NCG060329_MONITORING INFO_20160311

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. Iv C� O� � 3d) `
DOC TYPE ❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE ❑ (q()j Lq &3 11
YYYYMMDD

STOPMWATER DISCHARGE OUTFALL-(SD0)
MONITORING REPORT
GENERAI. PERMIT NO. NCG060000
CERTIIt'ICATE OF COVERAGE' NO, NCG06 n
FACil.i'1'Y NAME
PERSON COLLECTING SAMPLES _
CERTIFIED LABORATORY ��i1.y�� C/Y1 Lab d
Lab f
Yuri A; Specl[1c Monitoring Rer,ulrernents
SAMPLES COLLECTED DURING CALENDAR YEAR;
(This monitoring report Is due at the Division no later tban 30 dEys from
the date the fuefllty receives the sa ling res Its from the lahoratary.)
COUNTY
RECEIVE DONE NO. ' - Z
MAR 1 1 M LEASE s16N ON TIM REVERSE
CENTRAL FILES
Outfall
No.
Date
Sample
Collected,
moldd! r
00530
00400
00556
31616
Total Suspended
Solids,
m L
pH,
Standard units
Chemical Oxygen
Demand,
m
. Oil and Grease,
mg/L
Fecal Collform,
Colonies per 100 ml
I
BeneLwark
100
Witblio 6.0-9.0
120
30'
]000
Note: Ifyou report a sampled value in excess of the. benchmark value, or outside the bcnehrnark range for pH. you must implemont Tier I or 7icr-2 responses
Soe General Permit text.
Did Ihis fbellity perform Vehicle Maintcs anee Activities using more than $5 gallons of noiv motor oil par month? _ yes .no
(Ifycs,eomplete Part 13)
Para B. Vobicle IYMaiattuance Activity Moedtorine Requirements
Rutfall
No.
Date
Sample Collected,
moldd/ r
00556
00530
00400 .
Oil and Crease,
mg&
Total Suspended Solids,
pH, ••
Standard units
New Motor Oil Usage;
Annual averse gaVmo
Benchmark
30
100
6.0— 9.0
Note: If you report a sampled value in excess of the. bmdltmark value, or outside the benchmark range for pH, you must implement Tie. I or Tier 2 responses.
See General Permit text.
STORIYI EVENTCHARACiERISTICS:
hate_ (first event sampled) '
Total Event Precipitation (inches):1/1
Date (lest each additional event sampled Ibis reporting period, and ratufall arnount)
Total'Event Precipitation (Incbes)
Mali Original and one copy to;
Division of Water Quality
Attu: DWQ Central Plles
I617'Niail Service Cenzer
Raleigh, North Carollna 27699-1617
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 accordauco with a system designed to assure that qualified personnel properly gather and evaivate the
inforuiiition submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. l On aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
I
fignature of P' rmittee) (Date)
r
S WU-249.102 107
Page 2 or7

STORMWATER DISCAARGF 0UTPALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO, NCG060000 SAMPLES COLLECTED DURJLNG CALENDAR YEAR; /�25
CERTIFICATE OF COVERAGE NO. NCG06 b 9Q (This monitoring report Is due at the Division no later than 30 days from
the date the facility receives the s pi Pg r Its from the laboratory.)
FACILITY NAN4F L3 Cr �Ef — ��SE 1CL COUNTY %' ;7
PERSON COLLECTING SAMPLES h71J _ _ PITON-E NO. (%lP) —
CERTDgED LABORA'1'ORY,6A-%L1j D L'�. Lab 4 j1 i-tom
Lob 4 Y E&EASE SIGN ON THE REVERSE 4
Part A: Specinc Monitoring Requiremeots MAR Y 2015
O_utfall
No.
Date
Sample
Collected,
moldd/vr
00530
06406
00556
31616
Total Suspended
Solids,
mgfLm
pH,
Standard units
Chemical Oryg n
Demand,
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Benchmark
100
Within 6.0-9.0
120
30
1000
2V
-- x—/..T
3/
o
L
Z e
NOW 11 you report it sampled value in CxCESS of the benchmark value, Or Outside the benChmark range for pH, you must implement IICr I or -) lar 2 r0Spon_ses.
See General Permil text.
Did this facility perform Vehicle Maintenance Activities using more then 55 gallons of new motor oil per month? _ yes _no
(if yes, complete Part B)
Parl R! VrAlrlc 1Marntrnanve Artivhv Mankarine Reealremenla
Outfal]
No,
iDate
Sample Collected,
mo/dd/ r
00556
00530
00400
Oil and Grease,
MWL
Total Suspended Sonds,
MR&
pH,
Standard units
New Motor Oil Usage,
Annual averse gaUmo
Benchmark
30
100
6.0-9.0
-
NoO e: I r you report a sampletl value to eXCCS5 Of the benCllmark value, or outside Me ben 0mark range tOr pH, you must Implement I ter I or I ter L responses.
See General Permit text.
STOILM EVENT CHARACTERISTICS:
Date dve.L21(first event sampled) �!'w
TotaPreclpltatIon (loches): T
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Origtnal and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Cnrolina 27699.1617
S W U •244.102107
Page 1 of 2

"I certify, under penalty of law, that this document and all attachmeuts 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, aad 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 Yermittee)
. "�Z7 /
(Date)
SWU-249402 M
Page 2 of2

STORMWATER DISCH
MONITORI
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06iQ 7_q
FACILITY NAME uu. e 424.Zq xu') /a05e W164,
PERSON COLLECTING SAMPLES C111215
CERTIFIED LAROPATORY ah #
Lab #
Part A: Specific Monitoring Requirements
ARGE OUTFALL (SDO) 0
NG REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR. QI P
(This monitoring report is due at the Division no later than 30 d s fro 4
the date the Facility receives the arnpling results from file lahorate }
COUNTY
PHONE NO. (c ) D `
PLEASE SIGN ON THE REVERSE ->
Outfall
No.
Date
Sample
Collected,
moldd/ r
00530
00400
00340
00556
31616
Total Suspended
Solids,
m
pH,
Standard units
Chemical Oxygen
Demand,
m
Oil and Grease,
n_IWL
Fecal Courorm,
Colonies per 100 ml
Benchmark
100
Within 6.0 — 9.0
120
30
1000
610 i-937
Note: If you report A sunfpled value in excess of the benchmark value, or outside the benchmark range for pi•l, you must implement Tier I orTier 2 responses.
See General Permit. text.
Diet this facility perform Vehicic Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _no
tit yes, complete Part B)
Part It., Vehicle Maintenance Activity Monitoring Requirements
Outrail
No.
Date
Sample Collected,
mo/dd/ r
00555
00530
00400
Oil and Grease,
m
Total Suspended Solids,
m
pH,
Standard units
New Motor Oil Usage,
Annual averse al/mo
Benchmark
-
30
100
6,0 — 9.0
-
Nate: If you report a sampled value in excess of the benchmark value, or outside the benchmark range For pH, you most implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date / �� (first event sampled) �. q �I
Total Event Precipitation (inches):
Bate (list each additional event sampled'this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
At1n7 DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S WU-249-102I 07
D. 1 . F

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."
t
/3
(Signature of Permittee) ( ate)
SWU-249-102 107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO60000 SAMPLES COLLECTED DURING CALENDAR YEAR: Zo /Z_
CERTIFICATE OF COVERAGE NO. NCG06 03Z9 (This monitoring report is due at the Division no later than 30 days from
r the date the facility receives the sampling results from the laboratory.)
FACILITY NAME gow r 4P a/Zat epc4e 1 COUNTY DGf R11W
PERSON COLLECTING SAMP��,ES 4;H12 ► 5 f tl RA PHONE NO. (�,�Q, 9 D 7E7.
CERTIFIED LABORATORY VAN OLa #
Lab # PLEASE SIGN ON THE REVERSE
Part A: Specific Monitoring Requirements
Outfall
No.
Date
Sample
Collected,
mo/d!V r '
00530
00400
00340
00556
31616
Total Suspended
Solids,
m
pH,
Standard units
Chemical Oxygen
Demand,
m
Oil and Grease,
mg/L
Fecal Conform;
Colonies per 100 ml
Benchmark
-
100
Within 6.0 -- 9.0
120
34
1000
r
t
v
U nZ
17-2&
r,7
31
L
Note: If you report d sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or der 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 _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mo/dd/ r
00556
00530
00400
Oil and Grease,
m
Total Suspended Solids,
pH,
Standard units
New Motor Oil Usage,
Annual averse al/mo
Benchmark
30
too
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 l or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date1 A!+(first event sampled) �` Q
Total Eve t Precipitation (inches) CJ
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S W U-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, aceurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
71• % 2-
(Date) ' /
5WU-249-102107
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 0 3
FACIJJTY NAME dCSC I.� /12ose Af f�L
PERSON COLLECTING SAMPLES el/P-AA
CERTIFIED LABORATORY VP YJV ff+t�a` LA #
Lab #
Part A. Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling re ults from the laboratory.)
COUNTY Acr/1L�
PHONE NO. (_ / , 7U+ %f Z
PLEASE SIGN ON THE REVERSE �
Outfall
No.
Date
Sample
Collected,
mo/dd/ r ,
00530
00400
00340
00556
31616
Total Suspended
Solids,
m
pH,
Standard units
Chemlcal Oxygen i
Demand,
m
Oil and Grease,
mg/L
Fecal Colitorm;
Colonies per 100 ml
Benchmark
-
100
Within 6.0 — 9.0
120
30
1000
Seib
r Z-_6Q..V 7:
5DO Ott
10/16/iF,
, j
r'Lo
Note: If yob report & 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 Ito
(if yes, complete Dart B)
Part R: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample Collected,
mo/dd/ r
00556
00530
00400
Oil and Grease,
M91L
Total Suspended Solids,
m
pH,
Standard units
New Motor Oil Usage,
Annual avera k e galfniG
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 l or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Dater'' ..Ai :(first event sampled) f
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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 subndtting false information, including
the possibility of fines and imprisonment for knowing violations."
- -;?,/1 -2,1/
(Da %
S )ArU-249- L 02107
Page 2 of 2

HOUSE OF RAEFORD FARMS
ROSE HILL FACILITY
DUPLIN COUNTY
NORTH CAROLINA
HOUSE OF RAEFORD FARMS
ROSE HILL FACILITY
HWY 117
�,`..
•7
PROJECT INFORMATION
LATITUDE: M' 51' ,n" N
LONGITUDE- 78' 01' 58" W
QUAD: ROSE HILL
RECEIVING
STREAM
STREAM
BASIN
STREAM
CLASS
INDEX
1
BEAVERDAM
C; Sw
CAPE FEAR
1844-24-1-1
BRANCH
2
CABIN BRANCH
C; Sw
I CAPE FEAR
18-74-24-1-1-1
JW Holland Engineering, PLLC
it
1
LOCATION
NOT TO SCALE
P.O. Box 2928
Surf City, North Carolina, 18445
910, 803, 0444 (a) / 910, 803. 0445 (t) -
jwhollandenl; ineering(q,)embargmaii.cony

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HOUSE OF RAEFORD FARMS
ROE FAL FACILm
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QUPUN COUNTY, NC
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910 80J.0444 803.0445
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