NCG190023_MONITORING INFO_20190122

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v �� �� oo a 3
DOC TYPE
❑ HISTORICAL FILE
.0'IGIONITORING REPORTS
DOC DATE
❑ a D/ 9 01
YYYYM M DD

the oftWre life
January 14, 2019
North Carolina Department of
Environmental & Natural Resources
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: General Permit NC 190000
Regulator Marine
Permit #iNCG190023
Chowan County
COC Monitoring Requirements
Dear Central Files:
pEc-NFO
JAN 2 2 2019
WMES
R SECT ON
Pursuant to the above COC monitoring requirements, Regulator Marine would like to
resubmit the following test data for the second half of 2019.
If you have any questions regarding this matter, please contact me at the above address.
Sincerely,
Mike Aust
Manager Environmental, Health & Safety
Enclosures

�MwoP0llmn Flo Wnpo mho RECEIVED N 1
i 2019
' Drinking water ID: 31715
g. wantownter ID: 10
114 OAKMONT DRIVE
GREENVILLE N.C. 27858 PHONE [phone]
_ _ .__ --- - - -- ---- -- - - -- FAX (252} 756-0633 _-
REGULATOR MARINE, INC.
MR. MICHAEL AUST
P.O. BOX 49
EDENTON ,NC 27932
PARAMETERS
PH (not to be used for reporting)
Total Suspended Residue, mg/1
Oil & Crease (HEM), mg/l
Aluminum, ug/l
Copper, ug/l
Lead, ug/l
Zinc, ug/l
Stormwater Analysis Dlethod
Discharge Date Analyst Code
10.1 12/21/18 KDS 4500HB-11
273 12/26/18 JNIS 254013-11
<5 12/28/18 SFJ I664B
16827 01/03/19 LFJ EPA200.7
10 01/03/19 LFJ EPA200.7
10 01/03/19 HMM 3113B-10
79 01/03/19 LFJ EPA200.7
ID#: 32
DATE COLLECTED: 12/20/18
DATE REPORTED 01/08/19
REVIEWED BY:

Environment 1, Inc.
P.O. Box 7085, 114 Oakmont Dr.
Greenville, NC 27858
CHAIN OF CUSTODY RECORD
Page 1 of
environment 1 inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINE
CLIENT: 32 Wmk:44
Iry
pHCHECK (LAB)
P
P
G
11
P
CONTAINER TYPE, P/G
rEGULA'fOR DtARINE, INC.
ONE
1R. MICHAEL AUST
'.O. BOX 49
CHEMICALPRESEFlVATION
:DEN`I'ON NC 27932
A
A
C
A
A
�o
A -NONE D-NAOH
252) 482-3837
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p
8
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COLLECTION
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R
G-NATHIOSULFATE
n
SAMPLE LOCATION
DATE
TIME
Slonnwatcr Discharge
/V.5
4
--"
-
'
CLASSIFICATION:
WASTEWATER(NPDES)
DRINKINGWATER
DWO'GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHI MENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Print)
iGyyc2 V i
SAMPLES RECEIVED IN LAB AT 'y °C
RE11N ED BY (SIG. (SAMPLER)
DATElf1ME
RECEIVED Y IG.)
Z
DATEMME
COMMENTS:
l� fi'
91,
LI )Is-, I I) 2S
iC
Arr
REU BY(SIG.)
A E
RECEIVED BY IG.)
DATEMME
RELINQUISHED BY (SIG.)
DATErnME
RECEIVED BY (SIG.)
DATFJl1ME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for
FORM #5 Grab sample in the blocks above for each parameter requested. NO 359396

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below, 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 m1. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time ofcollection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coli fortes (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection' on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "C" for Grab Sample should be placed in the box for al I requested parameters. Crab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of6 hours from time of collection to time ofanalysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and WAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care whenlopening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

Mn)/fit
the off Iior•e Iifz,
July It, 2018
North Carolina Department of
Environmental & Natural Resources
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: General Permit NC 190000
Regulator Marine
Permit #NCG190023
Chowan County
COC Monitoring Requirements
Dear Central Files:
RECEIVED
JUL 17 2018
CENTRAL Fit_E:
Pursuant to the above COC monitoring requirements, Regulator Marine would like to
resubmit the following test data for the first half of 2018. T
If you have any questions regarding this matter, please contact me at the above address.
Sincerely,
e —
Manager Environmental, Health & Safety
Enclosures

��lM��fOPIPuliC�P14 �o OPIC�OP
did
114 OAKMONT-DRIVE • p
I.C. 27l jH-ZO8§ _ ,
REGULATOR MARINE, INC.
MR. MICHAEL AUST
P.O. BOX 49
EDENTON ,NC 27932
I'ARAhIETERS
PH (not to be used for reporting)
Total Suspended Residue, mg/1
Oil & Crease (HEM), mg/I
Aluminum, ug/I
Copper, ug/l
Lead, ug/I
Zinc, ug/I
ID#: 32
DATE COLLECTED: 06/11/18
RECEIVED JUL 09 2018 DATE REPORTED : 06/28/18
Stormwaler
Anahsis
Method
Discharge
Date
Anah'st
Code
6.9
06/12/18
HbIM
4500FIB-11
28
06/13/18
KDS
254OD-11
<5
06/15/18
SE-1
1664B
2238
06/19/18
LFJ
EPA200.7
6
06/19/18
LFJ
EPA200.7
<5.0
06/19/18
:Di'1'JI
3113B-10
153
06/19/18
LF.I
EPA200.7
REVIEWED BY:

Environment I, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085. 114 Oakmont Dr. Page I of I
Greenville. NC 27858
cm• i ron menu i nc .com
DISINFECTION
I
I
I
I
I
I
I
I
CHLORINE NEUTRALIZED AT COLLECTION
I
Phone (252)' 05 • Fax [phone]
r
❑CHLORINE
L
z
CL
,
pHCHECK (LAB)
CLIENT: -2 lVeek:20
UV
P
P
C
P
P
CONTAINER TYPE, P/G
EGULATOR NIARINE, INC.
Ij NONE
IR. NUCHAEL AUST
CHEMICAL PRESERVAl10N
-O. BOX 49
DENTON NC 27932
A
A
C
A
A
A -NONE D-NAOH
�o
LLF
! 52) 482-3837
B - HNO, E - HCL
p 0
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COLLECTION
a
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W ¢
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F
Ci
C
G-NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Slormrratcr Discharge
4
CLASSIFICATION:
WASTEWATER(NPDES)
DRINKING WATER
DWQ/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING $fi�PMENT/DELIVERY
Y N
SAMPLES COLLECTED BY:
(Please Pnnt)
ici��c� AiV1�
10,
SAMPLES RECEIVED IN LAB AT n,c��_ °C
RELINQUISHED BY (SIG (SAMPLER)
/ ATE/f1ME
REC B (SIG.)
DATETIME
COMMENTS:
/Y
zoou
J
.:
REVDBY(SIG.)
DATEflIME
RECEIVED'BY ISI .)
DATFJIIME
RELINQUISHED BY (SIG.)
DATEIIME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for
FORM 45 Grab sample in the blocks above for each parameter requested. N U 354551

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALI..Y PRESERVE, COLLECT IN PROPER BOTTLE
TYPfR• BEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENS) � SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJK: TED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. 'file client will be contacted and inlbrmed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring most be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in %vet ice using as
much ice as will fit in the cooler. - -
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this intbrmation in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. the lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjcldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
&chlorinating agent. Therefore, these samples must be de -chlorinated at the time ofcollcction before being placed in our sample bottles.
Sodium Thiosullate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked litr
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of ineasuring'lotal
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine most put his initials in the
"Chlorine Neutralized at Collection' row on the front of this form above the proper parameter. Samples such as Colilorms (which have
Thiosullate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "'Total Chlorine at Collection' on the Font of this form for any sample locations applicable. This value would be before any
neutralization is perfimuccl.
5) A "C" Rrr Composite Sample or a "G" for Grab Sample should be placed in the box tier all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments' section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disintcction
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information Iclt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Entcrococci samples have a holding time of 6 hours from time of collection to time ofanalysis. Therefore, samples should
be collected as late in the day as possible to allow enough time Ibr transportation, checking in at the lab and analysis.
I30D, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and NII3AS samples have a 48 hour holding lime. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
coptainer and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (NISDS) are available upon request which specify proper handling and personal protection.

the OJIMOre life
January 2, 2018
North Carolina Department of
Environmental & Natural Resources
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: General Permit NC 190000
Regulator Marine
Permit #NCG190023
Chowan County
COC Monitoring Requirements
Dear Central Files:
JAB � � 2018
a SEOj\ON N\�
pW,• OESS\NOU
\p:'rOP1ti4110NpR0
Pursuant to the above COC monitoring requirements, Regulator Marine would like to submit
the following test data for the second half of 2017.
If you have any questions regarding this matter, please contact me at the above address.
Sincerely,
Mike Aussft-
Manager Environmental, Health & Safety
Regulator Marine, Inc.
Enclosures

REGULATOR MARINE, INC.
MR.ERIK WIBORG/MICHAEL AUST
P.O. BOX 49
EDENTON ,NC 27932
Stornmater
Analysis
method
PARANIETERS
Discharge
Date Analyst
Code
Pit (not to be used for reporting)
7.9
12/06/17
KNIR
4500HB-11
Total Suspended Residue, mg/l
20
12/07/17
KAC
2540D-11
Oil & Grease (MF.NI), mg/1
<5
12/12/17
SF)
1664B
Aluminum, ugA
895
12/12/17
LFJ
EPA200.7
Copper, ugA
18
12/12/17
LFJ
EPA200.7
Lead, ugA
< 5.0
12/14/17
NITN1
3113B-04
Zinc, ugA
378
12/12/17
LFJ
EPA200.7
ID((: 32
DATE COLLECTED: 12/05/17
DATE REPORTED : 12/19/17
REVIEWED BY: //

1-:11virwlmen('I_. Inc.
P.p kk, - IvS�i I
CHA IN OF CU,,'JODYRECoup
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CI ii.0RIGTt URAIJ 11)Al I_.OLLEi TI In
CLIENT: 32 Week:44—�-
1_�'
REGULATOR MARINE, INC.
MR. ERIK WIEORG
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P .,
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EDEiVTON NC 27932
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NO)/
the 011s1101-e ii/e
October 24, 2017
North Carolina Department of
Environmental & Natural Resources
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: General Permit NC 190000
Regulator Marine
Permit #NCG190023
Chowan County
COC Monitoring Requirements RECEIVE®
Dear Central Files:
OCT 31 2017
CENTRAL FILES
I would like to introduce myself as the new Manger of EnvironmehfaljIHealfft Safety for
Regulator Marine, Inc.
Pursuant to the above COC monitoring requirements, Regulator Marine would like to
resubmit the following test data for the first half of 2017. This information is being
resubmitted certified mail for our records.
If you have any questions regarding this matter, please contact me at the above address.
Sincerely,
REGULATOR MARINE, INC.
Sins
Mike Au
Manager Environmental, Health & Safety
Enclosures

Emw'ff@flH(@H Flo hCuRumbA
GREENVILLE, N.C.27835 7085
REGULATOR MARINE, INC.
MR. ERIK WIBORG
P.O. BOX 49
EDENTON ,NC 27932
PARANIETERS
I'll (not to be used for reporting)
Total Suspended Residue, mg/I
Oil & Grease (HE-M), mg/1
Aluminum, ug/I
Copper, ug/I
Lead, ug/I
Zinc, ug/I
RECEIVED MAY 12 2017
Stormwater Analvsis Nlethod
Discharge Date Analyst Code
6.6 04/26/17 KKNI 4500HB-00
119 04/27/17 SDB 254OD-97
6 04/27/17 SEJ 1664B
3529 05/01/17 LFJ EPA200.7
6 05/01/17 1,FJ EPA200.7
<5.0 04/28/17 NITNI 311311-04
73 05/01/17 I.FJ EPA200.7
FAX
ID#: 32
DATE COLLECTED: 04/24/17
DATE REPORTED : 05/09/17
REVIEWED BY:

Environment 1. Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085.-] 14 Oakmont Dr. Page —I— of —1—
Greenville NC 27858
environment] inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINI?
CLIENT: 32 %Veek: 20
pH CHECK (LAB)
UV
P
P
G
P
P
CONTAINER TYPE, P/G
3EGERATOR MARINE, INC.
❑NONE
NR. EIK N'IBORG
3.0. BOX 49
CHEMICAL PRESERVATION
_EDENTON NC 27932
A
A
C
A
A
o,o
A -NONE D-NAOH
E�
w
252) 482-3837
¢ "�J'
w z
w
_�
B - HNO, E - HCL
00
o
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o
a
,.,
y
C -H,SO, F- ZINC ACETATE/NAOH
COLLECTION
G- NATHIOSULFATE
LL
SAMPLE LOCATION
DATE
TIME
'- o
r- a
a
a
F
O
c
f/1y��
y�yl
'
CLASSIFICATION:
Stormxater Discharge
/q
4
WASTEWATER(NPDES)
DRINKING WATER
JDWOIGW
L) SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING IPMENT/DELIVERY
Y N
SAMPLES COLLECTED BY:
(Please Pnnt)
Id D
'
SAMPLES RECEIVED IN LAB A10 - —'C
RED ISHEDBY(SIG. (SAMPLER)
DATE/TIME
RECEIVED BY I
V1 DATElTIME
COMMENTS:
3,JD
�
REUNOUISHEDBY(SIG.)
DATFJTIME
RECEIVED BY IG.)
ATEiIME
-
REUNOUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATE/TIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for e -
FORM n5 Grab sample in the blocks above for each parameter requested. N _ 328462

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING RE T (DMR)
Calendar Year 2v(4 CEWED
General Permit No. NCG190000
Certificate of Coverage No. NCG190❑a ©3❑❑
CEN l-Rkl F
OwR SECTIoly
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: Zrc�UL-ATb1M fb Agz'V'E, Tgc
County: <-Koc-,)A�v
Phone Number: (ZSZ) 4{P7- - 3f3 Total no. of SDOs monitored
Outfall No. boI
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 DWO to reduce monitoring frequency ❑
Other ❑
..,
•
BE
m
..
S W U-250NCG 19-092309

R
" 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:
DWO 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]
Central Office .........[phone]
ASHEV.ILLEREGIONALOFFICE
FAYEPTEVILLE^REGIONAL OFFICE
MOORESVILLEREGIONALOFFICE
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
WASHINGTONREGIONAL OFFICE
WILMINGTON'.REGIONA1,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-SAI,EM REGIONAIJ
CENTRAL OFFICE
OFFICE
585 Waughtown Street
1617 Mail Service Center
Raleigh, NC 27699-1617
7opteserve. protect
and enhance
Winston-Salem, NC 27107
[phone]
NoRh Carolina's water..."
[phone]
S W U-250NCG 19-092309

STORMWATER DISCHARGE OUCFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG190000
CERTIFICATE OF COVERAGE NO. NCG19 O a Z.3
FACILITYNAME 766ot.A1OA aR-9W'6 ,�,�fc
PERSON COLLECTING SAMPLE(S) dG ER /4cu.
CERTIFIED LABORATORY(S) 6%4rSRh^WN 41- Lab # 32
Lab #
Part A Specific Monitoring Reauirements
SAMPLES COLLECTED DURING CALENDAR YEAR: e /
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY GHoWAA
PHOrNOeiYt-',3&
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Optfall ":''Date
No -
- -ColleMed`
'
o _.
Sample :'.
50050
00556 ' . i;
,0090
00400'
Total Flow -
_...
Od and .-
Gre:ase;i'
Totsl
SuspendedOil'Usage:`'.
SolidS
pH
New Motor ` .
-mo/dd/ r,c
MG
m - -i.
-m .
unit-.-
G
08 c3 2e7k
<S a
Y -
(RECEIVED
Shp 2 3 2016
CENTRAL FILES
DWR SECTION
' Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling -
STORM EVENT CHARACTERISTICS:
Date d% ov/<-
Total Event Precipitation (inches):
Event Duration (hours): -�
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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 firsts and imprisonment for
knowing violations.,'
�W C:QQ— i/(z- //C
(Signature of Permittee) (Date)
Fom SWU-253-071400
Page 1 of 1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG190000
CERTIFICATE OF COVERAGE NO. NCC19 002-3
FACILITYNAME�CQyUU¢4De. yY)gR�.U(= TAL
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) EjjjV g,,,,y lreu7- / Lab #_Z-
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 266
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY 00NO)
P -s.�/ �{ 2-38'37
.
(SIGNATURE OF PE EE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outf»II
Date £
;.50050 ::'00556
`". +i00530
00400`
'Sample ?,
TattilFlow =
^;Od and .�
Totst,-�:.
pH
NewMotor -
,=-
-CollGrease
t
Suspended
`
r
oil
snllds',
,Usage
�m
D
yi rr
S.d
6- G
N
Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling.
STORM EVENT CHARACTERISTICS:
��� �� (if more than one storm event was sampled) Mail Original and one copy to:
Date _�r//5'/>J� Date Division of Water Quality
Total Ev�en(Precipitation (inches): a Sa Total Event Precipitation (inches): Attn: Central Files
Event Duration (hours): •-�h Event Duration (hours): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 of Permittee)
(Date)
ZN7
Form SWU-2 53-07 1400
Page I of I

u
2

Figure 5-3
REGULATOR MARINE
STORMWATER QUALITATIVE MONITORING FORM
Inspector's Name: -Fie/ f' f jIlene/,-
Date and Time: az—ll i
�-yE-
esZ
W1--
. n�.'-Y
'r!'?':.W---3..va..1
`t
un-zz"St.
Outfa11001
Al 19
ayosl
N a
,� o
NC
NO
ND
NC
Outfa11002
r/ �/
NO
�0
7AJ 0
�0
N
/4-V
4/0
Outfa11003
�(/Q
i9��%�
Y�
N�
' D
N0
//P
ND
/411)
COMMENTS: SEE
Page I of 1

Storm water flow calculation
Regulator Marine, Inc.
Edenton, NC
Sample Date: 4/14/2015
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
0.5
1.77
77,101
24,031
002
0.82
35,719
11,133
003
1.46
63,598
19,823
Sample
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
1.77
771101
0
002
0.82
35,719
0
003
1.46
63,598
0
Sample
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0
Sample Date:
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0
Sample Date:
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0

Figure 5-4
Stormwater Control Inspection Form
Regulator Marine, Inc.
Inspectors Name: Eie%C /Z I'J'doxe'
Date and Time:
CasIIewtn
_
ISO
�-eo�+4mwe7'
INE_
d.
contfi�sr!
oo4t� M _
commsnb:
Actions Taken:
P. '. '

Environment 1,
RECEIVED MAY 0 6 2015
W"te nteL ID: 10
P.O. BOX 7085, 114 0AKMONT DRIVE PHONE [phone] '
GREENVILLE N.C. 27835-7085 FAX [phone]
ID#: 32
REGULATOR MARINE, INC.
MR. ERIK WIBORG
P.O. BOX 49 DATE COLLECTED: 04/14/15
EDENTON ,NC 27932 DATE REPORTED : 05/01/15
PARAMETERS
PH (not to be used for reporting)
Tidal Suspended Residue, mg/l
Oil & Grease (HEM), mg/l
Aluminum, ug/l
Copper, ug/l
Lead, ug/l
Zinc, ug/l
Stormwater Analysis Method
Discharge Dale Analyst Code
6.6 04/15/15 TRB 4500HB-00
88 04/16/15 SUB 2540D-97
<5.0 04/15/15 SEJ 1664B
1042 04/17/15 LFJ EPA200.7
16 04/17/15 LFJ EPA200.7
5 04/20/15 NITD1 3113B-04
�5' 278 04/20/15 JDRV 3111B-99
REVIEWED BY: �—

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085. 114 Oakmont Dr. Page ! of I
G.oe...,:u., nrr 278.-x�
environmentl inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINE
CLIENT: 32 Week: 20
j UV
%
pHCHECK (LAB)
p
P
G
P
1,
CONTAINER TYPE, PIG
REGULATOR MARINE, INC.
NONE
MR. ERIK WIBORG
�
P.O. BOX 49
EDENTON NC 27932
A
A
C
A
A
CHEMICAL PRESERVATION
A -NONE D-NAOH
o
'252)482-3837
LLfK j
9
C B-HNO, E-HCL
¢
LLrZZ
¢ O
Z
O
c
¢
C - H,SO, F -ZINC ACETATE/NAOH
COLLECTION
j
c
¢ G-NATHIOSULFATE
SAMPLE LOCATION
DATE I
TIME
Stormwater Discharge
yI "y!'S
11:16
'I' ,77
4
..
..
CLASSIFICATION:
ID WASTEWATER(NPDES)
DRINIONGWATER
DWCYGW
JSOUD WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURIN HIPMENT/DELIVERY
Y N
SAMPLES COLLECTED BY:
(Please Print)
6eIK le. W r ORG
SAMPLES RECEIVED IN LABAT F Z- �C
gELI ISHEDBY(SIG.)(SAMPLER)
DATElnME
RECEIVE Y IG.)
D TERIME
COMMENTS:
.f
If 3: jK
S , )Ul9
RELINQUISHED BY (SIG.)
DATFETIME
RECENEDBY(SIG.)
ATErnME
RELINOUISHED BY (SIG.)
DATEfnME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for o - — -
FORM #5 Grab sample in the blocks above for each parameter requested. N _ 293981

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN HLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
RE�ECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) S.unples not filling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. 'Fhg client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the requird'd;guidelines will be "qualified". This means that a note wilFi� included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to'thc State noting the
deviations.
2) Sample Temperature. Samples for compliance mou(tpring must be chilled with wet ice to a temperature of 6C of Icss. Freezing is
not permitted. Samples delivered to the lab shortly aftetfcollection may not have had enough time to be chilled below 6Q.:In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
4 -
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples ('total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles,.
Sodium Thiosulftte is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thipsull'ate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the lorm for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Colil'orm and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and:analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times..
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year �015
General Permit No. NCG190000
Certificate of Coverage No. NCG 19®❑0 ❑Z ❑3 ❑
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: M 0A),JC- - Sn c .
County: C'IjyWAaJ
Phone Number: (075.2 ) i492- 3837
Total no. of SDOs monitored
Outfall No. D/
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 [I No Er
Yes ❑ No E�'
To
inches
NMITJI "I,
S W U-250NCG 19-092309

" 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 6j
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 ...[phone]
Wilmington Office ... [phone]
Winston-Salem ...... [phone]
Central Office .........[phone]
ASHEVILLE REGIONAL OFIYCE
FAYET'I'EVILLE REGIONALiOFFICE
MOORESVILLE'REGIONAL OFFICE
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
WILMINGTONREGIONAL 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 REGIONA
CENTRAL OFFICE
OFFICE
585 Waughtown Street
1617 Mail Service Center
Raleigh, NC 27699-1617
"To preserve, protect
and enhance
1W
Winston-Salem, NC 27107
[phone]
Nodh Cardina's waler..."
[phone]
S W U-250NCG 19-092309

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year o2015
General Permit No. NCG190000
Certificate of Coverage No. NCG19®❑®©❑
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: Te6-ULA R Mk0tw .Tile
County: (14DIntAA.1
Phone Number: (r?62) 'fg?-383-7 Total no. of SDOs monitored
Outfall No. P1
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 B-�
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 ❑
MEMO
Em-
�r
r
SW U-250NCG19-092309

" 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."
Date
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
ASHEVILLE RF,GIONAL OFFICE
FAYErrEVILLE REGIONAL OFFICI7
MOORESVILLE, REGIONAL OFFICE
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]
RALEIGHREGIONAL OFFICF.
WASHINGTON-REGIONALOFFICE
WILINING"fON.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]
1VINSTON-SALEMREGIONA
CEN,rRALOFFICE
OFFICE
585 Waughtown Street
1617 Mail Service Center
Raleigh, NC 27699-1617
7opreserve, protect
andenhartee
Winston-Salem, NC 27107
[phone]
North Carolina's water..."
[phone]
S W U-25ONCG 19-092309

Figure 5-3
REGULATOR MARINE
STORMWATER QUALITATIVE MONITORING FORM
Inspector's Name:
Date and Time:
Inspection
Is there dry
weather
Approx.
Presence of
Presence
Presence of
Presence of
Other obvious
Location
Flow in this
now
Color
foam (Y/N)
of oil sheen
floating solids
suspended
Odor
Clarity
indicators of storm
area" Y/N
(gal/min )
(Y/N)
(Y/N)
solids (Y/N)
water pollution
Outfall 001
/V0
2031
/L/b
Alt
•viD
H'V
.vim
ir/B
d
/f/Z
Outfall 002
Outfall 003
,V D
1 23
,✓a
/VP
✓a
COMMENTS: S'cE Dom€
Page I of I

Storm water flow calculation
Regulator Marine, Inc.
Edenton, NC
Sample 1341 e. 9/25/2015
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
0.5
1.77
77,101
24,031
002
0.82
35,719
11,133
003
1.46
63,598
19,823
Sample
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft2)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0
Sample Date:
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0
Sample
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft2)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0
Sample
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft2)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0

Figure 5-4
Stormwater Control Inspection Form
Regulator Marine, Inc.
Inspector's Name: n• ,e �C /� zj
Data and Tme: I ?i5— ls- S• l Q ai
Inspection Location
Has attrcaga
tanW[ontainer leake0i
Has seconoary
containment leaklMi
Are IMra crocks or in
structuraliner?ain
contairor?
Rre tilde cracks or omar
sW[turol EnWiminae[onEary
containments
Is airy materiel or wa4r
omin lnsstmetme
conlainmeni stNclude?
Preeenre of
tdeaWasaria
(yM)
Presence of
open
canYm)
(YM)
P e ce of
matenaln stores
ouam (Proper
area (YM)
Presence of materials
enPillw tainnoulsitle
[mlainmenl (YM)
OIIIBr OaVIOYD inaiwtode of
atwmwader Pollution
ny/
I6,v e.T
Na
/V 0
`✓0
,va
e-S
'VO
'"D
,ve
x/o
Np
Comments:
Actions Taken:
P."Ial1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG 190000
CERTIFICATE OF COVERAGE NO. NCG19 0023
FACILITY NAME ft66Vi-OrMR /Y*GA) F --r
11C.
PERSON COLLECTING SAMPLE(S) 4C'Q) K R. Lv% id B.fG-
CERTIFIEDLABORATORY(S)EA)JtRCUnIENT Labtki?Z-
Lab 0
Part A: Specific Monitoring! Reauirements
SAMPLES COLLECTED DURING CALENDAR YEAR: O/
(This monitoring report shall be received by the Division no later than 30 days
from the date the facility receives [he sampling results from the laboratory.)
COUNTY (';;
xO. Z YHZ- 3837
(SIGNATURE OF PERMR*EE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Ogtfsll '.
-_ -
.:..
Date f-.,>
Sample
-CoBeMed ,�
.r�
50050
'00556::'.
00530 *._i00900
Toil] FIow :;Orland.'
, _.: ..`,:
,`Grease' `' .
.; :..0 .. .;
Total '.�
s°
Suspended
.Solids
pH.-
NewiMo[or.-'
z -
Od_;Usage ` i-
s
-
ino/dd/ r__
MG.:. ...,
m.
m`-
unit-'
aUrn o:::.
1J
` Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling.
STORM EVENT CHARACTERISTICS:
Date 49a /jam
Total Event Precipitation (inches): a 5D
Event Duration (hours): 1,
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hours):
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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. Bascd 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
knowin 'ola�ti/ons/.11
(Signature of Permittee) (Da e)
Fonn SWU-253-07 14W
Page I of I

t
r-
Mll
THE FINEST IN OFFSHORE SPORTFISHING BOATS
October 22, 2015
North Carolina Department of
Environment & Natural Resources
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
�z
c
�1
Subject: General Permit NC190000
M
m>
°' M
Regulator Marine
n r
.-- i-n
ao
<
Permit # NCG 190023
Om
Chowan County
COC Monitoring Requirements
Dear Central Files:
Pursuant to the above COC monitoring requirements, Regulator Marine would like to
submit the following test data recently completed.
If you have any questions regarding this matter, please contact me at the above address.
Sincerely,
Erik R. Wiborg
Facilities Manager
Enclosures
www.regulatormarine.com
187 Peanut Drive • P.O. Box 49 • Edenton, North Carolina 27932 - 252.482.3837

EAMffilE&W %
mho
GREENVILLE, N.C. 27835-7085 FAX [phone]
REGULATOR MARINE, INC.
MR. ERIK WIBORG
P.O. BOX 49
EDENTON ,NC 27932
Stormwater
PARAMETERS Discharge
RECEIVED 0,-�T 22 2015
Analysis Method
Date Analyst Code
PH (not to he used for reporting)
6.0
09/29/15
CMC
4500HB-00
Total Suspended Residue, mg/I
3.5
09/30/15
KDS
254OD-97
Oil & Grease (HEM), mg/l
<5
10/02/15
SEJ
1664E
Aluminum, ug/I
<100
10/05/15
LFJ
EPA200.7
Copper, ug/1
2
10/05/15
LFJ
EPA200.7
Lead, ug/1
<5.0
10/15/15
MTM
3113B-04
Zinc, ug/l
52
10/05/15
LFJ
EPA200.7
ID#: 32
DATE COLLECTED: 09/25/15
DATE REPORTED : 10/20/15
REVIEWED BY:

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7D95, V14 Oakmont Dr. Page I of I
Greenville NC 27858
environment I inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINE
CLIENT: 32 Week:44
pHCHECK (LAB)
uv
P
P
G
P
P
CONTAINER TYPE, P/G
REGULATOR NIARINE, INC.
NONE
NIR. ERIK WIBORG
P.O. BOX 49
CHEMICAL PRESERVATION
EDENTON NC 27932
A
A
C
A
A
o0
F A -NONE D-NAOH
E
[phone]
¢ J
W z
w
*
N B-HNO, E-HCL
O 0
Q O
Z
G
w C - HzSO, F -ZINC ACETATE/NAOH
COLLECTION
d
s
=
,�
a G-NATHIOSULFATE
o
o
LL
s
Q
SAMPLE LOCATION
DATE
TIME
Stormwater Discharge
4�Jr/
',5' Q
G
I
4
_>
CLASSIFICATION:
WASTEWATER(NPDES)
DRINKINGWATER
DWOJGW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING IPMENT/DELIVERY
Y IN
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LAB AT O `C
RELI SHED BY St (SAMPLER)
DATEMME
RECEIVED BY
DATEIIME
COMMENTS:
!J P.
RELINQUISHED BY (SIG.)
ATElT1ME
RECENED BY (SIG.
DATErnME
RELINQUISHED BY (SIG.)
DATERIME
RECEIVED BY (SIG.)
DATERIME
Sampler must place a "C" for composite sample or a "G" for p -_
FORM as PLEASE READ Instructions for completing this form on the reverse side. Grab sample in the blocks above for each parameter requested. N _ 3046 O 3

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
-SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of -collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection' on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for al I requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Dale, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococei samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

Tom
THE FINEST IN OFFSHORE SPORTFISHING BOATS
May 27, 2015
North Carolina Department of
Environment & Natural Resources
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: General Permit NC190000
Regulator Marine
Permit # NCG 190023
Chowan County
COC Monitoring Requirements
Dear Central Files:
RECEIVED
JUN 0.2 2015
CENTRAL FILES
DWR SECTION
Pursuant to the above COC monitoring requirements, Regulator Marine would like to
submit the following test data recently completed.
If you have any questions regarding this matter, please contact me at the above address.
Sincerely,
Erik R. Wiborg
Facilities Manager
Enclosures
regulatormarine.com
P.O. Box 49, 187 Peanut Drive o Edenton, North Carolina 27932 o 252.482.3837

L
REGULATOR
THE FINEST IN OFFSHORE SPORTFISHINO BOATS
May 23, 2014
North Carolina Department of
Environment & Natural Resources
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
�}
1
RECEIVED
MAY 28 Zui4
CENTRAL FILES
DWQIBOG
Subject: General Permit NC190000
Regulator Marine
Permit # NCG 190023
Chowan Count'y--
COC Monitoring Requirements
Dear Central Files:
Pursuant to the above COC monitoring requirements, Regulator Marine would like to
submit the following test data recently completed.
If you have any questions regarding this matter, please contact me at the above address.
Sincerely,
Erik R. Wiborg
Facilities Manager
Enclosures
187 Peanut Drive, Edenton, North Carolina 27932 252-482-3837 www.regulatormarine.com

E omm mm alp
RECEIVED MAY 0 2 2014
REGULATOR MARINE, INC.
MR. ERIK WIBORG
P.O. BOX 49
EDENTON ,NC 27932
PARAMETERS
PH (no( to be used for reporting)
Total Suspended Residue, mg/I
Oil & Crease (ITEM), mg/1
Aluminum, ug/l
copper, 11g/1
Lead, ug/1
Zinc, ug/l
Storm Water
AmdyAs
Method
Discharge
Dale Analyst
code
7.2
04/16/14 TRB
450011B-00
53
04/17/14 LW
2540D-97
<5.0
04/17/14 SE.1
1664B
412
04/25/14 1AT
EPA200.7
5
04/25/14 LKI
EPA200.7
<5.0
04/24/14 MEL
311313-04
IS
04/25/14 MTM
3111B-99
.r
ID#: 32
DATE COLLECTED: 04/15/14
DATE REPORTED : 04/30/14
REVIEWED BY:� ___ _

Environment i; Inc. CHAIN OF CUSTODY RECORD
P.O. BM 7085; 1`14 Oakmont Dr. Page I of
Greenville, NC 27858
Phone [phone] • Fax [phone]
DISINFECTION
CHLORINE NEUTRAUZED AT OOLLECT10N
CHLORINE
L
pHCHECK (LAB)
CLIENT: 32 Week:19
❑ Uv
P
P
G
P
P
CONTAINER TYPE, P/G
REGUI,ATOR MARINE, INC.
Ij NONE
MR. ERIK WIBORG
A
A
C
A
A
CHEMICAL PRESERVATION
P.O. BOX 49
EDENTON NC 27932
❑
A -NONE D-NAOH
E o
[phone]
z w
� Z
�
¢
r.
.-,
3
"
B-HNO E-HCL
00
o f
¢0
w
z
o
o
S
'z'
m '
C- H,SO, F- ZINC ACETATE/NAOH
COLLECTION
¢
¢o
tozi
¢
o
..
J
G-NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Stormwater Discharge
a5
4
' ..
..
...
..
CLASSIFICATION:
WASTEWATER(NPDES)
DRINKINGWATER
Lj DWQ/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Pont)
EkiX ,t?. I.J.BotcG
SAMPLES RECEIVED IN LAB AT °C
REUN UISHED BY (SIG.) (SAMPLER)
DATEJRME
RECEIVED BY .)
DATEMME
COMMENTS:
.�
y Gov
�ro
REUNQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DA7AME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for No- 269490
FORM #5 Grab sample in the blocks above for each parameter requested.

i
SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
`TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN,JHLORINE
SENSITIVE SAMPLE, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the established guidelines will need to be re -collected. The client will be contacted and.informed of any
deviation and asked to collect another set of samples: THe client may request the laboratory to proceed with the anals�is of the current
samples. Any samples analyzed outside of the requirekguidelines will be "qualified". This means that a note will•bK included on the
sample result and "Chain of Custody" specifying the til"viation. The laboratory is also required to send a letter to thee State noting the
deviations. : =
2)Sample Temperature. Samples for compliance mon46ing must be chilled with wet ice to a temperature of 6C or Ies� Freezing is not
permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler. ( e
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 nil. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verily proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and them the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Colifonm and Enterococci samples have a holding time of 6 hours from time of collection to arrival ,t the lab. Therefore, samples
should be collected as late in the day as possible to allow enough time for transportation, checking in at thptlab and analysis.
:r.
BOD samples have a 48 hour holding time and are set in the lab Monday through Friday. ,
Other samples such as Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS also ha,em 48 hour holding time. The
lab reserves the right to establish required sample collection and delivery dates in order to meet the rcquirod�tolding times.
6'
CAUTION
These sample bottles may contain acid or other corrosive and potentially harmful chemicals. Laboratories are required to add these
chemicals for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling
the bottles. If any chemical should get on your skin or clothes, flush liberally with water and seek medical attention.

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2oiy
General Permit No. NCG190000
Certificate of Coverage No. NCG 19 PZ]O]❑
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: 'PCG:v(-IM'Z LV4/ 9,W
County: li11CII-V191/
Phone Number: ) 'Ir2 - 9K77 Total no. of SDOs monitored
Outfall No. 61
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [2-
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 ❑
� •
_ _
• •
• • •
4�
-�-•M.�� • ,Gf}
.Yi'.\3+'`t�
�
,�.k�• L 1t
4 �� �/
� Y R_Mv
'1^rlx La Y
P y{.,it �
} j-r;Lt4�1
i yew
i� C' ~�5
iFY.7{��J'W+'(
r:f x�i
\ ��K �
trY 3 1
��..i��
r1. \i4 '4 it
SF�,�Y�
K'�. tl ta{llr�
�3�. I �
y M {
n� �iP.f:-n-�
^\ l
s�, +& -1 f
j�.i,. Jf!y 1.'fl
aN'N �}} 1N'y t. �
Pl 1'y�T{�. �1.:
�. 'ui^
71�\ \.,
y f+�"A �` .�,
SW U-25ONCG19-092309

V A•
or
' hcertify, 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."
Sig
Dat
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
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL, OFFICE
MOORESMILLE,REGIONAL,OFFICE
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•REGIONAL4OFFICE
WASHINGTON:REGIONAL OFFICE
WILMINGTON,REGIONAGOFFICE
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�REGIONA
CENTRAL OFFICE
OFFICE
1617 Mail Service Center
'Topreserve..profect
585 Waughtown Street
Raleigh, NC 27699-1617
and
NC 27107
[phone]
inas"
NorthCanhKeater..Winston-Salem,
[phone]
SW U-250NCG19-092309

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG190000
CERTIFICATE OF COVERAGE NO. NCG19 0UZ3
FACILITY NAME kC[ U? 47yoe 4flelV E L'rVG
PERSON COLLECTING SAMPLE(S) felK A1/6o{6,
CERTIFIED LABORATORY(S) FAIVY,Po vmCnNT / Lab # f2-
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 21JI
(this monitoring report shall be received by the Division no later than 30 days
from the date the facility receives the sampling results from the laboratory.)
COUNTY OAAMJ �
PHONE NO. ( 21-?-) i/j - TY37
(SIGNATURE OF PERMIR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
OuNall
Nov
-
'Date x. ^ �.
Sample
:Collected '-
-
i:50050 ".I'OQ$56T'.,:'
00530 ,�
00400 :"
�-
TdtaPFlow '
';Od and
ease `
-
T661
Suspended
+.Solidi
pH
New;Motor
OdiUsage
i6o/ d/ re.i`
MG
nio,
45rU
67Z
'Oil and Grease and New Motor Oil Usage monitoring is required only at facilities which perform maintenance activities including mechanical repairs, painting and fueling.
STORM EVENT CHARACTERISTICS:
(if more than one storm event was sampled) Mail Original and one copy to:
Date ��7��y Date Division of Water Quality
Total Event Precipitation (inches): a %,�j Total Event Precipitation (inches): Attn: Central Files
Event Duration (hours): - Event Duration (hours): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations."
(Signature of Permittee) (Date)
Form SWU-253-07 I400
Page 1 of I

Figure 5-3
REGULATOR MARINE
STORMWATER QUALITATIVE MONITORING FORM
Inspector's Name: E�>K /Ji�o2G
Date and Time:
_ fi'
�
_
. �Q
��
� �
o��
�.
tao'
!�
;"fir
`°g'
or-
-.�CSk
a
c�x�"�
x.v�S
£^:.�.-�
Outfa11001
Na
No
NO
Al
VD
N'r
AID
�y�
N.o
Outfa11002
/6700
)vb
Al?
r
r�
fJD
NP
u�
Outfa11003
,&0
N 0
`dP73/-
'UC
NG
NL
AL it
Nv
'y r'
'v�
'',2�
COMMENTS: 5c67 1W-?T Q/l6z
Page I of 1

Storm water flow calculation
Regulator Marine, Inc.
Edenton, NC
Sample Date: 4/15/2014
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ftZ)
Calculated
Flow (gal)
001
0.75
1.77
77,101
36,047
002
0.82
35,719
16,700
003
1.46
63,598
29,734
Sample Date:
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0
Sample Date:
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0
Sample Date:
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0
Sample
Outfall
Total
Precipitation
(in)
Impervious
Area (acre)
Impervious
Area (ft)
Calculated
Flow (gal)
001
1.77
77,101
0
002
0.82
35,719
0
003
1.46
63,598
0

Figure 5-4
Stormwater Control Inspection Form
Regulator Marine, Inc.
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