
CERTIFICATE OF COVERAGE NO. NCG08 D La1
FACILITY NAME
COUNTY
PERSON COLLECTING SAMPLES QAgP"CC C�i/QC1�Q1 _ l
LABORATORY Lab Cert. # S 3L Z
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June Q July -Dec
or ® Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ❑Water Sup I❑SA
RECEIVED Other A C s15
SEP 2 9 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of'W 'is month? _ yes no
(if yes, report your analytical results in the table immediately below) ��
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfall
No.
Date
Sample:Collected, '
mo/dd/yr i
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units -
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.,
Date
Sample Collected,
mo/dd/yr
00556
00530
00400 "
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit.
-
15
50 or 100 see permit
6.0 — 9.0
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page 1 of 2

Li
riflU
>';1 ��; „r.;i_
r•ri t,:_2GG
." 1.1Si.} iJaif`.
of E M6
S`i
•
.,... . 1 . is

r
STORM EVENT CHARACTERISTICS:
Date (first event sampled) t ��
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE 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 lab results for at end of monitoring period in
the case o "No Discharge" reports to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there arensignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Ck zs
(Date)
Additional copies of this form may be downloaded at: http:/Zportal.ncdenr,org/web/wq/ws/su/npdessw#tab-4
S WU-250
last revised April 11, 2013
Page 2 of 2

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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
-- - Date submitted
CERTIFICATE OF COVERAGE NO. NCGO8 b i (o I
FACILITY NAME aL\._ -:Ec -
COLINTY
PERSON COLLECTING SAMPLES
LABORATORY,i _ . rcLjLab Cert. #
Comments on sample collection or analysis:
RECEIVED
JUL 0 7 2014
CENTRAL FILES
DWQ/B0G
SAMPLE COLLECTION YEAR OLD
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
❑Zero -flow ❑Water Supply _❑SA
- [Other
- - -- PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Did this facility'perforrrh Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X'no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (if applicable) -
❑ No discharge this period'
Outfall
No.
_
:- -_ Date
Sample Collected,
_%-.rno/dd/yr
00530
00400-' — -
00556
Total Suspended:
Solids, mg/L _
pH, _
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,.
Annual average gal/mo
Benchmark
50 or 100 see permit
Within 6.0 ' 9.0 ' " -
15
-
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall�•:=-
No.
F..--
_' Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA.Method
1664 (SGT-HEM), mg/L. _ i
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit, .._..__
.� _.w --
r 15 - ` ' "'"
50 or 100 see permit
6.0 - 9.0
L -A
4,5 • --
yZ.3
_=t7,$
For sampling' periods with no discharge at any single outfall, you must stiil.submit.this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page 1 of 2

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STORM EVENT CHARACTERISTICS:
DateU° k (first event sampled)
Total Event Precipitation (inches): O.S
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES S NO ❑
REGIONAL OFFICE CONTACT NAME_
Mail an oriainal and one coon of this DMR. includina all "No'Discharae" reports. within 30 days of receipt of the lab results tor at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1G17 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
911 q
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2

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Semiannual Stormwater Dischar a Monitoring Report3
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGOS D I Lo ( _._...---SAMPLE COLLECTION YEAR 2-ok4
FACILITY NAME ��s1s,a�xQ,�� ��L1� SAMPLE PERIOD ❑ Jan -June ❑ July -Dec_
COUNTY6--i.4�� ° - _. w . _ .... or ®Monthlyl month
PERSON LOLL CTING SAMPLES
DISCHARGING TO CLASS ❑ORW ❑ QW [:]Trout ❑PNA
LAB ORATORY�rt"o���',[��Lab Cert. # S'3yZ '- " `� �� " `f' ' ❑Zero -flow [:]Water Sup ❑SA
Comments on sample collection or anal
^�• "RECEIVED PLEASE REMEMBER TO SIGN ON THE REVERSE --I
Did this facility perform Vehicle Maintenance Activities using more than 55 galloji��pfOd3nrN44or oil per month? _ yes Xno
(if yes, report your analytical results in the table immediately below)
CENTRAL FILES
DWQIBQG
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable] %Cep'-), '' ❑ No discharge this period1.
Outfall' :.
No.
oDate:
: Sample Collected, '
_mo/dd/yr
00530
00400 " `r
00556
`Newotor
� r Total Suspended
:Solids; mg/L
PH,7�".'
Sta'ndaid�uni.ts' i
= Non -Polar Oil and,Grease/TPH EPA„
;- .MetEiod 1G64.(SGT`HEM), mg/L
-M - Oil Usage, .
.,Annual!aijerage;gal/mo
Benchmark:
-
' 50 or 100 see:permit '
:Within,6 04"9.0
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.
=.W'". Date _
Sanmpie:Collected,
mo/dd/yr
<. "" , . 00556:': w - .`;�
�` 00530
:OQ400-
A _
Non=Polar•Oil•,and Grease/TPH EPA'Method''-
1664'(SdT-HEM), mg�L`t" L �
` r Total"Suspended Solids,
,- . mg/L
' pH,
_Standard.drifts
Permit_-Limi_t- .,.
-
�=.= _ 15 .'�
50 or 100 see:pe`rmit
6 0=9:0 s _
t
5 R2W1 A
5-LD -9
- - _. _.
For sampling periods with no discharge at any single outfall, you must still submit -this discharge monitoring report with a checkmark here,,j;,z
5WU-250 last revised April 11, 2013)
Page 1 of 2

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STORM EVENT CHARACTERISTICS:
Date 5 S(p (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES )< NO ❑
IF YES, HAVE YOU CONTACTED THE DW REGIONAL OFFICE? YES DQ NO ❑ _
REGIONAL OFFICE CONTACT NAME: Ar O-W-� I U10N
Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
51--n y
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4,
S W U-250
last revised April 11. 2013
Page 2 of 2

I

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted Apr- I 7-3. Z014
CERTIFICATE OF COVERAGE NO. NCG08 I to
FACILITY NAME
COUNTYI,�
PERSON COIL CTING SAMPLES 1QrT� SSpc�2S CJ'r ��
LABORATORY Lab Cert. It 5N Z
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR �ZCA
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec -.
;"istt_ nsti or M Monthly' ' \ month
` ❑ORW HQW ❑Trout ❑PNA
• • .DlS�PiARGING TJ+OCLASS
" Li 0
��JJC? V �8..! ❑Zero -flow [:]Watersupply ❑SA
•5 ZD14 ®otherCpwVga.mT, �
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DW0180G
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X(no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) 1 ` - .: - = -
❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH, .
Standard units. r:.t
Non -Polar Oil and Grease/TPH EPA
}" ='Method 1664 (SGT-HEM), mg/L
New Motor,Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400,
Non -Polar Oil and Grease/TRH EPA Method
1664 (SGT-HEM), mg/I f' '
Total Suspended Solids,
k " ' mg/L
pH, ) k
Standard units
Permit Limit
-
15 _ _
�' - 50 or 100 see permit
6.0 — M
l4119ILD
I q
s,D
InsS,z
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.'_
SWU-250 1. - =" `' last revised April 11, 2013
Page I of 2

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STORM EVENT CHARACTERISTICS:
Date - la l i�J_ (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES JANO ❑
IF YES, HAVE YOU CONTACTkD THE DWQ REGIONAL OFFICE? YES 0, NO ❑
REGIONAL OFFICE CONTACT NAME:
r
Mail an original and one cony of this DMR including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
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."
(Signature of Permittee)
qW 114,
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webLw_q/ws/su/npdesswtttab-4
S W U-2S0
last revised April 1 I 2013
Page 2 of 2

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Semi-annual Stormwater Discharge Monitoring Report ' R Y:•'
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted Zr2D—Z-jz_�yy
CERTIFICATE OF COVERAGE NO. NCGO8 .O' t _U { _ SAMPLE COLLECTION YEAR Z CALL -
FACILITY NAME IS SAMPLE PERIOD ❑ Jan -June ❑ July -Dec •
COUNTY d�a�.� _i{'__ `}. _ _ _ or ® Monthlyl month
PERSON COLLECTING SAMPLES PTGP�sc�a_ Ok7_; : — ' `--:DISCHARGING TO CLASS ❑ORW ❑HQW',' Trout ❑PNA
is°.+ ❑Zero -flow ❑Water Supply _]SALABORATORY ��� Lab Cert. # rJ��l L ECEIVE®
�A_S]2�C9����
Comments on sample collection or analysis: �Other
- _ — -
PLEASE REMEMBER TO SIGN ON THE REVERSE
CENTRAL FILES
Did this facility perform Vehicle Maintenance Activities using more than 5S gallons of new motorVoiil,per(month? _yes i:.no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)-„ =L .; _ ❑ No discharge this"periodl
Outfall
No.
Date
Sample Collected,
- mo/dd/yr
00530
00400:
00556
.Total Suspended
Solids, mg/L
pH,- =' `:.`'r;
Standard -units
4 Non -Polar Oil and Grease/TPH EPA
'c' Method 1664 (SGT=HEM), mg/L
New. Motor Oil Usage;
Annual average gal/mo
Benchmark
-
50 or 100 see permit '
Within 6.0 — 9.0 ,.'-
15
i
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) 4
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
100400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L z,':"':
Total Suspended Solids,
mg/L
= pH,• •,;
Standard units - ,
Permit Limit.
15
50 or 100 see permit
= 6.0 — 9.0
For sampling periods with no discharge at any single outfall, you must still submit this:discharge monitoring report with a checkmark here:'; i..•„ ;;,,
SWU-250 last revised April 11, 2013
Page 1 of 2

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.. - i � i.�"��i:�l.' i��.•: 1:
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STORM EVENT CHARACTERISTICS:
DateZltt ItA (first event sampled)
t%
Total Event Precipitation (inches): Q.-:ko'
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES N NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ;K NO ❑
REGIONAL OFFICE CONTACT NAME: A2jz!,� C��. � , &_ �Q
Mail an original and one copy of this DMR, includina all `No Discharae" reports, within 30 dovs of receipt of the lab results for at end of monitoring period in
the case of "No Discharae" reoortsi 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 significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
t uSG� ELuv�lQr�sic[vilf�s[t�
ignature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://p_grtal.ncdenr.org/web/­wq/ws/suZnpdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000,
Date submitted 3_ r 9= ZO I
CERTIFICATE OF COVERAGE NO. NCG08 I CQ I - - SAMPLE COLLECTION YEAR ZoD%'Lfir
FACILITY NAME ,� (��c�C , SAMPLE PERIOD ❑Jan -June ❑ luly-Dec
COUNTY P+�tJ T� , _ O 'lonthly' month
' '~IQfSAAG,N�C ASS ❑ORW ❑HqW -]Trout ❑PNA
PERSON COLLECTING SAMPLES l4►A.SS E�� �- _ `
LABORATORY aw-e- RNtg�.-k-,CcxpLab Ceit. # "534'i? ❑Zero -flaw ❑Water Supply ❑SA
Comments on sample collection or analysis: ~ -~ ---- - -- MAR 2 4 2014 ®Other�'��,�FL���"e_,�
' = GEDVVOJBQG PLEASE REMEMBER TO SIGN ON THE REVERSE-4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes '&no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicableP_'"`:'.' ❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
.004._ _ _
. 00556
-
Total Suspended
Solids, mg/L
pH, '�`' "
Standard units:;__ _
Non -Polar Oil and Grease/TPH EPA
- Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0-.9:0'_ ._ _
, 15
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) s!, "! r.= _
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556 - _ "� . ' `'
00530
�00400-
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/U '` ;��=' _
Total Suspended Solids,
mg/L
pH, ;
Standard units .. .
Permit Limit
-
15 * - " _ _-. '''" " `' w
50 or 100 see permit
' I . 6.0�-'9:0
< 5 :p
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.., ..,
SWU-250 is ,, ,r
last revised April 11, 2013
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 31(first event sampled) .A
Total Event Precipitation (inches): U:k-S
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE 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 lab results or at end of monitoring period in
the case o "No Discharge" re orts 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:
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
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)
-,3kq
� (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/wslsu/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGOS o I GO SAMPLE COLLECTION YEAR
FACILITY NAME >, EA,%�1C CJD, (1C. SAMPLE PERIOD ❑ Jan -June ❑ July -Dec -
COUNTY / ;�2 ;o; fit or Monthly' month
PERSON COLLEC TING SAMPLES �� SSo«-lreS U'C ��:ii j� .t�'.�iL DISCHARGING TO CLASS ❑ORW �HQ111! Trout ❑PNA -
f� f7 Zero -flaw Water Su I SA
LABORATORY S� T Lab Cert. # � 5 � T �4 ,'' r ` � � pp Y `
Comments on sample collection or analysis: _ ®Other SC.
S11 I�Alsj ILL,r6ic— RECEIVED
y' *� 8"'2 Z014 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new tor oil per month' _yes �T�no
(if yes, report your analytical results in the table immediately below) CENTRAL �ILus
DWa1BoG
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable), -y, No discharge this `periodl
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400y_—_
00556
+
Total Suspended
Solids, mg/L
pH,. } j: Y ,. -
Standard. units.•.
- Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6:0'- 5--C ­­
15
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall.
No.
Date
Sample Collected,
mo/dd/yr
00556 - - 7 =,r
00530
00400._
Non -Polar Oil and Grease/TPH'EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L,
pH;"I"t
Standard units _
Permit Limit •
-
15 '
50 or 100 see permit
6.0 - 9.0 _.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here'I ' '•' • -k'- '
SNVU-250 a �l last revised April 11, 2013
4 Paae 1 of 2

STORM EVENT CHARACTERISTICS:
Date t l (first event sampled)
Total Event Precipitation (inches): 0.
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE 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 lab results (or at end of monitoring period in
the case of "No Discharge' reports)
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:
1.1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
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."
1i& INV_
(Signature of Permittee)
I 14
(Date)
Additional copies of this form may be downloaded at: http://partal.ncdenr.org/web/wo/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2013
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