NCG160019_MONITORING INFO_20180529

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
D D l
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ an y n s' a
YYYYM M DD

CERTIFICATE OF
ly«iftfIff-MMAN
Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted ( — , 26/A
NCG160 0 L9L
COUNTY A2f91VAWA1 11
PERSON COLLECTING SAMPLES /l9,9,Qcds 7s47R7a4/
LABORATORY /1 ,?O d*e— Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 62645
—SAMPLE PERIOD Alan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECOVE® ❑Other
CENTRAL FILES
JUN 112018 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
No discharge this period?2
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
Benchmarks =__>
-
-
100 mg/L or 50 mg/L
�-
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX ma/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Nate: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this oeriod?2
Outfall No.
Date Sample
Collected`
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
-
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier.2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and allattachments 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 diiectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am awa there are s' ificaht p alties for submitting false information, including the possibility
//of fines and imprisonment for knowing violations."
(Sig re of Permittee) (Date)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 6-//-.20/S
CERTIFICATE OF COVERAGE NO. NCG16 0 _a _L
FACILITY NAME S.T. ro AbOt/ IVEQi'a.0 ASPA%V_r
COUNTY c O5✓�
PERSON COLLECTING SAMPLES .J WkV D&WLIeK
LABORATORY 'Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECEIVE® [KOther
JUL 2 4 2015 PLEASE REMEMBER TO SIGN ON THE REVERSEII�
CENTRAL FILES
DWR SECTION
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
inches
Total Suspended Solids
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
.2 is
1S
3,80
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified 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."
of
(Date)
Date: 10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year
Revised 9/17/2014
General Permit No. NCG160000
Certificate of Coverage No. NCG1QMQO QF9-1
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year. /J / , / /& Facility Name; % WOQ729J ( _4ffi 4AVeA / &rAl �SP/lAt7"
County: (1 RAYED
Phone Number: S,4 o?%O- 59/2. Total no. of SDOs monitored _1
Part A. Outfall No. I (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall
Total Rainfall,
inches
00530
TSS, mg/L
Benchmark
N/A
50/100
Date Sample Collected,
rnolddlyr
/i as aar
, >s
asa /1, L
DEC 4 2014
Page I I

; �:..
.__
,_
y
��

i
I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that 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;nforlmation, including theyossibility of fines and imprisonment for knowing violations."
Signature
Date /:
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
FAYETTEVILLE REGIONAL OFFICE
MOORESVILLE REGIONAL OFFICE
_ASHEVILLEREGIONALOFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13

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' Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted i.2 _/ —a4#
CERTIFICATE OF COVERAGE NO. NCG16 0 O / c2
FACILITY NAME 5,7' Ca2P A)elld BQr✓ fiSF.J9iT
COUNTY C'RA✓�
PERSON COLLECTING SAMPLES 02NRy7 Gi WVk-K
LABORATORY 56S Lab Cent. # �/R/
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 26/1
SAMPLE PERIOD ❑ Jan -June N July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
Benchmarks =__>
_
-
100 mg/L or 50 mg/0
RECEIVED
DEC 0 3 2014
CENTRAL FILES
DWR SECTION
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Permit Date:10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 1 of 2

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

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16RN0©® SAMPLES COLLECTED DURING CALENDAR YEAR: O/
(This monitoring report is due at the Division no later than 30 days from the date
�/ I �] the facility receives the sampling results from the laboratory.)
FACILITY NAME /� t��iT� /✓QV&n/ fJ5461 + COUNTY L�,60116—A
PERSON COLLECTING SAMPLES 41EWEX PHONE NO. (,2SZI 6t 170 - 59/2
CERTIFIED LABORATORY SGS Lab #<<(q/
Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mo/dd/ r
Total Rainfall,
inches
00530
00400
00556
Total Suspended Solids, mg/I
pH,
Standard units
Total Petroleum Hydrocarbons, mg/1
EPA Method 1664 SGT-HEM)
Benchmark
100
Within 6.0 — 9.11)
15
_a
. So
Al A2
-7
Ala
' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
Mail original and one copy to: RECEIVED
�� I \ �J/�
Division of Water Quality
Attn: Central Files MAR 0 7 2014
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
CENTRAL FILES
DWO/BOG
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 dir onsible for gathering the infopjnation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
1 am aware at there are ftnificant genalt{es for plijotting false information, including the possibility of fines and imprisonment for knowing violations."
3, S--/S/
(Date)
SWU-252-051409
Page 1 of 1

STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG16R5 ©® SAMPLES COLLECTED DURING CALENDAR YEAR: O/
(This monitoring report is due at the Division no later than 30 days from the date
c the facility receives the sampling results from the laboratory.)
FACILITY NAME . Z�s �r•� ✓E1Ji��� A% /
COUNTY CiA1-
9f/��/l
PERSON COLLECTING SAMPLES AEVR Ei< PHONE NO. (G?S� 0290 - 59/?
CERTIFIED LABORATORY Lab # qQl
Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mo/dd/ r
Total Rainfall,
inches
00530
00400
00556
Total Suspended Solids, mg/1
pH,
Standard units
Total Petroleum Hydrocarbons, mg/I
EPA Method 1664 SGT-HEM
Benchmark
100
Within 6.0 - 9.10
15
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.
Mail original and one copy to:
Division of Water Quality
Attn: 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 dir onsible for gathering the info tion, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aws5ilrat there are ignificant,yenal es for�trb Ling false information, including the possibility of tines and imprisonment for knowing violations."
(Date)
SWU-252-051409
Page 1 of 1

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (QMR ., �`'
Calendar Year i<- iA F, .,., .. 4a
General Permit No. NCG160000
Certificate of Coverage No. NCG169R QM❑
MAR 14 2013
This monitoring report summary is due to the DWQ Regional Office no later th1r V 4 Q~
the facility receives laboratory sampling results from the final sample of the calendar yea .
Facility Name: _
County:
Phone Number:
Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Yes ❑ No K
Yes ❑ No
Outfall �_
Total Rainfall, Inches -
00530
00400
00556
TSS, mg/L
pH, S.U.Total
Petroleum
-. Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 — 9.0
15
Date Sample Collected,
mo/dd/yr
,f10"
I - i
No
16.0
n/D
-y
1.5
316
9.3
Nv
S W U-250NCG 16-051709

Additional Outfall Attachment
Is this outfall currently in Tier 2 (monitored monthly)? Yes E] No 0
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes [:1 No Ej
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency El
Received approval from DWQ to reduce monitoring frequency ❑
Other r]
1, T
Outfall
jota.MaInfall, Inches
00530
I, r,"'
�00556 I -A
§/L.�,
'TSS, rrtrFt
pH i.u.
''�TotAl Petroleum',
Benchmark
NIA
'100:
6.0-9.0
Date Saffipli'�Cohe&d­'
m 6idd/w."'
4
SWU-25ONCG16-051709

" I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature
Date J
Mail Annual DMR'Summary Reports to:
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street j 610 East Center Avenue/Suite 301
Systel Building Suite 714 I Mooresville, NC 28115
Fayetteville, NC 28301-5043 [phone]
[phone] j
943 Washington Square Mall 127 Cardinal Drive Extension
Washington, NC 27889 Wilmington, NC 28405-2845
[phone] [phone]
(,TNTRA1_ UTTIGT
1617 Mail Service Center
Raleigh, NC 27699-1617 i, a w eo!)a ice
[phone]
SW U-25ONCG16-051709

September 13, 2010
DWQ
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Subject: DMR Report:
S. T. Wooten Corporation
New Bern, Craven County, NC
Permit No. NCG 160019
Dear Sir or Madam,
This is the DMR for our New Bern Asphalt Plant.
Should you require further information, please give me a call.
Office:252-291-5165 Ex. 1179
Cell: 252-290-5912
Cell: 919-868-9309
e-mail:james.washburn a,stwcorp.com
Sincerely
'EN CO ORATI
S.T. Wooten
Corporation
SEP 15 2010
dames Washburn ®IY��YiY'Q-yt ARO Environmental Compliance Manager
`y( FIMN
1 00 _
x
o PO Box 2408 • Wilson, NC 27894-2408 252.291.5165 Fax [phone]

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STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year aofo
General Permit No. NCG160000
Certificate of Coverage No. NCG16[dR Q®❑
This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name:
County: C
Phone Number:
Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 0
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Outfall
_..
Total Rainfall, Inches
00530
00400
00556
TSS, mg)L
pH, s.u.
Total Petroleum
Hydrocarbons, mg/L'
Benchmark
N/A
100
6.0 - 9.0
15
Date Sample Collected,
mo/dd/yr,
SW U-250NCG16-051709

Additional Outfall Attachment
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
;..
s
Outfall ' ":'
Total Rainfall inches
00530 `. "
- 00400
00556
TSS /L g
m
SpH, s u
Total Petroleum
Hydrocarbons, mg/L�'
Benchmark
N/A
100
6.0 — 9.0 .
15
Date Sample Collected
Imo/dd/yr '
+4:
/ ,
R u ��r.
SW U-250NCG16-051709

I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature
Date 9-
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
2090 US Highway 70
Swannanoa,'NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
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SW U-250NCG16-051709