NCG020761_MONITORING INFO_20190809

MZ°
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/v
DOC TYPE
❑HISTORICAL FILE
- MONITORING REPORTS
DOC DATE
❑ cs'v� 7 b
YYYYMMDD

Part A: Facility Information
Samples Collected In Calendar: Year:
Certificate Of Coverage No.
Facility Name
Facility Contact
Facility Contact Phone No.
STORMWATER DISCHARGE.MONITORING REPORT (DMR)
Please Mail Original And One Copy To.Mailing Address Below.
GENERAL PERMIT NO. NC.G020060
(all samples shall berep(irted within 30 days following monitoring period)
NCG02 County of Facility:
Name of Laboratory ! q v
Lab Certification # # 4— ;Z42 , �r��
(7�srl 17� 4/I2
Pan R: Land Disturhanre and Process Area Monitnrint, Reauirement.s
- X,
:'t]iitfaq ; a<
:_Date
0050`1
"i[j�530 r"I�,00076
-'
�i :,n,r�.r YJT.3�7
-
•
Totalt�.�.,
n3�-
No 1
Samples
Collected
r r
� -� Y
ITotaHFlow
1
SuspeRgg
' ,,urbtbity I
,seal ble.$olids=
k ,.r
s�
mo/dd! r
MG.
in
_ NTUs
kml/l`...,r .
2' j
3 ,
, t
Footnote 1 Identify the receiving stream: C A -L +9 +-j .h va T
Part D: Stonn event Characteristics
}
Total Event Precipitation (inches):
Event Duration (hours):
Part E: Certification
Part C- Vehicle Maintennnr_e Mnnitnrino Reauirementc
T� , �.all r1
rO,uff
.. 7r �°i p
r�•f Date,��
'�5ilfl5,,,t
r��,4�945�
.
,8055fi;��
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s vk ,'t,
'i`ll ti`4il�
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r�'�.:�,_. � y '-
r,
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:�
,a ., + rr �t
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; :Greased,,
�i.n�,
,,Suspended
EpH
t,u{
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1�t
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••
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diU
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-
.l
i�� •1-7M 3)f �:i
Y•6 �l'Ye
'-il l.a •F
N �m iT
7...r.m
umt:.
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm evenris 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 matiage.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 fermittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617

Analytical Results STATESVILLE
ANALYTICAL
Statesville Brick Company
PO Box 471
Statesville, NC 28687
Receive Date: 07/23/2019
Reported: 07/30/2019
For: PLANT OF
Comments:
Sample Number
Parameter
Sample ID
Result
Unit Method
Analyzed
Analyst
190723-36-01
Settleable Solids
Plant OF 1
0.1
mill- SWWF•2011
07/23/2019
WC
190723-36-01
TSS
Plant OF 1
16.67
mg/L SM2540D-2011
07/25/2019
WC
190723-36-01
Turbidity
Plant OF 1
3.4
NTU EPA 180.1
07/24/2019
MD
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3
12

Analytical Results
Statesville Brick Company
Po Box 471
Statesville, NC 28687
Receive Date: 01/29/2019
Reported: 02/04/2019
For:
Comments:
STATESVILLE
ANALYTICAL
r.
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190129-16-01 Settleable Solids CM II #1 <0.1 ml/L SM254CF-2011
190129-16-01 TSS CM II #1 <3.125 mg/L SM254OD-2011
190129-16-01 Turbidity CM II #1 10A NTU EPA 180,1
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
01 /29/2019 WC
02101 /2019 WC
01 /30/2019 MID
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar Year: f (all samples shall be reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 O TO (4 I County of Facility 9
Facility Name Name of Laboratory 14l I j -
Facility Contact YY) o o Lab Certification #y
Facility Contact Phone No.y R i Z— y/ z-
Part B: Land Disturbance and Process Area MonitorinR Reauirements
i; 0ut[ali
�I}ate
SOOSO
3, - 00530r
,�00076
00545
1Vo 1 ;
-Sample
Colletted,:
otal Flow
Total �-
Sii`spended
,Solids'
Turbtdtty,:
, " • �.> :r;; - c=
Settleable Solids:,
',I t ,}
m "r
MG
ingA.
NUS
1mVl s. '..
)o/dd/
r
Footnote t identify the receiving stream: U t`N P,-,l -- L __ C e GL'i L
Part D: Storm event Characteristics
Total Event Precipitation (inches): 1It y
Event Duration (hours): Jla � -,;,
Part E: Certification
Part C. Vehicle Maintenance Monitoring Requirements
Outfall
11rDateu`
(iQS56�
t
y;r SM)50;
;
.r *00545�
frrz,
.s I
r`S"pt ;r rf�
�• z
- Taii4
fE
9i r
FOiI
aTotal r u
s
Nn
Sample .-j
3 ., u
Total FlowF
and+
' • zi
,
°s Sus ended
}w H
I,
I''TCollected�lt
F Alt : f a s
!,�, Grease
I SoIidsr ;66� I
, p .
_s
RECEIVED
FEB 13 2019
Total Event Precipitation (inches): CENTRAL FILES
Event Duration (hours): MAIR SECTION
(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 significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violation."
2-l�/1
(Si nature of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
Swu-243-120199

STORMWATER DISCHARGE MONITORING REPORT (DMR)
11 Please Mail Original And One Copy To Mailing Address Below I
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar Year: o (all samples shall be reported within 30 days following monitoring period) ---
Certificate Of Coverage No. N G02 07/, / County of Facility
Facility Name Sa e s v I t { c F'2 Name of Laboratory
Facility Contact S'h VL-A— ✓ 64)5 Ci Lab Certification # 11� „-
Facility Contact Phone No. 7( e)Zj_ z 4// Z
Part B: Land Disturbance and Process Area Monitoring Requirements
t ^ Outtall
Date
50050
1, t0053000076
.
";p_ }Jr
}r 00545V,sf
!,
Totals �
r 'p•q l+j ;yr���'..
No�
rYSatnple',
-;"
Total�F7ow:
i
5uspeaded,
Turbidity
Settleable Solids=
Collected
,
Salids
mo/dd/ r
MG
m
NWs
Footnote 1 Identify the receiving stream: +i4tiibA- g I _v_e_&_
Pan D: Storm "vent Characteristics
Total Event Precipitation (inches): ���
Event Duration (hours): __ / 1-12
Part E: Certification
Part C: Vehicle Maintenance Monit ing Re uirements
*•Otitfall `
rt MDate
zr 0050
00556
r
00400,.
•, r Wit,
ri.,,_,� i`
- e`'
,00545
:__,._.-
- 'ryY
1
Sample
W17j j3-rt
il
,Susperitled
� pH
No
:t
Gollecteds
,Total+Floivf
"
;-
Greaser
a
,.
,,
,
s
OI1dSf,��,
,
'
S
. maildtl/ r
i , MG ��
a1
IIi
unit.
Total Event Precipitation (inches):
Event Duration (hours):
(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 significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violati "
(Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-243-120199

Analytical Results � 1
Sample Number Parameter
Sample ID
Result
Unit Method
Analyzed
Analyst
180724-25-01 Settleable Solids
OF1
0.1
ml/L SM2WF!-2411
07/24/2018
CL
180724-25-01 TSS
OF1
35.333
mg/L SM254CD-2011
07/27/2018
WC
180724-25-01 Turbidity
OF1
10
NTU EPA 1801
07/25/2018
MD
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar Year: ;�- D l ' i (all samples shall be reported'within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 'Q 7 (_ _ County of Facility JL_ Re ID e-) l -
Facility Name c- SA-A{ sil . I <- Name'of Laboratory S-A vq-+ Cfsll1 a
Facility Contact 7�; C ".A. Y-0 b&SG Lab Certification # wc_ C e 2-�- _ -,, ee
Facility Contact Phone No. 77-- �i / Z 3
Part B: Land Disturbance and Process Area Monitoring Requirements
—11 1 3J .f
Outfall`�
:,, !Y'{c'{�
Date
CE a.i W
y�;
-r`
14053Q"dot
i' A.
00076 i,�
�� E- =11ii
=s?OOS45 ii.
q
.5Q051}
U
Sam'le_
Tatal Flow+
Stispended
Turbidity
Settleable SOWN'
Collected ,
� t
`Solids;.'.`
3+• �., � ti
F ~
lr.
mold r
MG
m
NTUs
min
-2-Iz4, /4
0-
- 10
7,3
D 1
Footnote 1 Identify the receiving stream: , C A h 4 W !�
Part_D: Storm "rent Characteristics
Total Event Precipitation (inches): '
Event Duration (hours):
Part E: Certification
Part C: Vehicle Maintenance Monito 'ng Re uirements
cu':: .::tKx '#
S t3titfell
sF7Y-. • K. Ii«
Date
'�. �.:r;ur;:,:
-:�;k• .pit :��'p�.
f �.x"" .J
0{1$45
.,
00400
�;t � ,,� k;'�-� �
t r, x,., ,�ftt
��}:i�%;��', .
Ctillecfed
r��Fri�
•� ���t z�4 R�".
tr'.��t
'jTotalYFiowf
, F
:
��� sl ��xi4x:
Greaser
�');
�!_ � Total �'x'
Suspended'
;:= S.
s olids) . €
`7'' , , ' .
4 pH{
i I y
. t .,..
mdddl ,w
MGF>
RECt I -%I
MAR 21 Znlb
CEN Total -Event Precipitation (inches):
[)\�J Event -Duration (hours):
(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 significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violatio ."
(Signature of.Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C, Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S W t1-2A3-120199

nalytical Results
mpany
02/26/2018
03/05/2018
Benbend Plant 3
mple�Number Parameter
Sample ID
`0226��f 5=01 Settleable Solids
OF 6
?8�6 15-01 TSS
OF 6
180226-15-01 Turbidity
OF 6
Respectfully submitted,
V ' bli 1
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
Result
Unit Method
<0.1
ml/L SM2940F.2011
<4.167
mg/L SM254OD-2011
7.3
NTl1 EPA 100,1
Analyzed
Analyst
02/26/2018
WC
03/0272018
WC
0212B/2018
MD
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page t of 3

L
Part A: Facility It formation
STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail"Origirial And One Copy. To Mai ling'Address:Below
GENERAL PERMIT NO. NCG0Z0000 RECEIVED
SEP 06 Z017
CENTRAL FILES
Samples Collected In Calendar. Year: �oZ 0 I (all samples shall be reported within 30 days Wldwing monitoring pe jjQd)�'SECTION
Certificate Of Coverage No. ; NCG02 � D� Io I County 4 Facility,
i Facility Name 5 x S +, C �r r ' Name of LAlioratoiry
Facility Contact S• ti• wt P m U n SL Lab Certification #
Facility Contact Phone No. Z —&/ /
Part R- lAnd Diwnrbanre and Prnre.rr Area Mnnitnrinn Reauirernents
'�=�'•�Y1f✓•
<-F-^�!�,�+'N5
.'.i:S: 71?IFFrr
�•_1• �
�j�l J.i4ti:.fil
}J+. 'n,11-;�, L"�TS: I.�t 'l r'
ice..ry f:.
Sampke
..i.�t T r5efi�'
` TDtal r
,� J r F e,
t- �,�_, r} ` !!}q
Nn
flotal+Flow+
°5uspeided
Turindtty
Settleable`Spli}ds`
+
>+ �'.
nt/o/dd/ r
MG ':
m
NTUs"
mUl
Footnote 1 Identify the receiving stream: Aa bye. IV--t .
Pan D: Storm ;"vent Characteristics
1
Total Event Precipitation (inches): [ 1 j✓
Event Duration (hours): Ltr�t.tr�
Part E: Certification
Part C: Vehicle Maintenance MnnitnrinP Renuirements
Outinit`,.,�
'Date 'q{ a
'���0(I5�'
�„`L-.�en�.i'GCrr.
A ©U55
0 ��0545
✓:��:ia3 �k ,. s-'
:��-• '��, t�r
tNo:l Y
SG'-:?+;I'�.7'r.�:��
G '�`�y�. ��
i!
Sam%
51pl
s3 r+=,
?�e�lizr l�`:.?�5'�It�:
- ir��
ToteltFlovPt
F��n.•'t'_ih��
�L'.Y++i �� �?.
y
.�_
��lie�'7�5€, 1!i.
7`-ly r3 r2�
E�,Td�alg
� u
„S spend
'� �+
�,; r�,7D11dS
�,-'�r.�
.PH }
t, � � � r�-ra� ��{
.,u �,",�, ar�,.,�
�' i � cr:�?�-�t<
; mNdii/ sY.
i ��� ' r' 9Rf+��f'
+�`? MGM :,c$�
a�rf•� � r "Y
,t�: gym' +
t k �, +r-s
:,-.,,.m
�uritt••
Total Event Precipitation (inches):
Event Duration (hours):
(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 try 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 violatigps."
-i !�f( _
(Signature of,Permittee) _ (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
CW1I.7d2_Of)10

Analytical Results
Statesville Brick Company
PO Box 471
Statesville, NC 28687
Receive Date: 08/07/2017
Reported: 08/14/2017
For: Iredell Mine
Comments:
Sample Number
Parameter
Sample ID
Result
Unit Method
Analyzed
Analyst
170807-11-01
Settleable Solids
OF#6
0.1
mI1L SM2540F.1997
08/07/2017
CL
170807-11-01
TSS
OF#6
7.5
mg/L SM25400.1997
08/11/2017
WC
170807-11-01
Turbidity
OF#6
5
NTU EPA 180.1
08/08/2017
Md
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert ##37755,
EPA #NC00909
PO Box 228'-o 5tafesVille; NC:28687 W-704/872%4697
Page 1 of 3

STORMWATER DISCHARGE MONITORING REPORT (DMR)
I� Please Mail Original. And One Copy To'Mailing Address Below. II
GENERAL PERMIT NO. NCG020000
Part A: Facility Infornation
Samples Collected In Calendar Year: Q 1? (all samples shall be reported • within 30 days following'innnitoring period)
Certificate Of. Coverage No. �,NCG02,07(-/County of Facility
Facility Name C4 k 0-1 Name of Laboratory
Facility Contact V � 9 1 c) = Lab Certification #
Facility Contact Phone No. �==-F' ! z-:5
Part B: Land Disturbance and Process Area Mo 'toring Requirements
�;-:+}1
�, f.��+• 3fH::l�lf; [�
�,�i i5-'.JTIF hi.{e�
93'�.h;.'-: .5J "it;t�C
L'�M 7'.3 •.L.i- t�l
���s�f t'r i1,, ::,Y.-,PF�ak a5 ..
rr �utl'alirDate„�
,y�i50{1Sl?jy
Y00530a
r�,x 0067t1 1
r,i�t;:00545.iyi�:�
-
�,ti
'O 1
St Tow
TotalI7ow+
Suspended
Turbidity,!
Col! ted
lag
€SettleablF1'Soids�
m o/div r
C-
MG ' :
m
. iV I [Js
' N�Z
j
Footnote I identify the receiving stream: 01,4k W \-3 /� , 1' -e'e_ .
Part D: Storm Event Characteristics
Total Event Precipitation (inches):
Event Duration (hours): , h (T.
Part E: Certification
RECEIVE)
MAR 2 1 201]
CENTRAL FILES
DtNR SECTIoNj
Part C: Vehicle Maintenance Monitoring Requirements
Date l.,
.1kLrY
;��js500SOR
�-d'Yxn.,aF.:..
..=ii1#=..,�,;
Eby 00556
sil. \'
a005ii5' t
�ias
n'0040D
.Outfall
e
VrTa:
;
r�
.,.kM •CE
O. ....f:, ,
rt.tkroi `.�,.,,
Sam ,le ..
�,.
At�;i 1
L.
+Oilandir
L Tota F
Suspended
i 1..t.
;, No:l°sk•-�µ,k
'
Collected
,TotalFlow
�.�.�r'�i��..
Grease
�_Ir.Soiids..F-
.,pH'..
7
_I S.rr�'�;i �
i..nLs: F: ; 3
..o-iLr'.. :.4. �.r �
ti+c':�`;"ttJ.tf^:.+lt•
�
• ..:�.;
,,,r .} 7 ",�3
F
k i -f. ,t
♦; ' _t ors- qF
'' `MG
py.,L�+f
1 ZSI LI F i '.. �
S - - a
YfY k r. �._ t
.�
1, :J
s,�
_.rti
tia; m
un
RECEIVE]
Tot I v� P pitation (inches):
Eve �� u aon (hours):
(i�f�ts. gar'le gdfjEl:vent is sampled)
OWR SECTION
"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 violatlons., j
(Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C, Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-1617
S W U-243-120199 s

Analytical Results
Statesville Brick Company
PO Box 471
Statesville, NC 28687
Receive Date:
02/22/2017
Reported:
For:
021271
ehind Pt #3
a ,
Comments:
Sample Number
Parameter Sample ID
Result
Unit Method
Analyzed Analyst
170222-19-01
Settleable Solids OF#6
<0.1
mI/L SM254OF-1997
02/23/2017 MD
170222-19-01
TSS OF#6
7.412
mg/L SM254OD-1997
02/24/2017 WC
170222-19-01
Turbidity OF#6
16
NTU EPA 180,1
02/23/2017 MD
Respectfully submitted,
&-,A�')
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page Z of 3
5

Analytical Results
Statesville Brick Company
PO Box 471
Statesville, NC 28687
Receive Date: 02/2212017
Reported: 1(02]2 120 7
For: Clay Mine
Comments:
Sample Number
Parameter
Sample 1D
Result
Unit
Method
Analyzed
Analyst
170222-18-01
Settleable Solids
OF#1
<0.1
mi1L
SM2540E-1997
02/23/2017
MD
170222-18-01
TSS
OF#1
5.176
rrgIL
SM254OD-1997
02/24/2017
WC
170222-18-01
Turbidity
OF91
7.6.
NTU
EPA 180.1
02/23/2017
MD
170222-18-02
Settleable Solids
OF#2
<0.1
ml/L
SM254CF-1997
02123/2017
MD
170222-18-02
TSS
OF#2
5.294
mg/L
SM25400.1997
02/24/2017
WC
170222-18-02
Turbidity
OF92
6.3
NTU
EPA 180.1
02/23/2017
MD
170222-18-03
Settleable Solids
OF#3
<0.1
m11L
SM254CF-1997
02/23/2017
MD
170222-18-03
TSS
OF#3
7.765
mg/L
SM254CD-1997
02124/2017
WC
170222-18-03
Turbidity
OF#3
23
NTII
EPA 180.1
02123/2017
MD
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 a 704/87214697
Page 1 of 3

STORMWATER DISCHARGE MONITORING REPORT (DMR)
II Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar Year: aO (all samples shail he reported•within 30 days following monitoring period)
Certificate Of Coverage No. NCG02 O ZCr'7 County of Facility _
Facility Name - 1, 5 U I I _ I Av a+.. i -I- Name of Laboratory _
Facility Contact S wAo 5 U Lab Certification # _
Facility Contact Phone No. (70_c)2 7 zr — /Z 3 4
Pnrt B: Land Disturbance and Proress Area Monitoring Reauirements
�
r4r,4�5
6l
.Oil}falltfpate'�'
si
sx[aa50050
Sample
��
No 1
;,TotaFiow
l
°Sas 'ended'
:`Turbidit ,
"Settleable Soww
t
s,
moJdiU r
MG
IIINTUs
mall ,
z
z/z7/,r
N o
5-,2-9.41
•,3
A?' 3
2/-,7/
z, d o
7, 26 5
c'� 3
ep,
Footnote 1 Identify the receiving stream: �h- " k�� v't- F i ✓e47
Part D: Storrrr 71,ent Characteristics
Total Event Precipitation (inches):
Event Duration (hours):_
Part E: Certifcatibn
Pnrl r: Vehirle Mnintpnnnre Mnriitnrinw Rernriremeretc
Outfall
fCi" f k9k[•iir..
wD,atY�}'StH150
l IZf. 11 V. •..-tS.ir":
m�0056f
-
.�k
y,fl054S
t004Ufl;o.
,. 6Na 1 Ft
f ��
:t.,x
YfUP I I !f
,Sample:+
��. ;5'"
' � �,'�$i,I.:
,TotalsFlaw�
`fit MR' t
�:;.�:
Grease'
a� ur:rrfa..,,�
,. �' � Tot
Suspended
k.flsolids. :
w r;pH
w�.r:
dd/ :'
MGrf
,_m .
„k_F. m .•
viuntt ;
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
"I certify, under penalty of law, that this document and all attachments were prepared tinder my direction or supervision in accordance with a
system designed to assure. that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information,. the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations "
(Signature of,Permittee) (Date)
Part F: Mailing Andress
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699.1617
s W U-243- l20 l 99 y

STORMWATER DISCHARGE MONITORING REPORT (DMR)
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Pra-1 A.- Facility Information
Samples Collected In Calendar Year: o i] L-5:�! (all samples shall be reported within 30 days'following monitoring period
Certificate Of Coverage No. NCG42 a Z 0?& I County of Facility
Facility Name ��� 4}cS, ) ,11 e a(ZOr Name of Laboratory
Facility Contact S cum. Yni a 05 C Lab Certification #
Facility Contact Phone No. ( 1 5 ?Z- - Z//.--, 3 L%t'I/
Part B: Land Disturbance and Process Area Monitoring Requirements
Da#e
5044n.40530.9t
40,0Y
a
=t
bs ;'
tz�ISS;i
Outfall''
Reving Stream cei
'-Name
Sample
Natal
s i:Total� l
*tr ,r ,ref
` iz �` ni ` "
t' ��,: IIw�Settlealtle:
`'• st^"aY
No.
=Irh�,
Itds�t.!M
'
.. 4 /.:. -:1:a
Y-
`r',
'E,a''•R'
k II.sti tag; t �trne
.. a,;.;'{s
"hf = l." ,1..i1..
�.•�`X
• uit'-?1;=9',:.�
t`r. "�,'���,
•-itid d/
d'
a
1:.:MGi, ..
i
i'7r r.
..4m il... I
I IU.}cii~t't+.
'�- NT s.
L., S
a..:� ml/l t
Part D: Storm Event Characteristics
Total Event Precipitation (inches): O
Event Duration (hours): 1A,
Part E., Certification
RECEIVED
OCT 2 0 Z015
CENTRAL FILES
DWR SECTION
47
"/y741c .�o9
Part C: Vehicle Maintenance Monitorinz Reauirements
t t1Y;'�t]]y��
r -'Y
fk`� =x '41-JI �-!•ji�,t,
D
JHJ�'11.'.Y:SLYe�
,I�1(h,
K50054Iw40556
iL yl�i-YV`r�
l>b}si.l halci%I.SL
s'453D
V -fl7.t '.
0040
�.'f, 1�.-
1
.,.Xtecei'v1n
„j,puffall'•r,
Iv,
ut ,t�. x•.1 .-'.`L :I,..3 ,1.,?xf�..i,�
xStreami
' 'x{
=Sam le.
'r',•,..,,,,.,.P,.;•
•i+:"'
i°>.•
.::
1. I
Total
.. .
�•�. • ,=r:
c=;; • �gx . :r�;
,:: s m R, .
lee �.,
�Ga 1 rt�
r#¢�+
«,t r . >
,
, :�•t;a .+,:F.. ,
=;
., s _end d.,
. Su p _ e ,
:I?
kfi �?:
��' f
Is�li 055du'4;h�
],law.�,�..:Grease
']
�ii .5?'.. •s.I....tTsd
l`,i..•tu`'.� i L nr?..' - _ 1 ..
�iitil' .V. F� 43
�F?:I�: b"'[!4r'.4e
G ,,.:.S61id5;Y., - V
�rrjr!
-
,`iiif
Total Event Precipitation (inches):
Event Duration (hours):
(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 significant penalties for submitting false information,
including the possibility of fines and imprisonment for kno►ving violations."
- 4 �2%fR-0 /d Z
{Signature of Permittee) (Date)
Part F: Mailing Address
Attn: Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27699-I617
WU-243-012005

i
-Analytical Results
esville Brick Company
C)x 471
;ville, NC 28687
ecefve Date: 10/02/2015
OF
orted: 10/05/2015
r Mine site Iredell
:.� ..F.
Comments:
p,=
Sample Number Parameter
Sample ID
P
Result
Unit
Method
Analyzed
Y
Ana{ Y st
w151002-03-01 Settleable Solids
Outfall 6
0.1
mI1L
SM2540P-1997
10/02/2015
CL
;151002-03-01 TSS
Outfall6
9.375
mg/L
SM2540D-1997
10/02/2015
WL
151002-03-01 Turbidity
Outfall 6
10
NTU
EPA 180.1
10/03/2015
MD
yY,
k
Respectfully
submitted,
" Dena Myers
NC Cert #440,
NCDW Cert #37755,
" EPA #NC00909
PO Box 228 • Statesville, NC 28687.• 704/872/4697
Page 1 of 2

STORMWATER DISCHARGE MONITORING REPORT (DMR)
i
Please Mail Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Information
Samples Collected In Calendar Year: ;kO 1 S (all samples shall he reported within 30 days following monitoring period)
Certificate Of Coverage No. NCG020Z0 7& / County of Facility
Facility Name �_�-H c 6 u � �_r Name of Laboratory .5A irsu. )jam 22x-,, 91 v fi t d 1
Facility Contact 5 4P va M005 a Lab Certification #
Facility Contact Phone No. (20c./ ) 5? 7Z - N11 ?_ ';
Part B: Land Disturbance and Process Area Monitoring Reacrirements
Outfall'
No.
Recelvli g Sty eam
IVaine
! , ' !'ri>.???`-.!.I�.,a
50057,
{}r_A,i•.% Kl - ��
kPi0.: 0`.: 0Y-.I.Sba"!f�'/
1.`OOSA5+.
Samplc'
Collected
..;
c total a
i, c.!_{!'�;
' >-
Sui;peadedl
s.i0�f7lid$1�.�r,;;
"; r ! rt'' '
'rr7 urb►dityrc"
}•,�F.3S,llitsSF.�fl{
,� Settleable?
,�4F,
ji;1�1!'.:7F�fi"Ai:L11
r-. k r.
! - _
- 11, ::'s
I
tli�. -i : 7 r -!r
,y:z- ;•r" h
.;�:j IL -�1 -•
lti-
o.
Z_a i
Part D: Slot -in Event Characteristics
'Total Event Precipitation (inches): /�
Event Duration (hours): M
Part E: Certification
Part C: Vehicle Maintenance Monitoring Reauirements
=��i Y (.v f !
ri.'.1
i'' >1 �:`yp .�T•���. I' I.iy�
i j L.,1 u5-� �Hil !,) x.'t
I '>'�.H:i�f>}�' i �:.
Dater
h.•] -.
!'S'�J:',1;.4La1::p�
Y``54450's
# r•uiNY"ti
urn 4.l>- -
ir!40556�
.1.?.ir •v.xL.-
_ •:: K� -
00530 "e00404..
..I.. r
.
�.
ilVo z �
rt-Receiving,Str�am;,Samplek =,- >., r-
_!°+
`Iamfi�, ,+� �,:
F� .��, w
R' C I e•�
Total
:, �1` I,i,l
-�Od,and!
�r
f.. ",�:.:
; s n
t Su -pe decf
��p A....
_;t !
I.u� I�. yy w; +I •�(;.:, ;�
,F� k.t�'� _�• :
; 5.!f?low ;:
r� Grease°,
�'.5i-"'��-..._.
I
:i:Y s.{Y�!r.. �..i74..,1;.`..
...S�,T1i.s.��'t��Yk:'r��+fi:
�•1!?t�l�,d�.. �4
..,_.i
- s..�olld5:
v� �s
�4 F
-'�'�:a�����'X
!� .'F
E�.�i;%ur
r- i r
rrt�' Ilr
a
-
..h:l.�r
Itr"
I• ;Ill, ,il
lunit'
Total Event Precipitation (inches):
Event Duration (hours):
(if a separate storm event is sampled)
FAPR 1 0 p015 i
"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 violatio s.'r
F- .— LZ/,
ature of Permittee)
Part F: Mailing Address
Attn: , Central Files, DENR, N.C. Division of Water Quality, 1617 Mail Service Center, Raleigh, NC 27644-1617
L0,
(Date
SWU-243-012005

Analytical Results
Statesville Brick Company
f PO'Box 471
r Statesville, NC 28687
Receive Date: 03/25/2015
Reported: =Behind
For: nt
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
150325-23-01
Settleable Solids
OF#6
<0.1
ml/L
SM2540E-1997
03/26/2015
MD
150325-23-01
TSS
OF#6
4.667
mg/L
SM2540D-i997
03/26/2015
WL
150325-23-01
Turbidity
OF#6
8
NTU
EPA 180.1
03/26/2015
MD
Respectfully
submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 9 of 2

STORMWATER DISCHARGE MONITORING RE, PORT.-(DMR)
Please MAM]. Original And One Copy To Mailing Address Below
GENERAL PERMIT NO. NCG020000
Part A: Facility Infortnation-
Sainples'Collected In Calendar Year; 26 Y (all samples shall be reported within 30'days following U110111tDring period)
Certificate Of Coverage No.. NCG02 0 County of Facility X e- oe,
Facility Name etnj -I ye- 24z I' Ir". Name of Laboratory V
Facility Contact 5 xe, kj:Z4 —,1;170 xe Lab Certification #
Facility Contact Phone No. Uz-r &VI Z- 5
Part B: Land Disturbance and Process Area Monitorbity Requirements Part C- Vehicle Alairile')iaticeUoiiitoriii)L'Y'Requir'einents
I A,
IF
� t�. , i�ij-40'x
Rif6ely-liig Stream-
No.
-3661441 V
U
P.
-M
Part D.- Storm Event Characteristic's'
Total Event PreclpitAtlon (inches), Total Event Pre'cipl(ation (inches):
Event Duration (hours)-. 42 Event Duration (flours):
(if7a s6lairate storm event is sampled)
Part E:'CeHif!catio1I
9 certify, under penalty'of Iniv, that
:. . this document and all attachments were prepared. indet my direction or supervision In accordaice with a
system d6signed to assure thatquallf!ed personnel peoperly gather and,evaluate thi information subtWtted.'-Bnsed on my liquiry of the person
orlperson s ivba manage ge . the system, 6 , r those n persons directly respofisIbI6 for gathering t ie in ormation, the information submitted Is, to the best
of my knowledge and bellef, true;icebrate,.and coinplete. I 'am aware that, ere are significant'penaliles for submitting false Information,''
Inchtding the possibility of fines and imprisonment for knowing violatlons.!r
/Y
(Signature of Permittee) (Date)
Part Mailing Address a� r madit
Alin:' Central Files, DENR., N.C. Division of Water Quality, 1617 Mail Seivke.Center, .RUIeJgh,-NC 27699-1617 -
W1 1-7-4 1 -n i 7noi

Analytical Results
fdk-471
lle Brick Company
NC 28687
Receive Date: 11 /06/2014
rted: 11 /10/2014
nor:.-- ine Site
Comments:
OPII
;Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
;141106-19-01 Settleable Solids Outfalll 0.1 ml/L SM254OF-1997 11/07/2014 WL
x 141106-19-01 TSS Outfalll 113.81 mg/L SM254OD-1997 11/06/2014 JM
�141106-19-01 Turbidity Outfalll 2 NTU EPA 180.1 11/07/2014 MD
"'.Respectfully
submitted,
a Dena Myers
2. NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGOL3 Q O r�
FACILITY NAME !.�STG�t'R^_� L.�'��
COUNTY JL.S
tides -
PERSON COLLECTING SAMPLES $-A "^Alk
LABORATORY C.)<-ID Lab Cert. #
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR _
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECE❑Other
IVE
2014
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
CENTRAL FILES ❑ No discharge this period'
DWR SECTION
Outfall
No.
Date
Sample'Collected,
mo/dd/yr
00530
00400
00556
Total Susper"ided
Solids, mg/L
pH,
Standard. units .
Non -Polar Oil and Grease/TPH EPA
Method 1664,(SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
d
o
r�.
,
So
o
. �.
.g
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
Of yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfal l
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date/O� (first event sampled) }
Total Event Precipitation (inches): I
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it 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 FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the case of "No Discharge" reports to:
Division of Water 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."
re of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250
last revised October 25, 2012
Page 2 of 2