NCG210050_MONITORING INFO_20190513

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v u&
DOC TYPE
❑ HISTORICAL FILE
`7 MONITORING REPORTS
DOC DATE
❑ ��� "/ �� 3
YYYYM M DD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR Gen ral Permit No. NCG210000
Date submitted ¢ 22 L
CERTIFICATE OF COVERAGE NO. NCG21 O D S D
FACILITY NAME HTL-Aa1TTLL Vj—p> G
COUNTY CAg� �(
PERSON COLLECTING SAMPLES Sro� �A�S75S2-(.3Gt�
LABORATORY I Lab Cert. It l Q
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR LO 1" l
SAMPLE PERIOD �ij Jan -June ❑ July -Dec
or 14 Monthly' APIZIL. (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply XSA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE —>
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
100 mg/L or 50 mg/L'
3
1 Dow L
1-7 CJ v. L
RECE`,IED
MAY 13 2019
CENTRAL FILES
DWR SECTION
' 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/U' where XX is the numerical value of the
detection limit, reporting 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 General Permit text.
Permit Date: 81112018-7/31/2023 SWU-245 last revised 8/6/2018
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?'
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/1-4
3
4 oz [q
Z,
L5w L
t? 1
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 AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one
in the case of "No Discho
this DMR, including all "No
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
to:
within 30
the lab results (or at end
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 siFificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
duo
(Dat
W U-245, last revised 8/6/2018
Page 2 of 2

Environmental
Quality
Stormwater Discharge Outfall (SD®)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-Us
Permit No.: N_/C/ or Certificate of Coverage No.: N/C/G/� / I / 0/0/ 1cl
Facility Name: A l.�TIL V SJL
County: Cilc2-b ✓ p-&T- Phone No. 7.:52-? Z.3 q2-Z¢
Inspector:
Date of Ins
Time of in
t1 MAY 1.3 2019
Total Event Precipitation (inches): Z CENT
RAL DWR SECTIC�
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature oAlliermittee or Designee)
1. Outfall Description: I
Outfall No. S Structure (pipe, ditch, etc.): L erg
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: lF—
712CtC'k At -lb l e2LNT2A-,rFtc
Page 1 of 2
Swill-242, Last modified 06/01 /201 S

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: LLG.17- 3C2ow�d
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 L5) 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:
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:
O 3 4 5
7. Is there any foam in the stormwater discharge? O Yes 0 No.
S. Is there an oil sheen in the stormwater discharge? 0Yes 4No.
9. Is there evidence of erosion or deposition at the outfall? O Yes WNo.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
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, Last modified 06/01/2018

bMOQODmuM alp he upoQmW
Drinking Water ID: 37715
114 OAKMONT DRIVE v
GREENVILLE, N.C. 27858
ATLANTIC VENEER CORP.
RON SMITH
2457 LENNOXVILLE ROAD
BEAUFORT ,NC 28516
PARAMETERS
COD, mg/1
Total Suspended Residue, mg/I
Oil & Grease (HEM), mg/l
Stormwaler
Analysis
Method
(#3, Grab)
Date Analyst
Code
104
04/05/19 SEJ
H8000-79
179
04/04/19 JTH
254OD-11
G5
04/08/19 SEJ
1664B
JNE (252)
FAX (252)
ID#: 430
DATE COLLECTED: 04/02/19
DATE REPORTED : 04/09/19
REVIEWED BY:
�

CERTIFICATE OF
FACILITY NAME
COUNTY t
PERSON COLLE(
LABORATORY i
Comments on s;
r-
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 4>'3( ICI
ENO. NCG21 D O S O
'oo-S w,IFOr 1 Lab Cert. #
Ilection or analysis:
RECEIVED
APR 2 3 2019
CENTRAL FILES
DVVIR S;zr- `
SAMPLE COLLECTION YEAR ZOL
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ®SA
❑Other
� PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?2
Outfall No. Date Sample 24-hour rainfall
Collected amount,
(mo/dd/yr) Inches' Chemical Oxygen Demand Total Suspended Solids
Benchmarks ===> I - I - 1 120 mg/L 100 mg/L or 50 mg/0
Z
Q
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.
'The total pre cipitatiio� 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 mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: if you report s sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle
Footnotes from Pa
Note: If you report
• A BENCHMAI
• 2 EXCEEDANi
• TIER 3: HAS
IF YES, HAVE
REGIONAL OFFICE CO
i
intenance 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/L4
32otl�l
.z
<5
5.s
also apply to this Part B
value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
CE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
1R FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
1 CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
CT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring p
in the case of "No Discharge" reports) to:
Division of Water Rdsources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTI FI CATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based 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 they are ;sig ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
4� ici
(Signature of Pef ittee)I (Da )
Permit Date: 8/i/2019-7i31/2023 SWU-245, last revised 8/6/2018
Page 2 of 2

ElmwoQomid alp hmpormho
ATLANTIC VENEER CORP.
RON SMITH
2457 LENNOXVILLE ROAD
BEAUFORT ,NC 28516
PARAMETERS
COD, mg/1
Total Suspended Residue, mg/1
Oil & Grease (HEM), mg/1
Stormwater Stormwater Stormwater
(NI, Grab) (N2, Grab) (0, Grab)
65 62 64
15 5.7 5.5
<5
ID#: 430
DATE COLLECTED: 03/20/19
DATE REPORTED : 03/25/19
REVIEWED BY:
Analysis
Method
Date
Analyst
Code
03/22/19
SEJ
H8000-79
03/22/19
JTH
2540D-11
03/22/19
SDIU
1664B

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forgaidance onJilling out thisjorm, please visit littps:Hdcq.tic.gov/about/divisioiis/energy-mineral-land-resources/
n pdes-stone wate r-gps
Permit No.: N/C/
Facility I
County:
Inspecto
( / or Certificate of Coverage No.: N/C/G/Z/ [ l ol0lS/cJ
Date of Inspection: 2,0l tot
T
Time of Inspection: C( A. tj
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event' is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event most have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or
1. Outfall Description:
Outfall No. _� Structure (pipe, ditch, etc.): / LT
Receiving Stream:
l
`-T'Zucu .T2�cdo2
Pagel of2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the
(light, medium, dark) as descriptors:
basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Dior �1✓
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of Floating solids in the
stornnvater discharge, where I is no solids and 5 is the surface covered with Floating solids:
OI 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:
7
8.
9.
l_/ 2 3 4 5
Is there any foam in the stormwater discharge? O Yes
is No.
Is there an oil sheen in the stormwater discharge? OYes ONo,/
Is there evidence of erosion or deposition at the outfall? O Yes A No!'
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
--Note:—Low-cla rity,—h igh-solids,—a nd/or-the-presence-of-foa m—oil-sh een—orerosion/deposition-may-be-
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242, List modified 06/0112018

I cl.
Lnvironmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
I, or guidance onfilling out thisjorn, please visit littps:Hdeq.tic.gov/about/divisions/energy-mineral-land-resources/
npd es -storm water-gps
Permit No.: N/C( / ( ( / ( /, / or Certificate of Coverage No.: N/C/G/Z-/
Facility'
County:
htspecto
Date of I
Time of Inspection:
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perm{ l ee or Designee)
1. Outfall Description:
Outfall No. �Structure (pipe, ditch, etc.): t—CG
Receiving Stream:
i'lim the outfall drainage area•
2 —r2aF Ftc— e Ln4
Page 1 of
SWU-242, Last modified 06/01/2018

OUTFkt , 2- 3(*[Ck
2. Color: Describe the color of the disch rge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: RZar.�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): %oNL
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 0 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:
V 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:
0 2 3 4 5
7. Is there airy foam in the stormwater discharge? o Yes )VNo.
8. Is there an oil sheen in the stormwater discharge? oYes 4No.
9. Is there evidence of erosion or deposition at the outfall? O Yes XNo.
to. Other Obvious Indicators of Stormwater Pollution:
List and describe
—Note Low-clarity,—high-solids—andlor-thc-presence of-foam—oil-sheen,—or-erosion/deposition-may-be-
innr icative of�lutant exposure. Thse con editions warrant fm•ther investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018

Fnrirunmrnlu!
Quality
Stormwater Discharge Outfall (SD®)
Qualitative Monitoring Report
For guidance on filling out this form , please visit littps://deq.ne.gov/about/divisions/energy-mineral-land-resources/
n pdes-stormwater-gps
Permit No.: N/C/ / ( / / / / / or Certificate of Coverage No.: N/C/G/2 / ! 10/01Sl Dl
Facility Name: R.74APTtC.- Veti1r.2
County: L112 ? r4-- Phone No.
Inspector:
Date of Inspection:
Time of Inspection:
0
Total Event Precipitation (inches): �7
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Office.
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:
Outfall No. _?
Receiving Stream:
Structure (pipe, ditch, etc.): t -
Page 1 of
Swill-242, Last modified 06/01/2018

arge uslbasic colors (red, brown, blue, etc.) and tint
2. Color: Describe the color of the disc';
(light, medium, dark) as descriptors: Lt4
3. Odor: Describe any
chlorine odor, etc.): r-
odors that the discharge may have (i.e., smells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 l% 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
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:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? QYes ko.
9. Is there evidence of erosion or deposition at the outfall? o Yes gNo.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note:-L-ow-cla rity-h igh-solids,-and/o r-the-presen cc-of-foam,-oil-sh een-or-erosion/deposition-may-be-
i-naicative of-p-ollutan -exposure. Thes�itions warrant furTher investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018

CERTIFICATE OF CC
FACILITY NAME _
COUNTY
PERSON COLLECTII
LABORATORY EfT
Comments on sam
Part A: Storm
bark, mulch, or
:Monthly sampling
2 For sampling perio
3The total precipita
" See General Fermi
Note: Results must
numerical format.
detection limit, rep
Note: If you report
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted OZ�Z41 R
No. NCG21 O 050
Lab Cert. # IO
or analysis:
SAMPLE COLLECTION YEAR ZOI)
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
ECEIVEn or ®Monthly` FESPUA,TtY (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
MAR 01 2019 ❑Zero -flow ❑Water Supply ®SA
❑Other
CENTRAI. FILE::
MAIR SECTIOP!
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
milar material on site for longer than seven (7) days.)
❑ No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
-
-
120 mg/L
.100 mg/L or 50 mg/L°
3
.Z"
7 rv. L
Z w L
ead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
ith no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
t, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
sorted in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
results are below the applicable limits, they must be reported in the format, "<XX mglU' where XX is the numerical value of the
limit, etc. in mg/L.
value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
1 1 Page 1 of 2

Part B: Vehicle
Footnotes from
Note: If you report
• A BENCHMAI
• 2EXCEEDAN
• TIER3: HAS
IF YES, HAVE
REGIONAL OFFICE CO
nce Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No dischoroe this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches3
Non -polar O&G by EPA
1664(SGT-HEM)
Total Suspended Solids
Benchmarks =__> .
_
-
15 mg/L
100 mg/L or 50 mg/L4
also apply to this Part B
value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
XCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
JR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
J CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
CT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring p
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 C IRTIFICATION 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 directlyresponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that th re are significant It es for submitting false information, including the possibility of fines and imprisonment for knowing violations."
'I(.�ItJ -Z 16 (C
(Signature of Pe ,ma ittee (D te)
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
1 1 Page 2 of 2

114 OAKMON I- DRIVE
GREENVII-LE, N.C. 27858
ATLANTIC VENEER CORP.
RON SMITH
2457 LENNOXVILLE ROAD
BEAUFORT ,NC 28516
PARAT•'1E7'RRS
COD, nigh
Told Suspended Residue, mg/1
Oil & Grease (11E11), mg/1
Stornnvater
Analysis
➢letbod
(0, Grab)
Date
Analyst
Code
79
02/15/19
SF_1
118000-79
42
02/14/19
JD9H
2540D-11
<7
02/15119
SEJ
1.664B
`t
t
PHONE [phone]
FAX [phone]
ID#: 430
DATE COLLECTED: 02/11/19
DATE REPORTED : 02/19/19
REVIEWED BY:'
�

P.C. Box 7685. 114 Oakmont Dr.
Grecn:vine. NC 27858
C11-ALN OF CUSTODY RECORD
Paee
`
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2457 LENNOXVILLE ROAD
f
BEAUFORT NC 25516
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WASTEWATER (NPDES)
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SOLID WASTE SECTION
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DATETIME (RECEIVED
BY (SIG.)
DAIEMME
IIII
PLEASE RE0 Instructions for Gmpleting this to nth rwerse side
Sampler must piece a "C" fer composite sample or a'G"for
Grab sample in the blocks above for each oarameter reanesteri
i
Kin o c r n c

Environmental
—_— —_ .Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
I, orgiidance onftlling out Ihisfoini, please visil hops:Hdcq.ne.gov/about/divisioiis/energy-mineral-land-resources/
n p d es -storm water-gp s
Permit No.: N/C/, /, ( /, /, /, / / or Certificate of Coverage No.: N/C/G/,Z/ 1 /0(0/5/0/
Facility Name: ATLAt-1TtC. \IEof-cr
County:
Inspector:
Phone No. ZSZ• 77-3 70,81
Date of Inspection: 7 / L 10�
Time of Inspection: 2-:'30 T M
it
Total Event Precipitation (inches): . �/ L F
All permits require qualitative monitoring to be performed during a "measurable storm evenL"
A "measurable storm event' is a storm event that results in an actual discharge from the permitted site
Outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permitice is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittec
]. Outfall Description:
OulfalI No. 3 Structure (pipe, ditch, etc.): l
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page I oft
SW U-242, Last modified 06/01/2018

2. Color: Describe the color e
(light, medium, dark) as descriptors:
colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): tSn0f-
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
I 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the slormwater discharge, where I is no solids and 5 is extremely muddy:
7.
8.
9.
]0.
I ® 3 4 5
Is there any foam in the stonnwater discharge? o Yes No.
Is there an oil sheen in the stonnwater discharge? OYes No.
Is there evidence of erosion or deposition at the outfall? O Yes A No.
Other Obvious Indicators of Stormwater Pollution:
List and describe
Note:-Low-clarity,-high-solids,-and/or-the-prescnce-of foam,-oil-sheen,-or-erosion/doposition-ntaybe----
fi dicative oof pollutant exposure. These conditions warrant further i ivestiption.
page 2 of 2
SwU-242, Last modified 06/01/2018

CERTIFICATE OF CO'
FACILITY NAME A
COUNTY GAy_
PERSON COLLECTIN
LABORATORY
Comments on samr
Part A: Storm
bark, mulch, or
Monthly sampling
For sampling perio
'The total precipita
See General Permi
Note: Results must
numerical format.
detection limit, rep
[Note: If you report
Permit Date:
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted I (3Q�ZOL`I
No. NCG21 0 2 S
: lr_1
PLES (_IZ0M L S PAStD
IM &4JT I Lab Cent. # to
!ction or analysis:
SAMPLE COLLECTION YEAR V 8
SAMPLE PERIOD ❑ Jan -June July -Dec
RECEI\/I=n or El monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
JAN 31 Z019 ❑zero -flow [:]Watersupply ®SA
❑Other
CENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
ilar material on site for longer than seven (7) days.)
n No discharge this period?'
Outfall No.
Date Sample
Collected i
(mo/dd/yr)
24-hour rainfall
amount,
Inches
-
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
-
-
120 mg/L
100 mg/L or 50 mg/0
I
tt t5 l8
L4
23
S•1
2
It is t8
(A
toz
4S
3
u (S Ig
t •4
(t7
Z«
ead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
ith no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
t, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
!ported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non-
i results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
limit, etc. in mg/L.
mple value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
1/2023 SWU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle
Footnotes from Pa
Note: If you report
ance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n 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/0
apply to this Part B
value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS I OUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE Y OU CONTACTED THE DEMUR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring p
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 onmyinquiry of the person or persons who manage the system, or
those persons directlylresponsible 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."
(Signature of
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 2 of 2

Environment 1, I
114 OAKMONT DRIVE`_
GREENVILLE, N.C. 27858
ATLANTIC VENEER CORP.
2457 LENNOXVILLE ROAD
BEAUFORT ,NC 28516
PHONE [phone]
FAX [phone]
DATE COLLECTED: 11/15/18
DATE REPORTED : 11/26/18
REVIEWED BY:
Stormwater
Stormwater
Stormwater
Analysis
Method
PARAMETERS
(kl, Grab)
(U2, Grab)
(M3, Grab)
Date Analyst
Code
COD, mg/l
23
102
117
11/21/18 SEJ
H8000-79
Total Suspended Residue, mg/l
5.1
45
218
11/19/18 JMS
254OD-11
Oil & Grease (HEM), mg/l
<5
11/21/18 SE.J
1664B

Environment 1.Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085. 114 Oakmont Dr. Pa_ 1 of 1
Greemille. NC 27855 0I
environment mc.com
Phone (25. =�156- �!08 • Fax [phone]
DISINFECTION
Ij CHLORINE
CHLORINE
I
I
I
NEUTRALIZEDATCOLLECTION
I
I
I
pHCHIECIK(LAB)
CLIENT: 430 Week:38
UV.
P
P
G
CONTAINIER
I
I
TYPE, P/G
ATLANTIC VENEER CORP.
FV_k NONE
2457 LENNOXVILLE ROAD
BEAUFORT NC 28516
C
A
C
CHEMIICAILPRESERVATION
[phone]
COLLECTION
N
w
tz
aM
A -NONE D-NAOH
$-FIND E-HCL
C-'HzSOa F- ZINC ACETATE/NAOH
G-NATHIOSULFATE
E
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a I
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M U
w a
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SAMPLE LOCATION
DATE
TIME
t�
PM
3
2
CLASSIFICATION:
Grab)��
9g`3/
.C'P'
23
2
WASTEWATER(NPDES)
11 I
P1�233
DRINKINGWATER
IJ
DWQ/GW
I�
SOLID WASTE SECTION
CHAIN
DURING
OFICUSTODY
(SEAL) MAINTAINED
SHIPMENT/DELIVERY
I Y N
SAMPLES
C CTED BY:
(Please Pnn?
� I
, _S - �
RELINQUISHED BY(SIG.)(SAMPLER)
Te•r��„�S kc lRELINQUISHED
DATE/T1ME
4RECEIVEIG.
DATERIME
SAMPLESRECEIVEDIN
COMMENTS:
BAT
cc
BY(SIG)
DATETIME
SIG.)
ATE/i1ME
I
RELINQUISHED BY (SIG.)
DATERIME
RECEIVED BY (SIG.)
DATEITIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C' for composite sample or a"G° forl
FORM u5 Grab sample in the blocks above for each parameter requested. . 3 3 $ 0 3 2

Di
for North Carolina DEMLR General Permit No. NCG210000
DTDdte submitted 6 /Z7_/m/
CERTIFICATE OF COVERAGE ,/NO. NC 216 �� SAMPLE COLLECTION YEAR 2
FACILITY NAME ,�L f-Ig47 I C 01161 eP r 30A 2 a Zp1a SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY_ ` q►— �b J or ❑Monthly' (month)
PERSON COLLECTING SAMPLES TCr'LVh �Shep rr( r ✓t!� +' �_�v ISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY EnVil^OhMPn+ I—LabCert.# OWR -]Zero -flow. ❑Water Supply KSA
Comments on sample collection or analysis:
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>'
_
-
120 mg/L
100 mg/L or 50 mg/L°
1
0 , 1
I- I
Lz.
a /7
7
as
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.
'The 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, 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 General Permit text.
Permit Date: 8/l/2013-7/31/2018 SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ,
n-Ain rlisrhnrnp this nprinrl22
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G by EPA
1664 (SGT-HEM).
;
, Total Suspended Solids .-
Benchmarks =__>
-
-
15 mg/L 1.,;` ''
100 mill- &'50 mg/L'
3
657/1
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 AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ES
IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFICE? ,YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME: • • �"
� Y r
Mail an original and one copy of this DMR including all 'No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) 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
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 Date:B/1/2013-7/31/2018
a :T Id
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
6e.�0
Date submitted O 111alm lk
CERTIFICATE OF COVERAGE 1NO. NCG21 0 rJ =r' SAMPLE COLLECTION YEAR �Q 1
FACILITY NAME �T7 �1n r �C V2-+� C-e+" �D r SAMPLE PERIOD ❑ Jan -June K July -Dec
COUNTY C47re- RFrFI\/FC) or ❑Monthly' (month)
PERSON COLLECTING SAMPLES 2rp M S �ED 0. r� DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY I LabCert.# lr7 JAN 19 2013 ❑Zero -flow [:]WaterSupply ®SA
Comments on sample collection or analysis: [:]Other
SECTION
!NFORMATIONPROCESSING UNl i PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
Z - i 7
O a 6 0
120 mg/L
100 mg/L or 50 mg/L°
At
tz 0/7
0.66,
6
26kIT
S
3
12 Is
z
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance forth e same parameter at the same outfall.
'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 mglU' where XX is the numerical value of the
detection limit, reporting 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 General Permit text.
Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013
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?2
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 =__>
1 Z
0 r U
15 mg/L
100 mg/L or 50 mg/L°
os- �
�
c
s.s
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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 40R MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOX
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coov of this DMR, includina all "No Discharae" reoorts. within 30 days of receiot of the lab results for at end of monitorina aeriod
in the case of "No Discharae" reoorts) 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
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 Date:8/1/2013-7/31/2018
(Date)
SWU-245, last revised 7/31/2013
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for NorthCarolinaDEMLR General Permit No. NCG210000
b Date submitted 1 1- Z y-( 5
CERTIFICATE OF COCOVERAGENPR. NC i21 SAMPLE COLLECTION YEAR 2015
FACILITY NAME A 1 �r�.y'FI C V yl o r SAMPLE PERIOD ❑ Jan -June [NJUIy-Dec
COUNTY Cor}gret or ❑Monthly' (month)
PERSON COLLECTING SAMPLES S c 0 f— r`c:C DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY_Evtl/;C( ,,, MP!j .1 Lab Cert. # I Q ❑Zero -flow ❑Water supply tKSA
Comments on sample collection or analysis: RE^ r', /E Mother
;IiS © PLEASE REMEMBER TO SIGN ON THE REVERSE
DEC
O j 2V
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is 4TRVUPje& facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.) R SEC7/0
N W�
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
❑
Chemical Oxygen Demand
No discharge this penod?-
Total Suspended Solids
Benchmarks
0.71
120 mg/L
100 mg/L or 50 mg/L°
I
Z
3IDs
II l5
It Z10 115
.7I
Q . 71
1
<Z0
<z0
91
2,
< Ci
$
'Monthly sampling (instead of semi annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
sFor sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
The 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, 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 General Permit text.
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Footnotes from Part A
U
1vu cuscnarge mis period!'
Outfall No.
Date Sample
24-hour rainfall
Collected'
amount,
Non -polar O&G by EPA
(mo/dd/yr)
Inches'
1664 (SGT-H E M)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/O
5
nkn nnnly t„ ♦6i� o_.«
n
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 AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART If SECTION S.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR f� THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO K
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cony 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 reports) 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
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."
ILZ�-15
(Date)
Permit Date: 8/1/2013-7/31/2018
SWU-245, last revised 7/31/2013
Page 2 of 2

A
INCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance onfilling out thisform, please visit: httn://oortalncdenrorg/web/lr/nodes-stormwatel,
Permit No.: N/� _/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/G/�/1/ d/ O/ 5/y/
Facility Name: (tIA11(' Vp�'IPP(
County: �,ar)-eci, 4- Phone No. 25Z- 737--6x--�q
Inspector: 5 (, I
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 0 7 / 1
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring mustbe performed during a "representative storm
event"or "measureablestorm event"(requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
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.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
signature, I certify that this report is accurate and complete to the best of my knowledge:
" A
of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
outfall No. I Structure (pipe, ditch, etc.)
Receiving Stream: T n i ofS C rP P K
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: Cif Pa f fl p i rl
3. Odor: Describe any distinct odors that the discharge may have (i.e, smells strongly of oil,
weak chlorine odor, etc.): 12 O n C
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
2 3 4 5
S. 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:
0 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 Oro
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe _ WA
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, Last modified 10/25/2012

1. Outfall Descri;
Outfall No. z
Receiving Stream:
Describe the industrial
on: 1
Structure (pipe, ditch, etc.) l I ; t C
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: _jar o W r� , ;g 1j }; n
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): non C
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 (D 3 4 5
S. 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:
01 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 S is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. 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:
N�
List and describe l't
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, Last modified 10/25/2012

1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.)Ti �(
Receiving Stream: To v 1r, r S f
Describe the industrial activities that occur within the outfall drainage area: Log voLrA
2. Color: Describe the color of the discharge using basil colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: F)r'n1-1 fl , r V1 ' l r rt,
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Inn P-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 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 (D 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 4 5
7. Is there any foam in the stormwater discharge? Yes
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
M Other Obvious Indicators of Stormwater Pollution:
List and describe
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
S W n-242, Last modified 10/25/2012

alp hmpumbd
RECEIVED NOV 2 3 2015
rill-v
ID#: 430
ATLANTIC VENEER CORP.
ATTN: SCOTT ROE
2457 LENNOXVILLE ROAD DATE COLLECTED: 11/10/15
BEAUFORT ,NC 28516 DATE REPORTED : 11/17/15
REVIEWED BY:
Stormwater Stormwater Stormwater Anah,sis Method
PARAMETERS (#I, Grab) (#2, Grab) (#3, Grab) Date Analyst Code
COD, mg/I <20 <20 97 11/16/15 SEJ H8000-79
Total Suspended Residue, mg/I <2.6 16 83 11/12/15 KDS 2540D-97
Oil X Grease (HEM), mg/l <5 11/13/15 SEJ 1664B

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Boxes 0 , 114 Oakmont Dr. Pale I of 1
r.o.....,. ,e xTc 2785e
envirorrnenel iuc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
CHLORINE
CLIENT: 430 %Veek:49
pHCHECK (LAB)
UV
P
P
G
I
CONTAINER TYPE, P/G
ATLANTIC VENEER CORP.
NONE
ATTN: SC0T1' ROE
CHEMICALPRESERVATION
2457 LENNO%VILLE ROAD
BEAUFORT NC 28516
❑
C
A
C
A -NONE D-NAOH
a,o
[phone]
z
z
¢
B-HNO3 E-HCL
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OJF
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C-H,SO, F-ZINC ACETATE/NAOH
COLLECTION
F j
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G-NATHIOSULFATE
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SAMPLE LOCATION
DATE
TIME
Stormwater (#I, Grab)
I -jo -
p
I � 3 0
/
3
2
..
CLASSIFICATION:
❑ WASTEWATER(NPDES)
DRINKING WATER
Stormwater (#2, Grab)
q35
/
3'5
3
Stormwater (q3, Grab)
«'1 15
23' I
2
..
-
LlDWWW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY.
(Please Print)
C R.,f
SAMPLES RECEIVED IN LAB AT 7 • n 1C
R INOUISHE�BY(S"IG.)(SAMPLER)
DATEMME
RE E BY (SIG.)
DATERIME
COMMENTS:
RA ILL
)I -(5 I :10
)( IS IOZ�
RELINQUISHED BY (SIG)
DATERIME
RECENED BY ( IG.
DATE/RME
RELINQUISHED BY (SIG.)
DATERIME
RECEIVED BY (SIG.)
DATErIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for N ° 3 1 1 9 0 9
FORM u5 Grab sample in the blocks above for each parameter requested.

SAMPLING INSTRUCTIONS AND FORM COMPLETION
Iv
1LURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
PES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this lorm for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Dale, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of hours from time of collection to time ofanalysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

i
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)-/ SPPP Annual Update DATA REVIEW FORM
Calendar Year ZDtS
Individual NPDES Permit No. NCS[j or
Certificate of Coverage (COC) No. NCGD© Q— / U v � ® RECEIVED
This monitoringreportsummary of the calendar year should be kept on file on -site with the facility SPPP. RECEIVED
/'
Facility Name: i l om i iC Ve m e r NOV 2 4 2015
County: Cof �"(-e+ CENTRAL FILES
Phone Number: Z( SZl 7 3 2 —O g 5Q Total no. of SDOs monitored DWR SECTION zzi
Outfall No. 3
Is this outfall currently in Tier 2 (monitored monthly)? Yes 9 No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes No ❑
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
'may rid 4^/ •.� �jW.(. ^M ~�> A _�_
avvu-Zb4 - UenerIC Annual DMR
Last revised 5/172013

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: littp:Zlpoi,tal.ncdeni-.org/web/`­Ir/iij2des-stoi-iilwater/
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/ ,/;U/ jO-/s/ tom- /
Facility Name: Ac+Irw!--e. VPv%ee('
County: Lr 4-ere {' Phone No. 2 5 2 -
Inspector:
Date of Inspection: 1 I 3 - 15
Time of Inspection: 10 Oil A. -
Total Event Precipitation (inches): 0 , ( O
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
IN Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representativve 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.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By tl s signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Page 1 of 2
SWU-242, Lastmodified 10/25/2012

1. Outfall Description:
Outfall No. 3 Structure (pipe, ditch, etc.) T-i p
Receiving Stream: Tavhr:¢ CrPPK
Describe the industrial activities that occur within the outfall drainage area: Log 3+0f- 1p
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: I i! �4V — broLOVA ifh f 1 ask
v v
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): WoYI '
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 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 0 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
8. is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes N
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Iy
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, Last modified 10/25/2012

RECEIVED NOV 161015
ATLANTIC VENEER CORP.
ATTN: SCOTT ROE
2457 LENNOXVILLE ROAD
BEAUFORT ,NC 28516
Stormwate r Analvsis Method
PARAMETERS (#3, Grab) Date Analyst Code
COD, mg/I 96 11/09/15 SEJ H8000-79
Total Suspended Residue, mg/I 96 11/05/15 SDB 254OD-97
FAX
ID#: 430
DATE COLLECTED: 11/03/15
DATE REPORTED : 11/10/15
REVIEWED BY:
Ii-IM111-91c]

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085; 114 Oakmont Dr.
Page _I— of _I_
Grernville' N(' 77RSR
environment 1 inc.com
DISINFECTION
CHLORINE NEUTRALIZED ATCOLLECTION
Phone [phone] •Fax [phone]
-
Ij CHLORINE
CLIENT: �30 N'cek: 35
pH CHECK (LAB)
UV
CONTAINER TYPE, P/G
ATLANTIC VENEER CORP.
❑ NONE
11
P
ATTN: SCOTT ROE
2457 LENNOXVILLE ROAD
CHEMICAL PRESERVATION
BEAUFORT NC 28516
C
A
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A -NONE D-NAOH
E
"' w
L
C B-HNO E-HCL
(252) 728-3I69
Q o
0�
Q o
z
a
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w C-H,SO, F-ZINC ACETATE/NAOH
COLLECTION
UQ
gf
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G- NATHIOSULFATE
a
SAMPLE LOCATION
DATE
I TIME
W
a ,
CLASSIFICATION:
WASTEWATER(NPDES)
DRINKINGWATER
DWQ'GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Print)
sc 1oc
SAMPLES RECEIVED IN LAB AT O " 7 °C
RELINQUISHED BY (SIG.) (SAMPLER)
DATERIME
RECEI (SIG.)
)-�gATE/nME
COMMENTS:
-
I IU
RELINQUISHED BY (SIG.)
DATEIIME
RECEIVED BY (SI
DATIS TIME
RELINQUISHED BY (SIG.)
DATERIME
RECEIVED BY(SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a"C' for composite sample or a "G" for FORM ss Grab sample in the blocks above for each parameter requested. No -- --
_ 303516

SAMPLING INSTRUCTIONS AND FORM COMPLETION ..,
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly aftercollection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samplesshouldbe packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acidor Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 in]. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection' on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Dale and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information fell to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. Ifany chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) / SPPP Annual Update DATA REVIEW FORM
Calendar Year 10 16
Individual of DESCoverage
Permit No. NCSn'^^IR❑�❑ 6
Certificate of Coverage (COC) No. ww��UJIJuuL'I I � l Q 0 S/ �
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name:
County: 0 ar
Phone Number:
Total no. of SDOs monitored
Outfall No. 3
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 ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency 9
Received approval from DWQ to reduce monitoring frequency
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
C—J
SWU-264 - Generic Annual DMR
Last revised 51172013

it©nment 1, Incor
GREENVILLE, N.C. 27835-7085 FAX [phone]
ATLANTIC VENEER CORP.
ATTN: SCOTT ROE
2457 LENNOXVILLE ROAD
BEAUFORT ,NC 28516
PARAMETERS
COD, mg/I
Total Suspended Residue, mg/l
RECEIVED SEP 2 4 201�D#: 430
Stormwater Analysis Method
(#3, Grab) Date Analyst Code
165 .09/17/15 SEJ H8000-79
31 09/11/15 SDB 254OD-97
DATE COLLECTED: 09/09/15
DATE REPORTED : 09/22/15
REVIEWED BY:
C

Enviro ent 1, Inc.
P. . Box 7085, 114 Oakmont Dr.
Greenville. NC 27858
CHAIN OF CUSTODY RECORD
Page _I_ of I_
environment I inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
-
Ij CHLORINE
CLIENT: aao Week: 40
pH CHECK (LAB)
UV
CONTAINER TYPE,P/G
ATLANTIC VENEER CORP.
❑ NONE
P
P
ATTN: SCOTP ROE
2457 LF-NNORVILLE ROAD
CHEMICAL PRESERVATION
BEAUFORT NC 28516
C
A
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E
A -NONE D-NAOH
L6 w
U
N
¢
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B-HNO3 E-HCL
[phone]
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COLLECTION
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a
l
SAMPLE LOCATION
DATE
TIME
-�-(030
0
A3
CLASSIFICATION:
LjWASTEWATER(NPDES)
DRINKINGWATER
LjDWQ/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(Please Print)
Ste"' Roc°
�r
SAMPLES RECENED IN LAB AT Q °C
RELINQUISHED BY (SIG.) (SAMPLER)
DATETIME
RECEN Y(SIG.)
DATE/RME
COMMENTS:
RELINQUISHED BY (SIG.)
DATE/BME
RECEIVED BY G.
DATF/f1ME
REUNQUISHED BY (SIG.)
DATEfIME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a T" for composite sample or a "G" for — -
FORM N5 Grab sample in the blocks above for each parameter requested. N ° 3 0 6 7 9 0

SAMPLING INSTRUCTIONS AND FORM COMPLETION
(FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required ]guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 mi. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a.means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put Iris initials in the
"Chlorine Neutralized at Collection" row on the frontlof this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection' on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed. i
5) A "C" for Composite Sample or a "G" I'or Grab Sample should be placed i6 the box for all requested'parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
I
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time�of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
L_
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

RC- BE
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: http•//om-talncclenrorglw b/li-/npdes-storinwatet-/
Permit No.: N/-C/_/_/_/(/_/_/_/_/ or Certificate of Coverage No.:
FacilityName: AtlpMtiG [e-mail] _
County:
Inspector: �pnJ
Date of Inspection:
Time of Inspection:
252-73z- 0531
Total Event Precipitation (inches): 0 • q REcENEQ
CT q 5 W5
Was this a `Representative Storm Event" or "Measureable Storm Event" as defined by th�permit?
(See information below.) CENTRAL FIL59
DWR SECTION
f9 Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureahlestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary, Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
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 horns (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.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By thiA signature, Wertify that this report is accurate and complete to the best of my knowledge:
Permittee or Designee)
Page 1 of 2
SWU-242, Lastmodified 10/25/2012

1. Outfall escription: ( u
Outfall No. Structure (pipe, ditch, etc.) �72TI i A(4 bC Si`✓\ -
Receiving Stream: K
Describe the industrial activities that occur within the outfall drainage area:�-0a vat rG
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ 1BrOW A t 11' L +-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): mull?
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: 01 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:
0 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:
6) 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
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, Lastmodified 10/25/2012

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) -
Calendar Year 2015
Individual NPDES Permit No. NCSI
Certificate of Coverage (COC) No. NCG
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: n l l awn +t' Gys ieer
County: C(1( V&j-e — _
Phone Number: 737-- to(Z-5 j
Total no. of SDOs monitored
RECEIVED
AUG 13 2015
CENTRAL FILES
DWR SECTION
Outfall No. 3
Is this outfall currently in Tier 2 (monitored monthly)? Yes No ❑ mmy,
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes V] No ❑ �a
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 DWQ to reduce monitoring frequency ❑ p n
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No t
" s "Paranietei, (units) _
r..�
Total-
Rainfall,
_.
inches
10ta1
SvsPeruiec�
�-
Benchmark
N/A
I o O
_. I Z O
Q- 9.0
Da_te Sample
Collected,
minlild/yy,z.ats,
som
sr x
i
9 yaYrq i»
€�
:, za
R -�r
t"r
r n�
ra., £,
P
b
Io30
S W U-264-Generic-13 Dec2012

a

c
' 1 •cc.tify,'under penalty of law, that this document and all attachments we[e.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
Date R -
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
--
ASHEVILL'E'REGIONA'LOFFICE
—
1 FAYETTEVILLERECIONAL"'OFFIC&
MOORESVILLEREGIONAliOFFICE
2090 US Highway 70
1 225 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]
RALFIGWREG10NAL: OFFICE
WASHINGTONiREGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
1 943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
j Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEWREGIONdUOFFICE
CENTRAL'OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
585 Waughtown Street
Winston-Salem, NC 27107
� "To preserve:;protect
and enhance
'I
[phone]
[phone]
Norfh CaroLna's'water
S W U-264-Generic-13 Dec2012

poQa�c�d
ATLANTIC VENEER CORP.
ATTN: SCOTT ROE
2457 LENNOXVILLE ROAD
BEAUFORT ,NC 28516
Slormwater Analysis Method
PARAMETERS (0, Grab) Date Analyst Code
COD, mg/I 456 07/23/15 TRB H8000-79
Total Suspended Residue, mg/l 630 07/15/15 LW 2540D-97
RF�F/��o qU
G��1p15
%,1
ID#: 430
DATE COLLECTED: 07/13/15
DATE REPORTED : 07/27/15
REVIEWED BY:

environment I, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7rO85, , 1,4 Oakmont Dr. Page I of
Greenville. NC 27858
environment I inc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Fax [phone]
LjCHLORINE
CLIENT: 430 Week: 27
pH CHECK (LAB)
Ij Uv
P
P
CONTAINER TYPE, P/G
ATLANTIC VENEER CORP.
❑ NONE
ATTN: SCOTT ROE
CHEMICAL PRESERVATION
2457 LENNOXVILLE ROAD
BEAUFORT NC 28516
❑
C
A
A -NONE D-NAOH
E o
[phone]
z
Q
t7 B-HNO, E-HCL
0�
o
C-HSO' F-ZINC ACETATE/NAOH
COLLECTION
12 o
U
)-" a
o
c
x
¢ G-NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Stormwaler (N3. Crab)
7 13'
a. 0
R 7
2
.......
.......
.......
.......
CLASSIFICATION:
WASTEWATER(NPDES)
LjDRINKINGWATER
Lj DWO/GW
LjSOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
-Y N
SAMPLES COLLECTED BY:
(Please Print)
SAMPLES RECEIVED IN LAB AT 2 _ 0) C
RELINQUISHED BY (SIG.) (SAMPLER)
DATEf1ME
RECEIVE Y(SIG.
DATEMME
COMMENTS:
"
/�I b I 0
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY(SI
DATEf1ME
REL'IQUISHED BY (SIG.)
DATEBME
RECEIVED BY (SIG.)
DATEITIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for N 0- 3 0 1 1 5 9
FORM as Grab sample in the blocks above for each parameter requested.- -

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. I n this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verily proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and,Colleclion Time for each sample location "-- Temperature at Time of Collection -
Printed name of person or persons collecting samples. - Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter,.Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out thisform,please visit: Ittto://norta1.ncdenrorg/web I nudes-stormwater/ ,
Permit No.: N/C/i�/_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name: /�i iay,�'G yen2ef
County: Cnf to re l- Phone No. ;Z 52' '13 Z - Oq 39
Inspector: (,nf-+ Rol?
Date of Inspection: 7-1 3'1 S
Time of Inspection: I4 3 0
r
Total Event pPrecipitation(inches):..O -�
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement.- Please refer to these definitions, if applicable.
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.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfail. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this *nature, I certify that this report is accurate and complete to the best of my knowledge:
or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 3 Structure (pipe, ditch, etc.) Pi pp
Receiving Stream: TQvIors 0,1rPeIQ
Describe the industrial activities that occur within the outfall drainage area: C uC� frsa Ina c
w;; AN to e)Aoiin sow) Un Ir)ad Yt5 Ina i r tc1«
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 1,*,+- brnwvn ColOf-
3. Odor: Describe any distinct ojors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): N o �3 �--
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 0
S. 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:
0 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 O
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes l0'1
10. Other Obvious Indicators of Stormwater Pollution: �J
List and describe
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, Last modified 7/31/2013

7. 0
Certificate of Coverage (COC) No. N
STORMWATER DISCHARGE OUTFALL (SDO)
Calendar Year 20 15
a/vos
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: f-j f J_ rt n }i V e A p F F
County: _ Lri-ere't
Phone Number: (2<*2 ) 7 9
Total no. of SDOs monitored
RECEIVE©
FES 2 0 2015
CENTRAL Fit Fe
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Q' �v
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 29
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 DWQ to reduce monitoring frequency ❑
Other ❑ o�
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Jg e
Parameter, (units)
Total
Rainfall
inches,
00530
Total
Suspended
Solids
00400
pH,
Standard Untis
00340
Chemical
Oxygen
Demand m /L
Benchmark
N/A
100
6.0-9.0
120
Date Sample
mm/dd/
Lr
x
,tiaaaionai Outtau Httacnment
SW U-264-Generic-13 Dec2012

Outfall No. ,Z
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Q(
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No PRr
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes N No ❑
Parameter, (units)
Total
Rainfall
inches
00530
Total
Suspended
Solids
00400
Fi
Standard Untis
00340
Chemical
Oxygen
Demand m /L
Benchmark
N/A
100
6.0-9.0
120
Date Sample
Collected,
mm/dd/yy
r
s°"+.t s
^�. k
-
l
-
� '.a
'�*�
02
"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
SW U-264-Generic-13 Dec2012

:-]
Outfall No. 3
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 ❑
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No M
Parameter, (units)
Total
Rainfall,
inches
00530
Total
spended
SuOxygen
00400
pH
Standard Untis
00340
Chemical
Demand mg/L
Benchmark
N/A
100
6.0-9.0
120
Date Sample
d mm/dd/
YY
-
- - -
- --------------
- o-;F-
- -,
0
3 8 (o
"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
SW U-264-Generic-13Dec2012

� e
Certificate of Coverage (COC) No.
STORMWATER DISCHARGE OUTFALL (SDO)
Calendar Year Zo 14
C
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: Atlavit c_ Venec-r
County: Car-kret
Phone Number: (Z52 ) 7Z53-3t✓o9 Total no. of SDOs monitored
Outfall No. -3
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 ❑
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 DWQ to reduce monitoring frequency
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑X
RECEIVED
NOV 26 Z014
CENTRAL FILES
DWR SECTION
Parameter, (units)
Total
Rainfall,
inches
00530
Total
Suspended
Solids
00400
pH,
Standard Untis
00340
Chemical
Oxygen
Demand mg/L
Benchmark
N/A
100
6.0-9.0
120
Date Sample
Collected,
mmlddlYY
IL
s
/-\uumanal vurrall HTTacnment
SW U-264-Generic-13 Dec2012

Environmem f, nc. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr. Page 1 of 1
Gret"wille NC 27858
environment 1 inc.com
Phone [phone] • Fax [phone]
DISINFECTION
CHLORINE NEUTRALIZED ATCOLLECTION
CHLORINE
CLIENT:430 %Ve k: 45
/
/
pHCHECK (LAB)
Ij UV
TLA\TIC VENEER CORP.
Ij NONE
P
P
CONTAINER TYPE, P/G
TTN: JIM BANKS
$57 LENNOXVILLE ROAD
CHEMICAL PRESERVATION
EAUFORT NC 28516
C
A
A -NONE D-NAOH
-z
32)728-3169
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COLLECTION
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SAMPLE LOCATION
DATE I
TIME
P o
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a
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Stormwater (N3, Grab)
_
(
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2
..
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CLASSIFICATION:
WASTEWATER(NPDES)
LlDRINKINGWATER
DWO/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING SH ENT/DELIVERY
Y N
MRECEIV�SIG)
SAMPLES COLLECTED BY:
(Please Print)
J
SAMPLES RECEIVED IN LAB AT °C
REU UIS Y( .)( PLER)
DATEMME
V V DATEMME
COMMENTS:
0 -i
S�
R INOUISH B (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATE TIME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for N 285931
FORM #5 Grab sample in the blocks above for each parameter requested.

SAMPLING INSTRUCTIONS AND FORM COMPLETION
s
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE; COLLECT IN PROPER BOTTLE
' TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. R4egardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verily proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Ne6tralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection' on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name ofperson or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time ofcollection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate. Ortho Phosphorus, Settleable Matter, Turbidity, Color, and M BAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

ATLANTIC VENEER CORP.
ATTN: JIM BANKS
2457 LENNOXVILLE ROAD
BEAUFORT ,NC 28516
PARA,NIETERS
COD, mg/l
Total Suspended Residue, mg/l
RECEIVED OCT 3 0 2014
Stormwater Analysis Method
(#3, Grab) Date Analyst Code
80 10/21/14 TRB H8000-79
302 10/17/14 LW 2540D-97
FAX
ID#: 430
DATE COLLECTED: 10/15/14
DATE REPORTED : 10/24/14
REVIEWED BY:

STORMWATER DISCHARGE OUTFALL (SDO)
Calendar Year 0o,/
Certificate of Coverage (COC) No.
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: /-tTG,4NTj_�YL k C'o.2,--
County: C,4erVX4_r_
Phone Number:
Total no. of SDOs monitored 3
Outfall No. _4
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities?
Yes ❑ No
Yes ❑ No F;�
Yes ❑ No
RECEIVED
JUL 112014
CENTRAL ES
WQIBOG
RECEIvF n
Nov 1
CENTRAL ;!
DWR SECT
Parameter, (units)
Total
Rainfall,
inches
00530
Total
Suspended
Solids
00400
pH'
Standard Untis
00340
Chemical
Oxygen
Demand m /L
Benchmark
N/A
100
6.0-9.0
120
Date Sample
Collected,
mm/dd/yY
'f�.
�'-
--
----
<2.
1.2
2y
Additional Outfall Attachment
S W U-264-Gen er

0
Outfall No. 2
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No O
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No FA
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No O
Parameter; (units)
Total
Rainfall,
inches
00530
Total
Suspended
Solids
00400
pH,
Standard Untis
00340
Chemical
Ox en
Demand mglL
Benchmark
N/A
100
6.0-9.0
120
Date Sample
Collected,
mm/dd/yy
�1
"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
SW U-264-Generic-13 Dec2012

0
Outfall No. 5
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 ❑
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 DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, (units)
Total
Rainfall
inches
00530
Total
Suspended
0 04
0400
Standard Untis
00340
Chemical
Demand Oxygen
Benchmark
N/A
100
6.0-9.0
120
Date Sample
Collected,
mmldd/yy
— --- --
---- --
--
---- —
--
- — --
- --- —
"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
S W U-264-Generic-13 Dec2012

E
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
Date 7-
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
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]
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
'CENT RAL_OFFICE
1617 Mail Service Center
[phone]
To preserve, protect
T0N-SALETNtREG10NAL'OFFICE
585 Waughtown Street
Winston-Salem. NC 27107
Raleigh, NC 27699-1617
and enhance
[phone]
[phone] X
North Carolina's tirater..."
SW U-264-Generic-13 Dec2012

EIMMER&W alp
TMW
ATLANTIC VENEER CORP.
ATTN: JIM BANKS
2457 LENNOXVILLE ROAD
BEAUFORT ,NC 28516
RECEIVED JUN 2 7 2014
weet
ID#: 430
DATE COLLECTED: 06/10/14
DATE REPORTED : 06/23/14
REVIEWED.BY: 4//-I-
Stormwater
Stormwater
Stormwater
Analysis
Method
PARAMETERS
(#I, Grab)
(#2, Grab)
(#3, Grab)
Date Analvst
Code
COD, mg/I
24
61
101
06/17/14 TRB
H8000-79
Total Suspended Residue, mg/1
<2.5
54
46
06/12/14 1,1V
2540D-97
Oil & Grease (HEM), mg/1
<5.0
06/13/14 SF
1664B

Environment 1, Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085, 114 Oakmont Dr. Page I of
Greenville. NC 27858
environment] inc.com
DISINFECTION
Phone [phone] • Fax [phone]
CHLORINE NEUMALIZEDATCOLLECT10N
r—� CHLORINE
CLIENT: 430 Reek: 23
UV
pH CHECK (LAB)
P
P
G
CONTAINER TYPE, P/G
ATLANTIC VENEER CORP.
❑ NONE
ATTN: JIM BANKS
CHEMICALPRESERVATION
2457 LENNOXVILLE ROAD
BEAUFORT NC 28516
C
A
C
A -NONE D-NAOH
- z
rnp
[phone]
z
w z
w
B- HNO, E- HCL
�F
jR
F
.-.
W"
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COLLECTION
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o
28
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cC.>
5
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SAMPLE LOCATION 6�
DATE
TIME
Stormwater (#1, Grab)
'41-/O-
13:0.5
ZZ.5
2
CLASSIFICATION:
❑ WASTEWATER(NPDES)
DRINKING WATER
Stormwater (#2, Grab)
t0
g;Ly
2Z.4
3
..
Stormwater (#3, Grab)
a: 23
a 55
2
DW(UGW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAMPLES COLLECTED BY:
(PI PriCA nt)
Ro e
CCqq
SAMPLES RECEIVED IN LAB AT °C
RE
QU H D Y (SIG.) (SAMPLER)
DATEJRME
RECEF BY (SIG.)
DATEMME
COMMENTS:
lD l y ADO
�(t 14 I��fz
�hrLW
R LINQUI ED BY (SIG.)
DATUFFNIE
RECEIVED BY (S .)
DATEMME
RELINQUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATE(fIME,
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for N O 2179576
FORM N5 Grab sample in the blocks above for each parameter requested.

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
.TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the Stale noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosultate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring' Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection' on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.

STORMWATER DISCHARGE OUTFALL (SDO)
Calendar Year Zd),N
Certificate of Coverage (COC) No.
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: ,QTLAn/TtG lPGJ1t &zw— Gd/4-5044rxet l
County: CAQ7Z��—
Phone Number: (25-z) ''42ffi-3/(P4 Total no. of SDOs monitored .3
Outfall No. .3
Is this outfall currently in Tier 2 (monitored monthly)?
Yes ®
No ❑
—_ --- 1
+u) i/ r
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
Yes f
No ❑
—�' ' .
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
p _r P. 9 2014
iM
Enough consecutive samples below benchmarks to decrease frequency
❑
Received approval from DWQ to reduce monitoring frequency
❑
�r tgR AL
yya,_ omya'�r 8ran_i
Other
❑
Was this SDO monitored because of vehicle maintenance activities?
Yes ❑
No
Parameter, (units)
Total
Rainfall,
inches
00530
Total
Suspended
Solids
00400
pH,
Standard Untis
00340
Chemical
Oxygen
Demand m /L
Benchmark
N/A
100
6.0-9.0
120
Date Sample
Collected,
mm/ddlyy
M_
/ /
.12
3
.9 7-
�6
Additional Outfall Attachment
S W U-264-Generic-13 Dec2012

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 an_ �nment for knowing violations."
Signature c— /
Date �11
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
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]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
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-SALEMREGIONAL OFFICE
CENTRAL OFFICE
1617 Mail Service Center
7opreserve, protect
585 Waughtown Street
Winston-Salem. NC 27107
Raleigh, NC 27699-1617
and enhance
[phone]
[phone]
North Carolina's %valet._"
SW U-264-Generic-13 Dec2012

ElMu o mimm alp hwTpumUd
ATLANTIC VENEER CORP.
ATTN: JIM BANKS
2457 LENNOXVILLE ROAD
BEAUFORT ,NC 28516
PARAb1ETERS
COD, mg/I
Total Suspended Residue, mg/I
Slormwater Analysis Method
(#3, Grab) Dale Analyst Code
156 03/25/14 TRB 118000-79
34 03/20/14 CMC 2540D-97
ID#: 430
DATE COLLECTED: 03/18/14
DATE REPORTED : 03/31/14
REVIEWED BY:
f� �s

Environment 1, Inc.
P.O. Box 7085, 114 Oakmont Dr.
Greenville. NC 27858
CHAIN OF CUSTODY RECORD
Page I of
Phone [phone] • Fax [phone]
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
CHLORINE
CLIENT: 430 Week:9
pHCHECK (LAB)
Ij UV
P
P
CONTAINER TYPE, P/G
ATLANTIC VENEER CORP.
NONE
ATTN: JIM BANKS
CHEMICAL PRESERVATION
2457 LENNOXVILLE ROAD
❑
BEAUFORT NC 28516
C
A
A -NONE D-NAOH
E o
[phone]
z
w z
w
B-HNO, E-HCL
O
O J
Q
Z
r
C-HzSO, F-ZINC ACETATE/NAOH
COLLECTION
¢
�w
m
a 8
a
G-NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
¢o
r a
o
U
=
a
Stormwater (N3, Grab)
Ag. L
2
..
..
CLASSIFICATION:
WASTEWATER(NPDES)
DRINKINGWATER
DWQ/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY MAINTAINED
DURING SHIPMENT/DELIVERY
OY N
SAMPLES COLLECTED BY:
(Please Print)
J xt -isxi . i _s
SAMPLES RECEIVED IN LAB AT OC
RED BY SI .SAMPLER)
DATEMME
RECEIV Y (SIG.)
DATUHME
�qrl
COMMENTS:
Rai
,/,
INOUISHED BY (SIG.)
DATEMME
RECEIVED BY IG.
DATEMME
REUNOUISHED BY (SIG.)
DATEMME
RECEIVED BY (SIG.)
DATEMME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C for composite sample or a "G" for �T n 273845
FORM #5 Grab sample in the blocks above for each parameter requested.

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLE, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the established guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2)Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is not
permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 mi. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosulfate is the chemical of choice to neutralize chlorine. It must be added to your sample and them the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfate in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name ol'person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type of Disinfection
Deletion on the form for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the `Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to arrival at the lab. Therefore, samples
should be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD samples have a 48 hour holding time and are set in the lab Monday through Friday.
Other samples such as Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MI3AS also have a 48 hour holding time. The
lab reserves the right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
These sample bottles may contain acid or other corrosive and potentially harmful chemicals. Laboratories are required to add these
chemicals for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling
the bottles. If any chemical should get on your skin or clothes, flush liberally with water and seek medical attention.