This is an old question but one of the most interesting uses of semaphore is a read/write lock and it has not been explicitly mentioned.
The r/w locks works in simple fashion: consume one permit for a reader and all permits for writers. Indeed, a trivial implementation of a r/w lock but requires metadata modification on read (actually twice) that can become a bottle neck, still significantly better than a mutex or lock.
Another downside is that writers can be started rather easily as well unless the semaphore is a fair one or the writes acquire permits in multiple requests, in such case they need an explicit mutex between themselves.
Further read: