NCG080816_MONITORING INFO_20180717

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C& mb %%
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ d o)8�1 r�
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
CERTIFICATE OF COVERAGE NO. NCGO80816
FACILITY NAME Public Services Facility
COUNTY Rowan w
PERSON COLLECTING SAMPLES
LABORATORY Grant Creek WWTP Lab Lab Cert. # 112
LABORATORY R&A Lab Lab Cert. # 34
Comments on sample collection or analysis:
RECEIVE "SAMPLE PERIOD ® Jan June01❑ July -Dec
AIL 17 2018 or ❑ Monthly'_ lmonthl
CENT Fi�ir� DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout❑PNA
❑Zero -flow ❑Water Supply ❑SA
DWR SEC�"lCrt;
®Other C
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
FLSW01
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No discharge this period'
1 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 April 11, 2013
Pagel of 2

STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
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 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 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 Dopy of this DM& including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorinrr period in
the case of "No Discharge" reportsZto: ^
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."
of
(Date)
nal copiea!6# this form may be downloaded at: http://oortal.ncdenr.or/web/wg/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
CERTIFICATE OF COVERAGE NO. NCGO80816
FACILITY NAME Public Services FacilitV
COUNTY Rowan
PERSON COLLECTING SAMPLES Jeremy Parnell
LABORATORY Grant Creek WWTP Lab Lab Cert. # 112
LABORATORY R&A Lab Lab Cert. # 34
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
RECEI\y►RGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
NOV 16 2017 ®Other C
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfall
No.
Date�j
Sample Collected,
ma/dd/yr
0053{t
Total Suspended
Solids, mg/L
_ 00400
9 : pH,
Standard units
`00555
Non -Polar Oil and Grease%TPH EPA
Method 1664 (5G%HEM), mg/L
New Mator Oil Usage,
Annual average gal/mo
rB—enctrm—ark-M
permit
Within 6.0 -9.0
15
-
FLSW01
10/23/2017
17.3
6.31
< 5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Qutfail
No.
Date
Sample Collected,
mo/dd/,yr
00556
Non -Polar Qil and Grease/TPH EPA Method
1664 (SGTsHEM), mg/L
D0530
Total Suspended Salids,
mg/L
00400
pH,
Standard units
P'-"e rM i tj Limit
15
50 or 100 see permit
5.0 - 9.0
N/A
t 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 April 11, 2013
Pagel of 2

STORM EVENT CHARACTERISTICS:
Date 10 23 2017 (first event sampled)
Total Event Precipitation (inches): 1 "
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 Z or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS_ SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copes 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) ta:
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."
(Signatu
//- 5 -i 7
(Date)
nal copies of this forfn may be downloaded at: http://portal.ncdenr.orR/web/wq/ws/su/npdessw##tab-4
SWU-250
last revised April It, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
CERTIFICATE OF COVERAGE NO. NCGO80816
FACILITY NAME Public Services Facili
COUNTY Rowan
PERSON COLLECTING SAMPLES Jeremy Parnell'
LABORATORY Grant Creek WWTP Lab Lab Cert. # 112
LABORATORY R&A Lab Lab Cert. # 34
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month)
RECEI\ABDARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[_)Zero -flow ❑Water Supply [—]SA
OCT 16 '20-11 ®Other C
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
no
❑ No discharge this period'
OutfalI
No.
Date
Sample Collected,
ma ,dd/,yr
00530
Total Suspended
Solitls, mg/L
00400
pH,
Standard units
005561'� �
NonPoEa`r Oil and Gre' ase'/TPH EPA
Method 1664 (SGT�HEM), mg/ L
New Mator Oil Usage,
An_ nual average gal/,mo
�encilmark
�' -
50 or�100 see permit
With'inr6.0 %Q
' 15
-
FLSW01
09/12/2017
7.4
6.3
< 5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
WNO.
Date
Sample Collected,
00556
Non -Polar Oil andfire/TPH EPA Method
mg/L
00530
Total Suspended Solids,mo/dd/yrMj,
mg/L
004(10
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0— 9.0
N/A
1 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SVM-250 last revised April 11, 2013
Page I of 2

STORM EVENT CHARACTERISTICS:
Date _09/12/2017 (first event sampled)
Total Event Precipitation (inches): 1.2 "
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, rer 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER 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 ANY ONE 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."
of Permittee)
/O -1a-1 %
(Date)
itional copies of this form may be downloaded at: http:llportal.ncdenr.org/web/wq/`w5jsu/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
CERTIFICATE OF COVERAGE No. NCGO80816
FACILITY NAME _Public Services Facility
COUNTY Rowan
PERSON COLLECTING SAMPLES Mike Kluttz
LABORATORY Grant Creek WWTP Lab Lab Cert. # 112
LABORATORY R&A Lab Lab Cert. # 34
Comments on sample collection or analysis:
Ge\NJVS- MPLE COLLECTION YEAR 2017
R ��WPLE PERIOD ® Jan -June ❑July -Dec
��g 2 or ❑ Monthly' (month)
,0:DARGING TO CLASS ❑ ❑ [—]Trout HQW Trout ❑PNA
G �FG���8i❑Zero-flow ❑Water Supply ❑SA
G ®Other C
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfall
No.
Date
Sample Collected,WousleRdid
mo/dd/,yr
00530
lids, mg/L
00400
pH,
Standard units
00556
Non -Polar Oi! and Grease/TPH EPA
Method 1664 [SGTyHEM}, mgJl
Ij46—W0r OHMIC,
Annual ay_erage gal/Mo
Benchmark
-
50 or 100 see permit
Within 6 U— 9.0
15
-
FLSW01
01/20/2027
4.7
6.5
< 5
/a2SD
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfa11
No.
11te-
Samplollected,
ma/dd/,yr
Non -Polar Oil and Grease/TPH EPA Method
1664 [SGT:HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
iS
SO ar 100 see permit
6.0 — 9.0
N/A
I 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 April 11, 2013.
Pagel of 2

STORM EVENT CHARACTERISTICS:
Date _01/20/2017 (first event sampled)
Total Event Precipitation (inches): 4/1D"
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Nate: If you report a sample value in excess of the benchmark, you must implement Trer 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER 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 ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail on 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)
o?-/&- /7
(Date)
ditional copies ofAis form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw##tab-4
SW-250 last revised April 11, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
/�/�ld�+�� Date submitted �•
C.i� b 4 C= SAMPLE COLLECTION YEAR 2015
CERTIFICATE OF COVERAGE NO. NCG08080820 C=
FACILITY NAME Norfolk_ Southern Railway__- Charlotte Engine Terminal SAMPLE PERIOD Jan June X July -Dec `z
COUNTY Meckienbure or El Monthly' (month)
PERSON COLLECTING SAMPLES _ J. Thurman Horne, P.E. DISCHARGING TO CLASS ❑ORW ❑HQW QTrout ❑PNA Lir:
LABORATORY K & W Laboratories Lab Cert. # 559 QZero-flow ❑Water Supply ❑SA
Comments on saTple collection or analysis: RECEIVED X Other C
&Ar
JAN 12 2% PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
Part A: Vehicle Maintenance Areas Monitoring Requirements CENTENTDWR SECTION No discharge this period
Outfall
No.
Date
SamPle:Collected;
mo/dd/yr
00530
00400
00S56
-
Total Suspended
Solids, mg/L
upH,
Standard units
Non -Polar Oil and Grease/TPA EPA
Method 1664 (SGT-HEM), Mg/L
New Motor Oil Usage, .
Ahhual average gal/rho
Benchmark
-
50'or 100 see permit
With _ _ in6.0-9.4
.15.
001
11/30/2015
10
6.65
<5.9
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes —no
(if 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
Outfall
No.
Date
Sample°;Collected,
w mo/dd/yr
00556
60530
00400
Non -Polar Oil and Grease/TPHEPA'Method`
16G4'(SGT=HEN!), mg/L;, ° .
Total Suspended=Solids,
rrtg/L --
pN,
Standard,units
Permit Limit
-
15
SOor 140 see permit =
: 6 0-- %o
001
11/30/2015
<5.9
10
6.65
I 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

J
STORM EVENT CHARACTERISTICS:
Date 11/30/2015 (first event sampled)
Total Event Precipitation (inches): 1.7
4
x j Date (list each additional event sampled this reporting period, and rainfall amount)
'.4 Total Event Precipitation (inches):
e: 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 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 EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO X
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Moil 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 significantjWaltie,;;�bmj*ig false information, including the possibility of fines and imprisonment for knowing violations."
{Signature of
(-7-1G
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orgLweb/wq/ws/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
P- -) -r I)

IV
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO8080820
FACILITY NAME Norfolk Southern Railway - Charlotte Engine Terminal
COUNTY Mecklenburg
PERSON COLLECTING SAMPLES J. Thurman Horne, P.E.
LABORATORY K & W Laboratories Lab Cert. # 559
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD X Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECE V ED ❑Zero -flow ❑Water Supply [:]SAL� 2015 X Other C
JUN 1 5
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE -)
pWR SECTION
❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
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
001
04/14/2015
32
6.58
<5.6
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes ,no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulls Stations and Terminals
Outfall
No.
Date
Sample°Collected;
ino/dd/yr
.. .
00556:
00530
00400
Non -Polar Oil and-Grease/TPHEPA Method
1664!(SGT-HEM), mj9lL
Total Suspented Solids,
mg/L
pH,
Standard units
Permit Limit .
-
15;
50 or 100 see permit
6.0 =, 9.0:
001
04/14/2015
<5.6
32
6.58
' 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

STORM EVENT CHARACTERISTICS:
Date 04/14/2015 (first event sampled)
Total Event Precipitation (inches): 0_1
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 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 EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE?. YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coon of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results !or at end of monitoring period in
the case o "No Dischar e" 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."
cam' , KK���
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://Aortal.ncdenr.org/web/wgLs/su/npdessw#tab-4
SWU-250 last revised October 25, 2012
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO8080820 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Norfolk Southern Railway_- Charlotte Engine Terminal SAMPLE PERIOD X Jan -June July -Dec
COUNTY Mecklenburg or ❑ Monthly" (month)
PERSON COLLECTING SAMPLES J. Thurman Horne, P.E. DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY K & W Laboratories Lab Cert. # 559 ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: X Other C
Part A: Vehicle Maintenance Areas Monitoring Requirements
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
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
001
04/14/2015
32
6.58
<5.6
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes _no
(if 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
Outfall
No.
bate
Sample°Collected,
mo/dd/yr
06556
00530
00400
Non -Polar Oil and Grease/TPH=£PA Method
1664-(SGT-HEM); mg/L'.
Total Suspended Solids,
mg/L
pH,
Standard units.
Permit Limit
15, .-
50 or 1W see -perfhit
60.- 9.0-
001
04/14/2015
<5.6
32
6.58
I 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

•-
•
STORM EVENT CHARACTERISTICS:
Date 04114/2015 (first event sampled)
Total Event Precipitation (inches): 0.1 -
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 11 SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO X
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE?. YES ❑ NO,❑
REGIONAL OFFICE CONTACT NAME -
Mail an oriainal and one caDv of this DMR, includina all "No Dischorae" reports, within 30 days of receipt.'of the lab results for at end of monitorina period in
the case of "No Dischorae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and,belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
6-
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
At
�i
SWU-250
last revised October25, 2012
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report4
for North Carolina Division of Water Quality General Permit No. NCGO80080 O
Date submitted 7- /v - i 5
CERTIFICATE OF COVERAGE NO. NCGO80816 ®® SAMPLE COLLECTION YEAR 2015
FACILITY NAME Public Service Facility RECtIVEI MPLE PERIOD ® Jan June ❑ July -Dec
COUNTY Rowan JUor ❑ Monthly' (month)
G ,� � ��
PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Lab Cert. # CENTRAL FILES ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection -or analysis:
WR SECTION ®Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
FLSWO1
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
® No discharge this period1
Ou II
No:
Dat10
SampletCollected,
00555
Non -Pillar Dil and Grease/TPH EPA Method
g/L
OOS3U
Total Suspendetl So "ds,
mg%1,
00400
Stanunits
UaTSG6M),
Permit Limit
o100 e�mit
.0
N/A
I For sampling periods with no discharge at any single outfall, you trust still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page] of 2

STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
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 Trer 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li 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 cMy of this DMR includin all "No Discharge" reports, within 30 days of receipt of the lab results for 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."
Permittee)
/O—ILL
(Date)
Adt oval copies of this.form�fn,ay%e downloaded at: http://Portal.ncdenr.org/web/wq/­w5/su/npdessw#tab-4
S WU-250
last revised April 11, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report A**
for North Carolina Division of Water Quality General Permit No. NCG080QOO46�n�
CERTIFICATE OF COVERAGE NO. N00080816 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Public Services Facility SAMPLE PERIOD ❑ Jan -June ® July -Dec
COUNTY Rowan or ❑ Monthly' lmonth
PERSON COLLECTING SAMPLES _Keith Redman, Jake Sterling DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ©PNA
LABORATORY Grant Creek WWTP Lab Lab Cert. # 112 RECEIVED ❑Zero -flow ❑Watersupply ❑SA
LABORATORY R&A Lab Lab Cert. # 34 ®Other C
Comments on sample collection or analysis: SEP I S . Cu
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
CENTRAL FILES
poVYR SECTION
Did this facility perform Vehicle Maintenance Activities using more than 55 gallon new motor oil per month? X yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfa l l
No.
Date
Sample Collected,
mo/ad/yr
�530
TotaINS pended
Solids, mg/L
Ofl4�
pH,
Standard units
0fl55fi
Non -Polar Oil and Grea'se/TPH EPA
Method 16fi4 (sGT:HEM}, mg/L
P4e--WINr Oil Usage,
Annual average gal/mo
Benchmark
-
S- or i� see permit
Within 6.fl — 9.fl
15
FLSW01
9/18/201S
23.2
6.1
< 5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Date
i1053*ffp
"FNIO.
le Collected,
Non -Polar Oil and Grease/TPH EPA Method
Total Suspended Solids,
pH,
o/dd/yr
1664 (SGTYHE_M), mg/L
mg/L
Standard units
P.ermit,limit
-
15
50 ar0l� see permit
fi.0— 9.0
N/A
t 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 April 11, 2013
Page] of 2

STORM EVENT CHARACTERISTICS:
Date 8/18/2015 (first event sampled)
Total Event Precipitation (inches): 4/10"
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 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 EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE 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 resultsLr 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."
of Permittee)
a —7
(Date)
nal copies of this46rm may be downloaded at: http://Portal.ncdenr.orp,/weblwq/ws/su/npdessw#tab-4
S WU-250
last revised April 11, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000 >�
CERTIFICATE OF COVERAGE NO. NCG080816
FACILITY NAME Public Services Facility
COUNTY Rowan
PERSON COLLECTING SAMPLES Mike Kluttz
LABORATORY Grant Creek WWTP Lab Lab Cert. # 112
LABORATORY R&A Lab Lab Cert. # 34
Comments on sample collection or analysis:
ff��
©ECEMDiCOLLECTION YEAR 2016
PERIOD ® !an -June ❑ July -Dec
JUN 13 2016 or ❑ Monthly' _ ot. th
DISCHARGING TO CLASS ❑ORW ❑HQW E r ❑PNA
CENTRAL FILES ❑zero -flaw ❑Wate;F�-,Wy ❑SA
DWR SECTION ®Other C
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
No discharge this period'
Outfall
No.
bate
Sample Collected,
mo/dd/,yr
00530 �
Total Suspended
wr
Solids, mg/L
004� ��i
aM-runits
00556
Non-Polar Oil and Grease'/TP. H EPA
Method IG64 (SG.T-HEMS mg/L -
New Motor Oil Usage,
Annua! average gal/mo
Benchmark.
-
SO or 100 see permit
Within 6.0 --9.0
-
15
-
FLSW01
05/17/2016
10.4
6.5
< 5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
A
r 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 April 11, 2013
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 05/17/2016 (first event sampled)
Total Event Precipitation (inches): 6 10"
Date 05/05/2016 (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches): 6/10"
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 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 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,ncludinn 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."
of
(Date)
nal copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG080000
CERTIFICATE OF COVERAGE NO. NCGO80816
FACILITY NAME _ Public Services Facility
COUNTY Rowan
PERSON COLLECTING SAMPLES Keith Redman, Mike Kluttz
LABORATORY Grant Creek WWTP Lab Lab Cert. # 112
LABORATORY R&A Lab Lab Cert. # 34
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2016
RECEIVED SAMPLE PERIOD ®Jan -June ❑July -Dec
RECEIVED or ❑ Monthly' , (month)
JUN 06 2016 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
CENTRAL FILES ®Other C
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
no
❑ No discharge this period'
Outfa l l
No.
Date
Sample Collected,
00530
Total Suspended
SolL
00400
pH,
Standard units
00556
Non -Polar Oil and Grease/TS
Me#hod i664 (SGTIiEM)/L
ilUsage,mo/dd/y�
Annual+average gal/mo
Benchmark
50 or 100 see permit
Within 6.0 — 9.0
15
FLSW01
05/05/2016
4.2
6.67
< 5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
A
I 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 April 11, 2013
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date _05/05/2016 (first event sampled)
Total Event Precipitation (inches): _ 6/10"
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 11 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 EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE 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 for 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
(Date)
nal copies of thKform may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
CERTIFICATE OF COVERAGE NO. NCGO80816
FACILITY NAME _Public Services Facility
COUNTY Rowan
PERSON COLLECTING SAMPLES
LABORATORY Grant Creek WWTP Lab Lab Cert. # 112
LABORATORY R&A Lab Lab Cert. # 34
Comments on sample collection or analysis:
Did this facility perform Vehicle Maintenance Activities using more th
(if yes, report your analytical results in the table immediately below)
SAMPLE COLLECTION YEAR 2016
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly'. (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECEIVED ®Other C
JAN 3 12017 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
motor oil per month? X yes _no
® No discharge this period'
WOOssam
Date
ple Collected,
ma/dd/,yr
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grea e'/TPH EPA
Method 16fi4 (SG_7tHEI mgIL
New�Mator Qil Usage;
Annual average gal/mo
[9e—nctfffi—arR§
1501TRLRKsee permit
Within 6.0-9.0
15
-
FLSW01
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
OutFall=d�
Non olar Oil and Grease/TPH EPA Method
1664 (5G%HEM], mg/L
Total Suspended Solids,
mg/L
Standard units
Permit Limit
-
15
50 or 100 see permit
6A ,,9.0
{
E
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 April 11, 2013
Pagel of 2

STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): _
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 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 EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE 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 recei t of the lab results or at end of monitoring period in
the case of "No Discharge" reuorts) 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)
/ -/7
(Date)
ional copies of this ffifm may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250
last revised April 11, 2013
Page 2 of 2

,--- t.r .
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
CERTIFICATE OF COVERAGE NO. NCGO80816
FACILITY NAME Public Services Facility
COUNTY Rowan
PERSON COLLECTING SAMPLES
LABORATORY Grant Creek WWTP Lab Lab Cert. # 112
LABORATORY R&A Lab Lab Cert. # 34
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' (month}
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw ❑Water Supply []SA
®Other C
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X yes
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
no
® No discharge this period'
'OutFall w
e - NoSample
;`
_
Dat +00530
ae'" -
'G .�
Collected;
.'
mo ;dd ; r
/_ /Y��_.
_.._..
�-:.,.'ii4AtinE�...[[..o"
Total Suspgnded �y
L�
"
Solids am L�>
PH, �`;
Standard units
¢.�.,'.'...ti
Non=Polar Oland Grease%TP'.H�EPA
-6E`. -!.1. �o"J4va,•,'T. 2,isu;g
'Method 1664 SGT-HE_M m L
.::., ..
New Matar 0ii Usage_
'_
�nual avers a al
�-.z ram.-�.,�..� �
Benchmark
- r ;�:� n
�
�-r��-�-.,,�., �r -�,
50 or�100�seeE errriit
�.��, - � -� �:.� � ��
Witliinb6 0 9 0�-
-� � , �=_ ,��~ �� �'
� "� 15��,� �
s 'ice• �= _µ ,�� -
�- „�:.�:,�
FLSW01
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
IR Outfall:'
x .No.
_
: .�
Date =.
Sarriple Collected,
.: ifk>'d4kyi'e4�'� '..-%`_3
mo dal/>YJ� _3 s
,_.
= 0055b -
.:Non-Polar,,Oil`and Grease/TI?li EPA Method
s", i ��i�{iri .�y.�R+.{^.''" >.gp?��Ya `.1:- 'C Yam.".
� .. 1fi64 (5GT HEMj mg/L �` . . ,
Total Suspendetl;Sands,4
< :�F-. i..: alp r' 34"..: E"f:_
_ g%L _ K.. Y
-
oFI, , ,
d'�c".'^" - :�0, .��'�¢.
,Standa_ra nu is_
-F
_.vu5u�. ..Ef
Permi4i"4
�ti ..._. ._.. .,... r:-
• ". �� „c.'�si
- : ;�
:-F .. ., _,._+'�• �:
u` :T•.
- 15
;#_+.�os�1�...�15':� .aG ..�.._��s,. .. �i'.,�s� :�> -
� �;-�=.-�•-��T._-:h vSF.a - cr'Sv-_ --
50 or,100 see ermit
&.,.a �S'.::.k .��- _tp ��#
�-.S �-��� li '>''-.i._'
6. 9 l
."�-�._,^ -'a«., 1�
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 April 11, 2013
Pagel of 2

STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches):
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, rier 2, or rier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it 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 for 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."
of Permittee)
-/7
(Date)
itional copies of this J)Fm may be downloaded at: http:1lportal.ncdenr.org/web/wq/ws/`sulnpdessw#tab-4
S WU-250
last revised April 11, 2013
Page 2 of 2