NCG060375_MONITORING INFO_20190506

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV U&p 3 7 S
DOC TYPE
❑HISTORICAL FILE
1� MONITORING REPORTS
DOC DATE
❑ do/ y T)Sa (�
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT pC
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG0CElVICc
06 D
Date submitted
CERTIFICATE OF COVERAGE NO. NCGO6 0 3 7 5
FACILITY NAME Dole Fresh vegetables, Inc.
COUNTY Gaston
PERSON COLLECTING SAMPLES Mike Long
LABORATORY PAR Laboratories, Inc._ Lab Cert. # 20
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
MAY P 6 2919
CI N+RAL FILES
DWR SECTION
SAMPLE PERIOD ❑■ Jan -June ❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout , ❑PNA
❑Zero -flaw ❑Water Supply ❑SA
❑■ Other c
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 1.86 or n No discharge this oerlod3
Outfall No.
Date Sample
Collected,. ma/dd/yr.
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
-
100 or 50'
Within 6.0— 9.0
120
30
10001
5001
Parameter Code
C0530
00400
00340
00556
31616
61211
01
04/05/19
23
6.6
29
< 5.9
02
04/05/19
54
6.62
49
< 6.2
03
04/05/19
53
6.47
31
7.0
04
04/05/19
11
6.53
40
< 6.6
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ❑� no (ifyes, complete Part B)
Permit Date; 11/1/2018-05/31/2021 5WU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches z
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
PetroleumEHydrocarbons
Total Suspended Solids
Benchmarks.
-
- `-
-
15 mg/L
100 mg/L or 50 mg/L^
Parameter Code
-
46529
NCOIL
00552
COS30
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the fah results (or at end of monitoring period in the case
o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the.posSsibility offf roes and
imprisonment for knowing violations."
re owerm
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

PA.FZ
w9Lri
LABORATORIES, INC
Shipping:
Z217 Graham Park Drive
Charlotte,- NC 28273
CHAIN OF CUSTODY
Phone [phone]
Fax [phone]
Mailing:
PO Box 411483
Charlotte, NC 28241-1483
It m euwtw that ad inforr adon be recorded on this Chan d Custody document for raxeptaace by FAR Laboretndes, Inc. and the North
Carina fitment of EnV anmmAW and Nahnid ^------ I
Company Hama (billing)
Commerrtsl Special Instructions
Flow (xt000)
DOLE FRESH VEGETABLES
Address
Start
220 Southridge Pkwy.
End
pH =
City, State a zip code
Bessemer City, NC 28016
Chlodne =
Point of Contact 5 Teteptwtte Number
Mike Long(704)685-0737
Sample
Takers By: SIGNATURE
ARE SAMPLES FOR STATE or EPA REPORTING? YES t/ 140
'Sample Type: ow ww Gwlbrw Hw r soil ottwr ./fri7r✓
Sample Temp at time of sampling: ° C Sample Temp upon receipt: ° C
"Fleld Preserved: Yes _No _Teflon Liner/Zero Headspace: Yes _No _ We
Residual Chlorine checked at time of sampling (Y& Dechloonation Necessary (Y®t
t Sample I.D.
Sample Location f Number)
Cramp
Grab
Proserv.
Set Up
Datornme
CA*e0W
Da2diime
Analyses.
Requested
4- f le'e� ll
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it r copl 49; peAle
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Manituong Well I-W=Hazardous Waste

PAR
PROMPT -ACCURATE -RE LI ABLE
LABORATORIES, INC
► N%'%V.PARLA8S.CO.%I
REPORT OF ANALYSES
Attu: MIKE LONG
DOLT? FRESH VEC:ETAfsLES
220 SOUTHRIDGE PKWY
BESSEMER CITY, NC 2801 Fi-
PROJECT ;TAME: APR 19
DATE: 04112/19
SAMPLE NUMBER- 135495
SAMPLE !D- DOLE OUTFALI, i
SAMPLE MATRIX- WW
DATE SAMPLED- 04/05!19
TIME SAMPLED- 1045
DATE RECEIVED- 04/05/19
SAMPLER- HL
RECEIVED BY- DJ
TIME RECEIVED- 1240
DELIVERED BY- TS
TYPE SAMPLE- Grab
Page 1 of 4
ANALYSIS
ANALYSIS
METHOD
DATE
TIi E
BY
RESULT UNITS
pH VALUE
SM 450UH4B
04/05/19
1245
DJ
6.60 units
CHEM.OXY.DEMAND
EPA 410.4
04/08/19
1240
CT
29 jag/L
OIL & GREASE
EPA 1664
04/09/19
1240
C='
< 5.9 mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
04/08/19
OS15
DJ
23 mg/L
'
LABORATORY
DIRECTOR
i �--�
`—:,✓1`-� .. � 4�
2217 Graham Park Drive • Charlotte. NC 28273
Phone: [phone] • Fax: [phone]

P 4
Al R
P R OM PT- ACC U RATE -RE I -I AB I..E
1_1AI30RATOIUES, INC
WWWPARLABS.CON1
UP ANALYSES
ALLn: MIKE LONG
DOF.H FRESH VE:GETAFI.ES
220 SO(JTHR1 DGE PKWY
BESSEME;R CITY, NC 28016-
PROJECT NAME: APR 19
:SATE: 04/12/19
SAMPLE NUMBER- 135496 SAMPLE i D- DOLE: UJT L'ALL 2 SAMPLE ,V%TRTX- WW
DATE SAMPLED- 04/05,/19 TIME SAMPLED- 1012
DATE RECEIVED- 0410S/ 1 9 SAMPLER iYil_ RECEIVED BY- DJ
TIME RECEIVED- 1240 17;'.I,T'dr.r?;.Fi c'r• 'AR i"✓PE SAhiPLI- Drab
Page 2 o' 4
ANALYSIS
ANALYSIS ME."T'!,OD DAT E TIME. z?Y RLSIR,T JNTT S
pH VALUE;
CHEM. OXY.DL,-�AND
OII. & GREASE
TOTAL SUSPFINIDED SOLIDS'
ell ,15()0,;4.F 04/05/19 17.45 DJ
EPA 4 1 0 _ 4 04/ 08/ 9 1 240 CT
EPA fib 3 04: 09/ 1 9 i 240 C
SIM "r40 L1 04/08/ 19 08115 DJ
LAr',)FATORY DIRECTOR
2217 Graham Park Drive • Charlotte. NC 28273
Phone: [phone] • Fax: [phone]
6-62 units
49 rng/L
G . 2 irl.I / I,
54 ncj/L

F4-RRELIA8t-E
LABORATORIES, INC
WNWPARLABS.COM
REPOFT OF ANAL•Y,Ir;_
Attn: MIKE LONG
DOLE FRESH VEGiI'ABLES 1~ROJECT NAME: APR 19
220 SOUTHRIDGE PKWY D•ATH: 04/12/19
BESSEMER CITY, NC 290 1 F -
SAl-iPLE NUMBER- 135497 SAMPLE ID- DOLE OUTrALL 3
DATE S%fPLED- 04/05/19
DATE RECEIVED- 04/05/19 SAMPLER- 14L
TIME RECEIVED- 1240 DELIVERED BY- TS
Page 3 of" 4
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
rill VALUE
SM 4500Hi -S
04/05/19
1245
DJ
CHEM.OXY.DFMAND
EPA 410.4
04/08/19
1240
CT
OIL 8 CREASE
EPA 1664
04/09/19
1240
CT
TOTAL SUSPENDED SOLIDS
SM 2540 D
04/08/19
0615
DJ
LABORATORY DIRECTOR
G
2217 Graham Park Drive • Charlotte. NC 28273
Phone: [phone] • Fax: [phone]
SAMPLE MATRIX- WW
`I`IME SAMPLED- 1027
RECEIVED BY- DJ
TYPE SAMPLE- Grab
RESULT UNITS
6.4-1 uni.t:s
31 mg/L
7.0 my/L
53 rnr3/I,

PAI FZ
PRO MPT•AC.CLI RATE• RELIAGL.E
LABORATORIES, INC
. WU'WFARt ABS.COJ1
REPORT OF ANALYSKS
At I,n: MIKE,' LONG
DOLE FRESH VEGETABLES
220 SOUTHRrDGE PEWY
BESSEMER CITY, NC 28016-
PPOJE;CT NAME: " APR 19
DATE; 04/ i 2/ 1 :
SAMPLE NUMBER- 13549E SAMPLE ED- DOLE OUTFAL1s 4
DATE SAMPLED- 04/05/19
DATE REC:F.T.VED- 04101," 1 n SAMPLER- hL
TIIIE; RECEIVED- 12,10 D::LIVFr FO TB
Page 4 of 4
SAMPLE 14ATRIX- WW
TIME SAMPLED- 1035
RECEIVED BY- DJ
TYPE SAMPLE- Grab
ANALYSIS
ANALYSIS
METiI:zD
DATF
-TIME
BY
RESULT
UNITS
p[I VALUE
sm 4506R+F
04/01,/19
i245
DJ
6.53
units
CHEM.OXY.DEMAND
t,PA 410.4
04/08/19
12,10
CT
40
rnc}:i,
01L & GREASE
EPA 1664
04/09/19
1240
CT
< 6.6
;ng L
TOTAL SUSPENDED SOLIDS
SM 2540 D
04/05/19
0815
DJ
11
:ng/L
LARORATOF.Y
DIRECTOR
e
2217 Graham Park Drive • Charlotte, NC 28273
Phone: [phone] • Fax: [phone]

November 1, 2018
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Stormwater Discharge Outfall Monitoring Report — 2nd Half 2018
Dole Fresh Vegetables, Inc.
220 Southridge Parkway
Bessemer City, NC 28016
Permit Number: NCG060375
To Whom It May Concern:
Enclosed is the completed Semi -Annual Stormwater Discharge Outfall Monitoring Report.as required in
the NPDES General Storm Water Permit for Industrial Activity for Dole Fresh Vegetables, Inc.
If you have any questions or concerns in regards to this, please feel free to contact Alexa Rinde at
[phone] or via email at [e-mail].
Sincerely,
Harry Qualls
Senior Technical Utilities Engineer
GG
Enclosures
DW SEC� 0 1

2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
* 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Pd*fnittee)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 11/1/2018
CERTIFICATE OF COVERAGE NO. NCG06 0 3 7 5 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Dole Fresh Vegetables, Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Gaston ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Mike Long DISCHARGING TO SALTWATERS? [DYES ®NO
LABORATORY PAR Laboratories, Inc. Lab Cert. # 20
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Part A: 5tormwater Benchmarks and Monitoring Results Total event rainfall ' See "Sample Collected" column or ❑ No discharge this period'
Outfall No
Sample Collected,
TSS,
pH,
COD,
OIl and Grease, ; ;
Fecal.Coliforml,
Enterococcil,
mo/dd/yr
mg/L
Standard units,
mg
mg/I ,
Calornes per:?100 rriI k
,,..Colonies per:100 mi.,
Benchmark
-
300 or 50'
Within 1"a:0-9:0.
120
30
r500
01
10/11/18
1.3 in
28
6.74
18
11
02
10/11/18
54
6.8
34
203
1.3 in
03
10/11/18
1.3 in
86
6.63
35
13
04
10/11/18
7
6.75
14
12
1.3 in
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [—]Yes ®no (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
outfall No.
Sample Collected,
mo/dd/yr
011'and Grease;
mg/,L.
TSS;
mg/L >,.:
pH,
Standard'units':,
New Motor Oil Usage, ,
Annual iaverage:gal/mo..
Benchmark
-
30 ;a
`100`or`5046.0-9.0,;
N -
1 Only applies to facilities that use/process meats.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

PLLR
PRO M PT- A CC UR ATE -RE LIABLE
LABORATORIES, INC
V1 N-WPA RLABS.COM
REPORT OF ANALYSES
Attn: MIKE LONG
DOLE FRESH VEGETABLES
220 SOUTHRIDGE PKWY
BESSEMER CITY, NC 28016-
PROJECT NAME: OCT 16
DATE: 1 0/ 1 8/ 1 8
SAMPLE NUMBER- 133667 SAMPLE ID- DOLE OUTFALL 1
DATE SAMPLED- 10/11/18
DATE RECEIVED.- 10/11/18 SAMPLER- A❑
TIME RECEIVED- 1200 DELIVERED BY- TB
Page 1 of 4
ANALYSIS
ANALYSIS
METHOD DATE TIME BY
SAMPLE MATRIX- WW
TIME SAMPLED- 0900
RECEIVED BY- DJ
TYPE SAMPLE- Grab
RESULT UNITS
pH VALUE
SM 4500H+B
10/11/18
1205
DJ
6-74
units
CHEM.OXY.DEMAND
EPA 410.4
10/15/18
0750
CT
18
ing/L
OIL & GRE.ASE.
EPA 1664
10/15/18
0625
CT
11
mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
10/15/18
0810
DJ
26
mg/L
LABORATORY
DIRECTOR
-
P.O. Box 411483 • Charlotte, NC 28241-1483
Phone: [phone] • Fax: [phone]

PALF;Z
PROM PT• ACLU RATE • RELfABLE
LABORATORIES, INC
% VW.PARLABS.COAE
REPORT OF ANALYSES
Attn: MIKE LONG
DOLE FRESH VEGETABLES
220 SOUTHRIDGE PKWY
BESSEMER CITY, NC 28016--
PROJECT DAME: OCT 18
DATE: 10/18/18
SAMPLE NUMBER- 13366B SAMPLE ID -.DOLE OUTFALL 2
DATE SAMPLFD- 10/11/1B
DATE RECEIVED- 10/11/18 SAMPLER- AD
TIME RECEIVED- 1200 DELIVERED BY- TB
Page 2 of 4
SAMPLE MATRIX- WW
TIME SAMPLED- 0905
RECEIVED BY- DJ
TYPE SAMPLE- Grab
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT
UNITS
pH VALUE
SM 4500H+B
10/11/18
1205
DJ
6.80
units
CHEM_OXY.DEMAND
EPA 410.4
10/15/18
0750
CT
34
mg/L
OIL & GREASE
EPA 1664
10/15/16
0825
CT
203
mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
10/15/16
0810
Di
54
mg/L
LABORATORY DIRECTOR
P.O. Box 411483 - Charlotte, NC 28241-1483
Phone: [phone] • Fax: [phone]

PAAFZ
PROMPT-ACATE • RELlAHLE
LABORATORIES, INC
WIVIV-PARLABS.CO}t
REPORT OF ANALYSES
Attn: MIKE LONG
DOLE FRESH VEGETABLES
220 SOUTHRIDGE PKWY
BESSEMER CITY, NC 28016-
PROJECT NAME: OCT 18
DATE: 10/18/18
SAMPLE NUMBER- 133669 SAMPLE ID- DOLE OUTF'ALL 3
DATE SAMPLED- 10/11/18
DATE RECEIVED- 10/11/18 SAMPLER- AD
TIME RECEIVED- 1200 DELIVERED BY- TB
Page 3 of 4
SAMPLE MATRIX- WW
TIME SAMPLED- 0910
RECEIVED BY- DJ
TYPE SAMPLE- Grab
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT
UNITS
pH VALUE
SM 450OH-B
10/11/18
1205
DJ
6.63
units
CHEM.OXY.DEMAND
EPA 410.4
10/15/16
0750
CT
35
mg/L
OIL & GREASE
EPA 1664
10/15/18
0825
CT
13
mg/L
TOTAL SUSP11NDED SOLIDS
Sm 2540 D
10/15/18
0810
DJ
86
mg/L
LABORATORY DIRECTOR ��-
P.O. Box 411483 • Charlotte, NC 28241-1483
Phone: [phone] • Far: [phone]

P�
PROMPT.UF;?
•
LABORATORiES, INC
WN W.PARLABS.COM
REPORT OF ANALYSES
Attn: MIKE LONG
DOLE FRESH VEGETABLES PROJECT NAME: OCT 18
220 SOUTHRIDGE PKWY DATE: 10/1.8/18
BESSEMER CITY, NC 28016-
SAMPLE NUMEER-
133670
SAMPLE ID- DOLE OUTFALL 4
SAMPLE MATRIX- WW
DATE SAMPLED- 10/11/18
TIME SAMPLED- 0916
DATE RECEIVED-
10/11/18
SAMPLER- AD
RECEIVED BY- DJ
TIME RECEIVED-
1200
DELIVERED BY- T8
TYPE SAMPLE- Grab
Page 4 of 4
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT UNITS
pH VALUE
SM 4500H+B
10/11/18
1205
DJ
6.75 units
CHEM_OXY.DEMAND
EPA 410-4
10/15/18
0750
CT
14 mg/L
OIL & GREASE
EPA 1664
10/15/18
0825
CT
12 mg/L
TOTAL SUSPENDED
SOLIDS
SM 2540 D
10/15/18
0810
DJ
7 mg/L
LABORATORY
DIRECTOR
P.O. Boa 311483 • Charlotte. NC 28241-1483
Phone: [phone] •Fax: [phone]

September 26, 2017
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: 5tormwater Discharge Outfall Monitoring Report — 2"d Half 2017
Dole Fresh Vegetables, Inc.
220 Southridge Parkway
Bessemer City, NC 28016
Permit Number: NCGO60375
To Whom It May Concern:
7 2017
OW ` L F�
� S�OTlp��
Enclosed is the completed Semi -Annual Stormwater Discharge Outfall Monitoring Report as required in
the NPDES General Storm Water Permit for Industrial Activity for Dole Fresh Vegetables, Inc.
If you have any questions or concerns in regards to this, please feel free to contact Zach Ziemke at
[phone] or via email at [e-mail].
Sincerely,
I? h-ri ► -�
Harry Qualls
Senior Technical Utilities Engineer
Enclosures

Y SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 9/26/2017
CERTIFICATE OF COVERAGE NO. NCGO6 0 3 7 5 SAMPLE COLLECTION YEAR 2017
FACILITY NAME __ Dole Fresh Vegetables, Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Gaston ❑ use/process meats []use animal fats/byproducts
PERSON COLLECTING SAMPLES _Mike Lone DISCHARGING TO SALTWATERS? []YES ®NO
LABORATORY PAR Laboratories, Inc. Lab Cert. # 20
PLEASE REMEMBER TO SIGN ON THE REVERSE -)�
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 1 See "Sample Collected" column or ❑ No discharge this period'
Qutfall No.
Sample Collected;
:TSS,
pH,
COQ,
Oil and Grease,
+ Fecal Callform', ,
� Enteroc6cdl•,
mo/dd/yr.
ng/L'
Standard units
mg/L
mg/L
Colonies per 100 ml
,.Colonies per 100.m1 ,,
Benchmark ..
•`.
100 or W '
Within 6.0 - 9.0
120..
30
1000
500
01
8/31/17
23 mg/L
7.32 SU
45 mg/L
<5.3 mg/L
0.04" rainfall
02
9/6/17
22 mg/L
6.69 SU
11 mg/L
<5.9 mg/L
0.84 rainfall
03
9/6/17
11 mg/L
6.72 SU
21 mg/L
<5.4 mg/L
0.84" rainfall
04
8/31/17
11 mg/L
7.38 SU
42 mg/L
<5.2 mg/L
0.04" rainfall
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
06tfall No
' 4Sample Collected,
mo/dd/yr p.
Oil and Grease,
mg/L
TSS,
mg/L
PH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
- • .<.
30
.100 or. 504, ..
� 6.0 -- 9.0
(i_f-yes, complete Part B)
1 Only applies to facilities that use/process meats.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

�nelur—di-p� jEE iation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cony of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period In.the .case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature
9 'r� �2 / f� ji -7
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.ors/web/wq/ws/su/npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

July 25, 2017
RECEIVED
Division of Water Quality
JUL N17
Attn: DWQ Central Files
L FILF-S
1617 Mail Service Center
pWR� CT ON
Raleigh, NC 27699-1617
Re: Storm water Discharge Outfall Monitoring Report —1't
Half 2017
Dole Fresh Vegetables, Inc.
220 Southbridge Parkway
Bessemer City, NC 28016
Permit Number: NCG060375
To Whom It May Concern:
Enclosed is the completed Semi -Annual Storm water Discharge Outfall Monitoring Report as required in
the NPDES General Storm Water Permit for Industrial Activity for Dole Fresh Vegetables, Inc. The facility
acknowledges this report was submitted outside of the 30-day window for submittal required in the
permit and has taken steps to ensure future reports are submitted within 30 days of receipt of sample
results.
If you have any questions or concerns in regards to this, please feel free to contact Zach Ziemke at
[phone] or via email at [e-mail].
Sincerely,
Harry Qualls
Senior Technical Utilities Engineer
Enclosures

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 7/25/2017
CERTIFICATE OF COVERAGE NO. NCG06 0 3 7 3 SAMPLE COLLECTION YEAR 2017
FACILITY NAME Dole Fresh Vegetables, Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Gaston ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Mike Long DISCHARGING TO SALTWATERS? ❑YES ®NO
LABORATORY PAR Laboratories, Inc. Lab Cert. # 20
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 0.22' or ❑ No discharge this Period3
QutfalhNa:
,.
Sample"Collected,TSS,
Imo/dd/yr
rttg/L
pH,
S.tandard units s
COD;; `g
,. mg/i
;Oil and`,Grease,
4. .,..mg/C
'Fecal"Goliforml,�:;
Colonies per_10D "rnI
° -Enterococcil, "
Colonies per 100 ml
Benchmark
100 or.504.:.
"Within 6:6--7 9!D
120
,: 3D
' :.
2000; s..
50D
01
3/31/17
5.4
6.19
53
<5.4
02
No Discharge During This Period
03
No Discharge During
This Period
04
3/31/17
18.6
6.23
54
<5.7
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For Sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No:
Sample'Callected;
mo/dd/yr
Oil'and Grease,
mg/L . w y
TSS ; �
X, �:
.�._„ -mg/
`pH,
Standard units" ,
New Motar Oil Usage,
,._
Annual`average';gal/ino. ;
30 . ;,
�, �0606601
60=:9.0
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK.EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one co2y of this DMR includin all "Na Discharge" reports, within 30 days of receipt o the lab results or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Per
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

PA
PROMPT -ACCURATE- RELIABLE
LABORATORIES, INC
WhS WPA1tL HS.COM
REPORT OF ANALYSES
Attn: MIKE LONG
DOLE FRESH VEGETABLES
220 SOUTHRIDGE PKWY
BESSEMER CITY, NC 28016-
PROJECT NAME: MAR 17
DARE: 04/12/17
SAMPLE. NUMBER- 127150 SAMPLE ID- DOLE OUTFALL 1
DATE SAMPLED- 03/31/17
DATE RECEIVED- 03/31/17 SAMPLER- ML
TIME RECEIVED- 1445 DELIVERED BY- TB
Page 1 of 2
SAMPLE MATRIX- WW
TIME SAMPLED- 0930
RECEIVED BY- RE
TYPE SAMPLE- Grab
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT
UNITS
pH VALUE
SM 450OH-B
03/31/17
1450
RE
6.19
units
CHEM.OXY.DEMAND
EPA 410.4
04/03/17
0730
CT
53
mg/L
OIL 8 GREASE
EPA 1664
04/03/17
0750
CT
< 5.4
mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
04/03/17
0805
DJ
5.4
mg/L
LABORATORY DIRECTOR
P.O. Box 411483 • Charlotte, NC 28241-1483
Phone: [phone] • Fax:, [phone]

PLIR
PRaMPT•ACCURATE• RELIABLE
LABORATORIESy INC
WWW.PARLABS.CO,*+t
REPORT OF ANALYSES
Attn: MIKE LONG
DOLE FRESH VEGETABLES PROJECT NAME: MAR 17
220 SOUTHRIDGE PKWY DATE: 04/12/17
BESSEMER CITY, NC 28016-
SAMPLE NUMBER-- 127151 SAMPLE ID- DOLE OUTFALL 2
DATE SAMPLED- 03/31/17
DATE RECEIVED- 03/31/17 SAMPLER- ML
TIME RECEIVED- 1445 DELIVERED BY- TB
Page 2 of 2
SAMPLE MATRIX- WW
TIME SAMPLED- 0040
RECEIVED BY- RE
TYPE SAMPLE- Grab
ANALYSIS
ANALYSIS
METHOD
DATE
TIME
BY
RESULT
UNITS
pH VALUE
SM 450OH-B
03/31/17
1450
RE
6.23
units
CHEM.OXY.DEMAND
EPA 410.4
04/03/17
0730
CT
54
mg/L
OIL & GREASE
EPA 1664
04/03/17
0750
CT
< 5.7
mg/L
TOTAL SUSPENDED SOLIDS
SM 2540 D
04/03/17
0805
DJ
8.6
mg/L
LABORATORY DIRECTOR
P.O. Box 411483 • Charlotte, NC 28241-1483
Phone: [phone] - Fax: [phone]

FA.R.WLIA61-jr
LABORATORIES, XWC
Shipping:
2217 Graham Park Drive
Charlotte, -NC 28273
CHAIN OF CUSTODY
Phone [phone]
Fax[phone]
Meiling:
PO Box 411483
Charlotte, NC 28241-1483
U b U and d Oftn UM be Ia 1 1, an mia C abi d Cudody dowmam fw by PAR L°bo zbe4�s, bw and"Nam
CAe mni n—ft-m d 6auhv—mow fell l ft w R--
Company Ham NiM)
CommersW Sp9CW Instructions
Flow (XIOOO)
DOLE FRESH VEGETABLES
Address
Stet
220 Soisthrk4e Pkwy.
End
PH _
city, state 8 zip 00*
Bessemer City, NC 28016
Ctd�h,e a
Point Of Collett 8 Tdephone N=bff
Mike Long [phone]
oampse -
Taken Sy: SIGNATUREZ PRINlEDNAME
ARE SAMPLES FOR STATE or EPA REPORTING? YES / O
*Sample Type: Dw ww arrww riw soli omw
Sample Temp at time at sampling: ° C Sample Temp upon receipt: ° C
*'Field Preserved: Yes _No _Teflon Llnwf&ro Hweadspace: Yes _No _Na
Residual Chlorine checked at time of sampling (YIN): A/ Decltlorination Necessary (YM): Al
& M��Nnn��
Liam I VTM
Gam' ow—ofta g wa* ww=wastewmw Cwww-ialrawndwatwsr Mwamim wan W-Hazsaam waste

Semi-annual Stormwater Dischaae„Monitoring_Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 017
CERTIFICATE OF COVERAGE NO. NCG03 0 0 0 O
FACILITY NAME She-e.l a.k_1kc. —
COUNTY M_eck e_a,A fiL
PERSON COLLECT! G SAMPL S Sc-. ck u,".r _ —
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
-MAY Z92017
Part A: Stormwater Benchmarks and Monitoring Results DwR SECT,0 S
N
SAMPLE COLLECTION YEAR GC ° i (
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or Monthly' (month).
DISCHARGING TO CLASS ❑ORW ❑HCtVV ❑Trout ❑PNA
[]Zero -flow [Water Supply []SA
[]Other WS- V, B —
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -)
No dischorge this period?2
Outfal! No.
Date Sample
,
Collected
24-hour rainfall
amount,
pH,
Standard units Total Suspended Solids
Copper
Lead
Zinc
Non -Polar 0&G/
Total Petroleum
Total Toxic
Organirs' 5
I
�Benchmarks Y>
[mo/dd/yr)
�-_„—
Inches3 _
I _ _
100 mg/L or 50 mt;/I A 6.0 - 9.0
0.007 mg/L
0.03 mg/L
0,067 mg/L
Hydrocarbons
15 mg/L—
I mg/L�
m
i 'I..- - - ---Q1�,1�117
—_
9 q _ ___.q�
8c...._._...._1.. _ 4_• $ __.._
oL
�QL
SRL
bR
1
_...._03 . --- . _ _,I
of/z1��7
_ _...�9.------!__�_15_�
.9°I
m�/c.,_.__..-.'._..__��9�__
n+ _ _ 6.7
i�
•o�on�,
QAL
�
ORL
I BAL
.o a
�.�.� ._�.__._..�._f�R+._..----.,
-
Monthly sampling (instead of semi-annual) must begin with the sec>)nd consecutive benchmark exceedance for the same parameter at the sani�, n�rtf;rll.
2 For sampling periods with no discharge at any single outfall, you must, still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
`Sec General Peri-nit Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Tntrd Toxic Or[,,anits s�rnipdng is applicablo only for those facilities whf(.h rjerform metal finishing operations, manufacture semiconductors, rnannf :eturc
i-lectronu. r,ry tal ,, or ni�inuf cwrc, cmhode ray tubes. Por purposes ci thi.,, permit the definition of Totrci Toxic, Organics is that definition contained in tho !A -A,
Effluent Guidelines for the facility subject to the requirement to sampe (for metal finishing use the definition as found in 40 CFR 433.11; for sen)- (:,nduct.or
manufacture use the definition as found in 40 CFR 469.12, for elertrnrtic crystal manufacture use the definition as found in 40 CFR 464.22; and foi- cathode ray
tulae manufacture use the definition I-ound in 40 CI-R 469.31j.
Pemnit Uiite: 11/10022.1.0/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

*cilitie., ,not incorporate a solvent management plan into the Storrnwater Polo-._ in Prevention Plan may so certify, and the requirement for 1T(_; n nit Ig
t.N
enay be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the 1-T-0 monitoring waiver, the discharger shall sign the following certification state -rent:
"Based upon my inquiry of the per son of persons directly responsiNt_ for managing compliance with the }permit monitoring requirement for total toxic organics
(TTC), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
storrnwater runoff has occurred sincp filing the last discharge monitoring report. I further certify that this facility is implementing the a II the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
S Co �a�ns
Name (Print name)
Envlr�rRrN[k i'A[ �oQrr��.g'�'Dr
Title (Print tit}e)
5+/7
(Signature) (OaTe)
Note: Results must be reported in numerical format. Do not report Below notertion Limit, ROL, <PQ.L, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX m L°, where XX is the numerical value of the detection
limit, reporting limit, etc, in mg/L,
1&3te: ff you report a sample value irr, excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit tt: vt,
Part 6: Vehicle Maintenance Area Monitoring Results: 3nly for facilities averaging > 55 gal of new oil per month.
❑ No discharge this perr'od?�
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches' _
Non -polar 0&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pi
Benchmarks =_=>
1.5 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
' See General permit text, Tablp 5, identifying the especially sensitive rer.el,,nnF slater classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/201.7 SWL-245, last revised 10/25/2012
Page 2 of 3

mote: ,, , ou report a sample value in excess off" the benchmark, you must inrple. _nt Tier 1, Tier 1, or Tier 3 t esponses. See General Permit text.
a,
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SANIE OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION R.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCF.S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [�
IF YES, HAVE YOU CONTACTED THE DWO REGIONAL OFFICE? YES NO
REGIONAL OFFICE CONTACT NAME:
Ma_il an_origina! and one copy of this DMR including all "No Wschar e" re arts within 3t3 days o retei t o the lob results rat end o monitoringperiod
in the case o "No Discharge" reorts to;
Division of Water O.uality
Attn: l Contrail Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"l certifv, under penalty of law, that this doc.urnom and all attachmwnts were orepzared under my direction or supervision in accordance with a systern designed to
assure that qualified personnel properly ptl�er rind evaluate the information submitted. Based on my inquiry of the per::on or persons who manage the systen"o, w
those persons directly responsible for gathering the information, the infot'mation submitted is, io the best of my knowledge and belief, true, accurate, and comptet:e. t
am aware that there are significant penult ir_I fnr sr. hnaitting false inform-ation, lnciuc,ing the pcsslblUty of fines and imprispnment for knowing violations."
(Signature of Perm
$-1- 17 _
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last. revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 5-1- A0/ 2
CERTIFICATE OF COVERAGE NO. NCG03 0 0 o o
FACILITY NAME S} �[_
COUNTY ek .niee 9_
PERSON COLLECTI G SAMPLES S � Omar
LABORATORYrf 1 SM Lab Cert. # youa
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Da I r
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' _ _(month)
DISCHARGING TO CLASS ❑ORW ❑HQW' []Trout ❑PNA
❑Zero -flow F6VVater Supply []SA
❑other_ 4VS2 V. B
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -3
No discharge this period?'
- ------
Date Sample
Outfali No. ,
Collected
_ (mo//dd/yr)
Benchmarks -_-�
24-hour rainfall
arnount,
Inches
r —---�-----
Total Suspended Solids
100 mg/L or 50 mg/l.
---- -.-
pH,
Standard units
9.0
Copper Lead
0.007 mg/L 0,03 mg/L
Zinc
0.067 mg/L
Nan -Polar 0&G/
Total Petroleum
Hydrocarbons
15 mg/L
Total Toxic
.
Organics
1 mg/L
0
_ -
-6.0-
OR
Q.�..:t1 I "l
S _
a ��
-q
it • $
• o�� _ RL
. O I Q L
3o
.031
BAL
R�� .1
-_._
_— _ _�.
_ _
.0)2 .010
BR L __
I _J
' Monthiy sampling (instead of semi rnnualj must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you r'nust: still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded rising data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit, Table 3 identifying the Especially sensitive receiving water classifications where the more protective benchmark applies.
Total Toxic 0+games Sampling is applicable only for those facilities which perform metal finishing operations, manufacture semicondjrtors, manufacture,
electronic crystals, or rnanufact ire cathode ray tuhes. For purposes of this pernl,ir the definition of Totril Toxic Organics is that definition contained in the L:PA
Effluent Guidelines for the facility subject to the requirement to sornple (for- metal finishing use the definition as found in 40 CFR 433.11; for' semiconductor
manufacture use the definition as for id in 40 CFR 469.1.2.; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the def}nitron founts in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised .10/25/2012
Page 1 �f 3

r'
+k`Fzi,cilitie., .nat incc>rpor•ate a solvent management plan into the Storrmevater 31oh,. in Prevention Plan may so certify, and the requirement for TTr_) monit �g
.may be waived. The solvent management plan shall include a fist of the total toxic organic compounds used and the other elements listed in the General
Permit. For those: facilities electing to employ the TTQ monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTOj, I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent mamagement plan included in the Stormwater Pollution Prevention Plan,"
Sin+f HAwt*
Name (Print name)
Title (Print r.itie)
(Signature)
S-Ir�
(Date)
Note: Results must be reported in numerical format. Do not rel2ort Relnw Detection Limit, BDI., <PQL, Non -detect, ND, or other sirniiar non -numerical
format. When results are below the ipplicabie limits, they must be_reig rted in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
More: If you repot a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit te.q.
Part 6: `vehicle Maintenance Area Monitoring Results: only for facilities averaging > 53 gal of new oil per month.
No discharge this period?'
Date Sample
24-hour rainfall
putfail No.
Collected'
amount,
Non -polar 0&G/TPH by
(mo/dd/yr)
Inches;
EPA 1664 (SGT-HEM)
Total Suspended Solids
pl I
Benchmarks =_=>
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
" See General Permit text, Table 5, identifying the especially sensitive rer.rriving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWL-245, Oast revised W/25/2012
Page 2 of 3

4
Nate: o, , ou report a sample value in excess of the benchmark, you must implE. .nt Tier :1, Tier 2, or )"ier 3 responses. See General Permit text.
FOR PART A AND PART 3 MONITORING RLSLILTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 LXCEF:DANCES IN A ROW FOR THE SAME PARAMETER AT THE SAM1=_ OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCL-EDrNCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWO REGIONAL OFFICE? YES E] NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports,. within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1517 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certifv, under nenalty of law, that this Jocument and all attachments were prepared unrler my direction or supervision in accordance with a system designed t.n
assure that qualified personnel properly gather Used evaluate the information submitted. based on my inquiry of the person or persons who manage the systs�111, Or
those persons directly responsihle for gathering the information, the information submitted is, io the hest of my knowledge and belief, true, accurate, and con,ple.te. I
am aware that there are significant penalties for submitting false informations including the possibility of fines and imprisonment for knowing violations."
(5ihi;atore of F^rAtte.)
Permit Date: 11/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitorin& Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted S' /- 12ga
CERTIFICATE OF COVERAGE No. NCG03 0 O Q
FACILITY NAME T WJ%I —'ytc„��
COUNTY _
PERSON COLLECTING SAMPLES SGg�+ Rok,
LABORATORY _— Lab Cert. ty0a,
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2 0 !7
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW -❑Trout ❑PNA
❑Zero -flow ©Water Supply ❑SA
❑Other W-S.; V, 8
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?'
Outfall No,
Date Sample
24-hour rainfall
Total Suspended Solids
pH,
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Total Toxic
_
6enchmnrks =>T
Collected,
(mo/dd/yri
0_1 -
amount,
Inches35
100 mg/L or 50 mg/[^''
-
�r 3r� _w_
Standard units
6.0 — 9.0
.8
_... -� - --
0.007 mg/L
RL
0.03 mg/L
$R1.
0.067 mg/L
R
Hydrocarbons f
15 mg/L~
QRL
Organics 4
µ7. mg/L
--
I_.. _.._t !___.._______
o!/_�►/�?
q9_._�
-._
91rn A
L
8IR rL
L
Monthly sampling (instead of semi-arnual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfah.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Total Toxic Organics snrnpEing is applicable only for those facilities which perform metal finishing oper,:tions, manufacture semicond.,ctors, rnancifarture
electronic crystal:,, or manufacture cathode ray whes. For purposes of tl)i:, permit the definition of Total Toxic Organics is that definition containr:d in the i_PA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11, far semiconductor
manufacture use the: clefinit.ion as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.2.2; and for cathode ray
tube manufactures use the definition sound in 40 CFR 469.3:1).
Permit Date: 11/1/2.012-10/31/2017 SWU-245, last revised.10/25/20"I.2
Page 1 of 3

r Facilitit;., nat incorporate a solvent managentent plan into the stormwater Pole.. in Prevention Plan may so certify, and the requirement for l-TO rionii . g
.may be waived. The solvent managc,rnent plan shall include a list of the total toxic organic compounds used and the other elemen-s listed in the General
Permit. For those facilities electing to employ the 170 monitoring waiver, the discharger shall sign the following certification statement:
"13ased upon my inquiry of the parson or persons directly responsihli for rnanaging compliance with the hermit monitoring requirement for total toxic organics
(TTO), i certify that to the best of my knowledg(a and belief, no dui riling of concentrated toxic organics into the stormwater or areas whlch are expose ri to rainfall or
stormwater runoff has occurred since f111«g the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
.SSCO + f 0.�3LId f
Name (Print name)
or
Title (Print title
(Signature) (Date)
Note: Results m!rst he reported in numerical format. Do not report below Detection limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX ma/L", where XX is the numerical value of the detection
limit, reporting limit, etc, in mg/h.
Note: If you report cr surnplc value ;n ence.s.s of the benchmark, you must irrrplernen€ Tier 1, TW 2, or Tier 3 responses. See General Permit text.
Part B: Vehicie IVlaineenance Area fVonitoring Resuits: only fur iacitii:ies averaging > 55 gal of new ail per 0-ionth.
F No dischorge this period?'
i
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
lnches3
Non -polar 0&G/TPH by
EPA 1664 (SGT-HEM)
jolaf Susperoded Solids
ell
Benchmarks ===>
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
See General Permit text, Table 5, identifying the especially sensitive re�ieivir,K water classifications where the more protective benchmark applies.
Permit Date:.11/1/2012-10/31/2017 SWL-245, fast revised 1.0/25/2012
Page 2 of 3

4
,' Note: t, , ou report a .sample value in excess of the benchmark, you rr,ust imply_. .nt Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART 9 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERM11 PART li SECTION B,
+ 2 EXCEEDANCES IN A ROW FOR THE SAMF PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Marl an original and one copy of this DMR, including all "No Discharge" reports,_within 30 days of receipt of the lab, results for at end of monitoring period
in the case I "No Discharge"reports) ro:
Division of Water Quality
Attn: DWO, Centrnl Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this dnct,ment and all attachments were ureptrred under my direction or supervision in accordance with a system designed to
nssure [Fiat qualified persunnel properly g,.ither and evaluate the inforir�atir,n submirteri. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information sr.lbmltted is, to the best of my knowledge and relief, true, accurate, and complr:te I
am aware that there are signifir.,int penalties for sobmitting false information including the possibility of fines and imprisonment for knowing violations."
+,Signmure 0i Perinittue
J--
(0lite;
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 1.0/25/2012
Page 3 of 3

5.
�y
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htto:1 rtal.ncdenr.or . ebjl.r/a des-stormw ter
Permit No.: N/C/_/_/_/_/_/�/�/ or Certificate of Coverage No.:
Facility Name: .5 Ew& , Tnc
County: me-Ule'" Phone No. 76 EX'T Slog
Inspector: -s—f 4- IkA,vu
Date of Inspection: - 1 1-
Time of Inspection: _ 16' 00
Tot -A Event Preci -litatior (inches): . 99 -
MAY 19 2017
1 CENTRAL FILES
Was this a "Representative Storm Event" or "Measureable Storm Event" as deA199T"e permit?
(See information below.)
[Yes ❑ No
Please veri,5, r"Jhethe!- r1 ustf be performed (h-,rlrn a "r,epresentati-e- ctorn?
event" or "measureable storm event" (requirernenL,r vary, depending on the permit).
Qualitative nfonitoi-ing requirements vary. Most permits require qualitative monitoring to be
performed during ? "represeiitative storm event" or during a "tlleas!'reable storm event." " However,
some permits do not have this requirement Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1. inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-1101.1r storrll interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitr'ee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
putfall No. �_ Structure (ripe, ditch, etc.) r
Receivine Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ +.--) h i- f -n_ _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smelis strongly of oil,
weak chlorine odor, etc.):
Nolie-
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is
clear and 5 is very cloudy:
1 (D 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
b. Suspended Solids- Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely rnuddy:
? 3 4 5
7. Is there any foam in the stormwater discharge? Yes S
8. is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall"? Yes (No-)
10. Other Obvious Indicators of Stormwater Pollution -
List and describe 1Q fro r+t
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
SWU-242, last modified 7/31/2013

tI -
NC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
f�arguidonce on frllin_q out this form, pleose visit: htt i/nortalincdenr.orgf web/ir/nodes-stormwater
Permit No.: _/ or Certificate of Coverage No.: 1V/C/G/ 3/ Q��/—I
Facility Name: _ Sill1*1 Inc
County: _-Me rItIra &-..r. Phone No. _ __ !20+ 3 9Y- S374 ftT. 5102
Inspector: _ ";C- :3r
Date of Inspection: 1-2 1--17
Time of Inspection: _ 1 S:ao
Total Fvent Precipitation (inches): _.71.
Was this a "Representative Storm F,vent" or "Measureable Storm Event" as defined by the permit?
(See information below.)
V Yes ❑ No
Air use verify whether Qualitative Monitoring must be performed during; a "representative storm
er.rent"or "measureable stanza event" (requirements varv, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "rneasureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, it applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
fay this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
SWU-242, Last modified 7/31/2013
Page 1 of 2

1. Outfall Description:
butfali No. 12_ Structure (pipe, ditch, etc.) fe
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: _,f«I S+Gra��t__,�
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: vi
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _1or;` T _
4. Clarity: Choose the number which hest desr_rihes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (D 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwrater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oii sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, last modified 7/31/2013

o WA
HCDEHR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Deport
Forguidance on filling out this form, please visit: httn://portal.ncdenr.org/��e�lr/nudes-storm % tern
Permit No.: N/C/_/_/_/_/_/_/�/ or Certificate of Coverage No.: N/C/G/3/ o / o/Q/_/_/
Facility Name: _571—j-"d1. Luc
County: Phone No_ 9.4_ 704- 39V- 537i6 FXT - S1a.z
Inspector: Sc-++
Date of Inspection: - 1- 17
Time of Inspection: 15:00
Total Event Precipitation (inches): • ��
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
✓❑ Yes ❑ No
Please verify rsthetherQualitative Monitorinp must be performed during a -representative storm
event"or "measureoble storm event" (requirements vary, depen&ng on the permit).
-_ ... ....... . _..
Qualitative monitoring requireinents vary. Most permits require qualitative monitoring to he
perforined dLiritig a "representative Storn3 event" ur during a 'Tntl asureahk-- storin event." However,
some permits ri[not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
ohtairis approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my Knowledge:
(Signature of Permittee or 6esignee)
Page 1 of 2
SWU-242, fast modified 7/31/2013

I. Outfall Description:
Outfall No. 3 Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: S tee ___ SfQr_0�30--
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Co.
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): o ne-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 0 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extreniely muddy:
1 2 4 5
7. Is there any foam in the stormwater discharge? Yes N
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
1.0. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, fast modified 7/31/2013

r -
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http./�. r we. lr npdes storrnwaYe
Permit No-: l�/C/_/�/_/_/_/_/ v/ or Certificate of Coverage No.: IV/C/G/3 /o /Q/_&/_/_../
Facility Name: Sfu.r{j, -p..c
County: 41cs.Adon hmAm Phone No. 04-3 - 376 JFIT-Slo.2
I rrspector: _ Sc-j} HSA-L . r _
Date of inspection: - 1- /7
Time of Inspection: 15:00
Total Event. Precipitation (inches): 1-77
Was this a "Representative Storm Event" or "Measureahle Storm Event" as defi ned by the permit'?
(See information below.)
k� Yes ❑ No
Please verify ivhether Qualitative .Monitorir?c? must be performed during a "representative sLo ni
event" or "mea.sureahle store event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm, event" or during a "rneasureahle storm event." However,
same permits do not have this requirement. Please refer to these definitions, it applicahle.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of nay knowledge:
(Signature of permittee or pesignee)
Page 1 of 2
SWtf-242, last modified 7/31/2013

r qr
1. Outfall Description- p
Outfall No. �`-i Structure (pipe, ditch, etc.) 1 fps
Receiving Stream:
Describe the industrial activities that occur within the outfa€l drainage area_—Ae
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e.; smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
Q2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 V 3 4 5
7. Is there any foam in the stormwater discharge? Yes CNq)
8. is there an oil sheen in the stormwater discharge? Yes (9
9. Is there evidence of erosion or deposition at the outfail? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
SWU-242, Last modified 7/31/2013
Page 2 of 2

CE)ENP
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For,quidance on filling out this form, please visit: hM..//portal.ncdenr.org/web/Ir/nndt5-stormw ter/
Permit No.: N/�_/_/_/_/�/ / / or Certificate of Coverage No.: N/C/G/ .3/Q/Q/a/_/_/
Facility Name: Stee.lf L X01C
County: /Yleekle""% -Phone No. _ �Lf- 2 r%Q`f- 39Y-.TJ%, _F-X7 5710A
Inspector: .Sco++ H�...,r _
Date of Inspection: v i 1'7
Time of Inspection: 1540
Total Event Precipitation (inches): -??
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the pert -nit?
(See information below.)
0 Yes ❑ No
Please verify whether Qualitative .Mrrriito!-iag must be performed during a "representative storm
event" or "measureable storm event" (requirernenks vary, dependin_q on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
sorne permits do not have this requirement. Please refer to these definitions, if applicahle.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfail
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours ,
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013

I. Outfall Description:
Outfall No, S Structure (pipe, ditch, e:tc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area::rfre/
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: - -- %e-,n -- _�....--
3. Odor: Describe any distinct odors that the discharge may have (i-e., smells strongly of oil,
weals chlorine odor, etc.): .V?le-.
4. Clarity: Choose the number which hest describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes
B. is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10, Other Obvious Indicators o€Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Iast modified 7/31/2013

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htl : octal ncdei2r.org/web/Ir/n des-stormwaterl
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name:
Coun /1'k, kkftlpwr• Phone No_ r%V_ A2-VIAZ ! - S.3
ty= io `j- .��� �
Inspector:=4R0+f- q0,!j&-,,r
Date of Inspection: _1-21- 11
Time of Inspection: 1 S!ld
Total Event Precipitation (inches): - 73
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
VYes ❑ No
Please t+erify ii,hether Qualitatit,e Monitoring must be performed during a "representative stormm
event"or "ineasureable storm event" (requirements vary, depending an the permit).
ualitativemonitr.. .__ _ _... .._ ...... .. __ _ ..... .._ _ .. .. .. _ _....... .
Q gyring requirements vary. Most Hermits require qualitative monitoring to he
Performed during a "representative storm event" or- during a "i-neasureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1. inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 1.0 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitt&e or Designee)
Page 1 of 2
SWU-242, East modified 7/31/2013

I . Outfall Description:
Outfall No. �_.._ Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _ &.0#1+-
4. Clarity: Choose the number which hest describes the clarity of the discharge, where 3 is
clear and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
Q 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
6) 2 3 4 5
7. is there any foam in the stormwater discharge? Yes !vo
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes oNo
10. Other Obvious Indicators of Stormwater pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
SWU-242, Last modified 7/3112013

Aim
NCDEN
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http/portal.ncdenr.orgf web i des -storm water
/
Permit No.: N/C/_/_/�/_/_/_/W/ or Certificate of Coverage No.:
Facility Name:
County: A'lecti.L'S 25 Phone No. 99T ?0'L 39-f- SU!74 CTS10.2.
Inspector: 5C.f-f lf..�r
Date of Inspection: 21-1.1
Time of Inspection: fS:10
Total (went Precipitation (inches): - q 7
Was this a "Representative Storm Event" or "Measureable Storm Evert" as defined by the permit?
(See information below.)
Q/Yes ❑ No
ML'CIS" vE?rfy whether Quulitutive Mfmitoriq J /r ast be rerformed dur ng a "L'p.+'ese?aUtive c1�•-l1i
event"or "measureable storm event" (requirements vary, depending on the permit).
Qtialitative monitoring requii-enients vary. Most hermits require qualitative monitoring to be
perforined during a "representative storm event" or during a "rneasureahle storm event." 1Inwever,
snore permits do not have this requirement. Please refer to these definitions, if appUcable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242. last modified 7/31/2013

1. Outfall Description: p
Outfall No. ?- StruCture (pipe, ditch, etc.) { ► pC_
Receiving Stream: ---
Describe the industrial activities that occur within the outfall drainage area:-sfsr..f rti" x
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
{light, medium, dark) as descriptors: T0.✓J
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity (if the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 6) 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7, is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note. Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

SIVA
NCDENR
Stormwater Discharge Qutfall (SDD)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http://portal.ncdenr oWlweb/Lr/n ide! _stormmL ter/
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/G/,F/0 /Q/a /_/_/
Facility Name: Ste4kb .rot
County: 44cxLklc— 6---- Phone No. ?04- 314- 63
Inspector:
Date of Inspection: - 117
Time of Inspection: 1S 2v
Trital Event Precipitation (inches):
Was this a "Representative Sturm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[q(Yes ❑ No
Please verify whether Qualitative Monitori?W must be performed during a "representative storm
event" or "meosureable storm event" (requirerner2ts vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative n-ionitoring to he
performed during a "representativestorm event" or during a "measureable storm event." However,
~nine permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee I
obtains approval from the local DWQ Regional Office.
................ . _ _.._. ._ _ -- _ _..--- - .
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, last modified 7/31/2013

1. Outfall Description:
Outfall No. t Structure (pipe, ditch, etc.) P1 pG
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: SEc�l,�ti
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: La-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): /Voyie.
4. Clarity: Choose the number which hest describe,; the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 © 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. Is there any foam in the stormwater discharge? Yes is
B. is there an oil sheen in the stormwater discharge? Yes �._'
9. Is there evidence of erosion or deposition at the outfall? Yes Do
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

HCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Deport
Forguidance on filling out this form, please visit: http:J/aortal.ncdenr.org/web/Ir/nndes-stormwatt>
Permit No.: N/C/_/�/_/_/_/i/_/ or Certificate of Coverage No.:
Facility Name. 5' ;r16b rja,
County: 1i1e-ekle.,b, Phone No. 76 39s- S_Lox
Inspector: sty{ - ht". "r
Date of Inspection: 1-2t- t
Time of Inspection: 15.'20
Total Event Precipitation (inches): -- 49 — _
Was this a "Representative Storm Event" or "Measur-eable Storms Event" as defined by the permit'?
(See information below.)
dyes ❑ No
Please verify whether Qualitative Monitoring must be perfarnled during a "repl-esentatrve .storm
event" or "measureable storm event " (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Mcisr permits require qualitative monitoring to be
performed during a "representative storm event" or daring a "is;casui-eable stores event." Iiuwevcr,
some hermits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or�Designee)
Page I oft
SWU-242. Last modified 7/31/2013

1. Outfall Description:
Outfall No. _.. _ Structure (pipe, ditch, etc.) �iPc
Deceiving Stream:
Describe the industrial activities that occur within the. outfall drainage area: SneL S or"v--_
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: To."
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weals chlorine odor, etc,): �i[/o�
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 S
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes 0
10. Other Obvious indicators of Stormwater Pottution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
SWU-242, last modified 7/31/2013

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: hitp://nortaL.nc:denrorg/weIrnn des-stormwater�
•
Permit No.: N/C/_/_/ /_/_/_/_/ or Certificate of Coverage No.: N/C/G/ 3/
Facility Name: 5WC. Cl fah x"—
County: cAm Phone No. - - 90nt 394, 5.374r-At Sb�
Inspector: _ Go ;
Date of Inspection:
Time of Inspection_ /S a
"Total F,vent Precipitation (inches):._. A?_______
Was this a "Representative Storm Event" or "Measureahle Storm Event" as defined by the permit?
(See information below.)
Ell Yes ❑ No
Please verify tvhether QtrUlitative Monitoring must be performed during a "representative storm
event"or "measureable storm event" (requirements vast; depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to he
performed during a "representative storm event" ur during a" measLi reable storm event." However,
Borne permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days] in which no storm event measuring greater than
0.1. inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge From the
permitted site outfall. The previous measurable storm event must have been at least 72 hours -
prior. The 72-hour- storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee gr Designee)
Pagel of 2
SWU-242, last modified 7/31/2013

1. Outfall Description:
Outfall No. _ i0 SrRIctUre (pipe, ditch, etc.) —
Receiving Stream:
Describe the industrial activities that occur' within the outtall drainer. ge area:._'+c_e( S�rr4
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L ij
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): o nL
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
(9 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
O 2 3 4 5
6, Suspended Solids: Choose the number which best describes the amount of suspended
sot ids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
6) 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
0Nq
8. Is there an oil sheen in the Stu rmwater discharge? Yes
Na
9. is there evidence of erosion or deposition at the outfall?
Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may he indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 7/31/2013

NCDENR
Stormwater Discharge Outfall (SDQ)
Qualitative Monitoring Report
For 9aidance on filling out this forni, please visit: httn://aortal.ncdenr.org/web/Ir/npdes storrnwatQr�
Permit No.: N/C/�/�/_/�/�/�/_/ or Certificate of Coverage No.:
Facility Name: S'rey.r,i -re _ _... .
County: Phone No. %4 394- 53% F-tt SPoa
Inspector: _ sit � Jr
Date of Inspection: 1-21-1-7
Time of Inspection: 15= 3o _
Total Event Precipitation (inches): . q1
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Vf Yes ❑ No
Please verg5) whether Qualitative Monitoring must be performed during a "representative .storm
event"or "measureable storm event" (requirements vary, depending on the permit).
Qualitative mornitoring requirements vary. Most permits require ilualitative manitt�ring to Ile
pri forr�3cd �iurirzk a "represertative starni event" u? during a "t3�easur'eable tur'ni event.° However,
some permits do not have this requirement. Please refer to these definitions, it'applicable.
A "representative storm event" is a storm event that measures greater than 0A inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurahle storm event must have been at least 72 hours
prior. The 72-hour storm intemial does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall escription: %-
Outfall No. Structure {pipe, ditch, etc.)
Receiving Stream:
Describe the industrial cctivities that occur within the OUtfall drainage
2. Color. Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: -C le&r
3. Odor: Describe any distinct odors
weak chlorine odor, etc.):
e discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
6) 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge. where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

;A
NCDEN
Stormwater Discharge Out>fall (SDO)
Qualitative Monitoring Report
For.quidu rice on filling out this form, Meuse visit: iitM//nortal.ncdtnno»g/web Ir n des-storrnwater/
Permit No.: N/C/_/_/�/�/_/_/T/ or Certificate of Coverage No.: N//fij3/nL/.O/Q/_//
Facility Name: She Ite X4 1,
County: AlC-r* &. j _ Phone No. ?o4- 39_'1- 5376 E�X? Slog
Inspector: Scuff �#�r
Date of Inspection:
Time of Inspection: f S 3ra
Total Event Precipitation (inches): - 7i
Was this a "Representative Storm Event" or "Measureahle Storm Event" as defined by the permit?
(See information below.)
P(Yes ❑ No
Please verif}, whether, Qualitative Monitoring must be performed during a "representative storm
event"or "rneasureahle sto►-in event"(requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to he
�,ei-fi)riiied during a "repl"eseti'tative titol'ili Cveiit" oi- dut-ing a "iiieasui"eable 5tciril7 eve.nt." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee ffr Designee)
Page 1 of 2
SWU-242, last modified 7/31/2013

1. Outfall Description:
Dutfall No. I ;_— Structure (pipe, ditch, etc.) D J' r
Receiving Stream:
Describe the industrial activities that occur within the outfali drainage area: 251-ir
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors;--Qeo.r__
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): /Vone- _
4. Clarity: Choose the number which hest describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
V 2 3 4 5
5. floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where��1 is no solids and 5 is the surface covered with floating solids:
I11) 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
D 2 3 4 5
7. Is there any foam in the stormwater discharge"? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes lea
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, last modified 7/31/2013

• r s�
r
NCDEN
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling oat [his form, please visit: http:!/portal.ncdenr.org/webAr/nodes-stormwater
Permit No.: N/C/�/�/—/—J—/—/�/ or Certificate of Coverage No.: NXt /3/g/Q/t2/—/_/
Facility Name: -7hee16 Mc
County: /YiUkjw,,bu.. Phone No. 4- 3gIg- 537b EYT Sla.2
nspector: %r ~
Date of Inspection: _ 1-211) Time of Inspection- IS .70
Total Event Precipitation (inches): '7`3
Was this a "Representative Storm Event" or- "Measureable Storm Event" as defined by the perinit?
(See information below.)
dYes ❑ No
Please verb, whether Qualitative Monitoring must be petp :rned during a "representative storlh?
event" or "measureable storm event" (requirements vary, depending (in the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to he
perforn--ed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable stone event must have been at least 72 hours
prior. The 72-hour storm internal does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office._ --
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1.. Outfall Description:
Outfall No. j 3 Structure (pipe, ditch, etc.) "C
Receiving Stream:
Describe the industrial activities that occur within the out.fa€I drainage wren:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _lij h f
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity (if the discharge, where 1 is
clear and 5 is very cloudy:
U 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where l is no solids and 5 is extremely muddy:
2 3 4 5
7. is there any foam in the stormwater discharge? Yes Na
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
SWU-242, last modified 7/3112013

Georgoulias. Bethany
From: Khan, Zahid
Sent: Friday, February 10, 2017 12:02 PM
To: Georgoulias, Bethany
Subject: FW: NCG060375 Dole Fresh Vegetables NOI Inspection 2-2-17
Attachments: NCG060375-Dole Fresh Veg_NOI INSP 2-2-17.pdf
No objection. Thanks
From: Keen, Holliday V
Sent: Friday, February 10, 2017 11:55 AM
To: Khan, Zahid <[e-mail]>
Subject: NCG060375 Dole Fresh Vegetables NOI Inspection 2-2-17
Attached is the inspection report from my visit to the Dole Fresh Vegetable Inc. site located in Bessemer City. I found
that their site conditions correspond correctly with the information listed in their NOI and I recommend that they are
granted coverage under general permit NCG060000. Let me know if you have any questions!
Holliday Keen
Environmental Senior Specialist
Land Quality Section, Mooresville Regional Office
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
Phone: [phone]
Email: Holliday. Keen NCDENR. ov

Compliance Inspection Report
Permit: NCG060375 Effective: Expiration: Owner: Dole Fresh Vegetables Inc
SOC. Effective: Expiration: Facility: Dole Fresh Vegetables, Inc.
County: Gaston 220 Southridge Pkwy
Region: Mooresville
Bessemer City NC 28016
Contact Person: Terry Green Title: Phone: [phone]
Directions to Facility:
1-85 south of Charlotte, take exit 13, turn right onto Edgewood Road, drive 0.5 miles, turn right onto Southridge Pky, continue 0.5
mile to Dole Fresh Vegetables Inc.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Ske Represertathre(s):
Related Permits:
Inspection Date: 02/02/2017 Entry Time: 05:OOPM Exit Time: 05:30PM
Primary Inspector. Holliday Keen Phone:
Secondary Irrspector(s):
Reason for Inspection: Routine Inspection Type: Technical Assistance
Permit Inspection Type: Foodfrobaow/Soaps/Cosmetics[Public Warehousing Stormwater Discharge COC
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

permit: NCGO60375 Owner - Facility: Dole Fresh Vegetables Inc
Inspection Date: 02/02/2017 Inspection Type: Technical Assistance Reason for Visit: Routine
Inspection Summary:
This inspection was conducted in response to the Notice of Intent application far coverage uner General Permit
NCG060000. Upon inspection, I found that the site conditions correspond with the Notice of Intent that has been submitted.
I recommend that Dole Fresh Vegetables, Inc. be granted coverage under the general permit NCG060000.
During this inspection, I also observed areas of exposed soil with rills and gullies that have formed along slopes and on
within the retention ponds. Please re -grade any areas with rills and gullies and stabilize all areas with exposed soil on site.
Page: 2

411
UUM
NCDENR
E,ti.wa"crr .w oa waw�c�a
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG060000
NOTICE.OF INTENT RECEIVED
National Pollutant Discharge Elimination System application for coverage under Gengrnifffrrti
NCGO60000: i�� V �016
STORMWATER DISCHARGES associated with activities classified as: p�f1'R ANP QIpA(. -
SIC (Standard Industrial Classification) 20 Food and Kindred Products
SIC 21 Tobacco Products
SIC 263 Drugs
SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Cutter Toilet Preparations
SIC 422 Public Warehousing and Storage (except 4226)
For questions, please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this NOl for renewals.
(Please print or type)
1) Mailing address of ownerloperator (address to which all 12ermit correspondence will be mailed):
Name Terry Green Dyb RrZ4 vy'6 t, -D-C ?
Street Address 220 South Ridge Parkway
City Bessemer City State NC ZIP Code 28016 _
Telephone No. 704 R 10-7014 Fax:
2) Location of facility producing discharge:
Facility Name
Dole Fresh Vegetables Inc.
Facility Contact
704-810-7.077
Facility Address
220 Southridge Parkway
Facility City
Bessemer City State NC ZIP Code 28016
Facility County
Gaston County
Telephone No.
704 810-7000 Fax: [phone]
Email
R c arh [e-mail]
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). 1-85 south of Charlotte, take exit 13, turn right onto
Edgewood Road. Drive 0.5 miles, turn right onto Southridge Parkway, Continue 0.5 miles to Dole Fresh Veeetables.lnc.
(A Copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35016'52.9"N Longitude 81a15'18.0"W (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
® Existing
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fi

NCG060000 N.O.I.
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this facility. ,
SIC code: 2 0 9 9
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: Specializes in retail packaged salad manufacturing and delivery for Dole Food Company, Inc.
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points I Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 4
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Oates Creels
Receiving water classification: Nt- C
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? NIA
5 If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
�, }•�`A:.y� sewer system (e.g. City of Raleigh municipal storm sewer)_ NIA
S.� 9) Does this facility have any other NPDES permits
A; ® No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
® No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
® Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: This facility has four retention ponds that are used to collect the storm water runoff.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
® Yes
If yes, when was it implemented? May 2016
13) Are .vehicle maintenance activities occurring at this facility?
® No ❑ Yes
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NCG060000 N.O.I.
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
® No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
IN No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
O No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
Howls material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
15) Certification:
North Carolina General Statute 143-215.6E (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, rewni, report,
plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who
knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article: or
who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission Implementing this Article shall be guilty of a Class 2
misdemeanor which may Include a fine not to exceed ten thousand dollars ($10.000).
I hereby request Coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the peihriit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that I am familiarmith the information contained in this application and that to the best of my
knowledge and belief such information is tr g-complete, and accurate.
Printed Name of Person
Title: e
of Applicant)
<4411 0 116
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR. Do not send the check or money order se aratel .
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NCG060000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR. Must be included with this application (not sent separately).
❑ this completed application and all supporting documents.
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded. and unloaded, (f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office
... [phone]
Mooresville Office
... [phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office
... [phone]
Winston-Salem ...... [phone]
Central Office .........(919)
807-6300
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Dole fresh Vetaetables Inc., Site Map
220 Southridge Parkway, Bessemer City, NC, 28016
® \
r
Site Dia ram (Map Legend)_
Dole Fresh Vegetables Inc.
220 Southridge Parkway
Orainaae Features Potential Sources Pollution
of
Bessemer City, NC,- 28016
-Outfall 01 (BML01)
'Outfali 04,(BML02) M Waste Dumpster
Trimming Waste ® Old Tanks
Latitude; 35.16'52.TN
May 2016
®-Outfa1102
gone Yard
LoadinglUnloading ® Compactor
Longiluda:-81'51'16.0'W
c
'OuNall03
Direction of flow
. Bmpty Totes & Drums
Areas
Retention Pond ■ Cardboard
"-• e
D r
W.
-
*Sampling Points = (BMLs)
•ao r.�`°

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May 17, 2016
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
RE: Dole Fresh Vegetables, Inc.
220 Southridge Parkway
Bessemer City, NC, 28016
To Whom It May Concern:
RECEIVED
AIJG 05 2016
DENRAND QUAl:ITY
87bAMWAVIS PIMMlTTING
Please find the enclosed the Notice of Intent, supplemental documents, and $100 check for Dale
Fresh Vegetables, Inc. at the address listed above.
If you have any questions, feel free to contact me at your earliest convenience. I can be
reached at [phone] or by email at [e-mail].
Sincerely,
i
/r
Ben Sasamoto
Environmental Specialist
cc: Richard Rippy — Dole Fresh Vegetables, Inc.
Enclosures
U.S. Compliance corporation
520 Third Street . Suite 100 • Excelsior, INN 55331 a Phone [phone] • Fax 952-M.3001
www.usamvilanee.rom