NCG020087_MONITORING INFO_20190215

Ty., o
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
DOC TYPE
❑HISTORICAL FILE
GQ MONITORING REPORTS
DOC DATE
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING RECOVE©
REPORT (DMR) — WASTEWATER FLU 1 b Ml
SUBMIT TO CENTRAL OFFICE* CENTRAL �1E !R A L-nr�
General Permit No. NCG020000
Calendar Year Ml S
*Report ALL WASTEWATER monitoring data on this form (include "No Flow"PNo Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: H0,r1-5 �,S�re-jr e�S-- Q m��Y 5P_ s CLCry
County: _ _ e �f _
Phone Number: L9 i_g} 3 S o -- D�714 C Total no. of outfalls monitored 1
Certified Laboratory }�o,ct nQ1 ,� t o,f lab # W W (50
on Lab # 37
Wastewater (WW) Discharge Outfall No. 4o L
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No Q
Does this outfall discharge WW to SA waters?
Yes ❑
No 29
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
NoZ
Were there any limit violations in the calendar year?
Yes ❑
No
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mlli
"RAWkA'a
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
coll100 ml
SA
Eff ueiit
Limitations
Mo. Ave 1 Daily Max.
NOWorORW
50 /o Of
7Q10
lnhi Ift No FLOW
freshwater
6.0-9.0
"nN°Ser
6.8-8.5
ustnall Sand
26146
HQw or ORW
20130
Now or ORW
0.0 Tr or PNA
10115
MQW, ORW,
SA, s8, PNA,
or any Trout
0.110.2that
No Limit
Qualityrcla Standard
applies;
50/25/10
NIA
w� a�
Standard
NIA
Standard pp��
I
NIA
Date Sample
Collected,
molddl r
3 I
2.2 E=•-©5
O /A
3.C9--
NIA
N A
t`u.n
o-4 klovj
d-D 5
56
mw
ot,,.4 I
.4 jo ��
Tho h n
rQ u+
a
p�laL�
S rWT
P 11at
\
14,11 C o
N -Om
.. 3
i
;.
4 4Drim,(11
d�
b.aa
-74
A5.
N/A
93.3
NLIA
N/A
NIA
�' c
:���
wr�E b
��
u
en
QC�
► l
o
�c
zo--5 C-
'V& Co
ryk 0 4w
Sam 0
Q5 Go �e
eJ, O I
Was w6C
T C S
fL 4 W
�Ee
i—
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®n®Q
CERTIFICATION
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."
[Required by 40 CFR § 122.22]
Sign
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (Trot DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year A 0 16
"Report ALL STORMWATER monitoring data on this form (include "No Fiow"rNo Discharge' and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. N0002 ❑0 91WFT
Facility Name:
County:
Phone Number: ( 919 )^3 8 b - 2 7 q G Total no. of SDOs monitored
Certified Laboratory innCe—hrial V�"0-al lab #W�60 7 5M- 4 1,54e fefasoec ,,, Val
c,rti n Ao,c,r{ c Lab#-'Y3rl2 (,,L� Q -Jr, 5 Do- I - Ll
Stormwater Discharge Outfall (SDO) No. -- 4 VMA Outfall? Yes ❑ No Z
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No Z]
Was this outfall ever in Tier 2 during the past year? Yes ❑ NoN
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
5 n
Total
Rainfall,
inches
TSS,
mgll
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
lndketaNO
aFc k Wif
Clrcle
Benchmark
00150
0.1
clrtle
Benchmark
50/25/10
NIA
sandard appAWaterQualmea
NIA
Sundard eppn a Water Quallty
1 `�
"S galfmo.
everegeregtAree
TSS and
oaG monitortoler
Date Sample
Collected,
moldd! r
96
b.`1
4 a.G
.4o. o
1
N 1
N
'
14 )a its
3.1C
,p
-4o,1b
io.,f
N/A
NZA
N/A
455
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®© 8❑[2]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. E; VMA Outfall? Yes ❑ No N
Is this outfall currently in Tier 2 for any parameter? Yes ❑ NoIR
Was this outfall ever in Tier 2 during the past year? Yes ❑ No C9
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
SDb- 5
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg11
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
lndicera NO
aF` keb;
Circle
Benchmark
100150
0.1
BencClrclehmark
Benchmark
50125l10
NIA
s WaterQualiandard appea
NIA
Standard applWater ies
15
>65 a equi
average requires
lar
TSS and Oac mordtoring
Date Sample
Collected,
molddl r
MEEMMMMM
D6 6 1
o:`1y
o
D 15
af~ e
N
A5
t
3.
3
d•5'D
a46
N
NIA
Z-5S
5 00 - J,,e
ao cLULj
G
1A -o
7 •
O -
1{
've
C+�o
r
l e 5.
L
4i1 1 oo rSpnn
a to
cj r
r ver v
d r
t
s r_e
;
exec e-A
rice5
T S
S 5
r
a a
e-
1J
[ k.. o%
o
Q Q .
50
i
n
ec
r
i�
L
r
a 5•.. on+
C_o
(
. b
r' a
rL ®e
�5
of ®
O Iq •
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ©®®©
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 6 VMA Outfall? Yes ❑ Nobd
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
5D�
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
al/mo.
Benchmarks
Indicafallo
Fpaa
akandartl
ircieStormwater ncehm
Benchmark
QQIJQ
Q•�
circle
Benchmark
sQi2511 Q
NIA
Swat" Quality
applies
NIA
Quality Water
Standard apples
5
?56eae
average requires
TSS and G monito„near
0S
Date Sample
Collected,
molddl r
WEEMMMMIM
'
ERG
Nl
it la. i
3.1b
Nco
Dis
l�
<S
>n t
l
�,
i; e r a
� oI a�
o t 3 h
Jt c-s'n e_
ct !mac
r
`
i
V'p—
e 5
0 5`F w
ti- a
a 1, ltlrt(;Z�&J+
Lai'
--fl
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 OQ®Q
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 7 VMA Outfall? Yes% No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No &
Was this outfall ever in Tier 2 during the past year? Yes ❑ No 19
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
❑
Yes, received approval from DEMLR to reduce monitoring frequency
❑
No, turbidity benchmark exceedances did not require monthly monitoring
❑
Other
❑
Outfall No.
" r
Total
Rainfall,
inches
TSS,
mgll
SS,
MIA
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
avmo.
Stormwater
Benchmarks
IntllcareNO
aF1lOkaahle
circle
Benchmark
100150
0.1
circle
Benchmark
50/25/10
NIA
Standard appWater lies
NIA
Standard applies
1 5
>55 gallmo.
average requires
TSS and Non -polar
OSG monitoring
Date Sample
Collected,
molddl r
_LIZ15 I
40.G3
la.a
146.lo
G0.0
N/A-
N 1A,
_7_W.8
�5S
—Vu r :
d f
1' be
1 1
4, ;51 f eo4 rn a.
W vl �
5 Q�p
`] �.
e a �►
I`
Perm it Date 1Oil /2015 — 913012020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 Qp ❑O [Kr1
CERTIFICATION
"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."
[Required by 40 CFR §122.22]
Signz
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

February 21, 2018
Attn: Central Piles
North Carolina Department of Environmental Quality
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
❑0❑
❑❑❑
°'°Hanson
HEIDELBERGCEMENTGroup
Hanson Aggregates Southeast, LLC
South Region
North Carolina Territory Office
2101 Gateway Centre Blvd, Suite 100
Morrisville, NC 27560.9626
Tel [phone]
Fax [phone]
www.hanson.com
Re: Hanson Aggregates, NPDES Wastewater Discharge Monitoring Reports for the 2017 Year
and NPDES Mine Stormwater Discharge Monitoring Reports for the 2017 Year
To Whom It May Concern:
Please find the attached Annual 2017 Summary Discharge Monitoring Reports for Wastewater and
Stormwater for the following Hanson Aggregates sites:
Crabtree Quarry
NCG020052
Neverson Quarry
NCG020234
Durham Sales Yard
NCG020088
Princeton 11 Quarry
NCG020124
Elliott Sand & Gravel
NCG020178
Raleigh Quarry
NCG020209
Elm City Quarry
NCG020182
Rocky Mount II Quarry
NCG020121
Gardner Quarry
NCG020164
Rougemont Quarry
NCG020235
Holly Springs Quarry
NCG020087
Senter Sand & Gravel
NCG020156
Lexington Quarry
NCG020204
Please note that as of 05/22/2013, the Vander site, COC NCG020224, became exempt from monitoring as
long as the site remains dormant and stabilized, so a 2017 DMR has not been included. Should you have
any questions or need additional information, please call me: [phone], or you can reach me at
Jack.Garvey a,hanson.com .
Sincerely,
Ja Garvey i_ EN + t-�HL FILES
Environmental Manager sv!$ =Tf0,N
Encl.: DMRs
cc: Daren McMorris, NC Operations Manager
Toby Lee, NC & SC General Manager

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) —WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year aC 1--7
'Report ALL WASTEWATER monitoring data on this form (include "No RoWl"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 ❑] FE-J®
Facility Name: "lam San e_ t ,0 11 LkG Yj'�l
County: )a.ke-
Phone Number: �{c 19 ) 3 S_o -- a9 9 C Total no. of outfalls monitored 1
Certified Laboratory i?ac-r-n- j 4 co i __ lab # W W (50
a Son Lab # 37
Wastewater (WW) Discharge Outfall No. l
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
Now
Does this outfall discharge WW to SA waters?
Yes ❑
No 0
Does this outfaII discharge WW to SB or PNA waters?
Yes ❑
No 91
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No N
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No �C
Were there any limit violations in the calendar year?
Yes ❑
No
Outfall No.
d
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
nambrol/l
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
,Coliform,
co11100 ml
SA
Effluent
Limitations
Mo. Awe I Daily Max.
HOW orORW
50% of
7Q10
lodlt—NO FF+ OO W
heshxater
6.0-9A
saltwater
Industrial Sand
255145
HQWor0RW
20130
HOWorORW
Ma Tr or PNA 101
15
HOW, ORW,
SA, SE PHA.
orany Trout
0.110.2
No Limit
CrviiWatrate
that applies:
60/261r10
WA
Quality
Stardeppa
NIA
Water Quality
Standardapplies6.8-8.6
N/AOueStandard
Date Sample
Collected,
molddl r
oai�a
o S"ao
N/A
T4+
Ut~
bsa4�
h 5 v
l 11�41
r,-e r;
n
o
o ,to
i
�
,
t,
rr
JC.1
r �
117
4, A
—rT ce-s l
r
Permit Date 10/1/2015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®Q®❑'7
CERTIFICATION
"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."
(Required by 40 CFR §122.22)
Signature
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, INC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Perm it Date 101112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year @Lb 1 `I
"Report ALL STORMWATER monitoring data on this form (include "No Flow"Mo Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: f j a Sta f3�c c e cL 5 __
County: WcLke
Phone Number: ( 9 19 ) 3 8 2 7 Ll G Total no. of SDOs monitored
Certified Laboratory 'ace- ►'Aa 1 v cc� lab #=? SDO-'i is-l#e ce�C'eserriv e
rT4r� n 1-t rt c Lab #,532E
Stormwater Discharge Outfall (SDO) No. 4— VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
O'
Total
Rainfall,
inches
TSS,
mgll
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
IndkareNO
appkablo
Circle
Benchmark
100150
l).1
Circle
eenchmark
50126110
NIA
Stane raappllles
NIA
Water Quality
Standard applies
15
>66 gaumo.
averageregerres
TSS and Non -polar
I OWrnonftorl g
Date Sample
Collected,
molddl r
WEEMIMMIMMI
a� os
.5D
WI-S
-<o.lo
S
�5
Permit fate 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 Fd0®©
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. S VMA Outfall? Yes ❑ No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
SW_Outfall No.
Total
Rainfall,
inches
TSS,
mgll
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)
New
Motor Oil
- Usage
aumo.
StormwaterBenchmark
Benchmarks
Indicate
aFioeri
t chm
Benchmark
100150
0.1
Benchmark
Benchrrurk
50/25/10
NIA
sandardappQualitya
NIA
Standardappllaa
C
15
avcragerequlrea
Nrage requires
SS and No
0&0Monitoring
Date Sample
Collected,
mo/dd/yr
M
E
M
os►
i.5o
tD
G
r e—
Ili
r p tip
m j
L 5 ^tee
1
.3e,2taQ
a
rn
r 5
G[
t
au
r
v
,.
Vim-
``11RR
L -
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑O Q® II
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. G VMA Outfall? Yes ❑ No tA
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No JK
Was this outfall ever in Tier 2 during the past year? Yes ❑ No R)
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
NIM.
(U) Turbidity,
Upstreaminches
—
■•New
(D) Turbidit
Non -polar
(VMA)
Motor Oil
..
Stormwater
Benchmarks
MEW
KEEM
N/A
Water Quality
Standard applies
NIA
Water Ouathy
Standardapplies
Date Sample
Collected,
molddlyr
II M1.M-
M
�IWIHZMW
WN R
��-
s��iii�
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑fl EE
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 2— VMA Outfall? YesjZ No ❑
Is this outfall currently in Tier 2 for any parameter Yes ❑ No o
Was this outfall ever in Tier 2 during the past year? Yes ❑ No o
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
li
Total
mul I Y,
UpstreamDownstream
1 -1 V-
M"M:
Turbi
Motor Oil
•
EM
i •Water
Quality
—Standard applies
Water Quality
Standard applies
TSS and Non -polar
O&G monitoring
rr _ •
i
Y
'J . Mn
WIN
7 •
®I
MR
�W1.
EM.1M.
,
F, Sp =1�'
M IV,
1� W.
. �.
, • ,i"i.���
�010
��.
r. s
�Mpj
k f�-
NM
WIN
MIT41
"a
WARRE
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ©g®0
CERTIFICATION
"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."
[Required by 40 CFR §122.221
Signz
Date
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct- Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMt_R Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

RECEIVED
ANNUAL SUMMARY DISCHARGE MONITORINIP�-A . 7 qn, r
REPORT DMR -- WASTEWATER -- ` `01i
SUBMIT TO CENTRAL OFFICE* DUV
General Permit No. NCG020000
Calendar Year .;,C) 1 6
'Report ALL WASTEWATER monfiraring data on this form (include "No Flow"Phlo Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 L4jUUQ
Facility Name. H a nSo h P a f`e©4TeS — 1461 -'�>!'t n� Ouacr
County:
Phone Number: - 1 Total no. of outfalls monitored
Certified Laboratory age n +r _Q lab # WW 00
J- cjnson Lab# 537P
Wastewater (WW) Discharge Outfall No. -C—
Is this an industrial sand mine (See 40 CFR §436 Subpart D)7
Yes ❑
No`n
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to SE or PNA waters?
Yes ❑
No &
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No
If so, what Is the 7010 flow rate? or Tidally Influenced waters,
7010 not available ❑
.Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No o
Were there any limit violations In the calendar year?
Yes ❑
No
Outfall No.
r�Pfl�S uol
---
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
mul
''fivpbc ''
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
cot/100 ml
SA
Effluent
Limitations
Mo. AV,, D.W M,,
HQworortw
60% of
7Qi0
IndkAftNOPLOW
ftShVAler
6.0-9.0
ulwmr
6.8.8.5
a ream
26/46
HOworomv
20130
"MorORw
ng Tr or PHA
10116
HQW,oRW,
SxSo. PHA,
or'nyTnxd
0.1/0.2
No Limit
,p, b
mrt.ppun:
60/Z6I10
N/A
�; �
NIA
r n
N/A
Date Sample
Collected,
mold r
"'
;"•
`: Y
.,.
©14
r� FA b A-V
( G�
rl . 5D
$ • <i
a_ n,(,
r.. 0
3.5
N
a .7
0.11
9.6()
.3
N/A
0.3
Baca,jsa V
A drm`.,S
�S
w
ouc
W-N?
i2w
-D
rr n
0
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®0®u]
CERTIFICATION
" 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 penaltiesfor
submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Required by 40 CFR §122,221
Sigm
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct— Central Files is housed in DWR (not D,EMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR - STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year a O !
"Report ALL STORMWATER monitoring data on this form (Include'No Flow'/'No Discharge' and Benchmark f
Exceedancesl from the previous calendar year to the DEp by MARCH 1 of each veer. J
Certificate of Coverage No. NCG02 0®®Q
FadlttyName: cln�?Qoj &aGr-!acA es-HoIllSpcitn5� C tUacry
County: 1��F_ ��_
Phone Number: (9LL )ego - r~'I `i _ Total no. of SDOs monitored 7
Certified laboratory a ee e I +; c«i lab # W 10 467 5 '� 3� be rear e� 4�• ; ��
-i:�nsn.+ A4,: e}.s `dab # 5 3"7 2 l o�`tir S➢D i �br+� SdDD-
Stormwater Discharge Outfall (SDO) No. 1+ VMA Outfall? Yes ❑ No
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No Pg
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
SDI-
Total
Rainfall,
inches
TSS,
mg/l
SSA
mUl
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
WU
Non -polar
OSG, mgll
(VMA)
New
Motor Oil
Usage
avmo.
S'farmwater
Berrciurr8rk$
k.*.r.,,ro
FLOW,
Brmh wk
1t)GIbO
0.7
B.,rormuk
b012W10
_NIA
Man6ra.awn..
_NIA
OWWWi.ws"
16owft
.,e,.Q* Mq,�.
oao W,
Date Sample
collected,
mold r
'
J, 5
,,
oS D
©y
55-
Permit Date 10/1/2016 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. N0002 ❑O 0❑®®
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 5 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfell ever in Tier 2 during the past year? Yes jg No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ). s A 15c arw, i n a01 S x
Outfall No.
S`
Total
Rainfall,
inches
TSS,
mgll
SS,
mW1
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Nan -polar
O&G, mg1I
(VMA)
New
Motor Oil
Usage
aymo.
Stormwater
Benchmarks
k dk wxo
F`ON'"
Benchmark
100160
0.1
aenelRrlierrk
50/26/10
NIA
su" a; p
NIA
sm°&ra°i�
'15
amp„ 1 na
"'d",m Z
Date Sample
Collected,
molddl r
r
a
65Lo3jiG
O
Z4.1
ze.lo
36-J
CoO1
(5 32�
D.CC
<&.ILI
I 3LJ
55
—rk
`
4' 1, s
i n
G r i '1
0� O l `i r
u r V rJ
7-0 r
-a V
�r�ti
`
h .l Jt
^,
.v7 SA �n
S
Co l
re w gi
r--s
en a
e_
�c wh
rx b5 t
V
1
li
l
r
7` L
1 `
C+� 3 4
/l .�
[.
1
LL:
�
itt
iA— �
�- o<<i
on. r�..�
uc{r �rL
`
i
I
u e
w'.
aA1
Se
-Grl
r
Permit Date 101112015 — 913012020
Last Revised 10-2-2015
2)

Certificate of Coverage No. NCG02 ®U®Q
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. G VMA Outfall? Yes ❑ No'g
Is this outfall currently in Tier 2 for any parameter? Yes ❑ Notg
Was this outfall ever in Tier 2 during the past year? Yes ❑ No [.
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedonces did not require monthly monitoring ❑
Other ❑
66tfall No.
Os
Upstream•.New
•:Usage
Motor Oil
rr .r
r r
Water Quafty
Standardappiles
Date Sample
molddlyr_MENE
IMM"M
izw�'�L
•ism I
�NM
I.�'�f�
�—
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 0❑�®[7]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfa€I (SDO) No. • . :1 VMA Outfall? Yes ]K No ❑
Is this outfall currently In Tier 2 for any parameter? Yes ❑ No Z
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Upstream
r..Motor
New
Oil
Usage
Storinwater
Benchmaift
Date Sample
. "c
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 OQ®Q
CERTIFICATION
"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."
jRequbed by 40 CFR §122.221
Signature
Date oP,la4l2.0i'7
Mail Annual Summary Stormwater DNIR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10t112015 — 913012020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 20 L5-
'Report ALL STORMWATER monitoring data on this form (include 'No FloWrNo Discharge` and Benchmark j
4 Exceedances) from the previous calendar near to the DEQ by MARCH f of each year. i
Certificate of Coverage No. NCG02 M00
Facility Name: hc,n50 r1 /NG G rzariTes _ 4-1ly 55 �S Ouat {'V
County:
Phone Number: (9 ! 9 l _3 agn — y Total no. of SDOs monitored
Certified Laboratory Pa eE r1 na i �, �« lab # W W Q67 siA(s-'� ►, eke tt n .VQ
}-knson A4r. pea�6s Lab # 5 3`7 2
Stormwater Discharge Outfall (SDO) No. S W---f VMA Outfall? Yes ❑ No 0
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No IN
Was this outfall ever in Tier 2 during the past year? Yes'®, No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, recefved approval from DEMLR to reduce monitoring frequency ❑
No, tumidity benchmark exceedanoes did not require monthly monitoring
Other
9
Outfall No.
-- ��---�--
Total
Rainfall,
Inches
TSS,
m !i
g
SS,
mill
Turbidity,Non-polar
NTU
Upstream
(U} Turbidity,
NTU
Downstream
(D} Turbidity,
NTU
O�G, m I
gI
(VMA)
New
Motor Oil
Usage
ailmo.
Stormwater
Benchmarks
�.r.+ro
rYowa
eMcr�.n.
100/60
0.1
a.�n
50/26/10
WA
NIA
aw „ n
16
>55
.,e„aereq*ft
oaa °n°°r'r
Date Sample
Collected,
molddtyr
of/31 I
A
u Gr
7e.
id
. )9
a9-
< e
N /A-
1 1.3
u
Ca
►bvl s
� i
Li <
< 4
�` s
ee
d
i0+
u
M0
( �1
JC)
- 1i
j
Perm it Date 10/1/2015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ZE2115
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. SOO ~ 5_ VMA Outfall? Yes ❑ No'®
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this ouffall ever in Tier 2 during the past year? Yes X No ❑
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedanees did not require monthly monitoring 0
Other No A'1 5C-k4r! e j n AQ 15. Sez 004105 6e6W `Vf
Outfall.,
W.:Usage
..
..
Upstream
...Motor.
.. Umo.]
Storm ter
Benchmar*s
jM9
1 =,.
Elenchmrk
-N/A
.1 TO, I-W
Date Sample
mo/dd/yr-'WEN
WW33L7JtilW-RR-
M
♦I
�a
!9-m9m
IFA
JW���
s s„
■1■
s - `M����•
1}-1
iuJl]w�ff
N TWI
MM9,ff9,Liil!'�7
-
ti
N
/a
u�-
Permit Date 1011/2015 - 9/30/2020
Lost Revised 10-2-2015

Certificate of Coverage No. NCG02 EaQEQ
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. SM _C VMAOutfall? Yes ❑ NoN
Is this outfall currently in Tier 2 for any parameter? Yes ❑ NoW
Was this outfall ever In Tier 2 during the past year? Yes' No ❑
If this outfall was in Ter 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exttEloeedances did not require monthly monitoring
Other TXSr`�C-F� 0.r V.ef40j ��, 1, r-,..�5 .
M
Total•
Rainfall,•
•
• •
Downstream'Upstream
■ • •
r . •
•
• • 011*
Usage
�.
•
__Mo/dcVyr
MEN
FEW t-
Permit Date 101112015 — 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 99EI
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. �^7 VMA Outfall? Yes X' No ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑ Nolz
Was this outfall ever In Tier 2 during the past year? Yes ❑ No jK
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
! •
•!
• .
RaInfall
Inches
5il�
m
Upstream
TurbldIV,
Downstream
•:Usage
New
Motor !1:
•"
.MMo�m
1 1Standard
appUm
r
Collected,
__•dfyr
MEN
i��i�IMMAM
ME A W IF
• • 1'
JI • 'f,�
Permit Date 101112015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 016®©
CERTIFICATION
"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."
[Required by 40 CFR §122.221
Signature �
Date e),j ZAS/L 1
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (gol DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mall Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 101112015 — 913012020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year a015-
'Report ALL WASTEWATER monitoring data on this form (include "No Fiove)"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02 3®®Q
Facility Name: Hp nSo h re Ae - 4 c� } C +rIC6 n tv -ac C'
County: W a
1
Phone Number. (`1 ! 9 ) 3 �5t 2-1 `{ G Total no. of outfalls monitored �
Certified Laboratory rzo-e n �,1 +' l lab # W W„ %7
Hckv)sori Lab# 5312
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No
Does this outfail discharge WW to SA waters?
Yes ❑
No B
Does this outfail discharge WW to SB or PNA waters?
Yes ❑
No
Does this outfaIf discharge WW to HQW or ORW waters?
Yes ❑
No ER
If so, what Is the 7010 flow rate? or Tidally Influenced waters,
7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No 14
Were there any limit violations in the calendar year?
Yes ❑
No
Outfall No.
pa I
Daily Flow
Rate, cis
pH,
SU
TSS,
mgli
SS,
mill
Discharge
Turbidity, Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
Mo. A„e r O.Ry Me.
HOWorORW
50% of
7Q10
InK ad OW
freshwdsr
6.0-9.0
01" r
6.8-8.5
RNMI s:oa
26/46
HOW erORW
20130
HONrorORW
� Tr or PNA 10115
NOW, ORK
SA, sa. PHA,
warr"Fr*0
0.110.2
No Limit
mm
pq�epppe.;
60/26(10
NIA
��rd�s
NIA
sWa� vim•
NIA
Date Sample
Collected,
molddl r
!
o iS
a
�.►�
a3,a
��_i�
a �
—
---
_
i)4 X1 Zi
0.95
pS-0
q C,
OAD
© ► b—
0 1
a
CL.r
n 6
MOIL
0c+
l sa
e-a r 7E
tLS-
t404li
i
s i
rTi�
c� t o�
S
q O
i sLl
1n Go
r
w .4
5 d
Permit Date 1011/2015 — 9/30/2020 T
Last Revised 10-2-2015

ti
Certificate of Coverage No. NCG02 ❑8 ❑O ®©
CERTIFICATION
" 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."
(Required by 40 CFR §122.221
Signs
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit [fats 101112015 — 9130/2020
Last Revised 10-2-2015

W1—
ANNUAL SUMMARY DMR - WASTEWATER RECEIVED
SEND TO CENTRAL OFFICE* MA R 0 2 1015
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000 �CTfpN
* Report All Wastewater discharge monitoring data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year. If
you have limit violations, you must also have turned in a Limit Violation DMR to your local Regional Office within 30 days of receiving sample results from a lab.
CERTIFICATE OF COVERAGE NO. NCG02 0 0 ! 7-
FACILITY NAME: fi
PERSON COLLECTING SAM �K )S: c-A p,p s zE t V
CERTIFIED LABORATORY:_ Lab # W W 007
Lab # 53 7 2.
LIMIT VIOLATIONS? YES ❑ NO)� '
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: a P 1
COUNTY: Wak e--
PHONE NO. (9 Iq ) 3 8O-A-7 9 b
ADD TO LISTSERVE? YES ❑ NOD EMAIL: �}c1z,(,gr¢gel�GnSon .e�✓►+
INDUSTRIAL SAND? ❑ DISCHARGING TO SA WATERS"') ❑
Outfall No.
Date Sample
Collected t
Total Flow
Total Suspended
Solids'
'Turbidity3
Settleable Solids
pH
Fecal Coliforms
-
mm/dd/yr
MG
mg/1
NTU
m1/l
Standard
coUml '
1 1 1 L4
0,b
1 J
13.-5
tan
o-
N
y
o.al71
�as�
,3�
O�
t .y.(`_�"
N
``�
b� 1
I��+
0�el)L4
©.fl I
���.
3a0�
+
'C Q. 1
� IJ
j.
N /
D
1AA
. l H
14 13
S 0 5-
N
1 All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
s The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters: 25 NTU for all lakes and reservoirs, and all salt waters: 50 NTU for all other streams and surface waters. Turbidity may be monitored at the
Stormwater Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the discharge.
Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Permit Date: 1/l/2010-12/31/2014
Last Revised 0 1 -21 -11
Page I of 2

IV
t
Part A Continued: Wastewater Monitoring Requirements
Outfall No.
Date Sample_
rCollected�
Total Flow
Total Suspended
Solids
Turbidity
Settleable Solids
pH
Fecal Conforms
-
mm/dd/yr
MG
mg/l
NTU 23
nd/l
Standard
2,4
CoVml
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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: 1/]/2010-12/31/2014
7 s
(Date)
Last Revised 0 1 -21 -11
Page 2 of 2

I ANNUAL SUMMARY DMR - STORMWATER I
II SEND TO CENTRAL OFFICE * 11
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERTMIT NO. NCG020000
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year.
CERTIFICATE OF COVERAGE N . NCG02_(no q 7
FACILITY NAME:
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY V4 c Lab # W W 06-7
iAan Lab# 53`)2,
Part A: Stormwater Monitorine Reauirements
SAMPLE COLLECTION YEAR:
COUNTY WC+
PHONE NO. (Li-q) 3 �%D- a-114 io ,� 4
ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL:
Outfail
No.
Date Sample
Collected
(mo/dd/ r OR
y
NO FLOW)'
In Tier 2
Monthly
Monitoring?
g?
(y/n)
# of Months in
Tier 2
Sampling i
Total Flow
(MG)
Total Suspended
Solids
019/1)
Turbidity a
(NTU)
Settleable
Solids (mUl)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
-
-
,093.4
See Footnote '
0.1
nuryr,X,1,4
No-
Do-
c,�),/& l -4
Vl
19,1 U? Sirta.,n
• 1
O. I
$Q
d��n, I -D^/ 5+rJ�W'1.
5�
�-
Y
o,o I
.y
�.o
emu. 1
©.S�o
3E0
A 1 y
�
N ,�
s
r�
-S
4er j .9-0
ly
J
N c .0
M a �al�f
rl
+(o D,5
-kC-
T
3 1mIs
5 i�-`f
Zy r
✓i
1`?
'-� a
�� sfre .�
c� - 1
3 .
3
y , D Ou
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
` Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
a If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier l or Tier 2 responses in the General Permit.
' TSS benchmark values are 100 mg/l except in ORW. HWQ, trout, and PNA waters where they are 50 mg[l.
5The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs designated
as trout waters. 25 NTU for all lakes and reservoirs, and all salt waters: 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water. directly upstream and downstream of the SDO.
Permit Date: 1/l/2010-12/31/2014
Last Revised 01-21- ] 1
3

--,
1.
I ANNUAL SUMMARY DMR - STORMWATER I
I SEND TO CENTRAL OFFICE x 11
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
*Report ALL STORMWATER ;Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH I of each year.
CERTIFICATE OF COVERAGE NO. NCG02 -0
FACILITY NAME: t is n 5p it re .{c5 - It Jar
PERSON COLLECTING SAMPLE
CERTIFIED LABORATORY Lab #
Lab #
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: L4
COUNTY
PHONE NO. ( )
ADD TO LISTSERVE? YES ❑ NO ❑ EMAIL:
Outfall
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)t
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier 2
Sampling a
Total Flow
(MG)
Total Suspended
Solids
(mom)
a
Turbidity
(NTU)
Settleable
Solids (ml/1)
Total
Rainfall
(in)
Event
Duration
(minutes)
-
-
-
-
1003.4See
Footnote 3's
0.1
-
2 I73
73
U 1
c-k C� re, Ca
5CD-L
D 2
NJ
S
oo } r `l3
9
N c i
G1 t c
5OD-5-
heC- CIO
i
_Ytar��
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
3 If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit.
TSS benchmark values are 100 mg/1 except in ORW. HWQ. trout. and PNA waters where they are 50 mg/l.
"Me discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes. and reservoirs designated
as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water. directly upstream and downstream of the SDO.
Permit Date: 1/1/2010-12/31/2014
Last Revised 0 1 -21 -11

Part B: Vehicle Maintenance Activity Monitoring Re uirements for facilities using > 55 gal of new motor oil/month on average
Outfall
No.-
Date Sample
Collected .
(NO FLOW) W)yr R
In Tier 2
Monthly
ng?
Monitoring?
# of Months
in Tier 2
Sampling
New Motor
Oil Usage
g
(al/month)
Total Flow
(MG)
TPH using method
1664A SGT-HEM
( )
Total Suspended
Solids
( )
pH
(Standard
Units)
Total -
Rainfall
(in)
- D Event
Duration
(minutes)
-
-
IS
100
6-
-t
e o C. t1
�i e a
�-v t_
1 Hz
Sc vn e
i J
n l
1
t� � o.
r, f C41--
5 i
�
((
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES �j - 5 51 j�y¢E
AT ANY ONE OUTFACE (INCLUDING VEHICLE MAINTENANCE)? YES IN NO ❑ Del 3� 7 � � Nt p.sci �r�� Scr c cr le Mcrt95.
HAVE YOU CONTACTED THE REGION?
WHO AT THE REGION HAVE YOU SPOKEN WITH?
YES ❑NO9 SL�0-to " --dno"``( s,- 2oI
L,�-ec 4-,. 4�,-0,. tot 3
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" & LIMIT
VIOLATIONS) BY MARCH I OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
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." . ,1
(Signature of Permittee) U
Permit Date: I/112010-12/31/2014
e> /0-V 1 s
(Date)
Last Revised 01-21- ] 1
?4le-3--1140-5