NCG060144 DMR SW (5)

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qulity eneral Permit No. NCG060000
Date submitted % /
CERTIFICATE OF COVERAGE NO. NCCG06 0 1 A; SAMPLE COLLECTION YEAR X014
FACILITY NAME V A \ fie.•) (Ce—c n S FACILITY ACTIVITIES INCLUDE (chec at apply):
COUNTY .4 19 f'I ❑ use/process meats use animal fats�/b products
PERSON COLLECTII IG�SAMPLES �4 w.�5 k�c���S DISCHARGING TO SALTWATERS? F IYES F; -,W6
LABORATORY_ ` C"V ;5 V%-, Lab Cert. # 41&-.2d
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Tntnl avant rninfnll 1 nr l.,
. -" -..............j.,... yr I -I r•v �.r'"'.�r yc arra Ncr IUU
Outfall No. Sample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliform , Enterococci',
mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 50 Within 6.0 — 9.0 120 30 1000 500
fl
Unry appues LD racemes Mai use/process meats.
3The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at anyoutfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor Oil/mnnth
..........
Outfall No. Sample Collected, Oil and Grease, TSS, pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark - 30 100 or 50 6.0-9.0 -
Lt> L1
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249
(if yes, complete Part B)
Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECT N 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 VNO ❑ >
REGIONAL OFFICE CONTACT NAME: i1%: Ke L a
Division of Water Quality
Attn: DWQ Central Files `
1617 Mail Service Center
Raleigh, NC 27699-1617
YUU 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)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qu lity f3eneral Permit No. NCG060000
Date submitted I
CERTIFICATE OF COVERAGE NO. NCG06 0 1 4 _14 SAMPLE COLLECTION YEAR ,2CsI q ---
FACILITY NAME Vp l 14-
COUNTY
hFACILITY ACTIVITIES INCLUDE (check II that apply):
COUNTY .. un ❑ use/process meats use animal fats/byproducts
PERSON COLLE q(G SAMPLES �S DISCHARGING TO SALTWATERS? YES ©l O�
LABORATORY-(( j r ; S v%. Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
111 - I _Yn._ .•.
. -1 c VCIIL I urn/un Of L!] No alscnarge tnls period
Outfall No. Sample Collected, TSS, pH, COD, Oil and Grease, Fecal Coliform', I Enterococci
mo/dd/yr mg/L Standard units mg/L mg /L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0 — 9.0 120 30 1000 500
D p
v.ny upt, — w .a ales Mal Use/ f/I ULUb5 II led U,.
3The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at anv outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averalrina 5r.1; cal of now mntnr nil/.,,.,.,+w
-------------------'w---o - -- o.... ... ...... ..... •... v.ynwnan.
Outfall No. Sample Collected, Oil and Grease, TSS, pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark 30 100 or 50 6.0-9.0 -
ZV
v
Oniy applies to taciiities that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if es complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I ;of 2

*FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 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 EXCEEDENCE R THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME: • Ke_
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, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
/ Ik /.5 "
( (ate)
Additional copies of this form may be downloaded at:.http://portal.ncdenr.org/web/wq/ws/­su/npdessw#tab-4
SW U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING; REPORT
for North Carolina Division of Water Quaity f3eneral Permit No. NCG060000
Date submitted �—
CERTIFICATE OF COVERAGE NO. NCG06 6J_44 SAMPLE COLLECTION YEAR :;2 L'--) 14 -
FACILITY NAME V41 lt,,j (tlt-m *.e,, g FACILITY ACTIVITIES INCLUDE (check a I that apply):
COUNTY A,ry S ❑ use/process meatsuse animal f yproducts
PERSON COLLEfUa9 SAMPLES S DISCHARGING TO SALTWATERS? []YES NO
LABORATORY %. C- " S M Lab Cert. # D
Part A: Stormwater Benchmarks and Monitoring Rpsultc
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
7,_. .l .. _ L_ Il 1 r1 /
Outfall No. Sample Collected, TSS,
mo/dd/yr mg/L
Benchmark - 100 or 50
3 )
--- --
pH, COD,
Standard units mg/L
Within 6.0-9.0 120
I ULul cvrin. lumjun or L&S7V discharge this period -
Oil and Grease, Fecal Coliform , Enterococcil,
mg/L Colonies per 100 ml Colonies per 100 ml
30 1000 500
—
Onl a lies t f ;I'Y th
y pp o aci i les at use/ meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at anyoutfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitorine Results: only for facilities averaging 5 SS Qa► of now mntnr .,'i i...,,. *I,
"' --. --------------
—-—a ...0 _ .. t,—. — .-.-j ay. V j I5IVII�II.
Outfall No. Sample Collected, Oil and Grease, TSS, pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units Annual average gal/mo
Benchmark - 30 100 or 50 6.0-9.0 -
A7 I
V
It
uniy appnes to racinties that use/process meats.
2The total precipitation must be recorded using data from an on-site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECT N B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC 5 FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO FI
REGIONAL OFFICE CONTACT NAME:
this
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
the
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
/ 5
(Dat6)
Additional copies of this form may be downloaded at:.http://portal.ncdenr.org/web/wq/­ws/­su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2