NCG160080_MONITORING INFO_20181205

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V CiC� I � �0��
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ ��b� b I a O P3
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report {DMR)
for North Carolina DEMLR General P rmlt No. NCG160000 - Asphalt
Date submitted
CERTIFICATE OF-COVEFiAGE NO. NCG16 0-0-k O
SAMPLE COLLECTION YEAR
FACILITY NAME SAMPLE PERIOD ❑ 1an-June AJ July -Dec
COUNTY lt/�iC' or ❑ Monthly' (month
PERSON COLLECTING SAMPLES .3A*.e— RECE J�DISC6ARGING TO CLASS ❑ORW
❑HQW [:]Trout❑PNA
LABORATORY PAdf Lab Cert. # ^_z9 []Zero -flow [:]Watersupply [_]SA
Comments on sample collection or analysis: DEC 0 zom ❑Other
CENTkAL I"lLE- PLEASE REMEMBER TO SIGN ON THE REVERSE -�
DWR SEC T li,.
Part A: Stormwater Benchmarks and Monitoring Results
No discharge this period?z
Outfall No.
pate Sample
collected
(mo/dd/yrl
24-hour rainfall
amount,
Inches;
Total Suspended Solids
Benchmarks =-_>
-
-
100 mg/L or 50 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the egeeially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected,
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (5GT-HEM)
Total Suspended Solids
Benchmarks =-_>
-
-
15 mg/L
100 mg/L or 50 mg/L
0 1
�✓ r.� r�
J01
< y 8
.p
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK,EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU -CONTACTED THE DEMLR REGIONAL OFFICE AS.REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one copy of this DMR including all "No Discharge" report within 30 days of receipt of the lab results Lor at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penaitji bf law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
end evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or assure that qualified personnel properly gather
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant�penalties:for submitting false information, including the possibility of fines and imprisonment for -knowing violations."
(Signature of Permittee) ( ate
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

s j
i f
i
Semi-annual Stormwater Discharge Monitoring Report DM_ RI
for North Carolina DEMLR General Per it No. NCG160000 - Asphalt
Date submitted .S 7 o -
CERTIFICATE; OF COVERAGE NO. NCGI6Q L2_ ,7 Q
FACILITY NAME l44-10' ZA ee-
COUNTY _AM&
PERSON COLLECTING SAMPLES
LABORATORY_ Qf�C°P Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _ AT
SAMPLE PERIOD ® Jan -June E] July -Dec
or [] Monthly'_ _ (month}
DISCHARGING TO CLASS []ORW ❑HQW QTrout ❑PNA
[]zero -flow [Water Supply USA
]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -1
OutfafllYo.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches;
Total Suspended Solids
Benchmarks ==-a
-
100 mg/L or 50 mg/L
oL'
/Y
„� L
No discharge this period?2
MAY 14 2018
CENT' AL FILES
DVJR SECTION
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially, sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported In numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they, must be_reported_in the format, "<XX ma/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Nate: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 5WU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gat of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
Z4-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 54 mg/L
0
��
4. 85
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK•EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriafnal and one copy of this DMR, includi_na all "No Discharge„ reports, within 30 days of receipt of the lab results for at end of monitorina aeriod
in the case of "No Dlscharae" reaortsl to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Ralelgh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
" 1 certify, under'penalty of law, that this document and all attachments were pret3ared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properlygatherand evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ZVI
(Signaturfof Permittee)
Permit Date: 10/112014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report „(DMR)
for North Carolina DEMLR General Pe mi No. NCG160000 - Asphalt
Date submitted 1�1Y
CERTIFICATE OF COVERAGE NO. NCG16 O Q
FACILITY NAME IVNZ �i�CNr
COUNTY Al"We
PERSON COLLECTING SAMPLES _ J l�iiGCy-s
LABORATORY 19A4-- Lab Cert. # 6.?f
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR .971/
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
R} r,FI\IF-D PLEASE REMEMBER TO SIGN ON THE REVERSE 4
JAN 04 2018
ujvr- SECTION ❑ No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
INTOWATION
24-hour rainfall
amount,
Inches3
i'iULC70t14u U+44
Total Suspended Solids
Benchmarks =_=>
_
-
100 mg/L or 50 mg/L
/, o
RECj=1 cn
JAN 0-3 ,3
Mr, SECTION
I, rcORM.ATION PROCESSING UA
t Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table-3., identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not _report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX m L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: !f you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part S: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected,
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L
So
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copv of this DMR fncludina all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorina period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files T
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee— ) (Date)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted S y ..2oi7
CERTIFICATE OF COVERAGE NO. NCG16.Q,Q _L 0
FACILITY NAME rj'�e,�Y�r. L/%t'L 2,44e
COUNTY
PERSON COLLECTING SAMPLES .SA W-G �Pa4,9!
LABORATORY iaG4 Lab Cert. # /,2
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Al 1-7
SAMPLE PERIOD ZIJan-June ❑July -Dec
or ❑ Monthly,_ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?'
Qutfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
inches3
Total Suspended Solids
Benchmarks ===>
_
-
100 mg/L or 50 mg/0
o &1
..� 0
RECEIVED
MiY002017
CENTRAL PILES
DWR SECTION
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example,do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
❑ No discharge this period ?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a somple value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES []NO
❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and -all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified person 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 responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are significant penalties for submitting false'inforination; including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date:10/1/2014-9/31/2019
y
(D e)
SWU-252, last revised 9/17/2014
Page 2 of 2

10
Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted i 1_T%2o17
CERTIFICATE OF COVERAGE NO. NCG16 0 _0 -, 0
FACILITY NAME I4NF G'o4�&Z, door/ 4M40AAW
COUNTY — — WAX25-- — _
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _ Ifoie
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout [:]RNA
[]Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
0 No discharge this period:'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Total Suspended Solids
Benchmarks
100 mg/L or 50 mg/L
DIVED
JAN 0 6 2017
CENTRAL FILES
DWR SECTION
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format,, "<XXmg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =_=>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B ,
Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, Including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharae" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly 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."
(Signature of Permittee)
Permit Date: 10/1/2014-9/31/2019
(date) -
SWU-2S2, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report�DMR)
for North Carolina DEMLR Generj3l permit No. NCG160000 - Asphalt
Date submitted G D/lo0 -
CERTIFICATE OF COVERAGE NO. NCG160 fL,& O
FACILITY NAME
COUNTY Gl _
PERSON COLLECTING SAMPLES JArrtte
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD © Jan -June ❑ July -Dec
or ❑ Monthly' _ Imonth)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
[]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
® No discharge this period?Z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
Benchmarks =__>
-
100 mg/L or 50 mg/L
RECEIVED
JUN 2 8 2016
CENTRAL FILES
DWR SECTION
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
(Vote: If you report a sample value in excess of the benchmark, you must implement rer 1, Tier 2, or Tier 3 responses. See General Permit text
Permit Date; 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharae this neriod?2
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
IncheS3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or SO mg/L
Footnotes from Part A also apply to this Part B
Note: if you report a sample volue in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one coon of this DMR. includina all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitorina period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document,and all attachments were prepared under my direction or supervision in accordance with a system designed to
y
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 forgathering 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 panaltie's for 'sub mitting false information, including the possibility of fines and imprisonment for knowing violations."
- GAy r Zeml,
(Signature of Permitte (Date)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCGI60000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16 0❑0®0 SAMPLES COLLECTED DURING CALENDAR YEAR: 2 014
(This monitoring report is due at the Division no later than 30 days from the date
the facility receives the sampling results from the laboratory.)
FACILITY NAME LkN� G� L��E COUNTY !�
PERSON COLLECTING SAMPLES iutin;,P- U(,L PHONE NO. ro4 -59T 3aA4-
CERTIFIED LABORATORY Lab # 402--
Lab #
Monitoring Requirements
Outfall
No.
Date
Sample Collected.
moldd/ r
Total Rainfall.
inches
00530
00400
00556
Total Suspended Solids, mgli
pH,
Standard units
Total Petroleum Hvdrocarbons, mg/I
EPA Method .1664 (SG -HE
Benchmark
-
-
100
Within 6.0 -= 9.0
15
as
' 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.
Mail original and one copy to:
Division of Water Quality C E f
Attn: Central Files Y !�
1617 Mail Service Center MAY 1
Ralei h, North Carolina 276994617 6 2014
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
CENTRAL FILES
DWQ/BOG
"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 signifi nt penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations."
�,/- Z. 14w,� �
(Si re of Pe tee) (Date)
SWU-253-051409
Page I of 1

n
April 25, 2014
Mr. Marcus Hackler
Lane Construction
0
8205 Wilkinson Blvd.
n
Charlotte, IBC 28214
RE: Project: SAMPLING 4118
n
Pace Project No.: 92197581
Dear Mr. Hackler:
O Enclosed are the analylical results for samples) received by the laboratory on April 16, 2014_ The
results relate.only to the samples included in this report. Results reported herein conlorm to the
most current 7NI standards ano the laboratory's Quality Assurance Manual, where applicable, unless
otherwise noted in the body of the report.
ro Analyses were performed at the Pace Analytical Services location indicated on the sample analyto
page for analysis unless vthenvlse footnoted.
It you have any questions con"ming this report, please feel free to ccntact me.
Sincerely.
Laura J Cooper
[e-mail]
Project Manager
s
1> E•ndosures

CERTIFICATIONS _
Prvj0Cl: SAMPLING 4118
�
PaAoe F'roett No: 42f 97b19 s
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Clurlatlr Certllkatimr !Da
9800 Khcey Aw. Sle 100. Hunlersvae, NC 26078
Florida]NELAP CerTificallors r. E07627
North Gnrorna DrtnkJng Miter Certfteliori iv: 37706
Kentucky UST Certification 8: 84
With CamFna Field Services Ce6fica ton U. 6342
West Vlrglnia Certlncatlan 0: 357
North Carolna Nfastewaler CeAificabuin A 12
V(j;IHQlVELAP Certrflutlon 9: 460221 i
South Carolina CerNrication A: 09006001
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Asheville Cenlf Callon 106
2225 Riversfde Ur.. Asne+nlle. NO 28804
Horth Carolina Wasimualer Cartibcalion it 40
FlDAWNEW CodlUaton #: E87648
South Carolina Certifica5on 9: C9030001
MasSachusells Certificelion 8: M. NC03o
Wee1 Virginia Cartiftcafion #: 35D
Nvrih Caruhna Drinking Walor Cwftalion Of; 37712
WginiafVELAP Certjfrca�on e: 460222 �
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Project:
SAMPLING 018
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Pace PIDJUrA No.:
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Semple 10
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921975814DO1
LAKS PLANT
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SAMPLEANALYTE COUNT
Analytes
Method
Analysis
Reporter[ Laboratory
EPA 1864B
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SM 25400
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ANALYTICAL RESULTS
Ptofco[: SAMPLtt�G 9116
Poce PiajvO No.: 92197541
Sample. LAKE PLANT Lab 10: D2117511001 CagecAlad: 041IU14 08:35 RerzVed: 04116114 08:52 MaVix: Water
Patarrelers Results Una& Report Llmlt DF moared Analyzed (:AS No.
1644 SGT FtEM, TPH Anal)flicjEmethod: EPA 16134E
Total Peho'eum Hymcaroons ND mplL ! 5.0 1 o421fr4 10:05
f+2540D Total Suipendod Sollas Analyikal Molhod: SM 254OD
Total Suspeilde3 Soyds 0.8 mpll 5.0 1 04123114 01:20 ,
32200 COD Analytical Method: SM 5220D
-harnlcal Oxygen Demand 11.0 mg1L 25.0 1 04125114 13:00

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Projecl: SAMPLING Ail$
Pace Project No.: 92197S81
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QC Bakh: GCSW17306
OC Batch Wthod: EPA 1604H
Assadeled Lab Samples: 92197581001
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Wt HOD BLANK: 082037
ASsccialcd Lab Sarnple6_ 92197581001
Pararnelor Unac
Total Pelrercum HydrorzeWns mq�L
si
QUALITY CONTROL DATA
Ana lysisIVC[hod: EPA16649 .
AnAlytly ❑eteriplion: 18G4 SGT,HEM. TPH
Malft Water
Blank Reporting
Resull Lkrh AndlyzO Qualifers
_. NU 5.0 04121114 09�52�
LABORATORY CONTROLSAMPL£: 1IB2036
Splke LCS
Parameter Units Canc. Result
Total perromum F{ydrw-arenns mylL � 2p 1117.9
MATRIX SPIKE SAMPLE: 1182039 W
921979a1002 Spike. MS MS %R9e
Parameter Unite Reeull Canc. Resull % Ree Llmils C rallfiats
Talal➢otrolealnHYdrocartrnnd mgiL ND 20 16.8 a2 ^` 64-132
t1 Y1r0 /:/'a Y7t
toy % Rec
In Rec Llmhs Ouallw&
yo e.•1�z

QUALITY CONTROL DATA
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FlMiD t: SAMPLING 4116
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Pace Figed No.: 92197581
D
QG Balch' WE1130657
Analysis Method: SM 2540D
QC ga1Ll1 Method: SPA 2$40D
Analysis Pa3cripllonr 25400 T0161 Suspended Solids
Amoolatea 1 ah Samptas: 92197581001
METHOD ULANK: 1163348
Maulx: Water
ASiaWadLab Samples: 92197581001
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Blanc, Reporting
—
Paru.meler
unlls
Resub Llmil Analysed Qualifiers
Val Suspended Solids
mgll
ND 2.5 W22114 01:19
LABORATORY CONTROL SAMPLE;
11413341
_
Spike LGS LCS % Res
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Parameler
Units
Cone. Result %Roe Limiu pualifiers
>,
Total Suspended Solids
mpfL
260 236 94 80-120
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SAMPLE DUPLICATE: 1183348
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02IB15B1001 cup
Perenieter
WIN
Result Resell RPD Cualifiers
Total Sut:peniled Solids
MZA-
9.6 10.8 10
m
SArd1PLE DL'PLIGATE: 1183349
92197650002 DLy
Parameter
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Units
Rosuh Result RPD Qualifiers
m
Total Suspended Solids
mill.
32.6 ND _
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Proles: SAMPLING4118
Pace Project No.: 0211175af
GG Batch: MTA08768
OC Batch MuIhod: SId 5220D
Associated tab Samples: 92197581001
QUALITY CONTROL DATA
Aaa!y5is htelhfld: SM 52201)
Anplws m5utplim: 5220L7 COL)
METHODRIANK: 116267A Malrhr: Wafer
Assocleted Lab Samples: 92197581001
Blank Reporting
Pammeter Unlls Res111 Limit AneytW Qualtler6
CAenucal Oxygen Demand mgIL - - - ND 25.0 04125114 13:00
LABORATORY CONTROL SAMPLE: 1162579
Spike LCS LCS i'e Rec
Parameter Unite Gcnc. Resvll X Rec limbs Quali(els
ChemicalOzygen Dernord mg1L 750 736 96 90-110
MATRIX SPIRE E MATRIX SPIKE DUPLICATE: 1182$60 1192591
MS MSD
92196755007 Spike Spike MS MSD MS MSD %Rec
Parameter Units Res0. cent. Conc. Result Resull %hies %Rec Limits RPD Qual
Cnem�cal oggert Demand m91L <?.50 T50 75D 724 729 95 95 75-125 1
MATRIX SPIKE & MA7RIx SPIKE DUPLICATE: 1162552 1182563
MS MSD
92197443001 Spike 5p1,o MS MSD MS MSD 9; Rec
Parame':c units Result Conc. cone- %401 ResW1, % Rec % Rec Liritis RPD Quat
CnemicatOxyOen Demand mpll 11t 1000 3000 3D60 3020 98 97 75-125 1
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QUALIFIER$
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L Prajeat: SAMPLING 4116
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Pace Project No.: 92197581
� DEFINITIONS __--_— -- , -__.- -------._- •--, ...... _. _ .-_.. _ _ .-. .
n
Of - Dllutio•1 Facial, it reported. represents the factor applied Io the reported data Cue io chang es to sample pteparaf:on, dilution of
thn Semple aligVul, ut moisture :unletil. —
i IVC - Rol Detected at oar above adjlfsled report-ng limit.
J - Estirnaled conceniratiun above the alljustod method doleolon IImIt and beron the aajustea reporting 1i61.
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MDL - Adjusted Method Detection Limit.
PRL - Pace Reparing Lima- j
RL • Reporltog LITIIh j
S - swrogafe 1
1r2-0iphenyihyd1a1ine (8210listed analyle) decomposes toAtobenzene,
Coltclstanl wish EPAguide5nos, unrounded dale are displayed and have been usedto calculate % reoevory and RPD vak,es.
_ LCS(R) - L aboralory Conlroi Sampic {Duplicate] }
n MS(D) - Matrix Spike (Dnpgeate)
n DUP-Sampret7uplxale I r
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RPD - Relalivp perteAl D.P.oronce I
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NC - raot Getcurat,Ie. I
» SG - Silica Gel - Clean Up
U • Iwlesles the ocmpounS was analyzed for, but not deleeW.
N Nitrosodiphcnylarnino decompcsesand cannot be separated from Oobariornine using Methob 8270. Tne result reposed lot
each analyle is a combined conuealratlon. +
Add pteservatian may not be appropriale for 2,Chroroethylvinyl elher, Styrene, and vinyl chloride. j
_ Pace AnaWaj is TNJ accrdtted. Contact your Pace PM for the Wr?enl list of awedited analyles. '
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!n TNi • The NE LAC Insti!ule, I
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LAf34RATORrES i
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Piojecl: SAMPLING 4116
Pace Prpjecl No.; 92197581
Q
Lah ID Sample ID QC Ditch Mothad Qc Hatch AnBlykal N104rf
82197691001 LAKE PLANT EPA 16848 GL'SV71I3U8
921§7581041 LAKE PLANT SM 254UV W V0657
9219768100t LAKE PLANT SM 5220D WETAl10786
Analytical
Ba1th

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411VA41:./p
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NIC_. I�ry�l ls;is+l t j or Certificate of Coverage -No,: N1C/G!J ; 1 C I.Ql�I�il
Facility Name: �� C�iZ�hf r• "4:2 J-4 � 4n 1
County: iyt Phone No. ql "YSf Z3
inspector: _ '7-fNn22'
Date of Inspection:
By this si n • ture, I certify that this report is accurate and complete to the best of my knowledge:
LL
(SignaVdre oVermittee or Designee)
11 Outran Description
Qutfall No. 1 Structure Dditch, etc.)
Receiving Stream: w
Describe the industrial. activities that occur -within the outfali drainage area:
2. Color
Describe the color of the discharge using basic colors (red, Etown lue, etc.) and tint igh medium,
dark) m descriptors:
3. Odor
Describe any distinct odors that the discharge may have (i.e„ smells strongly of oil, weals chlorine odor,
etc.) A10,11 4: T
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and 10 is very
cloudy:
1 2 3 4 5 b 7 B 9 is
Page 1
SWU-242•020705

p.3
5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
1 is no solids and 10 is the surface covered with floating solids;
1 lam' 3 4 5 6 7 8 9 t0
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the storrrmater discharge
where 1 is no solids and 10 is extremely muddy:
1 3 4 5 6 7 8 9 IG
7. Foarn
Is there any foam in the stormwater discharge? Yes �1
S. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes No
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes 140
to. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes 10)
11. Other Obvious Indicators of Stormwater Pollution
List and describe
Note. Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion may be
indicative of conditions that warrant further investigation and corrective action.
Page 2
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