NCG060290_MONITORING INFO_20190107

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. I �v �i� 6 �Ol� a it
DOC-TYPE 1 ❑ HISTORICAL FILE
CX MONITORING REPORTS
DOC DATE ❑ Q
0111*
YYYYM M DD

•,<!j4 fIII �Il:
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Water Quality General Ptrmit No: NCG060000 JAN 0 7 2019
Date submitted % 2 Z / Z40 f
CENTRAL Fri. FILES
CERTIFICATE OF COVIRA E j%NTCG06_0_290 A RR__ -- __ / SAMPLE COLLECTION YEAR 1222�'/2�� DWR SECTION
FACILITY NAME �Jf.� -y`� sl` 911 G{I S L��. V tIS FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats ❑ use animal f_aWbyproducts
PERSON COLLECTING SAMPLES �`— DISCHARGING TO SALTWATERS? ❑YES NO
LABORATORY CP1 00 Lab Cert. f#
5 PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchm`ar01%cl Monitoring Results Total event rainfall z ,, or E/] N discharge this period'
Outfall No.
Sample Collected,!
mo/dd/yr I
TSS,�II
mg/
; ,
pH,
�'I Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 mi
Enterococci ,
Colonies per 100 ml
Benchmark
- '
'; 100 or
J 11Ai'ithin 6.0 — 9.4 ,
120
30
1000
500
I
111
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 tent, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging a 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
-
,, s 30
100 or 50
6.0 — 9.0
-
f
P i;
I
(if ves, complete Part B)
Only applies to facilities that use/proccess mea
2The total precipitation must be recordediusin14 ata.from an on -site rain gauge.
' For sampling periods with no discharge at an utf�,�i 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 "I I 1 IIj I Last Revised: October 18, 2012
Page 1 of 2

f FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cop" of this D, R,!' including all "No Discharge" reports, within 30 days of receipts the lab results for at end
or; -no u cnar e-- re orrs ro:
Division of Water Quality
jj � l; ! 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."
Permitte�j"
I I I�il I �I
Additional copies of this form may be down
mm
(Date)
at: http://Portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
1
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

a
ow -
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT REC
#or North Cli arona Dii vsion %j Water Quality General Permit No. NCG060000
�
Date submitted ZS% 2p / ? JUL 31 2018
CERTIFICATE OF COV A E NO NCG0602__5 0 SAMPLE COLLECTION YEAR 2Q � _ _ � I`�f •r��,`� �iLi=�;
FACILITY NAME �e FACILITY ACTIVITIES INCLUDE (check all that apply): C7';C
COUNTY ❑ use/process meats ❑ use animal fps/byproducts
PERSON COLLECTING SAMPLES _ L_�y/ a��e�. DISCHARGING TO SALTWATERS? []YES NJNO
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2(;. L or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units,
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or SO
Within 6.0-9.0
120
30
1000
Soo
. 2
G
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [+/no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall 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
-
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.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
{ifyes, complete Part Bj
SWU-249 Last Revised: October 18. 2012
Page l of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 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 col2y of this DMR1 including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitories 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."
(Date)
Additional copies of this form may be downloaded at:.http:Z/Portal.ncdenr.org/web/wq/­ws/su/npdessw#tab-4
SWU-2w— ...r
Last Revised: October 18, 2012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR) 1 SPPP Annual Update DATA REVIEW FORM
Calendar Year Z0.17
Individual NPDES Permit No. NCS
Certificate of Coverage (COC) No. NCC
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: _ iQ +av yP Si— roas
County:L�fr-'
Phone Number: rU ) Z 93-79 1-7 Total no. of SDOs monitored �-
Outfall No. I_
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Kf
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Parameter, (units)
Total
inche
hes
inches
s
P44
041 6 , -
r-e 5e-
Benchmark
N/A
Date Sample
Collected,
mmlddlyy
.�
12 , Z
L
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

Additional Outfall Attachment
Outfall No. G
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No [r�
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No &
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No [v�
Total
Rainfall,
inches
Parameter, units
1 S
/
N
I o�
Benchmark
N/A
Date Sample
Collected,
mmlddlyy
Y :
�h
.�`,°
��
h
SWU-264 - Generic Annual DMR
Last revised 511712013

Environmental Chemists, Inc.
E -21}'iniiFt:iIItVilnl11+i."h'I1,'\K-2u!`.I+ 91f}.3V?1.-12'L?l..rb IV','i:i?:i42i
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'{y.Vilmil3i,t„uHi,;loru3)',f:.'F,t; orntHe, Xa-2,ti;'i1347.;-'3. t,i#,:I.t•
ANALYTICAL & CONSULTING GHF1,',ISTc i:;l +::n ii;i;',t tritLsf Itrml ls, 3n
Whole Harvest
376 West Park Dr.
Warsaw NC 28398
Attention AJ Faulkner
Revised Report: Jul 23, 2018
Original Report Date; Jun 22, 2018
Report #: 2018-08907
Customer ID: 08110010
Project ID: Quarterly Wastewater
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
18-29435 Site: Outfall 1 6/6/2018 Water Client
Test Method Results Date Analyzed
Oil & Grease (0&G) EPA te" c <5 mg/L 07/18/2018
Analyzed outside of holding time
Residue Suspended (TSS� sM 254D ° 12.2 mg/L 07/19/2018
Anaizyed outside of hold ng time,
pH
sal 4500 H B
6.56 units
07/19/2018
Analyzed oulslde of holding time.
Lab ID Sample 10:
Collect Date/Time _
Matrix Sampled by �
18-29435 site: Outfall2
6/612018
Water Client
Test
Method
Results
Date Analyzed
Oil & Grease (O&G)
EPA 1664
<5 mq/L
0711812018
Analyzed autside at holding time
Residue Suspended (TSS)
sld 2s4C n
35.4 mgll_
071/912018
Analzyed outside al holding time.
pH
SM450011a
6.57units
07/1912C18
Analyzed outside of holding time.
Comment:
Reviewed by:

w
r 1 ®E R �'EC'F/ VED
i� � Stormwater Discharge Outfall (SDOYUN 01 2017
Qualitative Monitoring Report DWR;14L ILES
SECIrI4N
For guidance on filling out this form, please visit: http*/,/portal.ncdenr.org/web/Ir/nodeS-sturmwater/
Permit Na.: N/ /jg/Qf�e/Q/-'Q/ or Certificate of Coverage No.: NX/L/ O/-j�/Q/Z/a/Q/
Facility Name: L&2
County:
Inspector:�1
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): I, D
Phone No. `1 1,0 --
U
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes �o
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfali. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or
Page 1 of 2
SWU-242, last modified 7/31/2013

IN
J
1. Outfall Description:
1 1 Outfall No. � _ Structure pipe, ditch, etc.)
Receiving Stream: r
Q, cribe the industrial activities that occur within the outfall drainage area:
foce-s S
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ CI e-o-,
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): Al 6 0 --e-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
(9 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
' solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
(1) 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes Co
B. Is there an oil sheen in the stormwater discharge? Yes )
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe OV 40
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242. Last modified 7/31/2013

1. Outfall Description:
Dutfall No. 2 Structure (pipe, ditch, etc.} _ D ilSte_,
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: gf fj'x a
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc) and tint
(light, medium, dark) as descriptors: 7 P wy- _
3. Odor. Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity. Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
V 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
10 2 3 4 5
_l 6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 1a
8. Is there an oil sheen in the stormwater discharge? Yes (P
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe to 0 Lam_
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, last modified 7/31/2013

*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 �a
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy ot 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."
s/31�2ai7
( Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/wslsulnpdessw#tab_4
SWU-249 Last Revised: October 18. 2012
Page 2 of 2

WHOLE HARVEST FOODS, LLC - WARSAW
SEMI-ANNUAL SITE INSPECTION
Inspect the following areas where industrial materials or activities are exposed to stormwater and
note the weather information and a description of any discharges occurring at the time of the
inspection below.
Weather Conditions: M
Any Discharges Occurring at Time of Inspection: /U 0
Inspect the following areas and note any control measures needing maintenance or repairs, any
failed control measures that need replacement, and incidents of non-compliance observed and
any additional control measures needed to comply with the permit requirements in the comment
section.
Area to be inspected
Comments
Crude Oil Tanks
f�,9G
Tanks 11- 14
Finished Oil Tanks
a 4
Rail Car Loading I
Unloading Area
,
Truck Loading I Unloading
Areas
Dum ster Area
�k
Retaining Ponds Ponds
_V40 4� 0—
s/�
te_

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted ZQ
CERTIFICATE OF COVERAGE NO. NCG06Q2 L
FACILITY NAME bilucl Airr 1
COUNTY r�-
PERSON COLLE TING SAMPLES Q G, ice Gm4u
LABORATORY M LP- i Lab Cert. #
/„c.til f
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
JUN 01 2017
r lCKJTDAI pi pe
SAMPLE COLLECTION YEAR _ JrZ/l ?Ao J'? DWR SECTION
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES E�K0
PLEASE REMEMBER TO SIGN ON THE REVERSE -)o
Total event rainfall zZ or No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 - 9.0
120
30
1000
500
1
-/-2a1-7
,7
3
L
- -20 17
/
2 qL
1 only applies to facilities that use/process meats.
Z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfails. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes
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.
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
Qyes, complete Part B)
SWU-249 Last Revised: October 18. 2012
Page 1 of 2

Environmental Chemists, Inc,
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab . 910.392.4424 Fax
710 Bowvertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax '.
255-A Wilmington Highway, Jacksonville, NC 28540 . 910-347.5843 Lab/Fax
Whole..Harvest
737�v�tS Perk Dr,
Warsaw NC 28398
Attention: RobedSfwril K--t 11q �"
Lab ID Sample ID:
17-12764 Site- Outfall 1
in to,rd!environmentalchemists.corn
Date of Report: May 01, 2017
Customer PO #:
Customer ID: 08110010
Report #: 2017-05380
Project ID: Storm Water
Collect Daterrime Matrix Sampled by
4/17/2017 8:30 PM Water Client
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5 mg/L 04/27/2017
Residue Suspended (TSS) SM 2540 D 16.7 mg/L 0411912017
pH SM 4500 H B 7.22 tunas 04121/2017
BOD SM 5210 B 5 mg/L 0411912017
COD SM 52200 32 mg1L 04/21/2017
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
17-12767 Site: Outfall 2 4/17/2017 8:45 PM Water Client
Test Method Results Date Analyzed
Oil & Grease (O&G)
EPA 1664
<5 mg1L
04127/2017
Residue Suspended (TSS)
SM 2540 D
18.1 mg/L
04/19/2017
pH
SM 4500 H B
5.86 units
04/21/2017
BOD
SM 5210 B
6 mg/L
04/19/2017
COD
SM 52200
29 mg/L
04121/2017
Comment:
Reviewed by: _wI
QAI1-
Report a:. 20174MB0 P*— 1 4 1

8405
ENVIRONMENTAL CHEMISTS, I N C OF OFFICE,
Windmill 2.XWilmington,039 -4424
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 into0environmentalchemists.com
Analytical S Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY
Client. `,�V-,j,p
PROJECT NAME: rz (/V
REPORT NO:
ADDRESS:
CONTACT NAME:
PO NO:
REPORT TO:
PHONE/FAX:
COPY TO:
email.
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
&
�
o
t a
fr o m
0 e
ct4
2 0
" a
2
a
"
oW
m M
z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
V �!
0411?i
G
'
l
Qfl
G
G
C
P
G
G
C
P
G
G
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
Daterrime
Received By:
DateTme
1.
2.
Temperature when
Delivered By:-,�a

Ai;A
NCDER
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httn:///oortal,acdennore/we jlr/nodes,-storm water/
Permit No.:
Facility Name: L,..) k91t 0--,J-t9�
or Certificate of Coverage No.:
County: .0i-t ob. r Phone No. 5110,AQ 25-7 9 / 7
Inspector: +fie Il 0. - --
Date of Inspection: 2.7 201 to
Time of Inspection: Y =pa pq,-
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
❑ Yes &No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
ture of PermiVee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. I -- Structure (pipe, ditch, etc.)
Receiving Stream: �I -&&c rc
Describe the industrial activities that occur within the outfall drainage area:
raCe
2. Color: Describe the color of the ischarge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): &0 0d or
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and S is very cloudy:
LD 2 3 4 S
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
5. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
t'1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes zo
8. Is there an oil sheen in the stormwater discharge? Yes QO
9. Is there evidence of erosion or deposition at the outfall? Yes (1175)
10. Other Obvious Indicators of Stormwater Pollution:
List and describe �10
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, last modified 7/31/2013

r.-
1. Outfall Description:
Outfall No. .2 Structure (pipe, ditch, etc.) D 14�-� _.
Receiving Stream: r' -<_e
Describe the industrial activities that occur within the outfall drainage area:
-Fro c-L s5
2. Color: Describe the color of the tcharge using basic colors red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: __ NUJ _` i
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): _ NA 1ti1-A'--
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
Q 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
t? 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
d) 2 3 4 5
7. Is there any foam in the stormwater discharge? 'Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
/")aN-e_
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
S WU-242, Last modified 7 /31 /2013
Page 2 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 o? g o
FACILITY NAME r-V eS FOO S fX A -
COUNTY r Y—
PERSON COLLECTING SAMPLES L-Zke,,c.e_ (-L� W +
LABORATORYC2�V�(_0A--�y Lab Cert. #
CT9r.t5f-y
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR //&
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fa/byproducts
DISCHARGING TO SALTWATERS? ❑YES
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfo!! z or [�No discharge this perrod3
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 50
Within 6.0 — 9.0
120
30
1000
E r
Z. 3
. Z
�-' ED
z?
inj
NTR i F
DWR SECTION
r 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 Pino
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
-
I Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at 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 I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORT E SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMIi, including all "No Discharge" reports, within 30 d,.ys 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 CERTIFIG4TION 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."
(Sign4ture df Perm
(Date)
Additional copies of this form may be downloaded at: http //portal.ncdenr,org/webZwg/ws/su/npdessw#tab-4
S W U-249
Last Revised: October ! 8. 2012
Page 2 of 2