NCG020071_MONITORING INFO_20190225

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C& b)b b -71
DOC TYPE
El HISTORICAL FILE
O'�MONITORING REPORTS
DOC DATE
p 0 b) 5 -Da a 5
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2c t c
'Report ALL STORMWATER monitoring data on this form (include "No Flow"P'No Discharge" and BenchMark
E=xceedances) from the previous calendar year to the DEO by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: *" t£g __ _n✓-41fLdAr geildeny .•,.••...,_.••••----
County: j&v.✓rj,4jr3jZ
Phone Number:( Ae )6rk--3t9al Total no. of SDOs monitored _
Certified Laboratory u� Lab # gig
—
Lab #
Stormwater Discharge Outfali (SDO) No. R & VMA Outfall? Yes ❑ No ❑
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No NJ
Was this outfall ever In Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? RECEIVED
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑ FEB 2 5 2019
No, turbidity benchmark exceedances did not require monthly monitoring ❑ CENTRAL FILES
Other ❑ C VJ R `'`-:C*10IN'
6 OuNo.
�q
Total
Rainfall,
inches
TSS,
mgll
SS,
MIA
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O$G, mgll
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Date Sample
Collected,
molddl r
lnllCafG N4
a,ap
'.
F :� 1
circle
8°nchmdrM
100150
r t,:i, ,
0.1
k4�
; `,�
cifdo
Benchmark
SU/25110
.�!�y`c
NIA
Quality
Sandara„l°
fi �� ";4
�• tl.,.ii: �, f
NIA
sad
n f +. �.
15
•• T ,F
AY°r5a5(rge aIlime.Stormwater
°l5„Benchmarks
TSS
onGnKdlxlc,
f r!1 S s
w� �sl.,?•
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑0 000
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. g # & VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 daring the past year? Yes ❑ No ❑
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mg/l
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks�t
Arrrfwnp NO
ow!I
e rkaero
Cfrtle
Bwrchnrark
0�1 �
Q.
Circle
6enrremark
soi2511 Q
NIA
Warm Quality
Standard applies
NIA
water Quality
standard applies
5
>55va
uvarapv reequi(ItIl res
TSS and Non polar
03G rnormonn
Date Sample
Collected,
molddl r
; i ti,'`
y� v
y..=- rr
rti ,..s �' k
t w i.. t,,,
rr �,�1
4,F: ark y
st.
�R��' �
�:. r c
'�` r i
rf..
l7.
i
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Covcrage No. NCG02 [2 EGI
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfatl (SDO) No. eo? VilllA Outfall? Yes ❑ No ❑
Is this outfall currently in Tior 2 for any parameter? Yes ❑ No ❑
Was this ouffall over in Tier 2 during the past year? Yes ❑ No
It this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yos, onough consocutivo samples below benchmarks to decroaso froquoncy ❑
Yes, roccived approval from DEMLR to reduce monitoring frcquoncy
No, turbidity bonchmaric oxcoedancas did not roquire monthly monitoring ❑
Othor _ ❑
r
I
Okitfall No.
------ ?_ ;^
'total
Rainfall,
inches
inches
TSS, SS,
mgll mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
NOD -polar
OSG, mg/1
(VMA).
New
Motor Oil
Usage
allmo.
Slor•mwater
p
G7ellis hrrlarks
_
rnelh:nw NO
i'!•UW it
a l 10Cdido
!:lulu
tl,:ra:hnwrh
100150
— —
T
0.1
Circle
H/�rznehsrrenh
50125/1 U
N/A
Wa[ur Quality
Standard applies
N/A
Watrrr f}n.tlllY
Standard applla►
i �r
.rvm•>f,[e reylnrq;F
1'Sti aril Mtnr{x�i rr
MCI monitorm
Date Sample
1 y,
c:cllected,
Collected,
fYlQ/dell r
+g
,
� h
r 4 t t'
.1Fr `' � ,,,
A,
+•,,
trr ff
, , ., ^ x
j;i r r r �
T [ r „rf}��t
4 ,•. t '„�,•' t
ti F
5
i
Permit Dato 10/1/2015 — 9/30/2020
Last Revisod 10-2-2015

CerUficate of Coverago No. NCG02 [2Fg]Qu
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 3� VMA Outfall? Yes ❑ No ❑
IS this outfall currently in 'nor 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No 0
ii tlr3ki outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough concocutivo samples below benchmarks to docroaso frequency ❑
Yes. received approval frorn DCML.R to reduce monitoring frequency ❑
No, turbidity bonchm,aric oxcocdances did not roquire monthly monitoring ❑
Other ❑
( (.)tatFaii No.
Stor'rrrwater
Benctimarks
�i7;atc"
Total
(Rainfall,
_inches
ruJre:.ro NO
r't raw N
J r 1rcdGru
T55,
mg/I
clr l.r
El.:nrpr�r:l+h
100/50
SS,
rnl/ll
0.1
Turbidity,
tY
NTU
Upstream
(U) Turbidity,
NTU
Downstream
D Turbidity,
� y �urbidi
NTU
Non -polar
p
O&G, rngfl
(VMA)
New
Motor Oil
Usage
g
(allmo.
CErr lc
ffi:11.:lmgrR
50l25/10
NIA
"J"" Qaal"
Sjan(lild applies
NIA
watnr (Lr.rltty
:kJrldard J,1,$ia>V
-1 5
>! itlalMu,.
.rvanKla cer,Vlns
A'^,S arxf Norri tiler
pExL mnnlionrr
Sample
C}� 7
ol
yy� olddlI / /
ri✓t r
.�*�
.�S
,'l{F r l5
�{.�pA,T�
=1S. �,i •'F;�
�
N
Jlt f� �
*S. .. .1
y�jC
1_ rf�
v5i ir�K �1. 'r�
His;�i.
...
(Permit Date 10/9/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverago No, NCG02 OEM
Additional Outfall Attachment (snake copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. W 6 w VMA Outfali? Yes ❑ No ❑
lz this outfall currently in Tior 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
It this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consocutivo samples below benchmarks to decrease frequency ❑
Yes, received approval from DCMLR to reduce monitoring frequency ❑
No, turbidity bonchmark oxcoodancot did not roquire monthly monitoring 0
Other
I�
i
1
Utrtfail M4.
S�3 y
Total
Rainfall,
inches
TSS
mg/l
SS
rni/l
Turbidity.Non-polar
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
p
OE&G, mg1i
(VMA)
New
Motor f?ii
Usage
al/Mo.
5tf�►'rrrwater
Benchmarks
drefh;r,W lfQ
E't.UW 1!
,l , HC.r[rfu
Elm trprlwrk
� U�/Crt
U 50
n
V . 1
0
Circle
He
50/25/1 n
JN V
N/ A
N/A IY M
Wate+r i],raltty
5lantlara apylies
N/ A
M
W, fue I�u,111Y
Standard dµpfiva
� �
>S" Ipal r.
.rvm:>Sut wq,nrnn
5a^ti aru! Nun.lr.af rr
[EdC4 m�plRnnn
it'tr: Sample
Co'leet d
mo/dd/yr
„�
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0FEI0 f]
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 §122,221
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 101112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT .TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year
"Report ALL WASTEWATER monitoring.data on this form (include "No Flow"rNo Discharge" and Limit Violations) from the pi revious calendar vear to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name:
County: _ AVA, cr.rt,41 i
Phone Number. ( az f ) b 916- 3 -rw g Total no. of outfalls monitored
Certified Laboratory rAI-iz Lab # q—
Lab #
Wastewater (WV11)'Discharge Outfall No. p) '
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to SIB or PNA waters?
Yes ❑
No
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No
If so, what is the 7010 flow rate? or Tidally influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No
Were there any limit violations in the calendar year? Yes ❑ Noj
4utfal! No
;Daily,.Flow
Rateidd
tpH;
Su'A
X
TS5;
mgll
.industrial
SS,
mill
+D-- --h r a
g
Turbidity, '
NTU
�Upstheann
_ F
(U)'Tuir4101 ,
,,NTU4 _
Downstream
y(D)Jurbidity,
NTU-
'Fecal
..Coliform,
�col!'f00 ml
SA
Effluent
Limitations
Mo. Ave I pally Max.
HOW or ORW
50% of
7Q10
'
Indkate NO FLOW
It appllcoble
treshwater
6.0-9 0
ullwatsr
6.88.5
Sand
25145
HOW orORW
20130
HOW o1ORW
jnd Tr1or PICA
10 1 5
HOW.ORW;
SA SB.PRI,
or any Trove
0.110.2
No Limit
circle Water
Quality Standard
Matapoles:
5oi25110
NIA
Water Quality
Standard apples
NIA
Water Quality
Standard appllea
NIA
«��
'Date Sample
/'�^�
Gollected,k`7.`1
molddl r.f^t°
y,r -
k
r•,
,+'w. a
i .�
�L N`
�sSit rr �7�
r
wxr r
! f -: �, s
F' �
5
7
�a�+fih Si�,a :LP
i
n
�. .f
"- ;n
rr y r:
7 i",'#.;-',ffs4r�
r. ..E1l:�i-.
- r� v '� "C
i1 '
a
a �. µi>; '"� Q ,., Y
A;. i
i. • '�...+�
, - �s.-.4
r
• r -
�w
Permlt Date 10/1/2015 -- 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑v 2©Q
Additional Outfall Attachment (make copies as needed for additional outfalis)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? ' Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7010 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑
Were there any limit violations In the calendar
Yes
No ❑
No ❑
b tfall. No:
Daily Flow a
Rate, cfs
y .
pH;
SU
'
TSS-
mgll
- ,
SS,
thllt
nepAl�caBto
Discharge;
Turbidity, ;
'NTU
Upstream °
j(U)�Turbidi#y,
NTU
Dawnst�earn
(I]):Turaidity,coll.'IQO
NTU •y.
Fecal'
, Collform,
ml
SA
Effluent
Limitations
Mo. Ave ! Oally Max.
NOW at ORIN
50% of
7Q 10
indicate NO FLOW
11 applicable
freshwater
6.0-9.0
`a`""a�r
6.8-8.5
Industrial Sand
25145
NOW or ORW
20130
stowor,RW
$Ad Tr or PNA
1}0/15
NOW OR w•
SA. se, PNA
or any Trout
0.1/0.2
No Limit
O circle s Water
that applies:
50125/1 O
NIA
standard applies
NIA
Water Quality
Standard apPlles
N/A
`Sa iple iDate
COIIeCted,-'•
�l I�Kk{ bl•. i!/,�F{ n
Y.W T.��'
T' e. A M
�8 1
,. da 1\
A'E, IS
1 ;
W� 1 ' ..t
I - t h �, 'T
4} YJ kiF ice` 24
lea, t�
.tro sW� �y 'ti � N
•r �h.6 14i.'
�.; T 4 l r F
J�M; ' isT�'�
•' ) J
�v.
Permit Date 1011/2015 — 913012020
Last Revised 1O-2-2015

Certificate of Coverage No. NCG02 ❑v ❑D ©Q
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 §122.221
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 101112015 — 9/30/2020
Last Revised 10-2-2015

, ANNUAL SUMMARY. DISCHARGE MONITORING
I REPQRT QMR .-. WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NC0020000
Calendar Year
'Report ER monitoring.,data on this form (include "No Flow"/"No Discharge" and. Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02'. Q12© P
Facility Name: AV104rN gd gd Cg iS l:. dl4i ar[r[ � - —• — — — —
County:
Phone Number. [;� 1 .[ �� ': *-q+l N Total no. of outfatls monitored
Certified Laboratory. Lab # 1/0_
1 I Lab #
Wastewater (WW) Discharge 0utfall.Nor • rjr 1
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No
Does this outfall discharge WW to SA waters? Yes ❑ No
Does this outfall discharge WW to SB or PNA.waters? Yes ❑ No
Does this ouftl discharge WW to HOW or ORW waters? Yes ❑ No El
If so, what Is the 7Q10 flow rate? or Tidally Influenced waters, 711210 not available ❑
Does this outfall discharge WW to-Tror t (Tr) designated waters? Yes ❑ No R
Were there any limit violations in the caleridar year? Yes 0 No [M.
_ 1
OutfallNo
Y ,+
Daily t=low
ti
'Rate; cfs
pHy
S,UI
TSS;.
mg11
!
SS,
ml!!
xrfuccw
+Discharge
yTuN ty,
;Upstream ;
T i
;:(uj� urb dity,�;
NTU .
t15 nitream
D Te�rbiilf
.()tY,
NTU
��Fecal
Caitform,
o! 00 m
�- 11 t
SA
Effluent
Limitations
Mo. Ave ! Daily Max.
HOW dxoRw
of
7Q10
Ind if APArate,lpllc aele J=LOI�t+
1,
treah,.,:ur
6.040
aatlwaoer
6.8-8.5
!
{ ...:
hausutai Sand
-25/45.
„Qt,y dr oRw
'20130
►tQW or0RW
mW Tr or PNA
1011'5
KOM,ortw.�-
&#; 38. P,NA
or any Trout .
0.110.2
- I
Nd" Limit `
circle water
Quapty standard -
thaat,0W1a%:
5012511 O
NIA .•
Water Quatlty
standard applied
NIA
,' water Quality
Standard
stanrd applied
NIA
Date�Sample,�<'+k
corh�tea ;�E"
Rr
r
I
r
r
It,
Irb:
s.
I
I
JA
I
S
I
I
1
1
I
Permit Date 101112015 — SMOM020
,
Last Revised, 10-2 2015

certincate of Coverage No.
Additional Outfall Attachment (make copies as needed for adc 76nal m4alls)
„r
NCG02 []]RF]
Wastewater (WW) Discharge Outfall"Nm
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
1 No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SS or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HOW or ORW waters?' _
Yes ❑
No M.
If so, what Is the 7Q10 flow rate? or : Trdaily influenced: waters,
7010 riot available ❑
Does this outfall discharge WW to Trout (Tr) designated (waters?
,Yes ❑
No 0 '
Were there any limit violations In the calendar year. reported?
Yes.[]:
No O
I
I
Outfall No;
�,r i
Daily Flaw
Rate cfs `
pH
,_U
TSS
mgll
SS
'rhi
I/aPPAC4N4
-Dr Jcharge
, u
i7Turbidrty, :
NTU
' Upstrea !�
b
(U) Tiurbidlty
M
Downstream
{D) Tslrbldity,
t�
NTU�., „x
Fecal:.
#'Coliform
col/7QO rrrl
S
Effluent
Limitations
Mo. Ave I Daily Max.
HOW or ORW.
50% Of..
rQ 10 •.
lrudloate NO FLOW
It appNcaDle
treah"ter
6.0-9.0
"�""°�°=
' 6: "woe r
.'
Sand
Industrial 25145
How.or GRW
20130
HOWP<ORW
Tr or PNA
,10115
HOW.ORW,'
S& ss• PNA
or any Trout
0.110.2
N I Limif
circle Water ,
Quality SUL"dard
tr>atapplln:,
�i�125!t 0`
1
NIA '
Water Guallt �
Standard a;o;;o
{(
_
NIA
water Oua111y
sUrtWrd apwke
N/A
Sa
iWd m le`
P
Coiiecited,.�ri,��n
Yr
�.� L
-
j6���ti�
x"
�w4 ✓N�.
I
i
I
.
I
I
I
I
1
I
I
I
III
I
I
I
I
L.
'
I
I
f
I
I
I
I
I
1
I
I
I
I
Permit Date 101112015 �1 9130/2020 '
Last Revised 10-2-2015

f
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2,91`7
"Report ALL STORMWATER monitoring data on this form (include "No Flow"/"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ❑o ®©0
Facility Name: ,/1/e.-r7 f ayAleP..tasa- __ du&dc r ----
County: 11 jewc,# KrS1i
Phone Number: (-f2,) G qL - 3.$ q 4 Total no. of SDOs monitored q_
Certified Laboratory ),0%44= Lab # Li a .
Lab #
Stormwater Discharge Outfall (SDO) No. g4p.4� VMA Outfall? Yes ❑ No 2l
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency Cl
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
Indicate NO
aF`lkable
""l°
9enchmark
10015Q
0•1
Benchmark
achrn
5012511 Q
NIA
Standard appliesQuaity
NIA
Water StandardStandard applies
1
stale eeegoi
avera{Te eepuir�s
lat
TSS ORGnmo 'r�ng
Date Sample,1,11'l�
Collected,
molddl ra.
�.
ifs
"pop i5hleld�
t
Permit Date 1011/2015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
-------
Total
Rainfall,
inches
TSS,
mg/l
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Benchmarks
indicate mo
FIOw it
a l cable
Circle
Benchmark
100150
n
0.1
Circle
Benchmarx
50125/1
NIA
water Quality
Standard applies
NIA
water Quality
Standard aPPlles
15
>55 gaumo.
average requires
TSS and Nonyolar
OdG monitoring
Date Sample
Collected,
molddl r
fir. Fp9 p
tr S
�'�
�z 41;�'I
jjSffr +�C
ij l ; i41
�a
i"r':tiw5
!i !
If
r..In..zr i
u;t. -�?j
r ' !"kl y l ^•
a, �'�,
.� +y. �T •_ �4a
J^I �¢ wi i{
+�
u.'s. ,FY'
4r� �� i6 {
•4-.a
7'�5j. 711
x \ti Y3 i JV,V
y
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE'
General Permit No. NCG020000
Calendar Year ,ZP 17
'Report ALL STORMWATER monitoring data on this form (include "No Flow'/No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
:ertificate of Coverage No. NCG02 ®2❑7 0
I 'acility Name: 0t orT",4 13 ✓.✓ri.a.d JC 4VA) Ltru �
County, idyifcs,&►sr
I'hone Number: (tzr- } 1,4L- 3 ffgq Total no. of SDOs monitored y
Certified Laboratory lOA04- _._ Lab # !JP
Lab #
1ormwater Discharge Outfall (SDO) No. egoL VMA Outfall? Yes ❑ No
t s this outfall currently In Tier 2 for any parameter? Yes ❑ No FX]
V tas this outfall ever in Tier 2 during the past year? Yes ❑ No
11 this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough oonsecutive samples below benchmarks to decrease frequency Cl
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
O ��tfall No.
-
Total
Rainfall,
inches
TSS,
mgll
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg1l
(VMA)(gal/Mo.)
New
Motor Oil
Usage
itormwater
B anChmarks
lndfcata NO
aFt ka0le
Circle
Benchmark
BannnChrneeark
v01`�O
"1
Cl Is
eeBenchmark
`�012$11
N/A
WaterStandard applies
NIA
Standard aWater pplies
1
>55 a requires
average requires
moniturknNon-polar
TO&Gand
D ate Sample
t .ollected,0",
moiddlyr
ME
- W_.
p
zt
Permit Date 1011/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other _ _ _ --- ❑
No.
Total
Rainfall,
inches
TSS,
mgll
SS,
MIA
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg1l
(VMA)(gal/Mo.)
New
Motor OilOutfall
Usage
Stormwater
Benchmarks
lndlcara NO
aFCfkab7e
Circle
.Benchmark
1 0Q1550
0.1
Benchmark
Benchmark
50/25/1
NIA
Standard apWater plies
NIA
Standard appl es
15
era a requigalorno.
average requires
SS and riNon-polar
To3G monitoring
Date Sample
Collected,
molddl r
tl . L
��i
R` Y1
�"�ti 4""�S
Y 51 ,
r.�_.wi!
' v.*w�
RtJ%e,� i
�N '�
`i't. ti?�x''Y�.i
��G°f` :F'1��f'�tµrl
L;r
��i.��.�:.�..�•,
�.�.':. f
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year zerr
'Report ALL STORMWATER monitoring data on this form (include "No Flow"/No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: ,�/�7rX /S✓,-W'C* ,�� 6,�✓,4r2,t�
County:
Phone Number: (!a-� ) LjrG- -3vi K Total no. of SDOs monitored
Certified Laboratory 0,+&lr Lab # �k v
Lab #
Stormwater Discharge Outfall (SDO) No. on -SA VMA Outfall? Yes ❑ No ❑
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
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 DEMt_R to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
Downstream
D Turbidity,Non-polar
{ ) NTU
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Benchmarks
hdleato NO
Fa°w rr
a kablo
CircleStormwater Benchmark
Benchmark
100150
0.1
Circle
Benchmark
50125/10
NIA �
Water Quality
Standard applies
NIA
Water Quality
Standard appllea
ASS paequi
average requires
TSS and Non polar
O&G monitorin
Date Sample
Collected,
t
�`
t
►7
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

r
Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall Na.
Total
Rainfall,
inches
TSS,
mgli
SS,
MIR
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA).(gal/Mo.)
New
Motor Oil
Usage
Stormwater
Benchmarks
InCfcafa NO
a�Crlcabla
Circle
Benchmcarnk
��15fl
�•
circle
CBenchCmarkA
S1112511 l)
NIA
Standard applies
NIA
Standard aplpl4es
5
:ra agallmo
average requires
ragwl
Taac mn/ ohnq
Date Sample
Collected,
molddl r
TRr'r� 'oo
y;
:aik'.vi
Fw
��c
tti.✓
+;.
a y �. C+'u-:,,.
rs t=
%"�x
��`,S.t.
aW„
.��u4��
L r L3 g`
'"
x
.
;R?��y�¢
Permit Date 10/1/2015 -- 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year zp 17
'Report ALL STORMWATER monitoring data on this form (include "No Flow"Mo Discharge; and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: -,Ili_nTk w ,K ✓,✓CI'Al sir ggV6 9
—ram
County: AS✓NGi At411�
Phone Number: (fir) d 8b - 3 Total no. of SDOs monitored _
Certified Laboratory yAuz- Lab # " Y a
Lab #
Stormwater Discharge Outfall (SDO) No. S13 6 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
S34
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O,&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
htdJcate NO
FLOW tr
a tkable
nI"!°
Benchmark
Q� l�A
V f 0
a.
8enchmarN
Benchmark
5012�J11 0
J
NIA
Water Quallty
Standard appllea
NIA
Water Quality
Standard applies
5
ASS o".qui
av°rape repulres
TSS and Non -polar
O&G monitoring
Date Sample
Collected,
molddl r
tti
,-
aF
.,. s �k
.Fy. -{fat S y.3
W
Fc� r ;
Id•'.5 C
Permit Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (matte copies as needed for additional outFalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outrall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other []
Outfall No.
Total
Rainfall,
inches
TSS,
mg/i
SS,
mlll
f
Turbidity,
NTU
I
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Stormwater
Benchmarks
lndkaro No
aF`f�ca0;e
Circle
Benchmark
100150
0.1
Circle
Benchmark
50/25110
NIA
standard appi as
NIA
StWaiarQuailty anCatQuality
apiplies
15
'ss gal/Mo.
average requires
SS andNon-polar
TG&G monitoring
Date SampleJxg�y'?P
lle
Cocted
molddl r
F }
• YI
a^
.
���
-'
..;�
1 F!'rl4 y�
S
'" t-V k
J I 4 .• }
tr M
:,�,•:
�•`/ . 'r
,w •i
c�a�t'
�•; n y��.a
l � t
1*
•� .,1x�.,;.�
y'•••ir{y t '�♦
, ..,q•,
�,� }..{
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
II SUBMIT TO CENTRAL OFFICE* II
General Permit No. NCG020000
Calendar Year &1-
'Report ALL STORMWATER monitoring data on this form (include "No Flow"/No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: ,/yr•CrN dy,,✓c.,,wdc eyAger
County: ' X✓,• e,.,rrr &1:
Phone Number: ( 4z Q) q Total no. of SDOs monitored q
Certified Laboratory _!¢cr. Lab # L�
Lab #
Stormwater Discharge Outfall (SDO) No. a&- 7 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgli
(VMA)
New
Motor oil
Usage
allmo.
Stormwaterircle
Benchmarks
MUlearo NO
aF`,kab"
BeBenchlmark
100/50
0•1
Circle
Brten�c7hmarkn
50/25/10
NIA
Standard applles
N/A
5undard aApias
1
>55 gaumo.
average requlris
T06G monSS and �ltorinlar
Date Sample
Collected,
moldd! r
'';
'
,x .
�
� ^ �
W
Kermit Date 1011/2015 - 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ 'No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS,
mgli
SS,
ml/l
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU.
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Benchmarks
fndkara NO
,F`1Ca6 a
CircleStormwater Benchmark
Banchmarh
100150
0.1
BencCirclehmark
Bencfimark
50/251'10
NIA
Standard apWater tpries
NIA
ity
Standard apWater tdtes
15
� paequi
average requlros
TOG mn°torIrtn ar
Date Sample
Collected,
molddl r
y.F... �• -i lr
s�•
tA,•x�,v,�;
"r r'>
w�� ?�'t
r "•i - S
r,t`�
4 v:F.:ti�1".
%a'
"
- :" .i "Yy
'r
'i ��,
s.I r T'-Y 3 %r7jp
`��
r��+.=F.
_ .. '
ram'
_.
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

:J
Certificate of Coverage No. NCG02 ❑0 0©E]
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 §122.221
Signature
Dateirt
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 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 [0O©©
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."
tRequired by 40 CFR §122.22]
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 101112015 — 9/3012020
Last Revised 10-2-2015

ANNUAL SUMMARY_ DISCHARGE MONITORING
REPORT1 DMR WASTEWATER
SUBMIT .TO- CENTRAL DFFIC0
General Permit No. NCGOZ0000
Calendar Year 2016
'Report ALL WASTEWATER monitoring data on this form (include 'No Flow"/"No Dischar e. a d: m iolations).from
the previous calendar vear.to the DEQ by MARCH 1,ot e-egl i 1 ��
Certificate of Coverage No. NCG02'U[p,JUUE$ Z017
Facility Name: _ 2 gnj
County: _ jlv r i
Phone Number. ( la r 6 Sk L 2 E2 �!
Certified Laboratory ^4az
Lab # q v
Lab #
DWRt SECTION
Total no. of outfalls monitored _;?=,!
Wastewater (WW) Discharge Outfall.No.' ,Oi i _i
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to S8 or PNA,waters?
Yes ❑
No m
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No
If so, what Is the 7010 flow rate? or Tidally influenced waters,
7010 not available ❑
Does this outfall discharge WW to Trotaf (Tr) designated waters?
Yes ❑
No
Were there any limit violations In the calendar year?
Yes C3
No ®.
u
O,tfall�NoiRata;
+Daily, Fiow
c:fs '`
,pH
SUA '
TSS- -
mgl!
,indmWai
SS,
m11I
discharge
Turbidity,
NTU
;Upstream
(U) rTurtitdlty,
.,NTVI
r0ownstream
`{D) Turbidity,
�. ,.,,...- ..
NTU
Fecdl
CoItfbrrn,
" 9oI11,00 mI
o...
SA
Effluent
Limitations
Mo. Ave I pally Max.
NOW
HOW ar ORW
of
/-�
7Q1
InalkAt- NO FLOW
It amika&4
ftestnrater
6.0-6.0
-Ut"r
6.8-8.5
�
_
Sand.
25145
l ow wOR4Y
�130
r+aw a<oRw..
ug Tr w PkA
10115 ,
-
rww, f wr
sti se PR,A,
wanyTrour '
0.110.2
.. _...,
.
No Limit.
i Circle Water +.
Quality Starward
urW appliec
50/25/10
. .
..
NIA
WatarQuality
Standard apples
NIA
Water Quality
Standard apples
NIA
Date#Sample�"l
:rrtoldd/ rM S
f
*krNLP.
�''�
¢,•
�,; r �. `�,; �� �.
wAr
7
4)jA- �14
j2d—
I
I
!
I
-
-r-I-
5,
n`
i
I
f
I
I
.
I
I
I
Permit Date 101'U2015 -- 2/30/2020
Last Revised 10-2-2015
i

Certificate of Coverage No. NCG02 ❑QD❑
Additional Outfall Attachment (make copies as needed for additional autfalls)
Wastewater (WW)' Discharge Outl`&No.
Is this an industrial sand mine (See 40 CFR, §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No Q
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated l aters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes,.[]
1
N
o
DailFlnw�
i;H
+pa afa
f,�
Permit Date 101112016 1813012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 (tI]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 submIitted. 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."
f
[Required by 40 CFR §122.24
Signature
Date
- &jjjjjZ
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is caTect - 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 10/112015 — 9/30/2020
Last Revised 10-2-2015

�T
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year ze b
'Report ALL STORMWATER monitoring data on this form (include "No Fiow"rNo Discharge' and Benchmark
Exceedances) from the previous calendar year to the. DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02-
Fir5 2 3 z017
Facility Name:
�r rr:04 r5 Ke-u'A a Ir ✓Adrt1_ _-- ;t-ES
County: DWR SCION
Phone Number: ( 4z j l If fA- 31g q Total no. of SDOs monitored _ t4
Certified Laboratory Agtr Lab # �g o
Lab #
Stormwater Discharge Outfall (SDO) No. _, _ VMA Outfall? Yes ❑ No 5
Is this outfall currently. in Tier 2 for any parameter? Yes ❑,. No 2
Was this outfall ever 1n Tier 2 during the, past year? Yes ❑ Not
If this ouftIl was in Tier 2 last year, was, Imonthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedanc es did not require monthly monitoring ❑
Other ❑
Autfall�No
�r2ct.:7
'"r�Total
t ti
Rainfall;
_
��TSS �:*
r mg1l
.. • -
sSS
mill
bil
Turbidity.
NTU
;.jUpstream, '
'(U}'Tu�kirdity .;
NTU �;w
' DownstreamL
`(D} Tu�brdrty"
.
�;� `�'°NTUQG;
r
. �,
Non" polarl
r .r.
mg1l
New
#Motor�.011•
Usage
Yi ' allma:
Stormwater
BDaCeatnoocllhSemcatmarks
lndkata NO
circle
sit
150
0.1_
circle
Banclsmark
/25/10
NIA
Water
,,Aps
N1A
a ua Water
WWi1'
lies
5
>55 gay=
-average raqulroa
T°`� "
OGmon
ep;lo
f5.:, mloldn rk
.s dl K,
.1
.L
Permit Date 101112015.— 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 000F]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. ` VMA'Outfall? Yes ❑ No ❑
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark eicceedances did not require monthly monitoring ❑
Other i E ❑
OutfallFNo: F
�Totai ✓ {
;TSS,
rI'SS, s
TuriildiiY�#
Upstream ^
;(U) Turbidit- -h
+Downstream
-Turbliiity;.No,-palarf
gNTl
� '
�OX�G; mg/h
� � , New:
IVlotor�011`.'
,v tUsage
r: WaVmd w
Sforrriv W6a :µ
Benchmarks
. Indka o Ko,
Lk;;.
r��� '.
.100154
; ".1
"'.
50/25/10 >
NIA M '
. s;;° P'�,;,;
NIA .
w,ter oWaa
stmiard aMie.
(:
.15 .
_. _._
» g.0 :
nvw*w require,
xr+«jw..
.oso
iDate+Saniple
� �""S� h.J. Ys F.,i. t
cCoilfec�tJedF;6.
t
��-, A' 7 �,,'.
f .,;� x '.,
I, '` !t
, N•1 t
f'
�.r a-.. Rw
fi
6N�k •.L ' y
� w�'� y(Y ;
,�°
I•y. { ry � F
Permit Date 1011/2015 - 9/30/2020
Last Revised 10-2-2015 .

A
Certificate of Coverage No. N0002 00 000
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 z lls I1-z
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in D WR (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 10/112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR - STORMWATER
SOBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 201 b
'Report ALL STORMWATER monitoring data on this,form (include "No Fiow"rNo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of ea.ch,yaeR jr: r)
Certificate of Coverage No. NCG02-
Facility Name: r,: .,�- ,� R t FILES
County: �s-,.e#,g Alt DWR SECTION
Phone Number:( J&r G is- Igytt Total no. of SDOs monitored
Certified Laboratory Lab #
Lab #
Stormwater Discharge Outfall (SDO) No. _pg t VMA Outfall? Yes ❑ No ©•
Is this outfall currently: in Tier 2 for any paramete ? Yes ❑ No
Was this outfail ever In. Tier 2 during the„past year? Yes ❑ No Z'
if this outfalI was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly. monitoring ❑
Other ❑
I6v f '"
y SF auy � • ,
''
'OutfalUNot
„,,Raiinfall
q
.�
r -' W1
� ' ,
zTotal „r�rT$S'`r
r+y^
+>tInches .�
",..
p •r,iw
�
lYl .
wmg'll
��.. .�
f.. -. x.
k` SS
:,mlll
,Turbidity,
:._,.
N
". ,
J
tUpstreamDownstream
{U) Turbidity'
s ,a
1VTIJ;Usage
,. .�:�
s }'Sti;F �T : tH
P+ �r
'{D)Turbitlty�
n ,� ,�
,,,�.-x�f��"�
,J _. -..
P . .l .
c F,'-,; ° "'
(Non polar'
Ilw. ,
.{• � 1:= r
-
New
#!M
, otor4Oi
Ili `allmo'
Stormwat@r,
Benchmarks
hxfkata NO
FLOWN
appacablo�J125110.
circle
B mark
50
0.1-
circle
Benchmark
NIA
Water ouauty
sta,W,rd appReo
NIA
Water �>y
stanclard apples
15 '
>6s gallmn �.
'-a,e 55 g requires
Tss and 1lonyolar
08G monitodn
; Date,'Sampie
u, ¢.r— /irr'
t
:kCollecIMIMI
k.moldcll rd'_ .,
Syr
jr
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

® 1; ..i
Certificate of Coverage No. NCG02 ❑❑0❑
Additional ClU fall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge•Outfall,(SDO) No., ViVIA'Outfall? Yes ❑ ' No ❑
Is this outfall currently In Tier 2 for any parameter? Yes[] No
Was this outfall ever In Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tler 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval From DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other I]
Outfall7No
i k M f
=Total t
#
rRalnfall;
'nches4
s
TS5
rt�j
rm IIk
9
;
} .SS
r
j
z i n11I..t
_
l
;Turbldlty,
; ;
UpstreatnSDownstream:�W€
y »�„
" U �Turbidi pa
(�)�
1TM.r
NTU
µrd*NIA
w ;ti ,z s
a{D}Turbtdi tY,
{g ",r
NTU ��
Non olar
,O�G,dm 1!=
g
A
�?a .)
New
�,
Motar�
Olt`,;
Usage
.i a.M',
Storrr�watei .
h�dk , MO
FLOW If.
a�m.1-
00150,�
.
9.�u
50125110
.,
NIA
"itwwiji
�
15s;a
a ° wres.
owBenchmarks
To i
molddJ 4
s
y
c s�,
Y1',�
;�
.Si •1 wrr 1 ?�4��.
i
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 22©[j]
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 .Z 11 s r>
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in D WR (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 10/112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year ;Z p lk____
'Report ALL STORMWATER monitoring data on this form (include "No Flow"/ No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 9 of eac ear
Certificate of Coverage No. N0002,
Facility Name: Iwgrg� �S✓,✓ciwmn►< <o4art eE?';i,,nk 'i_ES
County: DWR SECTION
Phone Number: (f;tgl)_b f t - Total no. of SDOs monitored
Certified Laboratory Lab # qD
Lab #
Stormwater Discharge Outfall (SDO) No. oaf- VIVIA Outfall?
Yes ❑ No ]
Is this outfall currently, in Tler 2 for any parameter?
Yes Or No 0
Was this outfall ever In -Tier 2 during the,past year?
Yes ❑ No M'
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 DEMLR to reduce monitoring frequency
❑
No, turbidity benchmark exoasdanoes did 'not require monthly monitoring
❑
Other
❑
` �;l yr� W t
fOutfaiirNo"'� ���
�MaRainfall,t
P[ +✓I
� �'r*�� • s�
w i. -�-
�'TSS,k n
, mgllF
M
M' . ...
f;Upstrearn
F�= SS,
mill
,;..-.
•Turbidi
;�,t . , tY.
NTU
^
F
L-�
s
_�
:(Uj'Turbtdity,,
NTU �;
f G r'},{`�� rT k!/i}
✓w k1FM14 1, k r'..� ]
"Downstream
� ' 1c
,(D)Turbtadtty„
�NTUOG,`,mgll
��',. �: �1.
+,,
Non olar=
� p,,
.
,.
New
� o
Motor;:011
Usage.
Siormwater
Benchmarks
fidlcata No
FLOWN
Circle
8enehMrk
100150
0.1.
Circle
BanchmarN
50125/%
N/A
8.d r, plies
N/A
sty `"�rd FPaie.
15
�55 gaUmo.
avera0e requires
ToeG M;0"Itor6a
iDaW5am 1
����Collecteii
���moldd! r4'��•,
V.
17.
,e1, G
Permit Date,101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑❑❑❑
Additional 4utfall Attachment (make copies as needed -for additional outfalls)
Stormwater Discharge Outfal![(SDO) No. VMA'Outfall? Yes ❑ No ❑
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfall was In Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease froquency ❑ .
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, tutidity benchmark exceedances did not require monthly monitoring. ❑
Other ❑
fir' y t +,
OutfalltN0.,
w -
1
�� i�p, �.� �
` �Totai 3r
,
'Rainfall
�� �a ���, tr �
'_ M� fa'1
I TSS►
a+,� •w F
9 � s
�` 1'Y
ti �s t. �,
t. SSr,`w
�,;m11i, .
�T,,,, ty.
Upstrearh
'(U):c &bidity;
r ` NTU w
yt.'- =
kDownstrearn
'(D)tiTurb�dity�
yti� ���NTU#�,� �. �✓f�
� E fwy
>.
Non -polar,
s ,Y #L
,. , a .� lull.,
TLC
lyotor'Oill .
n,
�,tUsage
1t i
Stormwater
Benchmar*s
Indkefe NO
circle:.
Benchmai%�
'100150SaropStandard
,Circle-
025/
N/A
Mly .
wafer Quality
•vanaa-
5
-
, ,age ,,,
TIM and NO"j)War
inaniladna
�Date�.Sampi@�INN
..
k`t
��..'�
[.!'r�
1;
XTt .: ..
--_k-
4
Permit Data 10/112015 — 9/30/2020
Last Revised 10-2-2015 -

Certificate of Coverage No. N0002 0j1©Q
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 §122.24
Signature
Date A.11411y
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 10/1i2015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year ;z 6
"Report ALL STORMWATER monitoring data on this form (include "No Flow"Mo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02-[2000 IREC
Facility Name: yjo?Yq FFR 2 3 .2.�t1
County: CENTRAL FILES
Phone Number (pI jr} 6 fL - '3 S Lj k Total no. of LBpOsCmor)it�olAd
Certified Laboratory t"A ew1 Lab # -- -g o
Lab #
Stormwater Discharge Outfall (SDO) No. PIT- VMA Outfall? Yes Cg' No [I
Is this outfall currently in Tlerl for any. parameter? Yes E]` No 12
Was this outfall ever In, Tier 2 during the, -past year? Yes ❑ No-®
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
OtfaILN,°Rainfall;
'.tnch_b_s�.t
'lndkatoNO
TS$ »�
1
kt mg`!!;
1
^ElWhmark.,.
f..gS
I' 7- I
trill
;Turbidity
N7U
,Barchmark
Upstream ;'
;(U) T ir6iclltyi'(D}
iNTU`NTU
T.i
vDownstream�
TurbicJity¢'Non
tr , r,;'
F
polar
,�08G;.m911;
; New
Motor;011
Uaage
for er
mt+vate
Benchmarks
aFLOW ,",e
Circle
100150
0•1
circle
50/25/10
NIA
Water Ckaft
t es
NIA -
star�rd,.
��
�
15
a65gaUmo
-averageregWros
? "°'� "r
acrk,,t
DateSamle
p
Collect6&A,
=Mm
Au
,
✓l. � G
Permit Date 10/1/2016 — 9/30/2020
Last Revised 10-2-2015

„• . Q
Certificate of Coverage No. NCG02 ❑[j0❑
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. I VMA`Outfall? Yes ❑ No ❑
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
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 DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
OutfallFNo
3
• ..i
�To aI -'
x #
Rainfall; ^
Y.inches
TSS ti
}a.,�l�r,,
vmglll
°'
mill '
Turtiidity,i
NTU
Upstream
(U)fTurl»dity;
NU
A in
tDownstreamc
l(D) Turbidrty;
sw
tVTU i
^' ,it.'��yYi41�;
Non polar;Mofora0il
r 08�G m II
9
�� Usa e.
�3allrrio
Storirrwater ,
Benchmarks
Mdkaft wo
; of
'Circle
�
100150
Q•1
:Ckrle
n� ,.
50/25/10
NIA
Water Quality
.
N/A :
Water
s
15
>-55Doom. .
-evenw rwWres
rn"�”
am
�Da#e Sample}
1 Collected,.
df �. i
�,
,i "
F '.
' „"A'
„t.t
i6
5.,
I
Permit Date 1011/2015 -- 9/30/2020
Last Revised 10-2-2015

r
Certificate of Coverage No. NCG02 ❑v 000
CERTIFICATION
" l 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_,LtS1�7
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 10/1/2015 -- 9130/2020
Last Revised 10-2I2015

I ANNUAL SUMMARY DMR - WASTEWATER
01 SEND TO CENTRAL OFFICE* it
PROCESS MINEIDEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year. If _
you have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving sample results from.aaab. _ i-
d- o'F1rV!J 4 FU nr. !`nvl:nAi-V %If% NTrrm w -/- l-: cAN4P!.V rnl r.Vd—rl N VVAID K G
FACILITY NAME:vr�i +1�sir x
PERSON COLLECTING SAMPLES: K�trl� S�hrrtn.✓
CERTIFIED LABORATORY: eAt,17 Lab #
Lab #
LIMIT VIOLATION'S? YES [:)NO
Part A: Wastewater Monitoring Requirements
COUNTY: 13V.-Ge,►SIL Mb
PHONE NO. ( Jar) 41Pk- 3fgsJ
ADD TO LISTSERVE? YES ElNO❑ EMAIL: rC-NTeL1- }LES
DVfVR
INDUSTRIAL SAND" ❑ DISCHARGING TO SA WATERS'? ❑
Outfall No.
Date SampI a
Collected
Total Flow
Total Suspended
Solids
Turbidity3
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/1''Z
NTU1-3
nm2
Standard'
col/m12.4
el r3
i5
.SN
,o
I.
rr
' All mines must monitor W W discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
'The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1 / 1 /2010-12/31 /2014 Last Revised 02-02-11
Page 1 of 2

Part A Continued: Wastewater Monitorine Requirements
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids'
Turbidity'
Settleable Solids
pH
Fecal Coliforms
-
mm/ddlyr
MG
mg/1','
NTU2-3
mull
Standard'
eol/ml','
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH 1 OF EACH YEAR 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 aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee)
S
(Datel
Permit Date: 1/1/2010-12/31/2014
Last Revised 02-02-1 1
Page 2 of 2

I ANNUAL SUMMARY DMR - STORMWATER I
II SEND TO CENTRAL OFFICE
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWA TER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year.
CERTIFICATE OF COVERAGE NO. NCG02 v v 7 r
FACILITY NAME: _&6rtrq j3✓/c&.4,6rr dv.�xK.�
PERSON COLLECTING SAMPLES 4 4LrH su.rcri.✓
CERTIFIED LABORATORY eAt-r, Lab # y # T
Lab # _
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 9 0/5
COUNTY ,- RECEIVED
PHONE NO. (I;Lr)6f6- 39yj FEB 2 3 W6
ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL:
DWRRAL FILES
S CTION
Outfall
No.
Date Sample
Collected
(moldd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring.
(y/n)
# of Mouths in
Tier 2
Sampling 2
Total Flow
(MG)
Total Suspended
Solids
(mg/1)
Turbidity
(NTU)
Settleable
Solids (ml/1)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
-
-
-
1003.4
See Footnote3, 5
0.13
try3
3+ !S
v
p
fog-
q1_5!
21.
X5. 3
Lye7
still
r
/ we
jeva
I3
Lr ti./
Of -
Alf leL-1
p
�•
5 �S9
v �✓
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must -implement the Tier I or Tier 2 responses in the General Permit.
TSS benchmark values are 100 mg/I except in-ORW. HWQ, trout, and PNA waters where they are 50 mg/I.
'The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters: 25 NTU for all lakes and reservoirs, and all salt waters: 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Permit Date: I/l/2010-12/31/2014 Last Revised 02-02-11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month on average
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
In Tier 2
Monthly
Monitoring?
(yln)
# of Months
in Tier 2
Sampling Z
New Motor
Oil Usage
g
al/month
Total Flow
�G �
TPH using method
1664A SGT HEM
m
Total Suspended
Solids
m
pH
(Standard
Units
Total
Rainfall
in
Event
Duration
minutes
-
-
153
1003,4
6-93
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 Q'
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATI_ONS)_ BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone] ,
YOUMUST SIGN THIS CERTIFICATION FOR ANYINFORMATION 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."
(Signa�0` of Permittee)
Permit Date: 1 / 1 /2010-12/31 /2014
,z .S114
(Date)
Last Revised 02-02-1 1
Page 2 of 2

ANNUAL SUMMARY DMR - WASTEWATER
w., s SEND TO CENTRAL OFFICE' RECEIVE�
PROCESS MINEMEWATERING WASTEWATER C Flo' r
GENERAL PERMIT NO. NCG020000 pW NAL F LSS
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year. If
you have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG02 D O 1 !
FACILITY NAME: -
PERSON COLLECTING SAMPLES: 4P
CERTIFIED LABORATORY:. t'/fCr Lab # (14 _
Lab #
LIMIT VIOLATIONS? YES ❑ NO P
Part A: Wastewater Monitoring Recaluirements
SAMPLE COLLECTION YEAR: 21pi q
COUNTY: 6✓.✓l tl ri j
PHONE NO. (42 g ) 6 RI. - 3 9 t/ I
ADD TO LISTSERVE? YES ❑ NO[] EMAIL:
room
INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATERS"" ❑ r$
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity''
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/l
NTU
ml/l
Standard
collml 2,4
3 3 `I
, s cl
,�
1
�✓�
!�
`%
s
rrl-4:
FEB
rc h z
r
CENTRAL FIL
' All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
9 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively, the perrnittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
4 Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
N
Permit Date: 1/1/2010-12/31/2014 Last Revised 0 1 -2 1 -11
Page I of 2

Part A Coutinued: Wastewater Monitorin Requirement
Outfall No.
Date Sample
Collected
Total Flow
Total Suspended
Solids
Turbidity3
Settleable Solids
pH
Fecal Cotiforms
-
mm/dd/yr
MG
mg/i
NTU
rnm
Standard
col/ml
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR 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 aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations...
Agnature of Permittee) (Dat )
Permit Date: 1/1/2010-12/31/2014 Last Revised 0 1 -2 1 -11
Page 2 of 2

I ANNUAL SUMMARY DNS - STORMWATER I
II SEND TO CENTRAL OFFICE *
STORMWA TER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
RACE/ v
ED
_FE812 2o15
*Report ALL STORMIVATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of eal'A1yYWr8"-','�ES
CERTIFICATE OF COVERAGE NO. NCG02 0 o 7 i
FACILITY NAME: vr?t ' 6 fiycr e,5 r Z eyfi ),
PERSON COLLECTING SAMPLES �xFtr,4 s%iiz�7 0.✓ _ _
CERTIFIED LABORATORY Lab # y fl
Lab #
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: APV
COUNTY i
PIIONE NO. C5,4t+ )15 86 - 38 t/ t!
ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL.
Outfall
No
-Date Sample
� Colleeted-
(mo/dd/yr OR
.NO F1;0 t r
,Iti_Tier 2 `
Monthly
Monitoring?z..
!n
# of Months in
Tier 2'
Sampling-
~
mr, -
Total Flow
(MG); :
Total Suspended
-Solids_ _
-
- -
Turbidity
(NTLJ)"'
-
Settleable
"Solids (niUl)'
Total
Rainfall, ,,
(in)
Event
. Duration, '
(ivinutes)-
-
-
-
-
1001,4See
Foottiote '
0:1
1-
3v q
rjZ7
1 3
qq
00
.s z i -i
1
0
S' 3
0
v o -7
3 J'1
10, 4P I
zz.
Ic,
ZA
h1v at/
13
v .t r L,
N W
v
i q
1'i
NO
3,
, ''3
_l
ej j 11
s112,v
93
z A
/✓, r
z Ic
F.L y W.
z3 1
-
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
Z Per NCG02. Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 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.
TSS benchmark values are t00 mO except in ORW, HWQ, trout, and PNA waters where they are 50 mg1l.
5 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively. the permittee may choose to monitor turbidity in the recei,�7ng water• directly upstream and downstream of the SDO.
Permit Date: 11t12010-12/31/2014 Last Revised 0 1 -21 -11
Page I of 2

Part B: Vehicle Maintenance Activity Mo itoring Re uirements for facilities using > 55 gal of new motor oU/month on average
:Outfall
Date Sample;,:-
Collected s
1
FCOV
InTier 2
.Monthly, ,.
Montoring•
i'
'
# of Months
:in-Tier-2
mplgz
New Niotor
OilUsage.
amoth
Total A&i�
_1664A
TPll-usi>rg melh`od.'
SGT-HEMS
Total:Suspended'.`
Solids r
u_
i ,'pH
(Standard
... Total';, .
5Onfalli
= Event
"DurAa. _on(moddlyr
itunutes '_a
r
100..
r Y
6-9
r
A/
/fd
,
T
H r
7 f- Id J
HAS YOUR FACILITY HAD 4 OR MORE BENCIIIIARK EXCEEDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO
HAVE YOU CONTACTED THE REGION? YES ❑ NO
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU AIUST SIGN THIS CERTIFICATION FOR ANYINFORiTIATION REPORTF.D:
"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 tines and imprisonment for knowing
violations."
(Signat.qie/ of Permittee)
Permit Date: 1/l/2010-12/31/2014
z s s
(Dal -
1,ast Revised 0 1 -2 1 -11
Page 2 of 2