NCG060101_MONITORING INFO_20181113

f
STORMWATER DIVISION CODING SHEET
NCG PERMIT
PERMIT NO. /V u& C
DOC TYPE D HISTORICAL FILE
{ -41 MONITORING REPORTS
DOC DATE ❑ caZ?l r� 11 l 3
YYYYMMDD

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For, guidance on filling out this fornz, please visit: hlli)://norlal.ncdenr.orJu,eb/wq/ws/sti/np(lcssw#ttib-4
Permit No.: NICI6,ICi1601,0110101 or Certificate of Coverage No.: NIGG/041 & I 1 1 Q I /
Facility N
County: C : A nl PhoneNo.
Inspector: r'S
Date of Inspection: 1 t t 153
Time of Inspection: 101. i!S
Total Event Precipitation (inches): /t aC R E C IFIV E D
l
Was this a Representative Storm Event? (See information below) T Yes Iio
Cl=N-H►Ukl_ Fii_E.:S
Please check our permit to very i Qualitative Monitoring must Gee` a otlned chrr�n a representative
Y P verify 8 P+~_ 38 P
storm event (requirements vary).
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
I occurred. A single stonn event may contain uo to 10 consecutive hours of no orecivitation.
By this signature, I c fy tt this report is accurat and complete to the best of my knowledge:
(Signature of Permittee or
1. Outfall Description: Outfall No. 0 d i A Structure (pipe, ditch, etc.) [
Receiving Stream:
Describe the industrial activities that occur within the outfa[I drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 1? U Dr P S
3. ' Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page l of 2
S WU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
` and 5 is very cIoady:
1 D2 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:
(13 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:
I@ 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes (3i)
S. Is there an oil sheen in the stormwater discharge? Yes N
9. Is there evidence of erosion or deposition at the outfall? Yes a
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-242-20120613

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF OVERAGE NO. NCGO6 6 j G 1 SAMPLE COLLECTION YEAR bj
FACILITY AM FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTIW SAMP S f DISCHARGING TO SALTWATERS? []YES ;EQNO
LABORATORY Pf�n i QJ Lab Cert. # - '-ID
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall Z 1 ' or ❑ Alo discharge this period?
Outfail No.
Sample Collected,
mo/dd/
TSS,
'mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L .
Fecal Culiform ,
Colonies per 100 ml
Enterococci ,
Coldnies'per 100 ml
Benchmark
-
100or50
Within6:0-9.0
120
30
1000
Soo
)r1l if I
4,
i,.
.'
'Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3For sampling periods with no discharge at any outWis. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no if yes complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No:
:::..::
Sample Collected,
.:mo/dd/yr -.-.
:1: Oil and Grease, -..: '
mg/L :• ..::.
TSS,
mg/L:
pH,
Standard units .:
New Motor Oil Usage,
=Annual average gal/ma
Benchmark
-
30
200 or SO
'Only applies to facilities that use/process meats.
a The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5"-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PARS' Ii SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE 5AME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
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 resuits (or at end of
monitoring period in the case of "No Discharge" reports) ta:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFIC4TION 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)
(Date)
Additional copies of this form may be downloaded at: http://Portaf.ncdenr.orpjwcb/wa/ws/sulnpdessw#tab-4
SWt1-249 Last Revised: October 18, 2012
V— ,� .,r'l

1
....�� _
LAi
MDEN R
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Furgaidance urr frNing oul rHyform, please visit. I II urrl rLaulenr.orch�chl���l/tiys/sulnpSlctSwHEair4
Perna t Ho.: N/r/ or Certificate of Coverage No.: C�I11111
Facility Nunre:
County: Phone No.:�L,-4.-i1 -33_ q
inspector. _ j ; ��� n I
Date of Inspection: 3 1 I � I tt
Time of Inspection:
Total Event Precipitation (incht:4);
Was this a Representative Storer Event? (Sce information below) ice" T © No
MAR 2 G 2018
Please cheek your permit to verify if Qualiieubw Monitariug nuesr be performed drrrirtg a,represenrative
L, v t rwl_ i-ILE'c'
slorur evert! (r equirerrrenLs varJ ), a S9�Y1%�
A "Representative Sturm Event" is a storm event that mensures greater than 0.1 inches of rainfall suxf that
is prr ceded by nt least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single stornn event may contain up to 10 consecutive llours of no precipitation.
By this signalure I certify that this report is accurate and complete to the best of my knowledge:
(Signdturd of Perinittee
1. Outfall Description:
Outfail No. c10 r Structure (pipe. ditch, etc.) P. "k .
Receiving Stream: 1,41 le r�.ir '-de serk it { -si,1,
Deseribc the industrial activities thUt occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brawn. blue, etc.) and tint
(light, medium, dark) as descriptors: _ i •,fir A:
3. Odor. Describe any distinct odors that the discharge may have (i.e.. Sniells strongly Of Oil, weak
chlorine odor, etc.): _ ohLb i% L_
Page t of 2
SWU-2424MW613

4, Oaerity: Choosc the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 3 4 5
S. Floating Solids: Choose the uuanher which best describes the amount of flowing solids in the
stormwater discharge, where I is no
solidsand 5 is the surface coven—d with floating solids:
2 3 4 5
F, Suspended Solids: Choose the number which best describes the nmount of Suspended solids in
the stormwater discharge, where t 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 srtormwater discharge? Yes l*Eu
9. Is there evidence of erosion or deposition at the outfa117 Yes No
Ip. Other Obvioms Indicators of Storm -water Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foatu, oil sheen, or emsion/deposition may
he Indicative of pollutant exposure. These conditions warrant further Iltvesligation.
page 2 of 2
SWU-242-20120613

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _3/a'Z/ %G 1r
CERTIFICATE OF COVERAGE NO. NCGOG6 '-, I SAMPLE COLLECTION YEAR ='26 iS�
FACILITY NAME 3).{ 44'Rf L_ P FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY "R.-r l`, eir 'tv r ,u El use/process meats [-]use animal fats/byproducts
PERSON COLLIE CTING SAMPLES _�]c�., �,; _���v,' s _ _ U15CHARGING TO SALTWATERS? DYES ON6
LABORATORY Lab Cert. # 5__y Z.
41 . 1 '_30 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall: d S or No discharge rhls period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
CoD,
m /L
Oil and Grease,
MCJl
Fecal Coitform ,
Colonies per 100 ml
EnteroCoCct ,
Colonies er 100 m!
Benchmark
C 3 ; , //C'
100 or 5D
within 6.0 — 9.0
120
30 1
1000
Soo
TOnly applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge: at;3 }r y outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor ail per rnvnth? []yes ❑ no if es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected, -
mo/dd /yr "
• - `' Ail and Grease,
:_cis L >
g]
TSS,
m L
B/
pH,
Standard units
New Motor Oil usage,
`Annual a ...
average gal/ma
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
I The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfa115, you must stillsubmitthis discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 19, 2012
Page l of 2

*FOR PART.A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMrr PART II SECTION B.
Y 2 EXCEEDANCE.s IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2'REQUIREMENT5. SEE PERMIT PART it sEcnON a.
TIER 3: HAS YOUR FACIUTY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE OWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an odginal and one copy of this _OUR, , including all "Nv Oischcirge" reportss within 34 dais o� receipt of the Lab r'�es_ults &rat end of
monitoring period In the ca e o "No Discharge" re arts to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information,_including the possibliity of fines and imprisonment for knowing violations."
(Signatu of rmittee) (Date)
Additional copies of this form may be downloaded at: tt : rtal.ncdenr_or web w Yfs sun Essw#tab-4
SWU-249 Last Revised: October 18, 2012

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVE©
for North Carolina Division of Water Quality Gener I Permit No. NCG060000
Date submitted
CERTIRCATE OF COVERAGE NO. NCG06S ! c? 1 SAMPLE COLLECTION YEAR 21j I.!.
FACILITY NAME ZWS to,- Z-,-" FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY .E I _ / ❑ use/process meats ❑ use anim�al fa /byproducts
PERSON COLLECTING SAMPLES --� O A.r J DISCHARGING To SALTWATERS? ❑YFS d jNO
LABORATORY ? l :« Lab C4 # Lr , -.
3y.trr, LG PLEASE REMEMBER TO SIGN ON THE REVERSE �
Part A: Stormwater Benchmarks and Monitoring Results
DEC 2 9 7016
CENTRAL FILES
DWR SECTION
Totcl event roinfalr1 Q, S or No discharge this period'
Outfall No-
Sample Collected,
mo/ddJ r
TSS,
Mg/t
pN,
Standard units
GOD,
mg/L
Oil and Grease,
m L
Fecal Coliform ,
Colonies per i08 ml
Enterococc ,
Colonies per 100 ml
Benchmark
-
100 or W
Within 6.0-9.0
120
30
1000
Soo
Only applies to faclFties that use process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
For sampling periods with no discharge at Vy, outfaU. You must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications. where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than S5 gallons of new motor oil per month? ❑ yes Elno if es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging a SS gal of new motor oil/month.
Outfal) No.
Sample Collected,
Oil and'Greaw,
TSS,
: mg/L.,
pH,
5tandard units - :
New Motor Oil Usage,
-Annual average g it/rrso
Benchmark
-
30
100 or 50
6.0 - 9.0
-
'Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3For sampling periods with no discharge at a_y outfails, you must still submit this discharge monitoring report with a theckmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART $ MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCIS IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECnON B.
• T1ER 3: 1 iAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES 0NO71
IF YES, HAVE YOU CONTACTED THE 0VVQ REGIONAL OFFICE7 YES ❑ No ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orf inal and one copy of this gh4g ,including all 'No Discharge" re Arts within 30 d s a recei t a the lab results or at end a
monitoring period in the case of 'Ato Discharge" reports), to:
Division of Water Quality
Attn: DWa Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST S1GN THIS CERTIFICATION FOR A N Y INFORMA TION 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."
L.
(Signature of Permittee)
)z-Ilbl/�
(Date)
Additional conies of this form may be downloaded at: http:/1'I3oftal.ncde T.pWwebJwcifws�su/nPdessw�t' ab-4
SWU-249
Last Revised October 18. 2012
Darer � nf'f

SEMI-ANNI.JAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Water Quality General Permit No. NCGO60000 JUL Z 1 2U16
Date submitted CENTRAL FILES
CERTIFICATE OF COVERAGE NO. NC(;06 0 L SAMPLE COLLECTION YEAR d2,(�% DWR SECTION
FACILITY NAME )a A-? ­ l ;0 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY _ g�k, Ala4f, ❑ use/process meats ❑ use animal fa byproducts
PERSON COLLECTING SA LnaP ES Ann DISCHARGING TO SALTWATERS? ❑YES
LA130RATORY PaCe_ A a.Lab eert. #
PLEASE REMEMBER TO SIGN ON THE REVERS:
Part A: Starmwater Benchmarks and Monitoring Results
Total event rainfall Z 1 ,L or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr '
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
3o
1060
Soo
A
%OA2+.�
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at a___y outfalls. You must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes .9no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No..
Saimple Collected, ~•
mo/dd/yr
``'Oil and tirease,
mg7l .: : `;
T5S,
mg/L :
pH,
Stardard units.:
New Motor Oil Osage,
Annual averag'egal/trio':.
Benchmark
-
30
100 or SO
6.0 —9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data fiom an on -site rain gauge.
3For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
if yes, complete Part B)
SWU-249 Last Revised: October 19, 2012
Page I of 2

*FOR PART A AND PART a MONITORING RESULTS;
* A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART II SECTION 13.
* 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT TFIF 5AME OUTFALL FRIGGER-T'IER 2 REQUIREMENTS. SEE PERMIT PART li SECTION B.
a TIER 3: HAS YOUR FACILITY HAD 4, OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES F-I NO tg
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NQ 0
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copy of this AMR including all "No Dischar e're arts within 30 days of receipt of the lob results or at end of
morpitoring i2eriod in the case o "No Discharge' reorts to:
Division of Water Quality
Attn: DWQ Central Fines
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CER77FICATION FOR ANY WFOfiMAT1ON 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, . luding the possibility of fines and imprisonment for knowing violations."
7
--)l-)i�G
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http..flpkrUl.ncdenr.o_rgLwolwa/ws npdessw#Itab-4
S WU.249 Last Revised: October 18, 2012
V. I _C�

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: help::l/perrlal.ncdenr.or lwehlwulws/sulnlydessw#taU 4
Permit No.: NICI-1—1 1_I I_1,1
Facility Name: DwSto I—L
County: r�
Inspector:Yn r
Date of Inspection:
Time of Inspection:
Ma
Certificate of Coverage No.: NICLa0—/-�l0al I[)l-Ll
Phone No. 33(f 3413 W.0,31
Total Event Precipitation (inches): /.
Was this a Representative Storm Event? (See information below) es ❑ No
Please check your permit to verify if Qualitative Monitoring must be perfot7ned during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Pernlfr(tee or Designee)
1. Outfall Description:
Outfall No.
Receiving Stream: a6
Structure (pipe, ditch, etc.)It
Describe the industrial activities that
2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
wit ir. the outfall drainage area:
igg basic colors,(red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have Ox., smells strongly of oil, weak
chlorine odor, etc.):
Page l of 2
5 WU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
] ] 2 3 4 S
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
Q 2 3 4 5
7. is there any foam in the stormwater discharge? Yes
i
8. Is there an oil sheen in the stormwater discharge? Yes ONo I
f
9. Is there evidence of erosion or deposition at the outfall? Yes Nn
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
5WU-242-20120613

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Crate submitted /Co /"Z.h —
CERTIFICATE OF COVERAGE NO. NCG06k1 -0- j
FACILITY NAME !7+!`fcs� LIP
COUNTY c
PERSON COLLECTING SAW LES _,T_oViw)4 So n X S
LABORATORY_ i'�-4ar` 1_P Lab Cert. # 5S�FU
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR IJ)O l 5
FACILITY ACTIVITIES INCLUDE (check all that apply).
❑ use/process meats [ ] use animal fats/products
DISCHARGING TO SALTWATERS? ❑YES
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2_ 2j- or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
PH,
Standard units
COO,
Mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per,100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504 .
Within 6.0--9.0
120
30
1006
500
(a
9. )
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month-
Outfall No.-
Saiitple-Collected,
:'....ma/dd/yr ;:. :::.
Oil and Grease,
..mg/L ,.; .
TSS,
: mg/L:.
PH,
Standard units
New Motor Oil Usage,
Arinual�averagegal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes• complete Part 6)
SWU-249 Last Reviscd: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
* , A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART ll SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [] NO
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one copy of this DMR including all "No Discharge," reports, within 30 da s of receipt of the lab results or at end o
monitoring period in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
System designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
{Signature of Permittee)
j D )i �
(Date)
Additional copies of this form may be downloaded at: htt2://portal.nrdenr.org/weblwq/ws/su/npdessw#tab-4
SWLT-249 Last Revised: October 18, 2012

Akvx- . WA
GII�Al'
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Fa•guidcrnceonfilling otrt thisform, please visit: hitn://portal.�rcde�rr.orti/�veb/c�g/wsisulnpcfessw#lab-4
Permit No.: NICI_l_I I l_IOQ/ or -Certificate of Coverage No.: NIC/G/V /lk, I DI ! 1 c /L-/
Facility Name: 5�cir L IT
County: �1�,e c lc r, ti re m Phone No.
Inspector:S
Date of Inspection:
Time of Inspection: 1 f r%
l
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) �eso No
Please check your permit to verify if Qualitative Monitoring nurst he pe7formed during a representative
storm event (requirements vaq).
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.
By this signatu�I ertif3l that tl Tcport is accurate and complete to the best of my knowledge:
(Signature of Permittee or
1. Outfall Description:
Outfall No. _ 0 /
Receiving Stream: L, ff
Describe the industrial activid
Structure (pipe, ditch, etc.)
that occux within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (re , brown, blue, etc.) and tint
(light, mediumQ29, , dark) as descriptors: �--Ze 5 S , ZlYh
3. Odor: Describe any clytinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): M l
Page l of 2
,5 WU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy,
�2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where l is no solids and 5 is the surface covered with floating solids:
lam- 2 3 4 5
5. 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.
01,
2 3 4 5
7. Is there any foam in the stonnwater discharge? Yes No 1
S. Is there au oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution. -
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
Swu_242.20120613

f ,.
ERECEI ED
K
LA JUL 2 a 2015
NCDENR
Stormwater Discharge Outfall (SDO) CENTRAL FILES
Qualitative Monitoring Report DWR SECTION
For guidance on filling out this form, please visit: htt :I! ortal.ne(leur.or<<twcbiw /wshti/n dcsswfftai)-4
Permit No.: NICI 1 1-1 l 1 1 1 or Certificate of Coverage No.: NICIGI DI ICJ I ! 10l l
Facility Name: tzu .S-'ca S.- Q - - - -- -
County: aM Phone No. 3 3 u 3 4-a. toU 31__
Inspector:
Date of inspection: OS 3 /5
Tiro vf'J:spe
Total Event Precipitation (inches): Qo q-
Was this a Representative Storm Event? (See information below) es ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Sign att of Permilteq•frDesignee)
1. Outfnll Description:
Outfall No. - 1' j Structure (pipe, ditch, etc.) „ , fc j
Receiving Stream: L i J} le- f r!ou.h 1p_s-c+rr, P_ er e e,%
Describe the industrial activities that occur within the outfall drainage area:
_......- - 19d.tSCi.k- TA ------
2. Color:- Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ /'O fu t^ Its 5 S
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc-): Alodr
S W U-242-20120613
Page 1 of 2

U
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
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 Q 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:
(Z� 2 3 4 5
7. Is (here any foam in the stormwater discharge? Yes
& 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
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or crosioWdeposiLion may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
swu-242-2012M3

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quali General Permit No. NCG060000
Date submitted 7 7-7 145'
CERTIFICATE OF COVERAGE NO. NCGO6 0 } {) l
FACILITY NAME 7w_�4,, LP
COUNTY Po' k­eihakh
PERSON COLLECTING MPLES _--roV%Ani�_ Sa �!► F r�
LABORATORY ?QC'- Aal fJ- Lab Ce #
�y Stagy 1. SS cis C �q
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR o'20I
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats .byproducts
DISCHARGING TO SALTWATERS? ❑YES
PLEASE REMEMBER TO SIGN ON THE REVERSE ->
Total event rainfall 2 0 or F No discharge this period;
outfall No.
Sample Collected,
mo/dd/ r
TSS,
mg/L
pH,
Standard units
COD,
mg/L
..Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per.100 ml
Enterococcl ,
Colonies per 100 mi
Benchmark
-
100 or 504
Within 6.0-9.0
120
30
1000
Soo
o
;
.�
"Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge atAny outfalls_ You must still submit this discharge monitoring reportwith a checkmark here-
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [} yes [:]no ('Yves' complete Part i3)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > S5 gal of new motor oil/month.
Outfall Na.
5arnple-Ccillected,
"-'0il and Grease,
TSS,
": mg/L ` : ; ..
pH,
Standa�d'units ' :'
New Motor Oil [Usage,
Aiinualaverage galJrno`:
Benchmark
-
30
I00or50°
6.0-9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the a pecially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last keviscd: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO E
IF YES, HAVE YOU CONTACTED THE DIrJQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one ropy of this ❑MR, including al! 'Na Discharge" reports; within 30 days of receipt of the lab results for at end o
monitoring perlad in the cos_e of_ "No _Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS Ct:RTIFIC4TION FOR ANY INFORMATION REPORTED:
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Per
(Date)
Additional copies of this form may be downloaded at: htl.//portal.nedenr.org/webLwcq vjs su/npdes5w4tab-4
SWU-249 Last Revised; October 18, 2012

RECEIVED
NCDENR OCT 31 2014
Stormwater Discharge Outfall (SDO) CENTRAL FILES
Qualitative Monitoring Report DWR SECTION
For guidance on filling out this form, please visit., hitp://portal.ncdenr.ort,/web/wq/wshii/npdcssw#tsrtb-4
Permit No.: NICI1 l_I 1_I_I I or Certificate of Coverage No.: NICIG/QI&IU I I / 01
Facility Name: 1—P
County: ice' o C-k►n, ham Phone No. 33� -Lo,3q-- Zf) 4
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 114
Was this a Representative Storm Event? (See information below) es ❑ No
Please check your permit to verify if Qualitative Monitoring tnust be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(SignaktVe of Permioe or Designee)
1. Outfall Description:
Outfall No. 0_
Receiving Stream:%
Describe the industrial activiti
Structure (pipe, ditch,
that occur within the outfall drainage area:
2. Color: Describe the color of the d
(light, medium, dark) as descriptors:
basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odorythat the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): owe —
Page 1 of 2
S W U-242-20120613

0
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
Q2 3 4 5
G. 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 (Vo�
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosionldeposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU•242-20120613

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted /0/o?,Vf/5o(
CERTIFICATE OF COVERAGE NO. NCGOb 9 J 0 i
FACILITY NAME _T'-)S+C v—
COUNTY _ _ clih F ►K _
PERSON COLLECTING SA LES -,-Th �th r-75
LABORATORY LP L b Cert. # 55 �4
Rkce' �'NCLly #'I Cxx I I
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR QZd! 7
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES ©{f6'
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
PH,
Standard units
COD,
mg/L
Oil and Grease,
mgf L
Fecal Coliform ,
Colonies per 100 ml
I:nterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1060
500
y
s. o
aAIZA
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no if es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
-Outfall No..
Sample Collected,
mo/dd/yr `
:' dil 'and Grease,
mgf L , :.
TSS,
rng/L :
pH,
StandBi•d units :
New Motor Oil Usage,
- Aririval average gal/mo
Benchmark
-
30
100 or SO
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at apy outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO O'
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an ariginal and one ropy of this DMR, including all "No Discharge' reports`within 30 days of, receipt of the lab results far at end of
monitoring period in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. l am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
of
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.orgLweblwq/ws/sulnpdessw#tab-4
SWU-249 Last Revised: October 18, 2012

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
I{ Date submitted 7111 11Y
CERTIFICATE OF COVERAGE NO. NCGbf Q� (�
FACILITY NAME bU S' ctu 1_P
COUNTY _ �_ 111� & 91 — _ -
PERSON COLLECTING!eAMPLES I d9 SO4Y)4;-5
LABORATORY 1 r c� kjvj4jqjab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
JUL 18 2014
CENTRAL FILES
nlAl G
SAMPLE COLLECTION YEAR c D 1 =
FACILITY ACTIVITIES INCLUDE (check all that apply):
D use/process meats 0 use animal fa /byproducts
DISCHARGING TO SALTWATERS? DYES [ 0
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
11
Total event rainfall 1 d• or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per,100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
lop or 50
Within 6.0 — 9.0
120
30
1000
500
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? D yes •Kno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oili'month.
Outfall No.
Sample Collected,
:... mo/dd/yr'
-' `• Oil and Grease,
;: '.ing/L '.: ",
TSS,
mg/L
pH,
staridai d •units'
New Motor Oil Usage,
Anrival`average gal/nio `.
Benchmark
-
30
200 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at a, of outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if yes, complete Part B)
SWU-249 Last Revised: October 19, 2012
Page I of 2

*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 li 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 includin all "No Dischar e'" re orts within 30 da s o recei t o the lab results (or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, in4uding the possibility of fines and imprisonment for knowing violations."
(Signature'of Permittee)
7/1 V y
(Date)
Additional copies of this form may be downloaded at: http://Portal_ncdenr.org/web/wg/ws/su/npdessw#tab-i
SWU-249 Last Revised: October 19, 2012
sy___ n _rn

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling orit this form, please visit: httl2://portal.ncdcur.ort=,/web/wq/wststi/npdessw#ftib-d
Permit No.: N/Cl�l 1 1 1 l 1 1 or Certificate of Coverage No.: N/CIGIO /GIO / / /O 1 / /
Facility Name: 31S+eLp- LP
County: 70C% 1 r+s ha4n, Phone No.
Inspector: `1 ghtmu �en1P� S
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 412�1 IF
33 L - (� 34 - 33 `P4-
Was this a Representative Storm Event? (See information below) �K Yes ❑ No
Please check your permil to verify if Qualitative Monitoring must he petfornred during a representative
storm event (requirements vary).
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 stone event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signaturof PermitteVr Designee)
1. Outfall Description:
Outfall No. ram,/ Structur!Lpie, ditch, etc.)
Receiving Stream: i'
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the d
(light, medium, dark) as descriptors:
basic colors (red, brown, blue, etc,) and tint
3. Odor: Describe anystint odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /I/U GWO,-- _
Page l of 2
5 WU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy: -�
1 f 2 J 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater discharge, where I 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 i issnno�solids and 5 is extremely muddy:
1: 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
S. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwa€er 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-242-20120613

i
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO,
DOC TYPE ❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ DO/ F 11 Z 3
YYYYM M DD

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out This form, please visir: http://pol-tal.ncdenr.ord web/wg/wstsu/npdessw#tab-4
Permit No.: NICK'`-1016 016l Q I0l or Certificate of Coverage No.: NICIG/o / 1 p I r / O/
Facility Mime: r Lp
County: CI(� n ,rn Phone No.
Inspector: Z-OV-1-11JAc�r�e�5
Date of Inspection: l o 1 i l 4g
Time of Inspection:
Total Event Precipitation (inches): /15 RECEIVED
.W
Was this a Representative Storm Event? (See information below) Y18 @hL
CEP4-I-RAL FIirI"5
.. „�
Please Check your permit to verify if Qualitative Monitoring must hrelperfoLrTied rttrring a representative
stor►n event (requirements vaty).
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.
By this signature, I c fy tl t this report is accurat and complete to the best of my knowledge:
(Signature of Permittee or
1. Outfall Description: -'
Outfall No. �1 Structure (pipe, ditch, etc.) 2LA
Receiving Stream:
Describe the industrial activities that occur within the outfali drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: e c or e 3S
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page I of 2
SwU-242.20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
` and 5 is very cloudy:
I 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:
1 2 3 4 5 II
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:
1@ 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes l Nqf)
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes Na
I.Q. 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-242-20120613

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF OVERAGE NO. NC606 G_{„ v SAMPLE COLLECTION YEAR Q (A
FACILITY NAME C FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY & Ck-11 use/process meats ❑ use animal fats/byproducts
PERSON COLLECTI Nd SAMPi ES DISCHARGING TO SALTWATERS? [-]YES ;KNO
LABORATORYT" Lab Cert. # D
T PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall 2 1 a or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
'Colonies' per 100 ml
Benchmark
-
100 or 50
Within C0 - 9.0
120
30
loco
Soo
li.1 I
4.
,
1 Only applies to facilities that use/process meats.
=The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at My outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no if es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
ma/ddlYr
Oil and Grease,
mg/L
TSS,
mg/1
pH,
..Standard units
New Motor Oil Usage,
:Annual averagegal/mo`:'
Benchmark
-
30
100 or 50
6.0 - 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies_
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART R MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL rRiGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il 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.pf this DMR including all "No Discharge" reports, within 30 days of receipt o the lab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all.attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for Knowing violations."
(Signature bf Permittee)
( Date)
Additional copies of this form may be downloaded at: http://porta1.ncdenr.org/web/wri/ws/sulnodessw#tab-4
SWU-249
Last Revised: October 18, 2012
Donn ,) -f'')

h
HCDENR
Stormwater Discharge autfall (SDO)
Qualitative Monitoring Report
For guidance on filling oul thisfarm, please uisir: Ir I 1 ru�rl �l.�icdenr.nrrhtichhvultiy,/suh�Pdccswftt:�ls 4
Perini No.; C11C1 �1_l I 1 I I_I or Certificate of Coverage No.: NIC/Gf0 I ri-lC?ILl_CV_Ll
FacilityNanr,: 1_0
county: r.f _i{ 1 i! r;. _ Phone No.
Inspector: — j'w
Date of Inspection: 3
Time of inspection'.
t1 tv�
U
Total Event Precipitation (inches); C/zrl
Was this a Representative Storm )✓vent:+ (Sce information below) Yes ❑ No
MAR 2 6 20i3
!lease check your permit to verify if Qualilulive Monitoring must be petforrrlerf &Irulg a.rgn-esentar.ve
l.s�W S
slorin evert! {regrrircrxenls vary). I rule_ FILE
© S�-CT1QN
A "Representative Sturm Event" is u 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 iticasuring greater than 0.1 inches has
occuned. A single mnr n event 1nay contain tip to 14) consecutivc :tours of no pi tcipitation.
By this signature I certify That this report is accurate and complete to the best of my knowledge:
(Signature of Perinittee
1. Outfall Description:
Ouifall No. 1-10 t Structure (pipe, ditch, etc.)
RerrivingSit-call]: I -A
Describe the industrial activities that occur within the outfall drainage area: _
2. Color: Describe the color of the discharge using basic colors (red, brown. blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor. Desct•ibe any distinct odors that the discharge may have (i.e., swells strongly of oil, weak
chlorine odor, etc.):
Purge I of 2
SWU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
e l 02 3 4 5
S. Floating Solids: Choose the number which best describes the ►►mount of floating solids in the
stor►nwater dischargc, where I is no solids and 5 is the surface covered with floating solids:
2 3 4 5
j
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in f
the stormwater discharge, where l is no solids ai►d 5 is extremely muddy:
�l 2 3 4 5
i
}
7. Is there any fount in the stormwater discharge? Yec lvo ;
I
S. Is [hero an oil sheen in the stormwatcr discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No ;
i
10. Other Obvious Indicators of Stornnvater Pollution: ,
i
List and describe
3Y
I�
i
s '
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be Inilicative of pollutant exposure. These conditions warrant furtl►er investigation.
Page 2 of 2 j
SWU-242 201206 t3

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO600013
Date submitted -3412V f11"
CERTIFICATE OF CDVERAGE NO. NCGO6y,1 I SAMPLE COLLECTION YEAR
FACILITY NAME"- !>Li "a r L P FACILITY ACTIVETIES INCLUDE (check all that apply):
COUNTY `R,,- Ik , D.use%process meats Q use animal fats/byproducts
PERSON COLLECTING SAMPLES �lr:�.��.,; �w.u:' s DISCHARGING TO SALTWATERS? AYES C]A6
LABORATORY_ 1�u -.fi n. Lt^'_ Lab CerL # E 5-ci' .
CND c {. l its PLEASE REMEMBER TO SIGN ON THE REVERSE
1
Part A: Stormwater Benchmarks and"Manitoring Results. Total event rainfall' or -No. discharge this Perim?
outfali No.
Sample Collected;
mo/dd/yr
TS5,
mg/L
pH,
Standard units
coo,
m /L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococct ,
Colonies per 100 ml
•Benchmark
100 or 50
Within 6.0 � 9.0
120
.30
1000.
Soo
Only applies to facilities that use/process meats.
The total:precipitation,must be recorded using data from an on4ite rant gauge,
3 For sampling periods with no discharge at any outfails. You must still submit this discharge monitoring report with a checkmark here.
ext, `See General Permit tTable 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? D yes ❑ no if es complete Part Bi
•Part B: Vehicle Maintenance Area Monitoring Results: onlyfotfacilities averaging:> S5 gal of new motor oil/month.
Outfall N[i.
Sample,Callected,
. ,mo/dd/yr
• '.'m Oil -and Grease,
.,..rng/L"•... :•.
TSS,
:.mgJt.: ,; "..
pH,
•Standard units-
New Motor Oil Usage,
Annual -average gal�mo ;.
Benchmark
-
3o
100 or 50
6.0 - 9.0
-
' Only applies to facilities that use/process meats.
=The total precipitation must be recorded using data from an on -site rain gauge.
3For sampling periods With no discharge atan( outfalls,-you must still submit this discharge monitoringreportwith a checkmark:here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWUl 249 List Revised: October 19. 2012
Page 1 of 2

*FOR PART A AND PART B MQN(TORING RESULTS'
• A BENCHMARK EXCEEDANCE TRIGGEkSTIER I REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEOANCES IN A POW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 115ECTION B.
• TIER 3: 'HAS YOUR;.FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO r
IF YES, HAVE YOU CONTACI"I D THE DWQ REGIONAL OFFICE? YES ❑'ND ❑
REGIONAL OFFICE CONTACT NAME:
Mail an ari final and vile copy of this QMR including all "Na Dischvr e" fie ores wltitin 30do o recei o the lab re tilts er at end fl
monitoring eriod lathe: case o "No Disehar e" reports) to:
Division of Water Quality
Attu: DWq Central Files
1617 Mail Servlce Center
Raleigh;NC 27699-1617
YOU MUsTS1Gm ms cm-nFiraT10N 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 tliat;qualifted personnel properly gather"and evaluate the Information submitted. Based an my inquiry of the
person or persons who manage.the system, or those persons directly responsible forgathering the information, the Information submitted is;
to the best of my knowledge and belieftrue, accurate, and corrfpiete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Stgnatu of rmittee) (Date)
Additional copies of this form may be downloaded at: htt : ortal.ncdenr.or web w w StJ n dessw#tab-4
SWU-249
L =Revised: October .18, 2012
T

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality Gener l Permit No. NI_G060000
Date submitted 4LIJ6
CERTIFICATE OF COVERAGE NO.`NCGOG 0 / t? j SAMPLE COLLEC 10N YEAR 120 1,/11
FACILITY NAME - t"a,- L _ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY k use/process meats ❑ use animal fa /byproducts
PER50N COLLECTING SA PLES -� D A.r .�_ DISCHARGING TO SALTWATERS? ❑Yi5
LABORATORY f .,-Er,& Lah Cert. it _ Le •3-3 _
Dy srr-" -" La PLEASE REMEMBER 1O SIGN ON' -hE REVERSE �
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVE
DEC 2 9 H10
CENTRAL FfLES
DIAJR SECTION
Total event rainfall z C, .5 or ❑ No discharge this peria
Outfall No.
sample collected,
mcjdd j
TSS,
rng/L
pH,
Standard units
COI),
mg/L
Oil and Grease,
rmg/L
Fecal Coltform , J
Colonies per 100 rnl
Enterococca ,
Colonies per 100 ml
Benchmark
-
100 or 50`
Within 6.0 -- 9.0
120
30
I000
500
rle,
7% 3
G
I Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
=For sampling periods with no discharge at M outfails. You must soli submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ®no if es complete Part 8)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new motor oil/month.
Dutfall No
Sample Collected, •.
mo/d I/
Oil and'Grease, • `
-;.iripjl :':=: ;::..
TSS,
m$/L
pH,
Standard units
New Motor Oil Usage,
:-AnnOal'average'gaIjmo
Benchmark
-
30
100or50
6.0-9.0
-
'Only applies to facilities that uselprocess meats.
1The total precipitation must be recorded using data from anon -site rain gauge.
3For sampling periods with no discharge at Lrly outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table % identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Povi.sed: October 18, 2012
Page i of 2

*FOR PART A AND PART B MONITORING RESULTS:
O A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTM 8.
• 2 EXCEFOANCFS IN A ROW FOR THE SAME PARAMETER ATTHE SAME OLITFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION a.
+ TIER 3: HAS YOUR FACILITY HAD a OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE BVJQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copy of this DMIz, tncludirrcr a!I �1Vo Discharge" reAvrts, r+vithin 30 days of receipt of the to results or at end of
monitoring period in the case of fNo pischarge" resorts] to:
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANYINFORMATION REPORTED:
"I certify, under penalty of law, that this document and ail, attachments were prepared under my direction or supervision in accordance vAth 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 [snowing violations,"
12116 ),C
(Signature of Permittee) +(Date)
Additional copies of this form maybe downloaded at: http://poMi,nrden-r.or web/weiwslsu/ra�des5wlitab--4
Sw'U-249 last Ravised: October IS. 2012
ne,,. a nr-1

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Water Quality General Permit No. NCG060000 JUL 11 2016
Date submitted %%i, CENTRAL FILES
CERTIFICATE OF COVERAGE NO. NCG06 O LQ SAMPLE COLLECTION YEAR DWR SECTION
FACILITY NAME _^� .Sn r z _ FACILITY ACTIVITIES INCLUDE (check all that apply);
COUNTY 2Gcki'4 6_A9 ell_ ❑ use/process meats ❑ use animal fa byproducts
PERSON COLLECTING SAMOLES -_-3_0_h4A JX ,W Cam_ DISCHARGING TO SALTWATERS? DYES
LABORATORY aCZ Ai"i Lab ert. #I 6�'�
PLEASE REMEMBER TO SIGN ON THE REVERSE -�
Part A: Stormwater Benchmarks and Monitoring; Results
Total event rainfall -1—L, i.- or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
Coo,
mg/L
Oil and Grease,
mg/L
Fecal COliform ,
Colonies per.10D ml
EnterocoW ,
Colonies per 100 ml
Benchmark
-
100 or 50
within 6.0 — 9.D
120
30
1000
Soo
�-
100
s
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge-
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit tent, Table 3, identifying the esperAally sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ono
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall N6.
Sample Collected,
moJddJyr `
Oil and tirease,
d4git .: _
TSS,
:. ::mgJL - ` : ,
pH,
Standard unify' _
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data horn an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if ye& complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

"FOR PART A AND PART R MONITORING RESULTS:
e A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B,
• 2 EXCEEDANICES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGFR TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION S-
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO W
IF YES, HAVE YOU CONTACTED THE 0WQ REGIQNAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMRtincludiny_al! No Discharge" reports within 30 days of receipt of the fob results for. at end of
monitoring erfod in the caseof 'No pischar4e" reports) to:
Division of Water Quality
Attn; DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27G99-1617
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 syst!?m, 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, ' Iuding the possibility of fines and imprisonment for knowing violations."
� --)/,14
(Signature of Permittee} (Date)
Additional copies of this form may be downloaded at: http; j(portal.ncdenr.orR/weblwa/ws/sulnpdessw##tab-4
SWU-249 Last Revised: Cctobu I& 2012

_ge
a
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htt :// ovtal.nc(leiir.or /web/w twtihu/n dcssw#t�ib-4
Permit No.: NICI ! 1 I I
Facility Name: � )V .
County: 2 n
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): I—C21
Was this a Representative Storm Event? (See information below) es ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, i certify that this report is accurate and complete to the best of my knowledge:
(Sigifafure of PertrAee or Designee)
1. Outfall Description:
Outfall No. __ 26 1
Receiving Stream:
Structure (pipe, ditch, etc.)
Describe the industrial activities that
2. Color: Describe the color of the
(light, medium, dark) as descriptors: _
the outfall drainage area:
using basic colors.(red, brown, 61uc, etc,) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _�B/1t,Q R
Page 1 of 2
5WU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 S
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
/ I) 2 3 4 5 '
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
(D 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
S. Is there an oil sheen in the stormwater discharge? Yes oNo
9. Is there evidence of erosion or deposition at the outfall? Yes oNo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
he indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
SV4IU-242-20120613

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality Genera) Permit No. NCGO60000
Date submitted /O /"L_ ! .S
CERTIFICATE OF COVERAGE NO. NCG06_Q-I L_ _L
FACILITY NAME Lam. 5`fa r- .L P
COUNTY c:
PERSON COLLECTING SA LE5_�oh��n dYti�YS _
LABORATORY Lab Cert. # 55gO
Fart A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
J011
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats[ products
DISCHARGING TO SALTWATERS? []YES
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
it
Total event rainfall1 921,f or ❑ No discharge this periods
Outfall No.
Sample Collected,
mo/dd/yr
T55,
mg/L
pH,
Standard units
COD,
mg/L
oil and Grease,
mg/L
Fecal Coliform ,
Colonies per.100 ml
Enterococcil,
Colonies Per 100 ml
Benchmark
-
100 or SO4
Within 6.0 -- 9.0
120
30
10D0
500
.7
.05
' Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at a_,_y outfails. You must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? []yes ❑ no if es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected, -
:.. rno/dd/yr.
,: 'Oil and Grease,
;. mh/L :
TSS,
: mg/L:.
PH,
Standard units ..
New Motor Oil Usage,
Annuai'average gal/mo
Benchmark
-
30
100 or 504
6.0-9.0
-
1 only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at a_y outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Z�J
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1. REQUIREMENTS. SEE PERMIT PART Il SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [—]NOD
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No D_ischar_ge" reports, within 30 days of receipt of the lab results [Prot end of
monitoring period in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete, 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
l 4 bz-Lj
(Date)
Additional copies of this form may be downloaded at: http://Pottal.ncdenr.orgZweb/wq/ws/su/npdessw4tab-4
SWU-249 Last Revised: October 18, 2012

A",
NODE R
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For'guidmrce on filling out this foram, please visit: hllga/pCntat.ircdenr.orkrtw'eb/wghvs/su/r�pdessw#lsb- 4
Permit No.: NICI_I_I I 1 IO-LI / or Certificate of Coverage No.: N/C/G/&/!kr IO / 1 t}IL/
Facility Name: L_
County: 1 r_. _ in!i his ►tit Phone No. 33to—34a-CQ.ipIi
Inspector:
Date of Inspection:���
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) EO es ❑ No
Please check your permit to verify if Qualitative Monitoring inust fie performed during a representative
storm event (requirements vary).
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.
By this signatu ertifthat t ' eport is accurate and complete to the best of my knowledge:
1
(Signature of'Permittee or
1. Outfall Description:
Outfall No. L,I
Receiving Stream: L, 7q
Describe the industrial activiti
Structure (pipe, ditch, etc.) t i
that occur within the outfall drainage area:
?yli[ tEGJGGCr'/i7Gi
2. Color: Describe the color of the dischargeusing basic colors (re , brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any di tinct odors that the discharge inay have (i.e., smells strongly of oil, weak
chlorine odor, etc.): �jf_—
Page t of 2
.5 WU-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where t 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 storrnwater discharge, where I is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge?
S. Is there an oil sheen in the stormwater discharge?
9. Is there evidence of erosion or deposition at the outfalI?
10. Other Obvious Indicators of Stormwater Pollution -
List and describe
Yes .N
Yes Ic
No
Yes
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-242-20120613

f
ARA. RECEIVED
WDENR
Stormwater Discharge Outfall (SDO) CENTRAL FILES
Qualitative Monitoring Report DWR SECTION
For guidance on filling out rhis form, please risir htfn//purlil.nctlenr.orglweb/wghvshu/npdcssw#t�17 4
Permit No.; NICI I l l I I 1 I or Certificate of Coverage No.: NIC/GI ©lklP J l0J l
Facility Name: 1Z. a S+r-x f L P
County: ECICIIAC4 aM Phone No. 3-au 3 4-a to to 3 t
Inspector:
Date of inspection:
Tilr.:. of Ir rg.-,.-.tion: 9 -3ap rr
Total Event Precipitation (inches): tq, 4 --
Was this a Representative Storm Event? (See information below) es ❑ No
Please check your pernail to verify if Qualitative Monitoring must be performed during a representative
storm evetrt (requirements var ).
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.
By this signature, I certify that this report is accurate and cornpiete to the best of my knowledge:
(Sign at ofPerinit€ee,frDesignee)
1. Outfall Description:
Outfall No. _1) 1 Structure (pipe, ditch, etc.) 15;1 If -/-c
Receiving Stream: _�Lr � lr�
Describe the industrial activities that occ r within the outfali drainage area: _
maA------
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: z ,4,1^%-S__-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
5wU-242-2W20613
Page 1 of 2

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 Q 3 4 5
5. Floating Solids: Choose the number which best describess the amount of floating solids in the
stormwater discharge, where L 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 stortwater discharge, where l is no solids and 5 its extremely muddy:
(Z� L 3 4 5
7. Is there any foam in the stormwater discharge? Yes
S. 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 of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, anchor the presence of foam, oil sheen, or erosloWdeposiLion may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
Swi3.242-20t2WJ1

SEMI-ANWAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quali General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 0 1 Q 1
FACILITY NAME D4 , v- L-P
COUNTY 1 nr r
PERSON COLLECTING SAMPLES MN-►
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR o c5
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use anlm�-a-l�f�ats ,byproducts
DISCHARGING TO SALTWATERS? DYES g<O
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event roinfal12a Y or ❑ No discharge this period;
Outfall No.
Sample Collected,
mo/dd/ r
TSS,.
me/L
pH,
Standard units
COD,
mg/L
..Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per.100 ml
Enterococci,
Colonies per 100 ml
Benchmark
-
100 or W
Within 6.0-9.0
120
30
1000
Soo
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls_ You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [] yes ❑ no (9f ye,& complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results; only for facilities averaging > 55 gal of new motor oil/month.
-Outfall Na.
5ample Colletteii,
::.....rh fdd yr'''''• ; :::.
`' Oil and Grease,
..:,•mg L • P -..: ;
TSB,
:. -.:. :.mg/L' ::..
pH,
Standard units
New Motor Oil usage,
Annuafaverage gal/rno .
Benchmark
-
30
Io0or50°
6.0-9.0
-
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the e::pecially sensitive receiving water classifications where the more protective benchmark applies.
<e
a
SWU-249 Last Revised: October 19, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQLIIREMEWS. SEE PERMIT PART II SECTION S.
* TIER 3: HAS YOUR FACILITY HAD 4 OR. MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO tS
IF YES, HAVE YOU CONTACTED THE D►1JQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an arhTinaf and one copy of this DMIt, Including all "No Discharge~ reports, with;n 30_days of receipt the lab results for at end of
monitoring period in the case of "No WschaLqeL'Mportsj to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED,
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the hest 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 Ernes and imprisonment for knowing violations."
I,/7JJ
7/0
)Signature of Permitt (Date)
Additional rogies of this form may be downloaded at: httr):Zjportal.ncdenr.orgfweb/wo/y.,slsu/nr)dosswgtab_4
S'L U-249 Last Revised: October t8, 2D12
Yam_ . . n . 1n

RECEIVED
NC® NR OCT 31 Z014
Stormwater Discharge Outfall (SDO) CENTRAL FILES
Qualitative Monitoring Report DWR SECTION
For guidance urtJilling out thisfnnrr, please visit: hltr:l/por(al.ncdcirr.or )web/wghvsAu/npdcssw#tab-4
Permit No.: NICI1 I 1_I_I 1_I or Certificate of Coverage No.: NICIG/f-/& V I l /QILI
Facility Name: I_P
County: RoPhone No.
Inspector: / t�5
Date of Inspection: /a l%L'
Time of Inspection:
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See information below) es ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(SignaLiSke' of Permi#e or Designee)
1. Outfall Description:
Outfall No. 6__
Receiving Stream: _ L/ailil
Describe the industrial activiti
Structure (pipe, ditch, etc.
that occur within the outfall drainage area:
2. Color: Describe the color of the di
(light, medium, dark) as descriptors:
using basic colors (red, brown, blue, etc.) and tint
3. Odor; Describe any distinct odor, that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): OW
Page 1 of 2
S W U-242-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
l k`J 3 4 5
S. 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:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
6) 2 3 4 5 `
7. is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes r Nxe>
i
i
9. Is there evidence of erosion or deposition at the outfall? Yes
to. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2of2
5WU-242-2012061 3

SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted /4�a?,P�/5=
CERTIFICATE OF COVERAGE NO. NC606 J 1 D i
FACILITY NAME bu S5+Ctr )l=P �^
COUNTY
PERSON COLLECTING SA LES h(\u
LABORATORY J*') u !&+6r. r^ LP b Cert. # 55 9'0
F cam. �'MOJ', -1h cux. i ka3r );A
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR o2D / 7 -
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats D use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES �
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall �� or ❑ No discharge this period
outfall No.
Sample Collected,
mo/dd/yr
Tss,
mg/L
PH,
Standard units
coo,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per.100 ml
Enterococcl ,
Colonies er 100 mI
Benchmark
-
100 or 50
Within 6.0-9.0
120
3o
1060
Soo
y
s. o
A
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at air outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > S5 gal of new motor oil/month.
Outfall No.-
Sample Collected,
rno dd/yr `
/
`` Oil and Grease,
:..� .Yn g/E
TSS,
.:� mg/L �
pH,
i
Standard units �
New Motor Oil Usage,
...:.........
Annual average gal/mo
Benchmark
-
30
100 or 50
5.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT 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 d_ays of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST'SIGN TWIS 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."
(Sigodture of
/0/.3 g' /
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/sulnpdessw#Itab-4
SWU-249 Last Revised: October 18, 2012

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Water Quality General Permit No. NCG060000 JUL 18 2014
/7 Date submitted z J� CEN TRAL FILES
DWQII�GG
CERTIFICATE OF COVERAGE NO, NICGos 0 _L Q SAMPLE COLLECTION YEAR o %
FACILITY NAME bj~}'ra r :p FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY 90JT il _ ❑ use/process meats 0 use anim�al f�a /byproducts
PERSON COLLECTING AMPLES .To Say DISCHARGING TO SALTWATERS? []YES [5 KO
LABORATORY 1>r cry ab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results
un
Totol event rainfall 2 V• G or ❑ No discharge this period?
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or SU
Within 6.0-9.0
120
3o
1006
Soo
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at a,� outfalls. You must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes .rno
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil,'month.
-Outfall No..
Sample Collected,
maydd/yr `
Oil and Grease,
mg/L : ' . `
TSS,
mg/L...,..: .
pH,
Standard units.
New Motor Oil Usage,
- Annual average ga!/ma
Benchmark
-
30
100 or 50
6.0 — 9.0
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark mere.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249
(ifyes, complete Part B)
Last Revised: October 18, 2012
Page I of 2

`FOR PART A AND PART S 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 li 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 DMIt, including all "No_ Discharge" reportst within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED;
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature'of Permittee)
"7)/ V
(Date)
Additional Copies of this form may be downloaded at: http:(/portal,ncdenr.or web(wq/ws/su/npdessw#tab-,l
SWU-249
Last Revised: October 18, 2012

I
'0
NCDEN�
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guiclance on filling out this foam, please visit: help://portal.iicdeiu-.or€`/wcb/wy/wstsu/np(lcssw#tiibT4
Pennit No.: N_ICI_I_I_I_I I_I 1
Facility Name: LP
County: :RnGk r r)r, hgryt
Inspector: J o A 4 0 c
Date of inspection: O G i 7
Time of Inspection: /8 ',:
or Certificate of Coverage No.: N/C/G/0 /G lD / I (ILl
Phone No. 33L - (.0 34 -
Total Event Precipitation (inches): l21 e
Was this a Representative Storm Event? (See information below) Jam', Yes ❑ No
Please check your Permit to verify if Qualitative Monitoring must be petformed during a representative
stoon event (requirements vary).
A "Representative Stonn 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.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signaturof Permitteei r Designee)
1. Outfall Description:
Outfall No. �,� Structure (pie, ditch, etc.)
Receiving Stream::
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the dis
(light, medium, dark) as descriptors:
basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any, 4islinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /Yp DDr
Page I Of 2
S W U-2,12-20120613

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 (2 f 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:
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:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
S. is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may
be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-20120613