NCG160159_COMPLETE FILE - HISTORICAL_20180101

STORMWATER-DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
DOC TYPE
COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ DIn S
YYYYMMDD

May 12, 2014
RECEIVED
Mr. Bradley Bennett M
NCDENR AY j 61G14
Division of Energy, Mineral and Land Resources Sr DENR.LAND QUA
LITY
1612 Mail Service Center GRMWATERPERMITTING
Raleigh, North Carolina 27699-1612
Dear Mr. Bennett;
Enclosed, please find a completed PERMIT NAME/OWNERSHIP CHANGE FORM, for our Knightdale
Asphalt plant, COC# NCG 160159.
The form updates company name change, facility name, facility address, facility contact and permit
contact names and numbers.
Should additional information be required, 1 can be reached at email:
Donald. [e-mail], or cell phone number 919 868 7377.
Res ectfullly,
Donald Schell
Plant Manager
FSC 11, LLC dba Fred Smith Company.

�V
1 �LI
T;\,
_
_ _
�. �{
�� �
if
i`j` ��
t
-. l,�
� ...

�A
Division of Energy, Mineral & Land Resources
�I
Land Quality Section/Stormwater Permitting
NCDENR
National Pollutant Discharge Elimination System
°°°° '°"" '.eE•°°°°°
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C S O N C G
Permit status prior to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
REGE�vE'D
MA'1 16 2014
)4j
DENR-�'ND PERM WING
SZORM`NA�ER
c. Facility name (discharge)
d. Facility address:
e. Facility contact person:
CC ffhk fW,(j-, CC)r',2F%Ni C.(_C/
ZuuC S ,T)J
First MI Last
Title
eo (soy z
/� Permit Holder Mailing Address
ir�r� CE r�N N C
City State Zip
( qIC) 7 'S'?DO ( >
Phone �t Fax
Alklyru r� itnr clirwY Aspjm .; r-kAN —43
U'V3 U s ALUY Gy
Address
KNICArINfCt /\(c.. �7syS
City State Zip
w(/� �C/ cZ (9/ 0 ) ac c '7196
First / MI / Last Phone
111. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
Name change of the facility or owner
If other please explain
b. Permit issued to (company name):
FSOI C U, d
tia Moo Ss',
a -A ('pr-fAW `
c. Person legally responsible for permit:
'5r6t (E
ls;f)%N
First\
MI
Last
Title
/�
/�,Gi
V'1
0OS m /-,f/Cc
a,
Peril
Holder M�ai)ing Address
Qyl(EyCdq
/VC,
)-2(o07
City
State
Zip
(PIM) '793S71)D
��s3(Jfrcds.�;tNCcrn�any.�et
Phone
E-mai
ddress
d. Facility nante (discharge):
KAI t W LA(6
Asi;VAG
PtAWr
e. Facility address:
GOS CCU MnArw--UL
Gj,
°
Addre s
l�nr'iG.HTY%
& i�C_
City
State
Zip
f. Facility contact person:
SV/V60
_
/ai Awn/
First
Nil
Last
(`?0S--.,2s�a
Phone
E-mail
Address
IV. Permit contact information (if different fiom the person legally responsible for the permit)
Revised Jan. 27, 2014

Yr—
o�
r3'
w-. �7 '.�
�._.,'�
t
Y,' C�
� �.
r-=
:�' �'
��,
•�; cr.
�-
r-r� _:

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: 1)OnIAOd Sc/ Ce
First MI Last
P(,AN i MptNPG6e2
Title
�0105 e/I�E� L lr/ Lc vri�.
Mailing Address
Qw(t:/C-r4 /V C )i(,0?
City State Zip
(9Irl )Slr$ 2i17 1\r. d„�Cdlzl%( �i1 n�S.,tCcts r`�
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior vv II
to this ownership or name change?
Yes
❑ No (please explain)
Vl Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
.......................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature
APPLICANT CERTIFICATION
Date
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I unders rd that if all required parts of this application are not
completed and that if all required supporting ilmynnatimn is not it eluded, this application package will be
returned as incomplete.
LA
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy. Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 20A

W Michael F. Easley, Governor
William G. Ross Jr., Secretary
(— North Carolina Department of Environment and Natural Resources
`( Alan W. Klimek, P.E. Director
Division of Water Quality
July 15, 2005
Mr. Michael D. Mangum
CC Mangum Company, LLC
PO Box 31768
Raleigh, NC 27622
Dear Mr. Mangum:
Subject: NPDES General Permit NCG160000
Certificate of Coverage NCG160159
CC Mangum Company, LLC-Plant #3
Formerly The Mangum Group
Wake County
Division personnel have reviewed and approved your request to change your name under the General Permit,
received on July 1, 2005.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of
North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at [phone], extension 502.
Sincerely,
ORIGINAL SIGNED BY
BRADLEY BENNETT
Alan W. Klimek P. E.
CC. DWQ Central Files
Raleigh Regional Office, Water Quality Section
Stormwater Permitting Unit
N'o
0 arn ma
wnkrrn/ly
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.entstate.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal OpporlunitylAff rmative Action Employer — 50 % Recycled110°/ Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160159
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
CC Mangum Company, LLC
is hereby authorized to discharge stormwater from a facility located at
CC Mangum Company -Asphalt Plant #3
6643 US HWY 64
RALEIGH
WAKE COUNTY
to receiving waters designated as an unnamed tributary to Milburnie Creek (Milburnie Lake) in the Neuse River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts L
II, III, IV, V, and VI of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective July 15, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 15, 2005.
r ORIGINAL SIGNED BY
BRA BENNETT a
j S
Alan W.-Klimek„Director, n-
Division of Water Quality
By Authority of the Environmental Management Commission

wAT c9
I
Y
July 15, 2005
Mr. Michael D. Mangum
CC Mangum Company, LLC
PO Box 31768
Raleigh, NC 27622
Dear Mr. Mangum:
Michael F. Easley. Governor
William G. Ros's.h., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek. P.E. Director
Division of Water Quality
Subject: NPDES General Permit NCG160000
Certificate of Coverage NCG160159
CC Mangum Company, 1-LC-Plant #3
Formerly The Mangum Group
Wake County
Division personnel have reviewed and approved your request to change your name under the General Permit,
received on July 1, 2005.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of
North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agcncy.
If you have any questions, please contact the Stormwater Permitting Unit at [phone], extension 502.
Sinccfely,"
f OFJGNNAL SIGNED B`i
BRADLEY BEwi•le:
Alan W. Klimek P. E.
CC; DWQ Central Files
Raleigh Regional Office, Water Quality Section
Stonnwnter Permitting Unit
No licimolina
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.encstate.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer -50%Recycled/10%Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160159
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
CC Mangum Company, LLC
is hereby authorized to discharge stormwater from a facility located at
CC Mangum Company -Asphalt Plant #3
6643 US HWY 64
RALEIGH
WAKE COUNTY
to receiving waters designated as an unnamed tributary to Milburnie Creek (Milburnie Lake) in the Neuse River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
11, Ill, IV, V, and VI of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective July 15, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 15, 2005. Jc� f>:
I-
R MEY IB" Nif:Y
Alan W. Klimek, Director'""�"""'"""�
Division of Water Quality
By Authority of the Environmental Management Commission

f
"� Michael F. Easley
\Ot' OG Governor
�. r William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Y Alan W. Klimek, P.E., Director
DivisionI of Water Quality
Mr. Kevin Hicks, President
The Mangum Group
3141 John Humphries Wynd
PO Box 31768
Raleigh, NC 27622
December 2, 2002
Subject: General Permit No. NCG160000
Mangum Asphalt Plant-Knightdale
COC NCG160159
Wake County
Dear Mr. Hicks:
I
In accordance with your application for discharge permit received on September 3, 2002, we are: forwarding
herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of, Agreement
between North Carolina and the US Environmental Protection agency dated December 6, 1983. I.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you,
you have the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water
Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of
coverage.
I
This permit does not affect the legal requirements to obtain other permits which may be required by the Division
of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other
Federal or Local governmental pennit that may be required.
I
If you have any questions concerning this permit, please contact Mack Wiggins at telephone number 919/733-
5083 ext. 542.
cc: Raleigh Regional Office
Central Files_-
( tormwater and_General Permits Unit Files
Sincerely,
Dame
%) HLUAM 0. %MEI
Alan W. Klimek, P.E.
a�n
NCOEN
Customer Service
1 800 623-7748
Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919)

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160159
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
The Mangum Group, Mangum Asphalt Plant
is hereby authorized to discharge stormwater from a facility located at
Mangum Asphalt Plant-Knightdale
1.5 mile east of Neuse River off US 64 west
Wake County
to receiving waters designated as an unnamed tributary to Milburnie Creek (Milburnie Lake) in the Neuse River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
11, III, 1V, V, and VI of General Permit No. NCG 160000 as attached.
This certificate of coverage shall become effective December 2, 2002
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 2, 2002
"s99NAL!
�y~;�LL1AM v t IiLt=
far Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

0
9° W
(C)

Markers
Name: Discharge Site-NCG160159
Short Name: Dschrg
Coordinates: 035' 48' 10.8" N, 078' 30' 26.9" W
Comment: Mangum Asphalt Plant-Knightdale, Subbasin 030402, Neuse River Basin, Wake
County, unnamed tributary to Milburnie Creek (Milburnie Lake), Class C NSW
NSW, Quad D24SE

Semi-annual Stormwater Discharge Monitoring Report(DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 09/14/15
CERTIFICATE OF COVERAGE NO. NCG16 0159 _
FACILITY NAME Fred Smith ComDany - Knlohtda_le Plant
COUNTY Wake
PERSON COLLECTING SAMPLES Matthew James
LABORATORY ESC Lab Sciences Lab Cert. if ENV375
Comments on sample collection or analysis:
None
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
SEP 17 2015
Year 2 Period 10ENTRAL FILES
SAMPLE COLLECTION YEAR DWR SECTION
SAMPLE PERIOD ❑ Jan -June [X] July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
❑Zero -flow [_]WaterSupply ❑SA
[X]Other C; NSW
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/L
001
08/31/15
1.37
20.2
' 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 ma/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.
.14
n No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664(SGT-HEM)
-
Total Suspended Solids
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L
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 [XI
IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv 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 persopA directly respo ible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aw3rr$ at there ar ificant pena or submitting false information, including the possibility of fines and imprisonment for knowing violations."
ofPermittee)
Permit Date: 10/1/2014-9/31/2019
(Date)
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 06/30/15
CERTIFICATE OF COVERAGE NO. NCG16 0159 _ _
FACILITY NAME Fred Smith Comoany - I<nlghtdale Plant
COUNTY Wake
PERSON COLLECTING SAMPLES Matthew James
LABORATORY ESC Lab Sciences Lab Cart. # ENV375
Comments on sample collection or analysis:
None
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 1 Period 2
SAMPLE PERIOD LX] Jan -June ❑ July -Dec
or ❑ Monthly' (monthl
LASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA49(5�1Iw�
[x]Other C; NSW
JUL 0 6 2015 -.99C
CENTRAL PLEASE REMEMBER TO SIGN ON THE REVERSE
DWR SFILES
SECTION
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 so mg/L
001
06-19-15
2.63
30
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 me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar 0&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L4
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 [X]
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES [--]Nor-]
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 monitorina period
in the case of "No Discharge" reports) to
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
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�t�r�i here are sig,;�ficant pens submitting false information, including the possibility of fines and imprisonment for knowing violations."
-
(Date)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: hout ,//oorta1.ncdenr.ore/web/Ir/nudes-stormwater/
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name: Fred Smith Company Knightdale Plant
County: Wake Phone No. 919-783-5700
Inspector: Austin Paid - WithersRavenel Inc.
Date of Inspection: 10/28/2018 p€r
Time of Inspection: 1015
NOV19 Nib
Total Event Precipitation (inches): 0.67
CENTRAL FILES
DWR SECTION
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑■ Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the I
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office. j
By this signature, 1 certify
(Signature of Permittee or Designee)
rate and complete to the best of my knowledge:
SWU-242, Last modified 7/31/2013
Page 1 of 2

T
1. Outfall Description:
Outfall No. 001 Structure (pipe, ditch, etc.) Retention Pond with Overflow Discharge
Receiving Stream: Milburnie creek (Milbumle Lake); Class C; NSW
Describe the industrial activities that occur within the outfall drainage area: Asphalt Plant and Aggregate
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light tan
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): No Odor
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 02 3 4 5
S. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
O 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes IS
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
SWU-242, Last modified 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
CERTIFICATE OF COVERAGE NO. NCG16 0 1 5 9
FACILITY NAME Fred Smith Company - Knighldale Asphalt Plant
COUNTY Wake
PERSON COLLECTING SAMPLES Martin Richmond
LABORATORY ESC Lab Sciences
Date submitted o2J2212018
Lab Cert. ft ENV375
Comments on sample collection or analysis:
None
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 4 Period 2
SAMPLE PERIOD ■❑ Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply [:]SA
■❑Other class C: NSW
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
❑ No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
Benchmarks =__>
-
-
100mg/L or 50 mg/L
001
01/29/2018
1.89
31.6
JUN 2 0 2018
CENTR'"L FILES
DWR SECTION
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' 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 m¢/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 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 1, 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 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 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 inf mation, 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 su fitting false information, including the possibility of fines and imprisonment for knowing violations."
02rz2/2018
ignature of Permi ee) (Date)
Permit Date: 10/1 014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2

i' Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 -
Asphalt Date submitted 09/22/17
CERTIFICATE OF COVERAGE NO. NCG16 0159 _
FACILITY NAME Fred Smith - Knightdale Asphalt Plant
COUNTY Wake
PERSON COLLECTING SAMPLES Matt James
LABORATORY ESC Lab Sciences Lab Cert. # ENV375
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 4 Period 1
SAMPLE PERIOD ❑ Jan -June X❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW LJHQW LjTrout PNA
�i(��L` �+ // ❑Zero -flow [:]WaterSupply [:]SA
`-'vp, QOther C NSW
SEP 2 8 'i117 F1J
Cf jv7. PLEASE REMEMBER TO SIGN ON THE REVERSE
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
001
08/07/2017
0.15
1.68
3 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outtall.
' For sampling periods with no discharge at any single outtall, 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.
4 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.
Ff 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 ❑X
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑X
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 tents were prepared under my direction or supervision in accordance with a system designed to
assure that qualified pe7es
el properly gather evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons a rsible for ga ring the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware t e arificant nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date:10/1/2014-9/31/2019
09/22/17
(Date)
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 04/06/17
CERTIFICATE OF COVERAGE NO. NCG16 0159 _
FACILITY NAME Fred Smith - Knightdale Asphalt Plant
COUNTY Wake
PERSON COLLECTING SAMPLES Matt James
LABORATORY ESC Lab Sciences Lab Cert. #
Comments on sample collection or analysis:
ENV375
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 3 Period 2
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly'�Februa month ❑
DISCHARGING TO CLASS ORW HQW Trout LjPNA
❑Zero -flow ❑Water Supply ❑SA
RECEIVED QOther C NSW
APR 10 ZQ17 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
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
001
02/15/2017
0.34
37.8
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.
'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.
4 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?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 Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one 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 p�oties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
04/06/17
(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 09/30/16
CERTIFICATE OF COVERAGE NO. NCG16 0159 _
FACILITY NAME Fred Smith - Knightdale Asphalt Plant
COUNTY Wake
PERSON COLLECTING SAMPLES Matt James
LABORATORY ESC Lab Sciences Lab Cert. q ENV375
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 3 Period 1
SAMPLE PERIOD ❑ Jan -June ERJuly-Dec
or ❑ Monthly' September (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
©Other C NSW
OCT 05 2016
PLEASE REMEMBER TO SIGN ON THE REVERSE �
CENTRAL FILES
DWR SECTION
No discharge this period?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amounts,
Inches
Total Suspended Solids
Benchmarks =__>
_ -
-
100 mg/L or 50 mg/L.
001
09/19/16
0.71
12.8
' 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 mR/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-2S2, 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,
Inches3
Non-polarO&G by EPA
1664 (SGT-HEM)
-
Total Suspended Solids
Benchmarks===>
_
-
15 mg/L
100 mg/L or SO mg/L4
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Q
IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one coov of this DMR, including all "No Discharqe" 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 re nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am awaythat ther re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee)
Permit Date: 10/1/2014-9/31/2019
9/30/16
(Date)
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
F Date submitted 05/31/16
CERTIFICATE OF COVERAGE NO. NCG16 0159 FACILITY NAME Fred Smith ComDan\ Kni - ghtda__le Plant
COUNTY Wake
PERSON COLLECTING SAMPLES Matthew James
LABORATORY ESC Lab Sciences Lab Cert. # ENV375
Comments on sample collection or analysis:
None
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 2 Period 2
SAMPLE PERIOD X❑ Jan -June ❑ July -Dec
or ❑ Monthly' (month)
�}
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECe VED ❑Zero -flow ❑Water Supply ❑SA
JUN 0 6 2016 [X]Other C; NSW
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE
DWR SECTION
1-1 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
001
04/12/16
0.85
82.5
1 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 I of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
,,,
❑ No discharge this period?'
Outfall No.
Date Sample
i
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/L4
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 [XI
IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR, includinq 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 per directly response for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am awa hat there are s' i icant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Permittee)
Permit Date: 10/l/2014-9/31/2019
�
- (Date)
SWU-252, last revised 9/17/2014
Page 2 of 2