NCG140106_MONITORING INFO_20190122

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V '�� 1 � 6 � -0 tO
HOC TYPE
❑HISTORICAL FILE
OXMONITORING REPORTS
DOC DATE
❑
YYYYMMDD
i

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
17
CERTIFICATE OF COVERAGE NO. NCG14_0_0 0
FACILITY NAME: 4UArk At� r /v,.
PERSON COLLECTING SAMPLES {
CERTIFIED LABORATORY Lab
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: ?eq/g
SAMPLING PERIOD: ❑ July -December ❑ January -June
COUNTY Ce,3��
PHONE NO. VJL_j 4-17 , 6 5T
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout
❑Other
Outfall No,
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
{standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total 4
Rainfall
('^)
in Tier 2
Monthly
Monitoring?
n
(Y/ )
fi of Months in Tier
2 Sampling2
-
-
6-9
100 '
-
-
.1HjV2 ' ZU�
('ENT
RAf i=i„ �n
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. Tler 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: 7/1/2011-50/30/2015 ; Last Revised 7/13/11
Page 1 of 2
Date of last pH meter calibration: /

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using } 55 gat of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yrjj
pH
(Standard
Units}
TPH using method
1664A SGT-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
a
Sampling
6-9
15
100 '
-
-
-
-
I
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 f includine all "No Flow" & "No Discharee" 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 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 th r are 'gnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signatu of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF C VERAGE N0. NCG14 0 L�
FACILITY NAME: ( 1
PERSON COLLECTING SAMPLES Ny4�
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 9017
SAMPLING PERIOD: 9 July -December ❑ January -June
COUNTY G ✓ -4_
PHONE NO. (ZJj ') H'"7` y 55 4,
ADD TO LiSTSERVE? [YES [:]NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA []Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total 4
Rainfall
(in)
In Tier Z
Monthly
Monitoring?
(y/n)
# of Months in Tier
z
2 Sampling
-
& 9
1002'
-
-
-
r
rmfn:
cr•TinTJ
AirnplAb ll"N f
ROCESSING UNIT
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.
a T55 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
I Last Revised 7/13/11
Page 1 of 2
Date of last pH meter calibration:

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/yrjl
pH
(Standard
Units}
TPH using method
1664A SG7 HEM
(mg/!,�
Total Suspended
Solids
(mg/L}
Event
Duration
(minutes]
Total
a
Rainfall
(inj
New Motor oil
Usage
(gal/month]
In Tier 2
Monthly
Monitoring?
(Y/n}
# of Months
in Tier 2
2
2,
Sampling
1s
100
-
-
i
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFAtL (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 receint of sample for at end of monitoring neriod
in case of "No Flow") to:
Division of Water Quallty
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 certifyMthors
under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
e ersonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
tly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
a re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(S nature o ermittee) Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

f
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COV RAGE NO. CG14j(�_ I D_
FACILITY NAME: r
PERSON COLLECTING_ PIES X91 Aloedr_-
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
RM
SAMPLE COLLECTION YEAR: vZ 0/4.Vr f
SAMPLING PERIOD: ❑ ]uly-December \10january-June
COUNTY
PHONE N0. (a6A)
ADD TO LISTSERVE? DYES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall No.
Date Sample
Collected
jmo/dd/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'
-
-
6-9
100
i
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" fore a ch outfaII here. Please make sure to mark the Sample period above.
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 orTier 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 T55 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

;_Pari=b- Vehicle Maintenance Activity Monitoring Requirements for facilities using a 55 gal of new motor oil/month — averaged over a calendar year.
Qutfall
No.
Sample
Date Sam p
Collected
(mo/dd/yr)'
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
in Tier 2
z
2,
Sampling
is
100 '
-
-
-
1
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 copv of this DMR fincludine all "No Flow" & "No Discharee" reoorts) within 30 days of receipt of sample for at end of monitoring period
in case of "No Flow") to:
Division of Water Quallty
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTEO.
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 away tha her are nific Wallies for submitting false information, including the possibility of fines and imprisonment for knowing violations."
jj!�-2Y- /
(Signature of Permittee) (Date)
Permit Date:7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2of2
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, �TORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE, NO. NCG14Q 1 D
FACILITY NAME:>,�t`X
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab f#
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: Z
SAMPLINGPERIOD;�July-December ❑January -June
COUNTY _ -,'9AV
PHONE NO. (Z yz4-7- 573s6
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout
❑Other
Outfall No.
Date Sample
Collected
Imo/dd/yr OR
NO FLOW)'
pH
(Standard
Units)
TSS
jmg/L)
Event
Duration
(minutes)
Total 4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months in Tier
2 Sampiing�
-
6-9
100 2,3
cri _63E
I N iC D
I -
-
-
�. rV ..,-
• AN
0 4 201
CC
'-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/I, 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.
cr-"
Permit Date: 7/1/2011-60/30/20I5 ; Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gat of new motor oil/month — averaged over a calendar year.
Outfall Date Sample
No. Collected
(mo/dd/yr)'
pH
{Standard
Units}
TPH using method
1654ASGT-NEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
,
Rainfall
{in}
New Motor Oil
� Usage
{gal/month}
In Tier 2
Monthly
Monitoring?
Wn)
is of Months
in Tier 2
2
Sampling
6-9
Is
100 ,
-
-
-
-
i
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL IINCLUDiNG VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT !NAME:
Mail Orieinal and one coon 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 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 per nnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those r ons , e I sp ible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am 'a th a re ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Pomittee) ' (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0
FACILITY NAME: RF IXQCy r �O
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY _ _ . Lab
Lab #
OPTIONAL INFO: _
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2°lS
SAMPLING PERIOD: ❑ July -December
COUNTY
REPEIVED
J JL 13 2015
Kjanuar5i*4MTFRAL FILES
DWR SECTION
PHONE NO. ( gEZ )��i`�'1.5 3y�ib
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout []Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
{Standard
Units
*SS
Emg/Lj
Duration
{minutes]
RainfaEvent Totalll 4
{in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
6-9
1002
-
-
i
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 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
I
r�
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.
Qutfall
No.
Date Sample
Collected j
(mo/dd/yr)
PH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall,
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
(y/n) Monitoring?
g of Months
in Tier 2
2
Sampling
6-9
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 copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end 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.
"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 proper4y 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 at ere are significant pe or submitting false information, including the possibility of fines and i risonment for knowing violations."
r�
(Signature of Permittee) ! (Date)
Permit Date:7/l/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

�r
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14_O l 0
FACILITY NAME: 7a.k �Rc 47
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY
OPTIONAL INFO:
Part A: Stormwater McnitorinK Reouirements
Lab #
Lab #
SAMPLE COLLECTION YEAR: 10151
SAMPLING PERIOD: NJuly-December ❑ January-]une
COUNTY eWAVe d
PHONE NO.( 2IM) 14417— S35r.
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: 05A ❑HQW ❑PNA ❑Trout ❑Other.
Outfali No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)t
pH
(standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
,
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
p of Months in Tier
2 Sampling'
UL
CD
Lps
i
r If "NO FLOW" or "NO DISCHARGE, Erter "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.
75S benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are So mg/I.
`For each sampled measurable storm event the total precipitation must be recorded using data from an on -site fain gauge.
G,F1 V F[)
CA5201�
TRAL FILES
R SECTION
Permit Date: 7/1/2011-60/30/2015 1 Last Revised 7/13/11
Page 1 of 2

r
a

a
' 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)5
pH I
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
4
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
i
In Tier 2
Monthly
Monitoring?
(y/n)
a of Months
in Tier 2
2
Sampling
6-9
15
100 ,
-
I
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDM 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 (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 MUSTSIGN THI5 CERTIFICATION FOR ANYINFORMATION 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 a re that are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
4Zn
/Z- D;/
(Signature Permittee) ' (Date)
Permit Date: 7/1/2017-60/30/201S Last Revised 7/13/11
Page 2 of 2