NCG060284_MONITORING INFO_20190102

NORTH CAROLINA
Department of Environmental Qual
II

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
p
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
a an ► R o
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG06000—'cn
CERTIFICATE OF COVERAGE NO. NCG06 0 2 8 4
FACILITY NAME Mayne Pharma Inc.
COUNTY Pitt
PERSON COLLECTING SAMPLES Will Terry
LABORATORY Environment 1, Inc. Lab Cert. # 10
Part A: Stormwater Benchmarks and Monitorine Results
Date submitted December 19, 2018 JAN 0 2 2019
CGN-i`f;?AL FILES
SAMPLE COLLECTION YEAR 6, Period 2 (2018) DWR SECTION
SAMPLE PERIOD ❑ Jan -June ■❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall' 1,1 or n No discharge this neriod3
Outfall No.
Date Sample
collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
100 or 504
Within 6.0 — 9.0
120
30
10001
5001
Parameter Code
-
C0536
00400.
00340
00556
31616
61211
001
12101118
6.9
7
< 20
< 5
NIA
NIA
002
12101 /18
24
7
< 20
< 5
N/A
NIA
003
12/01118
9.7
7
21
< 5
N1A
N/A
1 only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ❑■ no (if yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
date Sample: Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches
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/L4
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO 0
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMATION 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."
lfi
Signature of Permittee
/9 DEG Z.aig
Date
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 2 of 2
Z�

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000 RECF;\/F:D
Date submitted June 27, 2018
CERTIFICATE OF COVERAGE NO. NCG060 2 8 4
FACILITY NAME Mayne Pharma
COUNTY Pitt
PERSON COLLECTING SAMPLES Will Terry
LABORATORY Environment 1, Inc. Lab Cert. # i0
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 6 - Period 1
JUN 2 8 Z016
FACILITY ACTIVITIES INCLUDE (check all that apply): CENTRAL FILEQ-
❑ use/process meats ❑ use animal fats/byproduRsAIR SECTION
DISCHARGING TO SALTWATERS? ❑YES ❑E NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 0.3' or ❑ No discharge this period"
Qutfall No: „^'Sample
[oElected
- �
mo/ddAyr .
= . T55,.
mg/L.::,
pH,
Standard units :
COD,
- mg/L'
Oil and'Grease,
- mg/L ,. . ;.
Fecal. Coliform ,
Colonies°per100 m1
Enterococci ,
Colonies'per 10D mi `
-Benchmark
- v
100 ar SO•'
'Within 6.0 - 9.0 T
.120
= _ 30
1000
500 ' Y:
1
05/1612018
30
7.0
53
< 5
N 1 A
N 1 A
2
05/16/2018
47
7.0
38
< 5
NIA
N 1 A
3
05/16/2018
11
7.0
35
< 5
NIA
N 1 A
i Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at ?ny outfails. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [:]yes Ono
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
OutfallNo.
Sample Collected,
in6/dd/yr ,
Oil and Grease, d._
frig
TSS,
mg/L
= pH,
` Standard units
New Motor Oil Usage,
Annual average gal/mo"
Benchmark
_"
30
^.. 100 or So
6.0.- 9.0,:
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
[if yes, complete Part Bj
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 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
monitoring period in the case o "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and ail 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)
June 27, 21118
(Date)
Additional copies of this form may be downloaded at:.http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted os E p -.?—o i -t
CERTIFICATE OF COVERAGE NO. NCG060 Z Y Li SAMPLE COLLECTION YEAR TAR S Z
FACILITY NAME M A`f N C Pa-1A Ri+it q 11.1 r_ • �_ _FC-FALL T1Y ACTIVITIES INCLUDE (check all that apply):
COUNTY Pt T ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES , L, TE 1ZR`I _SEP DISCHARGING TO SAI_TWATERS? DYES NNO
LABORATORY Iry rr.+nw\e "* I . InG. Lab Cert. # ZU �r.�Tnn
�L. ��,L FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall 20.5" or ❑ No discharge this period3
Outfall No.
Sample Collected,.
mo/dd/yr
TSS, . ;. .
mg/L
,.pH, ._ , _
Standard units
COD;.
mg/L
- Oil and Grease,
mg/L
Fecal Coliforml,,:
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
100 or 50 "
Withiri'6.0 9.0`..
120
- -.30 `. `
1000
500 _
I
D y OZ /
28
(c
5 5
< 5
N A
rr A
b"i (l
3.0
.5
Z2.
<5
N A
N
O O-1 / t `1
I fl 3
, S
6 3
C 5
P4 A
N
0'9/0"7 / 1
2:Z
6.5
3 Z
< 5
/A
A
s
o`2 e
2-8
5
_�q
-< 5
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall'Na
Sample Collected, �:
Oil and Gre'ase,'"'
mg/ L` ., ti
755,
mg/L
pH,
Standard°units'>.
New Motor Oil Usage,
-
Annual average gal/mo.;.
Benchmark
-
30
_ , -100 or 5F
6.0 •- 9.0
I Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part 8)
SWU-249 mast Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 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 []NOD
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, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Za J
(Signature of Permittee'
0t st='P 017
(Date)
Additional copies of this form may be downloaded at:.http:j/por-tal.ncdenr.org/­web/wq/ws/su/­npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted o S 5 El- 20 ,-7
CERTIFICATE OF COVERAGE NO. NCG06 0 2- R 4 SAMPLE COLLECTION YEAR YE A R 5 - i�tz, e, Z
FACILITY NAME _ JU\-AYAF- Pu A1Z"%& 4 1 ,v c_. FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY -P < , -r ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES LA t Ti- tz V-' DISCHARGING TO SALTWATERS? DYES ®NO
LABORATORY +n : nee vu 4 } vac. Lab Cert. # I. O
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 Oo5 or n No discharge this period3
Outfali No.
Sample.Coliect_ed, ;
LL mo%dd/yr
.., TS5, -
mg, L
pH,,
Standard units
COD, :
mg/L
_Oil and:Grease,
"mg/L....
Fecal Coliform ,
Colonies per,100 ml
Enterowcci , .
Colonies per 160 ml
Benchmark'
=
100 or 50
Within 6.0 = 9:0
"."120
.36
1000
5QD
i
o8 /o- /f
Z$
(.5
55
< 5
N
MIA
2-
D8 0- / 1
3,C>
.5
ZZ
<5
u
JV A
3
B I-1
19 3,
6.5
(=,3
<5
N
N
8 -7 / 1-7
Z2.
6•5
32-
4,5
N
/V
15,
a 01 I
Z
-674 6• S
`7 9
< 5
"1 n
N A
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes fZ no (if M complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
butfali b
`Sample Collected, _
mo/iId/yr,;
.: -Oil`.and Grease,- :
„ ;mg
TSS; ..
rrig/L
pFi,
Standard units
New Motor Oil Usage,
Annual"aeragegal/mo
Benchmark
-
_30
100:or 50 4
= Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Gast Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART ll 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 Dischar e" reports, within 30 days of receipt of the lab results jar at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Vn �L,- lEy, �Zy
(Signature of Permittee)
C>1 5EP Zo1-1
(Date)
Additional copies of this form may be downloaded at:.http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2. of 2

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INC. CIRCA 2006.
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S2
MAINTENANCE BUILDING
S3
MECHANICAL EQUIPMENT YARD
S4
LOADING/UNLOADING
S5
BUILDING ROOF AREAS
S6
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OIL STORAGE LEGEND
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