NCG140427_MONITORING INFO_20171201

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C� � y
DOC TYPE
Q HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ �UI-7 1.2 D �
YYYYMMDD

STORMWATER DISCr�,ARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2.0 j 7
Individual NPDES Permit No. NCS❑❑❑❑❑❑ or
Certificate of Coverage (COC) No. NCGO[TM[q12V[2
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: GA&Lf� k0a «:1VCI?OT5 --PL 1A1_r Z
County: WME�
Phone Number: { Ski - 707 7 Total no. of SD4s monitored 1
Outfall No. MI
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No E?r
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ Noy
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑ ,
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No [�
SW U-254-Generic-13Dec2o1 2

I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance witn 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
Signature
Date i- - l
isonment for knowing violations."
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
'ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
225 Green Street
610 East Center Avenue/Suite 301
2090 US Highway 70
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
kWASHINGTON REGIONAL OFFICE
iWE:MINGTONREGIONAL OFFICE
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL OFFICE
CENTRAL OFFICE
1617 Mail Service Center
pre ;e,1eet-
585 Waughtown Street
Winston-Salem, NC 27107
Raleigh, NC 27699-1617
g ,
[phone]
[phone]
�1 North Carolina's tivater.-: ":
SW U-264-Generic-13Dec2012

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14.Q
FACILITY NAME: R04e e4 _ / Z
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
Lab #
Lab #
SAMPLE COLLECTION Y R:
SAMPLING PERIO : [ July -December ❑ January-JuQM 0 9 2018
COUNTY E
PHONE NO. (-) 0W.'"?SECTION
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: INFORMATION PROCESSING UNIT
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []Trout ❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
{Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
Rainfall'
(in)
In Tier 2
Monthly
Monitoring?
(y/n )
# of Months in.Tier
2 Samplingz,
D LD
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, Trout, and PNA waters where they are 5o mg/I.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr}1
pH
(standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall a
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(Y/n)
# of Months
in Tier 2
Samplingz
6-92
152
1002,3
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample for at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware here a si scant penalties for submitting false information, including the possibility of fines nd imprisonment for knowing violations."
(Signature of P i ) (Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 O 7
FACILITY NAME: &r P �
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
Lab #
Lab #
SAMPLE COLLECTION YEAR: Zo/q
SAMPLING PE�fX� July -December January -June
COUNTY
PHONE NO. ( )
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout
❑Other
Outfal! No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW}'
PH
(Standard
Units}
TS5
(mg/L)
went
Duration
(minutes]
Total
Rainfall
(in}
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Sampling=
-
-
6-9'
1002J
-
-
-
-
JUL 10
2017
D
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/l.
4For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/dd/yr),
pH
(Standard
units)
TPH using method
1664ASGT--HEM
(mg/L)
Total Suspended
Solids
(mg/L)
Event
Duration
(minutes)
Total
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
ti of Months
in Tier 2
Sampling,
6-9'
157
10011,
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES []NO
❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orip-inal and one coov of this DMR (includine all "No Flow" & "No Discharee" reports) within 30 days of receipt of sample (or at end of monitorine period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsi a for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that are s' ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
7S 7
(Signature of Per t e) (Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO). - Semi -Annual MONITORING FORM
GENERAL PERMIT NO.!NCG140000
�d 0Yi16/
CERTIFICATE OF COVERAGE NO. NCG14-0 / SAMPLE COLLECTION YEAR: li1// 6
FACILITY NAME: 0 (q� �S SAMPLING PERIOD: July -December ❑ January -June
PERSON COLLECTING SAMPL S fizFp iM_�COUNTY. 141fei
CERTIFIED LABORATORY KRIS M Lab # PHONE NO. (T1 47 )
Lab # ADD TO LISTSERVE? OYES ONO EMAIL:
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PHA ❑Trout
❑Other
Outfall No.
Date Sample
Collected
(ma/dd/yr OR
i
NO FLOW)
pH
{Standard
Units)
T55
(mg/L)
Event
Duration
(minutes}
Total a
Rainfall
{in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
z
2 Sampling
-
6-9
100 ,
-
-
7• /
1470
Zo
2.67
rz�`
c
n
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/i.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
eivr-'D
CT 0 7 016
.NTRAL. EIL.ES
NR SECTION
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

%-
Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month —averaged over a calendar year.
0utfall "
No.
DatehSaple
_ Collected
n" 1{mg%L};
jrr}
pH
�:{Standard
:• a
I
fTPM-using �metha
1664A 5GT NFNI '`
TotallSuspended
iSo�lids ` Ii
11-""
(mg%L'];;, i
... , i
`:i
: i Duration
.i
''(minutes)'.;
Event j
:• . ,
i3
;Total'
+Rainfa I'. I
(in}
:New Motor Oil
Usage r ;
;,;{gal/,month}; i',
t InTier2 }
sl. �,'.d '
; ;� yM°rtthly�I6
,Monitorng .
.•., ;
4(Y/n1�? t
# ofJMonths
iT�Qr z
2:
Sampling.
I
:6 9
15
i " ! t
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copv of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUSTSIGN 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 t t qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those p r ons directly r sponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am a r that there ee si i ' ant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Xgnat4le of Permittee) (Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/12
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL. PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 '7 �' SAMPLE COLLECTION YEAR:
FACILITY NAME: 6h6-tE_Lfa �'Olijea-f� pip)S1�IClE�Gl.1�, SAMPLING PERIOD: ❑ July -December January -June
PERSON COLLECTING SAMPLES COUNTY 006
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
In Tier 2
PHONE NO. ()
ADD TO LISTSERVE? OYES ONO EMAIL: r. "
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout"❑Other
Event Total
`
f! ��
Date Sample
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
If a value is In excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses In the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are So mg/l.
4 For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
VED
2016
FILES
TION
Permit Date: 7/1/2011.50/30/2015 Last Revised 7/13/11
Page 1 of 2

�r
Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year,
- ,Outfall
No. ..:
Date Sample
Collected
[mo/dd/yr)'
PH
[standard
Units)
TPH using method
1664A SG]" NEM
(mg/L) .
Total Suspended
Solids
jmg/L).
Event
Duration
(minutes)
Total
4
Rainfall
(In)
New Motor.0il
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?:
(yin) .
It of Months
In Tier 2
x
Sampling ;
6-9
15
1002'
HAS YOUR FACILITY HAD A OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail 6rij6mal and one copy of this DM (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU 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 pro rly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly resp�n for gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete
am aware th '� rear 1� cant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
rljk �L
(Signature of P ee)(Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2