NCG140274_MONITORING INFO_20170117

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V CiCo
DOC TYPE
❑HISTORICAL FILE
�L MONITORING REPORTS
DOC DATE
ool� U/ I �
WYYMMDD

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVEERAG
FACILITY NAME: i [ a t-
PERSON COLLECTING SAMPLES:WT�
CERTIFIED LABORATORY: ;
LIMIT VIOLATIONS? YES ❑ NO ❑
144-.27 q
Part A: Wastewater Monitoring Requirements
1 if wastewater systems have notdischargedin this quarter - report "No Flow" Gr�76lo Discharge" here. Please make sure to mark the sample quarter above.
Report the abbreviation for the type of Authorized Wastewater Discharges he : Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). 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.
a pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and G.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.
f
SAMPLE COLLECTION YEAR-
SAMPLE QUARTER: []Jul -Sept ©Oct -Dec QJan-March QApr11-June
COUNTY: /6 14
Lab # PHONE NO- ( g/° f 7Jr^ q?.r1
Lab # ADD TO LISTSERVE? []YES []NO EMAIL:
DISCHARGING TO CLASS: her
OPTIONAL INFO:
Outfall No.
Date Sample
Collected'(VE,
(mm/dd/yr)
Type of Wastewater
RM, Mof
pal
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
5GT iHEIW
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
6-93''
303.s
59
(1S)6
-
-
v
O
UtN
IrILE�
v r-Co 9 1
0
O
I
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,
-'•I.r 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 SO% 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 DAB OF RE IPT OF SAMPLE (()R
AT END OF MONI][QRING PERIOD IN CASE OF "NO FLOW-1 TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CEIMFICAIM 190 ANY INfO W 77 hi RF1'ORTFD.
"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 of 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/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 COiERAGEN Z . NCG14 4 2 4
ME: FACILITY NA.c.dbb rsaJ it zn , W �y
PERSON COLLECTING SAMPLES: V r•.
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES n NO n
Part A: Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 0�0_�
SAMPLE QUARTER: ®Jul -Sept []Oct -Dec ❑Jan -March ❑April -June
COUNTY: _AR—CPHONENO
ADD TO LISTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: QSA IriMQW QBFJA 1-h aW1 nether t1
OPTIONAL INFO: i
OutfalI No.
Date Sample
Collected'
(mm/dd/yr)
Type of Wastewater
(VE, RM, MO)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(MLA)
TPH using
method 1664A
SGT NEM'
(mg/L)
Discharge
Duration
{minutes)
Total Flow
(gallons/day)'
-
-
-
6_e34
30s.s
53
(1S)5
-
CE
•
WR
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.
31f 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.
A 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 rng/L for all other water classifications.
Permit Date: 7/1/201D-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 THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END OF M0hJJT0RING PERIOD IN CASE 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 TH15 CERTlFlG4TfSiN FOR ANY lNFORMATJON 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 responslble 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)
Permit Date: 7/1/2010-06/3o/2o15
9 3G/ (.-
(Date)
Last Revised 07/13/11
Page 2 of 2

i
CERTIFICATE OF
FACILITY NAME:
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
PERSON COLLECTING SAMP
CERTIFIED LABORATORY: j
LIMIT VIOLATIONS?
Part A: Wastewater Monitoring Requirements
GENERAL PERMIT NO. NCG140000
Z
Lab #
Lab #
SAMPLE COLLECTION YEAR: o 6 L _
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec QJan-March ®April -June
COUNTY: µe k-,_ -_ _
PHONE NO- (c% ro 3 f-74- • 43TJ _
ADD TO LISTSERVE? DYES [:)NO EMAIL:
DISCHARGING TO CLASS: QOther I�
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
(mL/L)
TPH using
method 16 64A
SGT HENf
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/dayf
-
-
6_93.4
303,5
S3
(15)6-
r�
11
�/
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.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning jVE), Raw Material Stockpiles (Rlul), Mixing Drum
Cleanout (MO). 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.
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/i/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

•
0
1It 6 Process wastewater discharges shall only be monitored foriPH 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 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 CERTIFICA_TJON 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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing
(Signature of Permittee)
Permit Date: 7/1/2010-06130/2015
[p U b
(Da e)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Di gLC i r- Report
GENERAL PERMIT No. NCG1
-1�r
CERTIFICATE OF CAVE GE N0MWMIA
NA _' 1 T
FACILITY NAME: 1� �+ c�Q
PERSON COLLECTING SAMPLES: a
CERTIFIED LABORATORY: Il/�Ii , Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
•
RECEIVE®
SAMPLE COLLECTION YEAR: AL
,r�
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March LAprfj-JiJ 016
COUNTY: Ztorc DWRSECTioN
PHONE NO. ( to -7J_ LF3S"3 INFORMAn0NPROCESSING UNIT
ADD TO LISTSERVE? ❑YE5 ❑NO EMAIL:
DISCHARGING TO CLASS:
OPTIONAL INFO:
❑Other( d
Outfall No.
Date Sample
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
sGT--HEN1l
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)T
-
-
-
6_93.4
303,5
53
Osf
-
-
O
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.
a Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RSA), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
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.
5 T55 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,
—lout 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 flaw
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 ME OF "NO FLOW"1 TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN THIS CERREWATION 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)
Permit Date: 7/l/2010-06/30/2015
J 3r t
(D e)
Last Revised 07/13/11
Page 2 of 2

CERTIFICATE OF
FACILITY NAME:
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
NO. NCG14 p
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:
LIMIT VIOLATIONS? YES I I NO
Part A. Wastewater Monitoring Reauirements
GENERAL PERMIT NO. NCGI40000
I c7L SAMPLE COLLECTION YEAR:
.0 SAMPLE QUA TE : [�1ul-Sept ❑Oct -Dec ❑Jan -March ❑April -June
�Y COUNTY:
Lab # PHONE NO. ( D
Lab # ADD TO LISTSERVE? YES ❑NO EMAIL: E
DISCHARGING TO CLASS: EISA Other
OPTIONAL INFO:
Date Sample
Collected"
,.
Type of Wastewater
(VE, RM, MD)2
is
PH
(standard)
Total Suspended
Solids
Settleable
Solids
i' method 1664A
SGT-HEO
Disicharge
Duration
! Total Flow
j 7
—�_
9— ��j
�.=#A
—���U�
A
I' _
R���I
r�_�
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 Cteaning (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.
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 otherwater classifications.
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
C.2
W
._J
Lam.

AV* ! 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% 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 small 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 11INCLUDING ALL "NO FLOW" "NO DISCHARGES 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]
YDI1 MUST 516JV THIS gRTIFKA77ON FOR ANY INFORU 77ON 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. 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
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14 a P_ _-L
FACILITY NAME: C
PERSON COLLECTING AMPLEST
CERTIFIED LABORATORY: ,dlA Lab #
.J1A Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A. Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 07o l $ i
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March [ rN-June
COUNTY: No Ke
PHONE NO. (�IDj %26- 435 3
ADD TO LISTSERVE? ❑YES []NO EMAIL:
DISCHARGING TO CLASS: ther_ ALA
OPTIONAL INFO:
Outfall No.
Date Sample
Collected
(mm/dd/yr)
Type of Wastewater
2
tVE. RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method I664A
S mg/L)
Discharge
Duration
(minutes)
Total Flow
7
(gallons/day}
30"'
53
(15),
-
-
o-
RAL
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.
Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (11M), 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.
° 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, 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2
I'm
I

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
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 EbID 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]
Y U MUST SIGN IMS CERTIEMTIVN FOR ANY W RMATION RF RTFD:
"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."
G _1 r-is-
(Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

0 0 0
PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCGI40000
CERTIFICATE OF COVERAGE NO. NCG14.62
r
FACILITY NAME: J L RyjaJm + <-is-c► i'16U
PERSON COLLECTING SAMPLES: Oeolnlf
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO [(��
Part A: Wastewater Monitoring Reauirements
SAMPLE COLLECTION YEAR:
SAMPLE QUARTER: QJul-Sept ❑Ott -Dec DJan-March 04'ril-June
COUNTY: .5r,.+
PHONE NO. I O } � 77 —0(4 2/Cd
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA Q?rout Eypther
OPTIONAL INFO:
OutfalI No.
Date Sample
Collected)
{mm/dd/yr}
Type of Wastewater
(VE, RM, MD)z
pH
[standard)
Total Suspended
Solids
(mg/LI
Settleable
Solids
(mL/L)
TPH using
method 1664A
S (mg/L) mg/L)�
Discharge
Duration
(minutes)
Total Flaw
(gallons/day)
..
FILES
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.
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.
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/l/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2
C002
�0
"c

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,
t!4 instgad 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 HOW 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 MMPLE (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 CER77FICAlION FOR ANY INFORM877ON 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 forgathering 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: 7/1/2010-06/3012015 Last Revised 07/13/11
Page 2of2

0 0 0
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
'oJ GENERAL PERMIT NO. NCG140000
CERTIFICATE OF CO ERAGE NO. NCG14,Q �IL 1,
FACILITY NAME: —l4 S
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: /11.4 Lab #
�) W Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A. Wastewater Monitoring Reauirements
SAMPLE COLLECTION YEAR: �` o r
SAMPLE QUART R: Jul -Sept ❑Ott -Dec an -March ❑April -June
COUNTY:
PHONE NO. &KU) 7LT-.4(3$`�
ADD TO LISTSERVE? OYES ONO EMAIL:
DISCHARGING TO CLASS: Other IV44
OPTIONAL INFO:
putfafl No.
Date Sample
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
S mHL�
Discharge
Duration
(minutes)
Total Flow
(gallons/day}7
-
-
6-93.4
303.5
53
(15),
-
-
O
IVU
1 I 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), Kxing 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.
° 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/i/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,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action.
' l iClif 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 SUMMARYIINCLUDING ALL "NO FLOW "NO DISCHARGE") WITHIN 30AAYS OF RECE3PT 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
violations."
(Signature of Permittee)
Permit Date: 7/1/2010-06/30/2015
�;--3/-rs-
(Date)
Last Revised 07/13/11
Page 2 of 2

V_'.
r
PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF CO RAGE No. NCG14 o L 7 T
FACILITY NAME: Ta4ti'4 L13 4 X ��� ej n (_
PERSON COLLECTING SAMPLES: Dc.�+1_1 S tdr.rlt� bvQ
CERTIFIED LABORATORY: 14A4 Lab #
14 Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
%11A
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: ` d f I
SAMPLE QUART R: Jul -Sept [jOct-Dec []Jan -March ❑April -June
COUNTY:
PHONE NO. L 110 } 75 §'3
ADO TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: rout ❑Other /) ►4
OPTIONAL INFO: .
�I
I
-w-
_�
wasrewdlel SC Y51t![n5I1dViIUL UrbuldfgeU III UII] 4Udl UN —I CIJUI L I'4V rIVW UI IYV UISLlld1gP 277 rlVdbV IIldLC ?U 1IC tV Ilidfrt LIlC }gI11F11C LiUdI LCgC I UUV.
= Ff Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equ11ipment 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: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

*'
-IProcess wastewater discharges shall only be monitored for TRH 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. Flaw limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 0211.0224. 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 CERZZFIG4_77ON 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."
/ z-- 3 /- < <f
(Signature of Permittee) (Date)
Permit Date: 7/1/2010-06/30/2015
East Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG14P a - T
FACILITY NAME: /h w'
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Z2 1.9 Lab #
Lab fx
LIMIT VIOLATIONS? YES ❑ NO ❑
/�04
art A: Wastewater
SAMPLE COLLECTION YEAR: '? b 1 T
SAMPLE QUA ERR: Jul -Sept []Oct -Dec []Jan -March
COUNTY K L
PHONE NO. [q1* S
ADD TO USTSERVE? ❑YES [—]NO EMAIL:
DISCHARGING TO CLASS: 1�0 ❑HQW ❑PNA ❑Trout ❑Other /i �A
OPTIONAL INFO:
❑April -June
'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
Ueanout (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.
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 07113/11
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 1SA
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 IVIONFTO ING PERIOD IN CASE OF "NO FLOW" TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1919)807-6379
YOU MUST SIGN THIS cERTI CATION 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 an 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

,Y-..--i
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COyf RAGE No. NCG14 0_-_�_7 4
FACILITY NAME: hi "i C On&O,Y r4-,�—
PERSON COLLECTING SAM LES: 1K j 1r1 fXK,0OU
CERTIFIED LABORATORY: !7 ! Laic #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑ n4
'art A: wastewater
systems have not
SAMPLE COLLECTION YEAR:��
SAMPLE QLIA ER: ❑Jul -Sept ❑Oct -Dec [Dan -March April -June
COUNTY:
PHONE NO. 10 7S= 3 53
ADD TO LISTSERVE? ❑YES [-]NO EMAIL:
DISCHARGING TO CLASS: 0HQ11y_0PNA QTrout-❑Other_Z2)_4
OPTIONAL INFO:
in this quarter - report "No Flow" or "No Discharge" here. Please make sure to marl[ 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.
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.".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

6 Process wastewater discharges shall only be monitored for TPti when commingled with stormwater discharges from VMA areas. TPif 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 shalt be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC D2B .022Q. 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_39 DAYS OF RECEIPT OF SAMPLE (OR
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 MUST SfGN THIS CER7fFICA7ION FOR ANYWE"ATfON 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

.—'s
A10 1) IS dArit-'
PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF CO ERAGE NO. NCG14 69
FACILITY NAME: &-C+art a
PERSON COLLECTING SAMPLES: Mn
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO
'art A. Wastewater
SAMPLE COLLECTION YEAR:'2 d) i r
SAMPLE QUA R: OJul-SW ❑Oct -Dec �rrMarch ]April -June
COUNTY: K E
PHONE NO. (91 97S �/3 53
ADD TO LISTSERVE? OYES ONO EMAIL:
DISCHARGING TO CLASS: rau Outer
OPTIONAL INFO:
it wa5tewawi syble'm5 FWVe IIUT Ul: rUldfgeU lit llll] grldi WT —I t!PUF I NU rluw ur liv uuumrge ilere. riease rrraRr -Nuie Lu TriarK the 5efnple quarter eouYe.
1 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning I,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.
` 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, 30 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

-ti
6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VNIA areas. TPH does not have a limit for wastewater,
but instead_ is s_ubiect to -benchmarks and -provisions of Part IV, Section A, including the Tiered Response Action_ —. - --- `
r 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
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.
AIL ORIGIM AND ONE COPY OF THIS ANNUAL SUMMARY fINCLUDING ALL "NO FLO "NO DISC G f 30 D Y5 R C irT F SAM O
AT END OF MONITORING PERT D IN CASE OF "NO fl O l], I TO:
Division of Water quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
LOU MUST SIGN THIS CIR77RCIITIWV FOR ANY INFORM/17ON REAORfi D:
"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 quaGfled 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 is, to the best of my lu mdedge and befief, 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