NCG140343_MONITORING INFO_20190305

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv U& No 3q3
DOC TYPE
❑HISTORICAL FILE
�L MONITORING REPORTS
DOC DATE
❑ r,(oI 5 D 30-,)
YYYYMMDD

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
*Report ALL WASTEWATER monitoring data on this form (include 'No FloWP'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 ®3❑® 3❑
Facility Name: Hamlet
County: Richmond
Phone Number: (336 ) 22 17 Total no. of outfalls monitored 1
Certified Laboratory Prism Lab Lab # 402
Lab #
Wastewater (WW) Discharge Outfall No. 001
Does this outfall discharge WW to SA waters? Yes ❑ No ❑✓
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No 0
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑�
If so, what is the 7010 flow rate? or Tidally Influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑✓
Were there any limit violations in the calendar year? Yes ❑ No
Outfall No.
Daily Flow Rate,
PH,
TSS,
SS;
Non -Polar O&G (EPA Method 1664.
001
cfs
SU
mgll
mill
(SGT-HEM)), mgll
II applicable
Standard
Lt +
Effluent
% or ORW 0
50 f'0 of 7010
fivshwatar
6.0-9.0
30
HOW, ORIN, SA,
No Limit
Limitations
HOW
20
SU, PNA, or any
Trout
1nClcate NO FLOW ✓l
applicable
saltwater
6 p—p 5
HOW ! ORPWTr, or
5
Samples above Benchmark
subject to Tiered Responses
Bally Maximum
V v
A=
10
15
Date
Collected,
molddl rr�E�'ll'..
a
3/8/2018
NO FLOW
711312018
NO FLOW
R
8/31/2018
NO FLOW
10/9/2018
NO FLOW
Permit Date 8t112017 -- 6/30/2022
Last Revised 8-22-2017

Certificate of Coverage No. NCG14 [ZE32, ,
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 complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.22]
Signature
Date c
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct - Central Riles is housed in DWR (no 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 Stor.mwater Permitting Staff in the Central Office at:
[phone]
Permit Date 8/1/2017 -- 6/30/2022
Last Revised 8-22-2017

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — STORMWATER
SUBMIT. TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2018
"Report ALL STORMWATER monitoring data on this form; (include "No.Flow!?'No Discharge"'and Benchmark
Exceedances) from theprevious calendar year.to thebEQ.by, MARCH. 1 of each year.
Certificate of Coverage No. NCG 14 0 3�® 3❑
Facility Name: Hamlet
County: Richmond
Phone Number: (336 ) 226-2517 Total no. of SDOs monitored 1
Certified Laboratory Prism Lab Lab # 402
Lab #
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No []✓
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
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 discontinued? RECEIVE
Yes, enough consecutive samples below benchmarks to decrease frequency ❑ MAR 0 4 201'
Yes, received approval from DEMLR to reduce monitoring frequency ❑ `
CENTRAL FILE
Other ❑ nlAl"
Outfall No.
Total Rainfall,
inches '
`Total '
Suspended
:Solids (TS5),
m 71
pH,
SU
E,Non-polar O&G
, (EPA€Method
1664�(SGT`H�M , �'
)] ,
: mgll (VMA)
ff applicable s
_
Nernr Motor Oil,:
,Usage;,(gallmo.)
rteppfleabre� ,.
Storm Water
Benchmarks
fndfeete NO FLOW fi
applicable
Circle Benchmark
1 oOl j�0
I]` •Q-g 0
.�
�66 DOW, average requires TSS and
Non•poiar 0&0 monitoring
Date Sample;
Collected,
moldd! r
G
�i�I�E
€
i��:r
i r;;.
lf;
IBi I
3/8/2018
001 NO FLOW
7/13/2018
NO FLOW
8/31/2018
NO FLOW
10/9/2018
NO FLOW
Permit Date 811/2017 — 6/30/2022
Last Revised 8-22-2015
D

Certificate of Coverage No. NCG14 AEKHY3
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 complete. I am aware that there are significant penalties for
submitting false informatio , including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CF.R § 122. 22]7 _
Signature I
Date V
2794
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:
[phone]
Permit Date 81112017 — 6130/2022
Last Revised 8-22-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT j MR} — STORMWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG140000
Calendar Year 2017
*Report ALL STORMWATBR monitoring data on this form (include "No Flow"f'No Discharge" and Benchmark
Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG14 UUUU
MAR 07 2018
Facility Name: Hamlet _
County: Richmond DWR SECTION
Phone Number: 91( o ] 205-0444 Total no. of SDOs monitored
Certified Laboratory Prism Lab Lab # 402
Lab #
Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No []✓
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
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 discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency 13
Yes, received approval from DEMLR to reduce monitoring frequency C]
Other ❑
Outfall No.p
Total Rainfall,
Inches
Total ��
Suspended"
Solids-(TSS),
m /I
H
SU
Non,- ir,O�G
(EPA Method
1B64 (SGT-HEM)},
mgll (VMA)
11 applicable
, ' New,Motor.011 ,
Use a akrno.
g (9 1
If applicable
Stormwater
Benchmarks
lndlcate NO FLOWN
applicable
Clyde Benchmark
.� �O'�a
s.Q�g•�
15
>6b gNon-p overage requires T88 and
Non•pclar08Gmonlwring
Date Sample
Collected, .
moldd! r
3/1/2017
001 No Flow
W12017
001 No Flow
9/13/2017
001 No Flow
12/17/2017
001 No Flow
Permit Date 8/1/2017 — 6130/2022
Last Revised 8-22-2015

Certificate of Coverage No. NCG14 0[�J©0
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 complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.22]
Signature
Date 9 (a-7 II Y
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:
[phone]
Permit Date 8/1/2017 — 6/30/2022
Last Revised 8-22-2015

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140343 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: Hamlet SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
PERSON COLLECTING SAMPLES: Patrick Smith
CERTIFIED LABORATORY: N/A Lab N/A
LIMIT VIOLATIONS? YES []NO
Part A: Wastewater Monitoring Requirements
COUNTY: Richmond
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, iRM, MD)
PH
{standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPN using
method 1664A
Smg/L;
Discharge
Duration
(minutes)
Total Flow
(�Ilorts/daY)
-
-
-
6-93°
3035
53
(15)6
-
-
001
6/7/2017
No Flow
JUL7
ES
t 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.
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 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: 7/1/2010-06/30/2015
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 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 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 Arectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware th tthere significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee)
Permit Date: 7/1/2010-06/30/2015
-1(/Y(f%
(Date)
Last Revised 07/13/11
Page 2 of 2

/W j
PROCESS WASTEWATER — Semi- Annually Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140343 SAMPLE COLLECTION YEAR: 2017
FACILITY NAME: Hamlet SAMPLE QUARTER: []Jul -Sept []Oct -Dec ®Jan -March ❑April -June
PERSON COLLECTING SAMPLES: Patrick Saint
CERTIFIED LABORATORY: N/A Lab N/A
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
COUNTY: Richmond
PHONE NO. [phone]
ADD TO LISTSERVE? [-]YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout ®Other
OPTIONAL INFO:
Outfall Na.
Date Sample
r
Collected _
(mm/dd/yr)
Type of Wastewater
(VE, RM, MDf
pH
(standard]
Total Suspended
Solids
(mg/L).-
Settleable
Solids
(MLA)
TPH using
method.1664A
SGT HEMO
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)'
-
-
-
6-93,4
303s
53
001
3/1/2017
NO FLOW
MAY 0 5
2017
ICES
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 (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

W ;)
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. Flaw limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A
NCAC 0213.0224. 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 dir ctly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am awarR that Mere q* significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
15--(z (e 7
(Date)
Last Revised 07/13/11
Page 2 of 2

'l. PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140343 SAMPLE COLLECTION YEAR: 2016
FACILITY NAME: Hamlet RECEIVED SAMPLE QUARTER: ❑Jul -Sept ®Ott -Dec []Jan -March ❑April -June
PERSON COLLECTING SAMPLES: Patrick Saint JA� �� COUNTY: Richmond
CERTIFIED LABORATORY: N/A Lab N/A PHONE NO. [phone]
CENTRAL FILES ADD TO LISTSERVE? ❑YES ®NO EMAIL•
LIMIT VIOLATIONS? YES ❑ NO ® DWR SECTION DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
1
Collected'
(mm/dd/yr)
Type of Wastewater
NE, �, MD)'
pH
(standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HFA+�
L]
(mg/L)
Duration
(minutes)
Total Flaw
jgallons/day]'
-
-
-
6-9"
31P
53
001
12/6/2016
No Flow
17
rr,
t,
U
u�
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.
If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that paramet it 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

W�
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 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: T
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[phone]
YOU MUST SIGN TH15 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 rectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware thagthere,,JA significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
tf(7 0
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140343
FACILITY NAME: Hamlet
PERSON COLLECTING SAMPLES: Patrick Saint
CERTIFIED LABORATORY: N/A Lab N/A
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June
COUNTY: Richmond
PHONE NO. [phone]
ADD TO LISTSERVE? [—]YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
Outfall No.
Date Sample
f
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 HEM6
(mg/L)
Discharge
Duration
(minutes)
Total Flow
gallons/day)'
-
-
-
6-93.4
303'5
53-
001
9/15/2016
No Flow
Ub
WR
' 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.
G 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

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.
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 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 thag there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
l6 ( Z�io
( Date)
Last Revised 07/13/11
Page 2 of 2

y` PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140343
FACILITY NAME: Hamlet RECEIVED
PERSON COLLECTING SAMPLES: Patrick Saint
CERTIFIED LABORATORY: N/A Lab N/A ¢ UG o 9 2016
LIMIT VIOLATIONS? YES ❑ NON CENTRAL iT
pW R SECTION
ION
Part A: Wastewater Monitorine Reouirements
SAMPLE COLLECTION YEAR: 2016
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June
COUNTY: Richmond
PHONE NO. [phone]
ADD TO LISTSERVE? ❑YES ®NO EMAIL:
DISCHARGING TO CLASS: USA ❑HQW
OPTIONAL INFO:
❑PNA ❑Trout ®Other.
Outfall No.
Date Sample
Collected)
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)
PH
{standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mim
TPH using
method 1664A
SGT-NEM6
(mg/L)
Discharge
Duration
{minutes)
Total Flow
{gallons/day}7
-
-
-
6-93'4
303.5
53
(15)6
-
-
001
6/2/2016
No Flow
/C`'nn
` 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: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 1 of 2

_ 4r•_
6 Process %Vastc water 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 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: T
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 iware thallf thereare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
71V1 C,
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140343 SAMPLE COLLECTION YEAR: 2016
FACILITY NAME: Hamlet SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June
PERSON COLLECTING SAMPLES: Patrick Saint
CERTIFIED LABORATORY: N/A Lab N/A
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
COUNTY: Richmond
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)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH usingDischarge
method 1664A
SGT-HEte
(mg/L)
Duration
(minutes)
Total Flow 7
(gallons/day)
-
-
-
6-9314
303.5
53
(15),
-
-
001
2/25/2016
No flow
rNitv1Lr
•vi
F.
" 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 5_U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters.
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 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 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 avlare that Ojere 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

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
CERTIFICATE OF COVERAGE NO. NCG140343
FACILITY NAME: Hamlet
PERSON COLLECTING SAMPLES: Patrick Saint
CERTIFIED LABORATORY: N/A Lab N/A
LIMIT VIOLATIONS? YES ❑ NO
Part A: Wastewater Monitoring Requirements
GENERAL PERMIT No. NCG140000
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ❑Jul -Sept ®Ott -Dec Elian-March ❑April June
COUNTY: Richmond
PHONE NO. [phone]
ADD TOLISTSERVE7 [:]YES ®NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other c�
OPTIONAL INFO:
quomy
•�
5uspended Settleable TPH using Discharge "Willic
Outfall No.
Date SamCollected"
Collected
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)z
pH
(standard)
Total
Solids
(mg/L)
Solids
(mL/L)
method 1664A
SGT-HEAof
(mg/0
Duration
(minutes)
Total Flow
(gallons/day)7
-
-
-
6-93`4.
303'
53
(15)6
-
-
001
12/30/2015
No Flow
R. EY
PE
E
03 zoib
L
CEITRA
FILES
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.
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 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

c 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 canbe 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
l-
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 Mall 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 di ctly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am awarglthatxierjePare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permitteey
Permit Date: 7/1/2010-06/30/2015
(G 7
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCGI40343 RECEIVED
FACILITY NAME: Hamlet
PERSON COLLECTING SAMPLES: Patrick Saint OCT 2 3 ?015
CERTIFIED LABORATORY: N/A Lab N/A CENTRAL FUS
LIMIT VIOLATIONS? YES ❑ NO M
DWR SECTION
Part A: Wastewater Monitorine Requirements
SAMPLE COLLECTION YEAR: 2015
SAMPLE QUARTER: ®Jul -Sept []Oct -Dec []Jan -March ❑April -June
COUNTY- Richmond
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)z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TRH using
method 1664A
S mHLAf
Discharge
Duration
(minutes)
Total Flow
(gallons/day )7
-
-
-
6-93'4
30"s
53
(15)6
-
-
001
09/04/2015
No Flow
- It 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.
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

#'
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,
tut instr-ad 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:
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 di cd responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aw,anAthat ier_re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
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. NCGI40343 SAMPLE COLLECTION YEAR: 2015
FACILITY NAME: Hamlet SAMPLE QUARTER: ❑Jul -Sept [_]Oct -Dec []Jan -March ®April -June
PERSON COLLECTING SAMPLES: Patrick Saint
LABORATORY:
RECEIVED
CERTIFIED N/A Lab N/A
LIMIT VIOLATIONS? YES ❑ NO ®
JUL 2 4 Z015
CENTRAL FILES
Part A: Wastewater Monitoring Requirements
DWR SECTION
COUNTY: Richmond
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
��, RM, MD)
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method SSS4A
S g/L)�
(mg/L)
Discharge
Duration
(minutes)
Total Flow 7
(gallons/daYl
-
-
-
&V"
W3.5
53
(15)6
-
001
06/17/15
No Flow
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 (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 saitwaters.
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.
C7
WOW
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,
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 11INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE IOR
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 qualifi d personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons di ctly reppo le for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am/p* re th@Vyhere ajz`slIKjficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date:7/1/2010-06/30/2015
-71'r-6��
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG 140343
FACILITY NAME: hamlet
PERSON COLLECTING SAMPLES: Patrick Saint
CERTIFIED LABORATORY: N/A Lab N/A
LIMIT VIOLATIONS? YES ❑ NO
Part A:' Wastewater Monitoring LRequirements
S COLLECTION YEAR: 2015
RECE � QUARTER: Dul-Sept ❑Oct -Dec [lard -March [April -June
MAY 13 ZNTY: Richmond
E NO. [phone]
CENTRAL AP2,10 LISTSERVE? []YES ENO EMAIL
DWR SEC ilIARGING TO CLASS: OSA ❑HQW
OPTIONAL INFO:
[]PNA [Trout ®Other
Uutfati No.
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
maim 1664A
SGT HEAof
(mg/L)
Discharge
Duration
(minutes)
Total Row
(gallons/day)'
-
-
-
6-9m
AP
53-
•001
03/27/15
No Flow
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 (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 R0 staff
notifies you to continue monitoring.
pH limits are 6-9 SM. for wastewater discharges to freshwaters, and 6.8-85 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
e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VAAA 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 02B .0224, Permittees who discharge wastewater to HQW waters shall obtain aSummer 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"] WfiHIN 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
(919.)907-6379
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 rsonneI properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons direct responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am awafeffiat th arp�&lficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Permittee)
Permit Date: 7/1/2010-06/30/2015
S 6 it �)-
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140343 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Hamlet SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec [Dan -March ❑April June
PERSON COLLECTING SAMPLES: Patrick Saint COUNTY: Richmond
CERTIFIED LABORATORY: N/A Lab N/A PHONE NO. [phone]
ADD TO LISTSERVE? DYES ®NO EMAIL:
LIMIT VIOLATIONS? YES [-]NO ® DISCHARGING TO CLASS: ❑SA []HQW ❑PNA ❑Trout ®Other
OPTIONAL INFO:
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VERMMDj
, ,
pH
[standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
S
(mg/ljg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
-
-
-
6-e4
3e'
53
(15)6
-
-
001
9/15/2014
No Flow
RECEIVED
ni
CENTRAL FILES
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 (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.
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 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: 7/1/2010-06/30/2015 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 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 CERTIFIC47ION 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 ersonnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or
those persons dir responsible for gathering the information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete.
I am awarAthat are si$nif€cant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
A
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140343 SAMPLE COLLECTION YEAR: 2014
FACILITY NAME: Hamlet RECEIVED SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec []Jan -March NApril-June
PERSON COLLECTING SAMPLES: Patrick Saint JUL 2 I Z014
CERTIFIED LABORATORY: N/A Lab N/A
CENTRAL FILES
LIMIT VIOLATIONS? YES ❑NON DWOMOG
Part A: Wastewater Monitoring Requirements
COUNTY: Richmond
PHONE NO. [phone]
ADD TO LISTSERVE? []YES NNO 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)
PH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/Q
TRH usingDischarge
method 1664A
SGT-HFNfG
(mg/L)
Duration
(minutes)
Total Flow
(gallons/day)7
-
-
-
6-93'`
3e
53
(15)6
-
-
001
4/2/2014
No Flow
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 (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.
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 RNA 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 starmwater 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 ORIGINALAND 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 CERTIFIG4TION 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 dir ly re nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am avrarilthat #Nre gM significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations."
(Signature bf Permittee)
Permit Date: 7/1/2010-06/30/2015
t
(Date)
Last Revised 07/13/11
Page 2 of 2