NCG140231_MONITORING INFO_20181016

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/L/oj3')
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DDC DATE
❑� b I 4 I p /�
YYYYMMDD

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14:0 2 3
FACILITY NAME: �1 i
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: /%1(S,t4T�_�.c Lab#
Lab #
LIMIT VIOLATIONS? YES ®NO ❑
Part A: Wastewater Monitoring Requirements
R C C ESAMPL'ECOLLECTION YEAR: D i'
0Cr 1 §PMFC.E QUARTER: glul-Sept ❑Oct -Dec
COUNTY: LeA.
NO.(711 1 Z7S-,5-01Y
ADD TO LISTSERVE? DYES ❑NO EMAIL:
❑Jan -March []April -June
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
SGT NEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
-
`
-
6-93,,4/
30315
53
-?-3a'10
V rvt MP
.Co !
353
40-to
?-30 - 2a1
M .
g. a .i
rJ
' 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 Arum
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.
4 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

6 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
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 dir responsible for gathering the information, #he'information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I a wa t there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Sign?ike Of fsermittee) (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. NCG14 c1 Z -3 i
FACILITY NAME: H r ci r .
PERSON COLLECTING SAMPLES: c.n i+-.a1
CERTIFIED LABORATORY:_(Vi'r ct olc ter_ Lab # 1
_Lab #
LIMIT VIOLATIONS? YES © NO ❑
Part A: Wastewater Monitoring Requirements
w -iVED
APR 2 $ 2018
CENTi�A, I`1; es
SAMPLE COLLECTION YEAR: DWR SF T,
SAMPLE QUARTER: []Jul -Sept []Oct -Dec Jan -March April -June
COUNTY: G2�
PHONE NO. &J_ j ?7S- 501
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout LROther
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr}
Type of Wastewater
z
RMMD
{VE, ,
pH
(standard}
Total Suspended
Solids
(mg/Lj
Settleable
Solids_
(mL/L}
TPH _ using
method 1664A
6
SG7-HEM
(mg/L)
Discharge
Duration
{minutes)
Total Flow
7
igallons/day}
-
-
-
6-93'4
303'5
53
{15}6
-
�21,lei
' 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.
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.
4 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 iimits 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

6 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"I 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 direc y responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am "ar there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." / ( t
cv 6 )8
(Da e)
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. NCG14
FACILITY NAME; U,'cc [D.
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: /n�c rob�_t_ Lab # I l
...------ Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: c2b 17
SAMPLE QUARTER: ❑!ui-Sept Oct -Dec ❑Jan -March []April -tune
COUNTY: La
PHONE NO.(gIOL) �`].S—DJN
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH
(standard]
Total Suspended
Solids
(mg/Lj
Settleable
Solids
{mL%L)
TPH using
method 1664A
6
SGT-HE
(mg/L)
Discharge
Duration
{minutes)
Total Flow
(gallons/day)
-
6-93,4
303'5
53
(15)6
-
•
JE -kti,
d.ro
/
CE
aWR SE
' 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 DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-9.5 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

6 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 7Q16 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
(919) 8D7-6379
YOU MUSTSIGN TNIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and alil attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified pers nel properly gather and evaluate'the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly esP Bible for gathering the infer the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am-awa tha here significant penaltle for sub itting false information, including the possibility of fines and imprisonment for knowing
violations."
41,
(Signature of r ittee) (Dat )
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. NCG14 0 3 I
FACILITY NAME: c tCor
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:_M ;_C:r o\ja.r Lab # 1 1
Lab #
LIMIT VIOLATIONS? YES NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2 0 t 7
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
COUNTY: Le� _
PHONE NO. (Raj 7:�5 SJ / `7
ADD TO LISTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected)
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD}
pH
(standard]
Total Suspended
Solids
(mg1l)
Settleable
Solids
(mL/L)
TPH using
method 1664A
� 6
SGT-HEM
(mg/L)
Discharge
Duration
{minutes}
Total Flow
,
(gallons/day)
-
-
6-93,4
3o3,5
53
(15)6
-
r
, $ c
ctn,
>�
JUL 24
2011
r c
-T
' 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.
2 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.
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

6 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 Flaw 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 IINCLUDING 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] — -
a
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
th,ase personsctly res{ionsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I awarep4t-t trere are significant,penalties ar-kubmitting false information, including the possibility of fines and imprisonment for knowing
violations."
✓/- S/17
(Signat f Per • tee) (Date
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
_, Page 2 of 2

PROCESSWASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
P3
CERTIFICATE OF COVERAGE NO. NL�I
FACILITY NAME: 14ou I- 0C ?- Co
PERSON COLLECTING SAMPLES: a,.,,_.
CERTIFIED LABORATORY: M c_o'�� r Lab # 1
Lab #
LIMIT VIOLATIONS? YES ®NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: _20 17
SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec
COUNTY:
PHONE NO. [) 775
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: _
DISCHARGING TO CLASS: [_]SA ❑HQW ❑PNA ❑Trout ❑Other.
OPTIONAL INFO:
MJan-March [_]April -June
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 1664A
5GT-HElVl6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day)
_
-
-
6.93,4
303.5
53
(15)6
-
-
62-13-1'7
Q-AI-MO
19`7
31(
o. to
0?-1?-/7
7, 6W
22,D
S
,.
CENTRAL
W
SECTION
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 ©rum
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.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
5TSS 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

6 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 ca of
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 rhy inquiry of the person or persons who manage the system, or
those persons direct r sponsible,for gathering the inforrnatidn, theInformation submitted is, to the best of rny'knowledge and belief, true, accurate, and
complete. I am a re that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." /
2 $ 1 7
(Signature Verm ee) (Dat )
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2

PROCESS VI/ASTEWATER — Quarterly Discharge Mohitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14� ,� 2. SAMPLE COLLECTION YEAR: _20 1 7
FACILITY NAME:] � ; }-p_ ?_ (j^SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec MJan-March ❑April -June
PERSON COLLECTING SAMPLES:-_ p,,,,_, �,,,,,,�� COUNTY: L .
CERTIFIED LABORATORY:Lab # PHONE NO. 7 7S 670 l L1
Lab # ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
LIMIT VIOLATIONS? YES ® NO ❑ DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
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 usingDischarge
method 1664A
SGT-HEM'
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)7
-
-
-
6-9a,a
303'S
53
(15)6
-
-
I
63-13-1-7
J -iLM-Mrs
7.
<o.
-�
0?-IL1
M.
7,�5
2, Lfa
S
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to marls the sample quarter above.
2 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.
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

6 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 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee caqnot
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 direct r �sponsible for gathering the information, the information submitted is, to the best of my'knowledge and belief, true, accurate, and
complete. I am a re t at there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
�� 17
(Signature ' erm ee) (Dat )
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 2 i
FACILITY NAME: or
V i t-.t- C. r
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: aAl Lab # _ 1
Lab # T
LIMIT VIOLATIONS? YE5 fs;140
Part A: Wastewater Monitoring Requirements
R�
Nov 0 7 2016
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: 6-Sept []Oct -Dec
COUNTY: L,e.2_
PHONE NO. (21 C 75-SJ 1 L/
ADD TO LISTSERVE? []YES O EMAIL:
CENTRAL FILES
DWR SECTION
[]Jan -March []April -June
DISCHARGING TO CLASS: [JSA ❑HQW ❑PNA []Trout 26ther
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/Yr)
Type of Wastewater
(VC, RM, MD)'
pHmethod
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(rnL/L)
TPH usingDischarge
1664A
-NE1V1
SGT6
(-HE)(minutes}
Duration
Total Flow
{gallons/day}'
-
-
-
6-9"
303,5
53
(15)6
-
-
9
,n
L;
&Z,
Ll
f r<r
11 1 Ca R
f
n
I
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample qua rter above.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mlxing 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.
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 otherwater classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/1.1
'e 1 of 2

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,
b ut instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or cal culated. 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
o btain a Surnmer 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
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 M UST 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 p sonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons dire y responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am a are th t the significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
�/// %a 17-
(Signature of mittee) (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. NCG14 ti 2 _I l
FACILITY NAME: ,.—
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:r r Qino,,;, Lab # I I
- Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:. .?d ( S
SAMPLE QUARTER: []Jul -Sept []Oct -Dec ❑Jan -March
COUNTY: L.P—u
PHONE NO. (.R14 ) '775- EO lY
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW
OPTIONAL INFO:
RECEI V r=D
JUL 2 0 2015
CENTRAL FILES
DWR SECTION
April -June
❑PNA ❑Trout ]Other
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 usingDischarge
iverhod -1664A
SGT{mg/L)/L)16
Duration
(minutes)
Total Flow
(gallons/day)
6-93'9
303,5
53
(15),
-
IrO
nn
< 1), o
1 If wastewater systems have-not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample qua rter 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.
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 DW Q P,O 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 Haters, 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
1
-e 1 of 2
k

6 P rocess wastewater discharges shall only be m onitored for TPH when commingled with stormwat er 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.
' F low r ate can be measured continuously or cal culated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
N CAC 02B .0224. Permittees who discharge wa stewater to HOW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. if the permittee cannot
o btain a Surnmer 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]
t
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 onsible forgathering the information, the information submitted is,.to the best of my knowledge and belief, true, accurate, and
w
complete. I am aa th t ther re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
7"
(Signature of ittee) (Qat
Permit Date: 7/1/2010-06/30/201S Last Revised 07/13/11
w Page 2 of 2

PROCESS WASTEIWATER —Quarterly Discharge Monitorin!; Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 d .2 3
FACILITY NAME: Cr 1' C- Cp n C SOU � t e,
PERSON COLLECTING SAMPLES: o
CERTIFIED LABORATORY: ;Ya Lab # Ij
Lab #
LIMIT VIOLATIONS? YE5 NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR- OI 4
SAMPLE QUARTER: []Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
COUNTY: _%g.
PHONE NO. (etlq
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:,
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
r
Type of Wastewater
Z
{VE RM MD}
pH
(standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(►nL/L)
TPH using❑ischarge
method 1664A
SG7"-HENIG
(mg/L)
Duration
(minutes)
Total Flow
]gallons/day)
'
-IT
6-93,4
303,5
53-
3
APR 1) 7
•if)IA
v 1 "L
1 fn _
-ILEc
- V
rr7
JCS
i If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark thesample qua rter above.
2 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.
4 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 3D mg/L for all other water classifications.
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
-eIof2
l

Process wastewater discharges shall only be monitored for TPH when commingled with storrmwat er 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 cal culated. Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Perm ittees who discharge wa stew ater to HQW waters shall obtain a Summer 70_10 flow and report this information to DWQ. If the permittee cannot
obtain a Surnmer 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:
Di vision of Water Quality ~
Attn: DWQ Central Files
1617 Mail Semite Center
Raleigh, North Carolina 27699-1617
(91.9) 807-6379:
YOU M UST 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 pers nnei properly gather -and evaluate the information submitted. Based on my•inquiry of the persorii or persons who manage the system, or
s
those persons direct resp nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am a re'tha f tlp�_are significant penalties for submitting false information, including -the possibility of fines and imprisonment for knowing
violations."
[Signature of ittee) (Dat
Permit Date: 7/1/2010-06/30/2015 last Revised 07/13/11
Page 2 of 7