NCG140241_MONITORING INFO_20190305

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/yoa NI
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ a bj � O 3v 5
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
'Report ALL WASTEWATER monitoring data on this form (include "No FlovVY'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14
Facility Name: Monroe
County: union
Phone Number: ( 336 ) 983-2181
Certified Laboratory Prism Lab
Lab # 402
Lab #
Total no. of outfalls monitored 1
Wastewater (WW) Discharge Outfall No. 001
Does this outfall discharge WW to SA waters? Yes ❑ No [D
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No FZ]
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No 0
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters? Yes ❑ No ✓❑
Were there any limit violations in the calendar year? Yes ❑ No ✓❑
Outfall No.
ao,
Daily Flow Rate,
cfs
pH,
SU
TSS,
mgll
SS,
mill
if Applicable
Non -Polar O&G (EPA Method 1664
(SGT-HEM)), mgll
Standard
Effluent
Limitations
Daily Maximum
HQW or ORW
50% of 7Q10
!ndlcare NO FLOW if
applicable
freshvvater
6.0-9.0
salMrdter
6. p-p.
U D
30
HOW
20
HQW ! O PN an Tr, or
NA
10
HQW, ORIN, SA,
SB,PNA,orany
Trout
5
No Limit
Samples above Benchmark
subject to Tiered Responses
1 rj
Date
Sample
Collected,
mo/ddlyr
b., 3 ..,.. 3 i'
s_
�> ..+: "�-"
�
, Ln
� � .2
0
s
f
\1 nLd
2/17/2018
NO FLOW
4123/2018
NO FLOW
CENTkAL FILES
DWR SECTIO'I
9/1012018
NO FLOW
10/26/2018
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2017

l
Certificate of Coverage No. NCG14 ®IaLLI 1
CERTIFICATION
"I certify, under penalty of taw, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.22]
Signature
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct -- Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/112017 — 6/3012022
Last Revised 8-22-2017

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT(DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
*Report ALL STORMWATER monitoring data on this form (include "No FlovVT No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 0❑
Facility Name: Monroe
County: Union
Phone Number: (70^ 4 ) 529-6364
Certified Laboratory Prism Lab
1❑
Lab # 402
Lab #
Total no. of SDOs monitored 1
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No 0
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [D cc
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑ R CC F I E r
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? MAR 0 4 200
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ CENTRAL FILE
Qt4R 5ECT10. I
Other 13
Outfall No.
Total Rainfall,
inches
Total
Suspended
Solids , { )
mg/1
pH,
SU
Non -polar O&G
(EPA Method
1664TSS (SGT-HEM)),
mgll (VMA)
7t appf ca6fe
New Motor Oil
Usage (gallmo.)
If apprica6re
Stormwater
Benchmarks
• indicate NO FLDWi!
appikabfe
Circle Benchmark
100150
6.0-9.0
15
?55 galimo. average requires T55 and
Non -polar O&Gmonitoring
Date Sample
Collected,
molddlyr�
,s M.'
E.
Ss, x
�ti,�
F k a „ Y
t
f -
`i�
i
2/17/2018
NO FLOW
4/23/2018
NO FLOW
9/10/2018
NO FLOW
10/2612018
NO FLOW
Permit Date 8/1/2017 — 6/30/2022
Last Revised 5-22-2015

Certificate of Coverage No. NCG 14 ,Q]FC[D
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false informatio , including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CAR §922.22]
Signature
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct -- Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 — 6/30/2022
Last Revised 6-22-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR-STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2017
"Report ALL STORMWATER monitoring data on this form (include "No FloWl"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by WqQ� L? of each year.
Certificate of Coverage No. NCG14
MAR 0 7 2018
Facility Name: Monroe Plant C l=KJT0 A I .- __
County: Union DWR SECTIOS+1
Phone Number: 70( 4 } 225-8900 Total no. of SDOs monitored ?
Certified Laboratory Prism Lab Lab # 402
Lab #
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No ❑✓
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No 0
Was this outfall ever in Tier 2 during the past year? Yes ❑ No [D
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DE=MLR to reduce monitoring frequency ❑
Other ❑
Outfall No.
Total Rainfall
inches
-i
Total
Suspended
Solids TSS,
( )
mg/1
pH,
SU
Non -polar O&G
(EPA Method
1664 SGT-HEM
( ?)�
mg/1 (VMA)
If applicable
New Motor Oil
Usage (gallmo.)
llapplicabfe
Stormwater
Benchmarks
Indicate NO FLOWN
applicable
Circle Benchmark
100150.
-
6.0-9.0
-
'� �
-
>55 gaUmo. average requires T55 and
Non-polarOBG monitoring
Date Sample
Collected,
r
t Y
1 f
N "molddl
3
-
�..
1eac4'&i_
�ga�Z,
£` `� 9" e _a?✓e,
3/27/2017
001 No Flow
6/22/2017
001 No Flow
9/11/2017
001 No Flow
12/20/2017
001 No Flow
Permit Date 8/112017 — 6130/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 Fe ®00
CERTIFICATION
" I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122,22]
Signature
Date 2
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 81112017 — 6/30/2022
Last Revised 8-22-2015

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NQ. NCG140241
FACILITY NAME: Monroe
PERSON COLLECTING SAMPLES: Scott Miller
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A- Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2017
SAMPLE QUARTER: ❑Jul -Sept []Oct -Dec ®Jan -March []April -June
COUNTY: Union
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®ND EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected[
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT HEM"
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
RM, MD-
6-93'4
303'5
53-
001
03/27/17
No Flow
iC
CE
RAL FILE
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.
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.
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 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 113ISCHARGE"1 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 dire responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware Oat the are sjpificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re
'St2 f
(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. NCG140O00
CERTIFICATE OF COVERAGE NO. NCG140241
FACILITY NAME: Monroe
PERSON COLLECTING SAMPLES: David Morris
CERTIFIED LABORATORY: Prism Lab # 402
i
LIMIT VIOLATIONS? YES ❑ NO
I
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2016
RECEIVED SAMPLE QUARTER. ER. ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
COUNT
.BAN 2 3 2017 PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
CENTRAL FILES DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ®Other
DWR SECTION
OPTIONAL INFO:
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
SGT-HEM6
(mg/L)
Duration
(minutes)
Total Flow
. 7
(gallons/day)
-
-
RM, MD-
6-93,4
303S
53
(15)6
-
-
001
12/29/2016
RM
No Flow
n
LA, M I I
tI f
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.
a 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. r
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 irfstead 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
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 away that_#ereXe significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS STORMWATER-- Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140241
FACILITY NAME- Monroe
PERSON COLLECTING SAMPLES: Scott Miller
' CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitorine Reouirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ®Jul -Sept []Oct -Dec ❑Jan -March []April -June
COUNTY: union
PHONE NO. [phone]
ADO TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
i
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
(VIE, RM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 16b9A
6
SGT HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
>
(gallons/day)
F-
-
RM, MD-
6-93'4
303.5
53
(15),
-
-
001
9/21/2016
No Flow
.02
r,-1zNTRAI
Ell ES_
WR SECTION
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.
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.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

i
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,
brut 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 1SA
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.
I
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]
I
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 qirectiy responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
f I am aware tha.N there significant penalties 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

1
PROCESS STORMWATER— Quarterly Discharge Monitoring Report
! GENERAL PERMIT No. NCG140000
i
I
CERTIFICATE OF COVERAGE NO. NCG140241
FACILITY NAME: Monroe
PERSON COLLECTING SAMPLES: Rik Jones
'CERTIFIED LABORATORY: Prism Lab # 402
I LIMIT VIOLATIONS? YES ❑ NO
I
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec [_]Jan -March ®April -June
COUNTY: Union
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW
OPTIONAL INFO:
❑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 using
method 1S64A
s
SGT-HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
f
-
-
RM, MD-
6-93'4
303,5
53
(15)6
-
-
001
4/22/2016
No Flow
-
A
©Wi'
F rT nl
I
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.
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 6.8-8.5 S.U. for discharges to saltwaters.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

�I
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.
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 1V, 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: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
i
i
I
i
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 ther re ificant penalties for submitting false information, including the possibility of fines andfimprisonment for knowing violations."
Zb
(Sigiavture of Permittee) (Date)
Permit Date:7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2

PROCESS STORMWATER— Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140241
FACILITY NAME: Monroe
PERSON COLLECTING SAMPLES: Rik Jones
CERTIFIED LABORATORY: Prism Lab # 402
' LIMIT VIOLATIONS? YES ❑ NO
I
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
COUNTY: Union
PHONE NO. [phone]
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
(VE, RM, MD}z
pH
{standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1+564A
SG /L) �
{mg/L}
Discharge
Duration
(minutes)
Total Flow
7
{gallons/day}
I�
f -
I
-
RM, MD-
6-93'4
303s
53
(15)r
-
-
001
3/31/2016
No Flow
CENT K
AL t-It-tJ
` 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.
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: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

.r
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 rng/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
s 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.
1
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
1919) 807-6379
i
YOU MUST 51GN 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 away that ther are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
A r�l _
Permittee)
Permit Date:7/1/2010-06/30/2015
C -/ (z�/l�
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140241
FACILITY NAME: Monroe
PERSON COLLECTING SAMPLES: Rik Jones
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitorine Reauirements
--vj
SAMPLE COLLECTION YEAR: 20ILS
`, [JAMPLE QUARTER: QJul-Sept ®Oct -Dec QJan-March April -June r�
p� ,EN COUNTY: Union
PHONE ADD TONIIST5 RVE? ❑YES ®NO EMAIL: COD
CEt4TRAL F�ISCHARGING TO CLASS: ❑SA �HQW OPNA ]Trout ®Other
IDVgR SEC,
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
jmL/L]
TPH using
method 1664A
SGT (mg/L]/L)16
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day) .
-
-
RM, MD-
6-93,4
303,5
53
(15)6
-
-
001
11/30/15
No Flow
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.
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,
_j buTTiftstead 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.
1
1
l
i
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 "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 Jcd
lified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
tfisur ' atirerly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am avAret to6re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee]
Permit Date:7/1/2010-06/30/2015
6 r�
(Date)
Last Revised 07/13/11
Page 2 of 2

.i
PROCESS WASTEWATER - Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140241
FACILITY NAME: Monroe
PERSON COLLECTING SAMPLES: Rik Jones
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitorins Reauirements
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March April -June
COUNTY: Union
PHONE NO. [phone]
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/L)
Settleable
Solids
(mL/L)
-
TPH using
method 1664A
SGT
/L)HE&
{mg/L)
Discharge
Duration
(minutes)
Total Flow
7
{gallons/day)
-
-
RM, MD-
6-93,4
303'5
53
(15)6
-
-
001
11/30/15
No flow
CENTFZAL
FILES
V r
C I ION
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.
° 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

P. ; si 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 1SA
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
I [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 directllr 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 therA are ggnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ature of Permitteej
Permit Date:7/1/2010-06/30/2015
/(z.7M-
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
1 CCI� p
CERTIFICATE OF COVERAGE NO. NCG14027=1 f V D
FACILITY NAME: Monroe O���
I PERSON COLLECTING SAMPLES: Rik Jones
I
CERTIFIED LABORATORY: Prism Lab # 402 CENTRAL FILES
DWR SECTION
LIMIT VIOLATIONS? YES ❑ NO
i
Part A.- Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec Dian -March ❑April -June
COUNTY: Union
PHONE NO. [phone]
ADD TO LISTSERVE? DYES ®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/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SG /L) a
(mg/L)
Duration
(minutes)
Total Flow
,
(gallons/day)
-
-
RM, MD-
6-93,4
303.5
53-
001
9/28/15
No Flow
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.
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

I
. I
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,
bu'f 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.
I
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
I 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 per ns directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am awar that/ here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Sigr{ature of Permittee)
Permit Date:7/1/2010-06/30/2015
I.,(v(I�,
(Date)
Last Revised 07/13/11
Page 2 of 2

i
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
I GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140241'
i FACILITY NAME: Monroe RECEIVED
�D
PERSON COLLECTING SAMPLES: Rik Jones JUL 2 4 2015
CERTIFIED LABORATORY: Prism Lab ft 402
CENTRAL FILES
LIMIT VIOLATIONS? YES ❑ NO ® DWR SECTION
f
Part A: Wastewater Monitorine Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec Dian -March ®April -June
COUNTY: Union
PHONE NO. [phone]
ADD TO LISTSERVE? []YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
I
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
s
(Vl:, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-i(mg�}/L)
Duration
(minutes)
Total Flow
(gallons/day)
i -
-
RM, MD-
6-93'4
303,S
53-
001
06/2/15
No Flow
' 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 raw, 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 saitwaters.
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

l
I
6,Pibcess 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.
l
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 dire tly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am awarg that t rem significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signaturelof Permittee)
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

1
P PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140241
FACILITY NAME: Monroe
PERSON COLLECTING SAMPLES: Rik Jones
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT'VIOLATIONS7 YES ❑ NO
Part A: Wastewater Monitorine Requirements
SAMPLE COLLECTION YEAR: 2015
CEjj AM jLE QUARTER: []Jul -Sept ❑Oct -Dec Elan -March []April -Jane
COUATY: Union
MAY 13 2(?90NE NO. [phone]
CC-WR,gL F!L ADD TO LISTSERVE7 []YES ®NO EMAIL:
awq SEC7'IOPPCHARGING TO CLASS: ❑SA ,❑HQW
OPTIONAL INFO:
❑PNA ❑Trout ®other
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VERMMD)
, ,
pH
(standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT liF
(m�L)
Duration
(minutes)
Total Flow
7
(gallons/day=
-
-
RM, MD-
6-93,4
303's
53-
001
03/30/15
No Flow
! ` 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.
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 bate: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

bUProcess 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 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 direr y responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am avfao that th#e aye significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(5ignatude of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

i
I
=- PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140241
FACILITY NAME: Monroe
PERSON COLLECTING SAMPLES: Rik Jones
CERTIFIED LABORATORY: Prism Lab # 402
I
,I
I LIMIT VIOLATIONS? YES ❑ NO
i
I
Part Ar Wnctwwatar Mnnitnrinn RPnllirPmPnti
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec ❑Jan -March ❑April -June
RECEIVED COUNTY: Union
JAN 2 0 Z015 PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL: F
CENTRAL FILES DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other U=n
DWR SECTION OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)2
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEAR'
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
RM, MD-
6-93,4
303,5
53-
001
12/30/2014
RM
No Flow
` 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.
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.
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

i
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
j report on a case -by -case basis.
i
i
I
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
1 Attn: DWQ Central Files
1617 Mail Service Center
a
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 re,��onsible 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 Wsi i nt penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations."
u/ ! IZ/ ( —"r
ignature of ermittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

f
i
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
i GENERAL PERMIT No. NCG140000
i
i
CERTIFICATE OF COVERAGE NO. NCG140241
FACILITY NAME: Monroe
' PERSON COLLECTING SAMPLES: Scott Miller
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
I
Part A: Wastewater Mnnitnrine RPnuirements
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: Union
PHONE NO. [phone]
ADD TO LISTSERVE? OYES ®NO EMAIL:
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
SGT-HEM"
(mg/L)
Discharge
Duration
(minutes)
Total Flow
gallons/day)'
-
-
RM, MD-
6-93'4
303,5
53-
001
9/24/2014
RM
No Flow
ON
16 'ZO14
` 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.
31f 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

1
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,
lbut 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.
i
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL_ SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
SAT 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 informatlon submitted. Based on my inquiry of the person or persons who manage the system, or
those persons dlectly responsible for gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete.
I am awarfp that er�re significant penalties for submitting false Information, Including the possibility of fines and imprisonment for knowing violations."
nature{of Permittee)
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

J
t'
1 .
".. '� _.. _ to is

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
CERTIFICATE OF COVERAGE NO. NCG140241
FACILITY NAME: Monroe
PERSON COLLECTING SAMPLES: Dale Mace
CERTIFIED LABORATORY: Prism Lab # 402
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Reauirements
GENERAL PERMIT NO. NCG140000
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -tune
COUNTY: Union
PHONE NO. [phone]
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
(VE, RM, MD)x
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT HEM'
(mg/L)
Duration
(minutes)
Total Flow
7
(gallons/day)
-
-
RM, MD-
6-93,4
303'5
53
(15)6
-
-
001
2/3/2014
RM
No Flow
APR
I
CENT
DW
/
. 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.
5 T5S 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 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 personn 1 properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly resp ibl r gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware that th6e argls nlf t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Sigro*re of Pe
(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. NCG140241 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Monroe SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
PERSON COLLECTING SAMPLES: Dale Mace COUNTY: Union
CERTIFIED LABORATORY: Prism Lab # 402 PHONE NO. [phone]
ADD TO LISTSERVE? []YES ®NO EMAIL:
LIMIT VIOLATIONS? YES []NO
Part A: Wastewater Monitoring Requirements
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA [—]Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected
(mm/dd/Yr)
Type of Wastewater
i(VE, RM, MD)Z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-HEMS'
(mg/L)
Discharge
Duration.
(minutes)
Total Flow
(gallons/day)7
-
-
RM, MD-
6-93'4
303'5
53
(15)6
-
-
001
2/3/2014
RM
No Flow
.� •era
r E tj
Z ii L^ I `f
r PNTF,AI
FII S
QW
XBOG
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.
" 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
Pagel 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 02i3 .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 FAR ANY INFORMATION REPORTED.
N certify, under pen Ity of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that quali le pers nnel properly gather and evaluate the Information submitted. Based on my Inquiry of the person or persons who manage the system, or
those per ns dire r ponsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
i am av, 9that a re significant penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing violations."
(Signature 4f Permittee)
r0
(Date)
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2

RECEIVED
APR 15 2014
CENTRAL FILES
DWQIBOG
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140241
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Concrete Supply Co., LLC
is hereby authorized to discharg4stormwater from a facility located at
Py-ccess a•u! 01-1 BP
Concrete Supply Co. -- Monroe Plant
1109 N. Sutherland Avenue
Monroe
Union County
to receiving waters designated as Bearskin Creek, a class C water in the Yadkin -Pee Dee River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective April 11, 2014,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 11, 2014
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

A' iA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Johnie Alexander
Concrete Supply Co., LLC
P.O. Box 5247
Charlotte, NC 28299
Dear Mr. Alexander:
John E. Skvarla, III
Secretary
April 11, 2014
Subject: NPDES General Permit NCG140000
Certificates of Coverage —See attached list
Concrete Supply Co., LLC
Formerly Concrete Supply Co.
Counties - Multiple
Division personnel received your request to revise your stormwater permit Certificates of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificates of Coverage for the 17 facilities that changed
ownership from Concrete Supply Co to Concrete Supply Co., LLC. The terms and conditions
contained in the General Permit remain unchanged and in full effect. These revised Certificates
of Coverage are issued under the requirements of North Carolina General Statutes 143-215.1
and the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at [phone].
Sincerely,
OR161ML SIGNED W
KEN PICKLIF
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville RO, Z. Khan; Winston-Salem RO, M. Gantt (NCG140358)
Stormwater Permitting Program Files
Deborah Reese, DEMLR Budget Office — please update billing info
Central Files
Mecklenburg County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 I FAX [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: hUp://Portal.ncdenr.org/web/I
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper