NCG030041_MONITORING INFO_20190415

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V Ll
DOC TYPE
❑HISTORICAL FILE
�. MONITORING REPORTS
DOC DATE
❑ �� J � o *
YYYYMMDD

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 4/15/2019
CERTIFICATE OF COVERAGE NO. NCG03 D D 4 1 SAMPLE COLLECTION YEAR 2019
FACILITY NAME crown -Kinston SAMPLE PERIOD 0 Jan -June Q July -Dec
COUNTY Lenoir or Monthly'. (month]
PERSON COLLECTING SAMPLES Jimmy Yelverton RECEI� EEPISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
LABORATORY Environmental #1 Lab Cert. # 10 ! !f ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: APR 2� 2019 ®❑Other c,Sw,NSw
�, NTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWQ SECTION
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period?'
Outfall No.
_
.Date -Sample
I= , ,
'Collected
(hi o/d6/"Y'6' !
24-hour rainfall
' ainaunt,
Inches
Total Suspended Solids
pH,
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks
_
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0:126 mg/L
15 mg/L
1 mg/L
Pdrameier.Code
-
46529
C0530
00400
01119
01051
01094
00552
78141
1
3/20119
.25
2.6 mg/l
6.88
0.002 mg/l
0.005 mg/I
0.01 mg/l
6. mgh
SMP
2
3120/19
.25
2.6 mgll
6.85
0.002 mg/i
0.005 mg/I
0.01 mg/l
6. mgll
SMP
I Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The tetal 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, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
RECEIVED
Permit Date: 11/1/2018-05/31/2021
APR 2 J 2019
i itr1L. FILE:: SWU-245, last revised 11/1/2018
- Page 1 of 3

Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement forTTO monitoring
may 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 TTO 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
(Ti0), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the 5tormwater 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 management plan included in the Stormwater Pollution Prevention Plan."
Name (Prin name)
Title (Print title)
S4gte Date
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
© No discharge this period?z
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended'
Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/O
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3

ab
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 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 DEMLR REGIONAL OFFICE? YES r]NO
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"i certify, under penalty cf law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that quaiified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information 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 Permittee
Permit Date: 11/1/2018-05/31/2021
1/
Date
SWU-245, last revised 11/1/2018
Page 3 of 3 3.

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted _10/8/2018
CERTIFICATE OF COVERAGE NO. NCG030047 �����'��
FACILITY NAME Raven Antenna Systems (dba Global Skyware)�
COUNTY Johnston OCT 10 2018
PERSON COLLECTING SAMPLES Brian McClenny
LABORATORY_ Meritech_ Lab Cert. # 165 CENTRAL FILES
Comments on sample collection or analysis: _ DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _2018
SAMPLE PERIOD Jan -June X July -Dec
or X Monthly' September (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[_]Zero -flow [:]WaterSupply ❑SA
X Other —NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?'
Outfall No.
Date Sample
Collected 1
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics-'
Benchmarks =_=>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
#2
9/17/2018
12"
<2.5 mg/L
6.48
.005 mg/L
<.0010 mg/L
.154 mg/L
<5 mg/L
<1 mg/I
#3
9/17/2018
12"
<2.5 mg/L
6.82
.004 mg/L
<.0010 mg/L
.071 mg/L
<5 mg/L
<1 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
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 sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.1.1; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z, or Tier 3 responses. See Genera! Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SFCTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? X YES NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X NO ❑
REGIONAL OFFICE CONTACT NAME: Thad Valentine
Mail 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 of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this docu+nent 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."
Paul Hastings
Environmental Coordinator
(Signature of
rv- 7- Zei
(Date)
Permit Date: 11/1/2012-1D/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Chain of Custody RecordCOC
Client: Skyware Global
Address: 1315 Industrial Dr
Smithfield,NC 27577
Attention: Larry Hailed _
: NPDES #
Phone:
Fax:
Email:
Project:
Po #:
MERI 1 ECH INC.
-'' Environmental Laboratories
A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclab@_bellsouth.net
Web Site: www.meritech-labs.com
Turn Around Time'
Std (10 days)
3 - 5 Day
247 48 Hr
Sample
P
Location/lD #
Sampling Dates & Times
p �
Person Taking Sample (Signature):
Lab use Only
START
END
Comp?
Grab?
#of
Conts.
Tests Rea uired
On
Ice?
pH OK?
C12 OK?
Date
Time
Date
Time
Outfall #2
17 1?
G
TSS,625,608,624 (wlHCi),0il&Grease (w/HCI)
Metals-Cu,Pb,Zn (wlHNO3)
Method of Shipment:
Comments:
f7 if . 6 r q8
El UPS
El Fed Ex
❑ Hand delivery
[7]Other
Witt-these-,es7alts-be-uszd-forte, utp
Yes x No
RUSH w rk must be approved prior to submitting samples.
Relinquish b : _ Date: Time:
Re el b : ate: Time: x
Relinquished by: Date: :Tine:
Rece ved y: Date: Time:
Rellnquished by: Date: Time:
Received at lab by: Date: Time:

Chain of Custody Record COC
Client: Skyware Global
Address: 1315 industrial Dr
Smithfield,NC 27577
Attention: _Larry Hailey
NPDES #:
Phone:
fax:
Email:
Project:
Po #:
MIERI .8 ECH INC.
." Environmental Laboratories
' A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclab@_4ellsouth.net
Web Site: www.meritech-labs,com
Turn Around Time*
Std (10 days)
3 - 5 Day
24 -48 Hr
Sample
LocationllD #
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
END
Comp?
Grab?
#of
Conts.
Tests Required
q
On
Ice?
pH OK?
C12 OK?
Date
Time
Date
Time
Outfall #3
�) j g
A
j l
��
G
TSS,625,608,624 (w/HCI),Oil&Grease (wiHCI)
Metals-Cu,Pb,Zn (w/HNO3)
Method of Shipment:
Comments:
Pk • 6 r '32-
4
T EOP 17D9 t CL C- A) e)LZ 17.S tiO 1-0A 1
UPS
❑ Fed Ex
❑ Hand Delivery;
❑Other
will-these-msnl qUda`t0TTPU'pDSes
Yes I x No
* USH nrk must be approved prior to submitting samples.
Re n uis edby: bate: 'Tim
LL�i� jl g- 91 �
R celve by: a
`
Time: PT ,
?S
Rellnqulshed by: Date: Time:
I
Rec ed by. Late: Time;
Relinquished by: Date: Time:
Received at lab by: late: Tlme:

c�
0
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No: N/C/ l l l f l l l or Certificate/of Coverage No: N/C/G/ I f l l l l
Facility Name: 67 L s !
County: Phone Number:
Inspector: - 5
Date of Inspection: _
Rainfall level amount:
By this signature, I certify that this report is accurate and complete to the best of
my knowledge;
(Signature of Permitee 'or Msignee)
1.Outfall Description
Outfall No. )— Structure (pip, ditch, etc.)
Receiving Stream:
Describe the individual activities that�accuz within t he outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and
tint (light, medium, dark) as descri tors: _
1.

3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.) D
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is
clear and 10 is very cloudy:
1 2 3 4 5 6 7 8 9 10
5. Floating Solids
Choose the number which best describes the amount of floating solids in the
Stormwater discharge where 1 is no solids and 10 is the surface covered with
floating solids:
1 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the
Stormwater discharge where 1 is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7 8 9 10
7. Faam
Is there any foam in the Stormwater discharge? Yes ONO
2

S. Oil Sheen
Is there an oil sheen in the Stormwater discharge? Yes No
9. Other obvious indicators of Stormwater pollution
List and describe:
Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be
indicative pf pollutant exposure. These conditions may warrant further
investigation.
Notes:
MP. i 7, 2

6W
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No: N/CI l l l l l l I or Certificate of Coverage No: N/C/GI l l l l l l
Facility Name: GL _5)f` O0k_e
County: JotftL> 7`OA-) Phone Number:
Inspector: CC ,()V -
Date of Inspection: I 1
Rainfall level amount:
By this signature, I certify that this report is accurate and complete to the best of
my knowledge:
1. Outfall. Description
Outfall No. 3 Structure (pip, ditch, etc.)
Receiving Stream:
Describe the i�ndividul activities that occur within t he outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc.) and
tint (light, medill q, dark) as descriptors
1

D
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.)
4. Clarity
Choose the number which best describes the clarity of the discharge where 1 is
clear and 10 is very cloudy:
1 2 3 4 5 6 7 S 9 10
5. Floating Solids
Choose the number which best describes the amount of floating "solids in the
Stormwater discharge where 1 is no solids and 10 is the surface covered with
floating solids:
1 2 3 4 5 6 7 S 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the
Stormwater discharge where 1 is no solids and 10 is extremely muddy:
1 2 3 4 5 6 7 S 9. 10
7. Foam
Is there any foam in the Stormwater discharge? Yes No
2

8.Oii Sheen
Is there an oil sheen in the Stormwater discharge? Yes No .
9.Other obvious indicators of Stormwater pollution
List and describe:
Note: Low clarity, high solids, and/or the presence of foam or oil sheen may be
indicative pf pollutant exposure. These conditions may warrant further
investigation.
Notes.

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Paul Hastings
Client: Sky Ware Global
1315 Industrial Drive
Smithfield, NC 27577
Report Date: 10/4/2018
Date Sample Rcvd: 9/18/2018
Meritech Work Order # 09181862 Sample: Outfall 32 Grab 9/17/2018
Parameters Results Analysis Datc Reporting Lirnit Method
Total Suspended Solids
<2.5 mg/L
9/19/18
2.5 rrig/I.
SM 1)
Copper, total
0.005 mg/L
9/20/18
0.005 mg/L
FPA 200.7
Lead, total
<0.010 mg/L
9/20/1.8
0.010 rng/L
EPA 200.7
Zinc, total
0.154 inn/L
9/20/18
0.010 rng/L
EPA 200.7
Oil & Grease (HEM)
<5 mg/l.
9/24/18
5 mg/l.,
ETA 1.664B
EPA 608
Attached
10/2/18
-
608
F.PA 624
Attached
9/20/18
-
624
EPA 625
Attached
10/3/18
-
625
1 hereby certify that 1 have reviewed and approve these data. aL f
Lab oratoty Representative
642 Tarnco Road, Reidsville, North Carolina 27320
tel.[phone] fax,[phone]

MERITECH, INC.
ENVIRONMENTAL LABORATORIES
Laboratory Certification No. 165
Client: Sky Ware Global
Project: 608 / PCB
Client Sample: Otttfali ##2
Sample Collection: 09/17/2018
Meritech Work Order #: 09191862
Analysis: 10/02/2018
Analyst: R & A
EPA 608 - OrIjanochlorine Pesticides
Parameter
Result
Delta - BHC
< 0.001 mg/L
4,4'-DDE
< 0.001 mg/L
4,4'-DDT
< 0.001 mg/L
Aldrin
< 0.001 mg/L
Alpha - BHC
< 0.001 mg/L
Alpha 1"ndosulfan I
< 0.001 mb/L
Beta - BHC
< 0.001 mg/l.
4,4'-DDD
< 0.001 mg/L
Chlofdane
< 0.010 mg/L
Toxaphene
< 0.020 mg/L
Dieldrin
< 0.001 mg/L
13ndosuIfail Sulfate
< 0.001 mg/L
Endrin
< 0.001 mg/L
Endrin Aldehyde
< 0.001 mg/L
Gamma - BHC
< 0.001 mg/L
Heptachlor
< 0.001 mg/L
Feptachlor Epoxide
< 0.001 mg/L
Beta - Endosulfan II
< 0.001 mg/L
Methoxychloi-
< 0.001 mg/L
PCB - 1016
< 0.005 mg/L
PCB - 1221
< 0.005 mg/L
11C13 - 1232
< 0.005 mg/L
PCB - 1242
< 0.005 mg/L
PCB --- 1248
< 0.005 mg/L
1'C13 - 1254
< 0.005 mg/L
PCB - 1260
< 0.005 rng/l,
1 hereby certify that I [rave reviewed and approve these data. n-I /?D
Lab6ratory Representa[ive
642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [phone] Fax

MERITECH, INC.
_.
Environmental Laboratories
Laboratory Certification #165
Client:
Skyware Global Meritech ID#: 09181862
Project:
624.1 Analysis: 09/20/18
Client Sample ID:
OntPall # 2 Analyst: VWV
Sample Collection:
09/17/18 Dilution Factor: I
Report Date: 09/24/18
rPA 624.1. VOI ATLLr, ORGANICS
I'arameter
Benzene
Dichlorobromornetharic
Bronloforur
Methyl Brumide
Carbon 'Tetrachloride
Chlorobenrcne
Chlorocthane
2-Chlorocthyl vinyl ether
Chloroform
Methyl Chloride
Ch lorod ibromomethane
1,2-Dibromoethane
1,1-Dlchloroethane
1,2-Dichloroethane
1,4-Dichlorobenzene
1,2-Dichlorobenzene
1,3-Dichlorobenzene
l ,1-Diehloroethylene
trans- l,2-Dichlor•oethylone
1,2-Dichloropropane
cis- 1,3 -Dic hl o r•opeopyl ene
trans-1,3-Dichlorohropylenc
Ethyl benzene
Methylene chloride
1, I ,2,2-' Tet rack I o roeth an e
Tetrachloroethylene
Toluene.
1,1,1-Trichloroethane
l,] ,2=1'richlc:rocilranc
Tt'-ichlor•oethylenc
'1'ri chlorofiuoroutcthane
Vinyl chloride
Additional Compounds
Acrolein
Acrylonitrile
I hereby certify that I have reviewed and approve these data.
Result
< i .00 ug/L
< 1.00 ug/L
< 1,00 ug/L
< 5,00 ug/l,
< I ug/L
< 1.00 trg/l..
< 5.00 ug/L
< 5.00 ug/L
< 1.00 ug/L
< 5.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/I,
< 1,00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 us/l,
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< I A ug/L
< I.00 ug/1.
< I X0 ug/L
< 1.00 ug/T.
< 5.00 ug/}_
< 5.00 ug/L
<50.0 ug/L.
<10.0 ugA,
Laboratory Rupr6cnffRive
642 Tamco Road * Reidsville, NC 27320
[phone] * [e-mail]

MERITECH, INC.
Environmental Laboratories
ik Laboratory Certificate #165
Client:
Skyware Global
Meritech ID#:
09181962
Project:
625
Analysis:
10/04/18
Client Sample ID:
Outfall 2
Extraction:
09/24/18
Sample Collection:
09/17/18
Analyst:
PM
Report Dale:
10/04/18
Dilution Factor:
1
EPA 625.1 SEMIVO.LATILE ORGANICS
Parameter
Rcsult
Parameter
Result
Acenaphthcne
<10 no,
Fluaranthcnc
<10 ug/L
Acenaphthylune
<10 ug/t_,
Fluorene
<10 ug/L
Anlhracenc
<10 ug/L
1-lexachlorobenzene
<10 UgA,
Benzidine
<50 ug/l,
1-1exa6lorobutadiene
<10 Ug;/L.
Benzo(a)an thracen e
<10 ug/L
1-lexachlorocyclopentadiene
<50 ug/L
Benzo(a)pyrenc
<10 ug/L
11exachloroethane
.<10 ug/L
Benzo(h)tluoranthene
<10 ug/L,
Indeno(1,2,3-ed)pyrene
<10 ug/L
Benzo(k)fluorauthwe
<10 ug/L
Isophoranc
<10 ug/L
Bon zo(g,lt,i)perylene
<10 lie,
2-Mcthylnaphthaiene
<10 ug/l,
Benzyl butyl phthalate
<10 ug/L
Naphthalene
<10 ug/l,
Bis(2-chloroettsoxy)rneth:mc
<10 tVL
Nitrobenzene
<10 ug/L
Bis(2-chloroethyl)cther
<10 ug/1,
N-Nitrosodimcthylamine
<10 ug/L
Bis(2-chloroisopropyi)ether
<10 ug/L
N-Nitrosodi-n-propylarnine
<10 ug/L
Bis(2-ethylhexyl)phthalate
<10 ug/L
N-Nitrosodiphenyiamine
<10 ug/1,
4-Brornophenyl phenyl ether
<10 ug/L
Phenartthrene
<10 ug/L
2-Chloronaphthalene
<.10 ug/t.
Pyrene
<10 ug/L
4-Chlorophenyl phenyl ether
<10 ug/L
112,4-Trichlorobenzene
<10 ug/L
Chrysene
<10 ug/1'
Dibenzo(a,h)authracene.
<10 ug/L
4-Chloro-3-methylphcnol
<10 ub/L
1,2-Dichlorobenzene
<l0 ug/L
2-Chlorophenol
<10 ug/l.
1,3-Dichlorobenzene
<10 ug/L
2,4-Dichlorophenol
<10 ug/l..
1,4-Diehlorubcnzcne
<10 ug/L.
2,4-Dimethylphenol
<10 ug/L
3,Y-Dichlorobenzidine
<50 ug/1,
2,4-Dinitrophcnol
<50 tie,
Diethyl phthalate
<10 ug/L
4,6-Dinitro-2-ratethylphenol
<50 ug/l.
D'amcthyl phthalate
<10 ug/L
2-Nilrophenol
<10 ug/L
Di-n-hutyl phthalate
<10 ug/L
4-Nilrophenol
<50 ug/I,
2,4-Dinitrotoluene
<10 ug/L
Pentachlorophenol
<50 ug/L
2,6-Dinitrotoluene
<10 ug/L
Phenol
<10 ug/L
Di-n-oetyl phthalate
<10 ug/L
2,44-Trichlorophenol
<10 ug/L
1,2-Diphony Ihydrazitie
<10 ug/L
1 Hereby certily that t have reviewed and approve these data. �M I
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] * [e-mail]

Chain of Custody Record (COC)
Client: Skyware Global
Address: 1315 Industrial Dr
Smithfield,NC 27577
Attention: Larry Haile
NPOES9:
Phone:
Fax:
Email:
Project:
PO #:
MEHITECH INC.
Environmental Laboratories
r A Division of water 'technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclab(a)bellsouth.net
Web Site: www.meritech-labs.corn
Turn Around Time*
Std (10 days)
3 - 5 Day
24 -48 Hr
Sample
LocationllD #
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
END
Comp?
Grab?
#ot
Conts.
Tests Required
%
Ice?
Ice?
pH OK?
C12 CK?
Date
Time
Date
Time
Outfali #2
all
f0:0'11
7��,
JC?,j,
G
1Meta1s-Cu,Pb,Zn
TS5,625 G08,624 (wlHCf),Oi18�Grease (wlHCI}�
+✓
(w/HNO3)
1
Method of Shipment:'{
Comments:
!! ;
UPS
❑ Fed Ex
❑ Hand Delivery
❑other
`
Yes x No
*RUSH w rk trust be app oved prior to submitting samples.
Relinquishh by: D�atje: Tirne:
l l�f l ) SC-� f='j
Re iv b ate: Time:
�� ` ( � I I
elfin iuisFred hy: �ff4ie:
�' T
Received y: Date: Time:
Rel qui ed by: Date: Time:
eceived . ab me:. Ti
/ q. `r {

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Paul Hastings Report Date: 10/4/2018
Client: Sky Ware Global
1315 Industrial Drive
Smithfield, NC 27577 Date Sample Rcvd: 9/18/2018
Meritech Work Order # 09181862 Sample: Outfall #2 Grab 9/17/2018
Parameters Results Analysis Date Reporting Limit Method
Total Suspended Solids
<2.5 mg/L
9/19/18
2.5 mg/I.
SM 2S1.0 D
Copper, total
0.005 mg/L
9/20/18
0.005 mg/L
EPA 200.7
Lead, total
<0.010 mg/L
9/20/18
0.01.0 mg/L
EPA 200.7
Zinc, total
0.154 nrg/L
9/20/18
0.01.0 rng/1,
EPA 200.7
Oil & Grease (HEM)
<5 ing/L
9/24/18
5 nig/I,
IPA 166413
EPA 608
Attached
10/2/18
-
608
FPA 624
Attached
9/20/1.8
-
624
EPA 625
Attached
10/3/18
625
1 hereby ce►•tify that f have reviewed and approve these data. 2/66� f
I aboratory Representative
642 1'amco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

MERITECH,INC.
ENVIRONMENTAL LABORATORIES
Laboratory Certification No. 165
Client: Sky Ware Global
Project: 608 / PCB
Client Sample: Outfal1 #2
Sample Collection: 09/17/2018
Meritech Work Order #: 09191862
Analysis: 10/02/2018
Analyst: R &. A
EPA. 608 - Organo chlorine Pesticides
Parameter
Result
Delta - 13I-1C
< 0.001. nag/1,
4,4'-D.DI-,-
< 0.001 mg/L
4,4'-DD'l'
< 0.001 mg/L
Aldrin
< 0.001 mg/L
Alpha - 1311C
< 0.001 mg/L
Alpha Lndosulfan I
< 0.001 mg/L
Beta - F311C
< 0.001 mg/l.,
4,4'-DDD
< 0.001 mg/I.
Chlordane
< 0.010 mg/L
Toxaphene
< 0.020 mg/l,
Dieldrin
< 0.001 mg/L
13ndosulfall Sulfate
< 0.001 mg/1,
FIndrin
< 0.001 mg/L
Endrin Aldehyde
< 0.001 mg/L
Gamma - BHC
< 0.001 mg/L
Heptachlor
< 0.001 mg/L
Heptachlor Epoxide
< 0.001 mg/L
Beta - l tidosulfan lI
< 0.001 mg/L
Methoxychlor
< 0.001 mg/L
PCR --- 1016
< 0.005 mg/L
PCB -- 1221
< 0,005 mg/l,
PCB — 1232
< 0.005 mg/L
PCB -- 1242
< 0.005 mg/L
1'CB — 1248
< 0.005 mg/L
l'CB — 1254
< 0.005 mg/L
PC13 — 1260
< 0.005 trig/L
I hereby certify that I have reviewed and approve these data. _
La ratory Representative
642 Tamco Road w Reidsville, NC 27320
[phone] Ph * [phone] Fax

MERITECH, INC.
Environmental Laboratories
Laboratory Certification #165
Client: Skyware Glohal Meritech ID#: 09181862
Protect: 624.1 Analysis: 09/20/ 18
Client Sample ID: Out fal1 # 2 Analyst: VWV
Sample Collection: 09/17/18
Dilution Factor: 1
Report Bate: 09/24/18
TPA 624.1_ VOLATILE ORGANICS
Parameter
Benzene
D ichl orobro[n(UITWtIIanC
B romn forni
Methyl Bromide
Carbon Tetrachloride
C;hlorobenzene
Chloroethane
2-Chloroethyl vinyl ether
Chloroform
Methyl Chloride
Ch lorod i bromomethane
1,2-Dibroinoethane
I , l-Dichloroethane
1,2-Dichloroethane
1,4-Dichlorobenzenc
1,2-Dichloroben7ene
1,3-Dichlorobenzene
1,1-Di chloroethylene
trans-1,2-Dichloroethylene
1,2-Dichloropropane
cis-1,3-Diehl oropropyicnc
trans-1,3-Dichloropropylene
Ethyl benzene
Methylene chloride
1,1,2,2-'retrachloroethane
Tetrachloroethylene
Toluene
1,1,1-TrichIoroethatic
1,1,2-Trichlnroethane
Tricliloroethylene
Trichlorofl uoroniethane
Vinyl chloride
Additional Compounds
Acrolein
Acrylonitrilc
I hereby certify that I have reviewed and approve these data.
Result
< 1.00 tig/l.,
< 1.00 ug/L
< 1.00 ug/l,
< 5.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 5.00 ug/L
< 5.00 ug/L
< 1.00 ug/L
< 5.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 11g/1L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/1.
< 1.00 ug;/1.
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/l,
< 1.00 ug/L
< 1.00 ug/l,
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< I.00 ug/l,
< 1.00 ug/L
< 1.00 ug/l.
< 5.00 ug/1
< 5.00 ug/l..
<50.0 ug/L
<10.0 ug/l,
1
Laboratory Represent ve
642 Tamco Road * Reidsville, NC 27320
[phone] * [e-mail]

5
MERITECH, INC.
' Environmental Laboratories
Ik Laboratory Certificate #165
Client:
Sk.yware Global
Meritech Ill#:
09181862
Project.
625
Analysis:
10104/19
Client Sample ID:
Outfall 2
Extraction:
09/24/18
Sample Collection:
09/17/18
Analyst:
I'M
Report (late:
10/04/18
Dilution Tractor:
1
EPA 625.1 SEMIVOLATILE ORGANICS
Parameler
Result
Paranicter
Rcsult
Acenaphthene
<10 ug/L.
Fluoranthenc
<10 ug/L
Acenaphthylcne
<10 ug/L
Fluorene
<10 ugJL
Anthracene
<10 ug/l.,
Hexachlornbenzene
<10 ug/f,
Benzidine
<50 ugJL
Hexachlorobuladiene
<10 ug/1,
Benzo(a)anthracene
<10 ug/L
Hexachlorocyclopentadiene
<50 ugJL
Benzo(a)pyrene
<10 ug/L
Ilexachlorocthanc
<10 ug/L
Benzo(b)fluoranthene
<10 ug/L
hideno(1,2,3-cd)pyrene
<10 ug/L
Benzo(k)fluoranthene
<10 ugJL
Isophorone
<10 ug/L
Bcnzc(g,h,i)perylene
<10 ug/11
2-Methylnaphthalene
<10 ug/I.
13enzyl butyl phthalate
<10 ug/L
Naphthalene
<10 ug/L
Ris(2-cllloroethoxy)rnethanc
<10 ug/1,
Nitrobenzene
<10 ug/L
Bis(2-chloroethyl)ether
<10 ug/L
N-Nitrosodimethylamine
<10 ug/L
13is(2-chloroisopropyl)e.ther
<10 ug/L
N-Nitrosodi-n-propylamine
<10 ugJL
Bis(2-ethy1hexyl)phthalate
<10 ug/L
N-Nitrasodiphenylumine
<10 ugh.,
4-13romophunyt phenyl ether
<10 ug/L
Phenanthrene
<10 ug/L
2-Chloronaphthalene
<10 ug/L
Tyrone
<10 ug/L
4-Chloruphcnyl plienyl ether
<10 ug/L
1,2,4-Trichlorobcnzene
<10 ug/L
Chrysenc
<10 ug/L
Dibenzo(a,h)anthracene
<10 ug/L
4-Chloro-3-methylphenol
<10 ug/L
1,2-Diahlurobenzenc
<10 ug/L
2-Clilorophenol
<10 ug/L
1,3-Dichlorobenzene
<10 ug/L
2,4-Dichloropltenol
<10 ugJL
IA-Dichiorcbenzene
<10 ug/l,
2,4-Dimelhylphenol
<10 ugJL
3,3'-Dichlorobenzidine
<50 ug/L
2,4-Dinitrophenol
<50 ug/L
Diethyl phthalate
<I0 ug/1.
4,6-I)initro-2-methyll)lienol
<50 ug/L
Dimethyl phthalate
<10 ug/L
2-Nilrophenol
<10 ug/L
Di-n-butyl phthalate
<10 erg/L
4-Nitrophenol
<50 ug/L
2,4-Dinitrololuene
<l0 ug/L
Pentuchlorophenol
<50 ug/L
2,6-Dinitrotoluene
<10 ug/L
Phenol
<10 ub/L.
Di-n-octyl phthalate
<10 ug/L
2,4,6-Tricliloraphenol
<10 ug/L
1,2-Dipheny1hydrazinc
<10 ug/L
I hereby certify that I have; reviewed and approve these data.
I.aboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] * [e-mail]

Chain of Custody(CQC)
Client: Skyware Global
Address: 1315 Industrial Dr
Smithfield,NC 27577
Attention: Lar Haile
NPDES #:
Phone:
Fax:
Email:
Project:
PO #:
ggRreccotd
MER8 1 ECH INC.
Environmental Laboratories
T A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville. NC Fax: [phone]
27320 Email: [e-mail]
Web Site: www.meritech-labs.cg n
Turn Around Time*
Sid (10 days)
3 - 5 Day
24 - 48 Hr
Sample
Loca#ion/lD #
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
END
comp?
Grab?
#of
conts.
Tests Required
/
on
Ice?
pHCK?
C12 OK?
Date
Time
Date
Time
Dutfall #2
tl
i =�'�7 �7
7f it
i0:
G
TSS,625,608,624 (wlHC0,0i1&Grease (w/HCI)
Metals-Cu,Pb,Zn (w/HNO3)
Method of Shipment:
Comments:
{,A _ L, L� ]
UPS
❑ Fed Ex
❑ Hand Delivery
❑Other
Willmualatuty pa, pubes',,*RUSH
Yes x No
w rk must be app oved prior to submitting samples.
Relinquish d b ; / /Date: Time:
'; J ( / / al ��)'• L-�I4
Re ei b ate: Time:
f ( # 3
elfin ° isFted by: die:
3' 7
Received y: Date: Time:
Rel Gui ed by- Date: tme:
eceived ab y: Time: l
C

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No..165
Contact: Paul Hastings
Client: Sky Ware Global
1315 Industrial Drive
Report Date: 10/4/2018
Smithfield, NC 27577 Date Sample Rcvd: 9/18/2018
Meritech Work Order # 09181-862 Sample: Outfall ##2 Crab 9/17/2018
Parameters Results Analysis Datc Reporting Limit Method
Total Suspended Solids
<2.5 mg/L
9/19/18
2.5 mg/L
SM 2540 D
Copper, total
0.005 mg/L
9/20/18
0.005 ing/L
l3PA 200.7
Lead, total
<0.010 mg/L
9/20/18
0.010 rng/L
EPA 200.7
Zinc, total
0.1.54 ing/L
9/20/1.8
0.010 mg/L,
IPA 200.7
Oil & Grease (HEM)
<5 nag/L
9/24/18
S riib/L
T:PA 1669,13
EPA 608
Attached
10/2/18
-
608
1PA 624
Attached
9/20/18
-
624
EPA 625
Attached
10/3/18
-
625
I hereby certify that I have reviewed and approve these data.
Laboratory Represen tative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone]•748 fax.[phone]

MERITECH, INC.
ENVIRONMENTAL LABORATORIES
Laboratory Certification No. 165
Client: Sky Ware Global
Project: 608 / 11C13
Client sample: Outfall #2
Sample Collection: 09/17/2018
Meritech Work Order #: 09191862
Analysis: 10/02/20 l 8
Analyst: It & A
E:P 608 Oranochlorine :Pesticides
Parameter
Result
Delta - BI-IC
< 0.001 mg/].,
4,4'-DDE
< 0.001 mg/L
4,4'-DDT
< 0.001 mg/L
Aldrin
< 0.001 mg/L
Alpha - BHC
< 0.001 mg/L
Alpha EndnSLllfatl I
< 0.001 mg/L
Beta - BHC
< 0.001 mg/l..
4,4'-DDD
< 0.001 mg/L
Chlordane
< 0.010 mg/L
Toxaphene
< 0.020 mg/L
Dieldriti
< 0.001 mg/L
I ndosulfan Sulfate
< 0.001 mg/L
]:,'aldrin
< 0.001 mg/L
E'ndrin Aldehyde
< 0.001 mg/L
Gamma - BFIC
< 0,001 mg/L
Heptachlor
< 0.001 mg/L
Fleptachlor Epoxide
< 0.001 mg/L
13eta - l ndosulfan I1
< 0.001 mg/L
Methoxychlor
< 0.001 mg/L
l'C13 --- 1016
< 0.005 mg/l,
PC13 -- 1221
< 0.005 rng/L
1'03 — 1232
< 0.005 mg/L
PCB — 1242
< 0.005 mg/L
PCB — 1248
< 0.005 mg/L
I'CB — 1254
< 0.005 mg/L
11C13 — 1260
< 0.005 mg/l,
1 hereby certify that I have reviewed and approve these data. _
Lab6ratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [phone] Fax

MERiTECH, INC.
Environmental Laboratories
j Laboratory Certification #165
Client:
Skyware Global
Meritech .IM:
09181862
Project:
624.1
Analysis:
09/20/18
Client Sample M
Outfall # 2
Analyst:
VWV
Sample Collection:
09/17/18
Dilution Factor:
1
Report Elate:
09/24/18
EPA 624..1.
VOLATILLE ORGANICS
Parameter
I3enzene
Dichlorobromomethane
I3romoform
Methyl Bromide
Carbon `tetrachloride
Chloroherizene
Chloroethane
2-Chloroethyl vinyl ether
Chloroform
Methyl Chloride
Chlorod ibromomethane
1,2-Dihrolnoethane
1, 1 -Dichloroethane
1,2-Dichloroethanc
1,4-Dichlorobenzcnc
1,2-Dichlorobenzene
1,3-Dichlorobenzene
1, 1 -Dichloroethylene
trans-1,2-Dichloroethylene
1,2-Dichloropropartt
cis- 1,3-Dichloropropylenc
trans- l,3-Diehl oropro pyletic
Ethyl benzene
Methylene chloride
i ,1,2,2- ['etr<achloroethanc
Tetrachloroethylene
Toluene
1,1,1-Trichloroethane
l ,1,2-Trichlorocthanc
Trichloroethylene
Trichlorofluorometha tie
Vinyl chloride
Additional Compounds
Acrolein
Acrylonitrile
I hereby certify that I have reviewed and approve these data.
Result
< 1.00 ug/L
< 1,00 ug/L
1.00 ug/L
< 5.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 5.00 ug/L
< 5.00 ug/L
< 1.00 ug/L
< 5,00 ug/L
< 1.00 ug/L
< 1.00 uf/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 Elg/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1,00 lib/1.
< l A0 ug/L
< 1.00 ug/L
< 1.00 ug/I.
< 5.00 ug/L.
< 5.00 ug/L
-:50.0 iig/l.,
< 10.0 ug/L
Laboratory Represent ve
642 Tamco Roar! * Reidsville, NC 27320
[phone] * [e-mail]

MERITECH, INC.
,h Environmental Laboratories
b Laboratory Certificate #166
Client:
Skyware Global
Meritech ID#:
09181862
Project:
625
Analysis:
10/04/19
Client Sample ID:
Qutfall 2
Extraction:
09/24/18
Sample Collection;
09/17/18
Analyst;
PM
Report Date:
10/04/18
Dilution Factor:
I
CPA 625.1 SEMIVOLATILE ORGANICS
Paraineter
Result
Parameter
Rcsult
Acenaphtltenc
<10 ug/L.
Pluoranthene
<10 ug/I,
Acenaphthylene
<10 ug/L
1'luorene
<10 ug/L
Anlhracene
<10 ug/L
Hexachlorobenzene
<10 ugh.
Benzidine
<50 uglL
Hexachlorobutadiene
<10 ug/L
Benzo(a)anthracene
<10 ug/L
Ilexachlorocyclopentadicne
<50 ug/L
Benzo(a)pyrenc
<10 ugh,
Ilexachloroethane
<10 ug/L
Benzo(b)iluoranthene
<10 ug/L
indeno(1,2,3-cd)pyrene
<10 ug/L
Bcnzo(k)flucranlhene
<I0 ug/L
Isophorcrne
<10 ug/L
Bcnzo(g,h,i)perylcnc
<10 ug/l.
2-Methylnaphthalcne
<10 ug/1,
Benzyl butyl phthalate
<10 ug/L
Naphthalene
<10 ug/l.
Bis(2-ehlorocthoxy)methanc
<10 ug/L
Nitrobenzenc
<10 ug/L
Bis(2-chlorocthyl)ether
<10 ug/1.
N-Nitrosoclimethylamine
<10 ug/L
Bis(2-chloroisopropyl)ether
<10 ug/L
N-Nitrosodi-n-propylamine
<10 ug/L
Bis(2-ethylhexyl)phthalate
<10 ug/L
N-Nitrosodiphenylamino
<10 ug/L
4-Brotnophenyi phenyl ether
<10 ug/L
Phetianthrene
<10 ug/L
2-Chlcronaphthalenc
<10 ug/1,
Pyrcne
<10 ug/L
4-Chlarophenyl phenyl ether
<10 u8/1,
1,2,4-Trich1orobcnzene
<10 ug/L
Chryscnc
<10 ugh.,
Dibcnzo(a,h)anthracene
<10 ug/L
4-Chloro-3-methylphenol
<10 ug/L
1,2-Dichlarchenzene
<I0 ug/l.
2-Chlorophcnol
<10 ug/L
1,3-Dichlorohenzene
<10 ug/L
2,4-Dichlorophenol
<10 ug/L
1,4-Dichlorcbenzcne
<10 ug/l,
2,4-Dimcthylphenol
<10 ug/L
3,Y-Dichlorobenzidirtc
<50 ug/L
2,4-Dinitrophenol
<50 ug/L.
Diethyl phthalate
<10 ug/l.
4,6-Dinitro-2-mcthylplicnol
<50 ug/L
Dfinethyl phthalate
<10 ug/l.
2-Nitrophenol
<10 ug/L
Di-n-butyl phthalate
<10 ug/L
4-Nitrophenol
<50 ug/L
2,4-Dinitrotoluene
<10 ug/l,
Pentachlorophcnol
<50 ug/l.
2,6-Dinitrofoluene
<10 ug/L
I'lrenol
<10 ugfL
Di-n-octyl phthalate
<10 ug/L
2,4,6-Trichlorophenol
<10 ug/L
1,2-Diphenylhydrazine
<10 ug/1,
I hereby certify that I have reviewed and approve these. data.
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] * [e-mail]

Chain of Custody Record (COC)
Client: Skyware Global
Address: 1315 Industrial Dr
Srnithfield,NC 27577
Attention: Larry Hailey
NPaES #:
Phone:
Fax:
Email:
Project:
PO #:
MERITECH INC.
s, P Environmental Laboratories
A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclab(aDbellsouth. net
Web Site: www.meritech-labs.com
Turn Around Time*
Std (10 days)
==
3 - 5 Day
24 - 48 Hr
I
Sample
LocationllD #
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
END
Comp?
Grab?
#of
Cots.
Tests Required
On
lee??
PHOK7
C12 OK?
Date
Time
02te I
Time
Outfah ##2
7/ l
i ' ; } �,�
� 7C
J :.
G
TSS,625,G08,624 (wlHCQ,Oil&Grease (w/HCI) "I
Metals-Cu,Pb,Zn (w/HNO3)
Method of Shipment-
Comments:
t=' 1 -7 �} p 1
! L } I / . J r ! ulo �1 t`JP-r '(J
UPS
❑ Fed Ex
❑ Hand Delivery
❑Other
'll these USOU 101 14z;8ulawly PUIPUSub-*RUSH
Yes x No
w rk must be app oved prior to submitting samples.
Relinquish q _ by: g / Date: Time:
'?[ I �,� �L� S ��!_
Re i b aate: Time: J
erm�uisrmd by: tide:
�-7
Rece ived y: Date:' Time:
Rel qui ed by: Hate: Time:
Time:.� �r�rtr
eceived • ab y:j17V

. Meritech, Inc.
Environmental Laboratory
Laboratory Certification No, 165
Contact: Paul I -Castings
Client: Sky Ware Giobal
1315 Industrial Drive
IZcport ])ate: 10/4/2010
Smithfield, NC 27577 Date Sample itcvd: 9/18/2018
Meritech Work Order it
09181863
Sample: Outfall #3 Grab
9/17/2018
Parameters
Results
Analysis Date Reporting Limit
Method
Total Suspended Solids
<2.5 rng/I.
9/1.9/1.t1
2.5 ing/l,
SM 254 0 D
Copper, total
0.004 rng/L
9/20/16
0.005 [jig/I,
EPA 200.7
Lead, total
<0.010 rng/L
9/20/18
0.010 mg/L
EIPA 200.7
Zinc, total
0.071 nig/L
9/20/1.6
0.010 ing/L
EI'A 2003
Oil & Grease (HEM)
<5 mg/L
9/24/16
5 rng/L
EPA 1.664B
EPA 608
Attached
10/2/18
-
608
EPA 624
Attached
9/20/1.8
624
EPA 625
Attached
10/3/18
625
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

}
MERITECH, INC.
ENVIRONMENTAL LABORATORIES
Laboratory Certification No 165
Client: Sky Ware Global Meritech Work Order #:
Project: 608/ PC13 Analysis:
Client Sample: Outfall #3 Analyst:
Samplc Collection: 09/17/2018
EPA 608 - Organochlorine Pesticides
09181863
10/02/2018
R&A
Parameter
Result
Delta - 13HC
< 0,001 mg/I,
4,4'-DD1
< 0.001 mg/L
4,4'-DDT
< 0.001 mg/L
Aldrin
< 0.001 mg/L
Alpha - 131 IC
< 0.001 mg/L
Alpha Emclosulfan 1
< 0.001 mg/L
Beta - 131-IC
< 0.001 mg/L
4,4'-DDD
< 0.001 mg/L
Chlordanc
< 0.010 mg/L
`Coxaphene
< 0.020 mg/L
Dieldrin
< 0.001. tng/L
Endosulfun Sul fate
< 0.001 mg/L
Endrin
< 0.001 nag/L
1:?ndriti Aldehyde
< 0.001 mg/L
Gamma - 1314C
< 0.001 nag/L
Heptachlor
< 0.001 mg/L
Heptachlor Epoxide
< 0.001 mg/L
Beta-1ndosulfan I
< 0,001 mg/L
Methoxychlor
< 0.001 mg/L
PCB - 1016
< 0.005 mg/l,
PCB — 1221
< 0.005 mg/L
PCB — 1232
< 0.005 mg/1,
PCB -- 1242
< 0.005 mg/L
PCB — 1248
< 0.005 mg/i,
PCB -- 1254
< 0.005 mg/L
PC8 — 1260
< 0,005 mg/1,
1 hereby certify that 1 have reviewed and approve these data.
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [phone] Fax

MERITECH, INC.
°rw
Environmental laboratories
t
Laboratory Certification 9165
Client:
Skyware Global Meritech JD#: 09191863
Project:
624.1 Analysis: 09/20/18
Client Sample I.D.
OLrtfilll # 3 Analyst: VWV
Sample Collection:
09/17/18 Dilution Factor: 1
Report Date: 09/24/18
EPA 624.1 VOLATILE ORGANICS
Parameter
Benzene
Dichlorohromoinethane
Brolnoform
Methyl Bromide
Carbon Tetrachloride
Chlorobcnzenc
Chloroethane
2-Chloroethyl vinyl ether
Chloroform
Methyl Chloride
Chlorociil�r•omomcthane
1,2-Dibromoethane
1,1-Dichloroethane
1,2-Dichloroethane
1,4-Dichlorobenzene
1,2-Dichlorobenzcne
1,3-Dichlorobenzene
1,1-D ich loroetliylcm
trans- 1,2-Dlchloroethyleno
l ,2-Dichloropropane
cis-1,3-Dichloropropylene
trans-1,3-Dichloropropylene
F,thyl benzene
Methylene chloride
1,1,2,2-Tetrachloroetl unto
Tetrachloroethyiene
Toluene
1,1,1-Trichlorocthane
l,l ,2-Triehloroethane
Trichloroethylene
Trichlorofluoromethane
Vinyl chloride
Additional Compounds
Acrolein
Acrylonitrile
I hereby corlify that I have reviewed and approve these data.
Result
< 1.00 ug/1"
< 1.00 ulll.,
< 1.00 ug/L
< 5.00 ug/L
< 1.00 ug/1'
< 1.00 ug/I,
< 5.00 ug/1.,
< 5.00 ug/1-.
< 1.00 ug/L,
< 5,00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/L
< 1,00 ug/L
< I AO ug/L
< 1.00 ug/L
< 1.00 rrg/L
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/1.
< 1.00 ug/L
< 1.00 ug/L
< 1,00 ug/L
< 1.00 ugtl
< 1.00 ug/L
< 1.00 ug/L
< 1.00 ug/l.,
< 1.00 ug/L.
< 1.00 ug/L
< 1.00 ug/L
< 5.00 ug/L
< 5.00 ug/L
<50.0 ur L
<10.0 ug/L
Lab atory Represent five
642 Tamco Road * Reidsville, NC 27320
[phone] * [e-mail]

MERITECH, INC. Environmental Laboratories
Laboratory Certificate #165
Client: Skywarc Global Meritech ID#: 09181863
Project: 625 Analysis: 10/04/18
Client Sample 11): Qutfall 3 EXtt•aeti{►TI: 09/24/18
Sample Collection: 09/17/18 Analyst: PM
Report Date: 10/04/18 Dilution Factor: 1
EPA 625.1 SEMIVOLATILE ORGANICS
I'aranietcr
Result
Parameter
Rcsult
Acenaphthenc
<10 ug/L
Fluoranthene
<10 ug/L
Acenaphtltylene
<10 ug/L
Fluor=
<10 ug/L
Anthracene
<10 ug/L
I.lexaclilorobenzenc
<10 ug/L
Benzidine
<50 ug/l,
Hexachiorobutadiene
<10 ug/L
Renzo(a)anthracene-
<10 ug/T�
Flexachlorocyclopentadiene
<50 ug/L
13enzo(a)pyrene
<10 ug/l.,
Hexachlorocthane
<10 ug/L
Rcnzo(b)fluorantheoe
<10 ug/L
htduno(1,2,3-ud)pyrcne
<10 ug/l,
Denzo(k)fluorantlicne
<10 ug/l.,-
isophoroile
<10 uYL
Benzo(g,h,i)perylene
<10 ug/l'
2-Methylnaphthalene
<10 ug/L
Benzyl butyl phthnlatc
<10 ug/L
Naphthalene
<10 ug/L
13is(2-chloroethoxy)methane
<10 ug/l.
Nitrobenzene
<10 ug/L,
Bis(2-chloroethyl)ether
<10 ug/L
N-Nitrosodirnethylamine
<10 ug/L
Bis(2-chloroisopropyl)cther
<10 ug/L
N-Nitrosodi-n-propylamine
<10 ug/L
Bis(2-ethylhexyl)phtlialate
<10 ug/L
N-Nitrosodiplienylamitic
<10 ug/L
4-3romopitenyl pltenyl ether
<10 ug/L
phetianthrene
<10 ug/L
2-C•hloronaphtlialene,
<10 ug/l,
Pyrene
<10 ug/L
4-Chlorophenyl phenyl ether
<10 ugh,
1,2,4-1'richiorobenzene
<10 ug/L
Chrysenc
<10 ug/L
Dibcnza(a,1t)anthracene
<10 ug/l,
4-Chloro-3-me1hylphenol
<10 ug/1.,
1,2-Dichlorobenzene
<10 ug/l,
2-Chlorophenul
<10 ug/i,
1,3-Dichlorobenzene
<10 ug/l,
2,4-Dichlorophenol
<10 ugh.,
114-Dichlorobenzene
<10 ug/1,
2,4-Dirnethylphenol
<10 ug/L
3,T-Dichlorobenzidine
<50 ug/L
2,4-Dinitrophenol
<50 ug/l,
Diethyl phthalate
<10 ug/L
4,6-Dinitro-2-niethylphenol
<50 ug/L
Dimcthyl phthalate
<10 ug/L
2-Nitrophenol
<10 ug/
Di-n-butyl phthalate
<10 ug/L
4-Nitrophenol
<50 ug/L
2,4-Dinitrotoiuene
<l0 uyL•
Pentachlorophenol
<50 ug/L
2,6-Dinitrotoluene
<l0 uglL
Phenol
<10 ug/1,
Di-n-octyl phthalate
<10 ug/L
2,4,6-Trichloroplien ol
<10 ug/L
1,2-Dipheny1hydrarine
<10 ug/L
I hereby certify that I have reviewed and approve these data. 1� 94
I.,aboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] * [e-mail]

Chain of Custody Record (COC)
Client: Skyware Global
Address. 1315 Industrial Dr
Smithfield,NC 27577
Attention: Larry Hailey
NPDES#:
Phone --
Fax:
Email:
Project:
Pa#:
MER1gg ECH INC.
Environmental Laboratories
A Division of Water Technology and Control, Inc.
642 Tamco Rd Phone [phone]
Reidsville, NC Fax: [phone]
27320 Email: wtclab!§bellsouth.net
Web Site: www.meritech-labs.com
Turn Around Time*
Std (10 days)
cz:=
3 - 5 Day
I
24 - 48 Hr
o
Sample
LocationllD #
Sampling Dates & Times
person Taking Sample (Signature):
Lab Use Only
START
END
Grab?
Conts.
Tests Required
I°;
pH OK?
Date
Time
Date
Time
Outfall 43
c1h j j '
�10llql�
q j 7
� �&1
G
(
TSS,625,608,624 (w1HCl),Oil&Grease (w/HCI)
Metals-Cu,Pb,Zn (w/HNO3)
�--
1
i�
i
r- J
Method of Shipment:
Comments:
0-- i6,`.32—
i EP4 1 C, �_
�i /UO 0X3CA %lA) f } ---1 1110 1�0A,14
❑ L}P5
❑ Fad Ex
❑ Hand Delivery�;t-
❑Other
Yes x NoUSH
nrk must be approved prior to submitting samples-
Re;n uisped by: Date: rim
R eeive by: 1U Time: L [
Ralin uis4led b r Date: a
Re'cclwed by. Date:" Tlme:
Relinquish d by: Date: Time:
R ved at D e: Time: r�

Semi-annual Stormwatelr Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 10/01/2018
CERTIFICATE OF COVERAGE NO. NCG030041 SAMPLE COLLECTION YEAR _2018
FACILITY NAME CROWN - Kinston SAMPLE PERIOD ❑ Jan -June July -Dec
COUNTY LENOIR or ❑ Monthly"_
PERSON COLLECTING SAMPLES JIMMY YELVERTON RECEIVE
DDISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10 ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: OCT 10 2018 ®Other C,SW,NSW
NTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period:
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks
-
-
100 mg/L or 50 mglC
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
08/21/18
1.15
5.4 mg/I
7.13
<0.004 mg/I
<0.005 mg/I
0.057 mg/I
<5.0 mg/I
SMP
2
08/21/18
1.15
7.1 mg/I
7.00
<0.002 mg/I
<0.005 mg/I
0.029 mg/I
<6.0 mg/I
SMP
" Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode
ray tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitorir?d
maybe waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
PermiL. For those facilities electing to employ the TTO 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
(TTO), 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. 1 further.certify that this facility is implementing the all the provisions of the
solvent management plan included in the stormwater Pollution Prevention Plan."
Jimmv Velverton
Name (Print name)
Safety & Environmental Engineer
Title Pf t title)
(Sig ture) (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part 6: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period:2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH,
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 5U
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 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 71
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
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature
!b /
(DAtey
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

.iw
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 03/21/2018
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston MAR 2 7 Z018
COUNTY LENOIR CENTRAL FILES
PERSON COLLECTING SAMPLES JIMMY YELVERTON r`WR SECTION
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑ Monthly'_
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
®Other C,SW,NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks =__>
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
02/26/18
.3125
2.6 mg/I
6.49
0.002 mg/I
<0.005 mg/I
0.012 mg/i
<5.0 mg/I
SMP
2
02/26/18
.3125
2.8 mg/I
6.40
0.002 mg/[
<0.005 mg/I
0.012 mg/I
<5.0 mg/I
SMP
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton _
Name (Print name)
Safety & Environmental Engineer
Title nttitle)�
(S' nature)
3ON-��
(Date)
Note: Results must be 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 mg/I.", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA_ 1664 (SGT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" resorts, within 30 days of receipt of the lab 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, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
°I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ature of Permittee}
[ ate
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
CERTIFICATE OF COVERAGE NO. NCG030041:
Date submitted 09/01/2017
RECE!Vpn
FACILITY NAME CROWN - Kinston
COUNTY LENOIR SEP 12017
PERSON COLLECTING SAMPLES JIMMY YELVERTON FILES
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10 DIVR SECTION
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _2017
SAMPLE PERIOD ❑ Jan -June X July -Dec
or ❑ Monthly'`
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other C,SW,NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Tota!
Total Petroleum
Hydrocarbons
Toxic
Organics-5
Benchmarks =__>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
08/15/17
.425
2.5 mg/I
6.29
<0.002 mg/I
<0.005 mg/I
0.024 mg/I
<5.0 mg/I
SMP
2
08/1S/17
.425
22.0 mg/I
6.11
<0.002 mg/I
<0.005 mg/I
0.034 mg/I
<5.0 mg/1
SMP
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

z
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwatenor 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmv Yelvertoo
Name (Print name)
Saf & Environmental Engineer
e ( rint title)
Q_j 6,ot� a---- 9-1-17
(S' nature) (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
I
i
f
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/I *
6:0 — 9.0 SU
t
f
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
maybe 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 TTO 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
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwaterlor, 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 management plan included in the Stormwater Pollution Prevention Plan."
,Iimmv Yelverton
Name (Print name)
Saf & Environmental Engineer
e ( rint title)
(S nature) (Date)
Note: Results must be reported in numerical format. Do not re ort Below Detection Limit, BDL, <PQL, Non -detect, ND,ior other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. j See Genera! Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-ITEM)
1
Total Suspended Sol Ids
pH
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, Tabie 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Semi-annual Stormwater Discharge Monitoring Resort
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 09/01/2017
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL#1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �2017
SAMPLE PERIOD ❑ Jan -June R July -Dec
or ❑ Monthly' —
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other C,SW,NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period:
outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
inches}
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks =__>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
i mg/L
1
08/iS/17
.425
2.5 mg/I
6.29
<0.002 mg/I
<0.005 mg/1
0.024 mg/f
<5.0 mg/I
SNIP
2
08/15/17
.425
22.0 mg/I
6.11
<0.002 mg/I
<0.005 mg/I
0.034 mg/€
I <5.0 mg/I
SMP
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433,11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469,22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/Z017 5WU-245, last revised 10/25/2012
Page 1 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 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, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and ali 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 Permittee)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2022
Page 3 of 3

r
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 04/17/2017
CERTIFICATE OF COVERAGE NO. NCG030041 SAMPLE COLLECTION YEAR _2017
FACILITY NAME CROWN - Kinston SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
t
COUNTY LENOIR JE!Ctor ❑ Monthly'_
PERSON COLLECTING SAMPLES JIMMYYELVERTON MAY 0 . ZQ]J CHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10 �❑Zero-flow [:]WaterSupply [:]SA
'�4C �[:]Other C,SW,NSW
Comments on sample collection or analysis: _„��+i
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
p H,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks =__>
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
03/14/17
1.12
10.0 mg/I
8.46
<0.002 mg/I
<0.005 mg/1
0.026 mg/I
<5.0 mg/I
SMP
2
03/14/17
1.12
11.0 mg/I
8.41
<0.002 mg/I
<0.005 mg/I
0.028 mg/I
<5.0 mg/I
SMP
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

r
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton
Name (Print name)
Safety & Environmental Engineer
Ti Print title)
C/ /T--/
( gnature) (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH•by
EPA 1664 (SGT-HEM)
Total Suspended Solids
I
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 - 4.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Hate: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

r
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER T[ER 2 REQUIREMENTS. SEE PERMIT PART 11 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 lab results or at end of monitoring eriod
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there arg ignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

tj Semi-annual Stormwater Discharge Monitoring Report,
for North Carolina Division of Water Quality General Permit No. NCG03�04
• Date submitted 10/17/2016 copv
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _2016
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly'_
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Z -flow []WaterSupply ❑SA
LL�Other C,SW,NSW _
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period:"
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
PH,
Standard units
Copper
Lead
Zinc
Nan -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks =__>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
09/20/16
1.25
8.4 mg/I
7.12
<0.003 mg/I
<0.005 mg/I
0.032 mg/I
<5.0 mg/I
SMP
2
09/20/16
1.2S
10.0 mg/I
6.94
<0.004 mg/I
<0.005 mg/I
0.033 mg/I
<5.0 mg/I
SMP
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton
Name (Print name)
Safety & Environmental Engineer,,
Tit rint title)
(�gnature) (Date)
Note: Results must be 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 me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
(Vote: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
F—] No discharge this period?z
Outfail No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (5GT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND 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 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 o "No Dischar e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN TWIS CERTIFICATION FQR ANYJIYEOBMAIIQN 89PORTED,
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Datel
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 411212016
CERTIFICATE OF COVERAGE NO.'NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION EAR _2016
SAMPLE PERIOD Jan
-June ❑ July -Dec
or ❑ Monthly'_
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
REC'FI\IEG ❑Other C SW NSW
APB ZOIIj PLEASE REMEMBER TO SIGN ON PAGES 2 AND/GR 3 -
DWR SECTION
I.N1F0WATI01\J PROCESSING UNIT
n No discharge this period:
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
IHydrocarbons
Non -Polar O&G
Total Petroleum
Total Toxic
Organics5
8enchmorks =__>
_
-
100 mg/L or 50 mg/L°
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
03/02/16
.560
8.8 mg/I
8.33
<0.003 mg/I
<0.005 mg/I
0.037 mg/I
<6.0 mg/I
SMP
2
03/02/16
.560
8.8 mg/I
8.36
<0.003 mg/I
<0.005 mg/I
0.042 mg/1
<6.0 mg/I
SMP
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1of3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan sliall 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 TTO 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
(TTO), 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 since filing 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."
Jimmy Yelverton
Name (Print name)
Safety & Environmental Engineer
;TiPrint title)Mure) (bate)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

r
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALI 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 lab results (or at end of monitodgR_period
in the case ot "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIF.ICATIIlN FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
�c-k/I�L
urg of Per i tee} (Q tee
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

19
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted _ 4/12/2016
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTIOIEEAR _2016
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly'_
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
]zero -flow ❑Water Supply ❑SA
❑Other C SW NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
n No di.srhnrnP thic norinr ;' 2
I
Outfall No.
Date Sample
i
Collected �
24-hour rainfall
amount,
Total Suspended Solids
PH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Total Toxic
s
(mo/dd/yrj
Inches'
I
I
Hydrocarbons
Organics
Benchmarks =__>
-
-
4
100 mg/L or 50 mg/L
6.0 -- 9.0
0.007 mg/l
1 0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
03/02/16
.560
8.8 mg/l
8.33
<0.003 mg/l
<0.005 mg/I
0.037 mg/I
<6.0 mg/I
SMP
2
03/02/16
.560
8.8 mg/I
8.36
<0.003 mg/i
<O.UOS mg/ I
0.042 mg/I
<6.0 mg/I
SMP
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must stili submit this discharge rnonitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites r;tay 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.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sarnple (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: II/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TfO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton
Name (Print name)
Safety & Environmental Engineer
;((ignature)/
Print title)
(Date)
Note: Results must be 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, theyrrtust be reported in the format. "<XX mg/L where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area. Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected;
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
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 S, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 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 copy of this DMR including all "No Discharge" reports, within 30 days Of recei t of the lab results Lor at end of monitoring period
in the case of "No Discharge" reportsl to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFIC -T,19N 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 a )e significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Z/// -2 ��tv
(D te] /
Permit Date: 11/1/2012-10/31/2017 5WU-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 1/6/2015_
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _Z014
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
por El Monthly' December
E�CEI&fT Ce�&GING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNW
JAN 12 2015 ❑Zero -flow [:]Watersupply ❑SLA
❑Other_ C,SW_ ,NSW
CENTRAL i~ILES 1
D'AyR SECTIQN PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected f
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
p H,
Standard units
Copper
Lead
Zinc
Non -Polar D&G/
Total Petroleum
Hydrocarbons
Total
Organnics
icss
Benchmarks ===>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0,067 mg/L
15 mg/L
1 mg/L
1
12/17/14
.38
4.5 mg/l
7.10
0.003 mg/I
<0.005 mg/I
0.034 mg/I
<5.0 mg/I
SMP
2
12/17/14
.38
4.9 mg/I
7.12
0.002 mg/I
<0.005 mg/1
0.039 mg/I
<5.0 mg/I
SMP
i
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially,sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 - SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for Tf0 monitoring
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton
Name (Print name)
Safety & Environmental Engineer
Title rint title)
Is
(' ignature) (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period:2
Outfall No.
Date Sample
Collected'
(mo/dd/yr.)
24-hour rainfall
amount,
Inches3
i
Non -polar O&G/TPH by
EPA 1664 (5GT-HEM)
Total Suspended Solids
I
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PAR-TAAND PART B MONITORING RESULTS:
C A BENCHMARK EXCEEDANCF TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
Y 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It 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 on inal and one copy o this DMR including all "No Discharge" reports, within 30 days -of receipt of the lab results for at end of monitoring eriod
in the case of "No Discharge" reports) to:
Division of Water Quality „
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(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 11/30/2015�
2015 ,
CERTIFICATE OF COVERAGE NO. NCG030041 SAMPLE COLLECTION YEAR —
FACILITY NAME CROWN - Kinston SAMPLE PERIOD ❑ Jan -June ❑ July -Deck
COUNTY LENOIR or [/Monthly' October
PERSON COLLECTING SAMPLES JIMMY YELVERTON DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10 `� �V
®�t ��� ❑Zero -flow [:]Water Supply ❑SA
Comments on sample collection or analysis: ❑Other C,SW,NSW
DEC 0 4 2015
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks ===>
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
10/27/15
.4375
2.9 mg/I
6.43
<0.002 mg/I
<0.005 mg/I
0.013 mg/I
<5.0 mg/I
SMP
2
10/Z7/15
.4375
4.2 mg/1
6.40
<0.002 mg/1
<0.005 mg/I
0.013 mg/1
<5.0 mg/I
SMP
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waive 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton _
Name (Print name)
Safety & Environmental Engineer
Tit
l Print title)
a -1
( ignature) (Date)
Note: Results must be 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 rimed in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Nate. if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
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 ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copy of this DMR including all "No Discharge" reports, within 30 days of recei t of the lab results or at end of monitoring Period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are 5iflficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
.11120
(D e)
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 _ 10/19/2015 ;
CERTIFICATE OF COVERAGE NO.'NCG030041 [Z����UCD
FACILITY NAME CROWN - Kinston R
COUNTY LENOIR OCT 2 3 2015
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10 _ C FNTRAL FILES
Comments on sample collection or analysis: DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _2015
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or 7Monthly' September
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply [:]SA
❑Other C,SW,NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period:
Outfall No
Date Sample
1
Collected !
i
(mo/dd%yr) ,
24 hour rainfall,,
amount,
s
;Inches;
Total Suspended Solids:
, ��
pH, ,
Standard urnts-
!
Copper` j
lit,
1'4 t
Lead ',
; i ' i
j Tnc
,Non, Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
s
Organics
Benchmarks =-_>'
k - r
100'mg/t�-or 50 mg/tL4
6 0.€ 9 0' i
a0.007ymg/�"
10.03°mg/,L
0.067 mg/L
i 15'mg/L
; 1 mg/L
1
9/24/15
.50
2.8 mg/I
6.23
<0.003 mg/I
<0.005 mg/I
0.048 mg/I
<5.0 mg/I
SMP
2
9/24/15
.50
2.7 mg/I
6.28
<0.002 mg/I<0.005
mg/I
0.048 mg/I
<5.0 mg/I
SMP
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall,'you must still submit this discharge monitoring report with a checkmark here.
3 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.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the,EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).,
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
F
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton
Name (Print name)
Safety & Environmental Engineer
Title rint title)
(Si nature) (Date)
Note: Results must be 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 m L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2,;or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal'of new oil per month.
❑ No discharge this period?z
Outfall No: i
!
Date Sampleqq
I, P
Collected r r
(mo/dd/yr);;; ,
24'hourlIrainfall
t ,>
f amount
I 3, i
•;,Inches
:�
Non -polar 0&G/TPH'by
. , , k
EPA,, 1664`(SGT.-HEM)
.� !Total 5uspen'ded,Solids .j
i
! i
pH
,' it
Benchmarks =__>
-iI { ';R '
�. !I��
; ' ' i
15 mg/L. ° r
11001mg/L or 50 mg/L*`
:B�r,
? 6.0 29.O-su
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
O.,.
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 li 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 lab 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, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that the are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
[�R4ature of P4mittee) (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 9/22/201,5
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �2015 M"
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑ Monthly'_ August Ij9p%
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other C,SW,NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 r
❑ No discharge this period 2
Outfall No.
Date Sample
i
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks =_=>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
i mg/L
1
8/25/15
.18
4.2 mg/I
6.83
<0.004 mg/I
<0.005 mg/I
0.177 mg/1
<5.0 mg/I
SMP
2
8/25/15
.18
3.5. mg/I
6.81
<0.005 mg/I
<0.005 mg/I
0.235 mg/I
<5.0 mg/I
SMP
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO); 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton
Name (Print name)
Safet Environmental Engineer
1 Tit e'( rint title)
( gnature) (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc, in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2417 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text.
FOR PART A AND PARTS MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE 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 lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Pjfrmittee)
( ate)
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 8/28/2015
CERTIFICATE OF COVERAGE NO. NCG030041 SAMPLE COLLECTION YEAR _2015
FACILITY NAME CROWN - Kinston SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY LENOIR or ❑ Monthly" July
PERSON COLLECTING SAMPLES JIMMYYELVERTON � V CdJ
`��! ICFDISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10 ❑Zero -flow ❑Water Supply ENM
Comments on sample collection or analysis: SEP 2 2 Im ❑Other C SW NSW C=
�c
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR=-P*
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
® No discharge this period?z
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks =__>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
2
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO moni�cring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed it the General
Permit. For those facilities electing to employ the TTO 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
(TTO), 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 management plan included in the stormwater Pollution Prevention Plan."
Jimmv Velverton
Name (Print name)
Safet & Environmental Engineer
Titl rint title)
(gnature) G (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc, in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK'EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FORTH E SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge„ reportswithin 30 days of receipt of lab results (or at end of monitoring period
in the case of "No Discharge" reports)_to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that thre are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
� A _
(Signature offiermittee)
( te)
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
4
• Date submitted 8 03 2015
CERTIFICATE OF COVERAGE NO. NCG030041 SAMPLE COLLECTION YEAR l2015
FACILITY NAME CROWN - Kinston SAMPLE PERIOD ❑ Jan -June ❑ July -Dec_
COUNTY LEIVOIR
or .� Monthly' May
PERSON COLLECTING SAMPLES JIMMY YELVERTON DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY ENVIRONMENTAL #1 Lab Cert. #, 10 G V C []Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: AUG 10 2M ❑Other C SW NSW
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
DWR SECTION°
Part A: Stormwater Benchmarks and Monitoring Results
Xfvo discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks =__>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the Genet -al
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: 4, . ,
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), 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 management plan included in the stormwater Pollution Prevention Plan."
Jimmy Yelverton
Name (Print name)
Safety & Environmental Engineer
Title ( int title) _
(Si ature)
Y —3— /S
(Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
[] No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
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 S, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If ypu repbrt a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one c9py of this DMR including all "No Discharge" reports, within 30 days o recei t of the lab results or at end of monitoring eriad
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Per�nittee)
9- LZO �s
(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 5/17/2015
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _2015
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
������ y� � or []Monthly' April
V DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
MAY 2 6 2015 ❑Zero -flow ❑water Supply ❑SA
❑Other_ _C,SW,NSW
CENTRAL FILES �
D`NR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 �
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks =__>
-
-
100 mg/L or 50 mg/0
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
4/20/15
.750
5.1 mg/I
6.48
<0.002 mg/I
<0.005 mg/I
0.028 mg/I
<5.0 mg/I
SMP
2
4/20/15
.740
6.1 mg/I
6.49
<0.002 mg/I
<0.005 mg/I
0.026 mg/I
<5.0 mg/I
SNIP
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 46912; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), 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 East discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the 5tormwater Pollution Prevention Plan."
Jimmy elverton _
Name (Print name)
Safety & Environmental Engineer _
Ti Print title)
�ignature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, IVD, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No,
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by.
EPA 1664 (SGT-HEM)
Total Suspended Solids.
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER f REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE 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 lab results (or at end of monitoring period
in the case of "No Discha_Me" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that therq are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Pfi�mittee)
Aq -1-�-
(Date)
Permit Date: 11/1/2012-10/31/2017 5WU-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 4/17/2015
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 1
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
r
SAMPLE COLLECTION YEAR _2015
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑ Monthly' March
DISCHARGING TO CLASS QORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
[:]Other C,SW,NSW
�t,c�`s 0 5 'ZDtS
-CNTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks =__>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
3/20/15
.540
3.9. mg/I
7.61
<0.002 mg/1
<0.005 mg/1
0.031 mg/I
<5.0 mg/I
SMP
2
3/20/15
.540
4.7 mg/I
7.67
<0.002 mg/I
<0.005 mg/l
0.030 mg/I
<5.0 mg/I
SMP
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Rate: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may b , aived. 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton _
Name (Print name)
Safety & Environmental Engineer
Titl (Print title)
y-17- IS
( gnature} (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM).
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART li SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy o f this DMR, including all "No Discharge" reports, within 30 days of receipt of the !ab results for 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, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the passibility of fines and imprisonment for knowing violations."
(Signature of Per
_1
(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 3/20/2015
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _2015 CW3
���C�V��E PERIOD ❑Jan -June ❑July -Dec �
C V ��„f or ❑ Monthly'^ February
MAR 3 X LT1,CHARGING TO CLASS ❑ORW ❑HQW ❑Trout []Pfffiog
❑Zero -flow ❑Water Supply ❑SA
CENTRAL, FILES ❑Other C,SW,NSW
DWR SECTION -
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?Z
outfall No.
Date Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks =__>
_
-
100 mg/L or 5U mg/L4
6.0 — 9A
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
2/23/15
.3125
13. mg/I
8.17
<0.002 mg/1
<0.005 mg/I
0.039 mg/I
<5.0 mg/I
SMP
2
2/23/15
.3125
12. mg/I
8.15
0.002 mg/l
<0.005 mg/I
0.039 mg/I
<5.0 mg/I
SMP
" Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/Z017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton
Name (Print name)
Safety & Environmental Engineer
Title Print title)
�3- 615
(Si nature) j (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfiall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or SO 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 receiving water classifications where the more protective benchmark applies_
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier T, Tier 2, or Tier 3 responses. See General Permit text.
'f
FOR PART AAND PART MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coav of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(D te)
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
4 for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 2/26/2015
CERTIFICATE OF COVERAGE NO. NCG030041—_ , SAMPLE COLLECTION YEAR —2015
FACILITY NAME CROWN - Kinston SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY LENOIR or ❑ Monthly' January
PERSON COLLECTING SAMPLES JIMMYYELVERTON RECEIVED DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA �
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10 ❑Zero -flow ❑Water Supply ❑SA
, ❑Other C,SW,NSW�
Comments on sample collection or analysis: MAR 0 4 1a:-- -
DWRSECTION DWR CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24=hour rainfall
amount,
Inches3,
-Total'SuspendW Solids
pH,
Standard units
Copper
Lead .
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
'Organics s
Benchmarks =_=>
100 mg/L'or,50 mg/O
6.0 — 9.0
0.007'mg/L
0:03 mg/,L
0:067 mg/L
15 mg/L
i mg/L
1
.1/27/15
.25
2.7 mg/I
8.17
0.002 mg/I
<0.005 mg/I
0.059 mg/I
<5.0 mg/I
SMP
2
1/27/15
.25
2.8 mg/I
8.15
0.002 mg/I
<0.005 mg/I
0.068 mg/I
<5.0 mg/I
SMP
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total -Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433,11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO monitoring waiver, the discharger shall sign the following certification statement: f
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), 1 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Yelverton
Name (Print name)
Safety & Environmental Engineer
4TitleTint title)
ure) (Date)
Note: Results must be 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, the 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.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No i
•Date Sample
Collectedl
(mo/dd/yr)
24=hour rainfall
amount,
3
-Inches
Non-polar.O&G/TPH by
,
= EPA 1664 (SGT-HEM)
i
Total Suspended?Solids
pH
Benchmarks .= =>
_
=
15`mg/L.
100 mg/L or50 mg/L*.
! j 6.0 - 9.O SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See.General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• Z EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART[[ 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 lab results (or at end of monitorin_a,period
in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are s}gnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
;Z. ,2
( ate)
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 12 11 2014
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2014
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑ Monthly' November
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply [:]SAV CV ❑Other____ C,SW,NSW
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
CENTRAL FILES
DWR SECTION
❑ No discharge this period:2
Outfall No.
Date Sample
1
Collected
-
'.(mo/dd/yr)
24-hour. rainfall.,
amount,
3
- "` Inche's_.
.
Total Susperided Solids '
-
pH,
Standard"Uniis-'
Copper
Lead -
Zinc - �'
Non -Polar O&G/
�� Tota[Petroleum=
•.
Hydrocarbons
'Total Toxic
.'
organics5
Benchmarks =__>
-
-
100 mg/L or 50 mg/L°
6:0 — 9.0
0.007 mg/L
0:03 mg/,L
0.067-mg/L
15 mg/L'
1• mg/L
1
11/11/14
.28
28, mg/I
8.76
0.014 mg/I
<0.005 mg/I
0.068 mg/I
<5.0 mg/I
SMP
2
11/11/14
.28
13. mg/I
8.63
0.002 mg/I
<0.005 mg/I
0.011 mg/I
<S.0 mg/I
SMP
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmv Yelverton
Name (Print name)
Safety & Environmental Engineer
Title int title)
ignature (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No...
Date Sample,
1
Collected
(mo/dd/yr)
24=hour rainfall
amount,
3
Inches
I
I
Non -polar O&G/TPH'by
EPA 1664 (SGT`HENI)
a
Total Suspended'Solids
pH.
Benchmarks ===>
_ -
-
15 mg/L f
100,moL 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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Nate: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
I.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
e 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE 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 ANYONE OUTFALL? YES ❑ NO)X
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one copy of this DMR includin all "No Discharge" reports, within 30 days of receipt of the lab results Lor at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that therg are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Peeibittee)
( Date)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/2-5/2012
Page 3 of 3

Semi-annual Stormwater Discharge_ Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 10/14/2014
CERTIFICATE OF COVERAGE NO. NCG030041 SAMPLE COLLECTION YEAR _2014
FACILITY NAME CROWN - Kinston AMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY LENOIR R�r�l�G �or ❑ Monthly' October
PERSON COLLECTING SAMPLES JIMMY YELVERTON � $ 2014 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10 ❑Zero -flow ❑Water Supply [:]SA
Comments on sample collection or analysis: pWR CT`ON ❑Other^ C,SW,NSW
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks ===>
-
-
100 mg/L or 50 mg1C
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
10/15/14
.31
19. mg/I
8.14
0.004 mg/I
<0.005 mg/I
0.041 mg/I
<5.0 mg/I
SMP
2
10/15/14
.31
8.4 mg/I
8.11
0.003 mg/I
<0.005 mg/I
0.011 mg/I
<5.0 mg/I
SMP
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
' Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31),
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 1 of 3

. 'giggle.
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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. Forthose facilities electing to employ the TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Jimmy Velverton
Name (Print name)
TitlVignature)
(2 int title) / '!
(Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Out#all No.
Date Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
-
Total Suspended,Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier .1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND 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 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
Attm DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature,�f Permittee)
(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 _ 09/29/2014
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR J2014
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑ Monthly' September
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA
❑Other C,SW,NSW
OCT 0 3 2014
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks ===>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
09/08/14
.25
10. mg/I
8.20
0.004 mg/I
<0.005 mg/I
0.023 mg/I
<5.0 mg/I
SMP
2
09/08/14
.25
10 mg/I
8.22
<0.003 mg/I
<0.005 mg/I
0.020 mg/I
<5.0 mg/I
SMP
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (far metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
/Ver
Name (Prin name)
Title (P ' t title)
g-a�-LY
(Si ature) (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Qutfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-ITEM)
Total Suspended Solids
pH
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 S, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 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 Dischar e" 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
Attn7 DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of iyornittee)
(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 _ 08/29/2014
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _2014
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or © Monthly' August
DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
RECEIVED ❑Zero -flow [:]WaterSupply ❑SA
OCT 0 3 [:]Other C.sw
2014 ,NSW
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
Ko discharge this period?2
outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
2'
Inches
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
s
Organics
Benchmarks
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
2
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
;itletint title)ure) (Date)
Note: Results must be 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 me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
[�No discharge this period:2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 4.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 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 lab results (or at end of monitoring period
in the case of "No Discharge" reports] to:
Division of Water Quality
Attn: DWCi Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ature of P#rnittee)
r
(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 08/04/2014
CERTIFICATE OF COVERAGE NO. NCG030041 SAMPLE COLLECTION YEAR —2014
FACILITY NAME CROWN - Kinston SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
'Monthly' July lmonthl
COUNTY LENOIR or [�
PERSON COLLECTING SAMPLES JIMMY YELVERTON DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10 E EIVE� ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: ❑Other C SW NSW
AUG 0 7 2�14
CENTRAL FILES
DWQIBOG
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?2
Outfall No.
Date Sample
Collected 1
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics s
Benchmarks ===>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
07/10/14
.39
14. mg/I
7.40
0.003 mg/I
<0.005 mg/I
0.030 mg/I
<5.0 mg/I
SMP
2
07/10/14
.39
8.4 mg/I
7.30
<0.002 mg/I
<0.005 mg/I
0.025 mg/I
<5.0 mg/I
SMP
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring , `
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Name (Print n e)
CC
i
Till Print title)
(Signature)
k- 4L / `/
(Date)
Note: Results must be 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 m'g/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
!Vote: if you report a sample value in excess of the benchmark, you must implement Tier .1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

.ti
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE�NCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DrQ REGIONAL OFFICE? YES ENO ❑
REGIONAL OFFICE CONTACT NAME: I]p
Mail an oriainal and one copyof this DMR, including all "No Discharge" reports, within 30 days of receipt o f the lob results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of
— �
(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 07/15/2014
CERTIFICATE OF COVERAGE NO. NCG030041 SAMPLE COLLECTION YEAR-2014
FACILITY NAME CROWN - Kinston SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY LENOIR or ❑ Monthly' June (month)
V
PERSON COLLECTING SAMPLES JIMMY YELVERTON ��(��1 ��HARGING TO CLASS ❑ORW ❑WQW [:]Trout ❑PNA
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 10 V ❑Zero -flow ❑Water Supply []SA
Comments on sample collection or analysis: JUL 21 2014 ❑Other C,SW,NSW
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWQIBOG
Part A: Stormwater Benchmarks and Monitoring Results
No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organicss
Benchmarks ===>
-
-
100 mg/L or 50 mg/0
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
06/10/14
.66
8.1 mg/I
7.42
0.010 mg/I
<0.005 mg/I
0.038 mg/I
<5.0 mg/i
SMP
2
06/10/14
.66
7.0 mg/I
7.45
0.004 mg/I
<0.005 mg/I
0.034 mg/I
<5.0 mg/I
SMP
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

,1
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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
f
Permit. Far those facilities electing to employ the TTO 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
(TTO), 1 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 management plan included in the Stormwater Pollution Prevention Plan."
/J�r oN
Name (Print name) l
Title nt title)
(Si ature) (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring results: only for facilities averaging > 55 gal of new oil per month.
I ❑ No discharge this period?2
i
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-ITEM)
Total Suspended Solids
;
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier .1, Tier 2, or Tier 3 responses, See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE 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 ANYONE OUTFALL? YES ❑ NO�1—
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES M NO ❑
REGIONAL OFFICE CONTACT NAME: Thom Edgerton
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 o "No Discharge"" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there arksignificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
7 // 7
(D ej
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 i - /y -a0 I y
CERTIFICATE OF COVERAGE NO. NCG03 d O L
FACILITY NAME
COUNTY ✓
PERSON COLLECTING SAMPLES
LABORATORY Fn✓,'r-cr,Pmr?o7a / AZ Lab Cert. # /0
Comments on sample collection or analysis:
Part A: 5tormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR aOI `f
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [ '1 /rlonthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
1 I n ❑Zero -flow ❑Water Supply ❑SA
�I Y LJ ❑Other C:6&1
,i 2 0 Z014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -)
.:ENTRAL FILES
DWQIBOG
❑ No discharge this period:
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches"
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks-_>
_
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
- , Lr
�,
s
o
0
sm
F Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017
RECEIVED
MAY 2 0 D,wi
CENTRAL FILES
DWQ/80(3
SWIJ-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring`
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
Na em Print na e)
Title (Print title)
(Signature) (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount;
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Nole: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERSTIER 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 copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitoring period_
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
z—
"/Z1h4
(D e}
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 05/13/2014
CERTIFICATE OF COVERAGE NO. NCG030041
FACILITY NAME CROWN - Kinston
COUNTY LENOIR
PERSON COLLECTING SAMPLES JIMMY YELVERTON
LABORATORY ENVIRONMENTAL #1 Lab Cert. # 1
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �2014
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [9lV onthly' MAY (month)
RECEN ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw ❑Water Supply [:]SA
JUN 17 2014 [tither c Sw NSW
CENTRAL FILES
DWQ/BOG PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
lnches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks ===>
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
05/16/14
1.75
2.8 mg/I
7.28
0.005 mg/I
<0.005 mg/I
0.025 mg/I
<5.0 mg/I
SMP
2
05/16/14
1.75
3.2 mg/I
7.22
O.00S mg/I
<0.005 mg/I
0.039 mg/I
<5.0 mg/I
SNIP
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only fur those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible forma naging compliance with the permit monitoring requirement for total toxic organics
(TTO), 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 faciiity is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
TelV-2r70A ` —
Name (Prin name) .� 1
Title (Print title)
(Sig ture) (Date)
Note: Results must be 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 mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period:2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 111112012-101311201Y SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOD
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO 7
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
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there ire significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
�, It� /(V-
(Dat6)
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 - /9 -c=?0 /`1
CERTIFICATE OF COVERAGE NO. NCG03 0 0 q L SAMPLE COLLECTION YEAR
FACILITY NAME sown — o r+ SAMPLE PERIOD [3 an -June ❑ July -Dec
COUNTY ear ,✓ or ❑ Monthly' month)
PERSON COLLECTING SAMPLES, .Yr �, �i �I�✓er�o+i DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY aAa;►-,
bCert. # !0
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVE® ❑Zero -flow ❑Water Supply [:]SAV RECEIVED [K]Other CSa, rt/S l%
MAR 2 4 Z014
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWQ/BOG
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH, �
Standard units
-
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organicss
Benchmarks ===>
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
-3 M
5-
a.ao6m 114
<D.aaS
0,,o(,S
< 570
9o1q
S
L
3
a ao
0. aos
<5 D
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
`See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469,22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may 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 TTO 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
(TTO), 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 management plan included in the Stormwater Pollution Prevention Plan."
� i12Ie%f
Name (Print nam
T tgwf1�
Title (Print title
PA
(Signature) (D te)
Note: Results must be 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 me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (5GT-HEM)
Total Suspended Solids
pH
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 receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017
i
SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
u A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
C 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 copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results Lor at end of monitoring period
in the case of "No Discharge" reportsr to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there,are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Pe#nittee)
Y /9 i L/ -
(, ate)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3