NCG140344_MONITORING INFO_20180803

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/v
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
l � ug v3
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE hp. NCGIAO 3 4 �L _
FACILITYNAME: PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
Lab #
Lab #
y� U
SAMPLE COLLECTION YEAR:, %TJ �0
SAMPLING RIOD• L July -December ® January -June
COi1NTY i
PHONE NOJ9 Id
ADD TO LISTSERVE? ❑YES -❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout
❑Other
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)'
pH
(Standard
units)
TS5
(mg/L)
Event
ura
Duration
(minutes]
Total
d
Rainfall
(in)
jn Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
-
6-9
100 43
-
-
-
AUG 0
7 '
DWR SECTION
' If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
2.If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier -2-responses in the General Permit.
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range. _r
3 TS5 benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauged _
Permit Date:7/1/2011-60/30/2015
Tier 2
Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year
Outfall
No.
bate Sample
Collected
1
(mo/dd/yr)
pH
(Standard
Units)'
TPH using method
1664A SGT-HEM
(mg/0(mg/L)
Total Suspended
Solids
Event
Duration .
-
(minutes)
Total a
Rainfall
-
(in)
T New Motor Oil
5 Usage
t
_ (gal/month)
In Tier 2
Monthly
Monitoring?
(Y/n)
# o€ Months
in Tier 2
2
Srarmpling
6-9
15
11]O2,3
3
5
e
i
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANYONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of samole (or at end of monitoring period
in case of "No Flow") o:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center a4
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION 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 p ns directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, .accurate, and complete. I
am aw re/th at
e are sighificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
(Si ature of Permit ee) (Date) t
K
/ l I I � Last Revised 7/13/11
Permit Date: 72011-60 30 2015 1
Page 2-of 2

•
•
0
PO Box 188
Fairmont, NC 28340
to
' 910-628-7775 �' x
}
Juril 2018
h.ecertify th,bt,no,discharge has occurred during this monitoring term and-th'a
`id. '.s. . .�..
sampling i.. s required. We have experienced no discharge (overflow) from our '
process wastewater associated with our recycle systems_. (holding ponds)
y
t
Charles Wilcox

STATC
, ern
Stormwater Discharge Outfall ;(S]DO)
Qualitative Monitoring Re' port,11,1
For guidance on filling out this form, please visit: hit�a:l/Iila�.enr.,ta�c.nc.��sls?ulf:'orn�s D
Permit:No:: NICI G 1 1/ G /0 10 / 0 /0 1 or Certificate of Coverage No..`N/CIG,
„7
Facility_Name: r-jKW1S-:RT2�nv RTTiT.T1FRC '" "" "i `l'i"
County: ROBESON
Inspector: W x _
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Phone No.
aI
i�a1y�'i�, � igl ki �f 4I
�r
Ij
icumcnL�.ht1n#?nuulorlii�ti�� ���' �
Was this a Representative Storm Event? (See information below) ❑ Yes ❑ No
A1jit I "�
i
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
,Representative Storm Event" is ......... .............................. re ...._... .................
A " ' m event that measures greater than 0.1 inches of rainfall and that,
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred A single storm event may contain up to 10 consecutive hours of no precipitation
........ ......... r
t.r
By thi 'ignatur ;I certif at this report is accurate and complete to the best of my knowledge:
gnature of Permittee or Designee)
1. Outfall Description: ******NO FLOW****** •
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
I Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page l of 2
S WU-242-1 12608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
l 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely Muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8.- is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
*********NO FLOW********
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
5 WU-242-1 12608

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG140 3
FACILITYNAME: 'r T. r
PEJRSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:
SAMPLE COLLECTION YEAR: _ao
SAMPLE QUART R: LJul-Sept ❑Ott -Dec ❑Jan -March L "April -June
COUNTY: ` 0
PHONE NO: (qly) _10 -4--1 --15
ADD TO LISTSERVE? [-]YES ❑NO EMAIL:
LIMIT VIOLATIONS? YES ❑ NO ❑ DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Part A. Wastewater, Monitoring Requirements
Lab #
Lab #
Outfall No.
Date Sample
x
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 HEM'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
allons da '
(g / y)
-
-
-
6-93.4
303,5
53
(15 )6
I 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.
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. "
If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8"5 S.U. for discharges to saltwaters.
s 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: 1/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for T PH 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 7010 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
1F,17 NAAH SPnrira (Pntar
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 sub pitted is, to the best of my knowledge and belief, true, accurate, and
complete. '11 a aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
viofations."
re of Permittee)
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTE T — Quarterly
-- -
-E RBI PERMIT NO.
Discharge Monitoring Report
NCG1 0000
v
�CERTlFICATE ®F COVERAGE No CG14 C 1 SAMPLE COLLECTION YEAR: I
FACILITY.-NAME:11 tt ;1 r,fk t{Fk I ,' r am, r�; SAMPLE C$�tARTt=R: j�1ul-Sept ❑Oct-Dcc [7]Jan-March [,ZApril-June
PERSON COLLECTING SAMPLES: `-! _ , ` = COUNTY: _ t"�� f�•i>: �
CERTIFIED LABORATORY:
LIMIT VIOLATIONS? YES ❑ NO ❑
Fart A: -Wastewater: Monitoring Reguirerrents
Lab #
Lab #
PHONE NO: (! �1Jb) —1 5
ADD TO LISTSERVE? DYES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
s
-Out#all No.
Date Sample
Collected
(mm/dd/yr)
-Type of'Wastewater-
Z -
(VE, RM, MD)
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
6
SGT-HEM
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
-
-
-
6-93'41
303,5
531
(is),
-
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.
an effluent limit is exceeded twice in-ajow;_the;j ermittee-is required to institute monthly monitoring for that parameter for six rrionths, unless DWQ RO staff.
::notifies,you to:continue monitoring "-
a pH limits are 6-9 S`W 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

,b_P.rocess.wastewater discharges-shall-orify.:beonitored-for.TPH when commingled with stormviater discharges from VMA areas. i PH does not have a limit for wastewater
but:instead, is subject to -ben -FR rks articl pr �isrons of=Part jV, Section A, including the Tiered Response Action.
a
Flow rat_.te.
e::cawbe_measured L61j rr (g sf5r_ar calcc fated. F#ow limits for wastewater discharges to HQW waters shall be set to 501/10 of the Summer 7Q10 Flow as per 15A
_nICAC 02B..0224. Permittees who discharge wastewater to flr
OW waters shall obtain a -Summer 7Q10 flow and report this infomation to DWQ. If the permittee eanr,&ot
obtarrs_a Sumrrier:7Q10_flow f he receiurng warerssat-the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow
'7,repori�or%d cas--by case basi7.4-_#r�
MAIL OkIGINAL AND -ONE COP_Y�OF,THIS-ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE"I WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR
AT END;OF .MONITORING PERi{3D-IN7CASE`OF-"NO-FLOW") TO:
Divisibn of Water Quality -
Attn: DWQ Central Files
1rl7 Mail �Pr{iirP Canter
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 preparedunder 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 ar!�aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
Signature of Fermittee) '
Permit Date: 7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

•
•
Lewis -Brady Builders Supply, Inc.
�[[
I
�t
PO Box 188PA
„
,
Fairmont' NC 28340i"�
jjq
f
%i,�•i�
A l � sI
1910-628-7775
+ l III
R 3
d+ f1
AI II .
1f i j�sl
June 29', 2018 `
I certify that no discharge has occurred during this monitoring term and that no
sampling is required. We have experienced no discharge (overflow) from our
process wastewater associated with our recycle systems (holding ponds).
E
r
e
Charles Wilcox

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NNo. NCG14
FACILITY NAME: Lewis- 6 } Til C
PEJRSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater, Monitoring Requirements
Lab #
Lab #
SAMPLE COLLECTION YEAR: Can
SAMPLE QUARTER: .Jul -Sept ❑Oct -Dec ©Jars -March ❑April -June
i= a COUNTY: _ be- _
PHONE NO: (`=t (0)
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, MU)Z
pH
(standard)
Total Suspended
Solids
(mg/L)
S6ttleable.
Solids
(mL/L)
TPH using
method 1664A
SGT-HEM'
Discharge
Duration
(minutes)
Total flow
'
(gallons/day)
-
-
-
6-93'4
31}3's
53
MAY 0
Gkl
no _c
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.
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 &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/t 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 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 70.10 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 MOMTORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1C,17 MAil San/ira ('antPr
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. '1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."/
gnature of Permittee)
Permit Date: 7/1/2010-06/30/2015
( ate)
Last Revised 07/13/11
Page 2 of 2

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG1a O `-I
FACILITY. -NAME: - r ui v ~
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY:
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater, Monitoring Requirements
Lab #
Lab #
SAMPLE COLLECTION YEAR: C1 }
5AMPLE Q RTER: Jul -Sept ,N Oct -Dec []Jan -March ❑April -June
COUNTY: V)b Yx n
PHONE NO.
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [—]Trout -❑Other
OPTIONAL INFO:
Outfali No.
Date Sample
i
Collected
(mm/dd/yr)
Type of Wastewater
M, (VE, RMD),
pH'
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT HEM'
(mg/�)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)7
-
-
-
6-93'4
303'$
53
(15)6
-
-
c
V it
AN gnp
FILE
N
' If wastewater systems gave not discharged in this quarter — report "No Flow" or "No Discharge" here. Please mak su t rt above.
Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material 5toc pi es (R }, Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled-
3
If an effluent lirnit is.exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six rnonths, unless DWQ RO staff
notifie's 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 HOW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/201S
Last Revised 07/13/11
Page 1 of 2

6 Process wastewater discharges shall only be monitored for T PH 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
9617 AAE!il SartnrP (Pntpr
Raleigh, North Carolina 2769971617
[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.rny 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 irnprispnment for knowing
violations."
of Permittee)
Permit Date: 7/1/2010-06/30/2015
/.D ,� �y
(Date)
Last Revised 07/13/11
Page 2 of 2

IL,
STORMWATER DISCHARGE OUTFALL (S®O) - Semi -Annual MONITORING FORM
CERTIFICATE OF COVERAGE NO. NCG14
FACILITY NAME: Lewis'
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY
GENERAL PERMIT NO. NCG140000
Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: aQ 1
SAMPLIN ERIOD: ® July -December ❑ January -June
COUNTY bsbn
PHONE NO. (C )Ib
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: [_]SA ❑HQW ❑PNA ❑Trout ❑Outer
Outfall No.
Date Sample
Collected
{ mo/dd/yr OR
1
NO FLOW)
pFi
(Standard
Units}
TSS
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in}
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2
2 Sampling
-
6-97
1002,3
IRS
��j a a HAI
C
NT
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
For each sampled measurable storm event the total precipitation must he recorded using data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Veh ele Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
.,
Outfall
No.
Date Sample
Collected
(mo/dd/yr}1
pH
(Standard
Units)
TPH using method
7=
1664A SGHEM
(mg/t)
Total Suspended
Solids
(mg/t)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monthly
Monitoring?
(y/n)
# of Months
Tier 2
2
Sampling
6-9
152
100 '
-
-
-
-
-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES [:)NOR
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTAGT-.NAME:
Mail Original and one copy of this DNIR (including all "No Flow" & "No Discharge" reports) 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
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 wit49 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
am aw � )t therepre significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
d CS ^r�
(Date)
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

t 5rArrq
RECEIVED
•� Ta �• JAN 0 3 2017
CENTL FILES
Stormwater Discharge Outfall (SDO) MR SECTION
Qualitative Monitoring Report
For guidance on filling out this form, please visit: blip:llh2a.enr.starc.ne.stslsu/l'cunu Dr�cument�.ht.inl#miSci'anns
Permit No.: NICI G 1 1/ 4 /0 10 I O IO d or Certificate of Coverage No.: NICIGI_LI l�lQA—/ [�lA—1
Facility Name: T.FWTq—RRAny B r.nFRc CUpyY.v zur•
County: ROSE ON Phone No. _ 910-628-7775
Inspector: C � Uy f )k
Date of Inspection: I
Time of Inspection: _
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ❑ Yes [A No
Please check your permit to verify if Qualitative Monitoring m.crst be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no orecipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pern-tittee or Designee)
******NO FLOW******
1. Outfall Description:
Outfall No. - Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e„ smells strongly of oil, weak
chlorine odor, etc.):
Page I of 2
SwU-242-1 12608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on,filling out this foray, please visit: h(l oWh2o.cnr.staIG.nemslsu/1;orms Doc uliicnt .hii0misi'tbnii
Permit No.: N/C/G 1 1/ 4/0 /0_I 0/0/ or Certificate of Coverage No.: NICIGI_jI A_/al,, l�l
Facility Name: G—RRAi1Y BUILDERS SUPPLY INC.
County: ROBE ON Phone No. 910-628-7775 r
Inspector: koy
Date of Inspection: %16
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ❑ Yes 2 No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storttr event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
j occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description: ******NO FLOW******
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oii, weak'
chlorine odor, etc.):
Page I of 2
SWU-242-1 12608

Stormwater )Discharge 4utfall (SD®)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: I�ttp;llh2o.enr.stale,nc, rrslsulE nrn�s_Docrtnu:itt.�.lttmt#tt�i.�cfof ins
Permit No.: N/C/G / 1/4/0/0 / 010 / or Certificate of Coverage No.: NICIGI�I
Facility Name: T.RWI•S—RRAnY BUILDERS SUPPT-Y INC
County: ROBE ON Phone No. 910--628-7775
Inspector: C� iA ' _ 1A (U>t _
Date of Inspection: 0-6JU
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ❑ Yes [Z No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
"""'. ........ ...... -........---- ...._.... ..-.... ......" - ..... ..... .........
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
f occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description: ******NO FLOW******
®utfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e„ smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
SWU-242-1 12608

O a STATE
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
rorgtridance on filling out this form, please visit: hstpa/li?o.cas�.stal� nc.usl.Sull'cents_I)r�cutttc.nl..h�rriftitii�:l �i ttts'
Permit No.: N/CIG / 1/ 4/0 10 / 0/0 1 or Certificate of Coverage No.: NICIGI_LI [LIQXll4l
Facility Name: LEWIS.-BRADY FijjTi.nF.RS -,II-PrT.y INC
County: ROBE ON Phone No. 210-_62-_z775___ .
Inspector: - Lu ' _ I��; ` i-o Y,
Date of Inspection: I 0 lf,
Time of Inspection: _
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ❑ Yes [� No
Please check your permit to veriff if Qualitative Monitoring must bey perforated during a representative
storm event (requirements vary),
A "Representative Storm Event" is a storm event that measures greater than 0.1 inclies g hes of rainfall and that
f is preceded by at least 72 hours {3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my lulowledge:
(Signature of Pernuttee or Designee)
******NO FLOW******
1. Outfall Description.
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream: "*
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc,) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
R
S WU-242-1 12608
Page I of 2

do
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on.flling out this form, please visit: Docttlilcill,,.hltTi#miscfot•tns
Permit No.: NICIG / 11 410 /0 1010 / or Certificate of Coverage No.: NIC/GI�1
Facility Name: T.EwTG..-RRA-ny BUILDERS SUPPT_Y THE _
County: ROSE ON Phone No. 910--628-7775
Inspector: Ct.,(' .1 -[1E COk
Date of inspection: I� f 2.6 M,
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ❑ Yes E� No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
.... .......... .... ................. .. ........ �. ..............-............
A "Representative Storm Event" is a storm event that measures greater than 0, l inches of rainfall and that
is preceded by at least 72 hours Q days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
******NO FLOW******
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
S W U-242-1 12608
Page I of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
f
and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? -Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
*********NO FLOW********
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
swu-242-112608

PROCESS WASTEWATER — Quarterly Discharge Monitor eport
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 -3 4 4
FACILITYMAME: LEUIS—BRADY BUILDERS SUPPLY INC
PERSON COLLECTING SAMPLES: _
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater, Monitoring Requirements
1 If wastewater systems have not discharged in this quarter— report "No Flow' or "No Discharge"' here. Pleasemake 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.
° pH limits are 6-9 &U. far wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are.26 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.
SAMPLE COLLECTION YEAR: R 2OlCz
SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec K)a [j]April-June
COUNTY: ROBESON
PHONE NO: 121Q ) —
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: []SA ❑HQW ❑PNA ❑Trout .❑Other
OPTIONAL INFO:
�
Outfall No.
Date 5amp!e
i
Collected
(mm/dd/yr)
Type of Wastewater
(VIE, RM, MD)'
pH*
{standard}
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L).
TPH using
method 1664A
SGT-hfEMG
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)7
-
-
-
6-93.4
303.5
53
****FO now****
CEN I KAL
ILtb
Permit Date: 7/1/2010-06/30/2015
Last Revised 07/13/11
Page 1 of 2

Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
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 15
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 cannt),
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 IOR
AT END OF MONITORING PERIOD IN CASE OF "NO_ FLOW") TO: T
Division of Water Quality
Attn: DWQ Central Files
1A17 i1/l?Il Service ryPYltPr
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 wereprepared 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. am aware tha ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violatio "
i
( ignatbre of Permittee) (pate)
Permit Date: 7/1/2010-06/30/201S Last Revised 07/13/11
Page 2 of 2

Lewis -Brady Builders Supply, Inc.
Fairmont, NC 28340
910-628-7775
March 15, 2016,
To Whom It May Concern,
9
"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 there are significant penalties for submitting false
information.
Siff-"erely,
Jetter Lewis

eo
Stormwater Discharge Qutfall (SDO)
Qualitative Monitoring Report
For- guidance on f lling out this form, please visit: I3ttnalh2a.enr.stale.ne.iis/su/Dorms l7r�cunit:nts.htm#miscl'�intts
Permit No.: NICI G / 11 4 /0 10 1 0 /D I or Certificate of Coverage No.: NICIG/11 c�l�t��l !�ll�l
Facility'Name: i.Fwrs—BRAU BUILDERS CIMPT_y INC.
County: ROBESON Phone No. ._ 910-628-7775
Inspector: _C,4_'i jUt oz _
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): DEC 2 9 LW1
Was this a Representative Storm Event,7 (See Information below) ❑Yes ❑ CENTRAL FILESMWR SECTION
Please check your permit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary).
....... ...... ._.................. .... w...... -................. -.............................. ................... .... ...... ........................._......... ..... .... ... .. .... ............. ..... ..... .. ...A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I.certify that this report is accurate and complete to the best of my knowledge:
l! 1 l
(Siature of Perniittee or Designee)
I. Outfall Description:
******NO FLOW******
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. 1Color: Describe the color of the -discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe anydistinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page l of 2
S MJ-242-1 12608

a
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is'veiy cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
to. Other Obvious Indicators of Stormwater Pollution:
List and describe
********ENO FLOW********
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
0
5 WU-242-1 12608
Page 2 of 2

U
December 22, 2015
I certify that no discharge has occurred during this monitoring year and that no
sampling is required for this year. We have experienced no discharge (overflow)
from our process wastewater associated with our recycle systems (holding
ponds).
Charles Wilcox

Lewis -Brady Builders Supply, Inc.
Fairmont, NC 28340
910-628-7775
December 22, 2015
To Whom It May Concern,
"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 there are significant penalties for submitting false
information.
Sincerely,
t
Jetter Lewis

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 b
FACILITY;NAME: Leu>._S- r� �1�P r,5 T
PERSON %COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR:(�j
SAMPLE Ot*RTER: j�Jul-Sept ®Oct -Dec ❑Jars -March ❑April -June
COUNTY: b=n
PHONE NO: (q)b ) (fig-
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout .❑Other,
OPTIONAL INFO:
Outfall No.
Date'Sample
1
Collected
(mm/dd/yr)
Type of Wastewater
z
(VE, RM, MD)
pH'
(standard]
--
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L).
TPH using
method 1664A
SGT HEA4'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day}
-
-
-
6-93'4
303,5
531
(15)6
-
-
-XE
. POW
DEC
;
GENT-
njA, "IL)LES
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 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
C*
C=
Mac
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 W, 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 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 70.10 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.
a
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE IOR
AT END OF MONITORING PERIOD_ IN CASE OF "NO FLOW") TO:
Divisron of Water Quality
Attn.- DWQ Central Files
1F1.-7 Mail Canrira Center
aWaleigh, North Carolina 27699-1617
(9l9)807-6379
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of taw, 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
completem aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations!"/
(Signature
(Date)
Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11
Page 2 of 2

Lewis -Brady Builders Supply, Inc.
Fairmont, NC 28340
910-628-7775
December 22, 2015
To Whom It May Concern:
"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 there are significant penalties for•submitting false
information.
Sincerely,
Jetter Lewis
3

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
r- GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGNo. NCG140, 1 -1 _
FACILITY�NAME:LC�r=,- _ yij- i�L�_00fs' nl�. _.I-nl.
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
Lab #
Lab #
SAMPLE COLLECTION YEAR: c3(') i �) RECEIVED
SAMPLIN PERIOD: ® July -December ❑ January-JunXC 2 9 Z015
COUNTY Jes(;n _ ^^
PHONE NO. q{ 10 —3:1 :75
ADD TO LISTSERVE? ❑YES ❑NO EMAIL: _
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
CENTRAL. FILES
DWR SECTION
Outfall No.
Date Sample
Collected
(mo/dd/yr OR
1
NO FLOW]
PH
(Standard
Units)
TSS
(mB/L)
Event
Duration
(minutes)
Total
4
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
x
2 Sampling
-
-
6-9
1002,s
-
-
-
-
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here: Please make sure to mark the sample period above.
Z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling -shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/I, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge.
an"
C7
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Qutfail
No.
Date Sample
Collected
(mo/dd/yr)1
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
(mg/L}
Event
=
Duration
-[minutes)
Total
,
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
" in Tier 2
z
Sampling
6-9
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receiat of sample for 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
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
thosep'$rsons di_�ectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am
re of 'Permittee)
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
A-)-0-11
(Date)
Permit Date:7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

Lewis -Brady Builders Supply, Inc.
Fairmont, NC 28340
910-628-7775
December 22, 2015
To Whom It May Concern:
"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 there are significant penalties for submitting false
information.
Sincerely,
Jetter Lewis
ti

Lewis -Brady Builders Supply, Inc.
Fairmont, NC 28340
910-628-7775
December 22, 2015
To Whom It May Concern,
"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 there are significant penalties for submitting false
information.
Sincerely,
Jetter Lewis

d „a STATE (y
RECEIVED
Stormwater Discharge Outfall (SDO) JUL if is 2015
Qualitative Monitoring Report CENTRAL SECTION
FILE
For guidance on filling out this form, please visit: htl.p:Ith2o.cnr.state. nc.uslsu/Fornis Doc unients.hli0miselonns
Permit No.: NIC/G / 1/ 410 /0 / 0 /0 1 or Certificate of Coverage No.: NICIGI�I [�1�l�1 [�It�l
Facility Name: LEVIS—RRAnY $UTT.nRRS cTTPPT_y TNC —
County: ROBESON Phone No. 910-628-77.75
Inspector: I C _,!,j t t C7
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ❑ Yes ❑ No
Please check your permit to verify if Qualitative Monitoring must he performed during a representative
storm event (requirements vary).
.................... ......................................................Event" is..�storm event that measures.greater_........-...-._.-_._-.-.-.-_.--....-.-.--.-.-.-......-.-._-----._-...
A"Representative Stormthan 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this sygftature, I certify Qiat thi5.report is accurate and complete to the best of my knowledge:
(S.igjZture of Permit or Designee)
]. Outfall Description:
******NO FLOW******
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
SWU-242-112608

Y
4. Clarity: Choose the number which best describes the clarity of the discharge, where I. is clear 1
and 5 is very cloudy:
l 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2, 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
*********NO FLOW********
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242-1 12609

June 18, 2015
I certify that no discharge has occurred during this monitoring year and that no
sampling is required for this year. We have experienced no discharge (overflow)
from our process wastewater associated with our recycle systems (holding
ponds).
alp -
Charles Wilcox

STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 4 4
FACILITY NAME: LFwTS-RRADY PUTLDFRS SUPPLY. INC.
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2015
RECEIVED
JUL 06 2015
SAMPLING PERIOD: ® July -December ® Jan uary-JunCENTRAL FILES
COUNTY goBESoit -- --- DWR SECTION
PHONE NO. 9{ 10 1 628-7775
ADD TO LISTSERVE? []YES ❑NO EMAIL: `
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
Outfall No.
Date Sample Collected
(mo/dd/yr OR
NO FLOW)t
pR
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months in Tier
2 Samplingz
-
-
6-92
100z'3
-
-
-
-
` If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling -shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HQW, Trout, and PNA waters where they are 50 mg/l.
° For each sampled measurable storm event the total precipitation must be recorded using data from an on -site rain gauge. _
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 1 of 2

Part 8: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year
Outfall
No.
Date Sample'
Collected
z
(ma/dd/yr) .
PH
(Standard
Units)
TPH using method
1664A SGT HEM
(mg/L)
Total. Suspended
Solids
(rndL)
Event
Duration
(minutes)
Total
4 .
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier 2
Monthly
Monitoring?
(y/n)
# of Months
• in Tier 2'
z
-Sampling
6-9Z
15
100-'.MEN-
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: &M
Mail Original and one copy of this DMR (including all "No Flow" & "No Discharge" reports) within 30 days of receipt of sample (or at end of monitoring perllw-
in case of "No Flow") to: f C=LJJ
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU PAUST SIGN THIS CERT►rICATION 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 t} a information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are sigr y alties fo,,submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
- f S
(Date)
Permit Date: 7/1/2011-60/30/2015
Last Revised 7/13/11
Page 2 of 2

Lewis -Brady Builders Supply, Inc.
PO Box 188
Fairmont, NC 28340
910-628-7775
June 30, 2015
To Whom It May Concern,
"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 there are significant penalties for submitting false
information.
Sincerely,
Jetter Lewis

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 h b
FACILITYFjNAME: LEWTS—BRADY BUILDERS SUPPLY INC
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A_ Wastewater Monitorine Reauirements
SAMPLE COLLECTION YEAR: 2oi si
SAMPLE QUARTER: LjJul-Sept ❑Oct -Dec []Jan -March ®April -June
COUNTY: ROBF-SON
PHONE NO: ( 10 ) 628-7775 .
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout .❑Other
OPTIONAL INFO:
=
Outfall No.
Date Sample
1
Collected
(mm/dd/yr)
{VE, RM, MQ) Type of Wastewater
z
pH'
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(rriL/L)
TPH using
method 1664A
5GT-HFIVIs
(mg/L)
Discharge
Duration
(minutes)
Total Flow
,
(gallons/day)
-
-
-
6-9s.a
303,s
53
(15)r
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.
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.
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 ail 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 ann6pl 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
1F17 AA Ail Ganiira Canter
Raleigh, North Carolina 2769971617
[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 aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations.'
.4
afore of Per
Permit Date:7/1/2010-06/30/2015
(Date)
Last Revised 07/13/11
Page 2 of 2

Lewis -Brady Builders Supply, Inc.
PO Box 188
Fairmont, NC 28340
910-628-7775
July 12, 2015
To Whom It May Concern:
"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 there are significant penalties for submitting false
information.
Sincerely,
c )"
Jetter Lewis
,r

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG14Q _ 4 _&
FACILITY-MAME: LFtiIIS—BRADY BUILDERS SUPPLY INC
PEPSON COLLECTING_ SAMPLES:
CERTIFIED LABORATORY: Lab # _
Lab#_
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater. Monitoring Renuirements
SAMPLE COLLECTION YEAR: 2015"
SAMPLE QUARTER: Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June'.
COUNTY: ROIBESON
PHONE NO. 9( 10 ) 628-7775-
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout .❑Other��
OPTIONAL INFO: ,..�
-
Outfall Na.
Date Sample
Lollectedl
{mm/dd/yr)
Type of Wastewater
x
(VE, RM, MD)
pH
(standard)
Total Suspended
solids
(mg/L)
Settleable
Solids
{mL/L}
TPH using
method 1664A
SGT-HEM'
(mg/L)
Discharge
Duration
{minutest'
Total Flow
(gallons/day)'
-
-
-
6-93.a
303'S1
53
(15),
1-
-
-M FLOW
Prur
OR
0 Lois
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.
a pH limits are 6.9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters.
s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications.
Permit Date: 7/1/2010-06/30/201S 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 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permiitee 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 34 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
1A17 Mail Service Center
Raleigh, North Carolina. 2769971617
[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 Permit -tee)
Permit Date:7/1/2010-06/30/2015
J- ~/ D
(Date)
t-
f
Last Revised 07/13/11
Page 2 of 2

Lewis -Brady Builders Supply, Inc.
Po Box 188
Fairmont, NC 28340
910-628-7775
3-31-2015
To Whom It May Concern;
"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, rue, accurate,
and complete. I am aware there are significant penalties for submitting false
information.
Sincerely,
Jetter Lewis

V,
STORMWATER DISCHARGE OUTFALL (SDO) - Semi -Annual MONITORING FORM
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 4 A
FACILITY_ NAME: LEWIS—BRADY BUILDERS SUPPLY, INC.
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Lab #
Lab #
OPTIONAL INFO:
Part A: Stormwater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2f)1A
SAMPLING PERIOD: ® July -December ❑ January -June
COUNTY ROBLSON
,PHONE NO. g( 10 j .628-7775
ADD TO LISTSERVE? ❑YES ONO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ❑Other
. Outfall No.
Date Sample Collected
(mo/dd/yr OR
NO FLOW)
PH
(Standard
Units)
TSS
(mg/L)
Event
Duration
(minutes)
Total
a
Rainfall
(in)
In Tier 2
Monthly
Monitoring?
n
(y/ )
# of Months in Tier
z
2 Sampling
-
-
6-9
10o '
-
-
-
-
NO FLOW
---
C 2
ENr
1 If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here. Please make sure to mark the sample period above.
z If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier 1 or Tier 2 responses in the General Permit. Tier 2
Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range.
3 TSS benchmark values are 100 mg/l, except when discharging to ORW, HOW, Trout, and PNA waters where they are 50 mg/l.
° For each sampled measurable storm event the total precipitation must be recorded using.data from an on -site rain gauge.
Permit Date: 7/1/2011-60/30/201S Last Revised 7/13/11
Paoa 1 of 7

Part B: Vehicle Maintenance Activity Monitoring Requirements for facilities using > 55 gal of new motor oil/month — averaged over a calendar year.
Outfall
No.
Date Sample
Collected
(mo/ected)
�.
pH
(Standard
Units)
TPH using method
1664A SGT-HEM
(mg/L)
Total Suspended
Solids
-
(mg/L)
Event
Duration
�
(minutes
Total
4
Rainfall
(in)
New Motor Oil
Usage
(gal/month)
In Tier'2
Monthly
-Monitoring?
(tg
or)
# of.Months
in Tier 2
Sampling2,
6-92
15
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail Orieinal and one coov of this DMR fincludine all "No Flow" & "No Dischame" reports) within 30 days of receipt of sample (or at end of monitorine period
in case of "No Flow") to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS'CERTIFIC4TION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons dir ly-responyible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware re arse sigpificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Sig J ture of F
Permit Date: 7/1/2011-60/30/2015 Last Revised 7/13/11
Page 2 of 2

Lewis -Brady Builders Supply, Inc.
PO Box 188
Fairmont, NC 28340
910-628-77756
December, 2014
To Whom It May Concern:
"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 there are significant penalties for submitting false
information.
Sincerely,
Jetter

lr FILES
CENR SECTION
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit: hu 3alh2o.enr.srarc.nc.us/su/houms DOCLI111CntS.1l11n#niiscforlYis
Permit No.: NIC/G 1 1/ 4/0 10 10/0 / or Certificate of Coverage No.: NIC/Gl�1 1�1�1 c�l[�l
Facility Narne:
County: ROBESON Phone No. _910-628-7775
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ❑ Yes ❑ No
Please check your permit to verify if Qualitative Monitoring trust be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours Q days) in which no storm event measuring greater than 0. L inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By thisAnatur�rtify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
1. Outfall Description: ******NO FLOW******
Outfall No. Structure (pipe, ditch etc:)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:.
3. Odor: Describe any7distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
5 WU-242-1 12608

4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
1 2 -3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
*********NO FLOW********
Note: Low clarity, high solids, and/or the presence of foam, oit sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5 WU-242-1 12608

PROCESS WASTEWATER —Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 4 4
FACILITY..NAME: T,FWIS—BRADY RUTIT ERS SUPPLY IFC
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: jul-Sept ®Oct -Dec ❑Jan -March [S]April-June
COUNTY: ROBESON
PHONE NO. 9� x0 1 628-7775
ADD TO LISTSERVE? []YES ❑NO EMAIL:
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
Collected1
(mm/dd/yr)
Type of Wastewater
(VE, RM, MD)'
pH
(standard]
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method I654A
SGT HEHIG
(mg/L)
Discharge
Duration
(minutes)
Total Flow
(gallons/day)
-
-
-
6-93'4
303'5
53
**NO FI.0W
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.
° 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,
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
7XC C 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot
obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flour
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 1011
AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO:
Division of Water Quality
Attn: DWQ Central Files
1 617 Mail Seryir-p (pntpr
Raleigh, North Carolina 2769971617
[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,,l 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: 7/1/2010-06/30/201S
/,I I/ —/
(Date)
Last Revised 07/13/11
Page 2 of 2

./
Lewis -Brady Builders Supply, Inc.
PO Box 188
Fairmont, NC 28340
910-628-7775
December 16, 2014
I certify that no discharge has occurred during this monitoring year and that no
sampling is required for this year. We have experienced no discharge (overflow)
from our process wastewater associated with our recycle systems (holding
ponds).
Charles Wilcox `
r'

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 4 4
FACILITY: -NAME: T.RLrrC—RRAnv RrrTT_nvuc crrapry INC
PEJRSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NOD
Part A: Wastewater_ Monitoring Renuirements
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. -
a 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
notifie's you to continue monitoring.
PH limits are 69 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.
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: Jul -Sept ❑Oct -Dec ❑Jan -March ❑A
COUNTY: ROBESON
PHONE NO. ( 910 ) 628 7775
ADD TO LISTSERVE? RYES ❑NO EMAIL:
DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout, ❑Other
OPTIONAL INFO:
pril-June
Outfall No.
Date Sample
Collected)
(mm/dd/yr)
Type of Wastewater
[VE, RM, Mf7)z
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
(mL/L)
TPH using
method 1664A
SGT-HEM'
(mg/L)
Discharge
Duration
(minutes)
Total Flow
[gallons/day)'
-
-
-
6-9"'
303'5
S3
**NO FI.OW**
EP
FiR FILES
=
JUN
Permit Date: 7/1/2010-06/30/2015 Last Revised 01/13/11
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 T
Attn: DWQ Central Files
1F.l7 Mail SPnrira 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.iny direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware thatthere a significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violation
(Signature o(Permittee)
Permit Date: 7/1/2010-06/30/201S
9/18/2014
(Date)
Last Revised 07/13/11
Page 2 of 2
i;b

Lewis -Brady Builders Supply, Inc.
PO Box 188
Fairmont, NC 28340
910-628-7775
September 18, 2014
To Whom It May Concern:
"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 there are significant penalties for submitting false
information.
Sincerely,
Jetter Lewis

PROCESS WASTEWATER — Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
CERTIFICATE OF COVERAGE NO. NCG14 0 3 4 4 SAMPLE COLLECTION YEAR: 2014
FACILIWI NAME: LLVIS—BRAINY BTJT7.DER5 SUPPLY,TgC- SAMPLE QUARTER: { jul-Sept ❑Oct -Dec ❑Jan -March ®April -June
PE,RSON?COLLECTING SAMPLES: COUNTY: ROB ON -
CERTIFIED LABORATORY: Lab # PHONE NO: 9( 10 j 628 7775
Lab # ADD TO LISTSERVE? ❑YES ❑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
(VE, RIM, MD)'
pH
(standard)
Total Suspended
Solids
(mg/L)
Settleable
Solids
trot/14
TPH using
method 1664A-
SGT-HEMO
(mg/t)
Discharge
Duration
(minutes)
Total Flow
(gallons/day),
-
-
-
6-93.A
303.5
53
(15)6
3
014
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
4 pH lirnits4re 6-96".U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. -
s TSS limits are;20 nig/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

fi Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater,
but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action_
' Flow rate can be measured continuously or calculated. Flow 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
1 Al 7 Mail Canrira f'wntpr
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 underpy direction or supervision in accordance with a system designed to
assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations." / /Y
gnature of Pe
Permit Date: 7/1/2010-06/30/2015
(D te)
Last Revised 07/13/11
Page 2 of 2

Y ,
Lewis -Brady Builders Supply, Inc.
PO Box 188
Fairmont NC 28340
9.10-628-7775
June 30, 2014
To Whom It May Concern;
"I certify under penalty of law, that this document and all attachments were prepared urider 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 there are significant penalties for submitting false information.
Sincce-re�l
Jetter Lewis

d� 5T"'t
Stormwater Discharge Outfall (SDO) NFpR q��p',r
RO�'Fssti�'
Qualitative Monitoring Report c
For guidance on filling out this form, please visit: hu.;7;l/h2o.enr.titale.nc.t.ls/s€ilt'oni7s._D4CUI11C ntti.hlln#iiiiaclt)rtns
Permit No.: NICI G / 11410 /0 / 0 /0 1 or Certificate of Coverage No.: NICIGl—j14-1_(�14�14�1
Facility Name: 1XVIS—BRADY BUILDERS. qnp-plx TNC
County: ROBESON` Phone No. 910-628-7775
Vf f _
Inspector: es )+ (a x
Date of Inspection:
Time of Inspection: _ 99 — 00) L4
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) ❑ Yes ❑ No
Please check your hermit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A . ........_....�................................... ...............—...._.........._..._...._._._....._........................ ........_..._..................................................._._.................,.. ....................... .
"Representative Storm Event" is a storm event that measures greater than 0.1 ' rainfall and that
is preceded by at least 72 hours Q days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this,si'g`nature, I5ertiV/that th�,report is accurate and complete to the best of my knowledge:
(M—n ature of PermYitee or Designee)
******NO FLOW******
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.) T
Receiving Stream: _
Describe the industrial activities that occur within the outfall drainage area:
2. 1Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page I of 2
SWU-242-1 12608

4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
l 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 2 3 4 5
7. is there any loam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
*********NO FLOW********
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5 W U-242-1 12608

Lewis -Brady Builders Supply, Inc.
PO Box 188
Fairmont NC 28340
910-628-7775
June 18, 2014
I certify that no discharge has occurred during this monitoring year and that no sampling is required for
this year. We have experienced no discharge (overflow) from our process wastewater associated with
our recycle systems (holding ponds).
Charles Wilcox

PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report
GENERAL PERMIT No. NCG140000
_'
CERTIFICATE OF COVERAGE NO. NCG14 0 3 4 4
FACILITY�NAME: 1'�S—RRA0T BRSIIIT,DE9U PLY, INC.
PEJRSON. COLLECTING SAMPLES:
CERTIFIED LABORATORY: Lab #
Lab #
LIMIT VIOLATIONS? YES ❑ NO ❑
Part A: Wastewater Monitoring Requirements
SAMPLE COLLECTION YEAR: 2014
SAMPLE QUARTER: j fiul-Sept ❑Oct -Dec ®Jan -March
COUNTY. ROBESON
PHONE NO: g( 10 } 28 7775
ADD TO LISTSERVE? ❑YES ❑NO EMAIL:
❑April -June
DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA ❑Trout ❑Other
OPTIONAL INFO:
Outfall No.
Date Sample
i
Collected
(mm/dd/yr}
Type of Wastewater
(VE, RM, MD)'
pH
(standard)
Total Suspend
Solids
(mg/L)
Settleable
Solids
(mL/L}
TPH usinged
method 1664A
SGT-Hf�
(mg/L)
Discharge
Duration
(minutes}
Total Flow
7
{gallons/day)
-
-
-
6-9""
303.5
53
AK 13 LU I
FAITRAI F I K
DWQ/B0G
1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above.
2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum
Cleanout (MD). Report more than one type if the waste -stream is commingled.
3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff
notifies you to continue monitoring.
° pH limits are 6-9 S:U. for wastewater discharges to freshwaters, and 6.8-8.5 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

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.
' LI---
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 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
1Al7 Mail Sanrira Center
Raleigh, North Carolina 2769971617
[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
vioiations��
re of Permittee)
Permit Crate: 7/1/2010-06/30/2015
3-11-2014
(Date)
Last Revised 07/13/11
Page 2 of 2

Lewis -Brady Builders Supply, Inc.
PO Box 188
Fairmont, NC 28340
910-628-7775
03-11-2014
7o Whom It May Concern:
"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 information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware there are significant'penalties for submitting false information.
Sincerely,
Jetter Lewis