NCG120066_DMR_20190731

STORMWATER L _ AGE OUTFALL(SDO) ‘,\15V2-6
MONITORING REPORT
Permit Number: NCS I a 0 O CV or SAMPLES COLLECTED DURING CALENDAR YEAR: /da
Certificate of Coverage Number:NCG DC)6 b (This monitoring report shall be received by the Division n ater n 30 ys from
the date the facWty receives the samplingresults from the laboratory.)
FACILITY NAME ) f..agJ-i COUNTY �(V ����
PERSON COLLECTING SAMPL�( P}I � _—NO. ... ) bcl o -.3 '7
CERr IVILD LABORATORY(S� ,v�.� /W P itil Lab# ���' ' O _C e4
Lab# (SIGNATURE OF PERMIT TEE OR DESIGNEE)
By this signature,I certify that this report is accurate
complete to the best of my knowledge.
Part A:Specific Monitoring Requirements
u 4 q i. r49 �.� 5'l:.t F:' �:i... ..0
.; c Syr d a F xi} y 5v x'' �t E :"
. Date
.;i� � ..ram •'•#:r,a,,... .y.a"'..= "? ,'fit k♦ .?��','`i' t �' a M '�1 S. :�• v" 3�.'. ....
�AA'+ C p '4, t.' •;SF:-;,. : 7•1 'F ,iiAS - ',.... 44.1a :1.. , �., `.i:•-•tN. '(r��. ~�j. ,k'a c,•iv ., .
W V�f1IV .,Y���l�.. 'x.�• k'1fi1D_��fl ;l.�,C N. F�7`.� ry?C"f..'�'�{:' 'i� NV:.i�j. � ^Z;'�X•<nl "�!rt.V, .
t �. -rr..;a� ,u. ,-•F;-="�.�" ��ti��++..•%LyY�r.'y5 �'. a��,�c�".`;. .,.�. b,. �Y'-.��:1:� .:'n ..�r�,.:. �.,,....;�57
Collected
,1. �: tdI 5,h7 - �ti. �.. SP':?i t:.X 3.ikit y..a �. y` r A .r "'i Wt j,
-.1�- ,t '•':'lf:=: � r,Grt'. .k +ram•'- •...,�s,:.,.,.t ;�,: '• _ ..:.z �e c,:j'•.: �" ;:' xti ,. •` q
:' ,,e..-:. a.:<., . , ir,.y -'v*e°t aF 's .ram- S[ 4: V '• .,ax• 7!.i" '..y'..
�wi�3,+r. � �"�SG:`�'•':4`- v��5.7•r. .T ..5r.,,,,.� ,.`i;k.% .c�' - �r �• I�� �.
• 4i
[[ ,fir..• +� :i•,
.1 rn,, ` ! ' `. Y t ... S :a•T-Alt:,:,r'a. l-V5r J• :�^1w.•S �-�f . tl
.� ....f 'inches .Ar..�,'1• fML. f"4/..51,fij qi'-4 {{r5 •} .i. 5... .x.:/7,:-..e_ _-J3
Y. tJ�I'�'G •A.`fP �
14
•
o G, NI- ‘ •
T
nu-5EC5 .
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_yes _no
(if yes,complete Part B)
Part B:Vehicle Maintenance Activity Monitoring Rectuirements
Outfall Date r� i3 50050 `,:_ 5,.. , t, F 00556 r $�r r' f .� a e 00530 •.,� F 00400
No. Sample Total`Flow .;. .19tit OU JCS' n`Po r tai w• z "'. i�_.s'' ,New,Motor Oil
Collected (if appllcab c) ��-' ,-,. t x`r "'�,.-4 L.� O�&G $L ;�A. ;fi, ,,,, •1,.:' Usage
.. , y�^Sf%.6,'` � :6 d •`i`?1f _ r'r tvff-w , 4c-'s '. '\sue+et '1�y"r4 `i(���,--',Pk,,K).« 't; �ar''s, •s' 3'
5�4,. rY )}w r 4"A. t.� -RN* r I,:i A,AT. �i•4'as - ,�Gt],i i� :- ,;• r
1.
z.
..N�/Sir�.: T: 4y`�' y��.,"`.•!r�,TFva:. !.31 rL5;a:�:�rsti �°�, ,▪ �k, .t > 4,�i�� "'� a
Form SWU-246-062310
Page 1 of 2

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Q► ility
Date 2-0 1 9 Attn:Central Files
Total E t ��pitation(inches): 0 1617 Mail Service Center
Event Duration(hours): (only if applicable—see permit.) Raleigh,North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation(inches):
Event Duration(hours): (only if applicable—see permit.)
"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."
19
(Signature of Permittee) (Date)
Form SWU-246-062310
Page 2 of 2

" d '
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/S/1 / 2/U l C to/0/ or Certificate of Coverage No.: N/C/G/O t o/6/(o/ / /
Facility Name: \A I I Ices u ri L L n t•C't
County: VI, kP5 Phone No. 33/0- 69(o - 3 8(0'7
Inspector: L i n ol a vf�l l f Y2 e r
Date of Inspection: 'r- - I'1
Time of Inspection: 3'o o
Total Event Precipitation(inches): ®9
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature,I certify that this report is accurate and complete to the best of my knowledge:
O..lIJ2<1Ql .,661aia..e./eJ
(Signature of Permittee or Designee)
1. Outfall Description: /
Outfall No. I Structure(pipe,ditch,etc.): tic tC,/
Receiving Stream:
Describe the industrial activities that occur within the nutfall drainage area:
dy2oze,40,6 Ja/
Page 1 of 2
SWU-242,Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint
(light,medium,dark)as descriptors: ..kuyar v —04
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor,etc.): ...nw1 z — 0—
4. Clarity: Choose the number which best describes the clarity of the discharge,where 1 is clear
and 5 is very cloudy:
1 2 C3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
1 2, ( 4 5
7. Is there any foam in the stormwater discharge? .0 Yes 0 No. (?ILOw/LA
8. Is there an oil sheen in the stormwater discharge? °Yes ®No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes O No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Al JA
Note: Low clarity,high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 06/01/2018

Semi-annual Stormwater C harge Monitoring Report .
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted f ry =x` ,-X'/Y'
CERTIFICATE OF COVERAGE NO. NCG12 D Q QQ._ SAMPLE COLLECTION YEAR `,)G ,_ 2b(c(
FACILITY NAMF, WI I key Co a r 4.,( ha n�l-r; 1 I SAMPLE PERIOD Ill Jan-June i' July-Dec
COUNTY 'y\j I kes � or jMonthly1 (month)
PERSON COLLECTING SAMPLES A note ri a DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY 14-curt 3 , Ile- Lab Cert.# ❑Zero-flow FIWater Supply ❑SA
Comments on sample collection or analysis: ❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Part A: Stormwater Benchmarks and Monitoring Results
n No discharge this period2
Date Sample 24-hour rainfall Chemical Oxygen FecalTotal Suspended
Coliform pH,
Outfall No. Collected' amount, Demand Solids
Colonies per 100 mL Standard Units
(mo/dd/yr) Inches3 mg/L mg/L
Benchmarks - - 120 1000 100 or 504 6.0-9.0
Parameter Code - 46529 00340 31616 C0530 00400
7 -2-3- ) 4 . q4 464
1 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 1, 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 mR/L", where XX is the numerical value of the
detection limit, reporting limit,etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
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: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
11 No discharge this period2
Outfall No. Date Sample Collected' 24-hour rainfall amount, Non-Polar Oil&Grease Total Suspended Solids, New Motor or Hydraulic Oil Usage,
(mo/dd/yr) Inches3 mg/L mg/L gal/mon
Benchmarks - - 15 100 or 504 —
Parameter Code - 46529 00552 C0530 NCOIL
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the
case of"No Discharge"reports)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. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
47A ;ZWL 7,23 -l 9
Signature of Permittee Date
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 2 of 2

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N_/C/%l /0l Of d/d l / or Certificate of Coverage No.: N_/C/G_/Z.)/0/L l6l / /
Facility Name: IAi)kes e)1.0141( hrnote. 1
County: A t }L j Phone No. 33112 '6Q(p 3 8 6 7
Inspector: L nd a 3D u't ker
Date of Inspection: -a3 -
Time of Inspection: 3• \0
Total Event Precipitation(inches): , )�
All permits require qualitative monitoring to be performed during a"measurable storm event."
A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature,I certify that this report is accurate and complete to the best of my knowledge:
(� 46-2kbillA
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. £ Structure(pipe,ditch,etc.):
Receiving Stream:
Describe the industrial activities that occur within�th�e outfall drainage area:
l� a � •n- .au .�a)-z =2/'
Page 1 of 2
SWU-242,Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors(red,brown,blue,etc.)and tint
(light, medium,dark)as descriptors:
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil, weak
chlorine odor,etc.): — D
4. Clarity: Choose the number which best describes the clarity of the discharge,where 1 is clear
and 5 is very cloudy:
1 G 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes a No.
8. Is there an oil sheen in the stormwater discharge? °Yes IP No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes ®No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe N/A
Note: Low clarity,high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 06/01/2018

Semi-annual Stormwater C. 'harge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000 _.
Date submitted 4ue�f �,- / / . w
CERTIFICATE OF COVERAGE NO. NCG12 Z) 0 O 0 SAMPLE COLLECTION YEAR JL.t ZC.) l el
FACILITY NAME , 1k C5 ec Lt7IA-1— Yd l
SAMPLE PERIOD ❑Jan-June July-Dec
r I or PTYlonthlyi 2n 1 4(month)
COUNTY ( o u Y)
PERSON COLLE !NG SAMPLES Ai 411'i 0- ?.C3 pp, DISCHARGING TO CLASS ❑ORW" ❑HQW ❑Trout ❑PNA
LABORATORY c 0 i lte- Lab Cert.# ❑Zero-flow nWater Supply ESA
Comments on sample collection or analysis: ,__Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
(l No discharge this period2
Date Sample 24-hour rainfall Chemical Oxygen Fecal Coliform Total Suspended pH,
Outfall No. Collected) amount, Demand Colonies per 100 mL Solids Standard Units
(mo/dd/yr) Inches; mg/L mg/L
Benchmarks - - 120 1000 100 or 504 6.0-9.0
Parameter Code - 46529 00340 31616 C0530 00400
1 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.
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 1, 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 mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month.
(1 No discharge this period2
Outfall No. Date Sample Collected' 24-hour rainfall amount, Non-Polar Oil&Grease Total Suspended Solids, New Motor or Hydraulic Oil Usage,
(mo/dd/yr) Inches3 mg/L mg/L gal/mon
Benchmarks - - 15 100 or 504 —
Parameter Code - 46529 00552 C0530 NCOIL
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO❑
IF YES,HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the
case of"No Discharge"reports) 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. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
1/1 , 72 /V
Signature of Permlttee Date
Permit Dar?: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 2 of 2

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C// / 2/0/0/0/0/ / or Certificate of Coverage No.: N/C/G/D/O/(o//('/ / /
Facility Name: W U AA-1
ka i I
County: AA) es Phone No. 33 bbYo- 3$67
Inspector: ),;Ada SO k r
Date of Inspection: 7-a-3-19
Time of Inspection: = I.
Total Event Precipitation(inches): o 2f
All permits require qualitative monitoring to be performed during a"measurable storm event."
( A"measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period,and the permittee obtains approval from the local DEMLR
[Regional Office.
By this signature,I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 3 Structure(pipe,ditch,etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
o r/fQ l l 3 a -
Page 1 of 2
SWU-242,Last modified 06/01/2018

2. Color: Describe the color of the discharge usirig basic colors(red,brown,blue,etc.)and tint
(light,medium,dark)as descriptors: j4o7".)-21�
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil,weak
chlorine odor,etc.): --0 "
4. Clarity: Choose the number which best describes the clarity of the discharge,where 1 is clear
and 5 is very cloudy:
1, 2 C 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge,where I is no solids and 5 is the surface covered with floating solids:
�1 2 3 4 5
6. Suspended Solids: Choose the number which best'describes the amount of suspended solids in
the stormwater discharge,where 1 is no solids and 5 is extremely muddy:
1 Q 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? °Yes !9 No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe IV/4
Note: Low clarity,high solids,and/or the presence of foam,oil sheen,or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242,Last modified 06/01/2018

Semi-annual Stormwater C. -barge Monitoring Report .
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG120000
Date submitted ( i -? .Lo i f V ,
CERTIFICATE OF COV R�A�E NO. NCG12 _0 SAMPLE COLLECTION YEAR L• 20 1`�'
FACILITY NAME �jj�c%� fzG� C2 -- SAMPLE PERIOD ❑Jan-June July-Dec
,/ 7 or - 'Month' 1 (-- ? )(`7 (month)
COUNTY %xK h_12-0-)
PERSON COLLECTING SAMPLES YC c ) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY , 2).0212M ` 4 Lab Cert.# ❑Zero-flow Water Supply ❑SA
Comments on sample collection or analysis: ❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -*
Part A: Stormwater Benchmarks and Monitoring Results
n No discharge this period2
Date Sample 24-hour rainfall Chemical Oxygen Fecal Coliform Total Suspended pH,
Outfall No. Collected' amount, Demand Solids
Colonies per 100 mL mg/L Standard Units
Inches3
(mo/dd/yr) mg/L
Benchmarks - - 120 1000 100 or SO46.0-9.0
Parameter Code - 46529 00340 31616 C0530 00400
7(z l/9 Js. 9 ig,33
•
1 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 1, 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 mR/L",where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as">XX".
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: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month.
n No discharge this period2
Outfall No. Date Sample Collected' 24-hour rainfall amount, Non-Polar OII&Grease Total Suspended Solids, New Motor or Hydraulic Oil Usage,
(mo/dd/yr) Inches; mg/L mg/L gal/mon
Benchmarks - - 15 100 or 504 Parameter Code - 46529 00552 C0530 NCOIL
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the
case of"No Discharge"reports)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. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
•
rky t_ 7-oZ3-l9
Signature of Permittee Date
Permit Date: 11/1/2018-5/31/2021 SWU-248, last revised 11/1/2018
Page 2 of 2

Analytical Results
!f -
Wilkes County Landfill
PO Box 389
Roaring River, NC 28669
Receive Date: 07/23/2019
Reported: 07/30/2019
For:
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190723-33-01 Chemical Oxygen OF-1 <25 mg/L HACH8000 07/25/2019 CL
Demand
190723-33-01 Fecal Coliforms OF-1 464 CFU100 ML SM9222D-2°o6 07/23/2019 WC
190723-33-01 TSS OF-1 7 mg/L sM254oD-2011 07/26/2019 WC
190723-33-02 Chemical Oxygen OF-2 <25 mg/L HACH8000 07/25/2019 CL
Demand
190723-33-02 Fecal Coliforms OF-2 491 CFU100 ML SM92220-2006 07/23/2019 WC
190723-33-02 TSS OF-2 8.470 mg/L SM25400.2011 07/26/2019 WC
190723-33-03 Chemical Oxygen OF-3 28 mg/L HACH8000 07/25/2019 CL
Demand
190723-33-03 Fecal Coliforms OF-3 500 CFU100 ML SM92220-2006 07/23/2019 WC
190723-33-03 TSS OF-3 18.33 mg/L SM25400-2011 07/26/2019 WC
Respectfullyn submitted,
ta7 ThA tt,J )
Dena Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

Condition of Receipt
Sample Number 190723-33-01 Temp on Arrival: .2
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190723-33-02 Temp on Arrival: .2
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190723-33-03 Temp on Arrival: .2
Parameter Schedule: TSS
Received on Ice
pH on Arrival: <2 Parameter Schedule: Chemical Oxygen Demand
Sulfuric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 3

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Composite Samolin_g#1:
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Time begin am,pm Date / /_
Time end am,pm Date_I_-_/_ Lab Comments Samples Transported On Ice
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DEMLR Monitoring Form Rev.08012013 .
',' Page 1 of 2
INSPECTION AND MONITORING RECORDS FOR ACTIVITIES UNDER STORMWATER GENERAL PERMIT NCG010000 . .
AND SELF-INSPECTION RECORDS FOR LAND DISTURBING ACTIVITIES PER G.S.113A-54.1
Land Quality or Local
Project Name Program Project #
Financially Responsible County of Wilkes County Wilkes
Party, (FRP)/ Permittee Employer
INSPECTOR 'Name
Inspector Type(Mark), X ..
Address
9219 Elkin Highway/P.O. Box 389 Roaring River, N.C. 28669
FRP/Permittee
Phone Number Email Address
Agent/Designee 336-696-3867 [e-mail]
PART 1A: Rainfall Data PART 1B Current Phase of Protect
In 0 . � � z Phl►sltf B�ruellt#� {4�L� ��
�i�j �Ra �0 �� �'�j y�� # 4,�� ��q� y�,y� S.
� � d .�, 7.7�� ,4... �'s�'i-.� "l}�.i.. em . r� �.f+3 ,` w.. ���1�"vl�O�i� 1� �1��YVR��'�i..'�„'L�+:'L� :,.i3 }-1 ..tC..rW°"�,,,i _�.:.&
' Day rDate` Hip,,Ar l ftetl�ls�: „ q Installation of perimeter erosion and sediment control measures
' ,` , . _..:f= iOn t i th si''1 I fr'b'�..„ "' Clearing and grubbing of existing ground cover
M 7-2 Z- 19 w Q 1 Completion of any phase of grading of slopes or fills
T , '7-Z,7_ /y - 1Q'i ..64 ,2 Installation of storm drainage facilities
W • 17- a1-i- i? O Completion of all land-disturbing activity, construction or development
Th '7_71S_,/9 0 Permanent ground cover sufficient to restrain erosion has been established
Sat(Optional) /-7_a 7_ 1 fJ
Sun (Optional) c _a8_2 y '7)2 4 ,vyL aii /n4&)/2 1-1/
PART 1C: Si.nature of 1 ,� 4
1n a ce with the NG 000 pemni & �R to the best
0 1>! �43 t,this 1a►�lccurete a>nd 1e *ar�f4 .. ..
By this signaturet1tinily• rig _; F,:,,,_. .., ar ,,. .. s .may, .•:,.. 4xy::1:i4',:;;s., . .
Financially Responsible Party / Permitee or Agent/ Designee Date
//.1/I
: ..= _,- ,- r GRIP UNDSSTABILIZATIO IMERIAMES . _
Site Area Description Stabilization Timeframe Exceptions
Perimeter dikes,swales and slopes 7 Days None
High Quality Water(HQW)Zones 7 Days None
Slopes Steeper than 3:1 7 Days If slopes are 10' or less in length and are not steeper than 2:1, 14 days are allowed
Slopes 3:1 or flatter 14 Days 7 days for slopes greater than 50' in length
All other areas with slopes flatter than 4:1 14 Days None, except for perimeters and HQW Zones

1111111"."—urAv1Lx monigi3ng corm Key. U8012O13 Page? '2
PART 2A. ,a1ON AND SEDIMENTATION-CONTROL MEASURES: Measui, r.iust be inspected at least ONCE PER 7 CALENDAR DAYS ANi-.iITHIN
24 HOURS OF A RAINFALL EVENT GREATER THAN 0.5 INCH PER 24 HOUR PERIOD.
,Erosion and'Sedimentation"Contjoj Msa IUIr *Oit . ? :41 `.. : K 1- 44,
. Hate. [ ribe_Actions'Needed Date.:
• 11Aeasura�I�.or, Operating Any Repair, * - orrectii O- ul ` performed as soon Corrected
C e actl na aho d be
New Measures Installed
10� pdy? ,y ''_V Proposed Actual Significant as possible and before the next storm event
• (Y/N) Mainlabaanoe •
Description :', Dimensions Dimensions Deviation from :- -
Needed?: tt) (ft.) Plan?(YMI
•
*New erosion and sedimentation control measures installed since the last inspection should be documented here or by initialing and dating each measure or
practice shown on a copy of the approved erosion and sedimentation control plan. List Dimensions of Measures such as Sediment Basins and Riprap Aprons
PART 2B: STORMWATER DISCHARGE OUTFALLS (SDOsI: SDOs must be inspected at least ONCE PER 7 CALENDAR DAYS AND WITHIN
24 HOURS OF A RAINFALL EVENT GREATER THAN 0,5 INCH PER 24 HOUR PERIOD.
Sto1n0watorOIsahar9s Oy ll l ,.. *�. t. -v
� � ,sF
x :r � I Bible _ e ,.y,, , ,�: ..:4; , i t1on,to streams or.wetlands to Date
Stomtarat�r:... -,
Di rge Sedimentation In 4'Vsil�ile i ty bieoil` : _ :,,N.,, {`i ttr{ 11 'within 24.W�.urs . . . Correc
outfall ,i/n►.Streams, Timidity ' 'Erosi ?,s , ngo s .�. ;; `phi(/po�Lftcden?org/webllrldivision-contaicts
r'a3 �nds or `.. t y soIud a �r Xe n y!'k .. ,�
ID ors , :Desc�ibe:Actions Needed
Location Outside=Site Dischargeri ,s 4scolota 2'y!fJ) h- `. l ' o s soon as ssible and
Limits?(YIN) (Y� , ,.: �,n a. tli t' )'1 '?'k► : W,-> .! -'. before the nextstorm event
/ / q _ /t/ 23-�
,✓ Li' / , 1 23--ry
PART 2C: GROUND STABILIZATION Must be recorded after each Phase of Grading
A tlpas Where Land Disturbance Has Been Tillie<I.ielitfor Is GroundrpApa 'ri +.- 4't .
Completed or Temporarily Stopped Ground Cover Suffcie tote' Date
-day$orta Restcelnr Via`w Describe��ACtions Needed
.(1+''/ U,_. }i+V4 i+RK. “: , Corrected