NCG020747_MONITORING INFO_20171212

W S R 0
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv
DOC TYPE
11 HISTORICAL FILE
'B'MONITORING REPORTS
DOC DATE
❑�-
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2n/`7
"Report ALL STORMWATER monitoring data on this form (include "No Flow"I"No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH i of each year.
Certificate of Coverage No. N0002 ®07 [iQ
Facility Name: r 5
County: Wii,vt_4_�,
Phone Number: 3( 3U) 1r/e4- d01 p Total no. of SDOs monitored -
Certified Laboratory srxt65;,;,L0 /mA-�_Vr/44L Lab # 4410
Lab #
Stormwater Discharge Outfall (SDO) No. - VMA Outfall? Yes ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑
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 ❑
No "
No [r
No E�
RECEIVED
DEC 12 llri/
rllnln
limairll"1111r1111TI1
Outfall No.
Total
Rainfall,
inches
TSS,
mg/L
SS,
mlll
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
al/mo.
Stormwater
Benchmarks
lndlcate No
appikble
Circle
Bannchmrarrkk
0 50
�•
circle
t nchrnarlk
5 J! 1
NIA
Quality
Standard applies
N/A
Water apoles lity
Standard eWater
15
>55 gallmo.
average raqulres
SS and omolar
TO&G monitoring
Date Sample
Collected,
moldd/ r
Mmm�===Mm
0312)
-9, SU
0,
1-/3 -
,2-
ZZ 941
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015
VA

-- �. ..
+'
�-
r
t

Certificate of Coverage No. NCG02 0[Z[]Q
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 2 VMA Outfall? Yes ❑ No B*�'
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No Eq"
Was this outfall ever in Tier 2 during the past year? Yes ❑ No D'
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 Cl
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfall No.
Total
Rainfall,
inches
TSS
mg11
SS
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mgll
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Stormwater
Benchmarks
Indicate NO
FLOW if
a lkBWo
circle
nchrnark
A 50
v
0.1
Circle
nchrnark
255/1 0
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
� 5
>55gallMo.
average requires
TSS and Non -polar
O&C monitors
Date Sample
Collected,
molddlyr
0,3 -2
4001
3 112
, 2
1
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ❑a ❑7 ®©
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 3 VMA Outfall? Yes ❑ No ['
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No B'
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
Rainfall,
inches
TSS,
mg►I
SS,
mill
Turbidity,Non-polar
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
O&G, mg/I
(VMA)
New
Motor Oil
Usage
allmo.
tndreateND
=towr
applicable
ncin
Bahrarx
00 0
.025/10
Circle
Benchmark
NIA
Standard applies
eStandardpli
N/A
pS
1C
>56 eStormwater
",aro""'0'
rlrie
rBenchmarks
O&G mornorin
Date Sample
Collected,
molddlyr
3 t l
- Z.
2,qfl
415,1L
o
Permit Date 1011/2015 — 9130/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 [�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 §122.22]
Signature / "K ►�'
Date 12- / '7
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

0
t�J
0
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year .2491[1
"Report ALL STORMWATER monitoring data on this form (include "No FlowT'No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
L;ertiticate of Coverage No. INUOUL
Facility Name:-/4lAr#15 WV444[ ^_ _ U 15Ismlam,
County: wl L., 6
Phone Number: (,31G Total no. of SDOs monitored 3
Certified Laboratory 5TAM6kka 4✓1cy=Vn,aL. Lab # 410
Lab ##
Stormwater Discharge Outfall (SDO) No. _ I VMA Outfall? Yes ❑ No ©'
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No a -
Was this outfall ever in Tier 2 during the past year? Yes ❑ No R_ RECEn IE
If this outfall was in Tier 2 last year, was monthly monitoring discontinued? [.�
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ JAN l
Yes, received approval from DEMLR to reduce monitoring frequency ❑
CENTRr►'_ rll_ c
No, turbidity benchmark exceedances did not require monthly monitoring ❑ MR Sr-- NV
Other El.: TIO
Outfall No.
Total
Rainfall,
inches
TSS,
mg/I
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,,
NTU
Non -polar
O&G, mg/l
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Stormwater
Benchmarks
indicate ND
FLOWN
Applicable
Circle
chmark
1 50
0.1
Circle
Benchmark
25110
NIA
Wa'a"uallty
Standard applies
NIA
Water quality
Standard applies
15
>55gall m0,
average requires
TSS and Non polar
o8G monitoring
Date Sample
Collected,
molddl r
12 1
, 2.118,3
zo.
o. 5
pry p 1
(F, n
.,
12 n
�S
LD
5t`rri'r)m
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

i l ,
•
9'
*I

0
•
Certificate of Coverage No. NCG02
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 4 VMA Outfall?
Yes ❑
No ffl'
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.
2—. .
Total
Rainfall,
inches
TSS,
mg/l
SS,
mill
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/I
(VMA)
New
Motor Oil
Usage
allmo.
Stormwater
Benchmarks
Indlcaro NO
FLOW ii
a
--applicable
Circle
mark
100 50
.
01
Circle
chmark
�JI1
NIA
Water Quality
Standard applies
NIA
Water Quality
Standard applies
)
>55 gaurno.
avorage requires
T55 and Non -polar
O&G monitoring
Date Sample
Collected,
mo/ddlyr
to,
D
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

0
CJ
0
Certificate of Coverage No. NCG02
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. 3 VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [`fi
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.
3
Total
Rainfall,
inches
TSS,
mg1l
SS,
mill
Turbidity,
NTU
Upstream l
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Non -polar
O&G, mg/l
(VMA)(gal/Mo.)
New
Motor Oil
Usage
Stormwater
Benchmarks
Indicate NO
aFtO $�tlB
Circle
mark
1 50
0.1
Circle
°nchmark
nchrn
�0 25110
NIA
QualV
Standard applies
NIA
Water Quality
Standard appWater
es
15
>SS a requires
avaroge regalros
TOaG moniS3 and t rinlar
Date Sample
Collected,
molddl r
WEEM
o
2
co.
3
1 0l
L2
-40.
Permit Date 1011/2015 — 9/30/2020
Last Revised 10-2-2015

CertificaI te of Coverage No. NCG02 ©❑'7 [j]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] X
Signature _
Date 1-12
Mail Annual Summary Stormwater 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

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Otiginal And One Copy To Mailing Address Below NECEI
_ ED-
GENERAL PERMIT NO. NCG020000 JANj $ 20p
. pENT�gC-FILSE
Part A: Facilitylrrformatiorl
yR SEC710N
Samples Collected; in Calendar Year: .0(alt samples shad be reported -within 30 days following monitoring period)
Certificate Of Coverage No. - NCG02- C> 71'7 'County of Facility ` - i.✓i1-+-5
facility Name, Ay3rWS Q .yL • Name of Laboratory
%adlfty Contact _ ✓.J� L.L '_4 Lab Certification #
Facility Contact Prone No: (�_) 'i $ o J D
Part B: Land Disturbance and Process Area Monitoring Requirements.
1sjr Y'•?•� f' .1.1 �afE'�`ps;'f I i E
�'�:s�1` /� a r-1 s `Z•c� - .. Ems.:,.-.u�E.'._..�` �
4 1 "j � ��4M 5.�
-Ill rl 'n •'k �[t-tit `ry.:�. �j.• F•i .�� tyy
,<3 c 4.5: +'�� r-;t't' 4 1 E1 �i {? 1}-
1
W t n�'"-1 fit} � -{}tic `' :� .- ;�`� '--•"''�,.{,� '- _
Part D: Storm Event Characteristics r
Total Event Precipitation, (inches): Total`E_vent Precipitattan (inches) -
Event Duration (hours) L D Event Duration (hours):
(ifa separate storm event is sainpled)
Part E. Cert f cation
"I certify, under pinalty of law, that this document and ali.attach a prepared under my, direction or supervision in accordance with a,
system designed#o assure that qualified personnel ptaperly, gather an seva ate the information submitted: Based on "my inquiry of the gersoll
of persons who manage the system, or those persona direcily respansbl thering the information, the iiuformatian submitted ls, to the best
of my knowledge and belief, true,,aecuraie, and complete.. I, am aware a e are significant penalties for submitting false informatfon,.'
including the possibility of fines and imprisonment for, knowing violations."
(Signature o ermittee) (Date) ;
part F., Mailing Address r.
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Rakigh, NC 2'1649-1617
SVM-243-012005

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
vet)
JAN
GENERAL PERMIT NO. NCG020000 CEIVfRAL F/
LES
Ecr
Part - Facility Information
Samples Collectid ln'Calehdar Year: & - (all samples shall be reportedwithin 30'days following "maeitoring period)
Certificate Of Coverage No, NCG02' 0-7 , County of k cility h✓iU� s
Facility Name l.✓G Name of Laboratory, Alff4k
Facility Contact_ N Lab Certification # 44V
Facility Contact Phone No.:
Part B: Land Disturbance and Process Area Monitorinz Requiremeints.;-'-_
�jk h ! l 1�1'I'Yr
s'•�'ri" 7 v ice, liti" 1� S-t
�..l z �y
F v'` t S.i -S a .iF .; - > a '3 .;,��+- 5 -�f. •'�' % r S_t'L. h
72
sY,.,-`3?:r r.. _r i!..,� f1..: ! i a "'
M Irm 0
Part D: Storm Event Characteristics
,t Total Event Precipitation (inches): , 2 � Total E.Yept Precipitation (inehea):
Event Duration (ho Event Duration (hours), - urs):•
(if a separate storm eventU sampled)
Part E. CertiVol
"I certify, under penalty of law, that this document and all attachments were prepared under my. direction yr supervision In accordance with a
system designed.to assure thai qualified personnel Oroperly'gat6er and evaluate the information submitted: Based on my inquiry"of the person
or persons who iiianage 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,
iitcludiiog the possibility of fines and imprisonment for, knowing violations."
(Signatu Pertnittee (Date)
Part F. Mailing Ad&vss �.
1
Attn: Central Files, DENR, N.C. Division of Water Quality,1617 Mail Service Center, Raleigh, NC 21699-1617
S WSJ-243-012005

STORMWATER DISCHARGE MONITORING REPORT (DMR)
N, Please Mail Original And One Copy To Mailing Address Below I
GENERAL PERMIT NO. NCG020000 C V
V D
Part A: Facility. Information
103 i
Samples Collected In Calendar Year:
0
ail samples shall be reported within 30 days following monitoring period)
CENTRA
DwR
Certificate Of Coverage No.
NCG02
County of Facility i�u�S
SECTlLES
Facility Name ,
ivtA is Qy,�rtl4lt'$�r
Name of Laboratory.
TT11l��N
Facility Contact
Lab Certification # �}
Facility Contact Phone No.
(33{, }
6 .1)
Part B: Land Disturbance and Process Area
Monitorinz Reauirements `= Part C.- Vehicle Maintenance Monitorin¢ Reauirements
as
{lpae
6DpWS4
03, '
Ch 40076 x
00S,r
�'
E. --
pCt�
„
9,,
J
r+.
i?4
ti r�• - ;- a
rr r1 a v
`,� c t4
k2-.ki "w
I2- n31
1,' 7
!
40.r l
Z
1(..
It
ir50
13,
L61f
93
it
I I
><2 Y
40.1
Part D: Storm Event Characteristics
Total Event Precipitation (inches): t 2
Event Duration (hours): --
Part E: Certification
rEqn.
i
t)utfall-
Rece'i eam�
`3W
III,
WWI
..
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
9 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 ermittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-012005

w
e
,

•
•
ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT TO CENTRAL OFFICE*,r!
General Permit No. NCG020000
Calendar Year -2015
V.
*Report ALL STORMWATER monitoring. data on this form (include "No Flow"rNo Discharge" and Benchmark
Exceedances)from the previous calendar year to the DEQ by MARCH 1 of each year.-
Certificate of Coverage No. N0002 ®Q��
Facility Name:
County: WILK66_-- -- - _-------
Phone Number: (33ft) Total no. of SDOs monitored 3
Certified Laboratory !S T7 A 4L Vr Z4 Lab # 41 U
Lab #
Stormwater Discharge Outfall (SDO) No. I_ VMA Outfall? Yes ❑ No [�
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No [+�
Was this outfall over in Tier 2 during the past year? Yes ❑ No [�
If this outfall was in Tier 2 last year, was morithly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DDMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other ❑
Outfail`No.
Total,
Rainfall,
in6heg
-TSS,< ,
: ;mgll
SS;
arrilll:
Turp1,'ty,
NTU
- U strearxt
p
(0)`Turbidity,'
=NTU
Do,
Downstream.
(D) Turbldl ,..
N7U
T(VMA)
Non -polar
QBG; mgll
New
Mot Oil
Usage
allmo: ,
Stormwater
Benchmarks
k,,.Ho
�0�;,
0 50
0.1
`�,k
5 25110;�;,�
NIA
Pfty
NIA
uanty
s�ua.
15
.v yP U .
ras
0o�,«�h°""
oring
Date. Sample
Collected,
molddl r
0,31)2
,1
21 q5
Z0.12
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

•
•
Certificate of Coverage No. NCG02 ©Q®r]
Additional Outfall Attachment (make copies as needed for additional outfalls)
Stormwater Discharge Outfall (SDO) No. _ ?= VMA Outfall? Yes ❑
Is this outfall currently in Tier 2 for any parameter? Yes ❑
Was this outfall ever in Tier 2 during the past year? Yes ❑
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 ❑
No ['
No
No ['
•
QoWTstL2ATr
..M&or.0jj
•:
New
•.
I
_
Date St
I 0"lMl
rim .2�l
Permit Date 101112015 - 9/3012020
Last Revised 10-2-2015

•
•
•
Certificate of Coverage No. N0002 ®©��
Additidnal Outfall Attachment (make copies as needed for additional outfalis)
Stormwater Discharge Outfall (SDO) No. '3 VMA Outfall?
Yes ❑
No a
Is this outfall currently in Tier 2 for any parameter?
Yes ❑
No [3'
Was this outfall ever in Tier 2 during the past year?
Yes ❑
No [RI
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 ❑
TotalI
•
• •
Upstream
• •
• a
• • •
O&Gi mg/Ia
New.
• • Oil
A940"00-
MEMMMIIIIIIII
mumm��
MM
Permit Date 10N12015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 HaRNZ
9 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 Z'
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 101112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DMR - WASTEWATER
RECEIVEDIDENRIDW
.1AN 2 2 2015 SEND TO CENTRAL OFFICE*
PROCESS MINE/DEWATERING WASTEWATER
Water Quality Regional GENERAL PERMIT NO. NCG020000
* 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
FACILITYNAME: 4vts,r14!S Q�aRrtl�S, I.✓G,
PERSON COLLECTING SAMPLES: JO: Va 64444VGS
CERTIFIED LABORATORY.-srI-T Viws Lab # - b
A,,14L#T1(-6L Lab#
LIMITS VIOLATIONS? YES ❑ NO 2'--
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: . 2014
COUNTY: W1 LK KJ
PHONE NO. 3{_3G
ADD TO LISTERVE? YES NO[] EMAIL: /In Ii1S QLLrtn 1D Lyt1.da,.y/E%
INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATER54. ❑
Outfall No.
Date Sample
i
Collected
50050
Total Flow
00530
Total Suspended
,
Solids
00440
Turbidity'
00545
Settleable Solids .
•00400
pH
31616
Fecal Coliforms
-
mm/dd/yr
MG
Mg/11.2NTU
L3mlll
Standard
couml '
5
t, 25 GoM
2,
Z 2,
La, I
21
L 01 1
Iz i 6� 01
d,
1 Z 1 0(0 l
9 6-P,-1
G
0
12 b
. (z (gyp ^1
Loa
I All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3 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: 1/1/2010-12/31/2014 Last Revised 01-05-10
Page 1 of 2

Part A Continued: Wastewater Monitorin¢ Requirements
t�
a
Outfall No.
Date Sample
Collected
50050
Total Flow .
00530
Total Suspended
Solids'
00400
Turbidity;
00545
Settleable Solids
00400
pH
31616
Fecal Coliforms
-
mmlddlyr
MG
mg/l 1,2
NTUZ'
ml/lZ
Standard
col/ml2,4
icy.•
u
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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
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMA TION REPOR TED:
"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 siggitf anypenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
&LA4
(Signs re of Permitte (Date)
IT
C.
Permit Date: 1/112010-12/31/2014 Last Revised 01-05-10
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below ECEIVE��DFNR/DWR
GENERAL PERMIT NO. NCG020000 JAN 2-2 2015
Part A: Facility. Information Water' QualitY Regional
Operations Section
Samples Collected In Calendar Year: (all samples shall be reported within 30 aays'foliowing monitoring period)
Certificate Of Coverage No. NCG02__� _ 'County of Facility Wj LK�S
Facility Name' 4rft IS Name of Laboratory -M ;7e' 4-j
Facility Contact. <} i ru, Lab Certification #
Facility Contact Phone No. (�3je y �•�D/b .
Part B: Land Disturbance and Process Area Monitoring Requirements '
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Part C.• Vehicle Maintenance Monitorine Requirements Id
3Ia101 YI-1.
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Part D: Storm Event Characteristics
1 Total Event Precipitation (inches): i 4 Total Event Precipitation (inches): /Vl
Event Duration (hours): J Event Duration (hours):
(if a separate storm event is sampled) .
Part E: 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 violati"S."
5-1
(Signs re of Permtttee) (Date)
Part F_ Mailing Address
Attn: Central Files,'DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S WU-243-0i 2005

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— Part A Continued: Wastewater Monitoring Reauirements
Outfall No.
Date Sample
Collected)
50050
Total Flow .
00530
Total Suspended
Solids'
00400
Turbidity3
00545
Settleable Solids
00400
pH
31616
Fecal Conforms
-
mro/dd/yr
MG
mg/1
NTU.
1111/1
Standard
col/nil '
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY [INCLUDING ALL "NO FLOW",:,'NO DISCHARGE" & LIMIT
VIOLATIONS BY MARCH I OF EACH YEAR TO: - -
Divisiorl of Water'Qtiality—
Attn: DWQ Central Files
1617 Mail Service Center r --
Raleigh, North Carolina,, 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATIONREPORTED:
"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 m in uir of the p erson or persons who manage the system, or
9 P P P Yg y 9 y P P g
those persons directly responsilil `for gathering'the information; the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware the �theye are sig it)anpenalties'for submitting false information, including the possibility of tines and imprisonment for knowing violations."
(Sign.*Pe of Permitte (Date)
Permit Date: 1/1120I0'-12/31/2014 Last Revised 01-05-10
Page 2 of 2

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STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below • RECEI D,
GENERAL PERMIT NO. NCG020000
JAN 22 M5
Part A: Facility Information 'Water Quality Regional
Samples Collected In Calendar Year: (ail samples shall he reported within 30 days foil owing monitoring period) Operations Section
Certificate Of Coverage No. NCG02 0County of Facility
Facility Name,. . /viewoq gV4An1jCfName of Laboratory ST,4 !l L`� ,q.✓.9L u9 L
Facility Contact, J lL4lvt: Lab Certification # q (7
Facility Contact Phone No:
Part B- land Metarhaace and ProrRss Arpa Mnnitmint7 Reauirements-
J
Z
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".N.T.
��■R�i�fi�l®�
J
Part D: Storm Event Characteristics
l Total Event Precipitation (inches): f z-
Event Duration (hours): 1_4
Part E: Certification
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ill E
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Total Event Precipitation (inches): N�4
Event Duration (hours): i✓'/ 4_
(if a separate storm event is sampled) .
"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 significan penalties for submitting false information,
Including the possibility of fines and imprisonment for. knowing violations." �
�z 's a
(Signature o Permittee) (Date)
Part F: Mailing Address
Attn- Central Files, DENR, N.C. Division of Water Quality, 161.7 Mail Service Center, Raleigh, NC 27699-1617
SWU-243-012005