NCS000235_MONITORING INFO_20180327

-- STORMINATER-DIVISION-CODING-SHEET-
PERMIT NO.
NCSOqb
DOC TYPE
❑FINAL PERMIT
[MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ ) O1803
YYYYMMDD

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) Jenny King
CERTIFIED LABORATORY(S) Research and Analytical Labs
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(This monitoring report shall be received by the Division no later than 30 days from
RECel1
the date the facility receives the sampling results from the laboratory.)
VED
MAR 2 7 2018
Lab #89303gRAL FILES
DVVR SEC-60N
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
Sid
units
SWOT
NO FLOW
(for Tier 2
sampling
requirements)
February 2018
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month'? _ yes X no
(if yes, complete Part B)
Part B. Vehicle Maintenance Activity Monitorint: Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ yr
MG
inches
mgA
m9A
unit
al/mo
Form SWU-247, last reviset122/2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable -- see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
0A k? t 4- kj'4 -03 / 1' qlla
(Si ature of Pe ittee) (Date):
Form SWU-247, last revised 21212012
Page 2 of 2

FUL
50U-rqef A7 g a r-
White, Glen
From: John Myers <[e-mail]>
Sent: Monday, July 17, 2017 10:58 AM
To: White, Glen
Cc: 'Bryce Young'
Subject: FW: Southern Resin 07/10/17 Results & Invoice
Attachments: Southern Resin 07-10-17.pdf
Glen,
Attached is the analytical testing report from samples pulled by Waters Edge. The stormwater outfall was
sampled and named CP-1 on the report. The result is 1.95 mg/L. This is greatly reduced from the 4.66 mg/L
from a few weeks ago. Our soil is now at an acceptable level. We will continue with the monthly tier
monitoring. Please let me know if you need additional information.
Thank you,
John
JOHN iMYERS
QUALITY CONTROL MANAGER
3440 Denton Road
Thomasville, NC 27360
myers@soot hernresin. corn
ph: 336-475-1348
fax: [phone]
From: [e-mail][mailto:[e-mail]]
Sent: Friday, July 14, 2017 3:26 PM
To: John Myers
Subject: FW: Southern Resin 07/10/17 Results & Invoice
Last set of soil samples has got it! CP-1 concentrations also showing declining trend. If you are good with this, I can
writeup report concerning all sampling and disposal but I think we are in good shape.
Phil Rahn P.G.
President
Waters Edge Environmental, LLC
1434 Chester Road
Raleigh, NC 27608
919.219.5820 (cell)
[e-mail] (email)
watersedgeenvironmental.net (website)
From: Research and Analytical Laboratories
Sent: Friday, July 14, 2017 2:54 PM
To: [e-mail]
Subject: Southern Resin 07/10/17 Results & Invoice

Attached` please find the analytical results & invoice for the samples collected on 07/10/17 from your project
Southern Resin (R17-28).
If you should have any questions or need any additional information please so advise.
Best Regards,
Sidney L. Champion
Research & Analytical Laboratories, Inc.
We are going paperless! Ifyou would still like a hard copy to be sent to you please so advise.

RESEARCh & ANALYTICAL Report of Analysis
LAbORATOR1ESt INC. 7/13/2017
'
For: Waters Edge
w♦a♦♦`�,� � G •.,�Cp_'O
4901 Waters Edge Drive Suite 201
,Zk►„o.,
Raleigh, NC 27606
~ r
� "ov NC #34
Attn: Phil Rahn
NC 037701
Z %
Client Sample 10: Southern Resin SS-31B
Lab Sample ID: 36898-01
Site: Waters Edge Env
Collection Date: 7/10/2017 ' 14:38
'Parameter,.Method
Result Units, -Analyst Anal sisaterTiine
Formaldehyde In House
<5.78 mg/kg DW 7/12/2017
Client Sample ID: Southern Resin SS-48 Lab Sample ID: 36898-02
Site: Waters Edge Env Collection Date: 7/10/2017 14:40
odi nmeesAee asme
Formaldehyde In House <5.74 mg/kg DW 7/12/2017
Client Sample ID: Southern Resin CP-1 Lab Sample ID: 36898-03
Site: Waters Edge Env Collection Date: 7/10/2017 15:00
UnIti . ° 'Analyst-'khaIAIi36Daf rTimB
Formaldehyde In House 1.95 mg/L DW 7/12/2017
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284
Tel:[phone] Fax:[phone]
NA = not analyzed
www.randalabs.com
Pa9Q._I.

RESEARCh & ANAlyTICAI
LAbORATORiES, INC.
AnalyticallProcess Consultations
Quality Control Summary Results for Project Identified as Southern Resin
(A to 'S Edge Environmental Erai E1
Prep ICV Spike Duplicate
Parameter Blank %Q_Recovery % Recovery % Difference
Formaldehyde BDL 102 98
Corresponding Sample Numbers: 36898-01-03
% = Percent
ICV = Initial Calibration Verification
LCS = Laboratory Control Sample
2
P.0, Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336.996-2841 • Fax [phone]
www.randalabs.com

RESEARCh & ANA1yTICA[
LAbORATORES, INC.
Analytical / Process Consultations
Phone [phone]
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Cl1p.Ze1�
CHAIN OF CUSTODY RECORD
wATEwR ! WASTEWATER ' I SC.
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SAMR N 'lE PLL ISE PRIN
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CONTACT PHONE
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SAY/X/�R SI AT'URE
SAMPLE NUMBER
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DATE
TIME
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GRAB
TEMP
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SAMPLE LOCATION f LD.
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RELI +UI D BY
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RECEIVED BY
REMARKS,., �
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SAMPLE TEMPERATURE AT RECEIPT 3' °C
RELINQUISHED BY
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RECEIVED BY

Phone [phone]
Fax [phone]
06/20/2017
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
3440 Denton Road
Thomasville, N.C. 27360
RECEIVED
JUN 2 7 2or1
CENTRAL FILES
DWR SECTION
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NA00235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of May 2017.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Mana er
Attachments
1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS. NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
E
ATURE OF PERMITTEE OR DESIGNEEUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COI)
NI-13 - N
NO2 + NO3
TKN
Zinc
PH
mo/dd/yr
MG
inches
mg/l
mg/1
mg/I
mg/I
mg/I
mg/l
Sid
units
SW01
NO FLOW
(for Tier 2
sampling
requirements)
May 2017
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month'? _yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Re uirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
Form SWU-247, Iasi revised 2221112
Page 142

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
of Permittee)
(Date): 06/20/2017
Form SWU-247. last revised 21212012
Page 2 of 2

.1�
Phone [phone]
Fax [phone]
07/18/2017
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
3440 Denton Road
Thomasville, N.C. 27360
RECEIVED
JUL 2 Z 20 r7
CENTP,AC Fr
LES
DwR SECTION
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of June 2017.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myer
Quality Ma
tz
Attachments

P
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if a .)_
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
moldd/yr
MG
inches
mg/I
mg/1
mg/I
mg/i
mgfl
mg/I
Std
u11its
SW01
NO FLOW
(for Tier 2
sampling
requirements)
June 2017
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
(10556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
-
mo/dd/ r
MG
inches
MgA
m
unit
al/mo
Dorm SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date): 07/18/2017
Form SWU-247, last reviser! 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
08/09/2017
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
3440 Denton Road
Thomasville, N.C. 27360
E'C;LE, iVED
AUG 15 2017
CENTRAL FILES
DWR SECTION
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of AUGUST 2017.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: myers@southern resin .com, if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Mania
Attachments
1

,r
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS0U0235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/I
mg/1
mg/I
mg/l
mg/l
mg/I
Sid
units
SW01
NO FLOW
(for Tier 2
sampling
requirements)
July 2017
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
mgA
unit
al/mo
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date): 08/09/2017
Form SWU-247, last revised 212/2012
Page 2 of' 2

Phone [phone]
Fax [phone]
09/21/2017
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
i1L� /1LPi.
3440 Denton Road
Thomasville, N.C. 27360
SEP 2 6 ZQi,
CENTRAL FILES
OWR SECTION
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
-Tier Two Reporting for Nitrate,+ Nitrite, Nitro -en. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of August 2017.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475.1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers (:: —rf%x�
Quality Manag
Attachments
1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY : Davidson
PHONE NO. [phone]
SIGNATURE OF PERM ITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/l
mg/l
mg/l
mg/l
mg/l
mg/l
Std
units
SWOT
NO FLOW
(for Tier 2
sampling
requirements)
August 2017
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
a 1.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
Form SWU-247, last remised 222012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
re of
( Date): 09/21/2017
Form SWU-247, last revisecl2l2/2012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
N113 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/I
mg/l
mg/I
mg/1
mg/I
mg/I
Sid
units
SWO1
NO FLOW
(for Tier 2
sampling
requirements)
September
2017
r..
e v
CENT
L FIL Z3
DWR StL I IUN
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part 8: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
mgA
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1 G 17
"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."
Permittee)
(Date): 10/09/2017
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mgA
mg/I
mg/l
mg/l
mg/l
mg/I
Std
units
SW01
NO FLOW
(for Tier 2
sampling
requirements)
September
2017
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month'? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&Gfl'PI-I
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
ai/mo
Form SWU-247, last revised 21212012
Page t of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signa re of Pe mittee) (Date): 10/09/2017
Form SWU-247, last revised 2212012
Page 2 of 2

Phone [phone]
Fax [phone]
10/09/2017
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C.27360
-Tier Two Reportinq for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of September 2017.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manager
Attachments

-4
Phone [phone]
Fax [phone]
11 /14/2017
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
RECEIVED
NOV 2 9 Z017
CENTRAL FILES
DWrR SECTION
-Tier Two RWorting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate f Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of October 2017.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Mana
Attachments

.r
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NIB - N
NO2 •+ NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/I
mg/1
mgll
mg/I
mg/I
mg/I
Sid
Units
SWOT
NO FLOW
(for Tier 2
sampling
requirements)
October 2017
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
MO
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
of
(Date): 11/14/2017
Form SWU-247, last revised 2/2l2012
Page 2 of 2

Phone [phone]
Fax [phone]
12/15/2017
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
3440 Denton Road
Thomasville, N.C. 27360
REFCEIVED
DEC 2 2 1017
CEn4TRAL Fr
DWR SECTIONS
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of November 2017,
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manage
Attachments

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Perinit Number NCS: NC5000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the (late the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
incites
mg/I
mg/1
mg/I
mg/1
mg/l
mg/l
Std
units
SWO1
NO FLOW
(for Tier 2
sampling
requirements)
November
2017
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorine Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total -
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
Form S W U-247, last revised 2212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Da to
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date): 12/15/2017
Form SWU-247, last revised 2220/2
Page 2 of 2

Permit Number NCS: NCS000235
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTEI) DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs REO INVED
Part A: Specific Monitoring Requirements
JAN Z 6 2017
CENTRAL FILES
DWR SECTION
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/I
mg/1
mg/I
mg/I
mg/l
mg/l
Std
unils
SWOT
NO FLOW
(for Tier 2
sampling
requirements)
December
2016
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month'? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activltv Monitorina Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ yr
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT C14ARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date): 01/191 6
Form SWU-247, last revised 2/2/2012
Page 2 of 2

mr
r
Permit Number NCS: NCS000235
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab#803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
'
PH
mo/dd/yr
MG
inches
mg/l
mg/l
mg/I
mg/I
mg/I
mg/I
Std
units
SWOT
NO FLOW
(for Tier 2
sampling
requirements)
October 2016
REC E
' V/E D
AL
DWR SEC
MON
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH ,
(Method 1664
SGT-HEM), if
appl.
Total
Suspended,
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
MO
mo,
unit
al/mo
Form SWU-247, last remised 2/2/2012
Page 1 of 2

ow
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date): 11/22/2016
Form SWU-247, last revised 2/2/2012
Page 2 of 2

` STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year 2016
Individual NPDES Permit No. NCS000235
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: Southern Resin, Inc.
County: Davidson
Phone Number: (336-475-1348) Total no. of SDOs monitored : 1
Outfall No. SW01
Is this outfall currently in Tier 2 (monitored monthly)? Yes X No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes X 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
FEB 14 2017
CENTRAL FILES
DWR SECTION
Parameter, (units)
Total
Rainfall,
inches
Formaldehyde
Chemical
Oxygen
Demand (COD)
Ammonia
Nitrogen
(NH3-N)
Nitrate +
Nitrite
Nitrogen
(NO3+NO2-N)
Total
Kjeldahl
Nitrogen
g
TKN
Zinc, Total
pH
Acute Toxicity
Benchmark
N/A
0.49 mg/L
120 mg/L
7.2 mg/L
0.68 mg/L
20 mg/L
0.126 mg/L
6-9
100%
Date Sample
Collected,
mmlddlyy
January 2016
No flow
----------------
-----------------
-------------------
------------------
02116/2016
1.5
0.654
45
0.599
1.03
2.99
0.062
6.0
---------------
03128/2016
0.9
1.06 171
0.501
1.44
2.64
0.04
7.2
100% (Pass)
April2016
No flow
I
-----------------
----- -------- -----
------------- -----
-----------------
------------------
-------------------
----------------_
May 2016
No flow
--------------
I----- -----------
--------------
----------------
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

June2016
No flow
----------------
----------------
-------------------
---------------
-----------------
----- -------------
--------- ----------
-----------------
July2016
No flow
-------------- -
----- -------- ----
-----------------
----- -------------
----- ------------
------------------
-------------------
-----------------
:August 2016
No flow
----------------
-----------------
-------------------
------------------
-----------------
------------------
-------------------
-----------------
09/27/2016
1.5
0.984
63
0.610
0.388
2.92
0.018
6.6
-----------------
October 2016
No flow
----------------
-____------------
-------------------
------------------
-----------------
------------------
--- .---------------
-----------------
November
2016
No flow
---------------
--------- --------
-------------------
------------------
DecemberNo
2016
flow
--------- -------
-----------------
-------------------
------------------
-----------------
------------------
-------------------
-----------------
Additional Outfall Attachment
Outfall No.
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
►3enchmark N/A
Date Sample
Collected,
mmrdd►yy
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

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
Date: 02/09/2016
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
SWU-264 - Generic Annual DMR
Cast revised 5/17/2013

MHEVILLE�REGIONAL OFFICE
IaAYETTEVILLEREGIONAL OFFICE
MOORESV,ILLE REGIONAL'OFFICE
225 Green Street
610 East Center Avenue/Suite 301
2090 US Highway 70
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
943 Washington Square Mall
127 Cardinal Drive Extension
3800 Barrett Drive
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
.......
76presen+a , protect
and enhance
W.tWo,ih
WINSTON-SALEM REGIONAL OFFICE,
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
450 West Hanes Mills Road
Winston-Salem, NC 27105
[phone]
[phone]
CarNina's water..."
SWU-264 - Generic Annual DMR
Last revised 511712013

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235 SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #8R39CEIVED
J.AN 207016
Port A: Specific Monitoring Requirements GNTRAL FILES
')IqR SECTION
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/l
mgll
mgJl
mg/l
mg/l
mg/l
Std
units
SWU1
NO FLOW
(for Tier 2
sampling
rc uirements
September
2015
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Gma.4e
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ yr
MG
inches
mg/l
moll
unit
allmo
Form S WU-247, lost revised 21212012
Page 1 of 2

"1
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
10/20/2015
(Signa re of Pe ittee) (Date)
Form SWU-2d7, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
10/20/2015
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
3440 Denton Road
Thomasville, N.C. 27360
'FCEIVED
OCT 2 7 2015
CSN7 "qL FILES
DWR SECTIOKI
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 0312014)
r
J
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one originaland one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of September 2015.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Man er
Attachments
1

Permit Number NCS: 000235
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
RL,�aa .+I VD SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
DEC 0 8 2015 the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc. CENTRAL FILES
PERSON COLLECTING SAMPLE(S) John Myers DWR SECTION
CERTIFIED LABORATORY(S) Research and Anahrtical Labs Lab #803026
Part A: Specific Monitoring Requirements
COUNTY: Davidson
PHONE NO. L336) 475-1348
EREQ
ATURE OF PERMITTEE OR DESIGNEE
U[RED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a .)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/I
mg/I
mgll
mg/I
Mg/1
mg/l
Sid
untta
SWOT
11410/2015
2.1
1.53
66
1.73
1.56
4.18
0.031
6.0
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
a I.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
inches
m
m I
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

IRP
CHARACTERISTICS:
Date 08/21/2015
Total Event Precipitation (inches):
Event Duration (hours):
2.1
(only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
RaleiglL North Carolina 27699-1617
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those 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."
(S natur of Permittee)
11/10/2015 (results received on 11118115)
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

,,.. STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: 000235 RECEIVED SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days from
JAN 2 0 2016 the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin Inc. CENTRAL. FILES COUNTY • Davidson
PERSON COLLECTING SAMPLE(S) John Myers DWR SECTION PHONE NO. [phone]
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/ddlyr
MG
inches
mg/I
mg/1
mg/1
mg/1
mg/1
mg/l
Sid
unNs
SWW
12/17/2015
0.7
0.350
63
0.187
2.1
2.74
0.022
6.0
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl,
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
inches
m '
m I
unit
al/mo'
Form SWU-247, last revised 21212012
Page 1 of 2

STORM FONT CHARACTERISTICS:
Date 12/17/2015
Total Event Precipitation (inches): 0.7
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
12/17/2015 (results received on 12/30/15)
(Date) T ��
Form SWU-2 17, last revised 21212012
Page 2 of 2

9
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY : Davidson
PHONE NO. [phone]
SIGNATURE OF PERM ITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/I
mg/1
mg/l
mg/1
mg/I
mg/I
5td
units
SWOT
NO FLOW
Tier
sampling
requirements)IDEN
April 2017
R E
fV E D
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
mgtI
unit
ai/mo
Form SWU-247, last revised 2/22012
Page i of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those 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 tines and imprisonment for knowing violations."
Permittee)
(Date): 05/12/2017
Form SWU-247, last revised 2212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANALYTICAL MONITORING REPORT
PERMIT COVERAGE NO. NCS0000321
FACILITY NAME
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Lubrizol -Gastonia
Prism Labs
Lab #
Part A: Specific Monitorine Reouirements
402
Outfall
No.
Date
Sample
Collected
Total
Flow
Biochemical
Oxygen
Demand
Total
Suspended
Solids
Chemical
Oxygen
Demand
Zinc
pH
mm/ddl r
MG
m /l
m /l
mgll
mg/l
02
4/5/2017
15
37
<50
0.18
8.2
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitorine Reouirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(all samples collected during a calendar year, shall be reported no later
than 30 days from the date the facility receives the sampling results)
COUNTY Gaston
PHONE NO. 704 5-411
(SIGNATURE-P.V PERMITTEE OR DESIGNEE)
By this signature, 1 certify that this report is accurate
complete to the best of my knowledge
Outfall
Date
50050
00556
01051
38260
00400
No.
Sample
Tota] Flow
Oil and Grease
Lead, Total
Detergents
pH
New Motor Oil
Collected
Recoverable'
(MBAS)`
Usage
mmlddla
MG
rn l
u I
m l
unit
al/mo
STORM EVENT CHARACTERISTICS
Date 4/3/2017
Total Event Precipitation (inches):
Event Duration (hours): 48
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
0.45
RECEIVED
MAY 2 4 2017
CENTRAL FILES
DWR SECTION
Yes X No
Attn: Central piles
DEHN R
Division of Water (duality
1617 Mail Service Center
Raleigh, NC; 27699-1617
Form MR18
Pagel of 2

f
Footnotes:
I Applies only for facilities at which fueling occurs.
1 Detergent monitoring is required only at facilities which conduct vehicle cleaning operations.
"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
(Date)
6116
Form MR18
Page 2 of 2

t!.
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: 000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) Billy Wishon, Randy
CERTIFIED LABORATORY(S) Research and AnalyticRI�i S Ica 'iYY.
APR 17 Z017
Part A: Specific Monitoring Requirements CENTRAL FILES
DWR SECTION
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY : Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
TGA3B
mo/dd/ r
MG
inches
SW01
03/27/2017
0.5
PASS
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes X no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 03/27/2017
Total Event Precipitation (inches): 0.5
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 276999-1617
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those 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."
of Permittee)
Results received : 4/06/2017
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
RECEIVED PHONE NO. [phone]
Lab #803026
MAR 2 3 2017
SIGNATURE OF PERMITTEE OR DESIGNEE
CENTRAL FILES REQUIRED ON PAGE 2.
DWR SECTION
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
'I
inches
mg/1
mg/I
mgA
mg/l
mgtl
mg/I
Std
units
SWOT
NO FLOW
(for Tier 2
sampling
requirements)
February 2017
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month'? _ yes X no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
'
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH'
(Method 1664
SGT-ITEM), if
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
Form SWU-247, last remised 222012
Page 1 of 2

r
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
t617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
of Permittee)
(Date): 03/20/2017
Form SWU-247, last revisecl21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
Lab #8kr2�'���
r -TRAL FILES
oWR SECTION
COUNTY : Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/1
mg/1
mg/l
mg/l
mg/l
mg/I
5td
units
SW01
NO FLOW
(for Tier 2
sampling
requirements)
January 2017
Does this facility perform Vehicle Maintenance Activities using; more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring; Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GPl,PH
(Method 1664
SGT-hIEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/ddl r
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 212120/2
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
( Date): 02/09/2017
Form SWU-247, last revised 2212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit N mber NCS: 00023$
FAQ ILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) Billy Wishon, Randy
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
TGA3B
mo/dd/ yr
MG
inches
SWOI
03/27/2017
0.5
PASS
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dy/ r
MG
inches
mo
m
unit
al/mo
Form SWU-247, last revised 222012
Page 1 of 2

YFORM EVENT CHARACTERISTICS:
Date 03/27/2017
Total Event Precipitation (inches): 0.5
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
re
Results received : 4/06/2017
(Date)
Form SWU-247, last reviser! 2/2/2012
Page 2 of 2

Phone [phone]
Fax [phone]
04/06/2017
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
3440 Denton Road
Thomasville, N.C. 27360
,,)-I CS d vd a3S
Annual reporting for Acute Toxicity testing for Stormwater permit #NC000235.
Attached is one copy of the Storm Discharge Outfall (SDO) Monitoring Report
for the period January thru June 2017.
Please call 336-475-1348, or email: myers@southern resin .com, if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manager
Attachments

r=
T� STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT HLE Copy
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Anal)lical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow Cif a
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/l
mg/l
mg/l
mg/l
mg/l
mg/I
Sid
pus
SWOT
NO FLOW
(for Tier 2
sampling
rc uiremcnts
January 2016
0 TTJ
G
(!i to
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Pan B)
Part B. Vehicle Maintenance Activity Monitoring Requirements
O r c�
Z crnls
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ •r
MG
inches
mg/l
mg/l
unit
al/mo
Forth S\ U-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn; Centrdl Files
1617 Mail Service Center
Raleigl-L North Carolina 27699-1617
"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 Permitt ) (Date):
Form SWU-247, last revised 21212012
Page 2of2

Phone [phone]
Fax [phone]
01 /15/2016
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 0112014)
3440 Denton Road
Thomasville, N.C. 27360
e-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of January 2016.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDQ monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manag d
Attachments

STORMWATER DISCHARGE OUTFALL (SDO)
4 ti MONITORING REPORT F�LE
Permit Number NCS: NCS000235 SAMPLES COLLECTED DURING CALENDAR YEAR: 2P16
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc. COUNTY: Davidson
PERSON COLLECTING SAMPLE(S) John Myers PHONE NO. [phone]
CERTIFIED LABORATORV(S) Research and Analytical Labs Lab #803026 T �T
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date''
Sample
Collected
50050
Total
Flow if app.)
Total
Rainfall '
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/1
mg/1
mg/l
mg/l
mg/1
mg/I
Std
units
SW01
(12/10/2016
1.5
0.654
45
0.599
1.03
2.99
0.062
6.0
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month'? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activitv Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
ap1.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/vr
'MG
inches
m l
Mgt]
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

x490m,
STORM EVELN'T CHARACTERISTICS:
. I
Date 02/16/2016
Total Event Precipitation (inches): 1.5
Event Duration (hours): (only if applicable — see pennit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attu; Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those 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."
(S' nature of ermittee) (Date): 3/10/21116
Forth SWU-247, last revived 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
3/10/2016
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
RECEIVED
MAR A 5 2016
CENTRAL FILES
DWR SECTION
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27364
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NCS000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of February 2016.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manager
Attachments:

01
IN2211i
Phone [phone]
Fax [phone]
08/10/2016
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
RECEIVED
AUG 1'.8 261b
CENTRAL FILES
DWR SECTION
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #N
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of JULY 2016.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Mana r
Attachments

N
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCSOa0235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow ff a
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/1
mg/1
mg/I
mg/I
mg/I
mg/I
Sid
units
SWo1
NO FLOW
(for Tier 2
sampling
requirements)
July 2016
RECEIVED
nimp
I
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appi.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ yr
MG
inches
m /I
m /I
unit
al/mo
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signajd're of 11!rmittec)
r
(Date): 08/10/2016
Form SWU-247, last revised 21212012
Page 2 of 2

STORMW y� , ISCHARGE OUTFALL .
R�COFN SDO
{ )
ORING REPORT
Permit Number NCS: NCS000235 1 <l ` 116
Jr"CENT�ii'
AL FILES
DWRISECTION
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR Y At
(This monitoring report shall be received by the Division no�a er an 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if a
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 +'NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
Mg/1
mg/l
mg/I
mg/I
mg/1
mg/l
Std
units
SW01
NO FLOW
(for Tier 2
sampling
requirements)
May 2016
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
,Date
Sample i
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
rn I
mgn
unit
al/mo
Form S W U-247, last revised 21212012
Page 1 of 2

I
-4
w
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — sec pennit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signat a of Permittee) (Date): 06/07/2016
Form S WU-247, last reused 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
06/07/2016
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
RECEIVE®
JUN 14 2016
Subject: CENTRAL FILES
DVVR SECTION
Tier Two Reporting for Formaldehyde_ (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of May 2016.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manager
Attachments

s Peci*it Number NCS: 000235
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING AL 016
(This monitoring; report shall be received by the Pi o later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Total
Rainfall
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
MAY - 3 2016
;P;? ;cCTIOP!
I WiT
Outfall
No.
Date`
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O,&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dill r
MG
inches
mg/1
m I
unit
al/mo
Form SWU-247, last revised 21212012
Page 1 of 2

`STORM EVENT CHARACTERISTICS:
Date 02/25/2015
Total Event Precipitation (inches): 0.9
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attw Central Files
1617 Mail Sen ice Center
Raleigh North Carolina 27699-1617
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those 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."
Results received : 4/8/2016
Signatu a of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

It STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235 ` SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
'50050
Total
Flow (if a
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
,MG
inches
mg/I
mg/1
mg/l
mg/1
mg/1
mg/I
Sid
units
SW01
03/28/2016
0.9
1.06
71
0.501
1.44
2.64
0.04
7.2
MAY — 3 2016
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes. X no
(if yes, complete Part B) DINR SECTION
WFORMATVI PROCESSING UNIT
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ yr
MG
inches
mg/1
m I
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

R STORM EVENT CHARACTERISTICS:
Date 02/16/2016
Total Event Precipitation (inches): 0.9
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
( gnatur of Permittee) (Date): (312812016-pulled)
Form S WU-247, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
05/17/2016
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde.
(Begin g'date:0112014)
3440 Denton Road
Thomasville, N.C. 27360
U
-Tier Two Reporting for Nitrate + Nitrite, Nitroqen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of April 2016.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email_ [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manager
Attachments
1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. (3.36) 475-1348
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
moldd/yr
MG
inches
mgll
mg/l
mg/l
mg/I
mg/l
mg/l
std
units
SW01
NO FLOW
(for Tier 2
sampling
requirements)
April 2016
I• q EGEI
ED
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
a pl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
-
mo/dd/yr
MG
inches
m
mo
unit
gaumo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Stiof Permittee) (Date): 05/17/2016
Form SWU-247, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
04/25/2016
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
3440 Denton Road
Thomasville, N.C. 27360
Annual reporting for Acute Toxicity testing_for Stormwater permit #N_C000235.
Attached is one copy of the Storm Discharge Outfail (SDO) Monitoring Report
for the period January thru June 2016.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manag
Attachments

}
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: 000235 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORV(S) Research and Analytical Labs Lab 4803026
Part A: Specific Monitoring Requirements
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Tot al
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date.
Sample
Collected
50054)
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
pit &Grease
(if appl.)
Non -polar
O&G/TPH
(Method 160
SGT-HEM),'if
appl.
Total
Suspended
Solids
pH, .
New. Motor ,
Oil Usage
mo/ddl r
MG
inches
mg/1
m I
unit
' allmo
Form SWU-2 47. last revised 2/2/2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
% Date 02/25/2015
Total Event Precipitation (inches): 0.9
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Senvice Center
Raleigh, North Carolina 27699-1617
"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."
Results received : 4/8/2016
(bate)
Form SWU-247, lab revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
RECEIVE /e This monitoring report shall be received by the Division no later than 30 days from
G. he date the facility receives the sampling results from the laboratory.)
DEC 2 2 W6
CA*&FILES
TION
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIRED ON PAGE 2.
Outfall
No.
Date,
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
•
mo/dd/yr
MG
inches
mg/l
mg/l
Mgt]
mg/l
mg/I
mg/1
Std
units
SW01
NO FLOW
(for Tier 2
sampling
requirements)
November
2016
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall'
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
a l
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG'
inches
MgAA
unit
al/mo
Form SWU-247, last revised 22/2012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Permittee)
(Date): 12/12/2016
Form SWU-247, last revised 2/2./2012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: 000235 RECEIVED
OCT 28 Z016
CENTRAL FILES
FACILITY NAME: Southern Resin, Inc. DWR SECTION
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEF OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/l
mg/l
mg/l
mg/l
mg/l
mgA
3td
units
SWOI
09/27/2016
1.5
0.984
63
0.610
0.388
2.92
0.018
6.6
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 2212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 02/25/2015
Total Event Precipitation (inches): 2.5
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
ure of Permittee)
10/13/2016
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCs000235 SAMPLES COLLECTED DURING CALENDAR YEAR: 2016
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin Inc, COUNTY: Davidson
PERSON COLLECTING SAMPLE(S) John Myers Cn PHONE NO. [phone]
IE
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab CEIVED
SEP 21 Zw) _ SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements CENTRAL FILES
DWR SECTION
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
Mgt]
mg/I
mg11
mg/l
mg/I
mg/I
Std
units
SWO]
NO FLOW
(for Tier 2
sampling
requirements)
August 2016
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month'? — yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
mgtl
m
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
of Permittee)
(Date): 09/12/2016
Form SWU-247, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
1/14/2016
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate t Nitrite, Nitrogen. (Beginning date: 0312014)
Tier Two reporting requirement for Stormwater permit #NCS000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of December 2015.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manager
Attachments:
1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS:r000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Lab Lab # 803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days fr
the date the facility receives the sampling results from the laboratory.) MWAMW
COUNTY: Davidson Iowa
PHONE NO. [phone] to"
AN
COD
SIGNATURE OF PERMITTEE OR DESIGNEE Cz
REQUIRED ON PAGE 2. 4010
0C
Outfall
No.
Date
Sample
Collected
50050
0
i S v
Total
Flow (if app.)
Total
Rainfall
Formaldehyde(
,D
NH3-N
NO2+NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
m l
mg/1
m l
m l
m I
m F
s.units
SW01
01/13/2015
n/a
0.3
3.24
86
0.904
0.533
4.51
0.018
6.0
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? W yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
0&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ •r
MG
inches
m l
mg/1
unit
al/mo
Form S WU-247, last revised 21212012
Page 1 of 2

STORM &VENT CHARACTERISTICS:
L
Date: 01/13/2015
Total Event Precipitation (inches): 0.3
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
(Signatu�ie of Permittee)
2/03/2015 (Lab results received on 1/26/2015)
(Date)
Form S WU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
r
i
Permit Number NCS: 000235
FACILITY NAME: SouthernResin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days fr@an_
RrtW4'1it iFacility receives the sampling results from the laboratory.) �
MAY U 5 2015 COUNTY: Davidson
PN('1NV NO (336) d75_13dR
Lab #803026 CENTRAL FILES
DWR SECTION
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if a
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/1
mg/1
mg/I
mg/1
mgll
mg/l
Sid
urdts
SW01
03/27/2015
0.5
6.43
98
0.896
0.816
10.2
0.012
6.4
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity MonitorinE Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00460
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
molddl yr
MG
inches
mgA
m
unit
al/mo
Form S WU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
t
,1' .� Date 02/25/2015
Total Event Precipitation (inches): 0.5
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
Results received : 4/10/2015
(Sfgnaturd of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
P0mit N tuber NCS: 000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) Silly Wishon, Randy
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
Qz
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
rD.
Sample
Collected
rr r
Total
Rainfall
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
molddl r
MG
inches
m l
MO
unit
aVmo
Nn
Rlfi
- IUU
MAY 2 6r 2015
Q01r8 SUFFER PERM17TING
Form SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 02/25/2015
Total Event Precipitation (inches): 0.2
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
Results received : 5/12/2015
(Si atu of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
05/18/2015
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
3440 Denton Road
Thomasville, N.C. 27360
Annual reporting for Acute Toxicity testing for Stormwater permit #NC000235.
Attached is one copy of the Storm Discharge Outfall (SDO) Monitoring Report
for the period January thru June 2015.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manage
Attachments
�r
7MAY2 8 2015 i
•. 1

TER
ISCH
RECE IV��WAMONIITORNNG REPORT ALL (SDO)
Permit 1Vt+mbe► NCS: 000235 MAY 2 7 2015
CENTRAL FILES
r)WR SECTION
FACILITY NAME: Southern Resin, Tue.
PERSON COLLECTING SAMPLE(S) Billy Wishon, Randy
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30
clays from
the date the facility receives the sampling results from the' laboratory.)
COUNTY: DaAdson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
t�
REQUIRED ON PAGE 2.
C�
1
Date
Sample Collected
TotalNo.
Flow (if app.') 1
Rainfall
�.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
aplil.
Total
Suspended
Solids
pH
New Motor .
Oil Usage
moldillvr :.MG
, `
inches „
m I
m I
unit
al/mo
Form SW-247, lost revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 02/25/2015
Total i;Yent Precipitation (inches): 0.2
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
'r--✓ `I� Results received : 5/12/2015
(Si atur of Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Permit srumZr NCS: 000235
STORMWATER DISCHARGE OUTFALL (SDO)
ONITORING REPORT
RECEIVE
MAY 2 6 2015
CENTRAL FILES
FACILITY NAME: Southern_ Resin, Inc. DWR SECTION
PERSON COLLECTING SAMPLE(S) Billy Wishon, Randy
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015,
(This monitoring report shall be received by the DiAsion no later than 30 a"y rom
the date the facility receives the sampling results from the laboratory.) pn
COUNTY: Davidson (ff�
PHONE NO. [phone]
SIGNATURE OF PERNUTTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/1
mg/1
mg/1
mgll
mg/l
mg/I
Std
units
SWO1
04/30/2015
0.2
2.46
57
<0.10
0.665
2.78
0.028
6.7
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd! r
MG
inches
ingti
m I
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 02/25/2015
_TotsiiiEvent Precipitation (inches): 0.2
r
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable -- see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
Results received : 5/12/2015
ignatu of Permittee) (Date)
Form SWU-247, lost revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235 RECEIVED
JUN 2 6 2015
FACILITY NAME: Southern Resin, Inc. CENTRAL FILES
PERSON COLLECTING SAMPLE(S) John Myers bs c V2V
CERTIFIED LABORATORY(S) Research and Analytical LaLRa��BU�lIZ6'
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015 U
(This monitoring report shall be received by the Division no later than 30 d 1s f m
the date the facility receives the sampling results from the laboratory.) COD
COUNTY: Davidson
PHONE NO. 336 475-1348
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if a
Total
Rainfall
Formaldehyde
COD
N H3 - N
NO2 •+ NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/I
mg/I
mg/I
mg/I
mg/l
mg/I
std
units
SWOT
NO FLOW
(for Tier 2
sampling
requirements)
May 2015
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ yr
MG
inches
m I
m
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 02/25/2015
Total Event Precipitation (inches):
Event Duration (hours); (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
'A��6 6/15/2015
(S' ature f Permittee) ("Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
06/15/2015
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite Nitro en. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of May 2015.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Man ger
Attachments
1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235 RECEIVED G EDSAMPLES COLLECTED DURING CALENDAR YEAR: 2015
f[CL� (This monitoring report shall be received by the Division no later than 30 days from
AUG 2 8.2015 the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc. CENTRAL FILES
PERSON COLLECTING SAMPLE(S) John Myers DWR SECTION
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
gym..
raw.°
si
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if a
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mgll
mg/1
mg/1
mg(]
mg/I
mg/1
Rd
wdts
SWOT
NO FLOW
(for Tier 2
sampling
requirements)
July 2015
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
Mgt]
m l
unit
al/mo
Form S WU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches);
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
8/20/2015
(Signs re of ermittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

J
l 1
Phone [phone]
Fax [phone]
08/20/2015
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
ihomasWle, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen,. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of July 2015.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myer
Quality Ma(njS'
Attachments
1

P0h mitt Number NCS: NCS000235
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
RECEIVED
FACILITY NAME: Southern Resin Inc. AUG 0 5 20115
PERSON COLLECTING SAMPLE(S) John Myers QENT c
CERTIFIED LABORATORY(S) Research and Analytical a 6
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2015
(This monitoring report shall be received by the Division no later than 30 d'rom
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2,
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if app.2
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mgll
mgll
mgll
mg/I
mg/l
mg/t
Std
wilts
SWO1
NO FLOW
(for Tier 2
sampling
requirements)
June 2015
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m I
m
unit
al/mo
Form SWU-247, last revised 21212012
Page 1 of 2

STORM tVENT CHARACTERISTICS:
Date 02/25/2015
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
re of Permittee
7/25/2015
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

wom.F1,7,h,,,rv,�,7
,
Phone [phone]
Fax [phone]
07/20/2015
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject.-
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N-C. 27360
-Tier Two Reporting for Nitrate + Nitrite Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of June 2015.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is fled to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Mana tt
Attachments
1

Permit Nnuthcr NCS-0-0-0 Z3j—
, 'TO tNI[Wr%Tklt DISCHARGE Ol)'ITi 111, (Vo)
A10N1'I YOWL Ill?I'[:)]t I'
SAMPITS C( DURING CALENDAR YEAR -
(This nutnituring report sh;lll he received by the Division no later than 30 claps from
the date. Ilse 1•41ility rcceives the sarllpling resells f -0111 the lahoratln }.)
I'A(:11,1'I'1' NAn9Ena -__RECEIVED
I'VitSON (:111.,LE?C I'IN{.; 5An'71'L (S)
CH('I'IVIKI)LikBO tA'I'(1KY(S) I..ah# SEP 15 2014
E,a h It
--
CENTRAL FILES
DWR SECTION
1':Irt A: Spccilic Monitoring Itellolretnents
COUNTY- DA\l10soNt
(SK,NA'I'111t1? UI, 1'I?RMITTITF. Mt DFSICNP',I?)
19y this sigII:Itere, 1 eertifp thin this report i4 accurate
complete to the Ilest nl• my knowledge,
011tf:Ill
No.
Dale
S:Inlplc
collected
50050
'Total
flow (il' app.)
_
Total
Rainfall
_
lnohld/t°c
Alh,
;Itches
_
20 1 �t
_
17oes 116', faciiiiy I1erfolr11 Vehide NIkiinlenance Activities casing mere than 55 gallon.~ of new nmlm oil It x n101ldl? _ ycs 404u
(il'ycs, cnnlplutt; 1',111 11)
I':n1 It: Vcldcle.
Moinicn.-ince Activity Mouiturin g Ite(uirenients
UIIIhill
Date
50050 1
00556
_
O0530 00400
Sa114111 P.
Iolal flow Total
Oil & ( rt-isc
Non -polar
'Total p1'l New Motor
No.
Collectc,l
(if.1pplicahle) Rainf:Ill
(if.1pp1.)
O& W F I I I I
Suspended Oil Usage.
(INIe.tllud IG(,
Solids
_INA.
nurldd/p.
i19G inches
In /I
In ll unit }tallnw
i'a�c- 111f 7
o �

ti•1'UIt1I I?VE+,IV'I't lIAIL�IC"1'1+,IZ[��'I'I( S:
1);rlc __ _
'I'olal F,.t. Precipitation 011LAles):
H;vent Unration (huur-s): (only i[aPplicablc—.eec 11cr111il.)
(if rturt(" Ih;rn inic storm went was sampled)
Uale _
I'uEa1 h.vcnt 1'recipilalion (inches),
F;vt+nl Duration (hours): _ (orlly if a1,11licabie — see permit.)
"I t:(rlif), render pen;dt} ul' I. that this dou"I'lent and all attachments were prepared lilt(
sgstcnl (lesi llvd 10 assure that grt:rlil! pe.rsonitel properly gather and evaluate the infot•n
ur persons who Manage the system, or those person.~ directly rmponMWe fur• g{:lthering the
of my knowledge and beiirl', true, acuirate, and complele. I ani aware that there are sink
including; the possi)ilit}' of fines and iulpr•isortment I'll]- knowing violations.''
ore of, Per-lnitIV
4o
Mail Original and one copy In:
Divisirnr of Waler ( luauly
AME (-cnhal f`ilcs
1617 Mail Service Center
Raleigh, North Camliu,i 27699-1617
er my direction or supemion in accordance WHO]
M1011 submitted. Based on my intluiry of Ilse pel"m
ul'urntation, the inforniation silhmit.ted is, to the best
cant penalties l'or submitting NO i 01711rrlion,
I t rnr SWU-2117-M2 S IU
10c202

Phone [phone]
Fax [phone]
09/ 10/2014
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject;
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of August 2014.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is fled to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myer
Quality Manager
Attachments
1

U
�J
fermi( Number NCS O40235
STORNMATER DISCIIARGE? OUTF�LI, (SDO)
MONITORING RF.POR'1'
FACILITY NAME arc-Q+J-
PERSON COLLECTING SAMPLE. S) `
CERTIFIED LABORATORY(S)
Lab #
Part A: Specific Monitoring Requirements
SAMPLES C )LLFCTED DURING CALENDAR YEAR: '20 14
('This monitor ng report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY 3/A"13 1 D
I'"ONENO. (7;&0 6AZ
(SIG ATURF OF NF,RMITTF,E Olt DESIGNEE)
this signature, I certify that this report is accurate
complete to the best of my knowledge.
MMME
M.,.
FS
®mwv
-
' S
ild
��'..�
F.
�■
■�Z�.iT TIngots-_
Does this facility perli►rm Vchicle Maintenance Activities using more than 55 gallons of new motor oil p r month? _ yes no
(i I' yes, complete Part 13)
]'art It: Vchicle 1llaintenance Activity Monitoring Requirements
Out fall
Nate
50050
00556
00530
011400"
,
`Ssinij►le
Total Flow', -
Total
Oil & Gre:►se
hfo�► polar
'Total
pH'{ _ ,
New Motq►' I,'
Collcete[I
{iF,applicalile):
Rainfall
(if a(►pl)
r.
O&G/TPFI `,
Suspe►idcd
�,
r v
Otl I1s�ge ` ,t
(1Nethod.l(6
5ohds
SGT HENll),
;*
+
n►i►Id / r."
NIG
;inches
ni ' I
iru►t? -
allnib
Farm SWU-247-062310
Page I of 2

STORM EVENT CHARACTERISTICS:
Date (41 4
Total Event Precipitation (inches):
Event Ouration (hours): (Only if applicable — see permit.)
(if murc than one storm event was sampled)
Dale
Total Event Precipitation (inches):
Event Duration (hours): (Only if applicable — see permit.)
"1 certify, under penalty of law, that this document and all attachments were prepared un,
system designed to assure that quaiitled personnel properly gather and evaluate the inforn
or persons who manage the system, or those persons directly responsible for gathering the
of my knowledge and belief, true, accurate, and complete. i ant aware that there are signi
including (lie possibility of fines and imprisonment for knowing violations."
(S' nature 4f 1'ermittec)
(I)atr
Mail Original and one copy to:
Division of Water Quality
Ami: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-16 17
ler my direction or supervision in accordance with a
cation submitted. Bused on my inquiry of the person
information, the information submitted is, to the best
icant penalties for submitting f.ilse information,
(LA6 RsS%&trTs R ,.s> ate-)
Fornr SWU-247-062310
Page 2 of 2
0 .0
0

Phone [phone]
Fax [phone]
06/30/2014
Division of Water Quality
Central Files
1617 Mal Service Center
Raleigh, NC, 27699-1617
Subject-
-Tier Two Reporting for Formaldehyde. (Beginning date: 0112014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite. Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of June 2014.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Man ger
Attachments

FI'ORM WATER DISCI IAR(. K MJ"1'F{ I'll iSllu)
AMN1'I URINU ltl;i'OK'l'
SA11'll'IA'Q: C( ].AXIC'i FID 1'RJRJNc; CAI,IS,NDAlt YRAlt. 2014
(This al[ntilurini, repm-1 slulll he rec't:irull by Ow 11ivi,sisul uu lafc)• f11,111M ala}'s 1'1-unr
lln: dale 1111! fil ilily receives fltc.S.uulllillf; results I'runl {Lc I:Illllr' ililTy.}
l'Al;ll,l'l'1' I�AiI']1. -r �aN If� 3�11C '_ _ COUNTY
N{;SAM1'l,I+,O_ o_h?n_M ems_ 8t4L�(ielshp� I'Hi.11\;1?Nil.(:33a1�.
{:I+',It'I'Ihl1i:!)1.A1;1}1tA']'(I1tYftiJ���_>'n�j'Sy11� �Iailllt.(pGi4.ra4$ _
I,air 1tC,NA I 11 O 1'1+,it1111'1"1'L, 1, 1►J�'fl( NIi;I+.)
lip fllissigiullIll'c, I cc.rlil'p 111a[ (Ilk rcllurl i,s:rccurnfe
elc Sal tlh; Ilctit. ul' n1p lcumvlral4;e..
1'sirf A: ,i111,:ifir Nlmiilnrinl; I(crluircnu.its
(Jul1':i11 IMIc
No. Saullrle,
Collet'lell
"Total '1'oInI
l'lilly 0 i�rl
FORMA CniP
N t
�rj z _ 3_
�a
b -ted_ PW
__ _run/IIcU1'r
5u�4..f ___-- n3 j?��i�
._Itai111',11]
1111(.; inches
_ N�l� _ 0�2
.�_.q_5O �..`�,-o--S•`$4
r
�1.. 4} -.._
�-.�GG .o-,.oZp }..c
I )iws 116:; Ia[.ilily periurni V(,hido t\I, inlcnancc Aclivitics using 111mrc tllaii 55 gallams of new nu>tm oil 1' ;r nlrinill7 -- ycs ✓ilcl
{if yc;:;, (.1mlplctc fall L')
I''.1r1 f;: 1'cliicic. n'l:linlenanc(' Ac.tivil}' i1'itrr7ilurilrl; Itec uircrrleltls
—
_
{ lnlfall Uatc
Nil_ Si:llllp P
(;rlllcl:Ical
`iU[i511 _
-1 Ul:il Flow� Tolal
01':lilillic,1blc) Etallifidl
00556
ou ii (;irCatia�
(]1'.li)1l].)
Non-Jralln'r --
C1. (:;/'I'f'E1
(i1'letliu[I'1(i(i
8( T-lEI?M). I'
:I
oo 0 )T) 400
ToIld pi'I
Suspended
Suliais
w
-- uru/ilcl/1'r
MG inches
mp l
Ill J unit
-
Nov ]I'i11Sur
OH Us:lgo
OWQ1BOG
I�mm SWU-2d-0621In

�i'I'f71t11'1 h:��l?N'1'f�11111i;A(;'E'I�;ItI,i'I'I{,5;
'1'nl;sl ,{;YCnI 1'rrtci rilaliron f/
]?rent 17nraliun (I)rnsrs):altilli[:ahlt;—sec permit.)
(if 11)(111; 111Iu1 (,nr; ,Is)nn s:lntplc;i)
I',ll;rl I?veerl l'rccil)il;tfiun (int'IIUS
I;vcasl l7nraEinn (Irnurti): --- (only if ai}plicalrle -sec I)erntit.)
Nlail I)r'i�inal :ertt] Urtt'.Copy Itl:
17i vision of, 1' ni.('r (�naiiiy
nili.i: C:cnlral I'ilt:e
I ( 17 Ibluil .icrvicc C.Cnit:r
IZaici�h, Nord) C:nvliu,i 77Gi1t7-1 G 17
"1 rs�rlif:}', nns[cr Irerealf_}nl' lan, drat. Ibis [IsrcttutenE and a]I aftacl)nrenls n'ere prep:rretl tsar er n)p rlirr�cfion r>r superrisirnt in ac[•trrtl:uu_e )}i3
s,}stent tlesi} sser[ Irs assure Ilra[ qualified persunn[l prsrperl} �!;I[]t[;r an[I cv:rluate flu: in1'ar11 :rfirnr snl)nrilfetl. I asrsl un nt inr sri
m Ir'r;nnti �l l)n snan,l c tlrc. sysfesu, ur tltarse persnns tl,ret'11}' respunsil)le fur f alf)er iu� the nfn111a19uu, flee infnrmalir)n Y ini tiff � I1 •t
of my Itnrstitilerlfe nntl In;[icl'. lJ111% ar:rura(e, Mid cun)ir]ele. I sell):mare Llral 11)e.re are Signif cant. penalties iur S[rl11:1tio }. f s } of floc persnn
inr-,luding flit: prtssil)ilily uf' fines ant) inrlrri.5nn)nent fnr knnlrirok vittlalinn,r." [tl is, 1[t Illc Imsf.
}t
of I.r[se iufurin•tlisnl,
�i
nIM
(LA 6 1ZP_S% CS R—Cc.Cn0a J4ki�
uf2

Phone [phone]
Fax [phone]
04111 /2014
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SOO)
Monitoring Report for the period of March 2014.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
.John Myers
Quality Managedp-,.- nAAV�
Attachments
11

STORNIWATN:R DISCHARGE OUTFF LL (SDO)
MONITORING REP(
Permit Numher'NCS_Qn0-2 3 5 SAN'IPLES C t
L.LECI'ED DURING CALENDAR YEAR('Phis monitong; report shall be received by the Division no later than all (lays from
the dale the filcility receives the sampling; results from (he laboratory.)
I
FACILITY NAMU", i.1CRr"1 a COUNTY T�4'410S"
PERSON COI,LEC'rING SANIPLE.(S) 7rohn PHONE ( (a
CL11TIFIED LABORATORY(S) Cllab# S
Lab # (SIGNA URF, OF P . MITTEE OR DESIGNED,)
signature, I certify (hat this report is accurale
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
Ulm
om
Docs this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil p r month? _ yes w
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monilorine Requirements
Outftiil <,` ",
'llat('
50(1511...
11f1556
?:
t1U530
00400
Nil. �`
; Sa(nplej.
Ttital Flow-
'Total
Oil & Grcas(.;
Non polar
'T(it
T
Nelf .Motor e � °
r
�
Rainfall
if appl.)
O&G�I'HCullected
SuslieiSdEd
Utl�Usagi
(Method IG6 17
Solid's
k
'•a1
7"
moldd/ r...
MG .: ' i'
;inches
unit` f ..
t �illmu► _
0
UJ
th
ui
p �
V
q Zp
U J
t1I
0
Of
Form SWU-247-062310
Page 1 of 2

STORM F,VENTCIIARACTERISTICS:
Date 1 QIq
'Total E;veut 1'recipitalion (inches): 0 - 2 rf
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
A'lail Original :uul one copy to:
Division of Water Quality
Aim! Central Files
1617 Mail Service Center
Raleigh, North Carolina 2U99-1617
"1 certify, under penalty of law, that Illis document and all attachments were prepared un er mdirection or supervision in accordance with a
system designed to assure that qualified personnel properly father and evaluate the infi)rn��.Iti4)li-sui)jiiitted. Based on my inquiry (if' tile 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 Ihat there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing; violations."
z ((
'ignatur of �Permi�ttee) (Dat) gczejw—d o144)
Form SWU-247-062310
Page 2 of 2
0

Phone [phone]
Fax [phone]
03/05/2014
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
3440 Denton Road
Thomasville, N.C. 27360
Tier Two Reporting for Formaldehyde. Results received on 02/24/2014.
Reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period starting February 1 st, 2014 and ending
February 28, 2014.
This monitoring report is filed to comply with Tier Two requirements.
This is the Second month of Tier Two sampling requirements.
Please call 336-475-1348, if you have any questions or need additional
information.
Sincerely,
John Myers
Quality Manadll��
Attachments

Permit Number NCS: 000235
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
RECEIVED(This
COLLECTED DURING CALENDAR YEAR 2014
R(This monitoring report shall be received by the Division no later than 30 days from
DEC 10 2014 the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc. CENTRAL. FILES
PERSON COLLECTING SAMPLE(S) MIAIR SEGFIGN
CERTIFIED LABORATORY(S) Lab
Lab #
Part A: Specific Monitoring Requirements
COUNTY: Davidson
PHONE NO. 336 475-1348
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow if app.)
Total
Rainfall
mo/dd/ •r
MG
inches
SW01
No FLOW
(for Tier 2
sampling,
requirements)
November
2014
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activit y Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m l
m l
unit
al/mo -
Form SWU-247, last remised 21212012
Page I of 2

f4'1
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
12/04/2014
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
12/04/2014
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
.Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite. Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of November 2014.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDQ monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myer
Quality Ma )er
Attachments

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: 000235 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc. COUNTY: Davidson
PERSON COLLECTING SAMPLE(S) PHONE NO. [phone]
CERTIFIED LABORATORY(S) Lab #
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if a
Total
Rainfall
molddl r
MG
inches
SW01
No FLOW
(for Tier 2
sampling
requirements)
October 2014
RECEIVED
�+
NOV �� 14
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring: Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
0&GITPH
(Method 1664
SGT-HEM), if
aVVl.
Total
Suspended
Solids '
pH
New Motor
Oil Usage
moldd/yr
MG
inches
m I
mg/1
unit
at/mo
Norm SWU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
11/03/2014
(Signatur of Per ittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]B2
11 /03/2014
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of October 2014.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manag r
Attachments
1

'r
Aro"
Permit Number NCS: 000235
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
RECEIVED
OCT 0 9 2014
CENTRAL FILES
FACILITY NAME: Southern _Resin, Inc. DWR SECTION
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #_
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if a
Total
Rainfall
mo/dd/ r
MG
inches
SWOI
No FLOW
(for Tier 2
sampling
requirements)
September
2014
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ yr
MG
inches
m l
MO
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 276994617
"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."
of Permittee)
10/06/2014
(Date)
Form S WU-247, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
10/06/2014
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate } Nitrite. Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of September 2014.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information_
Sincerely, _ -
John Myers
Quality Mana er
Attachments

S`I'ORMWA'ITER DISCHARGE OUTF
MONITORING REPORT
Permit Number NCS 00 Z 5.
FACILITY NAIVIF.. -�-�L
PERSON COLLECTING SAMPLE(S) 1�
CER'f]FIED 1,Ai3ORA'I'OIZY(S) 4/� 1L�M�_ltb rlC,l,�li1ia�'
Lab #
Part A: Specific Monitoring Requirements
SAMPLES
(This monit+
the date the
('SDO)
LECTED DURING CALENDAR YEAR: Zn4
report shall he received by the DiVisinn no later than 30 days front
ity receives the sampling results from the laboratory.)
COUNTY OAS 1 DSO Ili
PHONE NO. (2�3(�} I
(S GNA' 1JRE OF PTRMITTEE OR DESIGNEE,)
liy ignalure, I certify that this report is accurate
complete to the hest of my knowledge.
Outf 111 t t ,
1�
F�II. �y _ F
f _ :✓t. :;'
al) tf k
[�y�
il`ilmpl[. fir S
:CE►lltcted.
'50050
:•.
;-
.
'I otill r } }
�,
FifIN. Ifaa ]:)";
Ifit 11 .4 t -fi
:. F �s
;R.11nl�lll, �",.,
-.`:i ..'T:)
Pt Pq'A�Ac
... W':
/' � f '.`( 3
V� �.8` ' Lx
��..a; Yas.:4�:..?.
1++J9 j�� tf:
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01
u�r �a��r
n �/'�
O�['2►Q ..
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�M(� <5� :�
'liiches,_�; .� ,.
.a.
rr.
E��r!
#�a.,. `
�Q<5.0
I sob
E."
Dues this facility perform Vchicle Maintenance Activilies using mute than 55 gallons of new motor oil p .r month? _ yes 1_111,
(if ycs, complete Part 13)
Part 13: Vehicle Maintenance Activitv Munitorine Reuuirements
V"-,.14 U %4-1 ILL`
DWQIBOG
OuFtlallL
'..Date'
'SUUSU <�
UU55G
0053U
00400.
;L,.1L
4IInplc ,'
;Tut il�l�lotiti �
1 oO '„" A=
'Oil &. Gre IS[ r
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�To a
^���qi;��'`s � a�' E _ F.- ,{'.fi,. r '�d"�r�
.
-~�
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;(it.ap3Yp_h{.a�ble} .4
r.11
R� .1$+1°L[`rt;V.;�:. 's+'y�-i,Ltr'3��..�^^��; •{'` �
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11!U's1` af
r F h:• f s. r L (
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+.�P:
€ "`t� �
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+ S".
iy
-:t�` � r .',� qre
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1�. �; {n
:` 1 1 ll..v
r it.J
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,. ,., ._ .. �,,.,�
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<sa:.���►`t �"R"{,,�.:
k7i!a.�va`
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Form SWU-247-062310
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 44 -5/ 4
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if inure than one storm event was sampled)
Date
Tolal Event Precipitation (incises):
Event Duration (hours): (only if applicable -- see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central riles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penally of law, that this document and all attachments were prepared un er my direction or supervision in accordance with a
system designed to assure (hat qualified personnel properly gather and evaluate the ijuforn alion submitted. (lased 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."
4 201 Zoirk LLA a &5t4LT-"- RE-C-V d d alvl)
Signatur of Pernih(ce) (Dal )
Form S W U-247-062310
Page 2 of 2

Phone [phone]
Fax [phone]
05/08/2014
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of April 2014.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Ma ger
Attachments
1

S'I'ORNINVA'1'ER DISCHARGE OUl'NALL (SDO)
MONITORING REPORT
Permit Number N(,So0p 13 )
F A(.HTI'Y NAMl? ,=,,,CT "GP, r.1 ��S i t�i � �+.►L -
I'VIISf)N COLLECTING SANIPLE(S)
CERTIFIED LABORATOIn'(S)_ 1.:11)##
Part A: Specific Mimilnring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2-o4-
(This mouituring repur t shall be received by Ilie Division no l:llel' than 30 days from
the date the facility receives the sampling results I'ruul the luhurafury.)
Pf IC � Nf}. (��
(SIC: A'1'URr Oh R
Ills signature, I cthis report is accurate
complete la the best of my knowledge.
(hid"Ill
Date 50050
No.
Sample 'Total
( ullecled lFlow(il'app.)
Vital
Rainfall
lnuldll/Yr [I G
inches
P—r T W
_ —
Ni
1A L F1
I huts Ibis facility pe'l Io In Vehicle N,[;tinlenance Aclivities using more than 55 gallons of new motor nil per month? _ yes _no
61, yrs, complew fall II )
fart It: Vehicle MaintVila lice Activity Monitoring Requirements
0111l'all
No.
Date
Sample
Collected
500511 100556
'Total Flow Total
if applicable) Rainfall
100530 004011
Oil & Grease Non -polar
(if appl.) O&GII'Pll
(Method 1664
if
Illl New Mot0r
Suspended Oil Usage
Solids
11lo/dd/1'
INIG Inches
Ill r/I
ullil al/lni)
Form SWU-247-i1h23 M
I'ay;e I of 2

STORM h;1'k;N'I' (,I Ir�KACI'Gl�i�i'1'ICrS:
I'otal FATIA I'rceipitaIion (hlches):
Event Duration (hours): __ (only if applicable — see hermit.)
{if snow than nnc storm event was sampled)
Dale _
Total Eveal Precipitation {inches):
f;veot Inn-ation (hours): ___ (only irapplic:ahlr,—see hermit)
Mail Original and one copy to:
Division. of Water Quality
Attn: Central files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penally of la►Y, that this document and all attachments Were prepared under my direction or supervision to accordance with a
System Resigned 14) assure that qualified personnel properly gather and evaluate the information submilted. Based on my inquiry of the person
or persims Who m:niage [lie system, or those persons directly responsible for gathering the information, the information submitted is, to the hest
of iuy knowledge and belief, Irue, accurate, and complete. f ani aware that there are significant penalties for submitting false information,
including the possibility of tines and imprisonment for knowing violations."
(Signature of Peroliltee} {Ikttel
Form S%VIJ-247-06'La 10
Page 2 of
Y

Phone [phone]
Fax [phone]
06/02/2014
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of May 2014.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John My s
Quality Ma
Attachments
1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: 000235
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if a
Total
Rainfall
mo/dd1 r
MG
inches
SWOT
No FLOW
(for Tier 2
sampling
re uirements
December
2014
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
molddl r
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

r
STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
ignaturl of Permittee)
1/07/2015
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
01 /04/2015
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
svCv� ���.uSlo
RECEIVED
JAN 12 2Q15
CENTRAL FILES
DWR SECTION
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite Nitrogen,. (Beginning date. 03/2014)
Tier Two reporting requirement for Stormwater permit #NC000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of December 2014.
No sample was collected due to insufficient rainfall and no discharge from the
outfall during this period. The SDO monitoring report is filed to comply with
Tier Two requirements.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
,John Myers
Quality Mana r
Attachments
1

z � - STORMWATER DISCHARGE OUTFALL (SDO)
* MONITORING REPORT
Permit Number NCSi 00023& SAMPLES COLLECTED DURING CALENDAR YEAR: 2014-..
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
COUNTY: Davidson
PHONE NO. [phone]
RECEIVED
® SIGNATURE OF PERMITTEE OR DESIGNEE
11 l� REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements MAR 11
2015
coma
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if a
Total D
Rainfall
�� de
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/l
mg/I
mg/1
mg/l
mg/1
mg/]
Std
units
SWOT
02/25/2015
0.2
4.68
97.0
0.589
0.787
4.49
<10
6.0
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
ap1.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
inches
mg/l
mg/1
unit
al/mo
Form SWU-247, last remised 21212012
Page i of 2

-,STORM EVENT CHARACTERISTICS:
i --,
Date 02/25/2015
Total Event Precipitation (inches): 0.2
Event Duration (hours): (only if applicable -- see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
3/9/2015
Signatu of Permittee) I (Date)
Form SWU-24',, last revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
04/06/2017
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, NC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NCS000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of March 2017.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Mye
Quality Mader
Attachments:
1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCs000235 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
COUNTY : Davidson
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if a .)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
mo/dd/yr
MG
inches
mg/l
mg/l
mg/l
mg/1
mg/l
mg/1
Sid
units
SWO1
03/27/2017
0.5 10.808
47
0.104 11.12
2.20
0.027
17.0
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? — yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
PH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
gallmo
Form SWU-247, last revised 21212012
Page I of 2

-STORM EVENT CHARACTERISTICS:
Date 03/27/2017
Total Event Precipitation (inches): 0.5
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
16t7 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Date): (3/27/2017-pulled)
Form SWU-247, last revised 2/22012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS: NCS000235 SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc.
PERSON COLLECTING SAMPLE(S) John Myers
CERTIFIED LABORATORY(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
COUNTY : Davidson
P14ONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
'Zinc
pH
mo/dd/yr
MG
inches
mg/I
mg/I
mg/I
mg/I
mg/l
mg/I
std
units
Swat
NO FLOW
(for Tier 2
sampling
requirements)
January 2017
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
4111556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised 2/2/2012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-t617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Si aturc o Permittee) (Date): 02/09/2017
Form SWU-247, last revised 2122012
Page 2 of 2

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STORM EVENT CHARACTERISTICS:
Date 08/21/2015
Total Event Precipitation (inches): 0.5
went Duration (hours); (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
9/16/2015
(Sig" o Permittee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

1+1e3 coo g_S
Phone [phone]
Fax [phone]
02/15/2016
Division of Water Quality
Central Files
450 West Hanes Mills Road
Winston Salem, NC, 27105
Subject:
Reporting requirement for Stormwater permit #NC000235
3440 Denton Road
Thomasville, N.C. 27360
NC Department of
Environmental Quality
Received
FEB 17 2016
Winston-Salem
Regional Office
As required by our permit, please find attached to this correspondence, a copy
of the Annual Summary Data Monitoring Report for the calendar year 2015.
Please call 336-475-1348, if you have any questions or need additional
information.
Sincerely,
John Myers
Quality Man er
Attachments
1

40,
Phone [phone]
Fax [phone]
03/05/2014
Division of Water Quality
Attn: DWQ Regional Office Supervisor
585 Waughtown Street
Winston Salem, NC 27107
Attn: DWQ Regional Office Supervisor
3440 Denton Road
Thomasville, N.C. 27360
rRCEIVEQ
N.G. Dept. of ENR
MAR 0 6 2014
{ NVINSTON-SALEM
REGIONAL OFFICE
Subject:
Formaldehyde and Nitrate + Nitrite, Nitrogen are outside the benchmark range from
the same outfall on four occasions total, during our current permit that expires on
10/1/2015. Lab results received on 02/24/2014.
Formaldehyde is currently in Tier Two, Nitrate + Nitrite, Nitrogen begins Tier Two in
March 2014.
Reporting requirement for Stormwater permit #NC000235
Results
nitrate + nitrite, nitrogen
k r P,ara
—:_HCHO ` :_ _- _;',_
NOS + NOs- N
Units
m9A. J.
m A -
Sencttirriark
49 -
0.68`
1 st half of 2011
1.120
0.828
2nd half of 2011
0.206
0.478
list half of 2012
0.483
1.980
2nd half of 2012
0.442
0.165
1 st half of 2013
0,715
0.350
2nd,half of 2013.
0.792
1.050
January of 2014
No FLOW
February of 2014
0.646
1.430
This report is filed to comply with the permit requirements.
Please call 336-475-1348, or email: [e-mail], if you have any
questions or need additional information.
Sincerely,
John Myers
Quality Manag
0i

r , i
Phone [phone]
Fax [phone]
02/03/2014
Division of Water Quality
Central Files
585 Waughtown Street
Winston Salem, NC, 27107
Subject:
Reporting requirement for Stormwater permit #NC000235
3440 Denton Road
Thomasville, N.C. 27360
RECEIVER
N.C.Dept. of ENR
FEB 12 2014
Winston-Salem
Regional Office
As required by our permit, please find attached to this correspondence, a copy
of the Storm Discharge Outfall (SDO) Annual Summary Data Monitoring
Report (DMR) for the calendar year 2013.
Please call 336-475-1348, if you have any questions or need additional
information.
Sincerely,
John Myers
Quality Manag r
Attachments

i
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year
1
Individual NPDES Permit No. NCS 000235 or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year is due
to the DWQ Regional office no later than March I" of the following year.
Facility Name: Southern Resin, Inc
County: Davidson
Phone Number: [phone] Total no.
of SDOs monitored
Outfall No. 0�
Is this outfall currently in Tier 2 (monitored monthly)?
Yes ❑ No [�
Was this outfall ever in Tier 2 (monitored monthly) during tl
a 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)'
'
i'
'Total--
=
:,
,Chemical
Oxygen
Ammonia
Nit
I
Nitrate +
Nitrite,
Total
Zinc
s,
;E tY k
=Rainfall;,
Formaldehyde
mg1L
.,Demand
(N
ogen
Nitrogenf
Kjeldahl
:Nitrogen
7 Total E
mglL,
pH
Acute Tox1city''
L r
finches, t
.
(COD).
rng(Lj:m
a-N)'
(NOS+NOZ N)
(TKN) mg1L
„
ti!
m IL
1L
Benchmark
"N/A
0.49
120
7.2
....0.68
20
0.126
6-9
100
SampleCollected,.
01-11�i
- 4 ;�'Date
Nt;"
t
mmlddlyy
,
0 4
O
0415
(0
a22S
o • 3S0
A .
o . ou.
10020
t2 0 012
0.
.0
•4to
.O%
cam.
'ii
N Lit
LO l
ttO
N
SWU-264-Generic-251Vlay2010

I certify, under penalty of law, that this document and all attachments were pi eparp.d;under my direction or supervision in accordance with a
system designed to'assure that quaiified 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 submit#ed is, to'the
best of my -knowledge' and belief, true, accurate, and complete. Lam aware ,that there are significant penalties for submitting'false information,
includirig'the possibility of fines and imprisonment for knowing violations."
Signat
Date
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
A51-FEVII U�I2[sG101VA`11OOFwI+'CC1��
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
F aTEVII LCUEGFONAL,'OI+ITP
225 Green Street
ystel 13uildint; Suite 714
Fayetteville, NC 29301-5043
1 [phone]
9473 Washington Square Mall
Washington, NC 27889
[phone]
C_I NTRALOI+F+ICE -
11617 Mail Service Center
Raleigh, NC 27699-1617
(919) 807-600
n
610 Fast Center AVelllre/St1i1C 301
Mooresville, NC 28115
[phone]
WIf]V INCTON;RI Ci�NA'h'UhFICL}
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
F .. "7o preserve; profecf
and enhance
�,lUni�h:C'arrifir�a'c ,vafar
SW U-264-Generic-25May2010

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year I US
Individual NPDES Permit No, NCS000235 Environmental Quality
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑ Received
FEB 17 2016
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Winston-Salem
Facility Name: Southern Resin, Inc. Regional Office
County: Davidson
Phone Number: (336-475-1348) Total no. of SDOs monitored : 1
Outfall No. SW01
Is this outfall currently in Tier 2 (monitored monthly)? Yes X No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes X 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
Parameter, (units)
Chemical
Ammonia
Nitrate +
Nitrite
Total
Kjeldahl
Zinc, Total
pH
Acute Toxicity
Total
Rainfall,
Formaldehyde
Oxygen
Nitrogen
Nitrogen
Nitrogen
inches
Demand (COD)
(NH3-N)
(NO3+NO2-N)
TKN
Benchmark
N/A
0.49 mg/L
120 mg/L
7.2
1 0.B8 mg/L
20 mg/L
0.126 mg/L
6-9
100
Date Sample
Collected,
N3.24
mm/ddlyy
01/13/2015
0.3
86
0.904
0.633
4.51
0.018
6.0
---- -- --- ---
02/25/2015
0.2
4.68
97
0.589
.78
4.49
<10
6.0
-------------
03/27/2015
0.5
6.43
98
0.896
0.
10.2
0.012
6.4
-------------
04130/2015
0.2
2.46
57
< 0.10
0.665
2.78
0.028
6.7
100% (Pass)
May 2015
No flow
I-------------
-______-
___
_________
________
SWU-264 - Generic Annual DMR
Last revised 511712013

June2015
No flow
----------------
-- ----- --------
----- ----- -------
---------- --------
----------- -----
July2015
No flow
-- ------ ----
--------------
-----------------
---------------
----- ----
-----------------
-------------_—_
-------_----
08/2112015
0.5
2.32
82
0.276
0.680
5.08
0.032
7.2
--------------
September
2015
No flow
---------------
--------------
-------
10/05/2015
0.2
1. 3
84
0.473
1.18
5.24
0.051
6.4
------ --- -----
1111012015
.1
11.53
66
1.73
6
4.18
0.031
6.0---
---�—__-
12117/2015
0.350
63
0.187
2.1
2.74
0.022
6.0
—_---
Additional Ou1fall Attachment
Outfall No.
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 ❑
SWU-264 - Generic Annual DMR
Last revised 511712013

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
Date: 02/15/201
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
. 585 Waughtown Street
Winston-Salem, NC 27107
[phone]
TWEVILLE REGIONAL OFF
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
dOORESVILLE REGIONAL OFFICI
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
"To preserve, protect
and enhance
Nodih Camtr'na's wafer..."
SWU-264 - Generic Annual DMR
Last revised 5/17/2093

Appendix G
Contaminant control areas
Weekly inspection
/0
Date initiated for
Leaks detected
If leak detected
Area clear of
Pit or Dyke Full
inspections to
fix immediately
trash & buckets.
Notified? Date
YES
NO
begin FEB 2014
Notified? Date
Lids on and
and Time.
and Time
secure
Record in Drainage log
Strip Water dyke
and totes (behind
catalyst building)
Upper pit water
tank (near
smoking area
Lower pit water
tank (behind ketone
mixing area)
Product Pump
dyke area
(behind kettles)
Urea pad area at
OF resin kettles
Boiler Water pit
and totes at
Catalyst building
Totes storage
next to truck
parking (back lot)
Tote storage
next to catalyst
building
RB-1172 dyke
Used tote area
behind polymer
plant
I have inspected the above items and affirm the information provided above to be true and
accurate.
Signature:
Revised 3/23/2014

Division of Water Quality
585 Waughtown Street
Winston Salem, NC 27107
Attention: Central Files
Subject: Reporting requirement for Storm water Permit Number NCS000235
To Whom It May Concern:
F ,11
Phone [phone] Denton Road
Fax [phone] Thomasville, N.C. 27360
N.C.bept. of ENR
February 1, 2012 FEB 0 3 2012
Winston-saiem
Re Tonal Of 6
As required by our permit, please find attached to this correspondence, a copy of the Storm
Discharge Dutfall (SDQ) Annual Summary Data Monitoring Report (DMR) for calendar year 2011.
Please give me a call at [phone] if you have questions or need additional information.
Sincerely
6 Martin Lowry,
Plant Manager
Attachment

1
STORMWATER DISCHARGE OUTFAL, L (SDO) ,
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year a0il
Individual NPDES Permit No. NCS 000235 or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1" of the following year.
Facility Name: Southern Resin, Inc
County: Davidson
Phone Number: [phone] Total no. of SDOs monitored
Outfall No. (�
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No E-'
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 ❑ �i
Received approval from DWQ to reduce monitoring frequency ❑
Other ElWas this SDO monitored because of vehicle maintenance activities? i Yes ❑ No
..rr v el :c'xe7^'
E.,�. �_�. �
., �,�.;..y.:.
.i'
F i"
�; ��
p r AL! y v: `e:= k nC" µs r-: eta "r f ..,r, •. r.N -,,�.. � �, Far. `��,r .f , _.
,� s�: 7� t� , '„ � a:� � •,:�' �f �w 9i z,:�, g :�4� ;"R �. �'I�"�"r „� t,€r � ,y t �� �:•� �M
�'�.. _.:�l�R�l=:. `S.L��,�?`i:,��;���.� �1:{•�_�,:� a Parameter, (ynit_?:��. � _� a �. ,a,a.,�;� "�. �i°�._.�.>."�:t�,,Fk��..
'ii`
r
b;"'s ,;�-• .;;,� � :�
�'��i�i��s
.h n
a„ z
a
�J
: a�mr t��'
::
inches
{�,: ';
;i'
`. {
m."`f°
'`"�,i
�x�
ti)yg
;{
m I� "„
!.4 H
E ',
i"
��! ttt
-� .� is F`,:f
.. ,.. �, -- nl
't^ ;.P
t�Cherriical,:
=r� F`=±NitC
ean',�
:5t=.t:'re-:IDr t �. 1
�•i: :"2i
(COD),
t..+4 . aA
4.,. ;
a -:7 -
,„� m `II-`.ru°'..
4 `Vke ,i-Ka^
�,�-a�'�:.k��°
A...... ;{
�:�-,�,.:�;
en..F
rrPg W;r�
f,s1`�i
N,��' N
}r.u.itC� ..
G
j22 (] l~
p,s;*.-'Y ®, "lr '�'
�..
V�.- i.- ��. -.
.3 .
� .'Nlitrate +�
F� �
`: `'
w,;> .,. n s
.Nitro en r, ;
r.cs 4 -
�
( O` rNO F`V.1.) s+
.. rvi$. �R• �, ? d�; ,�_:
r� e' 1i F
3:."�Fm Ik,.�. ,� -
is • �' `F'
. •�� �,..,i
Total a
'i a lah
Kj 1A �
+ �,•.�•�(�
/N o e
'. �.�le� G�' .��� �
.'
�N knlrylL
,( i�..,,�,�. +-�c, _.�F ;.
,.�: ,....:.
a C
RF 'f1L - _Iie•3'. r
r,,,�
4: �1, �
� 'r €
� �
t,$ ~Zinc >:Total
'
It_ i�r
#t f� f!_ j�`9�. ���:$�i
S b `'r y.s.,.j.'
t . k,
d` C 's,.;i,3 r
F,��;g :. ,... $$�: �g..�'r
8 E3e f
` a
,: {"••,
r tF:
, , t ,
,.. "
,�-�Formalciee_
° € .9tteToxiana
'
4y �� �Q" "S,fl,}. `'�
r�
,�i:, rid
��i
1�,'
.. �F�,l
'P_i. • :'�'R*•''qi
,
floi
r�-# i..,oT
/ u,
7
1. Sih
Benchmark
.,.
N///�10:49
.�'4
_;: .... ..... :..n'i�f:�i.
120`I
,€i€:t:i-..-„ .. .y.i,.�'�.-
7.2`t 1 _.,,
I ;., +,,tH..., ld.}1
r II0.68
,-11..Il1'. '€., i-! -„1
`x''20� a
�:1ylJ''#:�€. (�- -
' , O:a9'26:`-,�,
�Pw � l .:t fi�fr:
` a.., € i 8 9
t��s:�..1.+.,:, :: ;,,.:»
i.€ ,'.?-- 0€r,
,UDateSamPle
€.
I'
-g,
r',;
''I �k FH
1:�
�„j
r. 4ۥ
a-
1 5 �
sr E
— I � © fi-
V 4 �'
.�
V r 1 ''%' �
, q—
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It r
1 , 6
0 -'-AL
111)9
0 ., 47
,DV-7
-7 . *;t, •
i 0n0;FQ r1R,:0
SWU-264-Generic-25May201 0

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, t//u� , accurate, and complete. I am aware that there are significant penalties for submittirig false information,
including the possibility of fines ar dAimprisonment for knowing violations."
Signatur
Date a i Z
UVVQ Regional Unite ug mact intorma
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Mail Annual DMR Summary Reports'to:
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
610 East Center Avenue/Suite 301
Mooresville, NC 28115
(704) 663-1.699
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
i
SWU-264-Generic-25May2010

Jc
Phone [phone]
Fax [phone]
February 6, 2013
Division of Water Quality
585 Waughtown Street
Winston Salem, NC 27107
Subject: Reporting requirement for Storm water Permit Number NCS000235
3440 Denton Road
Thomasville, N.C. 27360
RECEIVED
N.C. Dept. of ENR
FEB 11 2013
Winston-Salem
Regional Office
To Whom It May Concern:
As required by our permit, please find attached to this correspondence, a copy of the Storm
Discharge Outfall (SDO) Annual Summary Data Monitoring Report (DMR) for calendar year 2012.
Please give me a call at [phone] if you have questions or need additional information.
Sincerely
Martin Lowry,
Plant Manager
Attachment

.. y.
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year C> i
Individuai•NPDES Permit No. NCS 000235 or
Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑
This monitoring report summary of the calendar year is due to the DWQ Regional Office no later than March 1st of the following year.
I
Facility Name: Southern Resin, Inc
County: Davidson
Prone Number: [phone] Total no. of SDOs monitored
Outfall NOV I
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 10"
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No [vr
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
'
S
-'i: _ -ie �f�
... �;t-
,-[$���;:�. � _�� 1' ��•
�•�"}�. '��i ".T/
T��I. r��.
�� �,v=�
7 - �. �-
�►. :Chemical"�
ete
� ,y., �'r,r i. f.s :�� ._.•-
';s��>?�:�r:���:w� :Nitrate �• Fr,"�
a �'. x 1,i9.-. [.;i•. 7 �. •�.,
, � �. r i'�
,�.� '
yv L "Fc acre a;l'
:�f�i�a:�. �:.��r�,€ •�_�t
rrs '�' i2 n 'Stir rY�, i..
t
€€
:.r + • :r �.t
1.
Total ' -
' Formaldehyde,k
rRainfall; wKx
,.Tgmmonia;r'
�0xygen r
t
Demand
�_ �:•
IVitrite,�' r,;
x iNitro en,.: i ,a+:=� k.
it " i 9� ld�tro en
Total'1 :i`
rt
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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 fine ar d imprisonment for knowing violations."
S i g n a t u e r
Date 911, 1!�?, O
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
SWU-264-Generic-25May2010

• • •
RECEIVED
N.C. Don[. of Ey°
STORMWATER DISCHARGE OUTFALL (SDO) FEB 2 5 2011
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year -40kt RNpLrA--9r
Regigna: n- c':
Individual NPDES Permit No
Certificate of Coverage (CO(
This monitoring report
Facility Name: S
County: ttu i
Phone Number: (3'
Outfall No. -It- ;L_
Is this outfall currently in T
Was this outfall ever in Tiel
If this outfall was in Tier 2 1
Enough consecutive
Received approval fr(
Other
or
No. NC
of the calendar year Is due to the DWO Regional Office no later than March Is'of the following year.
Total no. of SDOs monitored
or 2 (monitored monthly)?
2 (monitored monthly) during the past year?
ist year, why was monthly monitoring discontinued?
amples below benchmarks to decrease frequency ❑
I DWO to reduce monitoring frequency ❑
Was this SDO monitored b4cause of vehicle maintenance activities?
Yes ❑
Yes ❑
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Outfall No.
Is this outfall currently in Ti r r 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 I st year, why was monthly monitoring discontinued?
Enough consecutive s ,mples below benchmarks to decrease frequency ❑
Received approval fro . DWQ to reduce monitoring frequency ❑
Other ' ❑
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Total
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Date Sample
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SW U-264-Generic-25May2010

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 t Iat qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the ystem, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, tr e, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines an imprisonment for knowing violations."
ArEil�Signatu
Date 2 at
Mail Annual DMR Summary Reports to:
DWo Reaiona[ Office Contact nformation:
ASHTyI[,I,
AI;GIONAI, OFFICE
FAygLi L�yILLE AEGIONAI „' N 10E
kIP , gFSVIL[TEI[ZFGI0 �11�;OI_FLCI;
2090
S Hil;hway 70
225 Green Street
610 East Center Avenue/Suite 301
Swanna
iioa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
(82
) 296-4500
Fayetteville, NC 28301-5043
1 [phone]
RALI.I - ij, L EGIC) Q N
3800 Barrett Drive
Ralei h, NC 27609
(9 I)) 791-4200
WINSTON=SAL 7-WRI+G[ONAL OFFICI_+,
585 Waughtown Street
Winston-Salem, NC 27107
(33 ) 771-5000
[phone]
943 Washington Square Mail
Washington, NC 27889
[phone]
CEN FRAIF, OI�,FIC.
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
WiLMJNG.TON61tEGIONA[ OFI{IGG
127 Cardinal Drive Extcnsion
Wilmington, NC 28405-2845
[phone]
'7oproserve. protect 1
ItDillC1 . and ew)ance
i
No,th Carofirra s water.." '
SW U-264-Generic-25May20) 0

(pea 3 s
Carter, Jenifer
From: Francies, Gary
Sent: Tuesday, October 12, 2010 10:44 AM
To: [e-mail]
Cc: Carter, Jenifer
Subject: Certification for pH analysis
Attachments: GUIDELINES FOR FIELD ANALYSIS OF pH 07-2010.doc
Martin
I talked to Jenifer and she agrees that you do not have to obtain certification from us. I think the confusion arose over
the difference between the requirement to use an EPA approved method and meeting EPA holding times (the 15
minutes) and actually being certified by us. Attached is the guidance document that outlines the procedures and
documentation that is required. Below is the link to the stormwater web site's frequently asked questions that explains
this.
http://Portal.ncdenr.org/web/wq/ws/su/faq#Do SW Samples Need CertifiedLab
After you go through the guidance document if you have any questions do not hesitate to contact me.
Thanks
Gary
Note: Nly email address has changed to gary. franc iesa,ncderingov_
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Gary Francies - Gary. [e-mail]
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Water Quality - Laboratory Certification
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]

Mr. Allen Grubb
Southern Resin, Inc.
Permit No, NCS000235
2. Additional requirements for the Stormwater Management Plan have been specified in Part II Section A.
More details regarding secondary containment are provided.
3. Additional requirements for the Stormwater Pollution Prevention Plan have been specified in Part II
Section A. The plan must also be updated annually to include a list of significant spills and to certify
that the outfalls do not contain non-stormwater discharges.
4. The facility must now implement a semi-annual Facility Inspection Program of the site's stormwater
management controls as specified in Part II Section A.
Please submit any comments to my attention no later than thirty (30) days following your receipt of the
draft. If no adverse comments are received from the public or the permittee, this permit will likely be
issued within two months.
If you have any questions or comments concerning this draft permit, feel free to contact me at (919) 807-
6365 or [e-mail].
cc: Winston-Salem Regional Office, Jenifer Carter
Stormwater Permitting Unit
Sincerely,
Cory sen
Environmental Engineer
Stormwater Permitting Unit
2

'�
�w.w,rw w�.w
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Allen Grubb
Southern P.e11n, Inc.
3440 Denton Road
Thomasville, North Carolina 27360
Dear Mr. Grubb:
Division of Water Quality
Coleen H. Sullins
Director
August 19, 2010
Subject: bra .DES Stormwater Permit
ermit No. NC5000235
Southern Resin, Inc.
Davidson County
r2CC�iv� -
AUG z 5 2010
winston-Sa„
Regional ofriee
Dee Freeman
Secretary
44,_.1111
Enclosed with this letter is a copy of the draft stormwater permit for your facility. Please review�he draft
carefully to ensure thorough understanding of the conditions and requirements it contains.
The draft permit contains a number of changes from this facility's current permit including but not limited to:
Analytical monitoring changes:
1. Monitoring parameters Zinc (total) and Acute Toxicity have been added to this permit. Zinc was added
based on its use onsite as zinc stearate and recommendation for testing by EPA's Multi -Sector General
Permit. Acute toxicity monitoring has been added on an annual basis and is included to help evaluate
the effectiveness of this facilities' Stormwater Pollution Prevention Plan and to help protect Hamby
Creek from further impairment due to chemical runoff.
2. A tiered response system been added to this draft permit. Exceedances of benchmark values require
the permittee to increase monitoring, increase management actions, increase record keeping, and/or
install stormwater Best Management Practices (BMPs) in a tiered program.
3. All analytical and qualitative monitoring samples must be collected during representative storm events
as defined in Part II Section B.
4. Vehicle maintenance monitoring, if required, requires the collection of Non -polar oil & grease / TPH
rather than conventional oil & grease with a revised benchmark value of 15 mg/L. This requirement
appears in all Individual stormwater permits; however it only applies to facilities that perform vehicle
maintenance.
5. An annual DMR summary is due to the Regional Office by March 1 of each year.
Other permit changes:
1. Additional guidance is provided about the Site Plan requirements. The site map must now identify if
the receiving _traam is impaired and if it has a TMDL established. It must also describe potential
pollutants in each outfall. The map requirements are stated more explicitly. And, the site plan must
con�ai ,. !ist of slonUicant spills that have occurred in the past three years and also must certify that
the,outfalls have been inspected to ensure that they do not contain non-stormwater discharges.
Additional information is provided in Part II Section A.
wetlands and Stormwater Branch One
1617 Mail Seiviee Center, Raleigh, North Carolina 27699-1617 North Carolina
Location: 512 N: Salisbury St. Raleigh. North Carolina 27604
Phone: [phone] FAX: [phone] V Customer Service: 1-877-623-674B / antral! /
Internet: www,irmaterqualay.org L�
An Equal Oppartundy 1 Aftumalive Action Employer

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a �.

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality RECEIvz:C - - -
Beverly Eaves Perdue Coleen H. Sullins N.G. Dept,-;: =NR
Governor Director
PEAR '119 2010
March 16, 2010 Winston-Salem
Regional office
Jack Temple
Southern Resin incorporated
PO Box 536
Hickory, NC 28603
Subject: NPDES Stormwater Permit Coverage Renewal
Southern Resin Incorporated
Permit Number NCS000235
Davidson County
Dear Permittee:
Dee Freeman
Secretary
Your facility is currently covered for stormwater discharge under NPDES Permit NC5000235. This
permit expires on November 30, 2010. To assure consideration for continued coverage under your
individual permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit.
Enclosed you will find an individual permit Renewal Application Form, Supplemental Information
request, and Stormwater Pollution Prevention Plan Certification for your facility.
Filing the application form along with the requested supplemental information will constitute your
application for renewal of this permit. Until your permit renewal is completed and you receive a new
permit, please continue to comply with all conditions and monitoring requirements in your expired
NPDES stormwater permit.
The application and supplement must be completed and returned to DWQ by June 1, 2010. Failure to
request renewal within this time period will result in delay of your permit renewal and may result in a
civil assessment. Discharge of stormwater from your facility without coverage under a valid
stormwater NPDES permit would constitute a violation of NCGS 143-215.1 and could result in
assessments of civil penalties of up to $25,000 per day.
If you have any questions regarding permit renewal procedures please contact Brian Lowther of the
Stormwater Permitting Unit at (919)-807-6368 or [e-mail].
Sincerely,
Bradley Bennett, Supervisor
Stormwater Permitting Unit
Cc: Central Files
SPU Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699.1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.newaterquality.org
An Equal Opportunity 1 AllirrnMve Adan Employer
NorthCarolina
Naturally

�,F 1h ArFq, Permit Coverage
Renewal Application Form
�T National Pollutant Discharge Elimination System Permit Number
Stormwater Discharge Permit NC5000235
The following is the information currently in our database for your facility. Please review this information carefully and
make all corrections/.additions as necessary in the space provided to the right of the current information.
Owner Affiliation Information
Owner / Organization Name:
Owner Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
* Reissued Permit will be mailed to the owner address
Southern Resin Incorporated
Jack Temple
PO Box 536
Hickory, NC 28603
828 322-6512
Facility/Permit Contact Information
Facility Name: Southern Resin Incorporated
Facility Physical Address: 3440 Denton Rd
Thomasville, NC 27360
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Discharae Information
Receiving Stream:
Stream Class:
Basin:
Sub -Basin:
Number of Outfails:
Hamby Creek
Yadkin River Basin
03-07-07
Impaired Waters/TMDL
Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know
( for information on these waters refer to http.//h2o.enr.state.nc.us/su/Impaired Waters TMDL/ )
CERTIFICATION
certify that I am familiar with the information contained in the application arid that to the best of my knowledge and
belief such information is true, complete and accurate.
Signature
Print or type name of person signing above
Dace
Title
Please return this completed renewal application form to: Stormwater Permitting Unit
Attn: Brian Lowther
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

7
., STORMWATER DISCHARGE OUTFALL (SDO) %
MONITORING REPORT
Permit Number NCS: 00023F � L E FV SAMPLES COLLECTED DURING CALENDAR YEAR: ,Z
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Southern Resin, Inc. COUNTY: Davidson
PERSON COLLECTING SAMPLE(S)John Myers RECEIVE® PHONE NO. 336 475-1348
CERTIFIED LABORATORV(S) Research and Analytical Labs Lab #803026
Part A: Specific Monitoring Requirements
NOV 0 5 1015
SIGNATURE OF PERMITTEE OR DESIGNEE
CENTRAL FILE REQUIRED ON PAGE 2.
DWR SECTIO
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if a
Total
Rainfall
Formaldehyde
COD
NH3 - N
NO2 + NO3
TKN
Zinc
pH
molddlyr
MG
inches
mg/1
mg/l
mg/I
mg/l
mg/I
mg/I
Std
units
SWOI
10/05/2015
0.2
1.93
84
0.473
1.18
5.24
0.051
6.4
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
0&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ yr
MG
inches
m
m
unit
al/mo
Form SWU-247, last revised?/212012
Page 1 of 2

J
STORM EVEIT CHARACTERISTICS:
Date 08121/2015
Total Event Precipitation (inches): 0.2
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 arc significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Si afore Permittee)
10/29/2015 (results received on 10/23/2015)
(Date)
Fonn SWU-247, lost revised 21212012
Page 2 of 2

Phone [phone]
Fax [phone]
10/29/2015
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, INC, 27699-1617
Subject:
-Tier Two Reporting for Formaldehyde. (Beginning date: 01/2014)
3440 Denton Road
Thomasville, N.C. 27360
-Tier Two Reporting for Nitrate + Nitrite, Nitrogen. (Beginning date: 03/2014)
Tier Two reporting requirement for Stormwater permit #NCS000235
Attached is one original and one copy of the Storm Discharge Outfall (SDO)
Monitoring Report for the period of October 2015.
Please call 336-475-1348, or email: [e-mail], if you have
any questions or need additional information.
Sincerely,
John Myers
Quality Manage
Attachments: