NCG140032_MONITORING INFO_20190618

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
�v �� �y 52
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ o! OI 7 b b
YYYYMMDD

0 •
0
PROCESS WASTEWATER — Semi -Annual Discharge Monitoring Report
p...
GENERALPEtMITN NCG140000
JUN 19 2019
SAMPLE COLLECTION YEAR: 20141
CERTIFICATE OF COVERAGE NO. NCG146 63 2 CE��rR�� r=rL-�'
FACILITY NAME: cg,. ` r �UJR ��CTtG MPLE PERIOD: ❑July-0December ®January -June
SAMPLE COLLECTOR: JKI welia COUNTY:
CERTIFIED LABORATORY: ki Lab # PHONE NO.: ( q81- GGI
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO DISCHARGING TO CLASS: []SA ❑HCLW ❑PNA [-]Trout ®Other
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected 1
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)2
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L}
Non -Polar
Oil & Grease
using method
1664SGT-HENf
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
(gallons/day}
-
-
-
6-93,4
303.1
53
(15)6
-
-
3-
..
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff
notifies you to continue monitoring.
A pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 1 of 2

s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but
instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action,
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC
02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a
Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on
a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE1 WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END
OF MONITORING PERIOD IN CASE OF "NO FLOW TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFIC4TION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction dr supervision iri 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 awarethat there
r11are sig i ant petalties for su'knitting falsq information, including the possibility of fines and imprisonment for knowing violations,!'
ittee
Permit Date: 8/1/2017-06/30/2022
(Date)
Last Revised 07/27/17
Page 2 of 2
0 0 0

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 a 3 Z
FACILITY NAME: De&A!
SAMPLE COLLECTOR:
CERTIFIED LABORATORY _ K . W Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: gO I GI _
SAMPLING PERIOD: ❑ July -December &anuaryJune
COUNTY
PHONE NO. (7!a] !JR1- _4415 _
ADD TO LISTSERVE? AYES ❑NO EMAIL•
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout XjOther G
Ouffall No.
Date Sample
Collected
mm dd/N QR .
( /
NO FLO1N} .. .
pH
(Standard Units}
TSS
(mg/L} . ..
"Total
Rainfall°._ ,
In Tier 2
Monthly Monitoring?
# of Months in Tier 2
Sampling2 .
..: ...
-
-
6-92; ;
10011-
47
t
s
,>,
JUN 18
2019
(��r�ITC�!•.1 I'll
r!. .
DWR SEC
` 01\1
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfaIt here. Please make sure to mark the sample period above.
2 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 Genera l_Permit -Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TS5 benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/I.
'For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)1
pH
(Standard
Units)
Non -Polar
Oil & Grease using
method 1664
SGT NEM
(mg/L)
Total
Suspended
Solids
{�L)
Total
Rainfall'
(in)
New Motor Oil Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
Wn) .
# of Months in Tier 2
Sampling2
6-92
152
Sooz3
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL"(INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NOD
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (includine all "No Flow" & "No Discharee" reports) within 30 days of receiot of sample for at end of monitoring period in
case of "No Flow to:
Division of Water Resources
Attn: DWR 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 respons le for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aw re hat th re are signi i ant penalties for sub 'tting false information, including the possibility of fines and imprisonment for knowing violations."
G-13- 19
(Signature of Per ttee) (Date)
Permit Date: S/1/2017-6/30/2022
Last Revised 07/27/17
Page 2 of 2

0 9 0
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 U O , a
FACILITY NAME:
SAMPLE COLLECTOR: F L
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: a(Q- I
SAMPLING PERIOD: NJ July -December ❑ January -June
COUNTY 6 i _
PHONE NO. (7U4 I el �2 - (Q S
ADDTO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA []Trout ®Other G
Outfall No.
Date Sample
Collected
(mm/dd/yr OR
NO FLOW]'
pH
(Standard Units)
TSS
(mg/L)
Total
Rainfall"
(in}
In Tier 2
Monthly Monitoring?
(y/n}
# of Months in Tier 2
Sampling
-
6-92
100Z3
-
-
-
v-
a i V 117— U
NnV I 2nsR
IZ1h1 �C"r�r.
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 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. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/I.
"For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 1 of 2

PartB: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year.
Outfall
No.
Date Sample
Collected
{mo/dd/yr}1
pH
(Standard
Units)
Non -Polar
Oil & Grease using
method 1664
SGT-HEM
(mg/L)
Total
Suspended
Solids
{mg/L}
Total
Rainfall a
(in)
New Motor Oil Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
{y/n}
# of Months in Tier 2
Sampling 2
6-91
15,
100z3
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mai! Original and one coov of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period in
case of "No Flow') to:
Division of Water Resources
Attn: DWR Central Files
1617 Mai{ 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 ray inquiry of the person or persons who manage the system, or those
persons directly responsible for gatheri the' formation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
away t there are si � nt pe Ities fa ub itting false information, including the possibility of fines and imprisonment for knowing violations."
1
(Signature of Permitt ) (Date]
Permit Date: 8/1/2017-6/30/2022 Last Revised 07/27/17
Page 2 of 2
0 0 0

0
PROCESS WASTEWATER — Semi -Annual Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. N G146 G 3_a
FACILITY NAME: Y�1 rxc
SAMPLE COLLECTOR: k1k 4-
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Reauirements
/Rc lveD
SAMPLE COLLECTION YEAR: �G I JUL 2 5 2018
SAMPLE PERIOD: [duly -December ❑January -Jun L F1LCs
COUNTY:
PHONE NO.: (-/C4 1 �JKa' GGIS
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected 1
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD} 2
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
Non -Polar
Oil & Grease
using method
1664SGT-HEV
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
(gallons/day}
-
-
-
6_91'4
303S
53
(15)6
-
-
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
'If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DEMLR RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date: 8/1/2017-06/30/2022
Last Revised 07/27/17
Page 1 of 2

s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but
instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC
02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DEMLR. If the permittee cannot obtain a
Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DEMLR, and the DEMLR Regional Office may require an annual flow report on
a case -by -case basis.
MAID_ ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE"} WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END,
OF MONITORING PERIOD IN CASE OF "NO FLOW) TO:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFIC4TlON 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 su itting false,infor ation, including the possibility of fines and imprisonment for knowing violations."
(Signature of rmittee) (Date)
Permit Date: 8/1/2017-06/30/2022 Last Revised 07/27/17
Page 2 of 2

STORM WATER -DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
~; GENERAL.PERMIT NO. NCG140000 '
CERTIFICATE OF COVERAGE NO. NCG14 6 0 3 e1_- MAY SSAMPI� COLLECTION YEAR:
SAMPLING PERIOD: ❑ July -December January -June
FACILITY NAME: D�r�R���CCiLfNTY �-�,�)
PERSON COLLECTING SAMPLES ti � � �� �EpHOIVE NO. (�CJ�-J_ a�5� GGI�
CERTIFIED LABORATORY K4NJ L #
Lab # ADD TO LISTSERVE? ❑YES [I]NO EMAIL:
OPTIONAL INFO: DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout
Part A: Stormwater Monitoring Requirements
©Other C
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)
pH
(standard
units)
TSS
(mg/L)
- Even;
Duration
(minutes)
Total
,
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling2
-
6-42
1002.3
-
5 7!
Za51Z
` If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 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: Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark ranger
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW; Trout, and PNA waters where they are 50 mg/I.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr}I
pH
{Standard
Units}
TPH using method
1664A 5GT-HEM
{mg/L}
Total Suspended
Solids
(mg/L]
Event
Duration
{minutes}
Total
a
Rainfall
(in}
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
ff of Months
in Tier 2
2
Sampling
6-921
152
1002'3
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receiot of samole (or at end of monitoring oeriod
in case of "No Flaw") 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.
am aware that there ar ig icant'p naltie or ubmitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permitte (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of ?

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERA. PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 Q O
FACILITY NAME:
PERSON COLLECTING SAMPLES: le, W6161_�
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
AJ
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: aU 1 e
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec
COUNTY: c�1T Ii1
PHONE NO. (7 )� ��d-G�, 15
ADD TO LISTSERVE? DYES ❑NO EMAIL:
❑Jan -March
WApril-June
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other.
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
s
SGT-HEM
(mg/L)
Discharge
Duration.
(minutes)
Total Flow
,
(gallons/day)
-
-
6-91.4
303'5
53
(15)6
-
-
l
'Iia�l
Jr�D
�r'..
PR 9 zo
s
CrE
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
` Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring,
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s T55 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L For Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page i of 2

" Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 0213 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot -
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality _ T
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 significarZt peg lties for submitting false information, including the possibility of fines and imprisonment for knowing
i
violations." r� , • 1-1
(Signature of Perrffittee)
Permit Date: 7/1/2010-06/30/2015
4-I(-A
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 ' 0 c1
FACILITY NAME:
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:_ Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: _ A 61
SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec Ran -March ❑April -June
COUNTY: _ cvrti I
PHONE NO. (1 ��cG,<s__�__
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other G
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
z
{VE, RM, MD}
pH
(standard)
-Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
s
SGT Hr M
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day}
-
6-93,4
303,5
53
(15)6
-
U
.v-71
RES
r
1TRR �"
ov
1R -
1 If wastewater systems have not discharged in this quarter — report "No flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
` Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring For that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date! 7/1/2010-06/30/M15 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL. ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE:" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY 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." i I. `.
&,dl4L � /—),g r
I �
(Signature of per ittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140 L l SAMPLE COLLECTION YEAR: 9,017_
FACILITY NAME: ` SAMPLE QUARTER: ❑Jul -Sept %Oct -Dec ❑Jan -March ❑April -June
PERSON COLLECTING SAMPLES: ; NyY:
CERTIFIED LABORATORY: Lab Itt� PHONE NO.( 700
Lab # _IAN Q 9 TO LISTSERVE? ❑YES ❑NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Mother
Of?. SEO&TI 0 N A L INFO:
Part A. Wastewater Monitoring Requirements
,%rrr)Pl!jA r•,Rt aonPrcCrtl(; 11N!T
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wa:;tewater
(VE, RM, MD} z
pH
{standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664R
s
SGT N L)
(mg/
Discharge
Duration
{minutes}
Total Flow
{gallons/day}
-
6-93'4
30''
53
(15)6
v in 6
I If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MO). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters_
s TS5 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for ali other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

° Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VrAA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL. SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE"(I WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-2617
[phone]
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 si nificant penalides for submitting false information, including the possibility of fines and imprisonment for knowing
violations." _
(Signature of Permittee)
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCC714d U SAMPLE COLLECTION Y ,R: 0 &= 1�.&7
FACILITY NAME: c_ ni SAMPLING PERIOD: July -December ❑ January -June
PERSON COLLECTING SAMPLES COUNTYI {7'aN:? SzCTION
CERTIFIED LABORATORY Lab # J' 5Q PHONE NO.( '") �i�'[ a 1 -R 4 �:: 13UNIT
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
OPTIONAL INFO: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Other G
Part A: Stormwater Monitoring Requirements
Dutfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
(Standard
units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling2
-
6-92
1002,3
-
-
I17
79 8
75
1a h
, r a
nJ
_ -1z
I I kr5
11 IIV
if "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each autfall here. Please make sure to mark the sample period above.
Z 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, Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range'
' TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW; Trout, and PNA waters where they are 50 mg/I.
a For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)1
pH
(Standard
Units)
TPH using method
1664A SGT NEM
(mg/L)
Total Suspended
Solids
(mg/
Event
Duration
[minutes)
Total
a
Rainfall
(in)
New Motor Oil
Usage
[gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
N of Months
in Tier 2
Z
Sampling
6-9Z
is
100,
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one conv of this DMR fincludinv all "No Flow" & "No Discharge" reports) within 30 daus of receipt of sample (or at end of monitoring period
in case of "No Flow") 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.
am aware that there are significantTt%kaltips for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Ll`
(signature of Per ittee) (Date)
Permit te: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWATER D6CHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE.OF COVERAGE No. NCG140 .0 3
FACILITY NAME: '
PERSON COLLECTING SAMPLES _
CERTIFIED LABORATORY � W Lab #
Lab #
OPTIONAL INFO:
part AeStnrmwater Mahitorine Reouirements
SAMPLE COLLECTION YEAR:. a017
SAMPLING PERIOD: July -December ❑ January -June
COUNTY 1'
PHONE NO. (7c4- "f
ADD TO USTSERVE? ❑YES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other C-
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
(Standard
Units)
' '
TSS
(mg/L}
Event-
Duration
{minutes}
Total
a
Rainfall
(in)
In Ter 2
Monthly
Monitoring?
(y/n)
># of Months in Tier
2
2 Sampling
_
-
6-9z
10023
-
-
-
U-Y-17
�K
75
la Hr
,, r a
.
- -1
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 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: Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark'or within the benchmark range:'-
3 TSS benchmark values are.100 rng/l, except when discharging to ORW, HQW; Trout, and PNA waters where they are 50 mg/l.
a For each sampled measurable storm event the total precipitation�rriust be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Qutfall
No.
Date Sample
Collected
(mo/dd/yr)`
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
{ mg/f)
Event
Duration
(minutes)
Total
a
Rainfall
('m)
New Motor Oil
Usage
{gal
(gal/month) )
In Tier 2
Monthly
Monitoring?
(y/n)
tt of Months
in Tier 2
Sampling'
6-9
152
100"
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR (including all "No Flow" & "No Discharge" resorts) within 30 days of receiot of samole (or atend of monitoring oeriod
in case of "No Flow") 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 mariage 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
am aware that them are significant'p2galtips for submitting false information, including the possibility of fines and imprisonment for knowing violations."
--12 5 - ,
(Signature of Per ittee) (Date)
Permit hate: 7/1/2011-60/30/2015 Last Revised 7/13/11
I
Page 2 of 2-1

-PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NC 14 Q d 3
FACILITY NAME: Gt. ^itG
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NOW
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: cZ01 J
SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec ❑Jan -March April -June
COUNTY: 6}G IL4 _
PHONE NO.( 7o�j G4Sa~Coco f,��
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA [jTrout []Other �-
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) Z
pH
(standard)
Total Suspended
Solids
(mg/L)
'
Settleable
Solids
(mL/L)
TPH using
method i664A
a
SGT NE)
(mg/L
Discharge
Duration
)minutes)
Total Flow
,
{gallons/day)
-
6-93A
303's
53
(15 )6
7
Ju
+TRAi- F1l.ES
it SECTt
DN
` If wastewater systems have not discharged in this quarter - report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
' pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/201S
Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas_. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224, Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WiTHIN 30 DAYS OF RECEIPT OF_SAMPLE _f OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY 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 f
violations."
(Signature of P ittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER —Quarterly Discharge
GENERAL PERMIT No. NC(3140000
CERTIFICATE OF COVERAGE NO. NCG14 O () 3
FACILITY NAME: De.,-,rr` )%
PERSON COLLECTING SAMPLES: JkA L Was
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
Monitoring$!V_c r � 101
ky
RP&IOvE.�
SAMPLE COLLECTION YEAR: d r7
SAMPLE QUARTER: ❑Jul -Sept []Oct -Dec XJan-March ❑April -June
COUNTY: 5+e A
PRONE NO. %X- CQ3
ADD TO LISTSERVE? ❑YES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
2
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
s
SGT-HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
(gallons/day)
-
6-93'
30"s
53
(15)6
-
3
NO
` If wastewater systems have not discharged in this quarter -- report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
' pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, t0 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/20t5 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from V MA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW"] TO:
Division of Water Quality �^
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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 iwaluate 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 o'i fines and imprisonment for knowing
violations."
D - 1'
(Signatu of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14L O -3
FACILITY NAME:
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Manitorine Reouirements
SAMPLE COLLECTIO YEAR: �a
SAMPLING PERIOD: July -December ❑ January -June
COUNTY LA
-
PHONE NO. (_0q_) cl$ GG I
ADD TO LISTSERVE? DYES AND EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout LZOther
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)1
pH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
,
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
-
6-92
1002'
-
-
-
1
-30-16
-7
G
as
1
a
-i6
n
DE
ZU1
a��
D
I-
7r
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z 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. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below ttie benchmark or within the benchmark ranger
' TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW; Trout, and PNA waters where they are 50 mg/I,
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part 8: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr)�
pH
(Standard
Units)
TPH using method
1664A 5G%HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
2
Sampling
6-92
15 2
1002.3
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES 0 NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coon of this DMR (includinR all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of mo'nitorinR period
in case of "No Flow") 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 p, sons directly re Bible for gather' information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am away there signi ant pe alties for sub se information, including the possibility of fin sand imprisonment for knowing violations."
(Signature of Permitt (Date)
Permit Date: 7/1/2011-60/30/2015
-
t�r
Last Revised 7/13/11
Page 2 of 2

LISK TRUCKING INC.
P.O. BOX 70
POLKTON, NC 28135-0070
Phone [phone]
WATS 1-800-438-77 1 1
FAX [phone]
.r
To whom it may concern,
I greatly apologize. I was certain that had sent this report in for the month of October. To my surprise I
found these on my desk still waiting to be mailed.
Sincerely,
RECEIVED
DEC 6 CU16
Chris Tucker CENT
RAL FILES
DWR SECTION

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF C VERAGE No. NCG14 0 D 3
FACILITY NAME:2C'
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO2q-
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER:{ul-Sept ❑Oct -Dec []Jan -Marc[
COUNTY: 6
PHONE NO. (10 C ) a - % 6 l J
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout
OPTIONAL INFO:
❑April -June
Rother�_
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
6
SGT-HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
(gallons/day)
6-93'9
3035
53
(15)6
-
-
0
T 10 2016
t-.
l�R SECTION
If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
` Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RQ staff
notifies you to continue monitoring.
' pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page I of 2

°.Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shale be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL _ORIGINAL _AND ONE _COPY _OF THIS ANNUAL SUMMARY IINCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD INCASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY 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
violatipps." N ,
(Signature o\Permittee)
Permit Date:7/1/2010-06/30/2015
(Date)
1�
Last Revised 07/13/11
Page 2 of 2

•
PROCESS WASTEWATER '�'r iC Dlischar a Monitorin Re ort
—���er Y g g . p
GENERAL P§RMkTAd !NCG140000
CENiRP+I. FILES �Cj I
CERTIFICATE OF COVERAGE NO. CG1 U a_ SECTION
E COLLECTION YEAR:
t SAMPLE QUARTER: ❑Jul -Sept Oct -Dec []Jan -March ❑April -June
FACILITY !NAME: 1]
PERSON COLLECTING SAMPLES: COUNTY: STvv�
CERTIFIED LABORATORY: Lab # PHONE NO. { 7)
Lab # ADD TO LISTSERVE? ]YES ❑NO EMAIL:
LIMIT VIOLATIONS? YES [:]NO DISCHARGING TO CLASS: ❑SA ❑HQW ❑PfNA ❑Trout 210ther C_
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD}
pH
{standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
6
S {mg/L} HEM
Duration
(minutes)
Total Flow
(gallons/day)
-
6-93.4
303'S
53
(15)6
-
-
No
b62noFf
ff wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
' Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TS5 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action,
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shalt notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE FOR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone] -
YOU MUST SIGN TNIS 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 nificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signaturie of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015
0
Last Revised 07/13/11
Page 2 of 2
0 t 0

PROCESS WASTEWATER —Quarterly Discharge Monitoring
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 O~ 3_
FACILITY NAME: 115 M) Xe7
PERSON COLLECTING SAMPLES: K V—VQ -'
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
Report 0(14)�
lloczk
SAMPLE COLLECTION YEAR: P V 16
SAMPLE QUARTER: []JUI-Sept ❑Oct -Dec
COUNTY: I cry
PHONE NO. (%bl�} �Gfo — (P(o115
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
❑ian-March
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA []Trout ©Other
OPTIONAL INFO:
Outfall No.
Date Sample
t
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/E)
Settleable
Solids
(mL/L)
TPH using
method 1664A
c
S(m /L)
Discharge
i
Duration
(minutes)`
Total•FIo
i/
(gjlons/day)
-
6-9"'
303,S
53
(15)6
-
-
L • 2r1.
CEf
ITRAL FILES
3 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
` Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
' pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
S TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7610 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE fOR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW" 1 TO:
Division of Water Quality
Attn: DWQ Central Files'
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY 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 significa enalties for submitting false information, including the possibility of fines and imprisonment for knowing -
violations."
(Signature of Pe ittee) (Date)
Permit Date: 7/1/2010-06/30/2015 last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000�iV
MAYS
CERTIFICATE OF COVERAGE N =NCGIT�' �� 1� SAMPLE COLLECTION YEAR: c�� S 9 z�l�
FACILITY NAME: SAMPLING PERIOD: ❑ July -December January-JuneR.1jAr/ N�R��JO
PERSON COLLECTING SAMPL e, COUNTY -�-c� 65 1%UNIT
CERTIFIED LABORATORY kk PHONE NO. (_) Z
Lab # ADD TO LISTSERVE? DYES XNO EMAIL:
OPTIONAL INFO: DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout tgOther C—
Part A: Stormwater Monitoring Requirements
Dutfall No.
Date Sample
Collected
(mo/dd/yr OR -"
NO FLOW)'
p H
(standard
Units)
TS5
(mg/Q
Event
Duration
(minutes)
Total
a
Rainfall_
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling z
-
-
6-9 2
100 '
-
-
-
-
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2If a value is in excess of the benchmark, or outside the benchmark range (forpH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until.3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are.50 mg/I.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
f,
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall'
No.
�h .r
•Date Sample
Collected
r 1,
(mo/dd/yr)
f�:; ?.:
pH t
(Standard :
Units), - ,
.s Y
TPH using method
.—. •
1664A SGT:HEM
„>(mg/L) i
h _ � , 1�.1�3.
Total Suspended
.: -
s Solids
f
(mg/L):
TM .L_
w Event �
Duration-.-
(minutes) -
"S.i.
Total .
a'
Rainfall
-
(in)
t .:s`'
New.Motor.Qil
Usage-'
(gal/month)
,'t .yy .£^•
In Tier 2.
Monthly .'
Monitoring?
• �•
(Y/n)
'{: „
# of Months
in Tier 2
z
Sampling
-
Y'
6-9Z
15
100 ,a
A
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail OriPinal and one coov of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of."No Flow") to:
Division of Water Quality
Attn: DWQCentral'Fiies
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
am wka)�e thatthere are
(Signature of Pe
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11 1
Page 2 of 2

U
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF CO Mwo)
GE NO. CG140 0 3 a SAMPLE COLLECTION YEAR: o 16
FACILITY NAME: jSAMPLE QUARTER: []Jul -Sept ❑Oct -Dec Jan -March ❑April -June
PERSON COLLECTING SAMPLES: COUNTY. -
CERTIFIED LABORATORY: Lab # PHONE NO.
Lab 4 ADD TO LISTSERVE? DYES f�ANO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout XOther
OPTIONAL INFO:
Part A. Wastewater Monitoring Requirements
Outfall No.
Date Sample
i
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
(minutes)
Total Flow
T
(gallons/day)
-
-
6-93'°
303'5
53
(15)'
-
'Yl
Q
oAf
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MDI. Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW"} TO:
Division of Water Quality �T
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTSIGN 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. l am aware that there are signific ena ties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." _ A
{Signature of
Permit Date: 7/1/2010-06/30/2015
0
q 5 1�
{Date}
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring RePA9.16.EIIVED
GENERAL PERMIT No. NCG140000
JAN 14 2016 ,
CERTIFICATE OF C VERAGE NO. NCG14 0 0
FACILITY NAME: Soc
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:l{}yL L Lab #
Lab #
LIMIT VIOLATIONS? YES []NO
Part A: Wastewater Monitoring Requirements
44 r CENTRAL FILES a�
SAMPLE COLLECTION YEAR: i WR SE71
SAMPLE QUART ❑1uI-Sept. XOct-Dec fan -Marc ]April -June
COUNTY: i,._
PHONE NO. ( )
ADD..TO LISTSERVE? ❑YES 5[NO EMAIL:
—DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout_ XOther
. OPTIONAL INFO: n
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, POD)'
pH
{standard)
.Total Suspended
' • Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
c
SGT-HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
{gallons/day)
-
6-91,4
303'Sf
53
` If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
" Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Nlixing Drum
Cleanout (MD). Report more than one type if the waste -Stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VM),1 areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to So% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this. information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" 1, WITHIN 30 DAYS OF RECEIPT:OF SAMPLE OR
AT END OF _MONITORING PERI.OD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617 -
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY 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 trere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violas." t
(Signature LX Permittee)
I .j�-_ /6
(Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2
.,

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140 0 3ar
FACILITY NAME: _ �n� �v c�]^rli x c i _
PERSON COLLECTING SAMPLES Q. Ku Wcjk
CERTIFIED LABORATORY I& S W _ _ Lab # q59
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: qp js
SAMPLING PERIOD: 2] July -December ❑ January -June
COUNTY
PHONE NO. (764-
ADD TO LISTSERVE? ❑YES NINO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout Other 4f-
"
Outfall No.
Date Sample
Collected
(mo/dd/yr, OR .
NO FLOW)
pH
,; (Standard
Units)
TSS
(mg/L)
Event
Duration
(minute`s)
a
Rainfall
RainTotfall'
(in?
In Tier 2
Monthly
Monit raring? ,
(yl )
#t of Months in Tier
2
2: Sampling2,
6-9 2
1002'
-
-
-
-
i
10 17 /s
7-��
�d
. as
tv a7 is
7,65
nFC 01 20
eENT
nWR ,Y10
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2 If a value is in excess of the benchmark, or outside the benchmark range (forSpH), you must implement the Tier i or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until.3 consecutive samples are below the benchmark or within the benchmark range.
s TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are,50 mg/I.
° For each sampled measurable storm event the. total*precipitation must be recorded using data from an on -site rain gauge.
f/
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part 13: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month -- averaged over a calendar year.
. -.:i:
dutfall- `
No.
' Date Sample, ,
i'C611ectec!
1
{mo/dd/yr}
y
r pH
(Standard- - .
Units}
_TPH using.method,
, 1664A SGT-HEM ; ,
!
{mg/L}
Total Suspendecl
.. Solids ,
,(mg/i)„
,,r-.
, -,_, Event,.'
t Duration
.,(minutes)
Total,,
4
Rainfall
;(in).-
New.MotorOii
Usage
`.,(gal/month):_.
InTier 2
Monthly
Monitoring?
(Y/n}
t# of Months
in Tier2
•. z
Sampling
6-9, ,
is
100 '3
-
-
-
-
_ ;C
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑ f
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one coov of this DMR fincludine all "No Flow" & "No Discharee" reports) within 30 days of receipt of samole (or at end of monitorine period
in case of "No Flow") 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
am aware that there re signi ' nt p naities for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of P rmittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

r PROCESS WASTEWATER -- Quarterly Discharge Monitoring Repo rt-RE.CEI ED
GENERAL PERMIT NO. NCG140000 QCT.O 9 2015
CERTIFICATE OF COVERAGE NO. NCG14 Q
FACILITY NAME: i
PERSCIN COLLECTING SAMPLES:a0-:iVU
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO X
>=NTR,gL FILES
qq� ©bVR SECTION
SAMPLE COLLECTION YEAR: ow I J
SAMPLE QUART R: Jul -Sept Oct -Dec Dan -March ❑April -June
COL! NTY:
PHONE NO. j 1
ADD TO LISTSERVE? EYES XNO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW LF]PNA []Trout Other
Part A: Wastewater Monitoring Requirements
OPTIONAL INFO:
!
Date Sample I I
I
I Total Suspended I
settieabla
T Flf using^ I Discharge
i
7 1 I Type of Wastewater f
p� I
G
method 1664A Total Flow
I Outfall ;Na.
; Collected
I (V-, RM, MD)` !
Solids !
(standard)
Solids
€ Duration I
I SGT-HEM' (-allons/day)'
II
(mm/dd/yr)
(mb/L)
(mL/L'#
(rninut2sl
i
(mg/L)
5-93'' 3035 _ .,
S3
M
If wastewater systems have not discharged in this quarter — report "No Row" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material stockpiles (RM), Mixing Drum
Cleanout (MD)- Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring -
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.3-8.5 S U. for discharges to saltwaters.
TSS limits are 20 mg/L for wastewater -discharges to HQW waters. _C rng/L for T. out and PNA waters, and 30 mg/L for all other wv rer c!assi,"icariens.
0,,rn _ Date-- 7/1/2010-06/30/20_5 isec 97/13l__

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMa areas TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action
Flow rate can be measured continuously or calcutated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Fiow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. if the permittee cannot
obtain a Summer 7.Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis
MAIL O_RIGtNAL AND ONE COPY OF THIS ANNUAL SUMMARY ONCLUDING ALL "NO FLOW", "NOD I SCHARGE") WITHIIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD 1N CASE OF "NO FLOW-) TO:
Divisicn of'yVaterOuali y
617 Mail Service Cerit_,-
Raleigl�, CarOlin.:: 27699-11 ! /
i f
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this documehtfand all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather an evaluate thfe 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
viola four —
(Signature &KPermittee)
(Date)
Lis `vi_?,o 17113/11
M

-- PROCESS WASTEWATER —
S
Quarterly Discharge Monitoring ReportRECEIVED
GENERAL
PERMIT No. NCG140000 JUL 13 2015
CENTRAL FILES
G—
N G1.4Q
OWR SECTI�
S�r"� AMPLE COLLECTION YEAR: h+
!�
CERTIFICATE -OF VERAGE NO. _
`5
SAMPLE QUART R: -SeptJul ❑Oct -Dec ❑Jari-March ZApri1-June
FACILITY NAME:' - vim
a
COUNTY:
PERSON COLLECTING SAMPLES:
-5
'-..
fD
CERTIFIED LABORATORY:
Lab #
PHONE NO. (' } -
ADD TO LISTSERVE? DYES ZNO EMAIL:
O
LIMIT VIOLATIONS? YES ❑ NO ❑
Lab #
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [-]Trout Other C_
OPTIONAL INFO.
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664p
SG /L)l6
Discharge
Duration
(minutes)
Total Flow
(gallons/day)7
-
-1
6-93'6
303'S
53
(15)6
-
' If wastewafee systems have not discharged in this quarter - report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD)..Repoct more than one type if the waste -stream is commingled: - ,
' If an effluent limit is -exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to'continue monitoring. - _
PH limits are 6-9 S:U: for wastewater discharges to freshwaters, and 6.8-8.5 S.U.; for discharges to saltwaters.
' TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Las_ t Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a,limit_for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow.as`per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis. . , . , .
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT- OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: -'
Division of Water Quality
Atm DWQ Central Files `
1617 Mail Service Center - -
Raleigh, North Carolina 27699-1617 - -
[phone] -
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:L a
(Signature of
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000 RECEIVED
- ^MAY71-4 Z015
CERTIFICATE OF C ERAGE NO. NCG14 L.1 2.
FACILITY NAME: 1
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab # ���5 ' _
Lab #
OPTIONAL INFO: . C -
Part A- Stermwater Monitorine Reouirements
SAMPLE COLLECTION YEAR: CENTRAL FILES
SAMPLING PE: 1 D: -luiy-December January -June DWR SECTION
COUNTY- --������``�� ,,
PHONE NO.-(,,
"iQ?
'ADD TO LISTSERVE? [—]YES NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout FlOther
Outfall No..•
Date Sample
Collected
jnjo/cId/yr OR
- NO FLOW)
PH
{Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
,
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months in Tier
2 Sampling 2
-
6-92
100i'
-
-
. r
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
Z 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. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l. _
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B. Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/y )1
pH
(Standard
Units)
TPH using method
1564ri SG? -HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
.
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
oitorng?
Monitoring?
# of Months
in Tier 2
Sampling=
6-9
15 2
100 2.3-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT -ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOu CONTACTED THE REGION? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for at end of monitoring period
in case of "No Flow" to:
Division of Water quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUSTSIGN 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 re5siificant
sible forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am a a that here are enaIties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perms ee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised,7/13/11
Page 2 o`f 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF C VVERAGE NO. CG14Qe 3
FACILITY NAME:
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Anl,% e— Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: a.le)
SAMPLE QUARTER: ❑J I -Sept ❑Oct -Dec gan-March ❑April -June
COUNTY: J _
PHONE NO.
-ADD TO LISTSERVE? []YES f�aNO EMAIL: —
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout Klother
-OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Totai Suspended Settleable
Type of Wastewater pH
z Solids Solids
(VE, RM, MD) {standard! '{mg/L) {mL/L)
TPH using
method 1664A
S (m /L)
Discharge
Duration'
(minutes)
Total Flow
I
i (gallons/day
•
_ I
I CEW
A 1
-
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle .'and Equipment Cleaning (VE), Raw Material Stockpiles (RM), h}ixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the perrnittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RD staff
notifies you to continue monitoring_
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for a!I other water classifications...
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
n
7
W
C

Process wastewater discharges shall only be monitored for TPH when commingles with stormwater discharges from WAA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224.`Permittees who discharge wastewater to HQW waters shall.obtain a Summer 7Q10 flow and report this information to DWQ if the permittee cannot
obtain a Surnm�er 766flow for the receiving waters at the discharge location, the perm .ittee shall notify DWQ and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW"). TO: T
Division of Water Quality i
Attn: DWQCentral Files ;
1617 Mail Service Center
Raleigh, North'Carolina 27699-1617
[phone] _
-J
r
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
via 1 S.
(Signature Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2