NCG160033_MONITORING INFO_20190109

STORMWATER DIVISION CODING -SHEET
NCG PERMITS
PERMIT NO.
/V Cc, I CQ n O c3 3
DOC TYPE
❑HISTORICAL FILE
S. MONITORING REPORTS
DOC DATE
❑ Giblq DI Oq
YYYYMMDD

January 4, 2019
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report DMR
NCG160033
Harrison Franklin Asphalt Plant
Franklin, NC
Macon County
To Whom It May Concern:
HARRISON
RECEIVED
JAN 0 9 Z019
FNTRAI- FILES
z3vvrt *ECTION
Please find accompanying this letter, one original and one copy of the Discharge
Monitoring Report DMR for the above referenced location.
If you have any questions or need more information, please contact me at Harrison
Construction Company Division of APAC Atlantic Inc. P.O. Box 449 Franklin, NC 28744 or
call me at (865)-279-6374.
Sincerely,
Jeffrey Arnette
Environmental Compliance
P.O. Box 449 (28744) • 136 Rock Quarry Road • Franklin, NC 28734 . Tel: [phone] a Fax: [phone]
A Division of APAC-Atlantic, Inc.
An Equal Opportunity Employer

Semi-annual Stormwater Discharge Monitoring Report DMR
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted ) Q
CERTIFICATE OF COVERAGE NO. NCG16 d Q a a
FACILITY NAME FRAN K(,-CN AS?NAL.T
COUNTY _Ni AGO M _
PERSON COLLECTING SAMPLES G'-i=
LABORATORY Phi c r Lab Cert. # 4 n
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Q 0 / D
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthlyi month
DISCHARGING TO CLASS ❑ORW ❑HQW gTrout ❑PNA
❑Zero -flow ❑Water Supply []SA
ff0ther
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
❑ No discharge this period?z
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks
100 mg/L or 50 mg/L
1
la (cht
O.S
-7.1
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L". where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in rng/L.
Note: if you report a sample value in excess of the bench mark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2
t,

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Qutiall N°'
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier z, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy o this DMR includin all `No Discharge" reports, w_i_thin 30 day_s of receipt of the lab result (or at end of monitoring period
in the case of "No Discharge' reports} to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
1
(Date)
5WU-252, last revised 9/17/2014
Page 2 of 2

March 12, 2018
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report DMR
NCG160033
Harrison Franklin Asphalt Plant
Franklin, NC
Macon County
To Whom It May Concern:
HARRISON
RECEIVED
MAR 15 2018
CEN-1-RAL FILES
DWR SECTION
Please find accompanying this letter, one original and one copy of the Discharge
Monitoring Report DMR for the above referenced location.
If you have any questions or need more information, please contact me at Harrison
Construction Company Division of APAC Atlantic Inc. P.O. Box 449 Franklin, NC 28744 or
call me at (865)-279-6374.
Sincerely,
)Jee rey Arnette
Environmental Compliance
P.O. Box 449 (28744) . 136 Rock Quarry Road a Franklin, NC 28734 • Tel: [phone] • Fax: [phone]
A Division of APAC-Atlantic, Inc.
An Equal Opportunity Employer

ti
Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina IDEMLR General Permit No. NCG160000 - Asphalt
Date submitted 3 112, 1I,
CERTIFICATE OF COVERAGE NO. NCG 16 d O 3 3
FACILITY NAME FRANk l,-iN AS214ALZ
COUNTY n AGON
PERSON COLLECTING SAMPLES-Ti
LABORATORY ?A r r- Lab Cert. # 40
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECT19 YEAR o 4 T
SAMPLE PERIOD IVI Jan -June ❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ZTrout 017NA
[]zero -flaw ❑Watersupply [—]SA
2r0therZ IrAS S
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks = =>
-
-
100 mg/L o 0 m
1
3 I I%
o.q
Z R.S
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall; you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/V where XX is the numerical value ofthe
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Nate: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date:10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ==_>
-
-
15 mg/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply td this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit tent.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 RE.QUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copjr of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reportsi to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/a 11V
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2

'4 .
HARRISON
January 9, 2018
NCDEQ
Division of Water Quality
2090 US Highway 70
Swannanoa, NC 28778
RE: Annual Summary Data Monitoring Report (DMR)
NCG160O33
Harrison Franklin Asphalt Plant
Franklin, NC
Macon County
To Whom It May Concern:
Please find accompanying this letter, one original and one copy of the Annual
Summary Data Monitoring Report DMR for the above referenced location.
If you have any questions or need more information, please contact me at Harrison
Construction Company Division of APAC Atlantic Inc. P.O. Box 449 Franklin, NC 28744 or
call me at (865)-279-6374.
;Sin rely
Jeffrey Arnette
Environmental Compliance
_ Received
JA N 12 2018✓
Land Quality Section
Asheville
P.O. Box 449 (28744) a 136 Rock Quarry Road • Franklin, NC 28734 • Tel: [phone] • Fax: [phone]
A Division of APAC-Atlantic, Inc.
An Equal Opportunity Employer

14
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year o 01"1
Revised 9/17/2014
General Permit No. NCG160000
Certificate of Coverage No. NCG 16 QOO ©©❑
This monitoring report summary is due to the DEMLR Regional Office no later than November 7 of
each year.
Facility Name: F N . N P
County: r1 ACQ N
Phone Number: ($a)��155
Total no. of SDOs monitored
Part A. Outfall No. I (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
other ❑
outfall
Total Rainfall,
Inches
00530
TSS, mglL
Benchmark
N/A'. ..
00100;,; ;
Date Sample Collected,
i :K.ir��rt �f1�.:�1
:.I."9:'.+c'}�s4�rik¢v`rr.•'L`:i1!::3"�ri
I^7
4 a.S
1U -
/V -cow
Yes ❑ No [�
Yes ❑ No [�
Page I I

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."
SignE
Date
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
(9 l 9) 791-4200
WINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAT..OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
,.v viv a�uv llJl�HL. Vt'1'll.E
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Page 13

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year a 017
Revised 911712014
General Permit No. NCG160000
Certificate of Coverage No. NCG 1600E©❑
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name: . Fs A N_ Y LZK) ASq um,-T
County: J n AC n
Phone Number: (�S a`� )_6 a k "J 55
Total no. of SDOs monitored
Part A. Outfall No. i (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall
Total Rainfall,
Inches
00530
TSS, mglL
.Benchmark..
,,;.N/A �.
!' 5 700
Date Sample Collected,
molddtyr
�.
a a
na..*dreleO�r.�ecC.arilvLt�r,1
[14
a.S
f 1
N -t, ow
Page I I
Yes ❑ No [Jf
Yes ❑ No [�

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."
Sign
Date
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ...... [phone]
Fayetteville Office
... [phone]
Mooresville Office
... [phone]
Raleigh Office ........
[phone]
Washington Office
..".[phone]
Wilmington Office
... [phone]
Winston-Salem ......
[phone]
ASHEVILLE REGIONAL OFFICE
2090 US Highway 70
Swannanoa, NC 28778
[phone]
RALEIGH REGIONAL OFFICE
AW barren Drive
Raleigh, NC 27609
[phone]
WINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON RECAONAr OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]

January 27, 2017
NCDEQ
Division of Water Quality
2090 U.S. Hwy 70
Swannanoa, NC 28778
RE: Annual Summary Data Monitoring Report (DMR)
NCG160033
Franklin Asphalt Plant
Macon County
To Whom It May Concern:
HARRISON
Received
J AN 3 1 2017
Land Quality Section .
Asheville
Please find accompanying this letter, one original and one copy of the
Annual Summary Data Monitoring Report (DMR) for the above referenced location.
If you have any questions or need more information, please contact me c/o Harrison
Construction Company Division of APAC Atlantic Inc. P.O. Box 449 Franklin NC 28744 or
call me at 828-421-0448
Received
J A N 3 1 2017
Land Quality Section
Asheville
Si cerely
Do Mason
Environmer
Compliance
P.O. Box 449 (28744) a 136 Rock Quarry Road • Franklin, NC 28734 a Tel: [phone] • Fax: [phone]
A Division of APAC-Atlantic, Inc.
An Equal Opportunity Employer

r
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year ot01(a
Revised 9/17/2014
General Permit No. NCG160000
Certificate of Coverage No. NCG16❑O ❑O 00❑
This monitoring report summary is due to the DEMLR Regional Office no later than November 1 of
each year.
Facility Name: FRA&iKL:1N A6PHA&T _
County: AACO-N _
Phone Number: &a j 5A4- 5455 Total no. of SDOs monitored
Part A. Outfall No. � I (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [►�
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No rg{
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall ��
Total Rainfall,
inches
00530
TSS, mg1L
Benchmark
N/A
501100
Date Sample Collected,
molddlvr
tt
a
6-63
7.7
Page I I

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."
Signz
Date
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ...... [phone]
Fayetteville Office
... [phone]
Mooresville Office
... [phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office
... [phone]
Winston-Salem ......
[phone]
ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
225 Green Street
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
o �uu.��i n��rnwr Ar rrr
v•. 'vvlvt+a�va'aS44L
•a a n��t.�r nr.wr
•rnui7�lvVivl� 1CCEViVI\HE.rllf'Y'IC.C.
VYlL1YllE�li1VIV !(l.+,lillllVALUrr1C,L�
E
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Page 13

S
y HAF:ZRI N
Harrison Construction Division APAC-Atlantic, Inc.
Hwy. 64 West • P.O. Box 449Franklin, North Carolina 28734
[phone] 9 FAX [phone]
Central Files, NCDENR
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Discharge Monitoring Report DMR
NCG160033 (Franklin Asphalt Plant)
To Whom It May Concern:
RECEIVED
MAY 16 2016
CENTRAL FILES
DWR SECTION
Please find accompanying this letter, one original and one copy of the
Discharge Monitoring Report DMR for the above referenced location.
If you have any questions or need more information, please contact me c/o
Harrison Construction Company Division of APAC Atlantic Inc. P.O. Box 449 Franklin
NC 28744 or call me at 828-421-0448
S erely 4n\
Do Mas
Environmental Compliance

Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General P rm't NO. NCG160000 - Asphalt
Date submitted l /!o
CERTIFICATE OF COVERAGE NO. NCG16A�).n 3 3
FACILITY NAME iri?A/Vlrt,7AJ AeP/%AG?
COUNTY _MA C.0A/
PERSON COLLECTING SAMPLES A igAjr1yi_;
LABORATORY PAGE Lab Cert. # ('
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR a 0 / & '
SAMPLE PERIOD Q Jan -June ❑ July -Dec
or ❑ monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW RfTrout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
❑Other Ci ASs G
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected
(mo/dd/yr]
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks ===>
_
-
100 mg/L or 50 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in ml;/L.
Note.* if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfail No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inche?
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks ===>
-
-
15 mg/L
100 mg/L or 50 mg/L
IVIA
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT !NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of recei t of the lob results tor at end of monitoring period
in the case of "No Discharge" reports) to
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
///
(Date)
Permit Date: 10/1/2014-9/31/2019
SWU-252, last revised 9/17/2014
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report (DMR]
for North Carolina DEMLR General Permit No. 14CG1fi0�0 - Asphalt
Date submitted 40 ll, 241'�4�5
CERTIFICATE OF COVERAGE No. NCG16 0'
FACILITY NAME
COUNTY %
PERSON COLLECTING SAMPLES
LABORATORY 1 Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 4Q0l5
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly; (month)
DISCHARGING TO CLASS ❑ORW ❑HQW 2STrout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
[]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
RECEIVED
C*
NOV 3 0 2015
�
CENTRAL FILES
DWR SECTION
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sires may be eligible for a waiver of the rain gauge requirement.
" See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detect ion Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfal! No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
lnches3
Non -polar O&G by EPA
1664 (S(iT-HEM]
Total Suspended solids
Benchmarks ===>
_
-
15 rng/L
100 mg/L or 50 mg/L
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEE DANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results tar at end of monitorina period
in the case of "No Discharge" reports] to. -
Division of Water Resources
Attn: DWR 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 personrl properly ga er and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly resp risible for gat Bring the information, the information Submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are s� rEificant pqKa ies for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 10/1/2014-9/31/2019
(Date)
SWU-252, last revised 9/17/2014
Page 2 of 2