NCG030466_COMPLETE FILE - HISTORICAL_20171117

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V 96"Lo,
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

..N
Division of Energy, Mineral, and Land Resources
Land Quality Section 1 Stormwater Program
National Pollutant Discharge Elimination System (NPDES)
En orgy, Mineral& PERMIT OWNER AFFILIATION DESIGNATION FORM
Land Resources
ENVIRQNMpNTAL CUALITV (Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGIENCY USE ONLY
Date Received
Year %tenth
Day
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, 'or if the ownership of the facility has changed,
do NOT use this farm: Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
I
P
�
What does "legally responsible individual" mean?
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive. officer or ranking elected official (for a municipality, state, federaE•or,otlier public.
agency) T1 �It I
• the general partner or proprietor (for a partnership or sole proprietorship);
OV
• or, the'duly authorized representative of one of the above.
EiA'R.gt, I1r
1)' Enter the permit.number for which this change in Legally Responsible Individua.l'(;`Owner•Affiliation")
applies:
Individual •Perinit or
N
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
Certificate of Coverage
N C, G 0 3 0. 4 6 (o
ao,to n
aa.t Heywood RacA
-Address
Ac-den llC Q oLJ
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
htt ://de .nc. ov/about/divisions/e6er v-mineral-land-resources/ener -mineral-land- ermits/stonnwater- ro ram
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: J4Sor) MofgQtl
First iviI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit
Dckvp, Mangy ebAc %
First MI Last
s W U-O WNERAF FIL-23March2017
Page 1 of 2

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
Ptanf
Title
as Rot w100 d F-oad
Mailing Address
Q.rd�r+ N c. j g 10 L\
City State Zip
{Sag) (os-7 -3001 dAVeM %nn-ebac.h&eQ&Vf\•COON
Telephone 11-mail Address
Fax Number
5) Reason for this change:
A result of- ❑ Employee or management change
[� 'Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification.below�must be•completed and signed by the permit holder.
PE"RMMITTEE CERTIFICATION:
1,attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has. been reviewed and is accurate and complete to the best of my'
knowledge. I understand that if all required.part's of this form are not completed, this change may not he
processed -.
signature- Date '
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral. and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the website at:
http://deq.nc.gov/about/divisions/energy-mineral-Iand-resources/stormwater
Page 2 of
SWU-OWNERAFFIL-23Mar2017

Herbert, Laura C
From: Herbert, Laura C
Sent: Monday, January 12, 2015 1:52 PM
To: '[e-mail]'
Cc: Kucken, Darlene
Subject: RE: Eaton Corporation
Jason,
Thanks for your call today. As we discussed Eaton has had monthly monitoring results below the zinc and copper
benchmarks for the last three months. We commend Eaton on their efforts to limit stormwater exposure to the process. As
stated in the permit, "monitoring shall continue until three consecutive sample results are below the benchmark values or
within benchmark range." It appears that you have achieved this and can go back to semiannually sampling. I talked to
Bethany Georgoulias, Environmental Engineer in our Stormwater Program in Raleigh and she confirmed that this
interpretation of the general permit language. Let me know if you have any questions or would like to discuss,
Regards,
Laura
Laura Herbert, P.E.
Regional Engineer
Division of Energy, Mineral, and Land Resources - Land Quality Section
NCDENR-Asheville Regional Office
2090 US Highway 70
Swannanoa, NC 28778
Tel:[phone] Fax:[phone]
http://portal.ncdenr.org/web/Ir
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and therefore may be disclosed to third
parties unless the content is exempt by statute or other regulation.
From: Jason Mo rga n (a)Eaton.com [mailto:JasonMorgan(abEaton.com]
Sent: Wednesday, July 16, 2014 2:15 PM
To: Herbert, Laura C
Cc: [e-mail]
Subject: Eaton Corporation
Re: Eaton Corporation
221 Heywood Road, Arden, NC 28704
stormwater
Dear Ms. Herbert,
This email confirms our conversation of July 16, 2014 regarding the facility's efforts to reduce potential industrial
contributions to stormwater (such as capital investments associated with building additions), along with our most recent
results indicating potential exceedances of benchmark values. As you indicated, the agency concurs with providing the
facility with an additional two (2) months to monitor the same, given our significant control efforts to date.
Per your request, we will notify you in writing after receiving the monitoring results for August. The letter will include a chart
of lab analyzed data and a description of any additional steps we are taking /or considering to reduce potential industrial
process impact on the stormwater system. We understand that a site inspection will be scheduled thereafter.

Herbert, Laura C
From: Herbert, Laura C
Sent: Friday, September 12, 2014 11:32 AM
To: '[e-mail]'
Cc: Kucken, Darlene
Subject: NCG030466 Eaton Buncombe County
Jason,
Thank you for your call today and we appreciate Eaton's efforts at eliminating potential process zinc and copper
stormwater exposures. Eaton has initiated BMPs and process modifications to address zinc and copper benchmark
exceedances. You indicated that you all have charted steady reductions in the zinc and copper sampling results as part
of the triggered Tier II and III response. In fact you indicated that the last sampling results were below the benchmarks,
and that you all continue to implement modifications to address any potential exposures. As we discussed, you should
continue your monthly sampling of the outfali with the exceedances, but can limit the analytical monitoring to only zinc
(total recoverable) and copper (total recoverable). Please note that for the required semi-annual sampling, all discharge
characteristics in the permit should be monitored. When the process modifications are completed you will give me a
call, and we can schedule an inspection. Again we appreciate all of Eaton's efforts and look forward to working with
you.
Thanks,
La ura
Laura Herbert, P.E.
Regional Engineer
Division of Energy, Mineral, and Land Resources - Land Quality Section
NCDENR-Asheville Regional Office
2090 US Highway 70
Swannanoa, NC 28778
Tel:[phone] Fax:[phone]
http://portal.ncdenr.org/web/Ir
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and therefore may be disclosed to
third parties unless the content is exempt by statute or other regulation.

Herbert, Laura C
From:
Jason Morgan@ Eaton.Com
Sent:
Wednesday, July 16, 2014 2:15 PM
To:
Herbert, Laura C
Cc:
[e-mail]
Subject:
Eaton Corporation
Re: Eaton Corporation
221 Heywood Road, Arden, NC 28704
Stormwater
Dear Ms. Herbert,
This email confirms our conversation of July 16, 2014 regarding the facility's efforts to reduce potential industrial
contributions to storrnwater (such as capital investments associated with building additions), along with our most recent
results indicating potential exceedances of benchmark values. As you indicated, the agency concurs with providing the
facility with an additional two (2) months to monitor the same, given our significant control efforts to date.
Per your request, we will notify you in writing after receiving the monitoring results for August. The letter will include a
chart of lab analyzed data and a description of any additional steps we are taking /or considering to reduce potential
industrial process impact on the stormwater system. We understand that a site inspection will be scheduled thereafter.
Please let me know of any questions and thank you for your assistance.
Thanks,
Jason Morgan

Ms. Laura Herbert
C�j
Regional Supervisor
�p
North Carolina Department of Environment and Natural Resources
Division of Land Resources�,�,
2090 U.S. Highway 70
Swannanoa, NC 28778
RE: Eaton Corporation
General Permit No. NCG030000
Dear Ms. Herbert:
Eaton Corporation operates a metal finishing facility in Arden, North Carolina which has coverage under
the Metal Fabrication General Permit No. NCG030000 ("Permit"). Beginning in 2013 the facility began
sampling the stormwater and comparing the analytical results to the benchmark values as required by
the Permit. The facility has had four exceedances of the benchmark values at outfall SW-01. As
required by the Tier Three response actions in the Permit, Eaton is providing notification of benchmark
value exceedances.
This Tier Three notification is for outfall SW-01 and for metals copper and zinc. A spreadsheet
summarizing the analytical results and the laboratory reports are attached. As a result of the
exceedances of the benchmark values, Eaton initiated the response actions for Tier One and Tier Two
required in the permit to limit the impact of these metals on the stormwater. These actions include:
• Comprehensive weekly inspections of the "backyard" area have been and continue to be
conducted. These inspections have identified several potential factors that may contribute to
the stormwater impacts. Actions have been taken to cover or tarp certain areas and materials
have been relocated to covered areas to prevent contact with stormwater.
• Implemented twice weekly floor sweeping of the facility with emphasis on the copper and steel
fabrication areas.
• instituted procedures that limit the number of employees with access to the backyard area by
use of badged access.
• Review of the BMPs. Eaton believes the BMPs are properly installed and working to minimize
the impact on stormwater.
Eaton has also reviewed the manufacturing activities to identify potential sources of copper and
zinc. The facility operates an enclosed fabrication area which utilizes copper. It is possible that residue
is carried out of the shop on fork lifts wheels. As a result of this finding the twice weekly floor sweeping
program was implemented. Also, "test to destruction" switchgear is disassembled in the backyard to
recover copper for recycling. This switchgear was not covered and an action was put in place to tarp
completely unless actively disassembling. Additionally, an exposed scrap wire hopper was identified as a
potential source of copper and has been eliminated through a process change. There is also a truck that
transports copper which parks in the "backyard" that could be a potential source of copper.
The potential sources of zinc include a metal roller system that is used to transport product down the
assembly line which was temporarily placed in the backyard and uncovered. This conveyor system has
been removed from the backyard. A rack of galvanized electrical conduit which was stored out�side.h�a"s �;�
MAR 2 4 2014 '.
-'�rjality Section
A,-!::vilie

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now been moved under a storage shed. Zinc is also present in the chain link fencing and in the
galvanized stormwater piping.
Eaton has also carefully reviewed the analytical data and the sampling activities. Samples were
collected on June 2, 2013; November 26, 2013; January 28, 2014; February 10, 2014. See the attached
spreadsheet of the sampling dates and analytical results. Eaton believes the samples collected on June 2
and November 26 are representative of the stormwater. However, the sample collected on January 28
is actually snow melt and not actual discharge. The sample collected on February 10 was actually more
of a trickle and not an actua isc arge since it was light snow and not raining. Additionally, due to the
difficulty in collecting an adequate sample, the sample container opening may have come into contact
with the soil. Eaton believes the analytical data associated with the January and February samples are
not representative of the stormwater and should be discarded for purposes of comparison of the
analytical results with the benchmark values.
Following the implementation of the response actions, the analytical results from the November
sampling looked very similar to the June sample results. It did not appear that the response actions had
resulted in any impact on the copper and zinc concentrations in the stormwater. Additional response
actions have been taken subsequent to the receipt of the !November sampling results. However, we
believe the last two sampling events should not be utilized to evaluate the benchmark values. Therefore
we believe it may be too early to conclude the response actions have not had a positive impact on the
stormwater. Eaton believes additional stormwater sampling should be conducted to collect more
representative data to compare with the benchmark values to further evaluate the impacts of the
response actions that have been taken at the facility before concluding the response actions have had
not result on the stormwater impacts. While Eaton has promptly responded with follow-up actions and
continues to inspect the drainage area and evaluate to facility conditions for opportunities to reduce
impacts to stormwater, Eaton believes that more sampling is needed to further evaluate the conditions
and actions taken. We propose collecting four additional representative samples over the next four
months (one per month) provided that stormwater flow is available for sampling. If there is no
stormwater flow in a given month over the next four months, Eaton would propose to extend the
sampling plan until a total of four representative monthly samples are obtained.
yPleasd contact me at 828-687-3237 if you have any questions or need additional information.
Jason Morgan

Eaton Stormwat rrAnalyw aDA s Itsh 5umma
Benchmark 6/2/13 11/26/13 1/28/14 2/10/14
Concentration
Copper Concentration (mg/L) 0.007 0.017 0.015 0.490 0.096
Zinc Concentration (mg/L) 0.067 0.080 0.093 0.795 0.110

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223OAnalyfical*
vmw pactiabs,cm
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27289
[phone]
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services,
9000 Kincey Ave. Suite
Hunlersville, NC 2E
(704)875-E
Project: SW060220136/2
Pace Project No.: 92160010
Sample: SW01
Lab ID: 92160010o01 Collected: 0610211313:30
Received: 06103/1309:40 Matrix: Water
Parameters
Results Units
Report Limit OF
Prepared Analyzed
CAS No. Qu;
HEM, Oil and Grease
Analytical Method: EPA 16646
Oil and Crease
NO mg/L
5.0 1
06/05/13 09:31
200.7 MET ICP
Analytical Method: EPA 200.7
Preparation Method: EPA 200.7
Copper
16.6 ug/L
5.0 1
06/05/13 12:45 06/07/13 05:55
7440.50-8
Lead
NO ug/L
5.0 1
06/05/13 12:45 06107/13 05:55
7439-92-1
Zinc
80.0 ug/L
10.0 1
06/05/13 12:45 06/07/13 05:55
7440.66-6
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
9.1 mg1L
2.9 1
06/05/13 11:11
9040 pH
Analytical Method: EPA 9040
PH
6.6 Sid. Units
0,10 1
06/06/13 14:41
Q
Sample: SW03 Lab ID: 92160010002 Collected: 06102113 13:45 Received: 06/03/13 09:40 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Ou
Oil and Grease
Analytical Method: EPA 16648
CoEM,
il and Grease
NO mg/L
5.0
1
06/05/13 09:31
200.7 MET IC
Analytical Method: EPA 200.7 Preparation
Method: EPA 200.7
Capper
5.4 ug/L
5.0
1 06/05/13 12:45
06/07/13 05:58 7440.50-8
Lead
NO ug/L
5.0
1 06/05/13 12:45
06/07/13 05:58 7439.92-1
Zinc
60.2 ug/L
10.0
1 06/05/13 12:45
06/07/43 05:58 7440-66-6
2540D Total Suspended Solids
Analytical Method: SM 25400
Total Suspended Solids
NO mg/L
2.8
1
06/05/13 11:12
9040 pH
Analytical Method: EPA 9040
PH
5.0 Std- Units
0.10
1
06/06/13 14:47
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,

Pace Analytical Services, Inc. Pace Analytical Services, Inc.
Pace Analyticat Services, Inc.
aceMalXkaI
205 East Meadow Road - Suite A
2225 Riverside Dr.
9800 Kinsey Ave. Suite 100
Eden. NC 27288
Asheville, NC 28804
Huntersville, NC 28078
wwwpmxbb&c=
[phone]
[phone]
(704)875-9o92
ANALYTICAL RESULTS
Project: STORMWATER 11126
Pace Project No.: 92181033
Sample: OUTFALL # 1
Lab ID: 92181033001 Collected: 11126113 11:00
Received: 11126l13 15:15
Matrix: Water
Parameters
Results Units Report Limit OF
Prepared Analyzed
CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
NO mg1L
5.0
1
11/27/13 12:15
200.7 MET ICP
Analytical Method: EPA 200.7 Preparation Method: EPA 200.7
Copper
15.2 ug1L
5.0
1 12/03/13 09:10
12/05113 19:14 7440-50-8
Lead
NO ug1L
5.0
1 12/03113 09:10
12/05/13 19:14 7439-92-1
Zinc
93.2 ug1L
10.0
1 12/03/13 09:10
12105/13 19:14 7440-66-6
2540D Total Suspended Solids
Analytical Method: SM 25400
Total Suspended Solids
14.2 mg1L
5.0
1
12/02/13 15:05
9040 pH
Analytical Method: EPA 9040
pH
6.6 Std. Units
0.10
1
12/04/13 12:20 O
Sample: OUTFALL # 2 Lab ID: 92181033002 Collected: 11/26/13 11:00 Received: 11126113 15:15 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Oil and Grease
200.7 MET ICP
Copper
Lead
Zinc
2640D Total Suspended Solids
Total Suspended Solids
9040 pH
pH
Analytical Method: EPA 16648
NO mg1L
5.0 1
11/27/13 12:15
Analytical Method: EPA 200.7 Preparation Method: EPA 200.7
ND ug1L
5.0 1 12/03113 09:10
12/05/13 19:17 7440-50-8
NO tig1L
5.0 1 12/03/13 09:10
12/05/13 19:17 7439.92-1
29.9 ug1L
10.0 1 12/03113 09:10
12/05/13 19:17 7440-66-6
Analytical Method: SM 2540D
15.8 rng1L
5.0 1
12/02/13 15:05
Analytical Method: EPA 9040
6.3 Sid. Units
0.10 1
12104/13 12:20 Q
Sample: OUTFALL # 3 Lab ID: 92181033003 Collected: 11/26/13 11:00 Received: 11/26/13 15:15 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Oil and Grease
200.7 MET ICP
Copper
Lead
Zinc
Date: 12/18/2013 12:07 PM
Analytical Method: EPA 1664B
NO mg1L 5.0 1 11/27/13 12:16
Analytical Method: EPA 200.7 Preparation Method: EPA 200.7
NO ug1L 5.0 1 12/03/13 09:10 12/05113 19:29 7440-50-8
NO ug1L 5.0 1 12103/13 09:10 12/05/13 19:29 7439.92-1
27.9 ug1L 10.0 1 12/03/13 09:10 12/05113 19:29 7440.66.6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
whhout the written consent of Pace Analytical Services, Inc..
Page 4 of 13

aceAnalytical'
www.pecelaeLcom
Project: STORMWATER 11126
Pace Project No.: 92181 G33
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(82B)254-7176
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kinsey Ave. Suite 100
HuntersvAse, NC 28078
17041875-9092
Sample: QUTFALL # 3 Lacs 10: 92181033003 Collected: 11126/13 11:00 Received: 11/26113 15:15 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua]
26400 Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids NO mg1L 2.5 1 12102M 3 15:05
9040 pH Analytical Method: EPA 9040
pH 6.0 Std. Units 0.10 1 12104/13 12:20 Q
Date: 12118)2013 12:07 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent cf Pace Analytical Services, Inc..
Page 5 of 13

aceAnalytical
wwwpao0abs.com
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
(82B)254-7176
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Project: 1292014 Eaton Stormwater
Pace Project No.: 92188038
ANALYTICAL RESULTS
Sample: Outlall #1
Lab ID: 92188038001 Collected: 01/29/14 16:30
Received: 01/30114 09:54 Matrix: Water
Parameters
Results Units
Report Limit
DF
I Prepared Analyzed
CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
ND mg/L
5.0
1
02/03/14 09:23
200.7 MET ICP
Analytical Method: EPA 200.7 Preparation Method: EPA 200.7
Copper I
490 ug1L
5.0
1
101/31/14 08:20 01/31/14 23:53
7440-50-8
Lead
149 ug/L
5.0
1
01/31/14 08:20 01/31/1423:53
7439-92-1
Zinc
795 ug11-
10.0
1
01/31/14 08:20 01/31/14 23:53
7440-66-6
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
164 mg1L
16.7
1
02/04/14 01:46
9040 pH
Analytical Method: EPA 9040
pH
8.1 Std. Units
0.10
1
01/30/14 17:37
Q
Date: 02/05/2014 05:36 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 12

aceAnalj cal o
www.pecefabs.corn
Pace Analytical Services, Inc.
2225 Riverside Dr,
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Project: 2102014 STORMWATER
Pace Project No.: 92189332
Sample: OUTFALL #1
Lab ID: 92189332001 Collected: 02/10/14 16:15
Received: 02/11/14 10:40 Matrix: Water
Parameters
Results Units
Report Limit
DF
Prepared
Analyzed
CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664B
Oil and Grease
6.8 mg1L
5.0
1
02/17/14 09:02
200.7 MET ICP
Analytical Method: EPA 200.7 Preparation Method: EPA 2003
Capper I
95.9 ug1L
5.0
1
02/15/14 09:10
02/18114 18:06
7440-50-8
Lead
5.5 ug1L
5.0
1
02;15/14 09:10
02/18114 18:06
7439-92-1
Zinc
110 ug1L
10.0
1
02/15/14 09:10
02/18/14 18:06
7440-66-6
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
27.2 mg1L
5.0
1
02/14/14 18:33
9040 pH
1
Analytical Method: EPA 9040
pH
8.5 Std. Units
0,10
1
02/11/14 17:04
H1,H6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/20/2014 01:40 PM without the written consent of Pace Analytical Services, Inc..
Page 4 of 12

A�
""�'=.�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Jason Morgan
Eaton Corp
221 Heywood Rd
Arden, NC 28704
Dear Permittee:
Charles Wakild, P. E.
Director
December 4, 2012
Dee Freeman
Secretary
Subject: NPDES Stormwater Permit Coverage Renewal
Eaton Electrical
COC Number NCG030466
Buncombe County
In response to your renewal application for continued coverage under stormwater General Permit NCG030000
the Division of Water Quality (DWQ) is forwarding herewith the reissued General Permit. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October
15, 2007 (or as subsequently amended).
The following information is included with your permit package:
• A new Certificate of Coverage (COC)
• A copy of General Permit NCG030000
• A copy of the Technical Bulletin for the General Permit
• Two copies of the Discharge Monitoring Report (I)MR) Form
• Two copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater, and it specifies your obligations for discharge
controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself
with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the
permit to update your current SPPP to reflect all new permit requirements.
The first sample period of your permit begins January 1, 2013. Your facility must sample a "measureable
storm event" beginning during the periods beginning January 1 and July 1 of every year (or, if applicable,
report "No Flow," as outlined in Part III, Section E). Also, please note that Tier 3 Actions in Part II of your
permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this
permit and do not count prior exceedances.
The more significant changes in the General Permit since your last COC was issued are noted either in the
Draft Permit Fact Sheet that accompanied the public notice (http://portal.ncdenr.org/web/wq/ws/su/current-
notices), or in the Response to Comments / Summary of Changes and Technical Bulletin documents that are
posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit
http://Portal.ncdenr.org/web/wq/ws/su/npdessw (click on `General Permits' tab) to review that information
for your specific General Permit carefully.
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: [phone] oo 1 FAX: [phone]
Internet www.navaterquality.org
An Equal Opporturn ; ', A: -rmabve Action Employer
NorthCarolina
,Xaturally

Jason Morgan ,
December 4, 2012
Page 2 of 2
Some of the changes include:
Part II:
• Section A: The Stormwater Pollution Prevention Plan (SPPP) section, if applicable, has been updated
to the most current language of our permits. Additional conditions for specific industry sectors have
been added to the SPPP requirements in some cases.
• Sections B, C: Failure to perform analytical stormwater monitoring may result in the Division requiring
that the permittee begin a monthly sampling scheme.
• Sections B, C: A lower TSS benchmark of 50 mg/I for HQW, ORW, PNA and Tr Waters applies to these
more sensitive waters.
• Sections B, C. The monitoring parameter Oil & Grease (O&G) has been replaced by the parameter
Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in some cases, other
analytical monitoring requirements.
• Sections B, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in
separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined
in the "Definitions" section of the permit.
• Sections B, C. The term "Representative Storm Event" has been replaced by "Measurable Storm
Event." A measurable storm event is defined in the permit.
• Section D: If the permittee fails to respond effectively to problems identified by qualitative
monitoring, DWQ may require the permittee to perform corrective action.
Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit,
including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and
Maintenance obligations, and Definitions. Please note that all samples analyzed in accordance with the terms
of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on
the Stormwater Permitting Unit's website above. DMR forms must be delivered to the Division no later than
30 days from the date the facility receives the sampling results from the laboratory. Also note that existing
permittees do not need to submit a renewal request prior to expiration unless directed by the Division.
Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit
does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it
relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law,
rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit
package, please contact the Division's Stormwater Permitting Unit at [phone].
Sincerely,
for Charles Wakild; P.E.
cc: DWQ Central Files
Stormwater Permitting Unit Files
Asheville Regional Office

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030466
STORMWATER
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Eaton Corp
is hereby authorized to discharge stormwater from a facility located at:
Eaton Electrical
221 Heywood Rd
Arden
Buncombe County
to receiving waters designated as Powell Creek (Lake Julian), a class C waterbody in the French
Broad River Basin in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts 1,11, III, and IV of General Permit No. NCG030000 as attached.
This certificate of coverage shall become effective December 4, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 41h day of December, 2012.
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

0F.WA?F9 Michael F. Easley, Governor
`Ors QG William G. Ross Jr., Secretary
y North Carolina Department of Environment and Natural Resources
i
Alan W. Klimek, P.E. Director
Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTIONL E.=
g
February 12, 2007 f • ,....�,�� <,:,� R .. �„W. �w�_• u
Mr. Dave Wright
Eaton
221 Heywood Road
Arden, NC 28704"
SUBJECT: Compliance Evaluation Inspection
Eaton
Permit Number NCG030466
Buncombe County
Dear Mr. Wright:
Enclosed please find a copy of the Compliance Evaluation Inspection report from the inspection
conducted on February 2, 2007. The facility at 221 Heywood Road is Compliant with all terms and
conditions of its general stormwater permit NCG030466.
Please note the clarifications of visual and analytical monitoring requirements contained in the
enclosed report. If you should have any questions regarding your permit or compliance with its
requirements, please feel free to contact me at 828/296-4664. 1 appreciate your time and assistance
during the site inspection and file review.
Sincerely,y,
Laurie L. Moorhead
Enclosure Environmental Specialist
cc: Danny Smith — NIPS ACO Unit
ARO Files
Central Files
Oise
NorthCarolina
2090 US Hwy 70, Swannanoa, NC 28778 828-296-4500 Fax [phone] Customer Service 877-623-6748

Permit: NCG030466
SOC:
County: Buncombe
Region: Asheville
Contact Person:
Directions to Facility:
Primary ORC:
r
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Compliance Inspection Report
Effective:09/01/02 Expiration: 08/31/07
Effective: Expiration:
Certification:
Owner: Eaton Cutler Hammer
Facility: Eaton Cutler Hammer
221 Heywood Rd
Arden NC 28704
Phone:
Phone:
Inspection Date: 02/02/2007 Entry Time: 09:57 AM Exit Time: 11:32 AM
Primary Inspector: Laurie L Moorhead y� � n� _ (, Phone: [phone]
Secondary Inspector(s): Ext.4664 J U
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Metal Fabrication Stormwater Discharge COC
Facility Status: i Compliant Not Compliant
Question Areas:
E Storm Water
(See attachment summary) -
Page: 1

Permit: NCG030466 Owner - Facility: Eaton Cutler Hammer
Inspection bate: 02/02/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Dave Wright, responsible party for implementation of the site's stormwater permit, provided a tour of the facility and all
documentation. The stormwater pollution prevention plan was complete and all monitoring records were up to date. The
facility is in compliance with its permit requirements. (Vote that visual monitoring of stormwater, while required during a
rainfall event, does not have to be conducted during a representative rainfall event (0.1 inches). Analytical monitoring is
required as described in the permit during a representative event for those outfalls that drain areas related to
manufacturing, processing or raw material storage.
Note that used pallets and other process items are currently open to the elements and that the construction of a lean-to
would eliminate the possibility of contaminated runoff leaving the site. This effort would assist the site in obtaining
eligibility for a no -exposure exemption.
Page: 2

Permit: NCGO30466 Owner - Facility: Eaton Cutler Hammer
Inspection Date: 02/02/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan? ■ ❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
■
❑
❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
■
❑
❑ n
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
❑
❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
■
❑
❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
r
❑
❑
❑ O
# Does the facility provide all necessary secondary containment?
■
❑
❑ ❑
# Does the Plan include a t3MP summary?
Is
❑
❑ n
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
0
❑
❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
❑
❑ ❑
# Does the facility provide and document Employee Training?
0
❑
❑ ❑
# Does the Plan include a list of Responsible Party(s)?
®❑
0 ❑
# Is the Plan reviewed and updated annually?
®❑
❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
■
❑
❑
Has the Stormwater Pollution Prevention Plan been implemented?
■
❑
❑ ❑
Comment:
Qualitative Monitorin Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ■ ❑ ❑ D
Comment: Visual monitoring is to be conducted at all outfalls during a rain event, but it
does not have to be conducted during a representative rainfall event as defined in the
permit (0.1 inches).
Analytical Monitoring
Yes
No
NA
NE
Has the facility conducted its Analytical monitoring?
■
Cl
❑
Cl
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Cl
❑
®
❑
Comment: No vehicle maintenance is conducted on -site.
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■
❑
❑
❑
# Were all outfalls observed during the inspection?
■-❑
Cl
❑
# If the facility has representative outfall status, is it properly documented by the Division?
❑
❑
■
❑
# Has the facility evaluated all illicit (non stormwater) discharges?
■
❑
❑
Q
Page: 3

Permit: NCG030466 Owner - Facility: Eaton Cutler Hammer
Inspection Date: 02/02/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Comment: Metal finishing is conducted at the facility and all internal floor drains are
directed to the Metropolitan Sewerage District for treatment. The facility has separate
monitoring requirements for MSD.
Page: 4

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
March 31, 2006
Eaton Cutler Hammer
221 Heywood Rd
Arden, NC 28.704
Subject: General Stormwater Permit Inspections
Eaton Cutler Hammer
Permit No. NCG030466
Buncombe County
Dear Sir or Madam:
Your facility holds a general permit from the North Carolina Division of Water Quality to
discharge stormwater associated with industrial activities performed at your facility. Please be
advised that the Asheville Regional Office will be performing NPDES stormwater inspections
sometime in the near future.
If this office has not previously inspected your facility, you should be prepared to demonstrate
compliance with all terms and conditions included in the permit. Specifically, we will be
evaluating the following: your stormwater pollution prevention plan, stormwater outfall
locations, qualitative and analytical' monitoring data and any other activities required by your
permit. Please note that any data reported to the State must be analyzed by a facility that has a
North Carolina laboratory certification, either as a full laboratory or as a facility certified to
perform on -site field testing. If you have any questions regarding the generation of your
facility's data, please feel free to call Gary Francies at [phone].
Copies of the general permits and accompanying documents can be accessed from the following
webpage: http:llit,wia. ncit)atergziality. org/.sti/For•nis_Documents. htnigstol'mti aterGP.
If you have any questions, please contact me in the Asheville Regional Office at [phone].
Sincerely,
Roy Davis
Environmental Engineer
cc: NPS Compliance & Assistance Oversight Unit
SWP-Central Files
ARO Files No liCarolina
,aturally
North Carolina Division of Water Quality 2090 U.S. Hwy 70 Swannanoa, NC 28778 Phone [phone] Fax [phone]
Internet: http:liwww.newaterquality.org!
An Equal opportunity/Affirmative Acton Employer

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
August 23, 2002
DAVE WRIGHT
EATON CUTLER HAMMER
221 HEYWOOD ROAD
ARDEN, NC 28704
Subject: NPDES Stormwater Permit Renewal
EATON CUTLER HAMMER
COC Number NCG030466
Buncombe County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG030000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215. l and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
* A new Certificate of Coverage
A copy of General Stormwater Permit NCG030000
* A copy of the Analytical Monitoring Form (DMR)
A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Bill Mills of the Central Office Stormwater
and General Permits Unit at [phone]. ext. 548
Sincerely,
Bradley Bennett, Supervisor
Stormwater Lind Gcneral Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Asheville Regional Office
AMA
NCDEN— R
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1-800-623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030466
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
EATON CUTLER HAMMER
is hereby authorized to discharge stormwater from a facility located at
EA T ON CUTLER HAMMER
221 HEYWOOD RD
ARDEN
BUNCOMBE COUNTY
to receiving waters designated as Powell Creek, a class C stream, in the French Broad River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, III, IV, V. and VI
of General Permit No. NCG030000 as attached.
This certificate of coverage shall become effective September I, 2002,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 23, 2002.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
December 27, 2001
DAVE WRIGHT
EATON CUTLER HAMMER
221 HEYWOOD RD
ARDEN, NC 28704
Subject: NPDES Stornlwater Permit Renewal
EATON CUTLER HAMMER
COC Number NCG030466
Buncombe County
Dear Pertnittee:
Your facility is currently covered for stornlwater discharge under General Permit NCG030000. This permit expires
on August 31, 2002. The Division staff is currently in the process of rewriting this permit and is scheduled to have
the permit reissued by late summer of 2002. Once the permit is reissued, your facility would be eligible for
continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the Division of Water
Quality (DWQ) for renewal of your permit coverage. To make this renewal process easier, we are informing you in
advance that your permit will be expiring. Enclosed you will find a General Permit Coverage Renewal
Application Form. The application must be completed and returned by March 4, 2002 in order to assure continued
coverage under the general permit.
Failure to request renewal within this time period may result in a civil assessment of at least $250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of stormwater from your facility
without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1 and
could result in assessments of civil penalties of up to $10,000 per day.
Please note that recent federal legislation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the 1 I categories of "storm water discharges associated with industrial activity," (except
construction activities). If you feel your facility can certify a condition of "no exposure", i.e. the facilty industrial
malerials and operations are not exposed to stormwater, you can apply for the no exposure exclusion. For additional
information contact the Central Office Stornlwater Staff member listed below or check the Stormwater & General
Permits Unit Web Site at http://h2o.enr.stale.IIC.Lis/su/stor111witter'.liti11I
If the subject stornlwater discharge to waters of the state has been terminated. please complete the enclosed
Rescission Request Form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
if you have any questions regarding the permit renewal procedures please contact Jim Reid of the Asheville
Regional Office at 828-251-6208 or Bill Mills of the Central Office Stormwater Unit at [phone], ext. 548
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Asheville Regional Office
e�A
RUH R
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800-623-7748

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
March 31, 2000
Dave Wright
221 Heywood Road
Arden, NC 28704
ALTIT4 01� W, A
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: General Permit No. NCG030000
Eaton/Cutler-Hammer
COC NCG030466
Buncombe County
Dear Mr. Wright:
In accordance with your application for discharge permit received on February 21, 2000 we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute
143-215 .1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Antonio Evans at telephone
number 919/733-5083 ext. 584.
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Kerr T. Stevens
cc: Ashville Regional Office
Central Files
Stormwater and General Permits Unit Files
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030466
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Eaton/Cutler-Hammer
is hereby authorized to discharge stormwater from a facility located at
Eaton/Cutler-Hammer
221 Heywood Rd.
Arden, NC
Buncombe County
to receiving waters designated as Powell Creek, Class C, in the French Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, II1,
IV, V, and VI of General Permit No. NC6030000 as attached.
This certificate of coverage shall become effective March 31, 2000.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 31. 2000.
ORIGINAL SIGNED BY
WILLIAM C R44.1 c
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Markers
Name: NCG030466 Eaton/Cutler-Hammer
Short Name: NCG030
Coordinates: 0350 28' 03.3" N, 082' 31' 51.5" W
Comment: County: Buncombe, Map #: F8NE, Subbasin#: 04-03-02, Recv. Stream: Powell Creek (Lake Julian), Stream Class: C

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FAC I L I TY L-{
COUNTY
MAILING ADDRESS
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RESPONSIBLE
OFFICIAL
TELEPHONE NO.
WHERE LOCATED
CLASS
FACILITY OPERATOR
REPRESENTATIVE
CERT. NUMBER
CLASS
NPDES PERMIT NUMBER NC&030'iQo OTHER PERMIT NO.
STATE V FEDERAL
DATE ISSUED
EXPIRATION DATE I Fw l N
STREAM: NAME
CLASS _
7Q10
SUB —BASIN C�
Dave Wright
M.E.S.H. Manager (EHS)
Asheville Plant
221 Heywood Road
Arden, NC 28704
tel: [phone]
[e-mail]
4 �V" "" �i' �k 11w 10 -kx � kL Q .

o��F war�Rp�
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department c ironment and Natural Resources
p 'C
DAVE WRIGHT
EATON CUTLER HAMMER
221 HEYWOOD ROAD
ARDEN, NC 28704
Dear Permittee:
Alan W. Klimek, P.E., Director
Division of Water Quality
r-
August 23, 2002
AUG 2 9 '0002
Subject: NPDES Stormwater Permit Renewal
EATON CUTLER HAMMER
COC Number NCG030466
Buncombe County
In response to your renewal application for continued coverage under general permit NCG030000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983,
The following information is included with your permit package:
* A new Certificate of Coverage
* A copy of General Stormwater Permit NCO030000
* A copy of the Analytical Monitoring Form (DMR)
* A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance. order, judgment, or
decree.
If you have any questions regarding this permit package please contact Bill Mills of the Central Office Stormwater
and General Permits Unit at [phone], ext. 548
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Asheville Regional Office
eMn
45ENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1-800-623-7748

North Carolina Department o
December 27, 2001
DAVE WRIGHT
EATON CUTLER HAMMER
221 HEYWOOD RD
ARDEN, NC 28704
Michael F. Easley, Governor
William G. Ross Jr., Secretary
,ronment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water, Quality
I
t
11 I
APR I 0 2002
':�h[EROFF ICE
Subject: NPDES Stormwater Permit Renewal
EATON CUTLER HAMMER
COC Number NCG030466
Buncombe County
Dear Permittee:
Your facility is currently covered for stormwater discharge under General Permit NCG030000. This permit expires
on August 31. 2002. The Division staff is currently in the process of rewriting this permit and is scheduled to have
the permit reissued by late summer of 2002. Once the permit is reissued, your facility would be eligible for
continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the Division of Water
Quality (DWQ) for renewal of your permit coverage. To make this renewal process easier, we are informing you in
advance that your permit will be expiring. Enclosed you will find a General Permit Coverage Renewal
Application Form. The application must be completed and returned by March 4, 2002 in order to assure continued
coverage under the general permit.
Failure to request renewal within this tithe period may result in a civil assessment of at (cast $250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of stormwater from your facility
without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215. l and
could result in assessments of civil penalties of up to $10,000 per day.
Please note that recent federal legislation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the I I categories of "storn water discharges associated with industrial activity." (except
construction activities). If you feel your facility can certify a condition of "no exposure", i.e. the facilty industrial
materials and operations are not exposed to stormwater, you can apply for the no exposure exclusion. For additional
inl'ormation contact the Central Office Stormwater Staff member listed below or check the Stormwater &: General
Permits Unit Web Site at http://h2o.enr.state.nc.us/su/stormwaler,htnil
If the subject stormwater discharge to waters of the state has been terminated, please complete the enclosed
Rescission Request Form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process leas been completed.
If you have any questions regarding the permit renewal procedures please contact Jim Reid of the Asheville
Regional Office at 828-251-6208 or Bill Mills of the Central Office Stormwater Unit at [phone], ext. 548
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Asheville Regional Office
GWA
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1-800-623-7748

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
March 31, 2000
Dave Wright
221 Heywood Road
Arden, NC 28704
4 • •
f
F4CDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: General Permit No. NCG030000
Eaton/Cutler-Hammer
COC NCG030466
Buncombe County
Dear Mr. Wright:
In accordance with your application for discharge permit received on February 21, 2000 we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute
143-215 .1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Antonio Evans at telephone
number 919/733-5083 ext. 584.
Sincerely,
ORIGINAL SIGEDN
WILLIAM C. LS J
KerrT. Stevens'
T6
cc: Ashville Regional Office 1
Central Files
Stormwater and General Permits Unit Files
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% past -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030466
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Eaton/Cutler-Hammer
is hereby authorized to discharge stormwater from a facility located at
Eaton/Cutier-Hammer
221 Hevwood Rd.
Arden, NC
Buncombe County
to receiving waters designated as Powell Creek. Class C, in the French Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, III,
IV, V, and VI of General Permit No. NCG030000 as attached.
This certificate of coverage shall become effective March 31, 2000.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 31. 2000.
ORIGINAL SIGNED BY
WILLIAM C. "111F
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Q ality General Permit No. NCG030000
Date submitted / S
CERTIFICATE OF COVERAGE NO. NCG03 G `i 14
FACILITY NAME F,�761
COUNTY 13W(,po, 60 rp
PERSON COLLECTING SAMPLES MiGInaL„_—
LABORATORY Lab Cert. # I a 0
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 9 d 16 _
SAMPLE PERIOD ❑ Jan -June ❑_July -Dec
or ymonthlyl_,] can L,4c,f✓� (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
MECFiVED ❑Zero -flow ❑Water supply [—]SA
❑Other
FE1 2 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
CJVVR 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 Petroleum
Hydrocarbons
Total Toxic
Organ ics5
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
a3
L
-7.0
fu
!L4 ►
LJ to►v
' 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:
"[lased 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."
'pc S Or1 M O [' an
Name (Print name)
ENS #_ _� 0
/Titlent title)e) (Date)
Note: Results must be reported in numerical format. Do not t 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?'
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 Hate: 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 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 ff
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 3_0 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."
of Permittee)
Permit Date: 11/1/2012-10/31/2017
.2 / /.5-- / L�,
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

Fayetteville Division
Certificate of Analysis RE C'EVED
Eaton Electrical iA1\4 2017 Date Reported: 12/28/16
Mr. Mark Faircloth Project: Stormwater Samples - Semiannual (2nd half) Date Received: 12/06/16
2900 Doe Bennett Road CENTRAL. FILE%ate Sampled: 12/06/16
Fayetteville NC, 28306 oWR SECTIONSampled By: Poythress
Site #1, grab
K6L0206-01
I Analyte
Result
Units
Analyzed
Analyzed By
Method Qualifier
Analyzed try: Mlcrobac Laboratories, Inc. -
Fayetteville
Copper
0.007
mg/L
12/08/16
12:51
AC
EPA 200.7 Rev 4.4 1994
Lead
<0.003
mg/L
12/08/16
12:51
AC
EPA 200.7 Rev 4.4 1994
Oil & Grease (SGT-HEM)
5.98
mg/L
12/14/16
14:30
SW
EPA 1664
pH, Field Test
7.9
pH Units
12/06/16
11:30
JMP
SM 4500 H+13-2000
(Aqueous)
Clarity
Clear
12/07/16 09:08
JMO
Field Observation
Color
Clear
12/07/16 09:08
JMO
Field Observation
Erosion Evidence
None
12/07/16 09:08
JMO
Field Observation
Floating Solids
None
12/07/16 09:08
JMO
Field Observation
Foam
None
12/07/16 09:08
JMO
Field Observation
Odor
None
12/07/16 09:08
JMO
Field Observation
Oil Sheen
None
12/07/16 09:08
JMO
Field Observation
Other Pollution Indicators
None
12/07/16 09:08
JMO
Field Observation
Rainfall
1.2
inches
12/07/16 09:08
JMO
Field
Total Suspended Solids
7.00
mg/L
12/07/16 10:11
JR
SM 2540 D-1997
Temperature, field
11
°C
12/06/16 11:30
JMP
SM 2550 B-2000
Zinc
0.041
mg/L
12/08/16 12:51
AC
EPA 200.7 Rev 4.4 1994
Site,#2, grab
K6i,0206-02
Analyte Result Units Analyzed Analyzed By Method Qualifier
Analyzed by: Microbac Laboratories, Inc. - Fayetteville
Copper
0.007
mg/L
12/08/16 12:51
AC
EPA 200.7 Rev 4.4 1994
Lead
<0r003
mg/L
12/08/16 12:51
AC
EPA 200.7 Rev 4.4 1994
Oil & Grease (SGT-HEM)
<5.00
mg/L
12/20/16 17:00
SW
EPA 1664
pH, Field Test
7.9
pH Units
12/06/16 11:50
JMP
SM 4500 H+13-2000
(Aqueous)
Clarity
Clear
12/07/16 09:08
JMO
Field Observation
Color
Clear
12/07/16 09:08
JMO
Field Observation
Erosion Evidence
None
12/07/16 09:08
JMO
Field Observation
Microbac Laboratories, Inc.
Page 1 of 7
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 If I www.microbac.com

6>MICROBAC�E`
Fayetteville Division
Certificate of Analysis
Eaton Electrical
Mr. Mark Faircloth Project: Stormwater Samples - Semiannual (2nd halt)
2900 Doc Bennett Road
Fayetteville NC, 28306
Date Reported: 12/28/16
Date Received: 12/06/16
Date Sampled: 12/06/16
Sampled By: Poythress
Site #2, grab
K6L0206-02
Analyte Result Units Analyzed Analyzed By Method QuaGFier
Anayzeci by: Mlcrobac laboratories, Inc. - Fayetteville
Floating Solids
None
Foam
None
Odor
None
Oil Sheen
None
Other Pollution Indicators
None
Rainfall
1.2
Total Suspended Solids
6.50
Temperature, field
11
Zinc
0.070
12/07/16 09:08
JMO
Field Observation
12/07/16 09:08
JMO
Field Observation
12/07/16 09:08
JMO
Field Observation
12/07/16 09:08
JMO
Field Observation
12/07/16 09:08
JMO
Field Observation
inches
12/07/16 09:08
JMO
Field
mg/L
12/07/16 10:11
JR
SM 2540 D-1997
°C
12/06/16 11:50
JMP
SM 2550 B-2000
mg/L
12/08/16 12:51
AC
EPA 200.7 Rev 4.4 1994
Site #3, grab
K6L0206-03
Analyte
Result
Units
Analyzed
Analyzed By
Method Qualifier
Mayzed by: Micmbac Laboratories, Inc. -
Fayetteville
Copper
0.022
mg/L
12/08/16 12:51
AC
EPA 200.7 Rev 4.4 1994
Lead
0.013
mg/L
12/08/16 12:51
AC
EPA 200.7 Rev 4.4 1994
Oil & Grease (SGTHEM)
13.6
mg/L
12/20/16 17:00
SW
EPA 1664
pH, Field Test
6.7
pH Units
12/06/16 11:40
JMP
SM 4500 H+B-2000
(Aqueous)
Clarity
Clear
12/07/16 09:08
JMO
Field Observation
Color
Brown
12/07/16 09:08
JMO
Field Observation
Erosion Evidence
None
12/07116 09:08
JMO
Field Observation
Floating Solids
None
12/07/16 09:08
JMO
Field Observation
Foam
None
12/07/16 09:08
1M0
Field Observation
Odor
None
12/07/16 09:08
JMO
Field Observation
Oil Sheen
None
12/07/16 09:08
JMO
Field Observation
Other Pollution Indicators
None
12/07/16 09:08
JMO
Field Observation
Rainfall
1.2
inches 12/07/16 09:08
JMO
Field
Total Suspended Solids
300
mg/L 12/07/16 10:11
JR
SM 2540 D-1997
Temperature, field
11
°C 12/06/16 11:40
JMP
SM 2550 B-2000
Microbac Laboratories, Inc.
Page 2 of 7
2592 Hope Mills Road j Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 f I www.microbac.com

{VMICROBAC`
Fayetteville Division
Certificate of Analysis
Eaton Electrical Date Reported: 12/28/16
Mr. Mark Faircloth Project: Stormwater Samples - Semiannual (2nd halt) Date Received: 12/06/16
2900 Doe Bennett Road Date Sampled: 12/06/16
Fayetteville NC, 28306 Sampled By: Poythress
Site #3, grab
K6L0206-03
I Analyte
Result
Units
Analyzed Analyzed By
Method
Qualifier
Analyzed by: MlQobac Laboratories, Inc. - Fayetteville
Zinc
0.270
mg/L
12/08/16 12:51 AC
EPA 2003 Rev 4.4
1994
QC Batch Run - (Mterobac Lahoratarier, Inc. - Fayetteville)
Analyte
Result
Units
Source
RPD
Limit
Total Suspended Solids
166
mg/L
K6L0232
10
5
Copper
0.270
mg/L
K6L0280
3
10
Copper
0.258
mg/L
K6L0126
0.8
10
Copper
0.010
mg/L
K6L0280
0
10
Copper
0.010
mg/L
K6L0280
11
10
Copper
0.015
mg/L
K6L0126
7
10
Lead
0.246
mg/L
0050655
0.4
200
Total Suspended Solids
106
mg/L
K6L0230
14
5
Total Suspended Solids
8,00
mg/L
K6L0222
13
5
Total Suspended Solids
66.0
mg/L
K6L0211
6
5
Total Suspended Solids
19.0
mg/L
K6L0198
11
5
Copper
0.256
mg/L
0050655
2
200
Lead
0.249
mg/L
K6L0280
0.8
200
Zinc
0.099
mg1L
K6L0280
12
10
Zinc
0.346
mg/L
K61-0280
34
10
Zinc
0.344
mg/L
K61.0280
0.6
10
Zinc
0.329
mg/L
K6L0126
0.3
10
Zinc
0.085
mg/L
K6L0280
8
10
Zinc
0.088
mg/L
K6L0126
0
10
Copper
0,275
mg/L
K6L0280
0.4
10
Lead
0.245
mg/L
K61,0280
0.4
200
Lead
0.250
mg/L
K61,0126
0.8
200
Lead
ND
mg/L
K6L0280
200
Microbac Laboratories, Inc.
Page 3 of 7
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910,864.8774 F I www.microbac.com

VMICROBACP
Fayetteville Division
Certificate of Analysis
Eaton Electrical Date Reported: 12/28/16
Mr. Mark Faircloth Project: Stormwater Samples - Semiannual (2nd hall) Date Received: 12/06/16
2900 Doc Bennett Road Date Sampled: 12/06/16
Fayetteville NC, 28306 Sampled By: Poythress
QC Batch Run - (MicrobacLaboratories, Ina-Fayeneville)
Analytc
Result
Units Source RPD
Limit
Lead
ND
mg/L K6L0280
200
Lead
0.008
mg/L K6L0126 0
200
Zinc
0.255
mg/L. 0050655 0.8
200
State Certifications:
NCDNR # 11
NCDOH #37714
Respectfully Submitted
Jeanne Overstreet, Project Manager
Thank you for your business. We invite your feedback on our level ofservice to you. Please contract the Division dfanager, Rob Dermer at 910-864-1920 witham,
questions. You may also contact J. 7ievor Boyce, President at [e-mail]
Microbac Laboratories, Inc.
Page 4 of 7
2592 Hope Mills Road I Fayetteville, NC 28306 1910.864.1920 p 1910.864.8774 IF I www.microbac.com

Fayettevllle Division :2592 Hope Mills Road - Fayetteville, NC 28306 (910) 864-19201
*.K6L0206*
ICR
CHAIN OFCUSTODY RECORD
PAGE
CUEW NMr 1. ADDRESS:
POa
PRotecr I LOCA n0X:
PE OF ANALYSIS
PRESERVATION (CODE)
CODE; A m -4*C ONLY.
Eaton
Fa etteville_NC
a
2goo Doc Bennett_ Rd I
0
B=003(phq-4*0.
CONTACT MF�S�:
Fayetteville, NC 28306:
Mark'Faircloth
'T
C - H2Sd4 (ph-*) + -A-C
PHO?4e
-0-
3AIAPLE�.
1(910) 677- 5219
L
CL
w
M
E - ZN Acetate + -WC
e
E
0 ScAium Thb.
microbar
LABIDk
SAMPLETYPE
DATE
TIME.
comp
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PLC,
I me,
Temp -c
. CHLORIN
t6 - u--n W63, Site #1
6 -14
��-o
'X
1
A
1
21'
Storm Water Site #1.
X
1
-J
B:j
Storm Water Site #1
X
2
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Storm Water Site
X
I
A
Storm Water Site #2
x
I
Storm Water Site #2
X
2
RC
Dm.
Tim.
M)
t =
Cate
Tj—
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3
4
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Relinquished the
Den
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Kftm1V*dby.L319n&t=)
D3t.
Ti-
5
61
Commants or Spwlal Hazards:
REVUDKED
I Page 5 of 7 ]

Fayetteville Division 2592.Hope Mills Road - Fayetteville, NC 28305 :[phone] 1
*K6LUW
13
CHAIN OF CUSTODY RECORD
PAGE
CUENT NAME & ADDREW.
Eaton
2900 f)oc.Senneft.'Rd
Fayetteville, NC 28306
RD it
OIEVT 1 --10",
7F oville;.NC
*OF
a
'T :
L
E,
TYPE
OF
ANALYSIS
PRESERVATION (CODE)
(')
rr,
L)
'q
is
71
J
4A
cu
C00.e: A.--rCONLY,
8 = HM03 (ph<2) - <4*C.
C - H2SO4 (ph<2)'+'-WC
E = Z.N.AoetEt.a + 4'0
F = Sodium Thlo.
CONTACT FERSOM
Ma* Fairr-loth
PHONE:
�677- 5219
3AMPLEt ...
A
_DAT TE! MFTtl= OF SHIPMENT- Microbac.
LAB 11) d
SAMPLE
TYPE
DATE
TIME7--,T.--5
6.a
rmp-c
CHLORINr
Wrrn Water Site #3
qb
X
1
A
.71
/01
Storm Water Site #3.
x
1'.
:B
I
J.
Storm Water Site #3
X
2
c
ff41
PA7hoed
Date
1_n.
(S1w'Vt-M)
c 2
Or&
Time
ReftqwShed by.
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Time 1
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paw
TI-e . . . . .
Oct
Tl—
Curnments i)r.SpBcW Hands:l
Page 6 of 7

*.K6LO206*
pi
'STORM WATER -QUALITATIVE MONITORING
STORM'
SITE #
'DATE
SAMPLED.
COLOR
ODOR
CLARITY
FLOATING
SOLIDS'
SUSPENDED
SOLIDS
FOAM
OIL SHEEN.
EROSION OR
DEPOSITION AT
THE OUTFALL
OTHER OBVIOUS
INDICATORS OF
STORMWATER.
TOLLUTION
1 .
Ao
2
Ao
310�
1
---6ro �w
Awa-
A6
Ac,
46-
TOTAL RAINFALL (inches):
tl
Page 7 of 7

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted �6 L
CERTIFICATE OF COVERAGE NO. NCG03� IL SAMPLE COLLECTION YEAR R Q 1 _ T^
FACILITY NAME �A {�orf.��t �i� 0 _ SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY �, —� or [� Monthly' (}et2�.� { (month)
i�nr DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
PERSON COLLECTING SAMPLES r �EUEIVED ❑Zero -flow ❑Water Supply ❑SA
LABORATORY ffiCQ a2a�yf ira Lab Cer . # I OL Li � ❑Other
CjR�mments on sample collection or analysis: .JAIL 19 Z016
CENTRAL FILEtLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
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,
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
9i'7 15
`'l
AS :5 • 1 L
f /
A) C)
' 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 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."
Taco/\
Name (Print name)
S PAO.-\ r3,a (7-C
Title (Pot title)
ature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Nan -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?2
Outfall No.Date
Sample
Collected'
(mo/dd/yr)
24=hour rainfall ,
amount,
Incties3
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 AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B,
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER 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 L�'
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: DWQCentral 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 avy4e that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
I !K b
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Piz
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality ualit General Permit No. NCG030000
Date submitted Z g / S­
CERTIFICATE OF COVERAGE NO. NCG03_0 (Q SAMPLE COLLECTION YEAR ZD i f~
FACILITYNAME_C��prCP ❑Jan -June my -Dec
COUNTY caS2 dr [:]Monthly' (month)
PERSON COLLECTING SAMPLES c is
DE6I_,i:4AftoPG TO CLASS ❑ORW ❑HQW ^ ❑Trout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
LABORATORY A,1 Lab Cert. # t Z „c4-_ q CENT RAL FILES ❑Other
Co ments on sample collection or analysis: ECTION
RECE
Part A: Stormwater Benchmarks and Monitoring Results
DEC 11 2015 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
R SECTION ❑ 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/L4
6.0 -- 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1
I i S
It G 7
'7 . (o ►A-L ! C-
7.o
e )
W 10
AIA
1, 7
3 ,9 LMS it-
-7, 2
mo
11
l! r
It (6'7
91 _AAs t L,
M
9A M
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.
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 TfO monitoring
wmay 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."
T03 Z:)n MLO Pa C"',
Name (Print name)
Titl rint 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?z
Outfall No.
Date Sample
Collected1
(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 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOY
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on ig'nal 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 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 thA there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date:11/1/2012-10/31/2017
I A is15�
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

CERTIFICATE OF COVERAGE NO. NCG03D
FACILITY NAME �q n Cl�/�t7F�Tlrin
COUNTY r..
PERSON COLLECTING SAMPLES 3LA.SOAN�
LABORATORY pkL2 fiC__e_-1_ Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No.
Date submitted 7 y b S CENTRAL FILES
DWR SECTION
SAMPLE COLLECTION YEAR A / 5-
SAMPLE PERIOD Jan -June ❑ July -Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
❑Other
RECEIVED
NCG030000
JAIL 2 0 2015
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No 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
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
b
/VQ
r
(7 • �►
�•
AI A
' ocf
AJ
3
r
3
11.9 AA
b
Ai 40
N
' 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 433,11; 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 late: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facid es 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 -Nan."
1
Name (Print name)
Title r' t title)
�- s
'00
ignature) (Da e)
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 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?Z
Outfaq 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 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: 11/1/2012-10/31/2017 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC7=S 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 on 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 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 tyre are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 11/1/2012-10/31/2017
( ate)
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 1-1 �- l
CERTIFICATE OF COVE AGE NO. NCG03a
FACILITY NAME t: ot-122 a I-i t*n _
COUNTY I&An c v,. 4:(
PERSON COLLECTING SAMPLES AAAor:a on
LABORATORY P6W_ h-A"i~u_ 1C: Lab Cert. # 1 h--,-I)
Comments on sample collection or analysis: // f
i:.nnjr ,4- 1_✓1�rey,1., 0e, /,.,_,_ ii#Pf4.-t/�./�i.�C%�a,r),
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR A D i LI _
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec [�
or kMonthlyl Ar month ff
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply ❑SA CSC?
JAN 2 0 Z015 ❑other )
CENTRAL_ FirE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑ No discharge this period?2
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
Total Petroleum
Hydrocarbons
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
/v
of
Q
r4
r
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.
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/Z012-10/31/2017 SWU-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 ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES �NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGI NAL OFFICE? YES YNO ❑
REGIONAL OFFICE CONTACT NAME: r,�C A MLecc
Mail an original and one copV of this DMR including all "No Dischar e" reports, within 30 days of receipt of the lob results for at end of monitorina 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 thAtlhere are significant gpralties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 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."
,Ji sw V vl LaRaC�fl
Name (Print name)
F tfS (A&A(Ac.e_r
Title (Pri t title)
ature) { ate)
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.
!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: 11/1'12012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 1) ` 3- /"Lf
CERTIFICATE OF COVERAGE NO. NCG03Q L4 ta k
FACILITY NAME 5A-�A Corpn(42nL in
COUNTY &,NN(,oA,,��f
PERSON COLLE ING SAMPLES 3_CtS61\ AA.,rg: t w\
LABORATORY Lab Cert. # Lf 0 a- j `I
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR � D 11
SAMPLE PERIOD [] Jan -June Z] July -Dec
or 9?11onthlyl_t,,JOUQN��iL�� 'month'
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flaw [:]waterSupply [:]SA
❑Other
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
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
I I y
1, l
16.2
N1
fu 0I\J
' 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.
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
5WU-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
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,"
Tas o
Name (Print name)
F HS Me-,\c_ (L r
Title (Print title)
/nature)
ly
(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 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
Qu#fail 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
Benehmarks =__>
_
-
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 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCESS FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NrNO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [VIVO ❑
REGIONAL OFFICE CONTACT NAME: L04yl 0. 8Ql'6e-
Moil 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 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:
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.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date:11/1/2012-10/31/2017
(Date)
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 1;2,13/y `l
CERTIFICATE OF COVERAGE NO. NCG03Q_ �J_
FACILITY N E Eo.+un or arGt-ion
COUNTY
PERSON COLLECTING SAMPLES 5eAJun
LABORATORY A t Lab Cert. fi C( 0
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR cqQ L` l
SAMPLE PERIOD ❑ Jan -June Z July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑SA
R CEIV D ❑Other
DEC 0,:9 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
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
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
O
i i-} I I
II ! S-
I S,
W
ry
1
ry
ry
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.
-'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites maybe 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."
iAOI
Name (Print name)
E HS me /\a_e L
Title (Print title)
Polature) (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 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:
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 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 on 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 rose of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permiittee)
Permit Date:11/1/2012-10/31/2017
(Date)
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 1 11 0
CERTIFICATE OF COVERAGE NO. NCG03 �a W SAMPLE COLLECTION YEAR � d H
FACILITY NAME &'f (3n SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY �t r<�.��P or Monthly _ C7G 6y (month)
PERSON COLLECTING SAMPLES SU j DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
LABORATORY co 4,,,,144\iLab Cert. n f= i, IC ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: I XL-CE1 V GD ❑Other
nlu Ztnr r,.d Copp t r lt�Le-t n&' I f,:ACA 4-c,4,t1 N 0 V 17 LU14
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL ALES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
No discharge this period?
Ciutfall 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 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
4 -
10 1
,
1V 4
]
/V
Ln i
yy�v
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.
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

W
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."
TasCI,n MuraOLA
Name (Print name
Title (Pr' tle)
i ature) 4atej
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?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

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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES V0 ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES iDNO ❑
REGIONAL OFFICE CONTACT NAME: Zguoc.__L 2 t Se.r
Mail an original and one copy of this OMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am awaje-tpat there are sign ifican�penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
GL�-ern /
re of 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 Peneral Permit No. NCG030000
Date submitted D
CERTIFICATE OF COVERAGE NO. NCG03a H
FACILITYNAME Ea-&n Ci3ranrc�`�ur�
COUNTY
PERSON COLL�,CTING SAMPLES 5
LABORATORY[ pew 40r,1,A rcJ _ Lab Cert. y O [,Trod 1
Comments on sample collection or analysis.
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 9,0 H
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
� or yMonthlyl SQ., kA.&,6 e.r (month)
`-DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
OCT 14 2014 ❑Zero -flow ❑Water Supply ❑SA
[—]OtherCENTRAL FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
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 Petroleum
Hydrocarbons
Total 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
/v 14
, o
/v A
iv A
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."
TaS or\ lm o c! Qw\
Name {Print name}
H s _ MCcnGg2l'
Title (Pri t title)
ld� lolq /aDm
nature) (Dat )
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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

0
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 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [E NO ❑
REGIONAL OFFICE CONTACT NAME: 116-�� I
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" reportsLto:
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."
of Permittee)
Permit Date: 11/1/2012-10/31/2017
�Aot"
[oat Iq
SWU-245, last revised 10/2S/2012
Page 3 of 3

1P
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qualit General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 0_LJ ISO
FACILITY NAME CA r
COUNTY _ A io c o L6 `4,
PERSON COLLEqTING SAMPLES D
LABORATORY Arl-IvAr J Lab Cert. # o V
ments on sample collection or analysis:
tV'tbL I - --
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _ C2Q 14
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ZMonthly' s month
DISCHARGING TO CLASS ❑ORW HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑SA
RECEIVED ❑Other
SEP 12 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
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 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
Na
py ipL
'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 Stormwa ter 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."
_YaSOn__ V\Aor ioc�__-
Name (Print name)
m
Title q q U
[
i ture} t1o, (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 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 AND PART B 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 SEC ION B.
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED HE DWQ REGIONAL OFFICE? YES 2NO ❑
REGIONAL OFFICE CONTACT NAME: L-a ArrA >i 1Qr 2f'
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 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 fg; submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee)
Permit Date:11/1/2012-10/31/2017
{ ate
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 -1 3- 19
CERTIFICATE OF COVERAGE NO. N0003 U Ll -!o (
FACILITY NAME Ear Cc,ln��,L>1
COUNTYc
PERSON COLLECTING SAMPLES 64,iL 1nc-e. A brc S4+s
LABORATORY P&0_ ¢4n.,(J Lab Cert. # LA 0 +} I.2
Comments on sample collection or analysis:
,1}
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Zo H
ERIOD ❑ Jan -June [July -Dec
RECEIVEb or [1Gionthly1 JLAV (month)
AUG Q I��,�HARGING TO CLASS ❑ORW ❑ QW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
CENTRAL FILES ❑Other
DWQIBoe
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 Petroleum
Hydrocarbons
Total 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
07
Li
IV
I ao i
N
ry
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.
` 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."
3'GLSO,n O-koma.n
Name (Print name)
F nJ
Title (Print title)
nature) (bat
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 > SS 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

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.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCI_S IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B,
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [�NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES V NO ❑
REGIONAL OFFICE CONTACT NAME: 11QLo,2!'
Mail an oriainal and one copy of this DMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorina period
in the case of "No Discharae" 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 awar�tkraf there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Z5 11 11
of Permittee)
Permit Date: 11/1/2012-10/31/2017
[7-
(D te)
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 _7J1'� ! L L
CERTIFICATE OF COVERAGE NO. NCG03 d a _ sp
FACILITY NAME tl— or lo,n�QAL jn
COUNTY_G Ldnf,DA-^(,Q
PERSON COLLE ING SAMPLES 1 S
LABORATORY aCQ a..(J K c.,4 Lab Cert. #i< /a d LI (7
C�ment�,on�s�ample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
JUL 23 2014
CENTRAL HLES
{� DWQ/$GG
SAMPLE COLLECTION YEAR dQ Q 1 Ll
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [XMonthlyl TLA44_ _ _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
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
s
(012-4 11
16s
33+ L_
-7.2,Li
--
' 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 TfO 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."
-.-TQ s on 6A t� C
Name (Print name)
Title (Print title)
7 / 7 /y
kignatum) (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 > SS gal of new oil per month.
❑ No dischorge 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 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 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 N NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIO AL OF ICE? YES C,NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 day_s of receipt of the lab results (or at end of monitoring -
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 Permittee)
Permit Date:11/1/2012-10/31/2017
ate)
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 (-� lal i Ll
CERTIFICATE OF COVERAGE No. NCG03_L� ICJ (�o SAMPLE COLLECTION YEAR O
FACILITY NAME 4::,-4yn L (1Lnin ft do SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
COUNTY or &kMonthly' AAA y _ (month)
PERSON COLLEG SAMPLES it GinU�/I ht�df�i.S DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA
IN
LABORATORY Lab Cert. # ❑Zero -flow [:]WaterSupply []SA
C mme s;i! sample collecti n or analysis: RFCE F— ❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
JUN Z 4 -'!A
Part A: Stormwater Benchmarks and Monitoring Results
i�ur�o�en-, .. ,,,,� ❑ 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 Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks ==_>
_
-
100 mg/L or 50 mg/L°
6.0 - 9.o
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.
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."
Name (Print name) !
r
Title (Prin
gn re) (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: 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 CONTACTEQ THE DWQ REGI NAL gFFIC� YES la NO ❑
REGIONAL OFFICE CONTACT'NAME: �Eg� of Qom__
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
1517 Mail Service Center
Raleigh, North Carolina 27699-1517
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 away a there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permitteej
Permit Date: 11/1/2012-10/31/2017
/Q /ram
(Date)
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 (.1 — (" i Ll
CERTIFICATE OF COVERAGE NO. NCG03
FACILITY NAME I-5G Co(„
COUNTY r.i,.nCe
PERSON COLLEVING SAMPLES
LABORATORY fd CQ A
L�6(0
Uf
Lab Cert. # Ll d 4- 12
CQmme�s on sample collectidn or analysis:
uu i r o- l i- --
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 90 V-1
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [Monthly' iM A V (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
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,
Inche53
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/L°
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
-5r H
1 ,74
Aotiff
i L
a�a---
' 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.
A 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."
��� i? �:=ram ��'/fr✓ _
Name (Print name)
Title (Prin
gn re) (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
dutfall 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 10/2S/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 A NO ❑
IF YES, HAVE YOU CONTACTED+ THE DWQ REGI NAL FFICE? YES X NO ❑
REGIONAL OFFICE CONTACT NAME: L-cnil.� �r be4
Mail on original and one cony 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 await nthere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 11/1/2012-10/31/2017
(Date)
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
CERTIFICATE OF COVERAGE NO, NCG03L H 10 _(�2 SAMPLE COLLECTION YEAR _ A D
FACILITY NAME 7-(Y1 [ Le^ 3�c r ur-� _ SAMPLE PERIOD ❑ Jan -June ❑�IJuly-Dec
COUNTY r or Monthly' t-I P( I (month)
PERSON COLLE TING SAMPLES V\Ay c,y„ a✓I L�rU�'I`_�-S_ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY LabCert.# �.((7 1�. DECEIVED ❑Zero -flow ❑Water Supply ❑SA
Co ments n sample collectio or analysis: [:]Other
-�L4 - -- MAY 15 2014
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWQIBOG
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 0&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
�` S M A, JL_.
ov 1
N
t
Iry
' 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."
Cc:S /1CVJ
Name (Print name) Ij
(Pri/it title)
ture) (Date)
Note: Results must be reported in numerica44ormat. 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 ?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inche53
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 S, 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 ❑
IF YES, HAVE YOU CONTACTE THE DWQ RENAL OFFIC ? YES C& NO ❑
REGIONAL OFFICE CONTACT NAME: Z,( �'JI C.t�n I�
Mail an original and one copy of this DMR, including all "No Discharge" reports, within_30 days of recent 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 27G99-1G17
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 awarg, that there are signyficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
5^ l f
(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 [7`-( l `( Z.o I
CERTIFICATE OF COVERAGE NO. NCG030 _ �}
FACILITY NAME Ea+()A
COUNTY QUnc,, 4,P 1
PERSON COLL ING SAMPLES Cara' iS
LABORATORY a-t aLab Cert. # Yo d- *f- I Z
C mmenn s C n sample collection or analysis:
I� f
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 7—D t ` f
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period:
Outfali 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 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
0 Lv r y
0
M 4-
s i
t g M 1
j Z,s-
�-�—
' 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 outfali, 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.
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).
RECEIVED
APR 21 2014
Permit Date: 11/1/2012-10/31/2017 CENTRAL FILES SWU-245, last revised 10/25/2012
DWQIBQG 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."
TGQSOA 111 ot-Q an
Name (Print name
S.L//-
(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.
i
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Clutfall 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 FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES E NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: I .0t 1i4!'kg--�
Mail an oriainal 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."
ure of Permittee)
Permit Date: 11/1/2012-10/31/2017
(Date)
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 s— 0—
CERTIFICATE OF COVERAGE NO. NCG03 () _q 6) 1.1
FACILITY N E E✓-) A-) dyl
COUNTY , 1
PERSON COLLECTING SAMPLES NA�CG1A+ �rc i_S
LABORATORY KIKY_ lanAl (tom/ Lab Cert. #
Comments on sample coljection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or FR Monthly' r month
DISCHARGING TO CLASS ❑ORW ❑H W [—]Trout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period?2
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
Organicss
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
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
a 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
RECEIVED
MAR 2 5 2014
CENTRAL FILES
DWQ/BOG
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,"
I�v/l PAOCA,-\
Name (Print name)
(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.
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 lI SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SE ION 8,
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES QNO
IF YES, HAVE YOU CONTACTED /THE DWQ REGIONAL OFFICE? YES V NO ❑
REGIONAL OFFICE CONTACT NAME: c.Gl
Mail an oriainal and one copv of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lab results (or at end of monitorina period
in the case of "No Discharae" 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."
of Permittee)
3 �7
(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 uality General Permit No. NCG030000
Date submitted . /D h `/
CERTIFICATE OF COVERAGE NO. NCG03 d y f�
FACILITY NAME 9AT0A C'arfa.7 o4 c W
COUNTY
PERSON COLLECTING SAMPLES M,il'_JnGcA IZAS
LABORATORY.Lab Cert. # qO /Z
Comments on sample colt ction or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR a©1L
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [9Monthly' month
DISCHARGING TO CLASS ❑ORW ❑H ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -->
❑ 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 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
41 mg 1 L
, kcfo mg I L_
, I q2ar,1c_
I
/uD
' 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 (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
MAR 13 2014
CENTRAL FILES
DWQ/BOG
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 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
(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)
AAC
A.n2r
Ti Fri t title)
nature) ate
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 volue 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-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 somple 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES 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 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 erectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am awaretKaythere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
re of Permittee)
Permit Date: 11/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3