NCG160101_MONITORING INFO_20140505

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv bI b► /[v U2
DOC TYPE
❑ HISTORICAL FILE
[J\MONITORING REPORTS
DOC DATE
ac)) v S
❑
YYYYMMDD

RECEIVED
STORMWATER DISCHARGE OUTFALL (SDO) MAY 0 6 2014
GENERAL PERMIT NO NCG160000
DISCHARGE MONITORING REPORT (DMR) CENTRAL FILES
CERTIFICATE OF COVERAGE NO. NCG1600Fo�©
oww8013 �,14
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due at the Division no later than 30 days from the date
the facility receives the sampling results from the laboratory.)
FACILITY NAME GASrcnl Pygr s-f +h Z COUNTY N 04-( 114 l-rNPro nl
PERSON COLLECTING SAMPLES S PHONE NO. (?Si)zv9-5t44
CERTIFIED LABORATORY" Aotj MeLt I , IN c, Lab itu
Lab #
Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mo/dd/ r
Total Rainfall,
inches
00530
00400
00556
Total Suspended Solids, mg/l
pH,
Standard units
Total Petroleum Hydrocarbons, mg/1
EPA Method 1664 (SGT-HEM)
Benchmark
too
Within 6.0 — 9.0
15
-14
I.2z
H•y
l•I
�S•�
' If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
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 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."
(Signs re of Permitte
,�2.111+-
(Date)
S WU-252-051409
Page 1 of I

Enw,uP0mHuM alp he upoP Ud
I
GREENVILLE,_N.C. 27835-7085 FAX [phone] _
ROSE BROTHERS (GASTON)
W. REID CLARKE
P.O. BOX 806
AHOSKIE ,NC 27910
PARAMETERS
PH (not to be used for reporting)
Total Suspended Residue, mg/l
TP11 (1664A), mg/l
Stormwaler Analysis Method
(#l, Grab) Date Analyst Code
7.6 04/09/14 TRH 45001ill-00
8.2 04/10/14 CMC 2540D-97
<5.0 04/16/14 SEJ EPA1664B
ID#: 493
DATE COLLECTED: 04/08/14
DATE REPORTED : 04/16/14
REVIEWED BY:

a S'TOR51"A'ATER DISCHARGE NIONITORING REP0R•1 (DFiR)
-- - - _ � — Please Mail driginel lid One Copy Tv Flailing Address Below
D
7
i GENFMAC PEFLMrFNO. NCCO20000
Pa, t 4: f oci[rry tnforraotiDn
Certpky to OfCted In ge NoCalendar Ycs_r: 011 n�dnshall be reporled rrlfhln 11 days following mrwaitoring period)
Certificate nerageNo. NCGttt �® oI 1� �t
PacilifyiQaroe CoantyofFadFitr•
C' °kT lVame of Laboratory
FjcilttrCdnlacf. _ a Car EKvkv-o,•trwaw
Flu lity Contact Phone P(a. Lab CtrtHlcatlaa 9 l a
- (LSL1
Par D. Land lfim"a—,. __,j n.-- - _- -
9eNdl. , �.. 8aelaMp Stream
Pmf D. Storm Eve',titoree7Crir(ifs
Uue - - s0t150- . 0051! GNU
MootI Teter _
Pert C Veh icle Maimevurace Mgsltor imA Requirements
- Na.
- K Ngams`trean
� a
�� �
�aSpeatkd'
. pTf
.. .bert Event ri-Ragaa
EventDairOtio.pMn[S)'(inctaes}: I I ^ Total Even Precipitatba (ineFes):
_ Eveat Durackm (6otea):
(if a separate Sion eveatt is sampler[)
Part E: CertrfreotiDa .
°'I cert7y, ender penalty of [iaisthit tws dawthr `l grad all atlachmaatr were prepared dada my direction.a saTcrviaiae In accordance with a
system ift'h S to awure that qualified pensoiaillWoperly gather and evalante the iaformatioo ao fr persona' who na8dkga tTieSubmitted. Bared on [try inquiry of the person
$atem, :r ]hose p�icoits directiy respoashaW&r gathering the information, the Information subudtted is, to the hest
ary ing th edbe bf1 tia.itEt,lrmx,.&il] M'a OAd-1 ""Viete. I am aware that them are sfgnfficaat penalties for sabaaitting false Inlorrrmtioa,
Including the paulhOr[yo7 finesaed iagfrhoarneut for ksoeeing roiWaffars.n
Pert F. Afni$ _ (Slgaatnre of Parmittee) (flare}
»g .(ddtiss .
Atta: C,ntr-al Files, L1R V.C. Division or 5i at "Quality, 1617 -4,il Service Center, Raizlgh, NC 27699-] 617
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S 1'UicPl'.1'A'1'EIS I11St._.AR(,'L (jUIFALL (SDO)
i40NITORING REPORT
GENERAL PERMIT NO. NCG160000 . -
CERTTFICATV OFCOVF.RAiG_ENO. NC/GIB Off) CI 1
FACTLIIY NAME PIA
P£RSO,N COLI.ECTINGSAMPIE(S) :Y M `ss
CERnl,-IED L.ABORATORY(S) E"Nv;r-�fk u } &,. Lab#_ in
Lab.",
Part A: Specific Monitoring Requirements
Omfal�— 1
NO.
Date
Sampk
Cotlected
50058
Total -- —
Flow
OUS:i6
Total
Suspended
SoCfds .
wWAdlyr
MG
F§
Ob.
o
SANIPLM 4 �011.EC-rEO DURING CAL$nbAR SEAR: _i—
(T'iils owtnriae repor"hail be recdt e.11 by theDivision fi
mn hater than 30 daps
from the date the facility r,d,.,3 the asfnplfrtg esolts from. the laneratan.)
COUNTY -r��or=+r ' '
PHONE NO:[lSi. .o
(SIGNATURE Oft PTRMITT£E OR DESIGNEE)
lay this signature 1 certdy that ti is.repurf I( accurate
complete to the best of noy knowtedge
Dues this facility perform Vehicle Maintrnsnee Aclivit" using wore than 55 galloats Of new moles oil per month? _ yes %A°°
(d yes. mraptete Part B) ..
Par# B: Vehirle Maiatrnar
O» ltall Date
No. SlitrV4e
t Cmftected
EVENT CHARACfMSTICS:
Dafe11��BfL�o6 -2
TotalEveatPrecipitation(inebes): .� —
Fwat Duration
i
F
656: 0098 - 1i0400 ;
B`nsd Total
ream.;...;., il 133PA -I man
srapeod'i1
so"
(if more than one storm Brant was aampted)
Data
Total Event FmcipilAiuft (ncbes): Event Duration (horfrs):
58.Ar
copy to!
bivisiva Of Watcr Qaeilty
Ann, Mali
s) Fibs -
(l bl 7 Service Cents
h 'gh North Cal,,lina 27699-1617
f ,,:m S4$}25=-0714U4
P a.2:nf7

STORMI%'ATERDISCRARGEOUITALL(SDO)
MONCTORING RMIORT
W
GENERAL FERMff NO. NC4C MON
SAAHLES (-WAW--rEP DURING.CAIZNDAR YKAP-
CERTMCATE OF COVERAGE NO. NCG16 C) 0 (fIds tooniftring repot 6W be recelved b.V -the I , ft!&a no Weir than 10 days from
the daft the faffity recelves the rmptiag remits ors the "oratory.)
MINTY No 1%2nV-za ti
PERSON COLLECTING SAMPLES) W.11b nn,,Cs>a is PHONE NCL(S5-ZJ ?-Iz 49 _ 4-J44-
CPRTIRED LABORATORy(S)
Lob (MGKATUM OF PF-q hUTTER OR DESIGNM)
By " Signature, I � 0111 thiS report 19 WCMkIt
Pad A. Sp=I& Mwdtgflng RrqwkmeW complete to the best of my knowledge
JY
tias-r -
4-
Does the foc`h(Y Knbr- "Chicle MitiMm.ame Activities uring More than 55 gallons of now motor oil per mouth? — yes X"(b
(if yes. comae Pan B)
Part B, VChlde hlailnten "- A Wwitv PA.,M,.4r. P
-57
WNW -7
STORM EVENT CIIARACTERIST"I
Date I i - 7 1 -C)-5
Total
of Predpailason (incites).
EvatUwsjjon(hoon):_ 12-
7,e.
Mail Original and one copy to:
Division of Watrw QtAity
Atm: Cenual Fibs
1617 Mail Service Center
Raleigh, Nord 27699-1617
BDro, MR k6
Page 1 012

- - STORINWATER D1Sl.—ARGJ3 OUTFAI A. (SDO) '
9 - MONITORING RRPORT -
'v
GENERAL PE hI]T NO, NCGI60000 ..._.__ .
W CERTJ1FIC'ATE OF COITRAG6 T'O. WCG16 Old SAMYLdL6 COLLECTED DURING CAL}�;sTsAB YEAR:
(This rnoaitortag report sball.be'recelved by the Division so later Wish 30 days
a - —_— from the date foe facili!y receives the taatpling results frem liebboratery.)
FACf(JT'Y NAhi.E �os„�Z �7 t»1+-.-� COUNTY
PERSON COLLECITNG SA117pt,f(S) w . Gr,a ypO7 t11Qr 26-----`
CERTIFIED LABORATORY(S). C—wvtwrW 1 - Lab A 10
____Labg _(SIGNATURROFPERM17TEEORDESIGNEE) By this agn_ntvre, I eettify,that limit report is acwratc
complete to time best of �' knowledge'
Part A: Spettfic Menitar(ng Regairerweets - - -
Out"
No.
Dale -
&ample
CoOecw
5005Y ::.
�g53g.
Flow ..hype;ded
lids ..
mulddtvr
MG
a 04
0!5
)
Dorn this facility Perform Vchick Maintenance Atovities vur>g more thaw 55 gallons of newrnotor oil peruaw0l? _yes `fi_nn
(if yes, compiele Part A)
Part R: Vehicle MaWenance Asti ' Monkorvt lrenegtt --
Olstfali babe i00
Ne MN
Sample, ?ataFXiwtc �Al tsad-.Tafai ; ,i7tH 9feffi:o
Coilnalad
Gierrg , . , zt
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0
N
N STORM EViSNT (WARACTER STICS: ,
o Datr II-A�o�}-
m Tota1 Event Precipifatiow (iat4es): ), S
Event Oaration (hours): 8
s
m
N
()f mole than ou starts n� u�t sarrPled)
Date
Total Rvent Precipitation (ittchu):
Event Duration (hours): -
_ MaddrlWnM and otk copy to:
-- - .DhSsroe ofWaEm Quality .-
. Attu GA: aiaL:14) a
160 Mad S&I*-e Ccula -
- . Rile' I," (oroliax 276 4-1617
ro.,nawuz''zn'ttwa
PW 1 ct2

STORMYYAIER fll5CF1ARGF.OL1'fgAL4. (Sf>`))
METNCTORING REPORT
VFTfF,RAL PERMIT NO. NCGS6983C1 '
CF..RTfFT(7_4TE OF COWRAGEE NO. NCGI6._ C' )
FACILrTY NAME P { Ak 1 Z- —
MRSON COLLECTING SAMPLES) A-- _G P OLo
CERTIFIFD LARORATORY(S) Ex �i Owt', Lab S 10
Lab a
Part A: Specirm (Monitoring Requirements
SA dlnXS COLLF.CMD DURING CALENDAR YEAR: Z<>S2--3 than
(an sampler colkctcd during,a calendar ycsr s4alf be repor"
January 31 of the following Pearl �l
COUNiTN N O
PHONF,NO. 13VO
(SIGNATURE OF PERINITCTEE OR DF.G1GNf"�
By this si ,rat=re I notify titet this report is accurate
rompletr to the hem of my krm"Udge
OuGaII _ s�
Date %
50pep -
6036� .:: pOM1Q 26iXi ,: '::• . OOSdS'
Pfll -. Oi' and Gmase Tat:! . .
Na
SG�a�im�IIpea��Claca�..
TRSoOtRs9
.,
-
J
..
_Sapendcd
Wit .:._. . .
ol WS
��q
�U VWA
tw.. __--
Does this faciSity pexkxm Vdbtck Maims Activities ring mat: than 55 gaib+uof trtw motor oil per month?%"°
Cnf yes, mrnPicm Part s)
STORM EVENT CKARA(_'CERLMCS:
Date 10 - Z4 - o.S
Total Event lare Maim (Snclw): _zAQ_—
Evesmg Duration (11" m,tlI --
(if more dw am almm evCUt try $=plod)
Date _
Tots': Event Precip$atlo9 012ches), —
Everd Duration (bsrars):
P3FC 10f 2
Mall O hima) and o copy to
Alt¢ Centre Files
I)ENNR
Division of Envirnatmenta) Mg,.
P.O. Bm 29535
",igb, NC 276260535
e
F,,-.n MR15

StORHWATER DISCHARGE OlUrFAIA. (SM)
MONITORING REPORT
GENERAL PERMIT NO. NCG1160090 SAMPLER coLLECno DURING CALENDAR YNA
CERTIFICATE OF COVERAGE NO, NCGI6 CD I a f (TkW waWbDring Ill - F, port be"p Ived by the.MThil Ill than 30 dzys from
the 4899 the fatally nxei
FACILITY NAME ? I a
PBRSON CIOLLEAMNG SAMPLE(S)
Ub Ill— OR DESIGNEE)
By t Ill I c"iWy dW tbloxepa't is, acmrste
eonqAeb ID the test of my
Parl A: Spaeffk Mauttoring Rerptirmants
a
14C rqp
Does this f&cjil perfa"n Vchicke Maintenance Activities mom thm 55 gallons of mw mots Oil W month? YOs )S--o
(if yes, c=ple*, Pan B)
STORM EVENT CHARACTERISTICS:
Date 40 7_
row F"at Prec(pitattm Clactlet) - Z
x"At Dw1wn owrs): -- 17—
Mal Ongf�l and eat cape tv:'
D'irision of, Water Quality
A"u.: 117tMal Ffdes- - �7
16 O'Wfl Savict Ccr*ff
27699-1617
r(xm MR 16
Page I of 2

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a
a.
STORMWATER DISCHARGE OVTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGIGWN SAMPLES COLLECTED DUMNG CALENDAR YEA1: 422 1
CERTWICATEOFCOVERAGE NO. NCGI6 O 10 (Thisnadtorbagreport ° �'ae11°dbr Oivia tram
tbe date the ficiBtp tccetves the aepllng rzsdid fro lie krbuiataryJ ..
PACDJTY NAME COS. �n `
FKRSON COLLWMG SAWLE(S) 4 +Sk rxoNENU: 3s
CUTO�MDLABORATORW) ;va u I Z bf 10
Lab A (SIGNATIUM or PERWTTRE OR DESIGNEE)
sy*,*kwtrq[aeitttdw this rgp t!sxcwslm
complete to the beat of my knawk+d@e _ ..- :._.... .
Pact A: SpwW Menitorisg Rerldremenis
I . i., 01
Tarn}o 4 5, 3
Dm "I fatuity perform Vehicle Maintenance Activities using more than 55 galbva Of dew anator or7 per month' _ yQ ) h-*D
6f )es, complete pen B) ' '
STORM EVENT CHARACTERISTICS:
DHa I-l9-or-
Total Event Precipitation U.dsas):
EveotDaratios (bows): 8
Man Orlgktal a" OW top9 to: -
Divisioa of Water Quality
Ails`•. Cwtral files -
1617 Mail SerYice Calla
Raleigh, NafCr`Cemli� 27699-1617
Fum MR16 °J
Page 1 of 2
Tarn}o 4 5, 3
Dm "I fatuity perform Vehicle Maintenance Activities using more than 55 galbva Of dew anator or7 per month' _ yQ ) h-*D
6f )es, complete pen B) ' '
STORM EVENT CHARACTERISTICS:
DHa I-l9-or-
Total Event Precipitation U.dsas):
EveotDaratios (bows): 8
Man Orlgktal a" OW top9 to: -
Divisioa of Water Quality
Ails`•. Cwtral files -
1617 Mail SerYice Calla
Raleigh, NafCr`Cemli� 27699-1617
Fum MR16 °J
Page 1 of 2

T
MRMWATFRDISCHARGSOUTFA1Lisim)
MONfrORING REPORT - ..
w
000
° GENERAL VERWT NO. NCGi60" SAMPLKS LD LEC=DURM CALENDAR YBAft:.Z-
Cl?RTdTtiCA IE OF COVERAGE NO NC+:16_ 1 O ! (Thk nodtariag rebut sha11 be received by. Dirl�oa se laser than 38 dqs Bros
the ddc the dna7lty teeafvee the saptp6sg resg from c�i'J_ _ -
FACILTNAME P� nx Z QYIiN1Y
IY
PERSON COLLECd9NG SAMPLS(S) Dwr ' va I PRONE NO. fi�Z S
CERTEffM LAR0R ATORYIS} F-yy-frioxLLS n I lx�. L� A 1 O _ OR FKSIGNE61
L� R (SIGNATf jRlz OF PF�Ird 1:�
By ties sgn! ,1 oettffy tb+-t this cepc¢t aamrde
o mpluie to The bat sd say komdedjp .
Pact A: Spcd6s MostWrina RtgBkuw 1
}
i7t(W F
TeLlT
-.4
1) _..f
yQ
3..�>. �.
Y
-
11
AO""2
Does Ws.fsd6ty pedom Vehide Ai mb=rbe A limes usoV mom than 55 gdows of mow moor 00 per ammhT_ yes %i"no
(ff yes, oomPieee Pse B)
STORM EVDMCHARACPIfI WrKS�
Dme f! tw �6
Tosa1 Kwea Predpih� 0wh6):
Hweat Dwsom 0rs)- -.—
mafI md age copy tm
Divisioaof'Wa�fQuetity'.: -.
Atta: CknW Files ` .. .
1617-bW Scriee Caucr
Raieigh, Moth CWtAie -ZT699-1617 -
-- - - Fom MR16
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ARGE
STORMWATER
MONtTORS[NG REPORT �L {SDO)
m
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GEN-RAL PERMIT NO. NCO 1
El-< CERTIFiC.4TV OF COVERAGE NO
YCG16 n i C t
FACILITY NAME P� . CIV
PERSON COLLECTING SAMPLES) 7
e v,o
- . CERTIFIED LABORATORY(S)C `"n E Lab q
Part A: Specific Monitoring -Requirements
Outfail Date
Sano
-: - V Collected
0
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w.
to
0
of
IS
W,
on
SAMPLES COLLECTED DURING CALENDAR YEAR: '1�
(all samples collected during a calendar Tear ihall be reported no later than
January 31 of the following COUNTY year) �ot-Thws� Co'
PHONE NO.12
ty} —
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge .
trtf»o -
OIl and Grease Totai.�:: .:>
Activities using more than 55 gallons of new motor oil Per month? _ yes"l.no
Does this facility perform Vehicle Maintenance
__,_._ n-... R1
STORM EVENT CRARACTER15171CS'
L-=I r7-l(e
Dale 9 I
Total Event Precipitation (�nOches):
Event Duration (hours):
(if more than one norm event was sampled)
Dale
Total Event Precipitation (inches): —
Page i of 2
Mall Original and ate copy to:
Atm: Central Files
DEENR
Division of Environmental MgL
P.O. Box 29535
Raleigh. NC 27626-0535
Form MRI6