NCG140179_MONITORING INFO_20190130

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
p �Q 1 5 D) 3 l7
WYYMMDD

409 Rogers View Court
Mid Atlantic Raleigh, NC 29910
office 919.2.250.99i8
Engineering & Environmental Solutions facsimile 919.250.9950
MAAONLfNE.COM
January 22, 2019
NC Department of Environmental Quality
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: ANNUAL SUMMARY DISCHARGE MONITORING REPORT
NOTIFICATION OF NON -SAMPLING
CONCRETE SERVICE COMPANY PLANT NO. 12
201 SOUTH WALNUT STREET
LUMBERTON, ROBESON COUNTY, NORTH CAROLINA
NPDES PERMIT NO. NCG140179
MID -ATLANTIC JOB NO. 0001111944.10 RECE' E)
To Whom It May Concern: JAN $ 0 2019
cENrRAI. Prt��,
On behalf of Concrete Service Company, Inc., this letter serves as notifica�& '� mwater
sample was not collected during the previous calendar year (2018). During this timeframe, it is
our understanding that a stormwater discharge did not occur from the designated site outfall
during a measurable storm event at a time when a stormwater sample could be safely collected
(i.e. during business hours when the facility was occupied, and preceded by 72 hours with no
measurable storm event). Stormwater flow will continue to be monitored during the upcoming
monitoring periods (January -March, April -June, July -September and October -December 2019)
and, in the event of a discharge, stormwater samples will be collected per the permit requirements.
If you have any questions or need additional information, please contact me at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Charles B. Hoffman, P.G.
Principal Geologist
Attachment: Annual Summary Discharge Monitoring Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

ANNUAL SUMMARY DISCHARGE MONITORING REPORT
(DMR) — STORMWATER
I SUBMIT TO CENTRAL OFFICE* I
General Permit No. NCG140000
Calendar Year 2018
*Report ALL STORMWATER monitoring data on this form (include "No Flow" 1" No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG 14
Facility Name:
Service Company Plant #12
County
Robeson
Concrete
Phone Number: ( ) 910237-1791 Total no. of
SDOs monitored 1
Certified Laboratory Lab # Pace Analytical Services, Inc. 12
Lab #
Stormwater Discharge Outfall (SDO) No. VMA Outfall? Yes ❑ No
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No FIT
Was this outfall ever in Tier 2 during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, was monthly monitoring discontifted?
Yes, enough consecutive samples below benchmarks to decrease frequency
Yes, received approval from DEMLR to reduce monitoring frequency l
Other
Non -polar O&G
Total
pH,
(EPA Method
New Motor Oil
Outfal! No.
Total Rainfall,
Suspended
SU
1664 (SGT-HEM)),
Usage (gallmo.)
inches
Solids (TSS),
mgll (VMA)
mgll
N applicable
Happ!leable
Stormwater
Circle BanChmari,
Benchmarks
lndleate NO FLOW N
100150
A
6.0-9.0
>55 gallmo. average requires TSS and
applicable
15
Non•palarO&G manitoring
Date Sample
Collected,
molddlyr
0313012018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 galmo average)
06/30/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gallmo average)
09/30/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gallmo average)
12/31/2018
No Discharge
No Discharge
No Discharge
No Discharge
NIA (<55 gallmo average)

Permit Date 8/112017 - 6/30/2022
Last Revised 8-22-2015
Certificate of Coverage No. NCG14 0 1 7 9
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,
or those persons directly responsible for gathering the information, the information submitted is, to the best of
my knowledge and belief, true, accurate, and compete. I am aware that there are significant penalties for
submitting false infonmation, including the possibo tytof fines and imprisonment for knowing violations."
(Required by 40 CFR
Signature
Date I �q (9
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center Raleigh,
NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919)
707-9220

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RROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERA, PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14 O / -7
FACILITY NAME: r oS p'qr �..
PERSON COLLECTING SAMPLES: /.; a !(
CERTIFIED LABORATORY: ` 9L Lab # 3�
Lab If
LIMIT VIOLATIONS? YES NO O
Part A: Wastewater Monitnritt¢ Reauirements
SAMPLE COLLECTION YEAR: �2o 17
SAMPLE QUARnTI`R: Qlul-Sept [NOct-Dec [ Jan-MMII []April -June
COUNTY:
PHONE NO. -
ADD TO LISTSERVE? [IYES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA QHQW ❑PNA Dirout 0Other/-4w9•=
OPTIONAL INFO:
i
OutfaflNo.
Date Sample
(/CaJiecteyr)
Type of Wastewater
(VE. RM, MD)'
pH
(Standard)
Total Suspended
(emu
Settleable
( uL�
TPH using
method 1664A
SGT-NEAR'
(mg/0
Discharge
Duration
(rt netex)
Total Flow
(gallons/days'
-
-
-
1-4
30xs
5�
(;5)1
JAN
r
-Lola
1 if wastewater systems have not discharged In this quarter— report"No Fluw or"No Discharge" here. Please make sure to mark the sample quarter above.
a Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (11M), Mixing Drum
Cleanout WD). Report more than one type if the waste -stream is commingled.
a if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
` pH limits are 6-9 S. U. for wastewater discharges to freshwaters, and 6.".5 S. U. for discharges to saitvraters.
5 TSS limits are 20 mg/L for wastewater discharges to NOW waters,10 mg/L for Trout and PHA waters, and 30 mg/L for all other crater classifications.
Permit Date: 7/l/2010-06/30/2015
Date of last pH meter calibration:
Last Revised 07113/11
Page 1of2

° Process wastewater discharges small only he monitored for TPH when commingled with stormwater discharges from VIVA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Fart IV, Section A, including the Tiered Response Action_
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW wra=ers shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify CWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL QRIGINAL AND ONE COPYOF THIS ANNUAL SUMMARY (INCLUDINGAL -NO FLOW-. NO DISCHARIGE-1 VATHIN 30 DAYS OF RfSEIPT OF SAMPLE
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW-) TO:
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MfJS751GIV, THfS CFR 0TQN E � ANY JIYFURMA Ti0N RfRQfiTfD:
"I certify, under penalty of lavr, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to
assure that qualified personnel property 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 ls, 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 f ossibility of fines and imprisonment for knowing
violations."
(Signature of Pernuttee) 10ate)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2
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PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0. NCG14 0 ! 7 T
FACILITY NAME: l�ir4 •s /%4�G 'w"'r _ i -
PERSON COLLECTING SAMPI : V • /5.'- r 1
CERTIFIED LABORATORY- T84- Lab # ; 7
Lab #
LIMIT VlOLATIONs? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTiON YEAR: o)O/ I i
SAMPLE QUARTER: [jJJu!-Sept ❑Oct -Dec ❑Jan -March ❑April Jane
COUNTY: A1ifs-1 —
PHONE NO. ( 9 /'d VT
ADD TO LISTSERVE7 []YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []trout []Other L Kn 6 Y
OPTIONAL INFO:
Outfall Na.
Date Sample
Collected"
(nun/dd/yr)
of Wastewater
jVE, R.M. MD}
pH
(standard)
(standard}
Total Suspended
Solids
(m
(mg/L}
Settleable
Solids
{mL/L}
TPH using
method 16S4A
SGT Lj
{mg/Lj
Discharge
Duration
(minutes)
Tota! Flow i
(gallons%day}
-
-
-
,, ,4
6*
3&.5
S3
CENTRAL
R SECTION
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S. U. for wastewater discharges to freshwaters, and 6.3-8.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015
Date of last pH meter calibration:
Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. if the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual Flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (QR
AT END OF MDNITOKING_PERIOD IN CME, OF "NO FLAW"l TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSrSIGN THIS CERTjM77Oj11 E¢R ANr INFORMATION R
"1 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 respansible for gathering the Information, the Information submitted I% to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing
violations "
1-7
Of
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 1 Z S
FACILITY NAME: OS e
PERSON COLLECTING SAMPL S: I I j4v -e f
CERTIFIED LABORATORY: 1V 14 Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: a d 17
SAMPLE QUART R: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
COUNTY: I Ir CSe„
PHONE NO.1 9/01 - SS 1 I
ADD TO LISTSERVE? []YES [:)NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other L..+ S- e
OPTIIONAL INFO:
Outfall Na.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
*
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGf-HEMr'
(mg/L)
Dlscharge
Duration
(minutes)
Total Flow
(gallons/day)
-
-
-
64"
303.5
53
(15),
./`
.
1
I
If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring,
e pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date:7/1/2010-06/30/2015
Date of last pH meter calibration:
Last Revised 07/13/11
Page 1 of 2

r Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ, If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COP19F THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END O)FMONITORING PERIQD INCASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THI5 CERTIRMIU N FOR ANY INFORMATION REPORTED:
"1 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
6-30-�1
(Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14a L g
FACILITY NAME: @ �'k
PERSON COLLECTING SA PLES: 1: c f(
CERTIFIED LABORATORY: L Lab # _ AZ
Lab #
LIMIT VIOLATIONS? YES [:]NO[:]
Part A. Wastewater Monitoring Reauirements
SAMPLE COLLECTION YEAR: ")014 _ i
SAMPLE QUARTER: ❑Jul -Sept [�Oct-Dec ❑Jan -March ❑April -June
COUNTY: Zlwson _
PHONE NO. ( Iv gocs — 65 f l
ADD TO LISTSERVE? ❑YES ONO EMAIL:
DISCHARGING TO CLA55: ❑SA ❑HQW ❑PNA ❑Trout [NOtherykad,.g
OPTIONAL INFO:
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
5GT-HEA#'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
y
(gallons/day)
-
64"
303,5
53
(15),
-
-
z
WR yaw
S
I
If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s T5S limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

0 0 0
e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50`ya of the Summer 7Q10 Flow as per 15A
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUSTRgN THIS CERnFKATION FOR ANY INFORMATION REPOR
"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."
fa _3a -/G
(Signature of Frerm ee) (Date)
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 o _L _-L
FACILITY NAME: A r
PERSON COLLECTING SAMP ES: :1(. art f
CERTIFIED LABORATORY: 7-R L_ Lab # 3�
_ Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 520 k fp
SAMPLE QUARTER: [A1ul-Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: t�abeSort
PHONE NO. (Q1a_j 4,g3- 5511
ADD TO LISTSERVE? OYES ONO EMAIL: '
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑trout RjOther Lb,
OPTIONAL INFO:
Ouifall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
VE, RM, MD x
{ }
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L}
TPH using
method 1664A
S'� H6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/clay)"
-
6-93.+
303,s
53
wif
CENT
L)wR
C
w
S
I
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here. Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S. U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s T55 limits are 20 mg/L for wastewater discharges to KQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shail be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. if the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
(Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERA. PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140 i '7 9
FACILITY NAME: iArsas KcL`e►Y Fui
PERSON COLLECTING MPLES: All., Avie lI _
CERTIFIED LABORATORY: - T' L Lab # _3
.77
Lab N
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: ad 1 {0
SAMPLE QUARTER: ❑Jul -Sept []Oct -Dec []Jan -March IxApril-lune
COUNTY: —ccK _
PHONE N0.(4_ 10 1 ?3-5511
ADD TO LISTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: i❑SA ❑HQW ❑PNA ❑Trout ZOtherl,..,k e
OPTIONAL INFO:
Outfatl No.
Date Sample
Collected 1
Type of Wastewater
(VE, RM, MD)z(standard]
pH
Total Suspended
Solids
(mg/L)
Settleable
Solids
{mL/Lj
TPH using
method 1664A
SGFHENS
(mg/LI
Discha-ge
_r
Duation(mrn/dd/yr)
m nutesj
r
Total Flow
{gallons/daY}
6-934
3E}�'S
53
C
hi
I
N�:
�.t
j
l
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
' Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MO). Report more than One type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six rnonths, unless DWQ RC staff
notifies you to continue monitoring.
" pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and E.8-85 5,U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 16 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a iimit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Actions.
Flow rate can be measured continuously or calculated. Flow limits For wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters -shag obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWC1, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE {OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFIC4TION 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
compiete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
-5o Jl6
(Signature of er tee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

•
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. ICGi`4 .=,"
FACILITY NAME: Aacs a VW
PERSON COLLECTING SA PLES:
CERTIFIED LABORATORY: i $L Lab # 97
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A. Wastewater Monitorine Reouirements
0
RECFivE®
APR 2 2 2016
INFORIMATIONROCESSING UNIT
SAMPLE COLLECTION YEAR: '2014 1
SAMPLE QUARTER: QJuI-Sept []OctDec [TJan-March []April -June
COUNTY: 'ZajeC06
PHONE NO. (tea ) 4f9 BSI 1
ADD TO LISTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑;rout Other L.. ,
OPTIONAL INFO:
Outfall No.
Date Sample
Collected)
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)Z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT HENI�
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
-
6-9""
303,5
53
tl
4
I
1 If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here. Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 If an effluent limit is exceeded twice in a raw, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RQ staff
notifies you to continue monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-9.5 S.U. for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

` Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
low rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NC4C 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CAE OF "NQ FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMA77ON 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 Permitteej (Date)
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 Z
FACILITY NAME: 14{ o S
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab # 3"7
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Fart A:'Waste Ater Menitnrino Requirements
RECEIVED
JAN 12 2016
SAMPLE COLLECTION YEAR: 015 CENTRALFILES
SAMPLE QUARTER: []Jul -Sept ®Oct -Dec ❑Jan -March C A tF7ZfON
COUNTY: ?0be Se"
PHONE NO. ( to y83 -5511
ADD TO LISTSERVE? []YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA []trout ©Other L C -
OPTIONALINFO: Lyy..h.r
Outfati No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
VE, RM, MO)'
)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH uSing
method 1664R
5n
((mglLl
Discharge.
Duratio
(minutes)
Total Flow
Igallonsldayj'
-
-
-
6-934
303.5
53
4
Ic
' If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sarnpte quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.S S.U_ for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ, If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF (MONITORING PERIOD IN CASE OF ''NO FLOW") TO:
Divisidn of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my'knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signature o ermittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

0
.i • •
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14 rJ 1 2- -1-
FACILITY NAME: Aeaas Eeelclv
PERSON COLLECTING 5 MPLES: r
CERTIFIED LABORATORY: ,L Lab# 3'7
Lab #
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: o;?Di S i
SAMPLE QUARTER: NJul-Sept ❑Oct -Dec ❑Jan -March ❑Aprll-June
COUNTY: I?obe ,,
PHONE NO. ( 910 41?- S5I I
ADD TO LISTSERVE? []YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other C L C-
OPTIONAL INFO: u.- Sit Z'vr/-
outfall No.
Date Sample
collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD) x
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
S
(mg/L)
(mall)
Discharge
Duration
(minutes)
(minutes)
Total Flow
,
(Sa!lons/daY}
-
6-91
303,5
51
(15)s
n:
C,ENTRAI
Ell 4
/VADVV
i SECTION
� VJ
k
I If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here; Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout [MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S_U, for discharges to saltwaters.
5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/l/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

•
a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NC C 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONg 02Y OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE-1 WITHIN 30 DAYS OF RECEIPT OF SAMPLE Olt
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST 51rN 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)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

0 . 0
•
PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000 �7
CERTIFICATE OF OVERAGE NO. NCG14-jv_L SAMPLE COLLECTION YEAR:
FACILITY NAME: t SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑lan-March PjApril-luunne�
PERSON COLLECTING SAMPLES: `r� COUNTY' ��,�� ��
CERTIFIED LABORATORY:— TKO.- Lab # _ �� PHONE NO. (NO) � i I 0
Lab # ADD TO LISTSERVE? ❑YES ONO EMAIL: !TJ
LIMIT VIOLATIONS? YES ❑ NO J0 RE EQCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®OtherCx
JUL 1 7 ZD15 OPTIONAL INFO:
Part A: Wastewater Monitorine Reauirements
Outfall No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
CENTRAL FIL
DWRpSECTIC
(standard)
ESTot.,I Suspended
IN Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH Using
method 1664A
SGT-HE&f
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
(gallons/day}
6-9 3,R
303,s
53
Ci
1 If wastewater systems have not discharged in this quarter — report "No Flow' or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (11h4), Mixing Drum
Cleanout (MO('. Report more than one type if the waste -stream is commingled.
3lf an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RID staff
notifies you to continue monitoring.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date- 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
O instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action_
Flo* rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW "NO DISCHARGE") WITHIN 10 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITO N PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
XQU MUST SIGN THIS CERTIFICA nQN 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." n
(Signature of Permlittee) (Date)
Permit Date: 7/l/2010-06/30/2015 last Revised 07/13/11
Page 2 of 2

0 0 0
PROCESS WASTEWATER -- Quarterly Discharge Monitoring Re
WtEwED
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE N0, NCG14a A A
FACILITY NAME: OZO&A M e., a�
PERSON COLLECTING SAMPLES: 1>
CERTIFIED LABORATORY: 1r Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
APR 13 2015
SAMPLE COLLECTION YEAR: , IS' CENTRAL FILES
__©WR SECTION
SAMPLE QUAJgER: []Jul -Sept []Oct -Dec P§.lan-March ❑April -June
COUNTY: V[4f3L,
PHONE NO. (a_ EO ) qk3 - SSI I
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW 0PNA ❑Trout {Other CA^15 C
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'
(mm/dd/yr}
Type of Wastewater
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(MLA)
TPH using
method 1664A
SGT HEM'
(mg/L}
Discharge
Duration
(minutes)
Total Flow
(gallons/day)7
-
-
-
6-93`4
303'5
53
(15)6
-
-
' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
` Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (W), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
`pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 Flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF TH15 ANNUAIL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT gND_OF MONITORING PERIOD IN CASE OF "Ng FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST 5I61V THIS CER77FICATION 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 tie are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
4 It_Y>t `1
(Signs re of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

AD
r
(0
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
- CERTIFICATE .OF COV GE NO. NCG14_U.-� L- __
FACILITY NAME:
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab.# .
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 1
SAMPLE QUARTER: ❑iul-Sept Wd7Dec ❑Jan -March
COUNTY: 2ew.-
PHONE NO. L93) qk'S "S;S�il
ADD .TO_L1575ERVE? YE5
❑ NO AIL:
❑_- � EMAIL:
C 3
❑Ap414une
015CHARGING TO CLASS: ❑SA ❑MQW ❑PNA ❑Trout $]Other0-45 C
OPTIONAL INFO: _ Ls'iil v
QutfafE Na.
Pate Sample
Collected'
Imm/dd/yr}
Type of Wastewater
z
(VE, RM, MD)
PH
(standard)
- -
Total Suspended
Solids
(mg/L} _ . _ _
Settleable
Solids
Lm_U-�)_—
TPH using
method 1664A
SGT-HEAe
Discharge
Duration
(minutes)
Total Flow
,
(gallons/day}
-
6-93''
3O3';
53
Ix5)a
-
-
7-2 RN
g;
IAJ
CENTR6L
FI
ES
D
NR SECTION
I
I if wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE}, Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MO). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° PH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U- for discharges to saitwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PINA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised O7/13/11
Page 1 of 2

fi Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas_ TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A. including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow remits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ, If the permittee cannot
obtain a Summer 7Q10 flow for the receiving Waters at the discharge location, the permittee shall notify_DWCL and the DWO.Regional. Office . may require an annual flow
- - report on a case -by -case basis. -
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLIJOR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617_Mai l.Service-Center- -- —
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN TH15 ERTfF! T! N FOR ANY INFORMATION REP RTED:
"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 far submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(Signature of Permittee)
Permit Date: 7/l/2010-06/30/2015
( Date)
Last Revised 07/13/11
Page 2 of 2

:Ir
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVE"G�E�No. NCG14_ _L� q
FACILITY NAME: r lei
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: L Lab If 3 7
Lab N
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 20 ( td
SAMPLE QUARTER: FJul-Sept ❑Oct -Dec []Jan -March ❑April -June
COUNTY: rw
PHONE NO. (A (t3 ) Lln -45-51 1
ADD TO LISTSERVE? [-]YES ONO EMAIL:
DISCHARGING TO CLASS: USA UHQW UPNA UTrout TOther C(_fi<S C
OPTIONAL INFO:I'm wel
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
a
(VE. RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664,4
5m HE)
(mg/L)
Discharge
Ouratlon
(minutes)
Total Flow
,
(gallons/daYj
3t] 's
53
(15)6
fl t
�ENTRAL
rILFq
DVVK c
rION
If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
' Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RNI), Mixing Drum
Cleanout (MD). Report more than one type if the.waste-stream is commingled.
3If an effluent limit is exceeded twice in a row, the perrnittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies You to continue monitoring.
` pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
T5S limits are 20 mg/L for wastewater discharges to KQW waters, 10 rng/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2030-05/30/2015
Last Revised 07/13/11
Page 1 of 2

1111
40b. ("
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A. including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 026 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
. nhtair�_a.�ummwlr ZCf1II-flaw-f�ti�e rece+viFlg-vva{ers�t Ehe disfhzirge-facatian,-tl•tepermittee-slzaH-r�oiifq @tN�ar�dtfte-BW$Regiorrat6ffire-mayregtrire�n�7m�afft�+v
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW "NO DISCHARGE") THIN 30 DAYS OF RECEIPT OF SAMPLE OR
AT END OF MQNITORING PERIOD IN CASE OF "NO FLOW" TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
---Raleigh,-North Carolina 27699=1617 - -- ----- - - - -- — - - -- --- - — -._ __ - - - - --- -- -- - -- -- --------- - -- .-.._.---
[phone]
YOU MUST SIGN THIS CERTIFIC4nON FOR ANY INFORMA71ON 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 thatthere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(SignaturcL of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
CERTIFICATE OF COVERAGE NO. NCG140196
FACILITY NAME: Aberdeen
PERSON COLLECTING SAMPLES: JD Dalrymple
CERTIFIED LABORATORY: N/A Lab N/A
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
GENERAL PERMIT NO. NCG140000
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec Dan -March ❑April -June
COUNTY: Moore
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
=
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)2
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(MLA)
TPH usingDischarge
method 1664A
SGT-HE1V6
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
-
6-93A
30"'
53-
001
9/19/I014
No Flow
T 16
2014
i If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
s if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.".5 S.U. for discharges to saltwaters.
S TSS limits are 20 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 028 .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
report on a case -by -case basis.
_MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW, "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that quali personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons d ctly r risible for gathering the Information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete.
I am awa($ tha ere significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permktee)
Permit Date: 7/1/2010-06/30/2015
( Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER— Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
S s ,-it �f.S Co,n6,-,d Sw e;LN
CfRTIFFCATE OF tt7VERAGE [VO. NCGIQ Q I SAMPLE CpLLECTfON YEAR: �--+
FACILITY NAME: ize� _ ,,, lc' SAMPLE QUARTER: QJul-Sept r�Oct-Dec ❑!an -March priE-dune
PERSON COLLECTING SAMPLES: _ _ COUP:
CERTIFIED LABORATORY:_ 1 _S i� _ _ _ Lab It 3 r PHONE NO. `#Fo t(�
' Lab 9 ADD TO U.STSERVE? ❑YES QNO EMAIL:
LIMIT VIOLATIONS? YES NO ❑ DISCHARGING TO CLASS: OSA []HQW ❑PNA OTraut •Other
OPTIONAL INFO: �- �+ 6:•` !Z, vr/
Part A: Wastewater Monitoring Requirements
�'
lfast _
a f.V"i+ii� er• ,
.�
r
- "H
,p
.,
- ;;,�..
�Si5lti3sr
-�>--
SOtds'.
_ mef• ,I61>�
:'�-� :;Y.
•SG�I,►E7tif
-
- -
:E?tra air:
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W
J
1
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E
'if wastewater systems have not -discharged in this quarter -- report 'No Flow or "No Discharge" here. Please make sure to mark the sample quarter above.
i Report the abbreviation for the type of Authorized Wastewater Discharges here_ Vehicle and Equipment Cleaning (VE). Raw Material Stockpiles (RM), Mixing Drum
Cfeanout (MD). Report more than one type if the waste -stream is commingled.
=if an effluent limit is exceeded twice in a raw, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
`pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.Li- for discharges to saitwaters.
s TS5 limits are 20 mg/L far wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 rng/L for all other water classifications.
Permit Rate: 7/t/2010-06/30/20I5 Last Revised 07/I3/II
Page I of 2

ocest wastewater discharges shalt only use monitored fcr TPH when commingled with stcrmwater discharges from VMA areas_ TP'rf does not have a limit for wastewater.
'but instead is subject to benchmarks and provisions Of Part IV, Section A. including the Tiered :7esponse Action.
' Flow rate can be measured continuously Or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 5O% of the Summer 7Q ID Fiow as per ISA
NCAC 029 .0224. Permittees who discharge Wastewater to HQW waters shall Obtain a 5umrwer 7CI10 flow and report this information to DwQ. if the permittee cannot
obtain a Summer 1010 flow for the receiving waters at the discharge location. the permittee shall notify DWQ, and the DWQ Regional Office may require an annual Row
report on a case -by -case basis.
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW- "NO DISCHARGE" W(THI N 30 DAYS OF RECEI RT OF SAMPLE OR
AT END Of MONITORING_ PERIOD IN CASE OF "NO FLOW"I TO:
Division of Water Quality
Attn. DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
(9191 807-5379
You) MUST SfGN ruts manarlc4 oN FOR ANY ffiffOlimAnoN RE>'DANo.
"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 pevsans directly responsible for ga ering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete_ I arrr aware that there are sigthrecant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
(signature Vf Permittee)
Permit Date: 7/1/2010-06/30/2015
72- L 14
(elate)
Last Revised 07/13/13
Page 2of2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 a I -2— 2-
FACILITY NAME:
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
art A. Wastewater
SAMPLE COLLECTION YEAR: & l 1
SAMPLE QUARTER: ❑lul-Sept ❑Oct -Dec �an-March ❑April-Juine
COUNTY: Q�--. krx&
PHONE NO. qku qWj K5TO
ADD TO LISTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA E]Trout otherc-L459
OPTIONAL INFO: sAb
cLiA+19L
' if wastewater systems have not discharged in this quarter - report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
i Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cdeanout (MD). Report more than one type if the waste -stream is commingled_
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
` pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TS5 limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications -
Permit Date: 7/112010-06/30/2015 Last Revised 07/13/1 i
Page 1 of 2

.s
s Process wastewater discharges shall only be monitored for TPH where commingled with stormwater discharges from VMA areas_ TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 020 .9224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWCL and the DWQ Regional Office may require an annual now
report an a case -by -case basis_
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END_ OF MONITORING PERIOD IN CASE OF "NO FLOW"] TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
KQU MUST 51—GN THIS CERTI 9177ON FOR ANY MEgRMATfON REPORTED.
N 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 Ties ible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aw ha a are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations "
(' ature of Permittee) (Date)
Permit Date: 7/112010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

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