NCG030301_MONITORING INFO_20191216

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV Cc O J 3 o I
DOC TYPE.
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Permit No.: N/C/L-
Facility Name:
County: �Fy7
Inspector:
Date of Inspection:
Time of Inspection
9vx��
s
NCDENR
Stormtivater Discharge OutfaJl (SDO)
Qualitative Moliitorhig Report
Forguidance on filling out this form, please visit,
I��/d�Iortal.ncdenr.or /v✓eb we ws su npdesswFltab-4
RECEIVED
DEC 11 6 2019
ceh'TFZAI Fl
0VVR g�cr)pns
or Certificate of Coverage No.: N/C/G/Q/A/ d/ O/ 4_�
Total Event Precipitation (inches): 03
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
es ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureablestorm event" (requirements vary, depending on the permit).
i 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.
i 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 LIP to 10 consecutive hours of no precipitation.
I
i
— tT measurable storm event" is a storm event that results in an actual discharge from the permitted
I site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour
Iii 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.
Bykhis s�ignnature,I certify that this report is accurate and complete to the best of my knowledge:
l��►1 I1"oo
(Signature of Permittee or Designee)
PAGE 1OF2
II
SWU-24I2, LAST MODIFIED 10/25/2012
�l

r _ �
— Facilities that incorporate a solvent management: lan into the Stormwater Pontjtion Prevention Plan may so certify, and the requirement for TTO m,..,itoring may
be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For
those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan
included in the Stormwater Pollution Preventio/nn Plan."
Name (Print a e)
Ti e (PrintTitle)
NIN
r/
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, NO, or other similar non -numerical format.
When results are below the applicable limits, they must be reported in the format, "<XX mgLL", where XX is the numerical value of the detection limit, reporting
limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. see General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?2
Date Sample
24-hour rainfall
Outfall No.
Collected'
amount,
Non -polar O&G/TPH by
Total Suspended Solids
pH
(mo/dd/yr)
Inches'
EPA 1664 (SGT-HEM)
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
.03
2 0
S
l—tS l
ct/c7. g
-ISL
03
�o
-'•9
Footnotes from Part A also apply to this Part B
See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
PERMIT DATE: 11/1/2012-10/31/2017 SWU-245, LAST REVISED 10/25/2012
PAGE 2 OF 3

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 AND PART MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY H4ADD�4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NOIF YES, HAVE YOU ❑
REGIONAL OFFICE ON ACT NAME: E f }tE IT1' IUOP E FFICE? YES ❑ NO [��
Mail an original and one copv 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 Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
PERMIT DATE: 11/1/2012-10/31/2017
(2 111( f
(Date)
SWU-245, LAST REVISED 10/25/2012
PAGE 3 OF 3

VMICROBACe RECEIVED
Microbac Laboratories, Inc. - Fayetteville DEC 16 2019
CERTIFICATE OF ANALYSIS CENTRAL FILES
K9K0231 DWR SECTION
Analytical Testing Parameters
11
iClient Sample ID: Outfall 3, Grab
ISamplo Matrix: Slormwater Collected By: Client
ILab Sample ID: K9K0231-01 Collection Date: 11/15/2019 8:50
Not Chemistry
Result
HL
units
urmnon
Note
rreparea
Anaryzea
Anayst
EPA 1664 Rev. B
Oil & Grease (SGT-HEM)
<5.00
5.00
mg/L
1
11/18/19 1200
TBM
SM 2540 D-2011
Total Suspended Solids
22.0
6.25
mg/L
1
11/19/19 1225
CLB
SM 4500 H+B-2011
pH at 25 °C
6.1
1.0
S.U.
1
H
11/18/19 1355
CLB
Metals
Result
RL
Units
Dilution
Note
Prepared
Analyzed
Analyst
Metals Aqueous/EPA 200.7 Rev
4.4 1994
Lead
<0.010 .,
0.010
mg/L
1
11/19/191624
TBM
Zinc
0.100
0.005
mg/L
1
11/19119 1624
11/19/19 1624
TBM
Analyses Subcontracted to: Microbac Laboratories Inc., -
Marietta, OH
Total Metals - ICP
Result
RL
Units
Dilution
Note
Prepared
Analyzed
Analyst
EPA 200.7, Rv. 4.4
Co PP er
<0.00800 -
0.00800
mg/L
1
J, Y
11/20/19 0555
11/20/19 1205
LSJ
Microbac Laboratories. Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I w .microbac.com Page 3 of 10

I
VMICROBAU
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9K0231
� Client Sample ID: OutdallgrGrab
Sample Matrix: Stormwater Collected By: Client
Lab Sample ID: KgK0231-02 Collection Date: 11/15/2019 9:00
Wet Chemistry
Kesmt
KL
units
uuunon
Note
rrepareu
gnaryzuu
rv,eryai
EPA 1664 Rev. B
Oil & Grease (SGT-HEM)
I
<5.00
5.00
mg/L
1
11118119 1200
TBM
SM 2540 D-2011
Total Suspended Solids
.40.8
6.25
mg/L
1
11/19/19 1225
CLB
SM 4500 H+13-2011
pH at 25 "C
6.2
1.0
S.U.
1
H
11/18/19 1355
CLB
Metals
Result
RL
Units
Dilution
Note
Prepared
Analyzed
Analyst
Metals AqueouslEPA 200.7 Rev
4.4 1994
Lead
<0.010
0.010
mg/L
1
11/19/19 1628
TBM
Zinc
0.026
0.005
mg/L
1
11/19/19 1628
11/19/19 1628
TBM
Analyses Subcontracted to: Microbac Laboratories Inc., - Marietta,
OH
Total Metals -ICP
Result
RL
Units
Dilution
Note
Prepared
Analyzed
Analyst
EPA 200.7, Rv. 4.4
copper
'I
I
�I
<0.00800 1
0.00800
mg/L
1
y
11/20/19 0555
11/20/19 1208
LSJ
Microbac Laboratories. Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I w .microbac.com Page 4 of 10

VMICROBAU
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9K0231
Client Sample ID: Outdall 7. Grab
Sample Matrix: Stormwater Collected By: Client
Lab Sample ID: K91<0231-03 Collection Date: 11/15/2019 9:10
Not Chemistry
EPA 1664 Rev. B
Oil & Grease (SGT-HEM)
SM 2540 D-2011
tj
Total Suspended Solids
SM 4500 H+B-2011
pH at 25 °C
Metals
i
Metals Aqueous/EPA 200.7 Rev 4.4 1994
Lead
Zinc
Total Metals - ICP
EPA 200.7, Rv. 4.4
Copper
Result
RL
Units
Dilution Note
Prepared
Analyzed
Analyst
'<5.00
5.00
mg/L
1
11/18/19 1200
TBM
4.60
4.17
mg/L
1
11/20/19 1213
CLB
5.9
1.0
S.U.
1
H
11/18119 1355
CLB
Result
RL
Units
Dilution
Note
Prepared
Analyzed
Analyst
<0.010
0.010
mg/L
1
11119/19 1632
11/25/19 1632
TBM
0.109
0.005
mg/L
1
11/19/19 1632
11/19/19 1632
TBM
malyses Subcontracted
to: Microbac Laboratories Inc., - Marietta,
OH
Result
RL
Units
Dilution
Note
Prepared
Analyzed
Analyst
<0.00800
0.00800
mg/L
1
y
11/20/19 0555
11/20/19 1212
LSJ
Microbac Laboratories. Inc.
2692 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I w .microbac.com Page 5 of 10

I
*K9K0231*
OmicROBAV 2 HoperyN R6110 SHORTHOLDSACCEPTED MONDAY-THURSDAY Un
P
aysttoA11% NC U30G � u
lab ReportAddrus Involce Address T08E COMPU70BYF1ICROSAC
` Tu ntl Time
'T C4ont Name: P 7" ouFbu(s to T busmen days) Temp Upon Receipt rC1ThermM
Aadnse: - ( ^f
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CRy, Sta4 Lp' ir0 Clly. stet, a,: ":7ti� QieaC¢d py9amP Received on Icey No WA
Contact: -I COMBO.ReportType LbtoCj Seab llasti No WA
[Q� Telephone NO.: F ..nONy I I lovsi t[1bust2I]avel] [j1 N6jj0
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Ptolect _,._Locetlon: PO, No.. LLAgenrylPmgie111 Compliance Monitori0.(il}lee•No_
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'MatNTYP�: soolsaw lsl. Slud90. C4 NAPS CMIM9 Wamr[ON�, Gmunaxa�i lGVJ}, SURaze Wahr(bWJ, Waste aluhv`M, Oiwr(spedo -
Ptnerva9v�.(t] HNG9y-(2) H2504,.(32HCI. (4) NaOH, t5j ZNcgca�te, (� McUa� (n.5odlwn Blsuly�s9) SoilluTtucsWtale, �Hmans.(l�_Un,PesarveE.'. ...__ ...
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1,
NON-STORMWATER DISCHARGE ASSESSMENT CERTIFICATION
Potential pollutant Sources Name of Person
faB
Date of Test or OutDirectly Method Used to Test Describe Results from Test for the Iden � Conducting the
Observed During the or Evaluate Presence of Non-Stormwater Evaluation
Evaluation Dischar e
Test
Visual Not associated with industrial activity
Outfell 001 -
Building B: Roof Drains & Trailer loading and
-
Outfall 002
sua
Visual
Storage. Not associated with industrial activity
-
Building B: Roof Drains, Trailer Loading and
outtull 003
Visual
Storage, Trash Compactor, Wooden Pallets; & Scrap
Open To2 Metal Dum sters
Building B: Roof Drains & Trailer Storage. Not
Outfall 004
Visual
associated with industrial activi
"�
Building C: Roof Drains, Metal Racks, Vehicle
& Trailer Stora e
Outall 005
visual
Vi
0j
Parkin
Not associated with industrial activity
Outfall 006
Visual
Buildings C, D & E: Roof Drains, Scrap Metal
Outfall 007
Visual
/i�V zJ
Drmipsters and Compactors, Vehicle Parking,
Cooling Tower,& Miscellaneous Metal Storage
a�
i/
p
�0� (responsible company official), certify that underpenalty 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 subm tted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
d is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there
gathering the information, the h fonnation submitte
__ u.,..., ;,.F,...,,ar;r,,. inrludine the Possibility of fine and imprisonment for knowing violations.
ire significant penalties for Suture —r
ate
3i afore

1. Ontfall Description:
Outfall No. 3 Structur
Receiving Stream: LAN Al
De be the ind stomial activi
ditch, etc.)
occur within
area:
Ac9ure
2. Color. Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: __- G154f,
3. Odoir-. Describe any distinct odors that the discharge may have (U, smells. strongly of oil, weak
chlorine odor, etc.): O tit
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
Q 2 3 4 S.
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is noo'solids and 5 is the surface covered with floating solids:
IN 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:
© 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes �N ..
D. Is there an oil sheen in the stormwater discharge? ` Yes
9. Is there evidence of erosion or deposition at the oufall? Yes
10. Other Obvious Indicators of Stormwater polldtionu
List and describe
d
Note: l oav clarlty,'high solids, and/or the presence of foam, oil sheen, or et®sion/deposition
P
maybe indicative of pollutant exposure. These conditions warrant further investigation.
(`(` .PAGE 2Of2
SWU-242, LAST MODIFIED 10/25/2012 .

3, Out_lallDescription:
Outfall No. S Structure (p
Receiving Stream:
Describe the in��duu�sttr�riaa�l�activities
�1]L' kr
ditch, etc.
0
the outfall drkinaee area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: __ C) C30,4
3. Odor: Describe any
chlorine odor, etc.):
odors that the discharge. may have (Le., smells.strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 S.
n
5, Floating Solid: 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:
. 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:
2 3' 4 5
7. Is there any foam in the stormwater discharge? Yes �o
B. Is there an oil sheen in the stormwater discharge? ' Yes ®o
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of StorraWater Polhitioii:
p
List and describe
I
Note: Low cleri y,'high solids, and/or the presence of foam, oil sheen, or erosion/de0osition
maybe indicative of pollutant exposure. 'These conditions warrant further Investigation.
.PAGE 2OF2
1'
SWU-242, LAST MODIFIED 10/25/2012
i

1
it
1. Ont_I'all Description:
Clutfall No. -7 Structure (pipe,.
Receiving Stream: I TF�RsI
Describe the industrial activities tl`
3
occur within the outiall drainage area:
f
2. Color: Describe the color. of the discharge usjj'ng basic colors (red, brown, blue, etc.) and tint
(Light, medium, dark) as descriptors: b!by wN . rL'r .
3. Odor: Describe anvdis.tijiqt odors tha the discharge may have (i.e., smellsstrongly of oil, weak
chlorine odor, etc.): 4 0 rn
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
A-\'
S. Floateng Solid.§: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where1 is no solids and 5 is the surface covered with floating solids:
(1 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:
1 2 .4 5
7, Is there any foam in the stormwater discharge? Yes °4
B. Is there an oil sheep in the stormwater discharge? Yes No
9. Is there evidence of erosloh or deposition at the outfall? Yes No
10. Other Obvious Iridi.cators ®f Stormwates Pollution:
List and describe
Note: Low clarity; high solids, and/or' the presence of foam, oil sheen, or eyosion/deposition
may 'bi indicative of pollutant exp®sure. These conditions tvarraut ffurther Investigation.
PACE20F2
It
SWL6242, LAST MODIFIED 10/25/2012
I'

AP Exhaust Technologies
SITE EVALUATION CHECKLIST - Performed Semi -Annually
Page I of 2
Are there damaged or leaking drums?
Are any leaks seen near the transformers?
/V
Are there scrap materials (i.e. metal, wood, wood pallets, etc.) stored outside that are oily.
and contain chemical residues?
)v
Are there open top trash/metal dumpsters at the facility stored outside with items with oily
residues or other chemicals that could contaminate storm water?
Is out of service equipment stored outside and ex:posed to rainwater?
Are there windblown dry materials or scrap paper on the exterior grounds of the facility?
Improperly maintained or overloaded roll -offs or dumpsters?
Pr Pry•l
�14
and rev6nt VlEfitehdfi�e: - )i� st
Z (YIN
7
Are outside areas kept in a neat and orderly condition?
Are storn-ovatex conveyance systems (such as the catch basins in the parking areas, and the
ends of the concrete pipes) dear of debris that would block the how of storm water?
Are storrowater catch basins and drop inlets dear of weeds and debris or evidence of non-
stormwater discharges such as paint.marks, oily stains, etc.)?
Are stormwater outfalls dear of weeds and debris or evidence of non-stormwater
discharges such as paint marks, oily stains, etc.)?
Is there evidence of drips or leaks from equipment or machine ry onsite?
Is the facility orderly and neat? Is there adequate space in work areas?
Y
Is trash removed reguiarly?
Are walkways and passageways easily accessible, safe, and free of protruding objects,
Y
materials ore jd ment?
Is there evidence of scrap materials on the ground from manufacturing processes? I T
Are deamin procedures used for spilled materials? I Y I
Is
included in the
Are good housekeeping procedures and reminders posted in appropriate locations around
the workplace? � Y

AP Exhaust Technologies
SITE EVALUATION CHECKLIST - Performed Semi -Annually
Page 2 of 2
i
Are there regular housekeeping inspections?
Are there signs of poor housekeeping (cluttered walkways, upswept floors, uncovered
materials, etc.)?
a
Are there spots, pools, puddles, or other traces of oil, grease, or other chemicals on the
ground?
Is there discoloration, residue, or corrosion on the roof or around vents that ventilate or
drain work areas?
Do
Are there areas where
Do von notice signs such as
or lines?
saw dust, etc.) are
fumes that indicate material losses?
Do you smell strange odors, or experience eye, nose, or throat irritation when you first enter
the work area? These are indications of equipment leaks._ _
M
show signs of corrosion or
Are there open containers, stacked drums, shelving too small to properly handle inventory,
or other indications of poor storage procedures?
Are containers properly labeled?
Comments:
Name of Inspector:
Signature of Inspector:
Date of Inspection:
tdiS—/
/V
PAA
,,451dv
I

RECEIVE®
f Stormwater Discharge Outfall (SDO) DEC 16 2019
Qualitative Monitoring Report (ENI* = L , „_E;
Forguidance on filling out thisform, please visit.
htto://Pol'tal.nc(lenl-orp/web/wq/ws/su/npdessvv#tab-zl
Permit No.: N/C/G,
Facility Name: AP
County: 11Jn 1 4
Inspector: Wig}
Date of Inspection:,
Time of Inspection:
S0/Sy. or Certifipate of Coverage No.: /Q/L/
one
Total Event Precipitation (inches): D — k0 nl&t—VAE 4/& !`f}iM
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
❑ Yes [ Io
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 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 DW(
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
PAGE 1OF2
SWU-242, LAST MODIFIED 10/2S/2012

- e-= -
Facilities that incorporate a solvent management plao��uti
Fan into the Stormwater Pon Prevention Plan may so certify, and the
requirement for TTO m ring may
Fa waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For
be those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
Name (Print name)
r
Title (Print title)
� o /LlrF
(Signature) (Date)
Note: Results must be reported in numerical format. 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 U is the numerical value of the detection limit, reporting
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.
Part i3: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per FZk docharae this.aeriod?z
OutiallNo.
Benchmarks =__>
Date Sample
Collected'
(mo/dd/yr)
-
24-hour rainfall
amount,
Inches'
-
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
1S mg/L
Total Suspended Solids
100 mg/L or 50 mg/L'r
pH
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 2 OF 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier P, or Tier 3 responses. See General Permit text.
FOR PART AND PART MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCH MART( EXCEEDENCES R THE SAME PARAMETER AT ANY ONE OUTFACE? YES ![}tQ0 ❑
e IF YES, HAVE YOU CONTACTEHE �WQIIONALLO, FFICE? YES O ❑
(
REGIONAL OFFICE CONTACT NAME:
case of "No Discharge" reports/ to:
Division of Water Quality
Attn: DWQ 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 ui direction or supervision in accwho manage 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, those persons directly
re that there are
responsible for gathering the information, the information submitted is, to the best of my Icnowledge and belief, true, accurate, and complete. I am awa
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee}
Q 11,e
(Date)
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 3 OF 3

Jl *711N
u V`a�'DE `l Eli".
® Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report SEC 16 �/62019
V
Forguidance on filling out this form, please visit: W,� eCTION
Litt n://porial.ncdenr ore/web/wd/ws/su/nndessw#tab-4
Permit No.: N_/C/G/D/ /0/O/�/� or Certificate of Coverage No.: N/C/G/O/_;,Z/Q/5/Q/j
Facility Name: T-e,
County: LtJ Phone N . ql4-$
Inspecto ANtic. rn0t-3
Date of Inspection: J
Time of Inspection:
Total Event Precipitation (inches): l� — NO / &t5a. f- 4bl& /`f+rli/
Was this a `Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
❑ Yes RIND
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
d
"measureable storm event" (requirements vary, depending on the permit).
61 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 evenC 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 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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
O
PACE 14F2
SWU-242, LAST MODIFIED 10/25/2012

Facilities that incorporate a solvent management plan into the Stormwater Puhution Prevention Plan may so certify, and the requirement forTTO m Itormg may
unds used and the other elements listed in the General Permit. For
be waived. The solvent management plan shall include a list of the total tonic organic compo
those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan
included in the stormwater Pollution Prevention Plan."
I)F}N t c\ M • l�A 4�V1 vrWr-�
Name (Print name)
6I-E-�t s
Title (Print title)
I�'►"�1� 4."Lb �9
(Signature) (Date)
Note: Results must be reported in numerical format. ®o not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format.
When results are below the applicable limits, then must be reported in the format "<)(X mg/U' where )0( is the numerical value of the detection limit, reporting
limit, etc. in mg/L.
(Vote: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier B responses. See General Permit text.
(part I$: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per i°FZHVcharge this period?z
Out(all No.
Benchmarks
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
15 mg/L
Total Suspended Solids
100 mg/L or 50 mg/L*
_ pH
6.0 — 9.0 SIJ
Footnotes from Part A also apply to this Part R
* See General Permit text, Table 5, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 2 OF 3

Note: if you report a sample value in e)rcess 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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCESF.OR THE SAME PARAMETER AT ANYONE OUTFALL? YES P-MO ❑
IF YES, HAVE YOU CONTACTEI} HEtrQII �IONAAL FFICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME: ,,,
Case of "No discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations."
`AI /
L . I . I 9,26 "l P
1Signature of Permlttee)
(Date)
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 3 OF 3

PIR
Stormwater Discharge Outfall (SD0)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit.
„ htto://portal.ncdenror�web wq/vvs/su/npdesswNtab-=1
Permit No.: Nl/C/G
Facility Name:lqf
County: W12ti
Inspector: ��+
Date of Inspection:
Time of Inspection:
RECewzf)
DEC], B 2919
cc-hvj.1
Ul7i ECT16,
or Certifipate of Coverage No.: /-Q/L/
qg?- s1p -i?bv 0
Total Event Precipitation (inches): D — /v0 /Y7&*6arf. 0+bk r0+1M
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
❑ Yes R' o
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureable storm event" (requirements vary, depending on the permit).
101 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.
j 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.
i
i
1 A "measurable storm event" is a storm event that results in an actual discharge from the 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
I representative for local storm events during the sampling period, and the permittee obtains approval
from the local DWQ Regional Office.
11 By this signature, AI certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
PAGE 1 OF 2
SWU-242, LAST MODIFIED 10/25/2012

Facilitie• t incorporate a solvent management plan into the Stormwater Pui�utlon Prevention Plan may so certify, ae d the rgiremnnt forTTO m owing may
be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements
listed
ted' the General Permit o
er shall sign the following certification statement:
those facilities electing to employ the TTO monitoring waiver, the discharg
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TT0), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan
included in the stormwater Pollution Prevention Plan."
Name (Print name)
�-
Title (Print title)
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, NO, or other similar non -numerical format.
When results are below the applicable limits, they must be reported in the format. "<XX ra /L", where X)( is the numerical value of the detection limit, reporting
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.
Part R: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per
dfoscharae this period?z
Outfall No.
Benchmarks
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA1664 (SGT-HEM)
15 mg/L
Total Suspended Solids
100 mg/L or 50 mg/L*
pH
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part u
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 2 OF 3

('
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
a 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES R THE SAME PARAMETER AT ANY ONE OUTFALL? YES [!(, MD ❑
IF YES, HAVE YOU CONTACTE9HE1�W4 fj€�IONIA\LEOFFICE? YES O ❑
REGIONAL OFFICE CONTACT NAME: 1 \ j/ �p
case of "No Qischarae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1-617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under ui direction person
or persons
in whacco manage the
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."
_ h,( A ..-._ - I 8-.�9-1 s
(Signature of Permittee)
(Date)
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 3 OF 3

�-p5 q/camDE HA�A. V�ny p�}��
6 V`C,
0 StorrnwaLer Discharge 0atfall (SDO)
Qualitative Monitoring Report RECE ED
DEC 16 2019
Forguidance on filling out thisform, please visit:
httn:/ orcal.ncdenrore/web/w ws su nodess�CEhTF2ftLFlLES
#tab-4r�yVIR SFCT10r\1
Permit No.: N/C/Cs
Facility Name: (4f
County: WAVti
Inspector:
Date of Inspection:
Time of Inspection:
or Certificate of Coverage No.:
Phone
d 0
Total Event Precipitation (inches): D — /YO e-o+w
Was this a `Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
❑ Yes U No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureable storm event" (requirements vary, depending on the permit).
�1Qualitative 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.
i
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 permitted
i 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.
By this signature, l certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
PAGE 1 OF 2
SWU-242, LAST MODIFIED 10/25/2012

Facilities that incorporate a solvent management plan into the Stormwater Pouution Prevention Plan may so certify, and the requirement for TTO Boring may
be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For
those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is Implementing the all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
M.
Name (Print name)
Title (Print title)
7-3 -I 9
(signature) (Date)
Note: Results must be reported in numerical format. 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 "<)Cx m where )0( is the numerical value of the detection limit, reporting
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.
Part B: Vehicle Maintenance Area Monitoring Results: only for Facilities averaging > 55 gal of new oil per o dioscharge this period?Z
Outfall No.
Benchmarks
Date Sample
Collected,
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
1s mg/L
Total Suspended Solids
100 mg/L or 50 mg/L*
pH
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part t$
* See General Permit text, Table 5, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 2 OF 3

Note; if yots 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 AND PART B MONITORING RESULTS:
A MARK E)(CEEDANCETRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
BENCH
2 EXCEEBENCH ANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK E)(CEEDENCES R THE SAME PARAMETER AT ANY ONE OUTFALL7 VES l�ND ❑
IF YES, HAVE YOU CONTACTEQ HEt9WQIf IONAOFFICE? YES Jo ❑
REGIONAL OFFICE CONTACT NAME: 7 �� 1 J— v �••••
case of'No f )ischarae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MIDST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my Knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for Knowing violations."
(Signature of Permittee)
7.3 a-1 7
(Date)
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 3 OF 3

Permit No.: N/C/Cy
FacilityName: A�
County: WAV Inspector: —�Z&
Date of Inspection:
Time of Inspection:
6 CDE `VR
Storrrtwater Discharge Outfall (SDO) RECE Ar='r '1
Qualitative Monitoring Report DEC 16 2019
CCNTRAL FILE:
Forguidance on filling out thisform, please visit. DAIR SECTIOnI
http-.1lportal.ncdenr ore/web/wglws/su/nodessvv#tah-4
9/0/S2)/ or Certificate of Coverage No.: N
Phone Ntf.
ao
,I Total Event Precipitation (inches): U — A O ryJblt5avE �✓l& rf}Inl
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
"measureablestorm event' (requirements vary, depending on the permit).
1 I 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.
I i
j 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 permitted
I site outfall. The previous measurable storm event must have been atleast 72 hours prior. The 72-hour i
storm interval does not apply if the permittee is able to document that a shorter interval is
tatDWQ Regional Office. iv for local storm events during the sampling period, and the permittee obtains approval
from the
By this signature, 1 terrify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
16-1
PAGE 1OF2
SWU-242, LAST MODIFIED 10/25/2012

Facilities that incorporate a solvent management plan into the Stormwater Poi ution Prevention Plan may so certify, and the requirement for TT m Itonng may
be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For
those facilities electing to employ the TFO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is Implementing the all the provisions of the solvent management plan
included in the Stormwater Pollution Prevention Plan."
�F}Nlc� M.
Name (Print name) �A
6- t-k
Title (Print title
vr� 6 a 7 -i9
(Signature) (Date)
Note: Results must be reported in numerical format. 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 ms r where )0( is the numerical value of the detection limit, reporting
limit, etc. in mg/L.
(vote: 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.
nt
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per doscharae this period?2
Outfall No.
Benchmarks =__>
Date Sample
Collected'
(mo/dd/yr)
-
24-hour rainfall
amount,
Inches3
-
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
15 mg/L
Total suspended Solids
100 mg/L or 50 mg/L*
pH
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 2 OF 3

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 BENCIIMARI<EXCEEDANCETRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 BENCHMARK
IN E ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIEREXC3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES R THE SAME PARAMETER ATANY ONE OUTFALL? YES 5! —m ❑
IF YES, HAVE YOU CONTACTE� HE 9WQ IONALL OFFICE? YES �❑
REGIONAL OFFICE CONTACT NAME: l ,t � \ �r Ih..•.•.•
rase of "No discharge" reports% to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: -
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with -a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing vlolations."
(Si(;nature of Permittee)
6-..7-i9
(Da[e)
SW U-2R5, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 3 OF 3

Ap
MCDEN,R
Stormwater Discharge Outfall (SDO)
(' Qualitative Monitoring Report
PermitNo.: N/C/G
Facility Name:}
County: —W
Inspector: —Zh
Date of Inspection:
Time of Inspection:
Forguidance on filling out thisform, please visit:
httu://portal.ncc! enr ore/web Avg Avs/su/nodessw#tab-4
DEC 16 2019
CENTRAL FILE,
Cw✓R SECTNO :
or Certificate of Coverage No.: N/C/C/ O/g/Q/5/4/L/
Total Event Precipitation (inches): D e-olm
Was this a `Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See
information below.)
❑ Yes R No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or
"measureable storm event" (requirements vary, depending on the permit).
I
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.
j A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and
i ' that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than o.l.
inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
i
A "measurable storm event" is a storm event that results in an actual discharge from the permitted
i 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
I representative for local storm events during the sampling period, and the permittee obtains approval
'. from the local DWQ Regional Office.
By this signature, I terrify that this report is accurate and complete to the best of my knowledge:
la W 1 J
(Signature of Permittee or Designee)
PAGE I OF
SWU-242, LAST MODIFIED 10/25/2012

Facilities that incorporate a solvent management plan into the Stormwater Ponuton Prevention Plan may so certify, and the requirement for TTO m ntoring may
be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For
those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I
certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility Is implementing the all the provisions of the solvent management plan
included in the stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, NO, or other similar non -numerical format.
When results are below the applicable limits, then must be reported in the format "<)(X mg3 L", where )0( is the numerical value of the detection limit, reporting
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.
ont
Part R: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil perF4YTo d scharge this period?2
OutPall No.
Benchmarks
Date sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
1s mg/L
Total Suspended Solids
100 mg/L or 50 mg/L*
pH
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part R
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/l/2012-10/31/2017 PAGE 2 OF 3

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 AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
" TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES R THE SAME PARAMETER. AT. ANYONE OUTFALL? YES -MO ❑
IF YES, HAVE YOU CONTACTE�l 9WQI IONAALFOFFICE? YE5 0
REGIONAL OFFICE CONTACT NAME: 1 ,t \ u ��n�.•.•.•.•
case of'No pischarae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance -with -a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
, L I 9
(Signature of Perraittee)
(Date)
SWU-245, LAST REVISED 10/25/2012
PERMIT DATE: 11/1/2012-10/31/2017 PAGE 3 OF 3