NCG030605_MONITORING INFO_20190621

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v Cc, 0aD (D
DOC TYPE
❑HISTORICAL FILE
.'MONITORING REPORTS
DOC DATE
❑ 2,O/q We 21
YYYYMMDD

n} '
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Datesubmitted
CERTIFICATE OF COVERAGE No. NCG03 d �L Q
FACILITY NAME Mond 4Y,.
COUNTY
PERSON COLLECTING SAMPLES {Vt W IUrYAV
LABORATORYPtIr-6 NIX1�CAI Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �01 q
SAMPLE PERIOD ® Jan -June ❑ July -Dec
RECEjr I= or El Monthly' (month)
f 1�DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
JUN 21 2019 ❑Zero -flow ❑Water Supply [:]SA
❑Other
CENTrO\L FILES
DWR SECTION 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
Total Copper
Total Lead
Total Zinc..
Non -Polar O&G/
Total Petroleum
Hydrocarbons .
Total Toxic
.Organics
Benchmarks
_
-
100 mg/L or 50 mg/La
6.0 - 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L `
'15 mg/L
1 mg/L
Parameter Code
46529
C0530
00400
01119
01051
01094
00552 _
78141
Z
1115
tra13
1, 3
O
o. OZH
No
WD
-D
5 i
15
•�
�.b
NnNip
0.010
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.
'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, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
Signature
Date
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 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'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons.
Total Suspended,
Solids
Benchmarks
-
-
15'mg/L
.100 mg/L or 50.mg/L°
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3

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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the tab results (or at end of monitoring period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant pe Ities for submitting false information, including the possibility of fines and imprisonment for knowing violations."
- L//.f 18 I
Signature of Permittee Date
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 3 of 3

c
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidmice onfilling out this form, please visit https:Hdeq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NICI l l l l l l l or Certificate of Coverage No.: N/C/G/O /M3I Q 16 l O/ S7
Facility Name: ISO
County: GhE ro key. Phone No. I-s—
Inspector: .01 ker 121 urre.V
Date of Inspection: y — / 9
Time of Inspection: N 23
Total Event Precipitation (inches):
1•
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour stone
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or He�ignee)
1. Outfall Description:
Outfall No. SD--3 Structure (pipe, ditch, etc.):
Receiving Stream:
5 to t./ �ree�C
Describe the industrial activities that occur within the outfall drainage area: L octd 61%4 fl p[ jC
OCPci Cmd bL,.' _1 _i�T� ru it t)�
Page 1 of 2
SWU-242, Last modified 06101120IS

NColor: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ji n
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
6) 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
Q 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes 40 No.
8. Is there an oil sheen in the stormwater discharge? OYes VP No.
9. Is there evidence of erosion or deposition at the outfall? O. Yes e'No.
10. Other Ob0ous Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 06/01/2018

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forgaidance on filling out this form, please visit https://deq.nc.Rov/about/divisiotis/energy-minerat-land-resources/
npdes-stormwater-gps
Permit No.: N/C/ I /. 1. /. /. /. / or Certificate of Coverage No.: NICIG/0/3/0/ 6/.0/ Sl
Facility Name: .000A IFIC,
County: 6- A ero ki&cPhone No. $fib' - 83 % -S lls
Inspector: M,'k c Awra v
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 75-
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
11
(Signature of Permittee o ir�besignee)
1. Outfall Description:
Outfall No. $A--;?- Structure (pipe, ditch, etc.): Pi_ e-
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: hyd�a� ,'>Le-4%
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge
(light, medium, dark) as descriptors: [' JecLr -�,
basic colors (red, brown, blue, etc.) and tint
L4- 1, i .L 1 --
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): NIA
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (2) 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 O 3 4 5
7. Is there any foam in the stormwater discharge? O Yes 0 No.
8. Is there an oil sheen in the stormwater discharge'? 0Yes 4PNo.
9. Is there evidence of erosion or deposition at the outfall'? O Yes ®No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe pin- _
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5wU-242, Last modified 06/01/2018

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCG030000
Date submitted S — /6 — /9
CERTIFICATE OF COVERAGE NO, NCG03 D 6 O S
FACILITY NAME MOog TOC_
COUNTY Che ro ke-e
PERSON COLLECTING SAMPLES Mi cXieT Mc teaw
LABORATORY_ Pace _�na �y �'cQ r Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR o2 o 1 8
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECF-N D ❑Zero -flow [:]WaterSupply []SA
Mother
AUG 22z018
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
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/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SD- 02
g r i8
1,0
�2_9
7-5
ND
ND
0-013
ND
/VD
SD - 03
[ [ S
1 _ o
_ o
- - o
ND
ND
o. 0,2_1 I
N D
ND
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 11"9/2012
Page I of 3

Facilities ,,— .ncorporate a solvent management plan into the Stormwater Pc, ..on Prevention Plan may so certify, and the requirement for TTO i toring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format "<XX 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,
Ilnches3
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 S, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
,il
Permit Date: 11/1/2012-10/31/2017 SWU-245,.1ast 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 ❑
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 Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
•
Permit Date:' i1/1/2012-10/31/2017
SWU-245, last revised ln'^r-/2012
Page 3 of 3

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please risit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
n pdes-storm water-gps
Permit No.: N/CI I I l 1 I I / or Certificate of Coverage No.: NICIG/ 0I,3 /O / (ol O I Sl
Facility Name: Mo oq -vl C.
County: Cherokee Phone No. 9a8- 937-5//5
Inspector: M�,4,x 1< /ViGGeavi
Date of Inspection: 9- / - /8
Time of Inspection: lI = 3C AM
Total Event Precipitation (inches):
I-O
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
`v1 111c ,[ ' j' (/ G
(Signature of PernOec or Des' ee)
1. Outfall Description:
Outfall No.SD-Oa Structure (pipe, ditch, etc.):
Receiving Stream:
-- Sl0W
Describe the industrial activities that occur within the outfalll drainage area: )
de
Page 1 of 2
S W U-242_ Last modified 06101/2018

2. Color: Describe the color of the discharge using basic colors (red. brown, blue. etc.) and tint
(light. medium, dark) as descriptors: C Iif a -r , Y}[r �fll�-
3. Odor: Describe anv distinct odors that the discharg=c may have (i.e.. smells strongly of oil, weak
chlorine odor, etc.): non e
4. Clarity: Choose the number which best describes the clarity of the dischar+ue. inhere 1 is clear
and is very cloudy:
0
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater dischar+,e, where I is no solids and 5 IS the surface covered with tloatin solids:
0 2 -3 4 5
6. Suspended Solids: Choose the number which best describes the amount of Suspended solids in
the stormwater discharge. where I is no solids and 5 is extremely muddy:
(D 2 3 4 5
7. is there any foam in the suorntwater discharge`' O Yes X No.
S. Is there an oil sheen in the storinwater discharge? 0)'es i'C No.
9. Is there evidence of erosion or deposition at the out#all:' O Yes XNo.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Pa+-e 2 of 2
SWU-2-42. Last modified 06,M20IS

N!'C'.
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visil littps://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-storniwater-ups
Permit No.: NICI Inpoa �n c_
I I I I I I or Certificate of Coverage No.: NICIG1013101610151
M
Facility Name:
County: 1 fro Phone No. g �2 9 - 3 7- Sl /S
Inspector: M c A 4d IW Leao
Date of Inspection: g- f - / R
Time of Inspection: (/ = 25 AM
Total Event Precipitation (inches)
M
All permits require qualitative monitoring to be perfonned during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfali. The previous measurable storm event must have been at least 72 hours prior. The 72-hour stone
interval does not apply if the pennittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pennittee ordXsignee)
1. Outfall Description:
Outfall No. S D- 03 Structure (pipe, ditch, etc.): �a -roc 4
Receiving Stream:
Low t- reek
Describe the industrial activities that occur withinthe outfall drainage area:
f
a,o&.,Lu clock a -rot butt( k";1c(roacw rolert I`uno-FIC
Page i of 2
SWU-242, Last modified 06/0 U201 9

t _
? 1
2. Color: Describe the color of the discharge using, basic colors (red. brown, blue, etc.) and tint
(lit,ht. medium, dark) as descriptors: C e &-c 22o
3. Odor: Describe any distinct odors that the dischame may f!ave (i.e., smells strongly of oil, weak
chlorine odor, etc.): osi e
4. Clarity: Choose the number which best describes the clarity of the diNharge, where I is clear
and ; is %-en_- cloudy: t
0 ? 3 4 > >�
5. Floating Solids: Choose the number \which best describes the amount of ]loatiilg solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
4 j
6. Suspended Solids: Choose the number which best describes the amoutlt of suspended solids -
the stornnyater discharee. where l is no solids and 5 is extremely muddy:
2 3 4
7. Is there any foam in tilt: stormwater discharge? O Yes �( No.
8. Is there an oil sheen in the stormwater discharLe'' O Yes >f No.
9. Is there evidence of erosion or deposition at €Ile outfall :' O Yes X No.
10' Other Obvious Indicators of Stormwater Pollution:
List and describe IVoo
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page , of 2
SWU-2-43. Lase modified 06,U2013

.r
Semi-annual Stormwater Discharize Monitoring Re ort
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 O (D 0
FACILITY NAME _N-ga Thl
COUNTY CAerokee
PERSON COLLECTING SAMPLES M� c k&e( Nic L.eo<�
LABORATORYPace A —fa Z-k,, Lab Cert. #
Comments on sample collection or ana ysis:
vH -t e4 -kaK.5
eo cm /17//9 instead 4747 q///5_A
(o 9 ►1)
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTIO YEAR �20/9
SAMPLE PERIOD Jan -June ❑ July -Dec
or ❑ Monthly' (month]
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow []Water Supply [:]SA
❑Other
JUN 13 2618
CENT}�AL � RU EASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DVJR SECTION
❑ No discharge this period?z
Outfall No.
Date Sample
Collected 1
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
pH,
Standard units
Copper
U 01 Aam
Lead
Zinc
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics 5
Benchmarks ===> '
-
-
100 mg/L or 50 mg/L4
6.0 — 9.0
A BB7-gjk—
0.033 mg/L
0.067 mg/L
15 mg/L
i mg/L
SD- 0 a
y is
D- R
19- .,)-
O- 00?
ND
O- OL15
ND
A1D
S - 03
y 1s
0-3
2.7
ND
O, v2- q
ND
ND
m !e
c
V
1 7 $
i c es
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive brenchmark exc�edance for the Same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement,
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
V.
Permit Datr 1/2012-10/31/2017
SWU-245, last revised ]-/2012
Page 1 of 3

Facilities , ncorporate a solvent management plan into the Stormwater Pc. on Prevention Plan may so certify, and the requirement for TTO I.. _ ,,toring
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 electingto employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format "<XX mgLC where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. see General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gall of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 su
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

I
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO,❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
A/ ' T
(Signature of Permittee)
6 s
(Date)
Permit Dat /1/2012-10/31/2017
SWU-245, last revised ? ^")5/2012
Page 3 of 3

AG;A;A
4 NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit. httl)://poi-tal.ncdeni-.org/web/wq/ws/su/nociessw#tab.-4
Permit No.: N/C/_/_/�/_/_/_/_/ or Certificate of Coverage No.: N/C/G/ 4/3/ O/ k/ O/S/
Facility Name: _ M o o q ZT,,
County: �'_�et-cker Phone No. gig- $37-Slid'
Inspector: Mir-40-f-I McLe0.w
Date of Inspection: L/ - 1 S- / 3
Time of Inspection: 2; /$
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
* Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
_some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PerniWtee or Desieee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. outfall Description:
Outfall No. S'�— ba Structure (pipe, ditch, etc.) FIT&
Receiving Stream: low cref--
Describe the industrial activities that occur within the outfall drainage area:
Nydrr, Ali �2yt �a�Re M0.i�t+A�e Sleds
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: /!,J A4 41^Gt—A%
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _/70;1 C
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 Q2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 Zf 3 4 5
7. is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
4. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators ofStormwater pollution:
List and describe /VoOE
Note: how clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

1. outfall Description:
Outfall No. S.U�03 Structure (pipe, ditch, etc.) 4C
Receiving Stream: 'S! LJ CreP K
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge usi
(light, medium, dark) as descriptors: Vef-y 1��
basic colors (red, brown, blue, etc.) and tint
r-OLV4 TtN4
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): rlorle
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
`.J 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Nome
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

1995 NC Hwy 141, Murphy, North Carolina 28906-6864
Telephone: 828I837-51 t5 • www.nwogxom
Maas
June 5, 2018
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
To Whom It May Concern:
Enclosed is an original copy along with a duplicate copy of the DMR from our stormwater sampling
event on April 15, 2018. Please note the pH tests for both sampling sites were taken from a different
stormwater sampling event on May 17, 2018 (1.1 in.) instead of on April 15, 2018 (0.8 in.). If you have
any questions, please feel free to reach me via my contact information below.
Sincerely,
051
Michael J. McLean
Environmental & Safety Engineer
[phone] Ext. 3506
[e-mail]

Maas
January 16, 2018
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
To Whom It May Concern:
1995 NC Hwy 141, Murphy, North Carolina 28906-6864
Telephone:[phone] • www.moog.com
Nc 6- 030 (�bs—
Enclosed is an original copy along with a duplicate copy of the DMR from our stormwater sampling
event on October 23, 2017. Due to an oversight, samples for VOCs 624 and Metals 200.7 and 245.1 were
not collected with the rest of the samples. Pace Analytical Services tested for Metals 200.7 and 245.1
using extra unpreserved samples, but VOCs 624 were not tested as these required preservatives. Moog
personnel planned to collect additional samples for VOCs during the next storm event, but no storm
event occurred onsite between October 24, 2017 and December 31, 2017. All samples will be collected
and tested for the next storm event between January 1, 2018 and June 30, 2018.
Please refer to the attached emails for additional details. If you have any questions, feel free to reach
me via my contact information below.
RECEIVED
Sincerely, JAN 2 4 Z018
CENTRAL FILES
��— DWR SECTION
Michael J. McLean
Environmental & Safety Engineer
Office: (828) 837-S115 ext. 3506
Fax: [phone]
[e-mail]

McLean, Michael
From: Christopher Derouen <[e-mail]>
Sent: Monday, October 30, 2017 10:43 AM
To: McLean, Michael
Subject: [EXTERNAL] RE: Moog Stormwater Metals & VOCs
Got it, Thanks!
Chris Derouen
Project Manager
Pace Analytical Services
2225 Riverside Dr. Asheville, NC 28804
Office: 828 254 7176 ext. 938304
Fax: [phone]
Christooher.Derouen&-gacelabs.com
www.pacelabs.com
>>> <[e-mail]> 10/30/2017 10:03 AM >>>
Good morning Chris,
Just letting you know that it did not rain enough this weekend to collect a sample, so I will continue to keep an eye on
the weather and will let you know when I have the VOC samples.
Thanks,
Michael J. McLean
Environmental & Safety Engineer
Moog Inc.
1995 NC Hwy 141
Murphy, NC 28906
Office: [phone] ext. 3506
Mobile: [phone]
[e-mail]
From: McLean, Michael
Sent: Friday, October 27, 2017 10:56 AM
To: Christopher Derouen <[e-mail]>
Subject: Moog Stormwater Metals & VOCs
Hi Chris,
I heard back from the State about the metals & VOCs, and they said that it would be fine to test for metals with the
unpreserved samples and we will note this on our report. So please go ahead and add the metals testing. However, we

will need to wait until another stormwater event to sample the VOCs and then we will send these samples to you. It
would be ideal if we redid all of the sampling so it would all fall under one stormwater event, but this wouldn't be
necessary and it should be sufficient to grab the VOC samples at the next stormwater event. In the meantime, another
set of coolers can be ordered to be delivered in time for the January -June 2018 sampling period.
Thanks!
Michael J. McLean
Environmental & Safety Engineer
Moog Inc.
1995 NC Hwy 141
Murphy, NC 28906
Office: [phone] ext. 3506
Mobile: [phone]
[e-mail]

McLean, Michael
From: McLean, Michael
Sent: Monday, October 30, 2017 8:16 AM
To: Georgoufias, Bethany
Subject: RE: [External] Moog Stormwater Sampling Fall 2017
Bethany,
That sounds good, thank you for the reply. We will have the lab test for the metals with the unpreserved samples and
wait for the next storm event to sample for the VOCs. This will all be documented on the biannual report.
Michael J. McLean
Environmental & Safety Engineer
Moog Inc.
1995 NC Hwy 141
Murphy, NC 28906
Office: [phone] ext. 3506
Mobile: [phone]
[e-mail]
From: Georgoufias, Bethany[mailto:[e-mail]]
Sent: Friday, October 27, 2017 7:03 AM
To: McLean, Michael <MMcLean @moog.com>
Subject: Re: [External] Moog Stormwater Sampling Fall 2017
Michael,
If the unpreserved bottle can still be tested for the metals, and the results won't be compromised, have the
lab go ahead and run that sample so you can include it with the last event's results. Note the oversight on the
DMR so we understand why there is no value reported for the VOCs. Then take your next storm event
opportunity to pull a sample for the VOCs.
It wouldn't be a bad idea to run the next sample for everything (so you have a more comprehensive picture of
that event), but it's not necessary. DEQ would likely view the attempt to make up for the oversight as
sufficient. However, if the next sample opportunity still falls within the fall sampling period you were trying to
get in the first place, and you test for the entire set of parameters this second time, there will be no question
that analytical monitoring was compliant for that sample period.
Bethany
Bethany Georgoidias, Environmental Engineer
NCDEQ / DEMLR 1 Stormwater Permitting Program
1612 Mail Service Center. Raleigh, NC 27699-1612
512 N_ Salisbury Street, Raleigh. NC 27604
919 / 807-6372 (phone); 919 / 807-6494 (fax)
Website: i�ttn:l/cie�i-nc. Gov/ab��€tt/divisian�/ener«v-mineral-land rc�ource;/stnrtn�vatcr
F moil un respurrclenre to and )rum this ctddres.v near be .mbject to the Norlh Carolina Priblre. Records lass and nun• be disrinsed to thin/ parties.

From: MMcLean moa .com <[e-mail]>
Sent: Thursday, October 26, 2017 3:15:21 PM
To: Georgoulias, Bethany
Subject: [External] Moog Stormwater Sampling Fall 2017
CAUTION: This email originated from.outside of the organization. Do not click links or open attachments unless you verify that the
attachment and content are safe. Send all suspicious email as an attachment to reoort.spam(@nc.kov.
Hello Bethany,
I just left you a voicemail, but realized it was pretty long so emailing might be easier. My coworker and I collected
stormwater samples on Monday, October 23 and sent them to Pace Analytical Labs in Asheville. However, I realized
there were sample bottles in a second cooler that I missed, specifically VOCs 624 and Metals 200.7 and 245.1. Our
project manager at Pace Analytical said the lab could test for metals with the unpreserved samples they have, but the
VOC vials require a preservative and no headspace so they don't react with oxygen.
I've thought of three alternatives that we could follow:
1) Have the lab send us another cooler with the bottles we sent off and redo all of the sampling during another
storm event by the end of the year,
2) Collect samples for metals and VOCs during a different storm event and send those to the lab to test to include
with our data, and note the different dates on our monitoring results,
3) Have the lab test for metals and VOCs with the unpreserved water that they have now.
Please let me know what would be the best alternative and I will get back with the lab on how they should proceed.
Thanks,
Michael J. McLean
Environmental & Safety Engineer
Moog Inc.
1995 NC Hwy 141
Murphy, NC 28906
Office: [phone] ext. 3506
Mobile: [phone]
[e-mail]

Semi-annual Stormwater Dischar a Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE No. N0003 0 6 0 5-
FACILITY NAME Moog VIC_
COUNTY __0,Iner-o V—&-
PERSON COLLECTING SAMPLES i c wei c_ Lea.yt
LABORATORY _F& A ral y 'e o-( Lab Cert. #
Coments on sample collection or analysis: 1
IV0 voCS 6aq 4e5-1-. /diefal5 4e5� *ake, wil% eK�r,
uwpr-eszr-ve&( 5X")PIe$'
Part A: Stormwater Benchmarks and Monitoring (Results
SAMPLE COLLECTION YEAR 1-0/7
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?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Q, p1 MTM
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organicss
Benchmarks =__>
_
-
100 mg/L or 50 mg/L
6.0 - 9.0
•9.9 97 msili:;
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
S-D- Oa
10a3 /7
q_7a
1�-�
0.6/03
NO
0.03(9
NO
/V A
SD- 03
l� ;3 1
q_7S
/ _3
710
0.0/0/
ND
0.0330
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 D,, 11/2012-10/31/2017 SWU-245, last revised 1n125/2012
Page 1 of 3

Facilities ncorporate a solvent management plan into the Stormwater PL on Prevention Plan may so certify, and the requirement for TTO Aoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not re ort 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 form`<XX me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L. I' . >
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
Ou#fall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =_->
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NOFJ
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring Period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
.t
Permit Dat I/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

r
�A
i
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling oast this form, please visit., http:/%portal.ncdenr orgg/web/wq.1ws/su/su.1npdessw#tab-4
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: 6/ dJS/
Facility Name: /14aoq , T►'+e_
County: C�e-o Kee _ Phone No. _gag - $ 37- 51/5
Inspector: Mir -IA . t-A4cL.Gav1 _
Date of Inspection: %o 2 3 f 7�����
Time of Inspection:
Total Event Precipitation (inches): t4 - 7 S-
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
�4 Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
v 4ZVt c
(Signature of Permitte r Designee)t
SWU-242, Last modified 10/25/2012
Page 1 of 2

1. Outfall Description:
Outfall No. 1> - O d- Structure (pipe, ditch, etc.) P 'e
Receiving Stream: Stow Creek
Describe the industrial activities that occur within the outfall drainage area:
. i d 1 .1-1 r .d .-j-- r d
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C. j ear
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): AO-Me-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. is there any foam in the stormwater discharge? Yes CNo
B. Is there an oil sheen in the stormwater discharge? Yes IVo
9. Is there evidence of erosion or deposition at the outfall? Yes [Vo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description: rr
Outfall No. SV-- 03 Structure (pipe, ditch, etc.) +4e-in.
Receiving Stream: Straw
Describe the industrial activities that occur within the outfall drainage area:
�oao��wg Dock &rt& a..J bk�fol,:,g t'an� rkKa��
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 0400,-AlZrM Very 1-� � +` 4i n-j
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): h-a� ��
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
C) 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe I /Mle,
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 10/25/2012

G
�.2aceAnayical'
+ www.paceIahs.com
CHAIN-OF-CU: N 1 Analytical Request Document
The Chain -of -Custody is a LE_ _ DOCUMENT. All relevant fields must be completed accurately.
4.
Section A Section S Section G
Page: f of I
Required Client Information: - Required Project Information; Invoice Information:
i Attention:
Company;OO �� Reporl To:
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Instructions for completing Chain of Custody (COC)
1 I_ , Section A� and B: Complete all Client information at top of sheetcompany name. address, phone:, fax, contact (the: person to contact if there are
questions, and who will receive; the final report.), e-mail address (if available), PO#; Project Name and/or Project Number as you would like to see it'
appesar,on the report.
2. Section C: Invoice Information: Billing information is included in this section. This information should include the name and address of the person
receiving the invoice.
3. Quote Reference should be completed if a quotation was provided by Pace Analytical. The Project Manager, and .Profile No. will be completed by
Pace Analytical Services. -
4. Site Location: A separate COC must be filled out for each day of sample collection. Record the two letter postal code for the US state in which the
samiples «sere collcctcd.
5. Regulatory Agency: List the program that is guiding the work to ensure proper regulations are followed.
6. Section D: Complete a,Sample Description in the "SAMPLE ID' section as you would like it to appear on the laboratory- report. The following
information should also be included: the sample matrix, sample type (G (grab) or C (composite). When collecting a composite, the start time and end
time should be documented in the•respective boxes. The collection time for a grab (G) sample should be entered in the boxes marked 'Composite
Lnd/Grab':), Sample temp at collection (if required by state), the total number of containers; and pre se;rvative used.
7. Mark if the sample was filtered in the. field -by marking Y or N in'Filtered' row by the Analysis requested.
- .. �. _ 1. -
8. Requested Analysis: List the required analysis and methods on th�,line:s provided and place a check in the column for the: samples requiring the
analysis. Additional comments should be referenced in the bottom left hand conifer or include attachments for extended lists of parameters.
9. The sampler should print their name in the space provided and sign their name followed by the date of the: sampling event at the bottom of the COC in
the spaces designated "for `SAMPLER NAME AND SIGNATURE'-
10. When relinquishing custody of the samples to a representative of the laboratory or other organization, indicate the Item Numbers of those samples
being transferred;.sign relinquished by, date and time, and include your affiliation.
*Important Note:
Standard Turnaround Time is 2 Weeks/10 business days. Results will be delivered by end of business on the date; due unless other arrangements
have been made with your project manager.
Special Project Requirements such as Low Level Detection Limits or level of QC reported must be included on the chain of custody in the Additional
Comnicnts section.

_ �,OaceAnalyfical'
www.pacelabs.com
CHAIN-OF-CU' )Y 1 Analytical Request Document
The Chain -of -Custody is a Lr_ - DOCUMENT. All relevant fields must he completed accurately.
66
Page I of W'
Section A Section B Section C
Required Client Information: Required Project Information: Invoice Information:
-'
Company: Report To: ,ant Attention:
2195505
M o a "h c - ,"! C Lidt- e e am
Address:
I _ l.�C w, Copy
To:
Company Name:
REGULATORY AGENCY
4
Address:
r. NPOES F GROUNDWATER r DRINKING WATER
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Email Te: I, Purchase
Order No.:
Pace Quote
0.7.1. ?s,004 r^awr
Reference:
Phone: _S Fax: U Project
Name: I 1
Pace Project
Site Location
— !ii—
fO MWAT�(-
Manager:
STATE.
Requested Due DatelTAT: Project
Number:
Pace Profile a:
Requested
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SAMPLER NAME_ AND SIGNATURE
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Important Note: By signing this form you are accepting Pace's NET 30 day payment terms and agreeing to late charges of 1.5% per month for any invoices noh�d within 3 / F-ALL-Q-i]20rev.07, 1 &May-2007

Instructions for completing Chain of Custody (COC)
t 1. Section A and B: Complete all Client information at top of sheet: company name; address; phone, fax, contact (the person to contact if there; are
M -,questions, and who will receive the; final report.), e-mail address (if available), PO#, Project Name and/or Project Number as you would like to see it
appear on the report. _
2, Section C: Invoice Information:.13illing information is included in this section. This information should include the name and address of the; person
receiving the invoice.
3. Quote Reference should be completed if a quotation was provided by Pace Analytical. The Project Manager, -and Profile No. will be completed by
Pace Analytical Services.
4. Site Location: A separate COC must be filled out for each day of sample collection. Record the: two later postal code for the US state in which the;
samples were collected.
5. Regulatory Agency: List the; program that. is guiding the work to ensure proper regulations are followed.
6. Section D: Complete a Sample Description in the; "SAMPLE ID' section as vou would like it to appear on the laboratory report. The following
information should also be included: the -sample matrix, sample type (G (grab) or C (composite). When collecting a composite; the start time and end
time should be documented in the respective boxes. The collection time for a grab (G) sample should be entered in the boxes marked 'Composite
End/Grab'), Sample tamp at collection (if required by state), the.total number of containers, and preservative used.
7. Mark if the sample was filtered in the field by marking Y or N in `filtered' row by the Analysis requested.
8. Requested Analysis: List the -required analysis and methods on the, lines provided and place a check in the column for the samples requiring the
analysis. Additional comments should be referenced in the bottom left hand corner or include attachments for extended lists of parameters.
9. The sampler should print their name in the space provided and sign their name followed by the date of the sampling event at the bottom of the: COC in
the spaces designated for `SAMPLER NAME AND SIGNATURE_.
10. When relinquishing custody of the samples to a representative of the laboratory or other organization, indicate the Item Numbers of those samples
being transferred; sign relinquished by, date and time, and include your affiliation.
* important -Nate:
Standard Turnaround Time is 2 Weeks/10 business days. Results will be delivered by end of business on the date due unless other arm, nsements
have been made with your project manager. 4
Special Project Requirements such as Low Level Detection Limits or level of QC reported must be included on the chain of custody in the Additional
Comments section.

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted _ 0 7 — 27— /7_ -
CERTIFICATE OF COVERAGE NO. N0003 0 is 0 5 SAMPLE COLLECTION YEAR 2017
FACILITY NAME 41001 Inc_ ---- �iq � �4MPLE PERIOD%an-June ❑ July -Dec
COUNTY (Cloa_,akee T� �,) or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES ir.A"l 114, l.eao AUG 08 2017 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Pace /anat' iical Lab Cert. # — CNr ❑Zero -flow []WaterSupply ❑SA
C mments on sample collection or analysis: - DWR SAL F1LE5 ❑Other
Ni
Lb ran owf of S-D--03 Sc4"Ple +cr 'bes� r�cl R-trleum Oylroc�
aax-mns
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
❑ No discharge this period:'
Outfall No.
Date Sample
collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
0,01 AITM
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-A9f mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
SD-0;
017
1-:5
g0- q
71
0,005
ND
010966
ND
o
SD- 03
630 l
1-5 "
/6, 0
615
ND
ND
0.0/71
See colt"e"F
ND
a ove-
' 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 may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433,11; for semiconductor
manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date `1/2012-10/31/2017 SWU-245, last revised "5/2012
I-- Page 1 of 3

Facilities , incorporate a solvent management plan into the Stormwater Pt- _,on Prevention Plan may so certify, and the requirement for TTO j_ ..itoring
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), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", whereXX 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,
lnches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 rrig/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 ❑NOFI
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
12 -
(Signature of Permittee)
7 Z6 1
(Date)
Permit Datr '1/2012-10/31/2017
l
SWU-245, last revised ?" '--/2012
Page 3 of 3

NCDENR
( Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on fillitkq out this form, please visit: haft:-jjp_octal.nc(leru•.oi-g/%vel)/wcl/%vsZsti/nl)dessw##tah-4
Permit No.: N/C/_/_/�/_/_/_/�/ or Certificate of Coverage No.: N/C/G/ D / 3/ O/%/ 0 /S/
Facility Name: Mod4 , Tr,c-
County: L'12co Kee
e Phone No. Sa8- 337-5trS
Inspector: /tM;ci aef I��LeQ•1 -_ --_
Date of Inspection: (o -'30- (-7 - Time of Inspection: f l I pv^^ -- _-
Total Event Precipitation (inches): 1-5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
*Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during u "representative storm
event" or "measureable storm event" (requirements vary; depending on the pertnit).
Qualitative monitoring requirements vary. Most perinits require qualitative monitoring to be
performed dtiring a "representative storm event° or during a "ineasureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days] in which rio storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this Signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of PeirmittW or D
Page I of 2
S%VU-242, Last modified 10/25/2012

4
1.. Outfall Description:
Outfall No. SD_ r3a Structure (pipe, ditch, etc.)
Receiving Stream: st 0W CcecP—
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ 11'� f- - roY- 4-;,-�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): No- 0-0(0"-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4. 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the storrnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 O 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2} 3 4 5
7. Is there any foam in the storrnwater discharge? Yes Na'
8. Is there an oil sheen in the stormwater discharge? Yes e
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe• �' f
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-2.12, Last modified 10/25/2012

1. Outfall Description:
Outfall No. SD- 03 Structure (pipe, ditch, etc.)
Receiving Stream: S1 o w &4-e le -
Describe the industrial activities that occur within the outfall drainage area:
J-"" iwj
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Gle 0"-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): lVer o-60'L
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators ofStormwater Pollution:
List and describe L� airy De. �V-ze 7'y" 9 -e,�.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 4�- '� �� ��-aa - i� m T-m
CERTIFICATE OF COVERAGE NO. NCG03 d 6 0 S
FACILITY NAME /oatV1fS _6 rocc
COUNTY Citerokee Clr7 00
PERSON COLLECTING SAMPLES _114ickad e te.xrn
LABORATORY Flee &al�4;cal Lab Cert. #
Comments on sample collection or analysis:
&P 02 ate' s a-0.3 wee swi�cied, L,�- k -F-,L
[arreC7��+s or► �io��QS i� �ju� +„K w;f� ;:aCiti'.s(s ��M�M,�
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 0-0/ to
SAMPLE PERIOD ❑ Jan -June Niuly-Dec
or ❑ Monthlyi(month]
RE�E�' DgCOARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA
C C V ❑Zero -flow [:]Watersupply ESA
DEC 2 9 20% ❑other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
❑ No discharge this period?Z
Outfall No.
Date Sample'
Collected'
{mo/dd/yrj
24-hour rainfall
amount,
Inches3
Total Suspended Solids
PH,
Standard units
Copper
D.O% /S.TM
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics s
Benchmarks ===>
_
-
100 mg/L or SO mg/L
6.0 — 9.0
-9-.W mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
S-P-0� ✓
II 30i�
/.
-1
NO
N0
0,03(o
ND
81)
SO-03 ,✓
,i 3o r(p
/, (
- 3
0,007
ND
O,o I
NP
NP
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.
G 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 Da /1/2012-10/31/2017
r
SWU-245, last revised '5/2012
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 steal{ 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 T70 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
(770), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, 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
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 ' '2012
Page 2 of 3
'rt'

Nat:: if you report a somple value in excess of the benchmark, you must implement Tier 1, Tier 1, 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 ATANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 des of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attm DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED-.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
f/- 3a %6
(Date)
Permit Datr-I/1/2012-10/31/2017
SWU-245, last revised 12012
Page 3 of 3

X
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: htt ://portal.ncdenr.orgLvebjwqLws/su/npdessw#tab-4
Permit No.: _ or Certificate of Coverage No.:
FacilityName: M00a C one-,G�
County: CLer-,fee Phone No. 928 —$37-5//S
Inspector: _ /4icl►ae1 /v%L,"— _
Date of Inspection: 30 — X
Time of Inspection: %S = / S Total Event Precipitation (inches): 116 RECEIVED
ED
DEC 2 9 2016
Was this a "Representative Storm Event" or "Measureable Storm Event" as dvf�i�by the permit?
(See information below.) ©L FILES
Irj/R
bN
'11Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or `measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
i
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge From the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
G
(Signature of Permitd,-4or De
rz
Swll-242, Last modified 10/25/2012
Page 1 of 2

1. Outfall Description: pe
outfall No. 5-P-- 6,2 ✓ Structure (pipe, ditch, etc.) R
Receiving Stream: S)aw CreeK
Describe the industrial activities that occur within the outfall drainage area:
�f dC-0 3&l ' Nt7 Y tizW�` S 2 l�lczii rim -� S
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: IP�/C&W All
3. Odor: Describe any distinct oilors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): n,&' OWL
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 O2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
6 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes 9
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Owdy a. Very j,. 1..f ll.;v 74 s&4. Alo- o�via ,i,s %4o6«4A r-s
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 10/25/7012

. 1. Outfall Description:
Outfall No. Sp-o3 ✓ Structure (pipe, ditch, etc.) DS+cl
Receiving Stream: Slow cc-e'ek
Describe the industrial activities that occur within the outfall drainage area:
LojJ, ,A oeocc' w-ea- a*td roc-F ,-L&woF;
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: G I-eair
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 1W &0"
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
O 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
0 2 3 4 5
{ 6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0
2 3 4 5
7. is there any foam in the stormwater discharge? Yes 0
8. Is there an oil sheen in the stormwater discharge? Yes Na
9. Is there evidence of erosion or deposition at the outfall? Yes iVo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Na iKEt+cJQrs of p4j o6o-K _ �c�tr w. ,5
Ver 4 c ita r f N,o" ad4-r &"d / t e, _5o j W5 _ - - - -
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, East modified 10/25/2012

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted `q- n - ) io
CERTIFICATE OF COVERAGE No. NCG03_d-
FACILITY NAME mma " 6_-5+ 0QP1"45
COUNTY
PERSON COLLECTI G SAMPLES c.� Lcs�rtz.
LABORATORY c - A-&) -E -c—k Lab Cert. # —
Comments on sample collection or analysis:
r—
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 20t
SAMPLE PERIOD ,Jan -June ❑ July -Dec
or ❑ Monthly' (month}
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]zero -flow ❑Water Supply ❑SA
Cr,� � VE ray []Other p
f� APR 2 6 20 j6 PPLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 �l
DIN SECTION
INFORMATION PROCESSING UNIT
❑ No discharge this period?
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
-amount,
Inches3
Total Suspended Solids
p , H
Standard units
Copper
Lead
Zinc
Non-Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks =__>
_
100 mg/L or 50 mg/0
6.0 - 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
S - oZ
a3 31 fr&
1 ''
L
1-
0m r✓
.o '
UDo,�vn
03
o.oz(L
L
t 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 10/2S/2012
Page 1 of 3

rdwuues inai 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), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the 5tormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. when results are below the applicable limits, they must be reported in the format "<XX 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,
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 W 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 [-1 NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days oLreceipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reAorts,a_to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
,4
(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
�J_L) L__� U V O0 Date submitted r 2� ,' ]15-
CERTIFICATE OF COVERAGE No. NCG03_
FACILITY NAME ��_
COUNTY C b(b Kc-
PERSON COLLIE TING SAMPLES
LABORATORY c�c 14rn}•�• Lab Cert. i#
Comments on sample collet ion or analysis:
AXe
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June 4July-Dec
�o�r ❑ Monthly'_ _ lmonthf'F ,
� +EH GXCI CLASS ❑ORW ❑HQW ❑Trout ❑DNA n
DEC 1 []Zero -flow ❑Water Supply ❑SA
8 ; ] ❑Other i47_2::�
CENTRAL FILES
r4 F 6,R SECTIORLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A, Stormwater Benchmarks and Monitoring Results DFCj8 2015
C_eNrpn,
❑ No discharge this period?'
Outfall Na.
bate Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
UVVR S
Total Suspended Solids
CrrpAr
Standard units
Copper
Lead
Zinc
Non-Polar Q&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks =__>
_
100 mg/L or 5o mg/L
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
-vz
I
'�
�Td �. L�
70
d.cb
G.
Q•Clrxlm
d
1
L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° 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
P.-rmit. 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), 3 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title) '
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Befow Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
hey format. When results are below the applicable limits, tmust be reported in -the format, "<XX ms/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 Berl, 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.
0 No dischorge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar 0&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
15 mg/L
100 mg/L or 50 mg/L'
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
' See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS;
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION 8.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, includinq all "No Discharge' reports, within 30 days of receipt of the lab results (or 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 that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 11/1/2012-10/31/2017
(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 6 -10 !.5—
CERTIFICATE OF COV AGE No. NCG03 O -6-Q S
FACILITY NAME I ' IMI, G na C nT
COUNTY CL k,_c-ok-drL
PERSON COLLECTING SAMPLES z
LABORATORY R,-, Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2-0/3*"
SAMPLE PERIOD KJan-June ❑ July -Dec
�% or ❑ Monthly' (month)
RECEH RGING TO CLASS ❑ORW ❑HCtW []Trout ❑PNA
1 W5 []Zero -flow []WaterSupply ❑SA
U� []Other
'EN-'RL FILES
OWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period:"
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
-3i
Inches
Total Suspended Solids
pH,
Standard units
Copper
Lead
zinc
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics'
Benchmarks =__>
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
Sa0z
r7
2s''
_3
0..m1`�r�
C)LUi
0
S�Ov3
•1
6,W1
L
O.
G
drJL
' 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 identifyingtheespecially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469,22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement;
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, then must be reported in the format, "<XX m_g;/L,,, where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L,
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
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 S, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
4
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES R NO
REGIONAL OFFICE CONTACT NAME:
Mail an or! final and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitoring eriod
in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing vi6ations."
(Signature of Permittee)
Permit Date: 11/1/2012-10/31/2017
6 /6 s-
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

_ Semi-annual Storm_water Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted _� 1-4
CERTIFICATE OF COYRAGE No, NCG03 CJ 6 0 S
FACILITY NAME M
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR a04_
SAMPLE PERIOD ❑ Jan -June duly -Dec
or Q•Monthly`� _ (month)
UCrTO❑HW,ZLA[]Trout ❑PNA
�Q14 ❑Zero -flow ❑Water Supply QSA
DEC 0°� []Other
CENTRAL FUS
i]WR !BVE0I:-REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Q No discharge this period?
Outfall No.
Date Sam le
p
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
Organics
Benchmarks
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
ci
co I.
O m L
1-
S.Qo3
z_to"
L
Z,
()-W!;
10z& Q "
©,
C�
' 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.
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
Perrrtif. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. i further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Beiow 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 mom, 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.
D 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/l/2012.10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note, If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A_AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEE DANCES iN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30_ des of receipt_oLthe lab results or at end omonitoring period
in the case of "No_Dischame" 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 fnformation, 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 vio{ations."
(Signature of Permittee)
Permit Date: 11/1/2012-10/31/2017
j z-h �-
(Date)T
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality Gen ral Permit No. NCG030000
Date submitted
CERTIFICATE OF COYPAGE No. NCG03 6 0 S
FACILITY NAME M e f
COUNTY c-,,
PERSON COLLECTING SAMPLES z
LABORATORY ca_ Lab Cert. #
Comments on sample collection or analysis:
Part A; Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTI N YEAR 2-6 H
SAMPLE PERIOD Jan June ❑July -Dec
or Monthly' _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
RECEIVE® ❑
Other
MAY 12 ZMLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWQIBOG
❑ No dischorge this period?2
Outfall No.
Date Sample
1
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 s
Benchmarks =__>
_
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
Sa0z
H-7-ly
'2 6r
a M L
�'o
a.009
0_cH3
L
L
5.Qo3
�,j-7-1~
2_� h
$
L
d fw L
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 especialiy 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).
f
Permit bate: 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 770 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 taxic organics into the Stormwater or areas which are exposed to rainfall or
Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me/i.", 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 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar 0&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
15 mg/L
100 mg/L or 50 mg/Lw
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 RESUJS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for at end otmonitoring 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 direcOy responsible for gathering the information, the information submitted rs, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 11/1/2012-10/31/2017
9-16 ,
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

* , , J
Moog Components Group Inc., Murphy Operations
1995 NC Hwy 141, Murphy, North Carolina 28906-6864
Telephone:[phone] • www.moog.com
M(DO(�o
May 6, 2014
Subject: Storm Water Discharge Monitoring Report
Certified Mail: 7011 3500 0003 6680 1779
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, N.C. 27699-1617
To Whom It May Concern:
Enclosed is an original and another copy of the DMR from our storm water sampling event on April 8,
2014.
If you have any questions, please feel free to reach me via my contact information listed below.
Sincerely,
Matthew M. Tomczyk
EHS Specialist
[phone] Ext. 229
[e-mail]
Enclosures: [2]