NCG060196_MONITORING INFO_20190102

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V CCU D � b 15 Ci
DOC TYPE
❑HISTORICAL FILE
CK MONITORING REPORTS
DOC DATE
❑ a OI 5 D I O 2
YYYYMMDD

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 ( e
Date submitted l A — 18 --1 cQ " ` L� �`/ �
CERTIFICATE OF COVERAGE NO. NCG06_0j
FACILITY NAME /Vf ti r n C D
COUNTY _ i m +r g2,21 h 4 _
PERSON COLLECTING SAMPLES
LABORATORY ig _rS . _ Lab Cert. #
S*4 v DYO 11 �" a n 4-t / Tef?L;jiy 5,A,A00SXP'4.
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR _0 ) 0 JAN 0 2 2019
FACILITY ACTIVITIES INCLUDE (check all that apply)- CENTRAj_ FILES
❑ use/process meats ❑ use animal fats/byPPARISECTIOAj
DISCHARGING TO SALTWATERS? ❑YES XNO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall t?,I*r ❑ No discharge this period;
Outfall No
1
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
11-12. - °.101
100 or 50
Within 6 0 — 9.0
120
30
1000
Soo
t
G S. O
1 Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site ram 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 Xno
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
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or SO
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
For sampling periods with no discharge at aU 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 es, complete Part B)
SWU-249 Last Re V1K LI Odohui IS 2012
P.i,,e I ui 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted ! A / 8 " 19
CERTIFICATE OF COVERAGE NO NCG06_0j
FACILITY NAME
COUNTY12 e _
PERSON COLLECTING SAMPLES fj'gY ey Re_e ae-S
LABORATORY .!P % S Lab Cert. tt
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR O 18
FACILITY ACTIVITIES INCLUDE (check all that apply)
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS7 DYES [4NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall / % r ❑ No discharge this pi,riod 1
Outfall No-
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
cob,
mg/L
Od and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcl%
Colonies per 100 ml
Benchmark
11- 1 Z - °.701
100 or iOr
Within 6 0 — 9.0
120
30
1000
500
!
O
Q
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 any outfalls You must still submit this discharge monitoring report with a checkmark here
4See General Permit text, i able 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.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
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
2 The total precipitation must be recorded using data from an on -site rain gauge
i 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
(if ye%, complete P.-irt 13)
SWll- 49
1.n1RL%INttI lhriihii lti 'lil
W!1111111111�

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted I A - 1 i4 " /9
CERTIFICATE OF COVERAGE NO NCG06-01-q-6
/�! FACILITY NAME i 1 H(l e:> .Ynr
COUNTY ft In e e Al b e
PERSON COLLECTING SAMPLES
LABORATORY .E� T,s Lab Cert. # lrQ/1/ O
t�tiv�`raRlnan�a•I �sr�;.�y �pl���v�5��.
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ;� O 10
FACILITY ACTIVITIES INCLUDE (check all that apply)
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES XNO
PLEASE REMEMBER TO SIGN ON THE REVERSE ->
Total event rainfall �• r ❑ No discharge this pr-tiod'
OutfafI No.
3
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Od and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci',
Colonies per 100 ml
Benchmark
Il - 12. - ".201
100 or 50
Within 6 0 - 9 0
120
30
1000
500
a
-e o
5,110
i
Only applies to facilities 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 any outfalls You must still submit this discharge monitoring report with a checkmark here
'See General Permit text, I able 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 Xno
Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 5S gal of new motor oil/month.
Outfall No
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
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
1The total precipitation must be recorded using data from an on -site rain gauge
' For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here
°See Genera! Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if eti, complote Part B)
SWU- 49 l,� '_UI '

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted I -1 i? --1 4r
CERTIFICATE OF COVERAGE NO NCG06Qj
FACILITY NAME Ifl i Ll-f C o
COUNTY [1 Cor11be _
PERSON COLLECTING SAMPLES
LABORATORY.—' T S ) Lab Cert # I tQ1f/,- . SO y
LChI/iy-d �M� �1�'s/ res?�';►�9 �!" olvT+ 0�52n�.
Part A• Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR � ) 0
FACILITY ACTIVITIES INCLUDE (check all that apply)
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES XNO
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall I r ❑ No discharge this 1)tv ,rd r
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
11-1 Z, - V 01
100 or 50
Within 6 0 — 9.0
120
30
1000
500
f710
s. o
Only applies to facilities that use/process meats
The total precipitation must be recorded using data from an on -site rain gauge
i 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, T able 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 Xno
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/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
' Only applies to facilities that use/process meats
1 The total precipitation must be recorded using data from an on -site rain gauge
' 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 cis, complete Part 13)
SWU- 49
IagR(%r't11 l41uINr Iti 201'
Pp,( Iol'

*FOR PART A AND PART B MONITORING RESULTS'
a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B
a 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results 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, INC 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 P mittee)
l,f- % j511 57"
(Date)
Additional copies of this form may be downloaded at http //portal ncdenr ors/web/wq/ws/su/npdessw#tab-4
5 W U-249
Last Revved October 18, 2012
Page 2 of 2

,J
. Ui
Environmental Testing Solutions, Inc. Certificate of Analysis
Pto3ect name Milkco, Inc.
Collection date 12-Nov-18
Date received 12-Nov-18
Sample identification Stormwater #1 - Grab
PO Box 7545
Ashevilic, NC 28802
Phone [phone]
Fax [phone]
Project number 181112.509
Sample number 163683
Parameter
Method
Result
RL
Units
Date
Analyst Footnotes
Analyzed
Oil & Grease, Total HEM
EPA 1664 B
<5.0
50
mg/L
3-Dec-18
CTS 1
Solids, Total Suspended
SM 2540 D
13
50
mg/L
14-Nov-18
KEK
Chemical Oxygen Demand
HACH 8000
<50
50
mg/L
15-Nov-18
KEK
Sample identification Stormwater #2 - Grab
Sample number
163684
Parameter
Method
Result
RL
Units
Date
Analyst Footnotes
Analyzed
Oil & Grease, Total HEM
EPA 1664 B
<5.0
50
mg/L
3-Deo-18
CTS 1
Solids, Total Suspended
SM 2540 D
11
50
mg/L
14-Nov-18
KEK
Chemical Oxygen Demand
HACH 8000
<50
50
mg/L
15-Now18
KEK
Sample identification
Stormwater #3 - Grab
Sample number 163685
Parameter
Method
Result
RL
Units
Date
Analyst Footnotes
Analyzed
011 & Grease, Total HEM
EPA 1664 B
<5.0
50
mg/L
3-Dec-18
CTS 1
Solids, Total Suspended
SM 2540 D
12
50
mg/L
14-Nov-18
KEK
Chemical Oxygen Demand
HACH 8000 - ._.
<50
50
_ m IZL
15.No,is
KEK
Sample identification
Stormwater #4- Grab
Sample number
163686
Parameter
Method
Result
RL
Units
Date
Analyst Footnotes
Analyzed
Oil & Grease, Total HEM
EPA 1664 B
<5,0
5 0
mg/L
3-Dec-18
CTS 1
Solids, Total Suspended
SM 2540 D
19
5 0
mg/L
14-Nov-18
KEK
Chemical Oxygen Demand
HACH 8000
<50
50
mg/L
15-NoL18
KEK
Footnotes
RL = Reporting Limit Values are reported down to the Reporting Limit only
1 Sample analzyed by Rogers & Callcott Environmental
Date reviewed
Data reviewed by Kelley E. Keenan
Signature
NC Certification Number 600
SC Certification Number 99053
NC Drinking Water Certification Number 37786
This report should not reproduced, exept in its entirety, without the wnUen consent of Environmental Testing Solutions, Inc
The results in this report relate only to the samples submitted for analysts

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No.
Date submitted & — 3 0 -- I
CERTIFICATE OF COVERAGE NO. NCG06 D_L 1 SAMPLE COLLECTION YEAR �? b
FACILITY NAME ,' j do RE"@thCODTIES INCLUDE (check all that apply):
COUNTY use process meats ❑ use animalfats/byproducts
PERSON COLLECTING SAMPLES � it -e 5 A611;dHI i& TO SALTWATERS7 DYES NINO
LABORATORY— Lab Cert. # CENTRAL FILES
DWR SECTIbWASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall z or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L-
Oct and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
1
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 SS gallons of new motor oil per month? ❑ yes Ono (if yes, complete Part B)
Part B- Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor ad/montl
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Mato
Annual aver
Benchmark
-
30
100 or 50
6.0 — 9.0
uniy apprres to vacuities 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 h,
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective ber
S W U-249

*FOR PART A AND PART B MONITORING RESULTS.
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B
• TIER 3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an on anal and one copy o this DMR including all "No Dischar e" re orts within 30 days of receipt of the lab results for 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 to accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations "
(Signature of Pe
9�- q-)`fr
(Date)
Additional copies of this form may be downloaded at http //portal ncdenr org/web/wp/ws/su/npdessw#tab-4
S W U-249
Last Revjwd October 18, 2012
Page 2 of 2

s
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted / ^ ) — ; 8
CERTIFICATE OF COVERAGE NO. NCG06 D 1
FACILITY NAME e-& L'
COUNTY Bun C
PERSON COLLECTING SAMPLES �' e e_V e_5
LABORATORY S T S Lab Cert. # 1 SS/ 0 CP
L�Hv+Y0),so,'44 1
SalU+a14s zn,^,
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 19— a 17
FACILITY ACTIVITIES INCLUDE (check all that apply)•
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES XNO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall Z;;. 47or ❑ 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 504
Within 6.0 — 9.0
120
30
1000
500
1 Only applies to facilities that use/process meats
2 The total precipitation must be recorded using data from an on -site ram 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 [Kno
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
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil I
Annual average I
Benchmark
-
30
100 or 50
6 0 — 9.0
-
Amy appnes to Tacmnes 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 benchr
S W U-249
CEI1/ED
AN2520I8-
CENTRAL FILES
DWR SECTION
(if es complete Part B)
1,?e '-� /o C55.x< '�r -e-_
yC! Gj y %LGi r- %Le d�--
tee"

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted / ' / 2 — 1 S
CERTIFICATE OF COVERAGE NO NCG06 0 q 6
FACILITY NAME
COUNTY Buncombe
PERSON COLLECTING SAMPLES T G P_ v e_5
LABORATORY S T S Lab Cert. # 1 S5/D/
raj?"IrM+�
Sct / U+ Ca N 5 3--
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 6_ a 17
FACILITY ACTIVITIES INCLUDE (check all that apply)
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS7 DYES XNO
PLEASE REMEMBER TO SIGN ON THE REVERSE —>
Total event rainfall z7or ❑ No discharge this period;
Outfall No
a
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
f -t20-1 7
100 or SO
Within 6.0 — 9.0
120
30
1000
S00
ao
. 6 9
3"o
< S: o
1 Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site ram gauge
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 Nno
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
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30 i100
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
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if yes, complete Part B)
SW U-249 L t%t Revised Oc toher 18, 2012
Pai,e I of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality eneral Permit No. NCG060000
Date submitted 1 "' ,— % 8
CERTIFICATE OF COVERAGE NO NCG06 01- 6
FACILITY NAME Z! i jKe-0
COUNTY Sivneombe
PERSON COLLECTING SAMPLES ?' t e e e. 5
LABORATORY S T S _� . Lab Cert. # I SS / a Z.
'cc &A. Joe N+r Te S �i #4
S61 tj+ 10 H s Y,r,�.
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 0_ O / 7
FACILITY ACTIVITIES INCLUDE (check all that apply)
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS7 OYES XNO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z • q%r ❑ No discharge this period'
outfall No.
3
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
CUD,
mglL
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
1 x.- 20- 12
100 or 504
Within 6.0 — 9.0
120
30
1000
Son
a
.0 7
0
13• 0
Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
' 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 Nno
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
Oil -and Grease,
mg/L
TSB,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6 0 — 9 0
-
I Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
I For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if Yes, complete Part S)
SWU-249 Last Revved OkWher 18, 2012
Page I of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1 ^ 11 — 18
CERTIFICATE OF COVERAGE NO. NC(306 01 g 6
FACILITY NAME`
COUNTY SUn C
PERSON COLLECTING SAMPLES
LABORATORY S T' S Lab Cert. # ! 5S/
�Nf/iY0)2of0w4- t�
S6lU+" G►t s Ync.
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 0—O 1
FACILITY ACTIVITIES INCLUDE (check all that apply).
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES XNO
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall 2>* 47or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oii and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or SO4
Within 6.0 — 9 0
120
30
1000
500
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 Nno
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
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/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
i 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 es complete Part B)
5WU-249 Latit Rewsed Ottnhtr ili, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART 11 SECTION B
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART 11 SECTION B
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOA
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one_cory of this DMRI including all "No Discharge" reports,_ within 30 days of recent of the lab results [or at end of
monitoring period in the case o "No Discharge" reports) to: _
Division of Water Quality
Attn DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-16 7
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
/ _/'2 J8
(Date)
Additional copies of this form may be downloaded at http //portal ncdenr orP/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted q — 2 S "! ,7 -
CERTIFICATE OF COVERAGE NO. NCG06-01 -q-6
FACILITY NAME IWI&4 G.•
COUNTY
PERSON COLLECTING SAMPLES ietlC S
LABORATORY g,e,�In,,1q &40 ' Lab Cert. # 9.7 33 6 0S7aa /
Part A: Stormwater Benchmarks and Monitoring Results
MAY 0 12017
SAMPLE COLLECTION YEAR '2 CJ 7 CEN7F�gZ FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): CwR SECTION
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES JJJVO
PLEASE REMEMBER TO SIGN ON THE REVERSE --)
Total event rainfall 2. 1/7 or ❑ No discharge this period'
Outfall No.
a*
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
4 - 1
100 or 50
Within 6.0 — 9.0
120
30
1000
500
,v
a
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 pDy 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 Ano
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
OutfalI No
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
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 here
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if yes, complete Part 6)
SWU-249 Last Revised October 18, 2012
Page 1 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qualit General Permit No. NCG060000
Date submitted Q -' YS^ 17
CERTIFICATE OF COVERAGE NO. NCG06_Q1 _q_6 SAMPLE COLLECTION YEAR 2017
FACILITY NAME �%; �%C 0nG.. _ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY D use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? [JYES ONO
LABORATORYA"e,4nP14, ,ta/__ ' Lab Cert. # �2��105700�
PLEASE REMEMBER TO SI/G�N ON THE REVERSE
Part A Stormwater Benchmarks and Monitoring Results Total event rainfall 2 p q T or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mJI.
Fecal Coliform ,
Colonies -per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
4 - S -17100
or 50
Within 6.0 — 9.0
120
30
1000
500
! n.
75', o
41
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 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 Ano
Part S. Vehicle Maintenance Area Monitoring Results only for facilities averaging > S5 gal of new motor oil/month.
outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
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
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 here
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(rfyes, complete Part B)
SWU-249 List Revitied Octnber 18, 2012
Page I of 2

AL
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 RECEIVED
Date submitted I `f,,1 " 1 6_
f FRT1rirATF nr rnvFRAGF NO ntcrnfi D 1 g 4 SOMPI F rni E Fmniu YFAR f, 0/ 6 DEC G 8 2016
FACILITY NAME 41,' l e O J71 f1C. FACILITY ACTIVITIES INCLUDE (check all that apply) CENTRAL FILES
COUNTY V rf C e- ❑ use/process meats ❑ use animal fats/byproduct WR SECTION
PERSON COLLECT G SAMPLES a Gil -f i DISCHARGING TO SALTWATERS? DYES XVO
LABORATORY ace 4n )c -o�;ca/ Lab Cert f# �j13 X 14&41L Dd 1
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A Stormwater Benchmarks and Monitoring Results
Total event rainfall z %• ) f or ❑ No discharge this period"
L'Outfall!NO ,; ��+y
ia' �'1
1,5ani IelCdIIected
r !
"f
c 'h T55l '
,.
ti�h: !''H� "1t!4 M ,
'�I`yP s �i
I ' 3� 9k" COD "� r - `d
=, Oil and,Gfease'i' 't
� I#4iYW lr,n%
; f =aFecaI Cnlifor`mI.
"''
�'� �'/,�tlss��
AIoni s per;100`mlr
d o-: '
V me"r"ococcl
TP >cN„
ACalonieser 100 rn1;
'Benchmark= � =
T�. r°.I"�I` ,Y�'� �4, .
! s
,i
-100'or�50,�1
.' v—n
r�WitFiin�6.0-9 0��
j / t,
�,.�;��.�120�,�; ,
,*� 5,n
i jl°7r h y'
rlr nPf �k4t1 l,r�P V
5-1.7
7, 10
D
' 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
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 Xno
Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month
Outfall Na. f
� `I
Sample, Col lected; o-
ma%dd/yr` `
;Oil and�Girease;
"�,;' ;rn /L� Y
+=7 n„ ; �;, T55,' y, rcr, z
°�; ~ mg/L #� -
, ' „r pH;S wi ,,�Y' `;
"standard'umts
; 7,,NewhMotor �Oil {tfsage,
` ;Annualaverage gal/mo
Benchmark
-
=` 130' r#k4
` .r 100"or 50. , t
6.0 -9:0 ,='
°`-
Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if es complete Part B)
SWU-249 1_a,,t Revised October 19, 2012
Page 1 of 2

A.
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water QualityGeneral Permit No. NCG060000 RECEIVED
Date submitted J S' - / — f 41
rFRTIFIrATF nF r(]VFRAr;F ivn nirr,nr, 41 q 4 Sampi F rill i FrTinKi YFAR fz 0 / 6 DEC 2 8 2016
FACILITY NAME /�,r _ OTC• - _ „ FACILITY ACTIVITIES INCLUDE (check all that apply) CENTRAL FILES
COUNTY 0 v r1 C et- ❑ use/process meats ❑ use animal fats/byproAffiR SECTION
PERSON COLLECT G SAMPLES •e iG✓-eS DISCHARGING TO SALTWATERS? ❑YES �VO
LABORATORY QCe- r e � 1iea/ Lab Cert ft _q.2�z2 14641 L
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A. Stormwater Benchmarks and Monitoring Results
Total event rainfall 2 > . Iff or ❑ No discharge this period'
l 'i
Outfall No
f STY:
rSampelCnllected,
:a
i. mo/dd/yr r, _
7i. �nl ra
�55'rJ;ijH°"�r'Trxf�COD;.q
a
t� mg/i,�
f
a I
5tanclardiunitssmg/L,r,;,mg/L,.,.
4 . I ' .s.!
I^i�'.
�
f V'. , ti
,ci01 ar;d'G*ease, ..t�,.�;iFecal
� , € , r v �,r�
[
'i 2 Y , �1�'
CoIlfay, ',
Coloniesjperl00,m1�
"
"` ,r,'Enterococci,;r Ark'A',
3 gat�si'���
,Colonies per 100;m1,;
'Benchmar`k�- t
r' L� a r < . t
-: r -
at
[ [
%'100'or. 0
S a>;a
19 Y •'i :
(
vfWltilln 6.0-9 0�1
10.4 i5, a
a a (k. r4)y,lh
5� x
.MY n.n �71y, r Fr "rl
1-3v--�&
tTA7
71 1 13
151
1 Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at any outfalls You must still submit this discharge monitoring report with a checkmark here
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Xnb
Part B: Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month
,Outfall,No.
Sample Collected;, _
"id�'I`.
Od and Grease,
�" " r T55,.
-,- �� -
mg/L` x' [
�_ ' :.' TpH;,, %k,.
,.��`',��s"
'`5tandard units
°"'<New Motor Oil�Usage„ ;
..» "a,a * ,�.�a, l„
Annuaf'average'gal/,mo' t
Benchmark
-
.''"r 30,
100'or 50�. ,
"-' 6.0 = 9.'01-
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
ASee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(ifyes, complete Part B)
SWU-249 Last Revised October 19, 2012
Page 1 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted I X — 21 —1 G
CERTIFICATE OF COVERAGE NO NCG06_10I L4 SAMPLE COLLECTION YEAR
FACILITY NAME e4 j,' / p O �f1�• FACILITY ACTIVITIES INCLUDE (check all that apply).
COUNTY v n e e'n h ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT G SAMPLES DISCHARGING TO SALTWATERS? ❑YES QKVO
LABORATORY ACC Aq
)c - Veal Lab Cert. # C12 32 r10V 003
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A• Stormwater Benchmarks and Monitoring Results
RECEIVED
DEC 2 8 2016
CENTRAL FILES
DWR SECTION
Total event rainfall �J ,1 9 or ❑ No discharge this period'
'OutfallyNo :4
.t'..
"
Saniple[Copected =
�. /�
" r *m%dd%yrl
-�,Y TSS'�s•-�t"E
¢ /'"-
mg/t�Starida�il{uAiis�tA
+f"` H' �' t.'
M1�.ct J Sw
�`` W—COD`�" -'"'
Juti w+
��tiig/L, ,'_Y�=,f�
°' Od and G'r`easet}
? !
m L xk
k g%�-" r
•� Fecal Col�forrn - r
, 1,'r
�Co
I n es�P'10fl ml,Colonies�pe�
'r'Ent. debe
WI JIY id
100r1`,
'
, r100-ori0 ,
,�WtHIK%0 —9!011
0
.3i ti".s`i,tBenchrriark"
��- 30 iG
117
7,612,540
1 Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at any outfalls You must still submit this discharge monitoring report with a checkmark here
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes P<no
Part B Vehicle Maintenance Area Monitoring Results. only for facilities averaging > 55 gal of new motor oil/month
-Outfall,No
Sample Collected;
,moingJL*`
Oil and'Grease„ `,
�" ;*.. - jjTSS;­ � y I
4 v-� rpH, r � «fir �;
Staddi d'units .;
uFiNew,Motor, Oil yUsage,,
";Annual average,gal%mo
Benchmark
r_
1 30 .j :
100 or 50
Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if yes, complete Part B)
SWU-249 Last Revised October 18, 2012
Page 1 of 2

ab
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted / A — I / — l (a
CERTIFICATE OF COVERAGE NO. NCG06 ill) SAMPLE COLLECTION YEAR 6
FACILITY NAME /j,' j _ 0 FACILITY ACTIVITIES INCLUDE (check all that apply) RECEIVED
COUNTY v n c $—&_
❑ use/process meats ❑ use animal fats/byproducts DEC 2 8 2016
PERSON COLLECT G SAMPLES �✓ S DISCHARGING TO SALTWATERS? []YESXVO
LABORATORY are' jt Vita/ • Lab Cert. # uy2g,64 Fe CENTRAL TES
PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION
Part A. Stormwater Benchmarks and Monitoring Results Total event rainfall 2.�,L1 or ❑ No discharge this period'
Outfallallo p
"i
_
"' Sarti lel ollected"
{•+��vv p r E� r 'r
mo ild rF:.-
, / %y
tt°r5`" 755i t�
r" yV'{' i.31J
, mg/L
+ 46H Q"W 4°
may. �t�'. �y'A�
Standard units,,,
1
[s,; „.,COD"' '
ilV�'y-�
c m /L , , ,�
g
'' --Oil and Giea`se,%,
y� �1 ���IX
r_sf g "�
_ Mom /L'i + +•, ,,
c °.
�s�Fe`�IuCr.'dr�i^''td
Colonies er t
, Ip r100 ml !
nsy x.E
aCo}onies er 100,m! „
p > t
u�
`Benchmark' �
�f'!: ^1 . !
; ., �- ' ,
1p ) 1e-
, �100 or�50.�
I V '4JiP
,�Witliin�I6.0 .gYOi�
� `M f.� �{
67s :` t • --{y. �! �
yet T'lrv.� d:�
V:(� ��
/ 30 —/
6,719
(vl. OA
It
` 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 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 P<no
Part B: Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month
OutfallrNo
-
Sample Collected,,.
1
Imo/dd/yrT `' {
Oil -and Grease;,. -
"- ' 'm
ate" ;
;mg/L ;;�
Wit' l3�
5tandardiunits
;';,New Moto r.Oil !Usage,
z�-;Annual average gal%mo
Benchmark'
400'or'50 .R
w b.0=9:0
Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if yes" complete Part B)
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 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 ❑ ND ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Marl an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-16EJ.
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my Inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the Information, the information submitted Is,
to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations "
(Signature of
(Date)
Additional copies of this form may be downloaded at http.lLgortal ncdenr ore/web/wg/ws/su/nodessw#tab-4
SWU 249
Last Revised October 18, 2012
Page 2 o1 2

$V
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Water Quality General Permit No. NCG060000 J111 18 4, II6
Date submitted - :7 1 Lf + / b/,V CENTRAL FILES
CERTIFICATE OF COVERAGE NO NCG06_10I 14 SAMPLE COLLECTION YEAR D 1 �rj wR SECTIOhr
FACILITY NAME _ �,r1 k� o �nCI _ FACILITY ACTIVITIES IfeELUDE (check all that apply).
COUNTY V n d +G ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT DISCHARGINGzTO
SALTWATERS? [:]YES �O,JPG SAMPLES
LABORATORY r )�iCa/ lab Cert #i 113 0 000
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A. Stormwater Benchmarks and Monitoring Results f Total event rainfall 2>. ) 41 or ❑ No discharge this period'
rOutfalL'No �.t
i�
3,_,''
C
Sample Collected
� .�. !�
�,,.
t„' ma/dd/yr�;,;
A d I,
a^ �,T55
R,3',a •IhC
y,wmgJL , ;
! 5�e?ES\_.
R
Staniiard units �ry
O1
OD
�j, t J� i
vp �� 1hN • mdf� ��' �'I''
,yf,f? mg%L�_+ '�
't'
-�-�tO�1 anii Grease' �'"s,
] !P`�r
�` : i ra kf � ,1xY. ��:sr�; i¢ ,�5�5!j
~ c� ryr t,mg/�iv� x ��l�
22' �Fecal�Caliform
P.' i�lytd-an.--;� 1r��i ✓+.tn.�a z„"xf aL'�'�
Colonies per�300,mIL�
i 4 '� �'wi:' 6'4W! hi ,.,v' ��R y z e
Colanies�per 100;tnf s
t�,:
Ber�clirria�k 3
'fir_ �r �_ ,
i
�.r�
"100 or+50WitFiiiti6
s° t Pi:
► S
0 u'9 0 �
6- :Z-7-J
! 8'. 3
4. 1 Z
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 Nno
Part B• Vehicle Maintenance Area Monitoring Results* only for facilities averaging > 55 gal of new motor oil/month
Outfall No
- -
=
Sample Collected
'Y
t r � "- 3
r& /dd/yr ,r„
Oil and'Grease ° "
ar
,-,i , ii'�
mg%L ^ a _
; ;TSS
y U rh �4s�
; y a _ s.E-'�
' mg/Lf = -
C,yl `r ; -I 'pH, ' '� yU"
;
;Standa`rd units � -,
New Motor'Od Usage," "
a!_' ; n F
9,i l+r--� l- - —,e
v,Annual'average gal'/,mo `r
Benchmark
-
w, fi 30 +'",
,III 100or 50 a
�,� 6:0
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
S W U-249
(!f-Vesrcompiete Part B)
Last Revised October 18, 2012
Page 1 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO NCG06 DI q SAMPLE COLLECTION YEAR � 0 1 6
FACILITY NAME ' O 1tiL' . FACILITY ACTIVITIES INCLUDE (check all that apply).
COUNTY v n C e-- ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT G SAMPLES �✓ f DISCHARGING TO SALTWATERS? [:]YES &O
LABORATORY AC,t 1 e%Ces/ .Lab Cert. # i �0 04G'
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A. Stormwater Benchmarks and Monitoring Results
Total event rainfall z_-7' 14'or ❑ No discharge this period3
•, ;Outf!IIM` ,
_Y
s.
°Sample Collected
r
_{ mo/dd%yrr_
} TSS; o=L
-ing/L
#. '�pH � tik ^
u r ,_'L�
Standard units,
" E ; �.;"' ;
�P, ° 3COD;.
.umg/L4F;�
' OiLaridiG�ease t�
,, �mg/Lx,�;�Cblbn�esrper.l0a,ml
�-;�Fecal�C61 rm3' `" "'`
;, a�
"� !~'` '
k Enterococci.;"F"'
Colonies,perslQO,mlf;
_,r,
Bench ` ask
e�.s.. _ _
k F t '_ -
300 o��50y
r = 5
Wittiin16.0_ 9i0s,
1^ «z- s
�c 120��
,&-i ,. ,..w� >,�
r,30_'ri,
�A10
i,� .x
-�.1000 v
yr •'' ?
i; a�#a+s 500�
7 -
o. 8
.11
/ / 1
3 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 Xno
Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month.
Outfail No
' x:
1 J i'
'Sample Collected
1 1
ino
Od and Grease ,
'��tir'Sir
�, dt F
y
^'� , � � TSS
.r ^11 , `M n,�r��
n" 1 3iei
', ; pH !`.' " 1
�1 J
r 9$
Standard,uni&,;,
New,Motor'Od Usage,"
.SYA L
��-'n VN WP, J_.I�a �r dam_+.E-`r J,,,
4Annual'averagegal/mos",
Benchmark
�-
r '30,•-
-100orS0 ,�;:
6.0=9:0���L;_x
:,,`" . ``;�
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
S W U-249
(!f yes, complete Part B)
Last Revised October 18, 2012
Page I of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qualit Ge eral Permit No. NCGO60000
Date submitted 7-1 _/
CFRTIFICATF OF COVFRAGF NO NCG06 a % q 4 SAMPLE COLLFCTION YFAR ': � 0 J
FACILITY NAME /vj; f , O 2.r►C. _ FACILITY ACTIVITIES INCLUDE (check all that apply) -
COUNTY v In C e-- ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT G SAMPLES _. t✓; S DISCHARGING TO SALTWATERS? ❑YES �O
LABORATORY AC.e 1 ixiea/ Lab Cert. # q ;Z 3U ✓76Od
Part A. Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall Z">. /41 or ❑ No discharge this period'
u,
QiitfalljNb ,
uz
�"'.,
V5a'mp`le Callected,z
Eh_ l
;3 lY
ejmo/i3ii%y� �
A .e,"i
ram, . T55, -
sx yyrr � r
r riaj+�
�„ mg/Li
A Y' . V'!,! S , 1
' ' Q'pl'I„ � `
��.M'il ;.,
wi4- ywr„
Standardiun�ts�
" . 1(ka, I� , 11' 4L
raCOD,
s? �,byw b�; y'2
3, A3~ �^3x
�. f #mg/L r
i` e f � ,kat
ii„ Od,aniJ 6�ease, „�,c
4;�,= 5. 0
F',>E„r_i1.C�'-" 'ter- '`=*'-�T;
__ may, ;mg/L �� ;�x,
`llty_
'cb.f 1 ' !'< h ,.,y5f
Feeal Cohfiir`my, s
�'u`7, :.+ �," d o-
7"-i5. �+�. x�,
Colame`siper l00,m1 +�
�, , t n
'EnteroCoccir,
�' .,.. r• y'
Yam` oionies,pe,'i,� ]
Colames,pert100,m1
=u
'Benchrriark
TY,iN ''rr .r ti,s r_r{1, 5,
x, e - �T, �,,,'
r^
100or�50
ss { e.
,With1n,6.0:-9O�js
,�,.., slip '_"sY
� u120r�. n
'.,_ �- �� }� °
d' � i r•�"
f y� y,'YG: `',$',a� Rr4 Ry.` ,,�
27 16
:Z
7, O(o
45• D
D
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 a_v 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 Xnd
Part B• Vehicle Maintenance Area Monitoring Results- only for facilities averaging > 55 gal of new motor oil/month
'Ou_tfall,No _
`- � ."
Sample Collected
r -1} f�'
and/dd/yr , -r
1 Oiland Grease `r
' �5 .. �, tiyuHa "'S, �1:,.'�. '-'
_mg/LK T
"° `: - TSS'
3^� ',~G �F' .i` {,"✓IF- - J,!
mg/L
c+d_ir s•}'N'ivi.=.mot,=i
'Standard units
' 'New Motor OdIUsage,
Arinual'average gal
Benchmark
-
,w h'
;a' -100 or 50,V1,v
r' 6.0 = 910 ='w `
=t} "', `'
' 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 here
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if yes, complete Part 13)
SWU-249 Last Revised October K 2012
Page I of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qualit Ge eral Permit No. NCG060000
Date submitted _ 7 -1z
rFRTIFICATF OF COVFRAC.F NO_ NCISM D l q 4 SAMPLE C01 I FCTION YFAR ' i O % 6
FACILITY NAME 'l 6,0 �17L' • FACILITY ACTIVITIES INCLUDE (check all that apply)
COUNTY V n C&A b e— ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT G SAMPLES t✓ S DISCHARGING TO SALTWATERS? DYES OVO
LABORATORY he e- An, 1 oi earl Lab Cert f# _q'Q0 3Q60
Part A. Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z >•I q or ❑ No discharge this period3
"OutfalllNo'i 1,
�i
TxK, ifs-:
rSarri le'Collected
-p ?
,-F'_mo/dd/yrs? r�
t ! TSS':�
gLF}b 'a-x
�,mg/L`��,Standardaunit`s"X�ab��_�r,mg/,L�?��
;t :''-" H" , '�;�3'
P ,ef w_��
K
V-S� w�
`"'�'� COD 4= "fir
t-'
4Yv r_ I a
_�tr�#;+ter
'Oil and'G�ease
a
# �"-•,,
a tit
,tire � �;mg/L��„;
F Pecal�Cohfa rii�;�
�s�r: .5 w,
�Coloniesxper100.m1��
gvim"' r''"'-'
�,Enteroeocei�, ,�,
tqc-�idarrz5.'y.�
-'f
�yrColoniesper100,m1�;
Benchmark+
;j'1090.'b�F50 r`A
with 6 !!-9 0vir
�
= 500.V
�
a3.
It
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 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
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Xnb
Part B- Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month.
�OutfallrNo.
Sample"Collected , ,
rN ti iy` .•�i�
-' mo%dd/yr > rr�,
Od and Grease' "i
au ,'rd
`a.i iy{ L �44"�''d'c'Y.�, b
gmg/L � -
. t: t `' +r
ri* u,TSS, �
x'� .�. rill, { E
mg/Lrk �.
d ' �- �sr rP " ' „- °�
H,
•.]_: "'- r#
,� Standard'units ,,
' +�'' i `}`
; ,New Motar,Oil Llsage; t,
.��•s
��#..r''c'L'}-= t<r.v di.N �.
,Annua6verage gal/mo
Benchmark
r - '`
=.tr � 30; - §r�s r
�r r10006-r, r`-
E�
6.0=9'0: k,``=
J�`
Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(ifyes, complete Part B)
SWU-249 Last Revised October 19, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS.
0 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 It SECTION B
• TIER 3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and 6ne copy of this DMR, including all "No Discharae" reports, within 30 days of recefet 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 "
7-)Z/- �
(Date)
Additional copies of this form may be downloaded at http //portal _nc_denr orq/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
// Date submitted 8 ~%I r/ � CERTIFICATE OF COVERAGE NO NCG06 DI q SAMPLE COLLECTION YEAR i �J RECEIVED
ED
FACILITY NAME O hL' • FACILITY ACTIVITIES INCLUDE (check all that apply) AUG 13 2015
COUNTY v n C e,,n 6 e- ❑ use/process meats ❑ use animal fats/byproducts N
PERSON COLLECT G SAMPLES _ �✓ t S DISCHARGING TO SALTWATERS? ❑TYES NVO EN L FILES
LABORATORY ACC !c -Ai441 Lab Cert # SL o01 SECTION
Part A• Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall17' 16 or ❑ No discharge this period3s= n--.
�OiitfallNo�
.. _Ut ll k = ✓_
'SempleECollected;
]_.'.
mo/dd/yr: -
`755,- -
` -
- ,mg/L
��,. pH, .`�
L ` h -,. �~ f =_
; Standard=units W
_-`�-COD;;_
_^�;^'� 1 i'''t�.-T_A
- - , mg/Lt1�=
^Od-and Grease;"'-t
- �.'� -
:+r mg/Lr=.._s
_ Fecal'Coliform
-+5. d j, - v i '•- • itY
," Colonies per 100 nil
Entefococci;,�_
_ t _
iColanies per-100`ml= -
:BencFnriark
41100,ofSO a
Wtthin'6.0'-9=0_
_ 120
1000�-
16.99
,
Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at any outfalls You must still submit this discharge monitoring report with a checkmark here
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Xno
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
Oil and Grease;
_ mg/L�
T55,_ ' ti'
mg/L '
PH,- r_
Standard units '
New Motor Oil,Usage,
Annual average gal/rrio' y
Berichiriafk
- F- r
— 3U'-k
100or_50 `4V
-- 60=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
S W U-249
ez
(ice complete Part 8)
Last Revised October IS, 2012
Page 1 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted i? _ J f — /5"_
CERTIFICATE OF COVERAGE NO NCG06 Q % q SAMPLE COLLECTION YEAR :� 0 J
FACILITY NAME jj,f C D nL' • FACILITY ACTIVITIES INCLUDE (check all that apply)
COUNTY v n C +L ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT G SAMPLES • e e—� -e S DISCHARGING TO SALTWATERS? []YES NVO
LABORATORY ACC 1 c �i Ca/ Lab Cert. # 2 6 1-4
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A Stormwater Benchmarks and Monitoring Results Total event rainfall 2 b or n No discharge this period'
-; _ Ou_ tfayll JN. W,.. ,:!
_,�5amplej6lleced >
T_ro
TSS
mg/L`
r`stan;dard units,
O,l and Gr se,-
- "Feial'Co
�Colames,p+e.r 300,m.,
=_
+E, n., tyer'^arcoc.`c;form s
PCblonies'per 100 m'r'.i1.
'Benchmark `
] �3
100,or 50
Within 6.0-9'0
120 j'r,,']a
30 " i' - ` ''
"' `" `'' '1000 :",
500`
7.01
�D
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 anv 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 Xno (if yes, complete Part By
Part B. Vehicle Maintenance Area Monitorrng Results only for facilities averaging > 55 gal of new motor oil/month
Outfall No
jfi,? _ r
Sample Collected,
mo/dd/yr
Oil and Grease,
"mg/L- -
�Tss,
- rng/L-
pH:'
r Standard units ,
New Motor Oil,Usage„,
Annual'average gal/mo
BericFimark
�- ''
- 3D
i00-or 50 `1'. -
1 6.0=9`0"
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 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

SEMI—ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality Gene al Permit No. NCG060000
Date submitted g —fl / P
CERTIFICATE OF COVERAGE NO NCG06 SAMPLE COLLECTION YEAR !
FACILITY NAME /,M /j A D ��G• FACILITY ACTIVITIES INCLUDE (check all that apply)
COUNTY v n C e-- ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT NG SAMPLES _ e
, e_✓ -r f DISCHARGING TO SALTWATERS? []YES �VO
LABORATORY ACC 4 l c �I CQ/ Lab Cert # 42 003
Part A. Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
Total event rainfall '�' , 16 or ❑ No discharge this period
-r tfall N_ E
'SSample-Collectedl`
Ii
mo/dd%yr' 't
44; ';, TSS' `'
!
'YAi
s mg/L
"` ='" {tH"`r lir
' J i �!
I 44
�sStandard;untts,�
I COD'`" `�'
• ! �i 4 i
i.
_ "I, rmg/L=r' ; "
' O;I and Grease;
f -
: A� _r h,
- y,, ;_ mg/Lr':'� „,
Fecal Coltform
-
'Ek i i Ni -A^ ii
g= ColontesFper-100`ml s a
Ente`rococci , ''
_ v' T::-1 ry
c'
'_Colofties per od;ml ,
4400or,50 ,
`Wit6in'610'='970`rf,=
r�-120r"'"V
30
r
i Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at aM 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 Xno
Part B Vehicle Maintenance Area Monitoring Results. only for facilities averaging > 55 gal of new motor oil/month
Outfall No.
Sample Collected,
'Oil and Grease, _ 4
mg/L - '`'
_ _ ; TSS, = _. -
mg/L "-
_ 1� _ z;pH, _ ;'t
3, Standard units
= =New Mator Orl,Usage,_-'
�lAnnual average gal/mo
'Berichniark'
-
130
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
SW U-249
(if yes, complete Part B)
Last Revised October 18, 2012
Page 1 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGOr^^00
Date submitted
rFRT1rirATF nr- rnvrnAr;F Fin ntrrnfi f 1 g 4 SAMPi F rni i FrTinm WAR /2 O/ S
FACILITY NAME Aj,i / A O �f1Gw _ FACILITY ACTIVITIES INCLUDE (check all that apply) -
COUNTY v ji C e-- ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT G SAMPLES a G✓ -e S DISCHARGING TO SALTWATERS7 DYES N!O
LABORATORY APB 1 e%ta/ . Lab Cert
Part A• Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall . /6 or ❑ No discharge this period'
Outfall No-i'I
Sample C611ected;q
ma/dii/yIr
w_
a7P-111
pH
u
COD
--Oil ,and`Grease; ;
h�'fecalF
li
t, ',tEnterococci,; r„h�
tjAC61ofiiiitpef1OO,ml4;
Benchmark
-
100or5W
,,-Withl&6.0=9i0.j
1120
173 "¢�}�y��,"'''
r,;"-»w1000�" ``•
��. r. a
1, `a "n +
i'`� . _•F.s500 L li'9�,'r
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 And (Ifyes, 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,
Oil and Grease,.1,
iL°
TSS,
f1
mg/L'
H,
`Standd
ait
♦N. New,MotorOil;U ge„
'eu_ SaI
Annual average gama
Benchmark
-
30
100 or To'-
7 6..0 = 9.0,
i Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at 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
5WU-249 Last Revised October tS, 2012
Page I of 2

lot
*FOR PART A A#JD 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 ❑ NOX
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED -
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations "
(Signature ofO'erm
2-fi- is
(Date)
Additional copies of this form may be downloaded at http //portal ncdenr org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised October 18, 2012
r',,ge 2 of 2

C]
4.
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Hate submitted
CERTIFICATE OF COVERAGE NO NCG06 el q 6 ®iECEIVEDAMPLE COLLECTION YEAR /
FACILITY NAME 4j,'I kAO 9fA T��G FACILITY ACTIVITIES INCLUDE (check all that apply).
COUNTY 13 v n C e— APR 0 87015 ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT G SAMPLES • a e-✓-e $
LABORATORY ACC ) Neal Lab Cert #
Part A. Stormwater Benchmarks and Monitoring Results
DISCHARGING TO SALTWATERS? []YES U110
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall >' /4(or F-1 No dischome this period'
- 06t6il Na �;77
d•.ir
�Saimple}}Collected;,'
_ -i-
x{1, trio/dd/}jr_;3:
E xFf`;; T55 `
fl, ,.v•
.,mg/L _
. r'-;,-raw tom_ = r
. a,L ,pH, �Y r
f� frig _
„Siandard,tinits;,
r - ����t�
_� COd; =_
°�3„�.I"- Ri
a„ mg/L ��;
-
-;Oil _and Grease,-
-',. �_ _,. IN it -
'!�-'tmg/L°�t +. a
-
-_s-.,rtlr,
_�Colomespe�,lOU'ml .
`Colonies,per100m1z i
`Be&firriark "
• �'
";rr'� �- r- _
1,100or50 }
5
',''Withi'n 60—,9�0'i,,
�Mh'I 3f it
120 -ill' �„�,
! ' T "1 IB Il
,III 30, �,
lil,- i !
d!'�1000
.,, - 4
�500"`' `
"- % — /
[s
2
1019
' Only applies to facilities that use/process meats CENTRAL FILES
2The total precipitation must be recorded using data from an on -site ram gauge DWR SECTION
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 Xno
Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month
Outfall`iVa-
-"I,Lr;
Sample Collected,
mo/dd/yr ''
oil and Grease,
" mg/L' �'
` , ; 1 ;,T55, 3 ''
mg/L r'
" -' pH,
Standard units =
'- New Motor Oil iUsage, ,
-Annual average gal/ma'
Berichniark'
-
30,'
100 or 50 'i,
6.0 -- 9.'0,
v -
Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
S W U-249
"_
I
(if yes, complete Part 6)
Last Revised October 18, 2012
Page ! of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water C uality General Permit No. NCG060000
Date submitted ! - i f 15
CERTIFICATE OF COVERAGE NO NCG06 O I q 4
FACILITY NAME J / I A O
COUNTY V )1 ICE e-
PERSON COLLECT NG SAMPLES _ fi',e e-✓-0 f
LABORATORY JX Lab Cert # IXVZd 2fdo 1,
Part A Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR :+ O %
FACILITY ACTIVITIES INCLUDE (check all that apply).
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES XUO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 7.' 1 gr n No dischome this period'
" Outfall No
any ; r-, i '- - '
w'
-Sam le Collected+
p ,�,
, I 1 E
mo/dd/yr l _
^" TSS ,k , F'
mg/L
- ' H';� ` `;
P, a
r i J, ,N
>Standard,units c
"*', =COD` `" ~`
;� �
3�' -
mg/L' ' ^
�,=,Odland Grease`
,
,Ij, , mg/L,- , _
"' Fecal;Coh o�rri t',
f
r l �� f V M
Colonies'per,'100 ml,
; Eriterococci
y y^' !tip R �a
Colonies pe'r,1od' "I;
'T
Benchmark
[ ZI „F' l�fl,
-
i, ,100 or 50
1 4
WitFiin 6.0-9 0'
- ! �,� F i
120
,I ,Y 1,[� lilt I 'l
30, ,
i ! 1 �6'�r ,,i
1000,' a,yi
— Fi' j 11 11
' Only applies to facilities that use/process meats
ZThe total precipitation must be recorded using data from an on -site ram gauge
3 For sampling periods with no discharge at anv outfalls You must still submit this discharge monitoring report with a checkmark here
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ano
Part 8 Vehicle Maintenance Area Monitoring Results, only for facilities averaging > 55 gal of new motor oil/month
'Outfall No
Sample Collected,
= Oiland Grease,
= .TSS_ .'
'-mg/L-=- - 9 =
pH,. +_ _'
'=,Stan`dard units =
New'MotorOil Usage,
Annual average`gal%mo
Beh iT ark -
l - =' ' u
43p_, .. •,
=1d0 or s0 - - - ,'
t' 6.0 = 9 0`_-
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 anv outfalls, you must still submit this discharge monitoring report with a checkmark here
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(tf yes, complete Part B)
SWU-249 Last Revised October 18, 2012
Page 1 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No, NCGO60000
Date submitted 4 _ / _ jS
CERTIFICATE OF COVERAGE NO NCG06 OI q 4 SAMPLE COLLECTION YEAR -:� 0 !
FACILITY NAME 60 hC• FACILITY ACTIVITIES INCLUDE (check all that apply)
COUNTY v n C e- ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT NG SAMPLES �✓ i DISCHARGING TO SALTWATERS7 DYES GgVO
LABORATORY ACC I t �i Ca/ • Lab Cert # 42� 5r!kO.� S'� °•�
Part A Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2? - ) / or R No discharge this period'
g•Outfall Na w
Sample Collected;'
I ,
1t' mo/dd/yr„1
=T55;k'= _'
'F'r� _
nig%L "
Fr= `_"y ;npH;''' = ;
" 'i '^'
°'„i 5taridard,uriits J'
, ;-`zCQD, ,- --
IF ,,,ram•` x'i ,_�`
,�, �,} 'mg/U
E coil and Grease;; E3
1 k i�F n,
mg/LE
—Fecal Cahfo�m,, `Enterococci
ue k"N ,�-r r3
Calonies',per 100,m1,
; ,,, F
'yh
Calonies'per,100,riil,"
I 1
Benchrriark k
, _% t _ _ _
_w 6 , _ - -
t 100 orf5Q _
}'
`Within 6.0 ='9'D
— _ -_
,Il _ ,-120 �rw' _
Fi2� �� - 4 ' c f� ",
= -'30 - -- -
:P' 2yt_'3{0����
- _ s= -1000 ` -=
+-s-
, l = 500' k= '�•;">P ,
Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at any outfalls You must still submit this discharge monitoring report with a checkmark here
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ano (if yes, complete Part 8)
Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month.
�Outfali No',
Sample Collected,
Oil and Grease,
mg/L
TSS, , '-
_ _' '-mg/L- _
pH,"
Standard units =
New Motor Oil,,Usage,
' Annual average'gal/mo''
Benchmark
r -
30,
10D or 50 y , `
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
S W U-249
Last Revised October 18, 2012
Page I of 2

rJ
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 4 _/ ^ I S,
CERTIFICATE OF COVERAGE NO NCG06 e) q 4 SAMPLE COLLECTION YEAR :� D %
FACILITY NAME Aj: /C O 1r1 L' • FACILITY ACTIVITIES INCLUDE (check all that apply)
COUNTY V n C e, A b e— ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT NG SAMPLES • E >~✓ x S DISCHARGING TO SALTWATERS? ❑YES XVO
LABORATORY Ace , 1 �, ca/ Lab Cert
PLEASE REMEMBER TO SIGN ON THE REVERSE -3
Part A• 5tormwater Benchmarks and Monitoring Results Total event rainfall 27, ;Yor ❑ No discharge this period'
Outfall No' ,`_
I,
`Sample�Collect'ed,
a P - �,
�,; mo/dd/yr�;' '
?,fp',, TSS; `,'
-�
,. - mg/L:
" _, a pH,Ya65 -
`
;fi Standard;units',
11,'CO_D, ' :
� �t ; - I -` .
_ °Er, rng/L -
' _ O_il and,Grease, i ,=
�� ,n. i '?
- #"" mg/U' , "xA, ;
_ `, x Fecal,Cnhform
'vt-y'
`_ Colonies'per 100 m1,3
EnteiYococc�.; 5
W y`I' �� 3
,Colonies`per,'100;m1 „
a ,�'"�
Ienchriiark ,',
1,.�
- r,^ G
'€
100 or,50 s
, 5 1
Witlun'6 0'-9 0`=1;,
i�i
120
2 .7
-7.
. 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
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Xno (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,'
H mo/dd/yr _ °'`'
Oil and Grease,,,;,"
_ m'g/L JV
-
„ I,' , TSS, ` ,'
mg/L- aT - —'
pH;
Standard units''''
,New Motor Oil Usage,
= Annual -average gal/rno
Beiichniarrk
-
„
"30
- +' w 100 or 50
6.0 - 9'4
Jr';, -
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 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 II SECTION B
TIER 3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOA
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case 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 R"e*ittee) (Date)
Additional copies of this form may be downloaded at http //portal ncdenr org/webjwct/ws/su/npdessw#tab-4
SWU-249 Last Revised October 18, 2012
Page 2 of 2

y
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1 - 7 ^ 1 5
CERTIFICATE OF COVERAGE NO. NCG06-iQ L C fp SAMPLE COLLECTION YEAR
FACILITY NAME 1;1r %%CPO _T ae . FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ._ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES it 4V DISCHARGING TO SALTWATERS? [_]YES ANO
LABORATORY POe a An f l 4.re, d Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
JAN 12 2015
CENTRAL FILES
DWR SECTION
Total event rainfall 1 or ❑ No discharge this period'
Outfall No
r -
Sample Collected,
mo/dd/yr . -,
tSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
Fecal C616rin ,
Colonies per 100 ml
Enterocacci .'
Colonies per 100 ml
Benchmark
- - -- . _
100 or SO
Within 6 0-9.0
120
30
= ^ 1000
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 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 gno 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
: ' Oil and Grease,
mg/L
TSS,
mg/L
pH,x �F� i='
standard ft
New Motor;OiWsage,
Annual ave ar ge gal/mo
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 anv 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
P'�"1

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060206
FACILITY NAME, Custom Finishers, Inc.
PERSON COLLECTING SAMPLES:
CERTIFIED LABORATORY: Research & Analytical
Part A: Specific Monitoring Requirements
Lab #: NC34
SAMPLES COLLECTED DURING CALENDAR YEAR: g Za i `I
(This monitoring report is due at the Division no later th6 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY: Guilford
RECEIVEONE NO.: [phone]
AUG 2 9 2014PLEASE SIGN ON THE REVERSE 4
CENTRAL FILES
DWQIBOG
Outfall
No.
Date
Sample
Collected,
molddl r
00530
00400
00340
00556
31616
Total Suspended
Solids,
m IL
pH,
Standard Units
Chemical Oxygen
Demand,
m 1L
Oil and Grease,
mg1L
Fecal Coliform,
Colonies per 100 ml
Benchmark
-
100
Within 6.0 - 9.0
120
30
1000
SD02
L 5
.�
10
G
NIA
Note if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses
See General Permit text
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? des X no
(if yes, complete Part B)
Part B Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample Collected,
molddl r
00556
00530
00400
Oil and Grease,
mg/L
Total Suspended Solids,
m 1L
pH,
Standard Units
New Motor Oil Usage,
Annual average allmo
Benchmark
-
30
100
6.0 - 9.0
-
Note If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses
See General Permit text
STORM EVENT CHARACTERISTICS Mail Original and one copy to:
Division of Water Quality
Date (first event sampled) Attn DWQ Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
SWU-249-102107
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: g & iy
CERTIFICATE OF COVERAGE NO NCG060205 (This monitoring report is due at the Division no later t n 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME: Custom Finishers, Inc. COUNTY: Guilford
PERSON COLLECTING SAMPLES. RECEIVNE NO.: [phone]
CERTIFIED LABORATORY: Research & Analytical Lab #• NC34
AUG 2 9 2014PLEASE SIGN ON THE REVERSE
Part A: Specific Monitoring Requirements CENTRAL FILES
DWQIBOG
Outfall
No.
Date
Sample
Collected,
mo/ddl r
00530
00400
00340
00556
31616
Total Suspended
Solids,
m IL
pH,
Standard Units
Chemical Oxygen
Demand,
m IL
Oil and Grease,
mglL
Fecal Coliform,
Colonies per 100 ml
Benchmark
-
100
Within 6.0 - 9.0
120
30
1000
SD02
10
NIA
Note if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses
See General Permit text
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes X no
(if yes, complete Part B)
Part B Vehicle Maintenance Activity Monit ring Requirements
Outfall
No.
Date
Sample Collected,
moldd r
00556
00530
00400
Oil and Grease,
m IL
Total Suspended Solids,
m IL
pH,
Standard Units
New Motor Oil Usage,
Annual average gallmo
Benchmark
-
30
100
6.0 - 9.0
-
Note If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses
See General Permit text
STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date tiLIH (first event sampled) Attn DWQ Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
SWU-249-102107
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 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 anginal and one cagy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations "
(Signature of
1=7--/5
(Date)
Additional copies of this form may be downloaded at http //portal ncdenr orR/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised October 18, 2012
Page 2 of 2

Jio 6! J^ 5 "Y 6
%�GCr /(/ d
r-�L n �•� d�Y 1p
T� a

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."
(SignaturVof Permittee
( Date)
SWU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Certificate of Coverage No NCG 060205
Facility Name Custom Finishers, Inc
County: Guilford Phone No 336-431-7141
Inspector Dennis L. Dzielski
Date of Inspection mf /11
By this signature, I certify that this report is accurate and complete to the best of my
knowledge:
(Signature of Permittee i# Designee)
Outfall Description
Outfall No • SD02 Structure (pipe, ditch, etc.), Pine Inlet
Receiving Stream- Muddy Creek
Describe the industrial activities that occur within the outfall drainage area:
Pallet Storage, Tractor Trailer Activqy, MDF Grinding and Collection
2. Color
Describe the color of the discharge using basic colors (red, brown, blue, etc ) and tint
(light, medium, dark) as descriptors ' p
3 Odor
Describe any distinct odors that the discharge may have (i a smells strongly of oil, weak
Chlorine odor, etc )
8/22/97

4 Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and
10 is very cloudy
1 2 4 4 5 6 7 8 9 10
5 Floating Solids
Choose the number which best describes the amount of floating solids in the storm water
Discharge where 1 is no solids and 10 is the surface covered in floating solids
/1J 2 3 4 5 6 7 8 9 10
6 Suspended Solids
Choose the number which best describes the amount of suspended solids in the
Storm water discharge where 1 is no solids and 10 is extremely muddy.
I 0 3 4 5 6 7 8 9 10
7 Foam
Is there any foam in the storm water discharge9 YES 0
8 Oil Sheen
Is there an oil sheen in the storm water discharge? YES
9 Other Obvious Indicators of Storm water Pollution
List and describe.
— -- 740" - wa" Mo obytaus jNOt CAi0a5
yF 5W12-rn W or7p-/L PuGu`110,j j (L SEN —
NOTE: Low clarity, high solids and/or presence of foam or oil sheens may be
Indicative of pollutant exposure. These conditions may warrant further
Investigation
8/22/97

RESEARCh & ANA[yriCA1
LAbORATORIES, INC.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
WATER I WASTEWATER MISC
COMPANY
•: •
•
•
•
•
RL"WESTED ANALYSIS
STREET ADDRESS.•
r
SAMPLER NAME (PLEASE PRINT)
CONTACT PHONE
-- I
i33,1,14
PLER SIGNATURE
S=
I=
m!mm■m®mmm
-
■■■
■m■■mm■■
■m■
__■■■■--
■.........■....
_-■■■■--
■....■.........
__■■■■--
■....■..■......
IRMBY
RECEIVED BY
REMARKS,
RELINQUISHED sY
RECEIVED: 1 7

RESEARCh & ANA[yTiCA[
LABORATORIES, INC.
Analytical/Process Consultations
to ffieurrry��.,
M M NC #34 z
w
r 4
r ,
Custom Finishers Inc
Date
Sample Collected
08/1�1/14
2213 Shore Street
Date
Sample Received
08/12/14
High Point, NC 27263
Date
Sample Analyzed
08/12/14
Attn Tom Crane
Date
of Report
08/20/14
Analyses Performed by
SK -J8 -JP
Lab Sample Number
-----------------
792113
Parameter Strret # Results
TSS (00530)
COD -HIGH (00340)
oil & Grease (00556)
Clients Sample Source
Number
Time Collected (Hrs)
c5 0 mg/1
10 mg/l
a5 0 mg/1
--------------------
SD02
1630
P 0 Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax [phone]
www randalabs corn

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water quality General Permit No. NCGO60000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 OI q SAMPLE COLLECTION YEAR
FACILITY NAME _ 14111 kC e �nL' • T FACILITY ACTIVITIES INCLUDE (check all that apply).
COUNTYy n C e, A 4, e- ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECT G SAMPLES iG✓ t % DISCHARGING TO SALTWATERS? [:]YESNVO
)
LABORATORY *&-e_ 1-OLF6a/ . Lab Cert # 91220 If ZDa�
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A• Stormwater Benchmarks and Monitoring Results
RECEIVED
JUN 0 6 Z014
CENTRAL FILES
DWQISOG
Total event rainfall'>' 31- or ❑ No discharge this penod3
k al)�No-'�
4
ss
5g p1`e�Colle�cted,^
��
mo%dd/,yr ;
T6SS;' `.,
fJC
^ gmgj
�Wi= pH; �
q�.}� :
Standard(units_
�` COD;
y *1n'R
�. _ �mg/L�'
Oil and Grease,
� k�r i �
,�{ mg/,L „a �
F I Colifarm ;
r Caloniesiper l00,m1-
,aE� °te�r°cocc
�" 1
CaloniesFper l00�mI
M yH
"Benchmarks„
€E r Ki �l
x=-* i_ F,j1001or
y N a
50?`�WitFimS
i i' !y 9 as
0 -,9 0;�120y'�"30
3 R +P �Mp
�p,a 3 i1.�.. .�-+.
•100D
"=aYy .Y4s "�S 1
�_500�g
. i
r
32.
r only applies to facilities that use/process meats
ZThe total precipitation must be recorded using data from an on -site ram 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 (ifyes, complete Part B)
Part B. Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month
^
,Qutfall No `
Y
;.5ample'Collecteii
"'�d:�,� �r�i
dd yr _
ate. / %
�F'
t ;Oil and,G`rease'
'„,
1, m L
a� g/ ? :� ,
.-T+
�� f TSS;_N,= U =a'
=,4� g/L F F;aT�
., m dM1, �
C eWi i ,
� 0V d' H ^_
sr =
Standard,urnt
nkks +MQtOr Oil'.
:New,
u Oer
°Annual;averLage'
1 Bericfiiiiark�:����_
K i��_Z; �iiHis�
.'��c�-_.x. � s� ����
'Y-i .i
�-�� � �r30';����,
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 her
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective bent
SWU-249
-fh,c /-D # 7-/- , //"

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO6000O
Date submitted G _— y `j y
CERTIFICATE OF COVERAGE NO NCG06
FACILITY NAME Zj, / _ D
COUNTY v n C e—
PERSON COLLECT G SAMPLES _• e e_✓- S
LABORATORY AP-e- 1 •f`iCa/ Lab Cert. #jZV/S :0 DO-V,
Part A. Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
holy
FACILITY ACTIVITIES INCLUDE (check all that apply).
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES GgVO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z y, 30 or ❑ No discharge this period
"=1
f Oiitfall No
h S `r
A
"x=ate,,mo/dd%yr��
Sample Collected; a,
-7A' ..
it �.,a j
T55,r m1
t^J1'
5
E mg/L`
iw���
"'.eepH,.�
.h" o- TY ^ti' x�
Standardunits_"=mg/,L
,m°< ,tr, phi
COD;r
`'�5 k�,'Pa'i
gam" �' J; =
R
a _w,
Odgand Grease,
r R.�. a {
_ t ' '
- :mg/L�--_Colonieslper�i00`ml
_.,. j: �
Fecal Coliform,; ��p
i�li i 3vx"ie. r a✓'%2:�
".''�
�_
—��
�,y Enteracocci '+
I �s k�
r «
«u�Colonies per 1o0am1'
s
1
°Berichniark i,
'F; .! i 3
�' t_
,n,• 3 '§ �,
-1oU of�5o
- - k 5"
'WitHIK16A=9.0'
'� ? 3 .•-.._. �..
120 � r;��
-Y'•` 4
:, 30,��
�x T.+Nr[.t'-- gaw s' ,u'•r� p
F .w�,MT� C
D
Only applies to facilities that use/process meats
ZThe total precipitation must be recorded using data from an on -site ram 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 Xno
Part B Vehicle Maintenance Area Monitoring Results. only for facilities averaging > 55 gal of new motor oil/month.
- t
;Outfall•No >_ ;
Lyw1 3
• it �� — ', r�
rs � ;`� _
+�
'pzSampie Collected;" �'
"t-Y
vL; � i �tiiF
rW �_'ma/dd/yi , ,�
spa _-""'--"' t'=°C�!`
,r�,=Qil and Grease, �� ,
i
.i;�- f''�L L-�tr�"�- wry��� -ik
}" ,mg/L, y s
r.c'�.• e^4. w^Fr '*t ,,,+3
- !ri TSS—F'
'4T ry y°`Lj1 Rid' t?1'. Yj'e�3r"'-tea
� 'S� N � t y�-��
ro = mg/L
r s, ti4 � �,' ,d•+'l4;r �
yr,�.#�„ PH; ;
Mi�'��x
f� �a' er'�
5tandardiurnts ,a
mow' -- '-
,New Motor'Ody?Usage,
_:.v r a pld
FAnnuaE average gal%mom n
-4 „ _, p
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 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 18, 2012
Page 1 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _ 4 -41 —J 41
CERTIFICATE OF COVERAGE NO NCG06 e I L b SAMPLE COLLECTION YEAR '� o 1 q
FACILITY NAME /0,' 1 A011C• _ FACILITY ACTIVITIES INCLUDE (check all that apply)
COUNTY v r1 C & ^ 6 e­ ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTRMG SAMPLES _ �✓ S DISCHARGING TO SALTWATERS? []YESX10
LABORATORY CowCe i fiea/ • Lab Cert # 201_ffX6e3
Part A. Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall a y •y7Oor ❑ No discharge this period'
Y'MF'�d�
+Qiitia`IINo
Sry
�5a"mpleCollected,
'aino/ddStandard;unitsm
,T krE
a(T55,ce=�,t,
f 1a r+r l�',ei �..+
���,pH,
F'-
^'COd,x�
,-z Img/L��t
lky'a a}r'd.�
OiE,and"G�e`ase,r
rTig/ dColonieslperlOU,mf
A.F,. i,iK•t'.
Fecal}Ca`hform�, s
f4;..-u.a]di. p�'. IYz
Ente"r"ocacciq,.
�Caliinies,per 100;m1n
�--;,s�
•
'��+'��-�?ViDOQ�,���.�r
r a = r
r y��500�b�'
:�r,
1 Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site ram 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 ;Kno
Part B. Vehicle Maintenance Area Monitoring Results* only for facilities averaging > S5 gal of new motor oil/month
7
Outfall,No '
t,_ _ •t,
i r
''Sample Collected; } :
°!z� mo/dd/,Yr,F�"
� r�»�
` `�Od and Grease;TSS;
f4�' ea 5-. 1
'.mg/L k"_".�
ii'�i yr= aw
`- ]ter„
+5;,{1 i._}F=;#' 3iifi'�`:%7
i °�mg/L .�
--
*rw i =} •Y' F
;r, x,�� pH;' 3 i�,_,
•ra'.. E.`:t r ��,
Standard units
+' 4'r
,; Ne'w Motor odlusage,
q�rz_'�r'�3_"fl.S -ZY t
A age gal/,ino
nnualaaver
Fi_tl.5:�1�„Ji
�30�"ram
Y6
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 AU 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
(ff yes, complete Part B)
SWU-249 Last Revised October 18, 2012
Page I of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 OI q4 SAMPLE COLLECTION YEAR o� O 1 q
FACILITY NAME 24111O FACILITY ACTIVITIES INCLUDE (check all that apply)
COUNTY V n C ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLEC14NG SAMPLES C✓ S DISCHARGING TO SALTWATERS? ❑YES LXVO
LABORATORY ace- Lab Cert. f
Part A. Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2?' 70or ❑ No discharge this period'
a
�'':OuifaH`No`i 2N
:1 F S �LI
�r-_ .�
x
9Sainpl6,Collected
mo dd/yr
r %
n �.
frT55
.zs r S'=°
�������t^
F mg L
t�F 1.
I
F� H
!� anda dr A-1
5t r un�ts�
�
tOp
-;4 i.,
�Y� F�t�'
�- „ g/LP��
m
Oil and`Grease�
7 �'
c ara rs, a
i - FecafiCahfnrm ��
y� F � j �
'�2.ri
Calaniestperr100�m1
ii -*�r—� s�. a
a Enteracocci�, b
iw` 7`y ,,,,,, ,x
*,
Yx'T 1 ��x F�`,`f$rL
Colanies,per 100 m1
Benchmarks, ��
s % '
r100�or 50
r �5"f
r'WitFiint6.0 9�0
L+?
1�0 � t y�l
i�
s ti��� 30h; �, �
{. Was �`! t
1 �1000 ' � �
�. Yam' 4
r 2=� 00=2 +
9• C'
of 4 of
I Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at 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 Xno
Part B: Vehicle Maintenance Area Monitoring Results, only for facilities averaging > 55 gal of new motor oil/month
Outfall=lVn" ,
; �Sainple Collected," ;
t{•
` _
' hOtl and'Grease; &j=`
a„3`, i n . ,• �,
M' rmg/L_�
a. '-.._E..S i' £
s JSS Em
+xs
"x-_F�.,•.. li. �C Wig �Jn
"�'-p 'mg/L-
}r Ky;ipH �
M a'r
R..� =;Standard units
New Mo'fnr'Orl Usage; �s
Annual`average gal/mo_r,
I
Benchmark: '_
�a�>r _ -'''"
u r _�
z.,- ` 30i=�t
?-� ���
xw �'- -
« 100 or�50 E
I r ,'-n_Y,,r
_, 6:0, 9:0
7
:d?,_.� tl�s
Only applies to facilities that use/process meats
2The total precipitation must be recorded using data from an on -site rain gauge
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if yes, complete Part B)
SWU-249 Last Revised October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART 11 SECTION B
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B
• TIER 3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results _Lr 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 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations "
(Signature of P&&ittee)
6 — ey
(Date)
Additional copies of this form may be downloaded at http //portal ncdenr org/web/wq/ws/su/npdessw#tab-4
SWLI-249 Last Revised October 18, 2012
I 1 �, /',,ge 2 of 2

d STATE
pMII
STORMWATER DISCHARGE OUTFALL (SDO)
QUALITATIVE MONITORING REPORT
Certificate of Coverage No NCG 060205
Facility Name. Custom Finishers, Inc
County- Guilford Phone No 336-431-7141
Inspector Dennis L. Dzielski
Date of Inspection.
RECEIVED
JUN 0 2 ZW4
CEDWOBOGES
By this signature, I certify that this report is accurate and complete to the best of my
knowledge.
(Signature of Permittee o esignee)
1. Outfall Description
Outfall No.. SD02 Structure (pipe, ditch, etc.): Pipe Inlet
Receiving Stream Muddy Creek
Describe the industrial activities that occur within the outfall drainage area
Pallet Stora e Tractor Trailer Activity, MDF Grinding and Collection
2 Color
Describe the color of the discharge using basic colors (red, brown, blue, etc ) and tint
(light, medium, dark) as descriptors.
a V cry l- c, (,A Gt r-eL-� Cr,.; s � ✓v c-� i Oa.�e (��ti•t (�* f
k< 072 Me
Describe any distinct odors that the discharge may have (i e. smells strongly of oil, weak
Chlorine odor, etc )-
no ocG
8/22/97

4 Clarity
Choose the number which best describes the clarity of the discharge where 1 is clear and
10 is very cloudy.
1 0 3 4 5 6 7 8 9 10
5. Floating Solids
Choose the number which best describes the amount of floating solids in the storm water
Discharge where 1 is no solids and 10 is the surface covered in floating solids
Cl) 2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the
Storm water discharge where 1 2s no solids and 10 is extremely muddy•
l 0 3 4 5 6 7 8 9 10
7. Foam -�
Is there any foam in the storm water discharge? YES ENO )
8 Oil Sheen
Is there an oil sheen in the storm water discharge? YES NO
9 Other Obvious Indicators of Storm water Pollution
List and describe
1!. Cf-c. lam - tJd t�l�vto�s cn�Dcc�ivr�s aF Sroa .u�trr 2
OULu-no jQtL seA
NOTE Low clarity, high solids and/or presence of foam or oil sheens may be
Indicative of pollutant exposure These conditions may warrant further
Investigation
8/22/97

RESEARCh & ANA1yTiCA[
LABORATORIES, INC.
Analytical 1 Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
WATER I WASTEWATER I M ISC
.:
• • •
• • •
• •
ANALYSIS
STREETAIDDRESS
A
NNIS
CONTACT•
+
=MCI
-
i 1• '
=1
M■NEmm
-- _
19mommom■ommo
■m■
m-■■■.--
m.......■m....■
r
mmmmmmmm
■om■mmommom■
No
-,_-■■■■--
■.■.■■.■...■'.■.
_-■■.■--
■■■.■..■...■.■■
_-■■■■--
■...■..■■....■■
__■.■■--
■..■■...■..■.■.
_-■.■■--
■..■...........
_-■■■■--
■.m.o....mo■.■m
_-..■.--
■............■■
AlmAwl''t
,
TEMPERATURESAMPLE
11
1RECEJVEb:

RESEARCh & ANAlyTICAt
LAbORATORIES, INC.
Ana"caf/Process Consuitations
May 27, 2014
Custom Finishers, Inc.
2213 Shore Street
High Point, NC 27263
Attention: Tom Crane
Chemical Analysis for Stormwater Sampling identified as Custom Finishers, Inc.
L
Project Number: N/A
NPDESN: Not Available
Sample
RAL
Sampling
Sampling
Total
on
COD
Data
Identification
Sample
Date
Time
Suspended
&
Analy-zed
Number
Solids
Grease
mg/L
mg/L
mg/L
SDO2
785449
05/15/14
1030
25.0
<5 0
71
05115, 05118 &
05/21/14
Analysts: YJ, SA & JB
mg1L a m{ Wa= per Liter a parts per indhon (PPM) <— less than or Below Quandtadon Limit (BQL)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR: -2�' `{
CERTIFICATE OF COVERAGE NO. NCG060205 (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory )
FACILITY NAME: Custom FinishersInc. COUNTY- Guilford
PERSON COLLECTING SAMPLES: ]gnln>,ts -0 PHONE NO.: [phone]
CERTIFIED LABORATORY: Research & Analytical Lab #: NC34
PLEASE SIGN ON THE REVERSE —�
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected,
moldd r
00530
00400
00340
00556
31616
Total Suspended
Solids,
m lL
pH,
Standard Units
Chemical Oxygen
Demand,
m IL
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Benchmark
-
100
Within 6.0 - 9.0
120
30
1000
SD02
S` iS rK
�S.
Gc�
?I
NIA
Note if you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses
See General Permit text
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Yes X no
(if yes, complete Part B)
Part B Vehicle Maintenance Activity Monitonnq Requirements
Outfall
No.
Date
Sample Collected,
molddl r
00556
00530
00400
Oil and Grease,
m IL
Total Suspended Solids,
m IL
pH,
Standard Units
New Motor Oil Usage,
Annual average gallmo
Benchmark
-
30
100
6.0 - 9.0
-
Note If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses
See General Permit text
STORM EVENT CHARACTERISTICS: Mail Original and one copy to
Division of Water Quality
Date S IS 1 (first event sampled) Attn DWQ Central Files
Total Event Precipitation (inches): �Lr.�tS 1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches)
SWU-249-102107
Page 1 of 2

" 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."
- ; q i ///L, � � :E�i
(Si tune of Fermittee (Date)
SWU-249-102107
Page 2 of 2

Custom Finishers, Inc.
eagle
Division of Water Quality
ATTN DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
SUBJECT: Stormwater Monitoring Report
To Whom It May Concern
PO Box 7008
High Point, North Carolina 27264
Phone [phone]
FAX [phone]
May 27, 2014
Enclosed is an original and a copy of our Stormwater Discharge Outfall
Monitoring Report and supporting documents The period of coverage is Jan 1, 2014,
thru July 31, 2014 Please feel free to contact me at [phone] with any questions or
concerns regarding this submission
Since
Tom ra
General Manager