NCG060355_MONITORING INFO_20170612

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
%V Gc,
DOC TYPE
❑ HISTORICAL FILE
C/MONITORING REPORTS
DOC DATE
❑ e3pir7 0U lA
YYYYM M D D

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this firm, please visit http://portal.ncdenr.ort/web/wq/ws/su/npdessw#tab-4
Permit No.: NCG060000
or Certificate of Coverai NCG060355
Facility Name: Global Bioprotect, LLC
County: Randolph Phone No. 336-341-6686
Inspector: Steven Yarbrough (RAL)
Date of Inspection: 05/23/17
Time of Inspection:
1330
Total Event Precipitation (inches): 5.12
RECEIVED
Was this a "Representative Storm Event' as defined by the permit? JuN 12 zal?
(See information below.) CENTRAL FIDES
/!Y- DWr SECTION
q��res ❑ No
Please verif, >rhether Qualitative ,Monitoring must he performed during a "representative storm event or "measureahle storm
event" (requirements vary, depending on the permit.)
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be perlbrmed during a
"representative storm event" or during a "measurable storm event." However, some permits do not have this requirement.
Please refer to these detinitions, ii'applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches ot•raintall 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 o1'no precipitation.
A "measurable storm event" is a storm event that resuhs in an actual discharge t•rom the permitted site outfall. The previous
measurable storm event must h
able to document that a shorter
approval rrom the local DWQ Regional 01'lice.
By this signature, I certify that this report is accurate and complete to the best ot'my knowledge:
(Signature of Permitee or Designee)
S W U-242-020 705

1. Outfall Description
1Jutfall No. 001 Structure (pipe, ditch, etc.) Ditch
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Parking Lot
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors Brown
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where l is clear and 5 is very cloudy:
1 2 1 3 1 4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stonnwater discharge, where
I is no solids and 5 is the surface covered with floating solids:
I 1 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 1 4 5
7. Is there any foam in the stormwater discharge? Yes (yin
8. Is there an oil sheen in the stormwater discharge? Yes iVo
9. Is there any evidence of errosion or deposition at the outfall? Yes iVo
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.

r
RESEARCh & ANA[yTICA[
LABORATORIES, INC.
Analytical/Process Consultations
06 June 2017
Division of Water Quality
Attention: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
To Central Files:
In accordance with the Stormwater Discharge Sampling Plan for GFS-US, LLC,
Research & Analytical Laboratories, Inc. (RAID has included duplicate signed copies of
the required stormwater monitoring reports for the above facility.
If you have any questions or concerns regarding this or need any additional
information please so advise.
Best Regards,
James M. Cheshire
President/CEO
JMCIaf
P 0. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

op wR rFA
3
o <�
StormWater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit htty://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: NCG060000
or Certificate of CoveraNCG060355
Facility Name: GFS-US, LLC
County: Randolph Phone No. 336-341-6686
Inspector: Glenn Price (RAL)
Date of Inspection: 11/30/16
Time of Inspection: 1825
Total Event Precipitation (inches): 1.59 RV���
Was this a "Representative Storm Event" as defined by the permit? DEC 19 20%
7Yes
nformation below.) CENTRAL FILES
DWR SECTION
❑ No
Please verb 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 "measurable 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 h
able to document that a shorter
approval from the local DWQ Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitee or Designee)
S WU-242-020705

1. Outfall Description
OutfalI No. 001 Structure (pipe, ditch, etc.) Ditch
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors Light Brown
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,ete.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
L� 3 4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
1 is no solids and 5 is the surface covered with floating solids:
I� 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 0 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there any evidence of errosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.

O ,Wralmw<
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit hqp://portal.nedenr.orgLweb/wq/ws/su/npdessw#tab-4
Permit No.: NCG060000
Facility Name: GFS-US, LLC
or Certificate of CoverNNCG060355
County: Randolph Phone No. 336-341-6686
Inspector: Steven Yarbrough (RAL)
Date of Inspection: 06/15/16
Time of Inspection: 1900
Total Event Precipitation (inches): 0.16
Was this a "Representative Storm Event" as defined by the permit? J� ✓G n�
formation below.)
es ❑ No Tp�� Fr OJ61
Please verify whether Qualitative Monitoring must be performed during a "representative storm event or�"measureable storm
r
event" (requirements vary, depending on the permit) 0'(i�
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a
"representative storm event" or during a "measurable 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.
"measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous
measurable storm event must h
able to document that a shorter
from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitee or Designee)
S WU-242-02070 5

1. Outfall Description
Outfall No. 001 Structure (pipe, ditch, etc.) Ditch
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors Brown
Parking Lot
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
1 2 1 4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
1 is no solids and 5 is the surface covered with floating solids:
1 2 1 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 1 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there any evidence of errosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.

2/3/2016
ri
GFS US LLC
2714 Uwharrie Road
Archdale NC 27262
CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH NC 27699-1617
Dear Sir
"I certify, under penalty of lazv that this document and all attachments zvere 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 information, the information submitted is, to
the best of my knozoledge 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"
Please find enclosed 2 copies of the Certified Laboratory data for Discharge Monitoring Report
(DMRs) General Permit No NCG060000 Certificate of Coverage No NCG 060355
Sincerely
1 Smyth
Managing Director Global Future Solutions
GFS US LLC
1321 W Fairfield Rd Suite 106
High Point NC 27263

RESEARCh & ANA1yTICA1
I_AbORATOMES, INC.
Analytical/Process Consultations
19 January 2016
Mr. Michael Bralkowski
GFS US LLC
101 N Chestnut St Suite 101
Winston-Salem, North Carolina 27101
Dear Mr. Bralkowski,
Research & Analytical Laboratories, Inc. (RAL) has completed the analyses of the
stormwater sample collected by our personnel on December 17, 2015. We have prepared a reporting
package which includes the certified laboratory data report and the Stormwater Discharge Outfall
(SDO) Qualitative Monitoring Report for Outfall 001.
The following materials are enclosed:
1. The completed reporting form
2. Certified Laboratory data report for the samples
3. Copy of the chain of custody documentation for the samples
The above information should be submitted to the Division of Water Quality in accordance with your
permit.
If there are any questions, please feel free to contact me at [phone].
Sincerely,
RESEARCH & ANALYTICAL LABORATORIES, INC.
James M. Cheshire
President/CEO
JMC/af
P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336.996.2841 • Fax [phone]
www.randalabs.com

R ESEARCk & ANAEyTICAL
LABORATORIES? INC.
For: GFS US LLC
101 N Chestnut Street Suite 101
Winston-Salem, NC 27101
Attn: Michael Bralkowski
Report of Analysis
1/5/2016
- 1's{111f11solo.
�` I& MLk "++++
��
Ct',41r i
ZP A
tf�
: 07 NC #34 Z;
s NC #37701 :
Client Sample ID: Outfall 001 Lab Sample ID: 12920-01
Site: GFS US Collection Date: 12/17/2015 9:00
Parameter Method Result Units Rep Limit An_ alvst Analysis Date/Time
COD EPA 410.4 18 mg/L 5 KN 12/22/2015
Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 RH 12/31/2015
Gel
pH
SM 4500 H+13-2000
6.5
Std. Units
12/17/2015 0900
Temperature (Thermometric)
SM 2550B
13,9
°C
12/17/2015 0900
Total Suspended Solids (TSS)
SM 2540 D-1997
8.8
mg/L 5
YJ 12/21/2015
NA = not analyzed
P.Q. Box 473 106 Short Street Kemersvilie, !North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
rat coa basic Od

sr i RE
P CEIVED
FE8 ,2 2 2016
CENTRAL FILES
Stormwater Discharge Outfall (SDO) DWR SECTION
Qualitative Monitoring Report
For guidance on filling out this form, please visit hgp://portal.ncdenr_ororglweb/wq/ws/su/npdessw#tabl4
Permit No.: NCG060000
or Certificate of Covera€NCG060355
Facility Name: G>; S-US, LLC
County. Randolph Phone No. 336-341-6686
Inspector: Steven Yarbrough (RAL)
Date of inspection: 12/17/15
Time of Inspection:
0900 ,�
Total Event Precipitation (inches)
1.94
Was this a "Representative Storm Event" as defined by the permit?
(See information below.) V 4%
❑ Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm event or "measureahle 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 "measurable 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.
"measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous
measurable storm event must h
able to document that a shorter
approval from the local D WQ Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
C�
(Signature of Permitee or Designee)
swU.242-020?05

1. Outfall Description
Outfail No. 001 Structure (pipe, ditch, etc.) Ditch
Receiving Stream. -
Describe the industrial activities that occur within the outfall drainage area: Parking Lot
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors Brown (Light)
3. Odor. Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
I is no solids and 5 is the surface covered with floating solids:
1 2 _
4
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 � 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there any evidence of errosion or deposition at the outfall? Yes No
10.Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.

CHAIN OF CUSTODY RECORD
REsEARcN & Aivalyric,At
'LAbORATORiES� INC.
:Analytical / Process Consultations
Llh�j- Phone [phone]
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REMARKS'

0F.�2w A iEqRECEIVED
�G
y r.
JAN 2 6 2016
Stormwater Discharge Outl'all (SDO) EN SAC FILES
IL S
Qualitative Monitoring Report N
For guidance on filling out this form, please visit hqp://portal.ncdenr.orp/web/wq/ws/suJnpdessw#tab-4
Permit No.: NCG060000
or Certificate of CoverasNCG060355
Facility Name: GF'S-US, LLC
County: Randolph Phone No. 336-341-6686
Inspector: Steven Yarbrough (RAL)
Date of Inspection: 12/17/15
Time of Inspection:
0900
Total Event Precipitation (inches):
1.94
Was this a "Representative 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 "measurable 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 h
able to document that a shorter
approval from the local DWQ Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitee or Designee)
S W U-242-0207os

1. Outfall Description
Outfall No. 001 Structure (pipe, ditch, etc.) Ditch
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: Parking Lot
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors Brown (Light)
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
None
4: Clarity: Chose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy:
2 I� 4 5
5. Floating Solids: Choose the number which best describes the amount of foating solids in the stormwater discharge, where
1 is no solids and 5 is the surface covered with floating solids:
1 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 1 3 4 5
7. is there any foam in the stormwater discharge? Yes No
8. is there an oil sheen in the stormwater discharge? Yes No
9. Is there any evidence of errosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
V for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted �``�2-b 2-01
CERTIFICATE OF COVERAGE NO. NCG060 SAMPLE COLLECTION YEAR 2 4 i S
FACILITY NAME L Z) 1_ LZ _ - FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Aw ZQL REC
E1jea se/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES fJ Q,.-\ Mc DLk R,'e DISCHARGING TO SALTWATERS? DYES [:]NO
LABORATORY�Q, owl. t A-vw��ilu; Lab Cert. # 1jc p AUG 0 5 2015
CENTRAL FILESPLEASE REMEMBER TO SIGN ON THE REVERSE -i
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z Zoor ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 - 9.0
120
30
1000
Sb0
o Dlall
q 1;5-17,
5
G
2
►
w
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 0 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
-
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective berchmark applies.
(ifyes, complete Part B)
S WU-249 Last Revised: October 18, 2012

V'FOR PAw4 A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It 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 odyinal_and one cif 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 Permittee)
rl - 28 -, 2-01 <—
(Date)
Additional copies of this form may be downloaded at: htto:l/portal.ncdenr.ore/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page? of ?.

° vaA repo
� G --
o
APR 2 0 2015
CENTRAL. FILES
Stormwater Discharge Outfall (SDO) DVVR SECTION
Qualitative Monitoring Report
For guidance on filling out this form, please visit http://portal.ncdenr.orghveb/wq/ws/su/npdessw#tab-4
Permit No.: NCG060355
Facility Name: GFS-US, LLC
or Certificate of Coverage No.: N/C/G060000
MENCEM
County: Randolph Phone No.
Inspector: Neal McDuffie, James Cheshire (Research & Analytical Laboratories, Inc.)
Date of Inspection: December 8, 2014 - December 31, 2014
Time of Inspection: 10:00am (12/08/14)
Total Event Precipitation (inches): NIA* y
Was this a "Representative Storm Event" as defined by the permit?
(See information below.)
a Yes X No No flow or discharge reported for Year 2 - Period 2 From 12/08/14 through 12/31/14
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 "measurable 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 oud'all. The previous
measurable storm event must h
able to document that a shorter
approval from the local DWQ Regional Office.
By this signature, l certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitee or Designee)
* The Certificate of Coverage (COC) No. NCG060355 was dated by DFNR on October 8, 2014, Activity to include identification of-
Stormwater outfalls was initiated on December 8, 2014. No representative rainfall event was reported from December 8, 2014 through
December 31, 2014. In accordance with the General Stormwater Permit NCG060000 "the permittee must submit a monitoring report
indicating "No Flow or No Discharge" within 30 days of the end of the sampling period if no discharge occurs during the sampling period."
SWU-242-020705

1. Outfall Description
Outfall No. 001 Structure (pipe, ditch, etc.) Roof Drain Pipe
Receiving Stream: UT to Uwharrie River
Describe the industrial activities that occur within the outfall drainage area: Chemical Storage/Distribution Facility
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: N/A
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
N/A
4: Clarity: Chose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy:
N/A 1 2 3 4 5
S. floating Solids: Choose the number which best describes the amount of foaling solids in the stormwater discharge, where
i is no solids and 5 is the surface covered with floating solids:
N/A 1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater
discharge, where 1 is no solids and 5 is extremely muddy:
N/A l 2 3 4 5
7. Is there any foam in the stormwater discharge?
8. Is there an oil sheen in the stormwater discharge?
9. Is there any evidence oferrosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe:
N/A
Yes No N/A
Yes No NIA
Yes No NIA
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.
SWU-242-020705

t
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit http://portalatcdenr.ory,/web/wq/ws/su/npdessw#tab-4
Permit No.: NCG060355 or Certificate of Coverage No.: N/C/G060000
Facility Name: GFS-US, LLC
County: Randolph Phone No. _
Inspector: Neal McDuffie, James Cheshire (Research & Analytical Laboratories, Inc.)
Date of Inspection: December 8, 2014 - December 31, 2014
Time of Inspection: 10:00am (12/08/14)
Total Event Precipitation (inches)
N/A*
Was this a "Representative Storm Event" as defined by the permit?
(See information below.)
a Yes X No No flow or discharge reported for Year 2 - Period 2 From 12/08/14 through 12/31/14
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 "measurable 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. l 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 outfaIL The previous
measurable storm event must h
able to document that a shorter
approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitee or Designee)
* The Certificate of Coverage (COC) No. NCG060355 was dated by DENR on October 8. 2014. Activity to include identification of
stormwater outfalls was initiated on December 8, 2014. No representative rainfall event was reported from December 8, 2014 through
December 31, 2014. In accordance with the General Stormwater Permit NCG060000 "the permittec must submit a monitoring report
indicating "No Flow or No Discharge" within 30 days of the end of the sampling period if no discharge occurs during the sampling period."
s%vu 242•020705

1. Outfall Description
L
Outfall No. 002 Structure (pipe, ditch, etc.) Storm Grate/Pipe
Receiving Stream: UT to Uwharrie River
Describe the industrial activities that occur within the outfall drainage area: Chemical Storage/Distribution Facility
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: N/A
3. Odor: Describe any distinct colors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,etc.)
N/A
4: Clarity: Chose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy:
N/A 1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of footing solids in the stormwater discharge, where
I is no solids and 5 is the surface covered with floating solids:
N/A 1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater
discharge, where 1 is no solids and 5 is extremely muddy:
N/A 1 1 2 3 4 5
7. Is there any foam in the stormwater discharge?
8. Is there an oil sheen in the stormwater discharge?
9. Is there any evidence oferrosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe:
N/A
Yes No NIA
Yes No NIA
Yes No NIA
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or errosion/deposition may be indicative of pollutant exposure.
These conditions warrant further investigation.
S W U.242-020705