NCG080830_MONITORING INFO_20181204

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
w �� 0 8' o S �o
DOC TYPE
❑ HISTORICAL FILE
N MONITORING REPORTS
DOC DATE
❑ 501$ 1 9 D t
YYYYM M DD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCGO80000
%I CG D? 0,936 Date submitted 0 c — a D 100
CERTIFICATE OF COVERAGE NO. NCG08ff � O O
FACILITY NAME T,-G - +r mina,.,\ $ - kf x
COUNTY B U
PERSON COLLECTING SAMPLES X:) t r
LABORATORY e_r Lab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR ;D)C
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE --)
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per_month?uyes Ono
(if yes, report your analytical results in the table immediately below) r\L_
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable) G 1`C!,(P j_
❑ No discharge this period'
Outfall
No.
Date
,. Samp,le:Collected,
`mo/dd/yr'
.. 00530
00400
:• 00556
Total Suspended': ,
Solids;-mg/L'
pH, _
:Standard units -
Non -Polar Oil., nd Grease/TPH EPA
": Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 sez.permit'•
Within 6:0 — 9:0 =
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable) 5 e-,o--
Outfall "
No:
=Date
Sample Collected,:
mo dd r:1664
: 00556
00530
00400
Non -Polar, ba and:Grease/TPH EPA -Method`
(SGT=HEM), mg/L
T' VSuspended Solids
3 - : mg/L
PH,
Standard units
Permit,Liiiiit ' N
.. -
'15`
50 or l00 see permit
6.0 — 9A
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
paoc 1 or2

STORM EVENT CHARACTERISTICS:
Date 11 &first event sampled)
Total Event Precipitation (inches): •
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION a.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ No ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORNIIATION REPORTED:
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel property 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)
I1- a3-1$
(Date)
Additional copies of this form may be downloaded at: http1/portal,ncdenr.org/web/wd/ws/su/npdesswtttab-4
SIVU-25D
last revised April 1 I. 2913
Paue 2 of 2

En: irormentui
Quafrty
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidanceonftllingoutthisform,pleasevisith�,d n,:.g1:.3Er;ut.Ji�iiionit. ncrr -I11ii1,tr_Il•,IIII-
rcsoUr-mint:raI-I;Wkl-pCfS111[:__iU?flil'u;i[.Cf-�r1T11[.i:nl
Permit No.: NICIGIQI$I0I0/0I0I or Certificate of Coverage No.: NICIGI,1_I_I—l_lil
Facility Name: Ag G-TetmIncLIS,LLCIAALEX.L—I'C•
County: B U-C g Phone No. D p�, z3 ' 3� % - a _9 0 0
Inspector: D l ,n ",_�GC
Date of Inspection: 1
Time of Inspection: • Q a P m
Total Event Precipitation (inches): l 1
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page I of 2
SWU-242. Last modified 07128/2017

1. Outfall Description:
Outfall No. [ _ ___ Structure (pipe, ditch, etc.):
Receivin Strean -
e
Descr be the i� dustrial activities that occur within the outfall drainage area:
I? L1 e M cL r n anC 'L-
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: \e Y' `�� r O LrJ�q '� ► h `�
/
3. Odor: Describe ny 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 l is clear
and 5 is very cloudy.
C2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of Boating solids in the
stonnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
lJ 2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes ® No.
8. Is there an oil sheen in the stormwater discharge? OYes -0 No.
9. Is there evidence of erosion or deposition at the outfall? O Yes 0 No.
10. Other Obvious Indicators of StorniNvater Pollution:
List and describe O
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he
indicati•.e of pollutant exposure. These conditions warrant further investigation.

I. Outfall Description:
Outfall No. _a_ Structure (pipe, ditch, etc.): 1 �C-An
Receiving Stream: nn
De crib the ind stria) ac -vities that occur within the autfal] drainage area:
c- � e 'R c-4!�!,
? Color: Describe the color oft e discharge using basic colors red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: I04 Y-)-
3. Odor: Des
chlorine odor, etc.):
distinct odors that the discharge may have (i.e.. smells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clet�r
and 5 is very cl(Judy:
D 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where l is no solids and 5 is the surface covered with floating solids:
(D 2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is eXtremely muddy:
2 4 5
7. Is there anv foam in the ston-nvater discharge? Q Yes m No.
8. Is there an oil sheen in the storrrtwater discharge? UYes 4 No.
9. is there evidence of erosion or deposition at the outfal I? o Yes ® No.
10. Other Obvious Indicators of Storrnwater Pollution:
List and describe ! Vf 0 V) V-
iNote: Lon cl.erity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition rnay be
indicative of 1:o It. I'll Fit exposure. These conditions si•arr:urt further investigaiion.

&IRrOw6nrof u osh'c.
POST OFFICE 80X 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: A&G Terminals #001 COLLECTION DATE:
1112I2018
PERMIT #1: COLLECTION TIME.
13:09
ADDRESS: A&G Terminals RECEIVED DATE:
11/212018
P.O. Box 1790
RECEIVED TIME:
14:25
Hildebran, NC 28637
REPORTED:
11 /13/2018
A1VAL:YSIS
ANALYSIS ..
RESULTS
UNITS
DATE
ANALYST
pH ` >holding time
6.4
su's
1112118
lag
TSS
25.0
mg1L
1116118
jrg
Oil & Grease
<5.6 mglL 1119118 jdg
LOG ID: 1811-020 REPORTED BY: NC CERTIFIED LAB # 50
fk� ("
Tony Gra,,g, Lab Supervisor

POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: A&G Terminals #002 COLLECTION DATE:
11/2/2018
PERMIT #: COLLECTION TIME:
13:15
ADDRESS: A&G Terminals RECEIVED DATE:
11/2/2018
P.O. Box 1790
RECEIVED TIME:
14:25
Hildebran, NC 28637
REPORTED:
11 /1312018
4 ,,ANALYSIS . �;
r 4 �"+�.+
ANALYSIS
' . 'RESULTS
'UNITS." :
DATE.
- ANALYST '.
.-A
pH " >holding time 6.5
su's
1112/18
lag
TSS
29.0
mglL
1116118
jrg
Oil & Grease
<5.6
mg1L
11/9118
jdg
i
1
LOG ID: 1811-021 REPORTED BY: SIC CERTIFIED LAB # 50
fk ("
Tony Gragg, Lab Supervisor

WATER TECH,LABS,hic ..
5 Pinewood Plaza Drive -- P.O. Sox 1056
Granite Falls, NC 28630
Phone [phone] - Fax [phone]
CLIENT: A&G Terminals
P.Q. Box 1790
Hildebran, NC 28637
PHONE NUMBER: [phone]
TYPE SAMPLE: Storm H2O
No. LOCATIONS: 2
SAMPLER NAME: Dinah Cruse
EMAIL: [e-mail]
Sample Collection Information
TYPE
CONTAINERS
ANALYSIS REQUIRED
Sample Location
Facility Name
DATE
TIME
TEMP. o C
Grab/
Composite
No.
Plastic/
Glass
Outfall 001
1 I/a
'. L)
G
3
P& G
TSS, O&G, & pH
Outfall 002
a'
s
G
3
P& G
TSS, 0&G, & pH
Relinquished By:
�iko9L�.�
Date:
i
Time:
dSP,�
Recieved By;
i '-- / " 4111-144-�
Date:
Time:
Relinquished By,'
Date:
Time:
Received ByC61
Date:
Time:
, ESERVATION:
] -4°C - TSS, PH
ooi 40C - PH<2 w/ H 2 SO 4 - Oil & Grease
SAMPLE TEMP. @ LAB (°C)
IU0141N 149lIll lg0]11116.11=3E.1wil

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCG080000
Date submitted CD -A I — k
CERTIFICATE OF gVER4GE NO. NCG08 D Q Q /166-0 POT3
FACILITYNAME_�G ler, m%r,
COUNTY C °L
PERSON COLLECTING SAMPLES t 1r1 ,r e.
LABORATORY +e eLab Cert. #
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR )NO L
SAMPLE PERIOD N Jan -June ❑ July -Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE ->
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?Kyes ❑no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfall :
No.
Date
Sample�.Collected,
=mo/dd/yr-solids""""
00530
; 00400
00556^ '
Total Suspended
g/L -`
pH,
..Standard units . : <+`
Non-Polar,0il:and Grease/TPH EPA
4 :,;Me#h &1664 (SGT-HEM), mg/L
New.MotorOil Usage,
Annual average gal/mo
Benchmark
-
50 or-100 see permit =`
Within 60 - 9.0
:°-15"
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)* SLJ c o mma [' e5u.
Outfall.. Date 00556" ; - : 4..: ,,00530 00400
No.
Sample.Collected, '
..
Non -Polar Oil and Grease/TPH EPA Method
.5.-,. .. 5
=1664`(SGT.HEM); mg/L L•:.
„�TotafSuspended Solids,
;: .mg/�
;pH, ,
Standard units
Permit.Lirriit'
S0or.100'see"permit
6.0-9.&:
For sampling periods with no discharge at any single outfail, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11. 2013
Page I oft

STORM EVENT CHARACTERISTICS:
Date rJ_ I�-18 (first event sampled)
Total Event Precipitation (inches): •
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
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 11 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 (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised April 1 I, 2013
Page 2 of 2

c"n w.rnmrn tQI
Q�Iity
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit htip. ;:.:dr .nc..Tra�: a�uu[, dici;i� n�rzntr w-mineral-L[nJ
r,s�u[r_t,'�n�r,.-mineral•lan�1-�rntit;.";t��rmw:[[tr-perrrtit„n �lts-in�luarral-s�ti=tab-3
Permit No.: NICI-6IQISILI-010 0 / or Certificate of Covera e No.: NICIGI_I_I_I`I_I_I
Facility Name: I G -Tey- Ml Y\od5 , LL-C. A.Rx , i—I-G
County: n L-r
4
Phone No.
Inspector: _ 1 ) L n (I J 1 t- r U-S (-J_
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
- V _
(Signature of Permittee or Designee)
Page l of
SWU-242. Last modified 07/28/1-017

1. Outfall Description: Outfali No. l Structure (pipe, ditch, etc.): D 1 l
CAD
Receiving Stream:
Q.d S! rTp- XA - i - S ml Ies- rom Unry 50rk Q;yer
De`s�ritte,,the i dustria^l cti_vities that occur within the outfall drainage area:
1. !'.lit�-
2 Color. Describe the color of the dischar sic colors (red, brown, blue, etc.) and tint
(light. medium, dark-) as descriptors: L 1 �jLo
3. Odor: Describe ny distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
d. CIarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
Q2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
( i) 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
G 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes o No.
8. is there an oil sheen in the stormwater discharge? QYes ® No.
9. Is there evidence of erosion or deposition at the outfall? Q Yes 0 No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe Nfo n p_
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions tisarr:int further investigation.

1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.):
Receivina Stream:
D,ecr�i e the i;dustrial activ *ties that occur within the outfall drainage area:
2. Color: Describe the color of the dischar e u .sic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: V 1 � Sc'0 Wyn
3. Odor: Describrny distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): I 0 t 1 t�L
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy: ��
�l ] 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
storillwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
2 3 4 5 C
7. Is there any foam in the stonnwater discharge? Q Yes 4W No,
S. Is there an oil sheen in the stormwater discharge? QYes V No.
9. Is there evidence of erosion or deposition at the outfall? o Yes • No.
10. Other Obviou
s
Indicators of Stormwater Pollution:
List and describe IP
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These condition, 4varrant further investigation.

MR TER6TIECH musInc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: A&G Terminals #001 COLLECTIONDATE:
5118/2018
PERMIT #: COLLECTION TIME.
11:30
ADDRESS: A&G Terminals RECEIVED DATE:
5/18/2018
P.O. Box 1790
RECEIVED TIME:
16:00
Hildebran, NC 28637
REPORTED:
615/2018
x^ -
x 5»s- �� r e/{:'+"t .' .3. x
�/`i!Y/`i�
+�T:.'S"r
c
^'a; •'—si s: h�-�r'C+ark
e�77_11? wn � �' �
/,�1�
....,F -, .,,:,..
�' Grt �ry +,r f h:S,Srtj+'L'YJ�l�!l?4 �"£' ^'1�'Y•� ���i
ANAL�YSlS '
r,�..:i'�i„�d �,
: RESULTS UNITS _. DATE
4
a�
pH ' >holding time
6.1 su's
5118118
lag
TSS
8.2 mg/L
5/22/18
jrg
Oil & Grease <5.6
mg/L 5/25/18
jdg
LOG 1D: 1805-358 REPORTED BY: NC CERTIFIED LAB # 50
fo�("
Tony GraL—, Lab Supervisor

R TER6 TECH L RUS Inc.
POST OFFICE BOX 1056 • 1#5 PINEWOOD PLA2A DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: A&G Terminals #002 COLLECTION DATE:
5/18/2018
PERMIT #: COLLECTION TIME:
11:35
ADDRESS: A&G Terminals RECEIVED DATE:
5/18/2018
P.O. Box 1790
RECEIVED TIME:
16:00
Hildebran, NC 28637
REPORTED:
6/5/2018
r l� r 3 S r�.
d 4
ti y.. lr t� '.r , 'S it E 4 , 'k ANALYSIS `
;
`
.f'.` .sF,,,..f ...:,,� �s
.:Cti 9'�`•-.:v__.'_. -
_� ..Y+...,..
�.�-Y..;v.r.l�.:.a. is- Y.J
ANALYSIS _ RESULTS
'UNITS
DATE
ANALYST
pH ' >holding time 6.5
su's
5/18/18
lag
TSS 7.3
mg/L
5/22/18
jrg
Oil & Grease <5.6 mg/L
5/25118
jdg
LOG ID: 1805-359 REPORTED BY: NC CERTIFIED LAB # 50
fb� *
Tony Graga, Lair Supervisor

n f
5 rPinewood Plaza Drive • P.O. Box 1056
Granite Falls, NC 28630
Phone [phone] • Fax [phone]
CLIENT: 44 �-
'P� . N 4-C
P(). �3Vr- i-796
4c We- 94a- Jl Oc
�Lna.\@'Sl 'L m-px•co►rn
PHONE& $ 3 7
TYPE SAMPLE:
No. LOCATIONS: Z.
Z E rP3 "] SAMPLER NAME: b I �J A 9 CK- 146 e
SAMPLE LOCATION
FACILITY NAME
SAMPLE COLLECTION
SAMPLE TYPE
CONTAINERS
ANALYSIS REQUIRED
DATE
TIME
TEMP °C
GRAB !
COMPOSITE
NO.
PLASTIC !
GLASS
OL4W W
-(V
u3o
z 7-
(K-
.3
r Ss 0,46.,-,
it
0 35-
z z
.3
R LINQUI 3eED BY-
DATE:
TIME;
RECEI BY:
DATE:
TIME:
l(� r�>
RELINQUISHED B
DATE:
TIME:
RECEIVED at:
DATE:
TIME:
WPRSERVATION:
Cool 40C - BOD, TSS
Cool 4°C - pH<2 wl H2SO4- NH3
1 2
[ ] Cool 4°C - Na2S203 - Coliform Bacteria, NH3
Sample Temperature at Lab (OC) ,
1 - Chlorine Residual mgll
2 - Chlorine Residu
NC CERTIFIED LAB # 50

Water Tech Labs, Inc.
Invoice
PO Box 1056
5 Pinewood Plaza Drive
Granite Falls, NC 28630
A&G Temiinals
ATTN. Dinah Cruse
PO Box 1790
Hildebran, NC 28637
Date Invoice #
6/5/2018 65813
q�l..T�:�!•-�i1'4. ••'�`3.M1VKr1
P, O.'IVu ,
•t4i�:f •�'n'1 �=
�' T 2.1.
t✓'31'�ia'�'ui.i�
1- ee
-,lF�'Fw
Via
ii.
F` YO
' J
(^]�rstin�.:�Tu'YL} e
f
ttl
-
whip
4�� Y .i�
Due
6/5/2018
�i{�G•'fid'
un
Qattty
-
•�..�f,r�nfiE�T
1".�wG—if6-..b
Item {{'Code,.
,p
4 ��'. A
D� s p ion:
Pe Each.
t•..
°
.. - _
Amount
:u<,�z .
:.
�w�
,
STORJNI WATER ANALYSIS #001, 9002
SAMPLE DATE: 05/18/18
2
TSS
12.00
24,00
2
pH
5.00
10.00
2
OIL R; GREASE
50.00
100.00
A �..:
rI t, �w Phone #? r�Fax #11 ,! ° is
}I:4yG YCr ^I.rN•"
y. !1�� .. 56� w .i.. k 7 i,d; .. 1
.�r_�.. ,tip•^ti'..=�F'T..I siL'., �.• `.�}!. : ,...+xa �c �`�A,: t•.. �rii � t .W.,. H. �- �
828-396-4444 1 S2S-396-5761 I mist-vsmitb a, watertechlabs.com

Semi-annual Stormwater Disc harge_Monitoring, Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted — % f
c:>336 CG08 0 O CERTIFICATE OF COVERAGE NO�
. � �° SAMPLE COLLECTION YEAR
FACILITY NAME /� j= ' �� (r ,= c-7�'.N i,✓,1 L5 SAMPLE PERIOD ❑ Jan -June XJuly-Dec
COUNTY
i.�
PERSON COLLECTING SAMPLES nj �-7-72_�-
LABORATORY O L-14L �' M E�fr�- Lab Cert. tt 7 5
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
or ❑ Monthly'_._ (ajonth
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [:]WaterSupply ❑SA
❑Other
! i-� U ❑ PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CEP 1 4 �o No discharge this period
DwR ,
i;;S�ORA1Arini;:n E(",iori
0utfaII
No-
;Date`
Sample Collected;
., l o/dd/yr
`OD530 ' ` ,:
``"'00400`'.;
'zt(i0556
Total Suspended
S61ids;.rrig%L=:
' pH,
;.,Standard units::
Ndn Polar'Oi! and'Grease/TPN EPA
Methotl T664'(SGT H'ENi}, rrig%L
New; Motor 0!I`Usage;
Annual average gal/mo
Benchmark
-
'50 or l00-'see`pertfi •
Wit hin'6:0 '9:0
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?Ryes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall :
No.
; bate"
Sample Collected,
00556
00530=
00400
Nan' Polar Oil"and Grease/TPH EpA Method
1664 (SGT' HAM};'m>;%L ;=` ', _ =,�
;Total Suspended Solids,
r:; a,zr °mg/L4tiN a� 5;`s
pH,
a 5a. Staniiard"units
Permit Limit
"50 oc:{S00`see permit`
6.0_ 9:0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S'NU-250 last revised October 25, 2012
Page 1 of 2

_`TORM EVENT CHARACTERISTICS:
Rate S -L\ - I? (first event sampled)
Total Event Precipitation (inches): T
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
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 a 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, North Carolina 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)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdesswtttab-4
SWU-2 0 Inst revised October 2a, 20i 2
flaiue 2 ol'2

Y
A.�Iv`_T � I��
DEra■�qy
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For gtrrdrrnce on filling out this form, please visit: http hortal.nccicnr,nr j��eh jwq j4tis stl nndessw Ptah 4
Permit No.:
Facility Name:
County: 'a
cI k�
Inspector:
Date of Inspection: Time of Inspection: l
or Certificate of Coverage No.:
Total Event Prccipitatian (inches): 4
Phone No. �5'20 3/� —�J
13
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
XYes ❑ No
Please verify whether Qualitative Monitoring rntrst be per formed 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 °measureabie 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 pouf's (3 days) ill which no storm event lllea5llring 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 signattire, I certify that this report is accurate and complete to the best of illy kno%vledge:
(Signature of l'ermi-(tee or Designee
Page t of2
MU-M, 1.nsi moklfficd 10/25/2012

I . Outfall Description:
Outfall NO, i Structure (pipe, ditch,,etc,) D t
Receiving Streaiil: C(ry"J"-/"1 5T��CE7�f,-1 15 /m A2��rt i rt�� f=r7�lc R c✓
Describe the industrial activities that occur within the outfall drainage area:
V5z'rf[.'--- 1?I.,t.j �
2. Color: Describe the color of the discharge using basic colors (red, brmwL blue, etc.) and tint
(light, nieclimn, dark) as descriptors:
3. Odor: Describe any distinct odors that he 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.
(D 2 3 Zf 5
S. Roating Solids: Choose the number which best describes the amount of Floating solids in
Me storm Water discharge, where 1 is no solids and 5 is the surface covered With floating solids:
1 2 3 4 5
G. Suspended Solids: Choose the number Which best describes the aniount of suspended
solids in the stormwater Ischarge, where 1 is no solids and 5 is extremely nuAdy:
0 2 3 ZI 5
7. Is there any foam in the storjuwater discharge? Yes
83 Is there an oil sheen in the stornrwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall"?
10. Other Obvious Indicators of Stormwater Pollution:
List and descdbe
No
rN
ONO
Yes
Mote: Low clarity, high solids, acid/or We presence of foam, Al sheen, or erosion/deposition
nmy be indic:ftive of uHutantesposure. These conditions warrant further invest gwHon.
I4ge 2 4

1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc)
r-
i:eceiving Stream; X
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:
L % 6-- H— 6>PCWAJ_-..
3. Odor. Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weal: 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: Di
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:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater dischame, where 1 is no solids and 5 is extremely muddy:
1 J 2 3 4 5
7. Is there any foam in the storrrrwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Storrnwater Pollution:
List and describe
Note: l,ow clarity, high Solids, and/or the presence of foam, oil sheen, or erosion/deposition
rimy be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 (if 2
5%V11-21 12. L;i!,t MOdill-�ii 10/?5/2'r) 12

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client: MFX
PO Box 1790
1 lildebi-an, NC 2807
Attention: Nlj-. Allen Deitz
blueridgela bsienoirftma il.com
Date Received:
I I -ALI(JC)-17
Report Date:
06-Sep- 17
Sailiple Date:
I I -Aug- 17
C,
BRL-2017-0627
Lab Sample ID:
I-SID-2017-02306
Client Sample ID:
Olitfil I 19 1
ArmlYsis
Analysis
Parameter
Result MQL
Unit Method Time
Darr
TSS
16.4 10
ni3O 2540D 1997 16:53
8/161,210 17 l'C. I
PH
4. 8 1AT OA
SLI 45001-H-13 200 14:52
S! I if'2017 K(J
Reported By.
S. J. himson, D.R. Wessinger
Concentratimis ;Ire clow Minimum Quantific"Itioll Limit except where noted.
NC I-Atwatory Certificate No. 275
Ilaoe I of'4

Blue Ridge Labs
PO Box 2940
Lenob-, NC 28645
828-728-0149
Client: MFX
110 Box 1790
Hildebran, NC 28637
Attention: Mr. Allen Deitz
[e-mail]
Date Received: I I -AUg-I 7
Report D-.-te: 06-Scp- 17
Sample 1).,11c: I I -A (n, - 17
L,
BRL 4: BRIA017-0627
Lab Sample 11): I-SID-2017-02309
Client Sample 11).
Result MQL Unit method
1664-A O&G
CIIII. Grt,.LisL�
Analysis Analysis
Time Date e
17
Reported 0'.:
sm"el,
areion Limit except where noted.
rwlow
NC Lubor-atory Ccrtill'itute N o. !- 75
[,%tot' ,t Of -,I

WATER QUALITY LAB & OPERATIONS, INC.
P.O. BOX 1167
BANNER ELK, NC 28604
[phone]
CLIENT: BLUE RIDGE LABS LOGIN TIME:
ADDRESS: P,O. BOX 2940 SAMPLER:
CITY: LENOIR RECEIVED DATE:
STATE: NC ZIP 28645 REPORTED DATE
ID#:
5-Sep-17
ANALYSIS.
:.
' LSID.# .:ANALYSIS
RESULTS.
. MQL's.
. '.
UNITS ..
:.SAMPLE.:
LOCATION:::
ANALYSIS
DATE ...
•: INT....
OIL & GREASE
2192
<5
5.00
MG/L
31-Aug-17
PI
OIL & GREASE
2195
<5
5.00
MG/L
31-Aug-17
PI
OIL & GREASE
2198
<5
5.00
IVEG/L
31-Aug-17
PI
OIL & GREASE
2307
<5
5.00
1 MGIL
31-Aug-17
PI
OIL & GREASE
1 2309
<5 A
5.00
MGIL
31-Au -17
PI
OIL & GREASE
2354
<5
5.00
MG/L
31-Aug-17
PI
OIL & GREASE
2439
8.1
5.00
MG/L
31-Aug-17
PI
OIL & GREASE
2442
<5
5.00
MG/L
31-Aug-171
PI
OIL & GREASE
2444
<5
5.00
MG/L
31-Aug-17
PI
OIL & GREASE
2446
<5
5.00
MGIL
31-Aug-17
Pf
REPORTED BY: NC CERTIFIED LAB # 544
PAUL ISENHOUR, SUPERVISOR

Blue Ridge Labs
PO Box 2940
Le►roir, !\'C 28645
828-728-0149
[e-mail]
Data Qualifiers
The following is a list of data qualifiers used on Blue Ridge Labs' Reports. Any of the
qualifiers may make the data unacceptable for state reporting. Data qualifiers are
found in the results column and their definitions are as follows:
* The concentration found is below our minimum concentration value, which is
reported in the MOL column.
*** The concentration reported is an estimated value. The result is above our
highest standard.
HT The sample was received out of hold time.
IC The sample was received in an improper container.
NC The sample was received without proper cooling.
^:;NP The sample was received without proper preservatives.
,;IC The sample was received in an improper container.
HS The VOC container was received with headspace present.
NR The sample was not run due to lab error.
UC Unable to confirm analysis due to insufficient sample being submtted.
1) Sample was dialed due to physical problems with the sample,
J Value is an estimate from a library search using the nearest internal standard.
NCA Non -certified Analysis
Revised 10121/ 16

NI'DS Reporting Groundwater
Report
Blue Ridge Labs, Inc.
P.O. Box 2940
Lenoir, NC,28645
Telephone [phone] Fax [phone]
Chain of Custody
Sanitary Landfill Hazardous Waste Industrial or QC
UST/Trust Fund Reporting
Bill To:
Field
Project Name:
PO Number:
Ice Present: Y N
Preservatives Lab Check
Non State Reporting
C-Composite
G- Grab
Sample ID
Sample
Type
Date
Time
Time &
Temp
HR:MM
°C
Field
Sulfide
Check
I Y N
Field
Sulfide
Present /
Removed
Y tN'
Resid
Chlor
Field
Check
Y NY
Field
Dechlorination
N
pH
Resid
Chlor
P o r A
Temp
°C
Sampler
Initials
Analysis Requested
��f�
moss �1
I
Relingt �� v: Date: 11,inie:
8L� AL-K—
Re ` e y: Date: Tittle:
Miff i 7
Upon ;ubmisiOrl nr,tmtnies. client agrees that invoice; are doze at the time work is completed. Open accounts Zile due 20 daN s rollowing invoice date. A finance charge of" 1.5° per month will be illlrtlsed on all Pardue accoutus.
Wkil relmiluisiain to Ixiue Riche Labs {131;L), hu}cr authorizes HRL to perlorm orals the analysis indicted above ;and also agrees to Pay collection .and artomey lies irtFre account become. delinquent. Blue Riche Labs
reserves the ri_ht In deny documentation roe mtv work uherc pavarteat has not been made, in effect rendcrire that data unsupported rur reaulator- purposes- 13R1, cannot guarantee that any repilatory authoritc will accept anv %%mk
submitted, theretirre it ir; the chcnl's re;pnnsihihty ro request on this litrm appropriate tests NU DEER Ccrtit'xd I.ab 427�

4k 'r
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
IV C 0 C�> Date submitted
030
CERTIFICATE OF COVERAGE NO. NCG08 0 0 0 10 SAMPLE COLLECTION YEAR oC 1 '7
FACILITY NAME /)I F>< / A-i 6^ Z-5- SAMPLE PERIOD Jan -June [:]July -Dec
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY RL-LiC— Ri()&-5
Lab Cert. # 2) -7
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
mcut I or L_j Monthly' — (month)
DIAPING TO CLASS [:]ORW [:]HQW [:]Trout
MAY 0 a E:]Zero-flow E:]Water Supply
CENTRAL[:]Other
FLtS
DWR SECTION
PNA
PLEASE REMEMBER TO SIGN ON THE REVERSE
F-1 No dischorae this veri
0 6 ff6 11
Date<-005 Z�
0 0
-4-
_!'T �ISuspen ei 6t
ME"
_T1114 cease
Po 660 G
de 01 1 U sage
No— ­,;t7r.
t�!Sariipld`�C6116 'dr
trio'd
- A 4
T Meth6d,
a�d;
._A664, _q U,?
JS
;,-,Annu6IFavers g g mb"
B�h
or.: -seelperr61,
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?X Yes —no
(if yes, report your analytical results in the table immediately below)
C
D
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
,,outfall �
'F.I. " � � " 2. — - , �r
0 5
w�0 00��
.0 04 00.
_
No
, , - � !
---
SampleCollectedT6ta
".LNon-Pol i:Oil'
a
——l. _iyd'V&-1
:SUsoen e 1So1ids,;:i.T­
pH
tj 1664 ,(S 6 V,#E M'_
si�, iard"nits
M
'u
Permit Limit'
-�Sffoe :see--,permi
C60 i
_6� 90
;Y
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-2-50 last revised Octobcr 2
Page
,2012
I or2

-`-TORM EVENT CHARACTERISTICS:
Date '3 -� (first event sampled) E
Total Event Precipitation (inches): I. 67
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
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 ANY ONE OUTFALL? YES F] NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one col2v of this DMR including all "No Discharge"
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 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 perso:
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)
s j-�
(Date)
Additional copies of this form may be downloaded at: httpl(portal.ncdenrr,org/web/wq/ws/su/npde5swtttab-4
W,
S\VU-250
last reprised October 15, 2012
Pale 2 01 I

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htti);//1)01'tal.ncclenr•.Ol'g/web/W(t/ws/su/npclessw4tal)-4
Permit No.: N/C/6�/P/3/
Facility Name: AEA
or Certificate of Coverage No.:
County: cr,QfC�Phone No. =2-a ti ��) —�J
Inspector: ZZAIZrc
Date of Inspection: — 3 - 1-7
Time of Inspection: f :L
Total Event Precipitation (inches): ( 0
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
%Yes ❑ No
Pleuse 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 hofu s (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 perrnittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the perrnittee
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:
(Signature of Permfftee or Design
Page 1 of 2
SWU-242, Last modified 10/25/2012

1 . Outfall Description:
Outfall No. i Structure (pipe, ditch, etc.) t G
Receiving Stream: U0/V yrfP,0 5F4E?fry I - nrrem Fp-z yj f4r!?��Z
Describe the industrial activities that occur within the outfall drainage area:
I/I�FfrGL.� �rN�lA-N-r
2. Color: Describe the color of the discharge using basic colors (reel, 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.): _ _� _..
4. Clarity: Choose the number kvhich hest describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 S
5. Floating Solids: Choose the number which best describes the amount of floating solids ill
the stornmater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount Of Suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely rlluddy:
1 2 3 4 S
7. Is there any foam in the stormwater discharge? Yes No
S. is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes ONO
to. Other Obvious Indicators ol'Stormwater Pollution:
[.ist and describe
Note: Lo%v clarity, hitih so]ids, and/or the presence of foam, oil sheen, or erosion/deposition
miry be indicative of pollutant exposure. These conditions warrant further irlvestigatioil,
11�wc 2 of 2
S'NII-242, l,astnIC�I&ed 1I''

OutfalI_Descri p Lion.
Outfall No. Structure (pipe, ditch, etc) r <�
Receiving Stream: Lf����c ( 5 /his f-�.�� �/+ei %v�CR�✓Z
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, grown, blue, etc.) and tint
(light, medium, dark) as descriptors:
4M, + jt
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:
(13
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:
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:
1 2 3 4 5
7. Is there any foani in the stormwater discharge? Yes C No
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Yes
DNo
DNo
Note: how 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.
llaoe 2 of 2
Swill-2-12, Last modirted 10/25/20 12

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
[e-mail]
Client : MFX
PO Box 1790
1-lildebran, NC 28637
Attention: Mr. Allen Deitz
Date Received: 03-Apr-17
Report Date: 26-Apr-17
Sample Date; 03-Apr-17
BRL 4: BR1,-2017-0192
Lab Sample Ill: LSID-2017-00801
Client Sample ID: OUtfall l
Analysis
Analysis
Parameter Result MQL
Unit Method Time
Date Anulyst
TSS 14.2 5.6
mg/1 25401) 1997 16:30
4/7/2017 KCJ
PH 6.7 HT 0.1
Su 450011a-13 200 16:02
4/3/2017 KCJ
Reported By:
S. J. , son, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page l of 4

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client: MFX
110 Box 1790
1-111debran, NC 28637
Attention: Mr. Allen Deitz
Date Received:
03-Apr-17
Report Date:
26-Apr-17
Sample Date:
03-Apr-17
BRL 4:
BRL-2017-0192
Lab Sample ID:
L.SID-2017-00802
Client Sample Ill:
Outfall 1
Parameter
Oil & Grease
Reported By:
Result MQL Unit
[e-mail]
Method
* 5 mg/l 1664-A O&G
S. J. son, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 4
Analysis Analysis
Time Date Analyst
412612017 WtrQltN

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client :
MFX
PO Box 1790
1-111debran, NC 28637
Attention:
Mr. Allen Deitz
Date Received:
03-Apr-17
Report Date:
26-Apr-17
Sample Date:
03-Apr-17
BRL #:
BRI.-2017-0192
Lab Sample ID:
LSID-2017-00803
Client Sample ID:
Outfall 2
Parameter's
Result MQL
TSS
50.6 5.6
PH
T7 HT 0.1
Reported By:
[e-mail]
Analysis
Unit Method Time
nag/i 2540D 1997 16:31
su 450011-B 200 16:04
S. ohnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboralory Certificate No. 275
Page 3 of 4
Analysis
Date Analyst
417/2017
4/3/2017

•A
• ... it � ` _ .'7. •'�
�)
f• 4'

Blue Ridge Labs
P4 Box 2940
Lenoir, NC 28645
828-728-0149
Client:
MIX
PO Box 1790
I-lildebran. NC 28637
Attention:
W. Allen Deitz
Date Received:
03-Apr-17
Report Date:
26-Apr-17
Sample Date:
03-Apr-17
BRL 4:
BRl-2017-0192
Lab Sample Ill:
I_SID-2017-00804
Client Sample ID:
Outfall 2
Parameter Result
Oil & Grease
[e-mail]
Analysis Analysis
MQL Unit Method Tine Date Analyst
* mg/l 1664-A OR.G 4/26/2017 ti trC)lty
Reported By:
S. J. nson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 4 of 4

WATER QUALITY LAB & OPERATIONS, INC.
P,O. BOX 1167
BANNER ELK, NC 28604
[phone]
CLIENT: BLUE RIDGE LABS
ADDRESS: P.O. BOX 2940
CITY: LENOIR
STATE: NC ZIP 28645 REPORTED DATE
I D#:
26-Apr-17
ANALY515 `:':::::::::>:
...........:..:....::.
` LSID.# . .
.:
ANALYSIS
....... ... .... ...
RESUII TS:::..
::'MQL'.s:;
.
.:.:..:...
: UNITS.::::iSAMPLE:::ANALYSIS
.
:
LOCATION
... ..
.:. DATE .........
:::;`INT`:::
,.. .
....:
OIL & GREASE
802
<5
5.00
MG/L
26-A r-17
PI
OIL & GREASE
804
<5
5.00
MGIL
26- r-17
PI
OIL & GREASE
885
<5
5.00
MGIL
26-A r-17
PI
OIL & GREASE
888
<5
5.00
MGIL
26-A r-17
PI
REPORTED BY: NC CERTIFIED LAB # 544
walml my.
PAUL ISENHOUR, SUPERVISOR

r r..1...,. ;
NPDS Reporting Groundwater
Report To:
XjG-MI�i'�'� S
Blue Ridge Labs, Inc.
P.O. [lox 2940
Lenoir, NC: 28645
Telephone [phone] Fax [phone]
Chain of Custody
Sanitary Landfill Hazardous Waste
UST/Trust fund Reporting
Bill To:
Industrial or QC
LL Project Name:
PO Number:
Ice Presem: Y N
Field Preservatives Lab Check
Non State Reporting
C-Composite
G- Grab
Time R
l
Field
Resid
Temp
Field
Sulfide
Chlor
Field
Sample IID
Sample
Date
Time
Sulfide
Present /
Field
Dechlorination
pH
Resid
Temp
Sampler
Analysis Requested
Tvpe
HR:N4NI
Check
Removed
Check
Chlor
°C
Initials
°C
Y N
Y N
Y \r
Y N
PorA
_
I
_
/)1 ►► .
I
l
l
RehnquVI
'she Date: 'Time:
c ived By ' ate:' Time:
3�a�m
Upon suhniissson ofsanplcs. diem a_-ees that invoices are due at the time «ork is complete(;. Open aeeouita are cite _'fit dais following invoice date. A finance charge of i.`% per month will be imnowd on all patJUe accounts.
When r_iinquishing samples to Blue l6d2C labs (RRL), buyer authorizes RRi. to lie-forin only the analysis indiutcd above and also agrees to pay collection and attornev fees if the account become, Jeiinyuent. Blue Kidge Lab:
rescrv,s ree ri4ht to deny docurnewarion tin any work where payment has not been made, in efl'ect rendering that data unvupported flor regulaLor,, purposes. BRL cannot guarantee that any regulatory authority will accept any wori,
subrniacd. iherefii,e ii is the dieru's tesponsibili;v to request on ibis fotnt appropnw tests. NC f)FNR Certified I.nb »275

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
�3Date submitted
a
CERTIFICATE OF COVERAGE NO. CGOS n d 0 -C%
FACILITY NAME j=h�* G "�c"7�.rr �.✓,=� Ls
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY f� L 6t L`— iIJ[, Lab Cert. t#
Comments on sample collection or analysis:
:2 7 $7-
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR
SAMPLE PERIOD ❑ Jan -June [)'July -Dec
or ❑ Monthly' (month)
����I HARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
SEP 2 1 Z016 ❑Other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE �
DWR SECTION
❑ No discharge this period'
Outfall
No._
Date'
SarhpI Collected'
:mo dd/` r
Y
=00530 "_
_., , 004000
To_ tal:Suspended
<Solids .rri !~
E;/
' � pH; a
3 {;5tandard units
Non-Polari0il and Grease`/TPH EPA
Methodl`664 5GT.HEIVI m - L a
t �.. g/
New Motor Oil Usage, -
Annual a�era a al mot-
I; g /
Benchmark
or: 50 .100 see`permit
v . Withiri'6i0
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?X yes
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
no
lr /fc� r'2c5G r L-7:S'
'Outfali•': ;
No.
:Date
Sample C611ected
i ,00556
:00530
00400
;Non=Polar Oil and Grease/TPH EPA Mlethod
1664 S
To�tsal'Suspended Solids,
k
gjii6/dd
L
pH,
_
nca
rd'uhits
Permit Limit
-
-.
'-15A
•
-_. , i ;50`"or;.100'see'p+errTtlt
- 6' 9:0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S1VU-250 last revised October 25, 2012
Pige I of 2

f•TORM EVENT CHARACTERISTICS:
Date 510-14 (first event sampled) 0
Total Event Precipitation (inches): a 7
Date (fist each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART b MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li 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 oreceipt 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
1G17 Mail Service Center
Raleigh, North Carolina 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 significzint penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
9 -- /9-l�
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250
last revises! October 23, 2012
Page 2 o1'2

Semi-annual Stormwater Dischar a Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted c1- 1 !o
a o I,L
CERTIFICATE OF COVERAGE NO. CG08 O O 0 Q y� ��v SAMPLE COLLECTION YEAR
FACILITY NAME /)i F I-r Cr �..; 1,</R LS SAMPLE PERIOD fo Jan -June ❑ July -Dec
COUNTY 8 c.IvQEC e _
PERSON COLLECTING SAMPLES -/D/
LABORATORY G L- L4C R iOC—i�F Lab Cert. # x 5
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
or ❑ Monthly' Lmonth2
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
RECEIVED PLEASE REMEMBER TO SIGN ON THE REVERSE
MAR 0 2 2016
❑ No discharge this period'
CENTRAL FILES
DWR ACTION
Outfall x.
s"� ;,Date 4'
.,00530i-=
00400
r 00556
n
No sr
ry,
.Sample,Collected,z
Total•Susperided
4 {
_Nan Polar Oil and Grease/TPH°EPA
. New Motor Oil Usage,
_•v .y # PF t `r'��av
'„�i ^F r sa��F• n?'.v.r:7ro:
v -- b F -C
oli q
RpH,
•x r-r ..i;-��� I
T"!�.-:?{.Yra r,. • - r > - .�; _
(SGT-HEM);
Annual
3ti
is ,tti L�
S " g/
,=5t6hdard•units 4>.,
r.. ,G.
;;,Metf�od:1:664 mg/L
average gal/mo
�. ' " 1
50:,or'100 permit:
Wtthin 6 0 :9:0
` ;t
1Benchmark
1 _
see
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?X yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
00400
L,Sample;Collected
Polar Offand, Grease/TPH EPA Method '
Total Suspended Solids
I;yf
pH,
Now
'iir•-. ,1i�y S��i
4
rI. L'�. �. �f`. 'S-i
»rNon
s*h��w'_w'r d.. 1+ �Y __ IrlAl.:a �; �`i. ;1, ..�s'�„ y1 7.+ 1�{
,aF -A. Y6 4 w- _�s� •
b�'
Standard
units
,Kermit Ltmit
*' -`''
a t
or.100aee`permit'
6.0-9.0
.;15
For sampling periods with no discharge at any single outfail, you must still submit this discharge monitoring report with a checkmark here.
S'NU-250 last rcvised October 25, 2012
Pa(c I of 2

`,TORM EVENT CHARACTERISTICS:
bate 7 (first event sampled) ll
Total Event Precipitation (inches): I
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30_days of receipts the lab results (or at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQCentral Files
1617 Mail Service Center
Raleigh, North Carolina 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 responsib4e 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)
Ot L ��f4
(Date)
Additional copies of this form may be downloaded at: http:J/portal.ncdenr.org/web/wq/ws su/npdessw#tab-4
SWIJ-250
last re iscd Octobcr 2j. 2012
Pa0c 2 01,2

AJV1
KDE R
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on fillinct outthis form, please visit: }ltr 7: �1701'r�I.ilCllefll'.S1r J ��'e17/�vci/�ti's/su/npciessv, #t�h 4
Permit No.: NIQ16: D/ , / G/ ,g-) [_�/ o - Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Facility Name: A
County: -e Phone No.
Inspector: rG Z
Date of Inspection:
Time of Inspection: ~ AM /4A�-L
�c
Total Event Precipitation (inches): C� I 1
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitutive Monitoring must be performed during a "representative storri7
event" or "rneasureoble storm event" (requirenwnts vary, del7erndirlq 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,
E some permits do not have this requirement. Please refer to these definitions, if applicable. EE
I I
i A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
iand 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
3 prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter j
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWO Regional Office.
13y this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Perm4ee' or Designe
Page 1 of 2
SM-242, Last modified 10l2 5/2012

I . Outfall Description:
Cutfall No. 1 Structure (pipe, ditch,,etc.) t
Receiving Stream: GfIJNI�7u00 S�.�r�74rve C' I � lYlrc�S 11042 t$?&Q aeK R (✓.V
Describe the industrial acd%ides that occur within the outfall drainage area:
2. Color: Describe the color of the discharge usinhaca on (red, brown, blue, etc.) and first
(light, medium, dark) as descriptors: L�1G.W
3. Odor: Describe any distin t actor' hat Lite discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): AID
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
(:911)
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, kv}iere 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormkvater discharge, where 1 is no solids and 5 is extrernely muddy:
10 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"?
10. Other Obvious Indicators of Stormwater Pollution:
At and describe
Yes
Na
Na
DNo
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.
loge 2 or 2
ST14241 Last madffed 10%2V2012

I. Outfall Description:
Qutfall No. Structure (pipe, ditch, etc,) r : t4
Receiving Stream: W-' i-,/rrt�i *fxr 3 /J� / 5 l .�r� j ,t'l %y'4zC JQ1
Describe the industrial Activities that occur Within the outfall clrainage area:
I;P'I Ry.v rt��irfi
2. Color: Describe the color of the discharge using
(light, mediL1111, dark) aS deWript0rs:
is colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., shells strongly of oil,
weak chlorine odor, etc.): A)b
4. Clarity. Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
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
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall?
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
�No
No
No
Yes
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SwU-242, last modified 10/25/2012

.Blue .Ridge Labs
PO Bo_r 2940
Lenoir, NC 28645
828-728-0149
Client:
Attention:
Dale Received:
MFX
110 Box 1790
I-Iildebran, NC 29637
Mr. Allen Deitr
03- Feb- 16
Report Date: 16-Feb-16
Sample Date: 03-17eb-16
BRI. #: BRL-2016-0051
Lab Sample ID: LSID-2016-00220
Client Sample ID: OM11,11 1
blueridgela [e-mail]
Analysis Analysis
Parameter Result MQL Unit Method Time Date
TSS 43 5.3 mgA 2540D 1997 14:16 2/9/2016
PH 7.7 HT 0.1 Su 45001-1+13 200 12:45 2/3/2016
, .arm-'�.�'s•�'
Reported By:
S. J. , hrkson, MR, Wessinger -
Concentrations are below Minimum Quantificalion Limit except where noted.
NC Laboratory Certificate No. 275
Page I of 4
Analyst
KCJ
KCJ

Blue Ridge Labs
PO Bov 2940
Lenoir, NC 28645
828-728-0149
Client :
MIA
PO Box 1790
Hildebran, NC 28637
Attention:
Mr. Allen Deitz
Date Received:
03- Feb- 16
Report Date:
16- Feb- 16
Sample Date:
03- Feb- I6
HRL #:
BKL-2016-0051
Lab Sample 1D:
LSID-2016-00221
Client Sample ID:
Outfall 1
Parameter
Result MQL
Oil &, Grease
* 5
[e-mail]
Unit Method
mg/l 1664-A O& G
Analysis Analysis
Time Date Analyst
2/8/2016 WtrQlly
�'',.r�
Reported By:
S. J.'Lts'hnson, U.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 4

Blue Ridge Labs
PO Bor 2940
Lenoir, NC 28645
828-728-0149
Client: MIIX
PO Box 1790
Flildebran. NC 28637
Attention: Mr. Allen Deilr
Date Received: 03-I=cb-16
[e-mail]
Report Date:
16- Feb- 16
Sample Date:
03- Feb- 16
lilts, #:
BRL-2016-0051
Lab Sample ID:
LSID-2016-00222
Client sample ID:
outran 2
Analysis
Analysis
Parameter
Result MQL
Unit Method Time
Date
TSS
36 5.2
m4g/l 254OD 1997 14:17
2/9/2016
PH
7.7 FIT 0.1
su 450014+13 200 12:47
2/3/2016
Reported By:
S. . d{ I son, D.R. Wessinger
* Concentrations are below Minimum Quantification limit except where noted.
NC Laboratory Certificate No. 275
Page 3 of 4
Analyst
K0
KCJ

Blue Ridge Labs
PO Bur 2940
Lenoir, PVC 28645
828-728-0149
[e-mail]
Client :
MIIX
PO Box 1790
Hildebran, NC 28637
Attention:
Mr. Allen Deitz
Date Received:
0')-Feb-16
Report Date:
16-Feb- 16
Sample Date:
03-Feb-I6
BRL #:
13RL-2016-005 1
Lab Sample 11):
I.SID-2016-00223
Client Sample 11).
Outfall 2
Analysis Anal1'S]S
Parameter
Result MQL Unit method Time Date Analyst
Oil & Grease
* ] nig/I 1664-A ORG 2/8/2016 WtrQlty
s
Reported By: 'r,,>.
S..1. �l i son, D.R. Wessinger
* Concentrations are below Minimum Quantification limit except where noted.
NC Laboratory Certificate No. 275
Pa-e 4 of 4

WATER QUALITY LAB & OPERATIONS, INC.
P.O. BOX 1167
BANNER ELK, NC 28604
[phone]
CLIENT: BLUE RIDGE LABS
ADDRESS: P.O. BOX 2940
CITY: LENOIR
STATE: NC ZIP 28645 REPORTED DATE:
I D#:
10-Feb-16
ANAEY$I$::`:::::::.::::::: ,
:.::LSID:#::
...::RESULTS:......
ANALYSIS
::.M.QL% .:
`: UNITS:::T::SAMPLE::ANALYSIS':":::::
.,
.. .. .......
LO.CATION
:�.. DATE ...
INT::::;.:
: .
OIL & GREASE
121
6.3
5.00
MG/L
8-Feb-16
PI
OIL & GREASE
140
13.8
5.00
MGIL
8-Feb-16
Pi
OIL & GREASE
143
<5
5.00
MG1L
8-Feb-16
Pf
OIL & GREASE
221
<5
5.00
MGIL
8-Feb-16
PI
OIL & GREASE
223
<5
5.00
MGIL
8-Feb-16
PI
REPORTED BY. NC CERTIFIED LAB # 544
p�
PAUL ISENHOUR, SUPERVISOR

NPDS Reporting Groundwater
Remr:
Blue Ridge Labs, Inc.
P.O. Box 2940
Lenoir. NC 2864
Telephone [phone] Fax [phone]
Chain of Custody
Sanitary Latldfill Hazardous Waste
UST/Trust Fund Reporting
Bill To:
Field
industrial or QC
Project Name:
110 Number:
Ice Present: Y
Preservatives Lab Check
Noti State Reporting
C-Composite
G- Grab
Sample ID
I
Sample
I)'pe
Date
Time
Time &
Temp
HR:!NlM
°C
Field
Sulfide
Check
Y N
Field
Sulfide
Present /
Removed
Y N
Resid
Cltlor
Field
Check
Y N
Field
Dechlorination
Y N
pH
Resid
Chlor
PorA
Temp
°C
Sampler
Initials
Analysis Requested
ou7 L i
j
;yv�
Oq r. LL
I/ SC
//
I
t
linquisl d By: Date: 1'inie: ]Zee y: Date: "Time:
Lpnn tiuhntis;inn rf;atr}ples. client ae¢�c> that im'oiccs ttre due at the time ti+ork is computed_ Open accnurtt; arc duc 20 daps lirllowzt_= imvoict daft'_ A finance char--e ol' 1.5per month kill he irtipo;cd on all IM-dUe accnunts.
`when relinquishing santpics ur Blue Ridee Labs (RRI.j. bu\cr authorize; BR1. to perform only the analvsi; indicated aboveaJ also a2recs In pav collection zo d attorne\ lees it the account hecomes delingttcrst_ Rlue Ridflc Labs
rc;cr cs the right 13 dery docuntentaGon for any work where payment has not been made. in cllcct renderinu that data unsupported fiu re2111;uor' purposes. BR1. cannot nmrantcc that am' regulatory authority will accept any work
suhmilteti. therefore it i; Jtc clicnt's responsibililk. to request on this titan apl:rolmaie tests. NC DI:NR Certified Lah "27�;

Semi-annual_Stormwater Discharge -Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
� + Cc 00TDate submitted
CERTIFICATE OF COVERAGE NO, f �JCGO8 D a Q 0
FACILITY NAME / �= G- Z s
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. 4
Comments on sample collection or analysis:
c✓
� 2 -7
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE COLLECTION YEAR Z�z0 J S
SAMPLE PERIOD X Jan -June ❑ July -Dec FV2
or ❑ Monthly' (month'
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
RECEIVED ❑Other
JUN 15 2015 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
DWR SECTION ❑ No discharge this period'
Outfali
No.'
„
`Date. -
r ,.
Sample_Col[ected;
'OOS30 `
00400
-,00556 _,
Total -Suspended, •'
Solids,,riig/L.. , ,
pH;
z Standard units
Non'-PvEa'r.0il and;Grea'se/TPH SPA
_ .; -
Method; 1664.(SGT HEMj,"ritg/L ;..
New Motor Oil Usage,
='Annual average gal/mq
.BencFim6rk
-50'6'r;100 see permit::
. Within 6-0 - 9.0
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?X yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
Outfall ,:
No
;Date
Sample Collected,
-:°mo/dd/,yr.
00556 -
; 00530 ;-.:
00400
Non Polar Oil and'G'rease/TPH-EPA'Method '
�,_ ._ 1664-(SGT�HEM);'Yiiia. ,•,r
=:Total _Suspended Solids,
'r•:;` mg/L >:..:.; � :
,. pH,
{y Standard units
pernittLimit`
-.
- 15 % -
50.6r.100aee; permit=
6.0 -• 9.0
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S1,VU-250 last rvvisc:d Oczohcr 25. 2012
Pa,r I o f 2

,F.TORM• EVENT CHARACTERISTICS:
Date 50-2*3 (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCE$ 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 ANY ONE OUTFALL? YE5 M NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cony of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lob results for at end of monitorina period in
the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 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)
�` iZ-(5
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wgZws/su/npdesswtftab-4
SWU-25Q
last revised Ocluber 25. 2012

NPDS Reporting _ Groundwater
Blue Ridge Labs, Inc.
P.O. Box -1940
Lenoir. NC 28645
Telephone [phone] Fax [phone]] 1
Chain of Custody
Sanitary Landfill Hazardous Waste Industrial or QC
UST/Trust Fund Reportingo
B i I I 'I-o:
Field
Project Name:
PO Number:
Ice Present: Y
N
Preservatives Lab Check
Non State Reporting
Sample ID
Sample
Type
Date
Time
Time &:
Temp
HR:M!{
°C
Field
Sulfide
Check
Y N
Field
Sulfide
Present /
Removed
Y N
Resid
Ch!or
Field
Check
Y N
Field
Dechlorination
Y N
pH
Resid
Chlor
PorA
Temp
°C
Sampler
Initials
Analysis Requested
wow-�
rw
07/n-
v
SS
I
I
I
1
FT1�:
elitldu spled . Date: Time: Rec Da e: Time:
Upon suhnti.<>ion ot'sample;. clicnI agrees Thal invoices are due al the tiitZc work is completed. Open accmunis arc due 20 days follotein_ incoicc date. A linancc chase o1 1 .?`:b per nwnth will he imposed on all pAue accounts.
When relinquisltin' ;ample; !o Rtuc Ridge Lab; ([iRl_}. huver authorirc, BRl. to periurin onl}' the weak si; indicated ahoy and also agree; to hay' ccillrclimn and au0010' tec3 the account hcconies delinquent. Blue Ride Labs
reserves the rigid tm dern' dociimelltation liir anv cork where payment has not been made. in cliccl rendering that data unsupported for mvulatnr�' purlsm+es_ RF21, catznmE! tianintee that any regulatory authority will accept am aori
suhmiucci. therefore it i; the ckcnt'; responsihilit to request (in this #ium appropriate tests, N`C €)Ii\R (_'crtiticd Lah 075

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forgiridnoceonflling011tthisfcu-rn,please visit: htt str/npdeti5w'rt<lh 1
Permit No.: N/C/C-�t2/�/
Facility Name: d
County, : t 9i
Inspector: Zrt�
Date of Inspection:
Time of Inspection: ,❑
2
of Certificate of Coverage No.: N
2 v-,
Phone No. �5' '�; 37?) _ 'TD
Total Event Precipitation (inches): 1 (,-.7 .
41 a &,^
Was this a "Representative Storm Event" or- "h[easureable Storm Event" as defined by the permit'?
(See information below.)
KYes ❑ No
Please verify whether Qualitative Monitoring mustbe 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 "representaative storm event" or during a '=measureable storm event," 1-lowever,
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 110ur'S (3 (lays) 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
I permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72 hour storm interval floes not apply if the perrnittce 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 sigrlatur'e, I certify that this repor-t is accurate and complete to the best of my knowledge:
(Signature of Permittee ' l �signec)
Page 1 42
SWIJ-242, Iasi modified 10/25/2012

I. Outfall C}escriplion:
OuLtall No. ! Str ICttlre (pipe, ditch;etc.) I�t e-
Recei%Qng Str am: !-`�ex tF vRK f?
Describe the IndustciA activities that OCCur kviLhin the oritfall drialnal(e area:
2. Color: Describe the color of the discharge Ang basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: L16-FAT aQ3 W
3. Odor: Describe any distinct odors that the discharge may have {i.e., smells strongly of oil,
weak chlorine odor, etc.):
Q N�
It. Clarity: Choose the number which best describes the clarity of the discharge, where l is
Clear and 5 is very cloudy:
1 2 3 11 5
5. Floatrng SoHdw Choose the number Which best describes Oct amount of floating solids in
Me stormwater- discharge, where 1 is no solids and 5 is the surface covered with floating solids:
j"j) 2 3 4 5
C. Suspended Solids: Choose the number which Kest describes the a111QUIlt of suspended
solids in the storniwater discharge, where ] is no solids and 5 is extreruely muddy:
1 2 3 4 5
7. Is there any foam in the stornrwater discharge? Yes
8. Is there an Al sheen in the st nnwater discharge? Yes
A Is there evidence of erosion or deposition at the outfall?
I I Other Obvious Indicators of Storruwater Pollution:
1•istand describe
Yes
Now l,ow chilly, high solids, and/or the presence of foam, Of sheen, or erosion/deposkkm
may he indicative of pollutant exposure. 'These conditions warimiR further investigation.
N e2of'
ST1621 1 Lest modified 1 I1/2Y2012

I . Outf 111 Description:
Outfall No. �;L— Structure (llipc, ditch, ettC.) r �T
Receiving Stream: _���J!�✓fn�2 f�D ��r.�l f � S /J1 /c �S i-�JJ�� f��}y,��i 1—y'�,C R���Z�
- ,
Describe the industrial activities that occlrr within the autfaII drainage area:
2. Color: Describe the color of the discharge using Basic colors (red, brown, blue, etc.) and tint
(light, nlecliuol, Clark) as descriptors:
3. Odor: Describe any distinct oclors that the discharge may have (i.e., smells stroligly of oil,
weal: chlorine odor, etc.):
4. Clarity: Choose the number which hest describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amoulit of floating solids in
the stornlwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
l 2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspended
solids ill 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 stormsvater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the olitfall? Yes No
10. Other Obvious Indicators of Stornlwater Pollution:
I,ist and describe
Note: Low clarity, high solids, anll/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant CXpoSUI-C. TllCSC COIlditio llS warrMlt flirthel' illvestigAi011.
Page 2 of 2
SM)-242, Last rvodilicri 10/2 5/'201'2

Blue Ridge .Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
C hent :
N111'X
110 Box 1790
Hildebran. NC: 28637
Aftention:
Mr, Allen Deitr
D.Ite Received.
?7-N'1.w-I5
Report Date:
08-Ju11-15
Sample Dale:
27-Mav-I
BR1. it:
1. RL-2015-0 i35
Lah Sample 11):
LSID-2015-01469
(.11ent ` .,tnlple 11):
Storm Water OLltlall U I
P:kramcter
Result MQI.
I'SS
47.7 9_6
pl 1
3.9 JTF 0.1
Reported By:
[e-mail]
Analvsis Analysis
Unit 147ethod "Dime I)at e Anafvst
❑ o/I SN'119 254017 15:56 51281201; KC.)
yu SM 19111 =4�00 1 1 :30 5r27/2015 KC'J
S. T , r . orl. D.R. Wessinger
Concentrations are belOw nllln Quantification Limit except where noted.
NC Lxhoritar" Certificate No. -75

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
[e-mail]
Client:
MIX
PO Box 1790
Hilciebran, NC 28637
Attention:
Mr. Allcn Deitz
Dat,� Received:
27-M.Iv-15
Repot -I Date:
08-.1LI11-15
Sample Date:
27-May-15
Ilk1, ##:
BRI--2015-0335
lath Sample lD:
LSIl7-2015-01470
Client Sample ll}:
Storm WiRICrOnl1-'111 U]
Parameter
Rcsull NlQ1, Unit Method
Oil & (ircasc
* 5 mg/1 166-1-A O<<'.(.i
Reported BN-
Analysis Analvsis
Time Dale Analvst
16:00 W4,1201 KC.)
S. rf
Isar, I),R. WessingerConcentrations are below lunl Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Pz e 2 ot- 4

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
[e-mail]
Client : MIX
PO Box 1790
1-111dehran. NC 29637
Attention: Mr. Allen Deitr.
O llic Received: 27-M iy- I
Report Date.: 08-.I1111-15
Sample Date: 27-May-15
KKI, 4: HRL-2015-0335
Lair Sample 11): LSID-2015-01471
Client S.rmhle I1): Storm Wntcr Ontfclll #2
Analysis
Analysis
I'll r•aIII eter Result MQ1,
Unit Method Time
Date Arill Iyst
TSS 215 5.6
mell SM 19 2540D 15.57
5/28/2015 KCJ
1)1-1 3,5 HT 0.1
Su SM 19111 4500 1 1:32
5i2712015 KC J
Reported Hy:
"S..l.Wessinger-
Concentrations are below Miu ► r Quantit'ication Limit except where noted.
NC Laboratory Certificate No. 275
Pa"(: 3 of el

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
[e-mail]
CIicn(:
MFX
PO Box 1790
1-111dcbran• NC 28637
A(IcI,tion:
Mr. Allen 1)eitz
Report Date:
08-.Ifni- 15
Sample hate:
27-May-15
131ZL P..
13RI.,-2015-0335
1,11b Sa1a)plc ID:
LSID-2015-01472
t:licnt 5arnl3lc ID
Storm Watcl' Outfall #2
Analvsis Analysis
1'aramcicr ;
Result MQ1,
Unit Method Time Uatc
Oil 1 G1'Cd,',C
*
molI 1664-A Ok,G 10:01 61dP2[)1 5
Rcported By:
S..I son, D.R. Wessinger
* Concentrations :arc below umt, Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 4 of 4
Analyst
K (_'.I

Semi-annual Stormwater Discharge Monitorinp, Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
�3M�J �e bmitted
+
CERTIFICATE OF COVERAGE NO, CGOS O _ SAMPLE COLLECTION YEAR
FACILITY NAME /)I ;:�A,-, 6� 17, SAMPLE PERIOD ❑ Jan -June YJuly-Dec
COUNTY Ll� FC
PERSON COLLECTING SAMPLES-�
LABORATORY GL-.LtC— R tC>6 Lab Cert
Comments on sample collection or analysis:
H
Part A: Vehicle Maintenance Areas Monitoring Requirements
or Ej Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVED ❑Zero -flow ❑Water Supply E]SA
r� Other
DEC. 1 8 2014
PLEASE REMEMBER TO SIGN ON THE: REVERSE 4
CENTRAL FILES
DWR SECTION No dischorcge this period'
`"Outfall
4 ; ;Date
00530
�' 00400
�.
No r
:Sample Collcted,;=
Total Suspended
pH; ,
Norr Polar Oil and$Grease�/TPH'EP;4
:`New Motor Oil Usage,
'.. �:" �
] �..✓ .� .��.1:`-i6
; -:'.• x .�: . ; .iv..-.- �_ �
n':u... -if.� 5. � -
..
,if' e.:' tiiy? •.. ^3�,' Yf ,::. y.{.-.1-. W ry-';'.�a,;.
mg/L
rng/L_.:....._
.7--'Standartl uni#s _ .,
''..,,,Method_1664 (Si3T HE.IVI}
_ ..Annual average gal/mo,
Benchrrarkr;x`
k
_ ..:
50?or 100 is ;
. - '_-..,Within 60 9:0
:: h
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?X yes _no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
i Outfall F
r Date �<
00556 r
x _ 00530
00400
No
Sample:Collected,
Non Polar Oil and Grease/TPH EPA Method
Total Suspended Soleds,r 't°
pH,
.2-. 1.S Zr,
Standard
Imo dd' �/r
1664 (SGT,=HEM) mg/L
units
Permit EirnitS0'or:100
see perFnit;
6.0 — 9.0
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
S-'tVU-250 IC.Iociobc:r 25, 2012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date tip-Q-1` 1first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER I 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 ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICF CONTACT NAME:
Mail an original and one coeyof this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for 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, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a systern designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/`suZnpdesswittab-4
SWU-250 last revisal October 25, 2012
PaL'e 2 of 2

g7i
A
sue,
NCE N R
5tormwater Discharge Outfall (00)
Qualitative Monitoring Report
For aIIiduncc onJ-1,1/iny out. this forrrr, 'Arose 0sit: htto: -Lf�tu tal.IIcf!enr.nm"A"'A!ry wti/su /nn�lcss�;'#t��h 4
Pcrrnit No.:
Facility Nanrc: i
County: 1
Inspector:
Date of Inspection:
Time of inspection: t
Total Event Precipitation (inches): I,
or Certificate of Coverage No.:
Phone No. t`�'?-- .- 57) —2,7,J
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
rV
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureabfe 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 "nieasureable 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 Ilas 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 72-11our 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 RUional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitte4ri4esignee)
P7ge l of 2
Swrr-242, List modified 10/25/2012

I . Outfall Description:
Outfall No, I Structure (piffle, ditch,etc.) D t t G�{
Receiving Stream: VPJ V, ".e/o >- c74,>^. L l:.5 nt,IPD,t<
lil({1151rE_Il i -l!vI'il 'S tli occur'.'J:hln th" Or!tlali (I ii11age -Ire-]
2. Color: D;_Iscrihe Ole color oi"tile. discll:Irge using basic colofrs (ra(l, brot:;n, blue, ea.) a (' tini
(Iic'k, IllediLIM, dar'I) a5 Clt 5Cl'Ii7tUrti: �Iri f�� d —
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: ��
1 J 2 3 if 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:
U 2 3 4 5
G. Suspended Solids: Choose the number which hest describes the lmosmt of suspended
solids in the storrnwater discharge, where 1 is no solids and 5 is extremely rntsddy:
0 2 3 4 S
7. is there any foam in the storrnwater discharge? Yes No
8. is there an oil sheen In the stornlwater discharge? Yes N
9. Is there evidence of erosion or deposition at the Outfall? Yet ()No
10. Other Obvious indicators ofSLormwater Pollution:
List and (Iescribe
Note: I,ow clarity, high solids, ,and/or the presence of foam oil sheets, or erosion/deposition
may be indicative of pollutant e.r•posure. These conditions warrant further investigation.
Pan 2 or 2
SWIJ-242, I..is1 modiFt cd 10/25/2a 12

1. Outfall Description:
Outfall No, 02 Structure (pipe, ditch, etc) r<
Receiving Stream: :!�� �1;�}r Yf� � <%'��'� c ( / � /11I��S �2>�+ f{�r_':� %yrr !fir✓��
Descrihe the irrdlistritil activities that occur 1,vitlrin the orItfall drainage are^a:
2. Color: I)escri!)c the color of the discharge usino hnsic colors (red, bro,.vn, hiue, eic.) aml tint
(light, medium, dark) as clescril)tors:
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:
0 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:
0 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:
02 3 4 5
7. Is there any foam in the stormwater discharge? Yes nNo
S. is there an oil sheen in the stormwater discharge? Yes CN o
4. Is there evidence or erosion or deposition at the outfall? Yes 60-D
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: I,ow clarity, high solids, and/or the presence of Foam, oil sheen, or erosl011/dep0Siti0r1
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SIAIU-242, Last madihed I0/2;/2012

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : ti117X
PO Box 1790
Hilclebran, NC 28637
Attention: Mr. Allen Deitz
Date Received: 17-Nov-14
Report Date:
08-Dec-14
Sample Date:
17-Nov-14
13RL #:
BRL-2014-0810
Lab Sample ID:
1,SID-20W-03621
Client Sample ID;
Outfall rl
Parameter
Oil &. Grease
1'13B
P13DE
Resn Il
7.5
Reported By:
[e-mail]
NIQL Unit Method
5 m /l 1664-A O&G
0.1 ug/k, SW-846-8270
0.1 mg/kg SW-846-8270
Analysis Analysis
Time Dame Analvst
12/5/2014 WlrQtl}
S. / nson, D.R. Wessinger -- ----
Concentrations arc beloZahoralory
ninram Quanlitication Limit except where noted.
NC Certificate No. 275
la- eIof4

Blue Ridge Labs
PO Box 2940
I eno1P, AVC 28645
828-728-0149
Ciient : N11I-Ix
PO Box 1790
Flildebran, NC 28637
Attention: Mr. Allen Deitz
Date Received:
1 7-Nov- 14
Report Date:
08-Dec-14
Sample Date:
17-Nov-14
BRI, #:
BRL-2014-0810
Lab Sample 11):
LS1D-2014-03622
Client Sample 11):
Outten # l
Parameter
TSS
P1.1
Result IN] Q1,
32 9.5
5.6 FIT 0.1
[e-mail]
Unit Nlelhod
�ii 11 SiUI i 9 2540D
Su SM 19th 4500
Analysis
Analysis
Time
Date Analyst
11:20
11/11/2014 KCJ
10:20
11/17/2014 KCJ
Reported By: - — --- —
I 111SUn, D.R. \Messinger
Concentrations srrc be1o�F inimunt Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 2 of 4

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : NII=X
PO Box 1790
1-11Idebran, NC 28637
Attention: Mr. Allen Deitr
Date Received: 17-Nov-14
[e-mail]
Report Date:
08-Dec-14
Sample Datc:
17-Nov-14
131ZL #:
BRL-2014-0810
Lab Sample ID:
LSID-2014-03624
Client Sample 11):
OLIlfali 42
Analysis
Analysis
Parameter
Result MQL
Unit Method Time
Date
TSS
147 12.5
m�/I SM 19 2540D 1 1:21
1 1/1 1/2014
pl-I
5.4YIT 0.1
Su SM19th4500 10:22
11/17/2014
Reported By:
S. , . son, D.R. Wessinger-
* Concentrations are below, N ' iimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
l'asc 4 of 4
Analyst
KCJ
K C.1

���� J�° Labs
��8���� 0��»�Nrx� ������s
MYBox 294O
lo/v/,.YVC 28845
828'728'0148
^C(ion(: M[%
]Y]Box |790
\{Udcbrxn.Y4C 28637
Attention: Mr. Alin Deitz
0x\c Received: 17-Nov'14
Report Date: 08'Doo'|4
Sample Date: 17'Nov'14
8NL#: 8KL'2014'0810
Lab Sample ID: 1.S|D-204-03623)
Client Sample 11): Ovi[xUh2
'�-- '-- - -�- ------- �--
Parameter Result M()L Unit INIdhvd
' -- ------ ----' - — --- --'--'------------- -----'----
Analysis An»ksis
Time Da e 6noh*'
�
Reported Qy: _
�Concentrations xnchdu�J�|o|mxmOxxoUDmhox Limi|except where noted.
NCLaboratory CcniDmtuNo. I75
Page o[ 4

TILT /l15/20I O'l 0) � 11 2) I'M FAX No, I", Ll U 1 / LI �J I
WATER QUALITY LAB & OPERATIONS, INC.
P,O. BOX 11,57
BANNER ELK, NC 28604
[phone]
CLIENT: BLUE RIDGE LABS
ADDRESS- P.C. BOX 2940
CITY: LEINCIR
STATE: NC ZIP 28645
ID#:
REPORTED DATE:
5-Dec-1 4
ALY
... ...... ...
.......
�W4
SOL 'Ifs RE
�:�:Ut4[T:S:::::::SMPLF-!��:ANAL
ySIS
7
011_ & GREASE
3621
7,5
5.00
MG1
5-Dec-14
Pt
OIL & GREASE
3023
5.1
5.00
MG/L
5-Dec-14
Pi
OIL & GREASE
3628
5-4
5.00
MG/L
5-Dec-14
Pi
OIL & GREASE
3630.
<5
5.00
MGIL
5-DeC-14
PI
OIL & GREASE
3632
<5
5.00
MGIL
5-Dec-14
Pi
OIL & GREASE
3669
<5
5,00
MGIL
5-Dec-14--
Pi
OIL & GREASE
36721
<5
5.00
MGIL
5-Dec-14
L pi I
REPORTED BY., NC CERTIFIED LAB # 544
PAUL ISENHOUR, SUPERVISOR

tNPDS Reporting Groundwater
Report TO:
m6(
Blue Ridge Labs, Inc.
P.O: Box 2940
Lenoir. NC 28645
Telephone [phone][49 Fax [phone]
Gain of Custody
Sanitary Landfill Hazardous Waste Industrial or QC Non State Reportin�� T
UST/Trust Fund Reporting
Bill To:
Project Name:
PO Number:
Ice Present: Y N
Field Preservatives Lab Check
Sample I
Sample.
Tvpe
Daic
1-Imc
Time &
Temp
1-1R:MM
°C
Field
Sulfide
Check
Y N
Field
Sulfide
Present /
Removed
Y N
Resid
Chlor
Field
Check
Y N
Field
Dechlorination
Y N
pH
Resid
Chlor
P o r A
Temp
°C
Sampler
Initials
Analysis Requested
AftL
7�Aic #
q: f�
Relinquisl d liv.. Datc: Time:
Rece c Date: Time:
! / q,Sa
Upon SUbmISSiOn 01 Sample , client asrces that invoices are due at the time uork is completed. Open accounts are due'_[} days following invoice date. A Iinaaec charge of l.5% per month will be imposed on all pastue accounts.
When relinquishing sample; to Blue Ridge Labs (13RL). buyer authorizes BRL to perlorm only the analysis indicated above and also aereec to pay' collection and attorney teef the account becomes delinquent. Blue Ridge Labs
reserves the right to draw documentation inr any work where payment has not been made, in cl]ect rendering that data unsupported tier regulatory purposes. BRL cannot guarantee that arw reguiatnn• authority will accept any work
submitted, therclme it i,< the chcni"s responsibility to request on this form apprnpriatc tests, NC DhNR Certified Lab ii'275

Data Qualifiers
The following is a list of data qualifiers used on Blue Ridge Labs' Reports. Any of the
qualifiers may make the data unacceptable for state reporting. Data qualifiers are
found in the results column and their definitions are as follows:
* The concentration found is below our minimum concentration value which is
reported in the MQL column.
*** The concentration reported is an estimated value. The result is above our
highest standard.
HT The sample was received out of hold time.
IC The sample was received in an improper container.
NC The sample was received without proper cooling.
NP The sample was received without proper preservatives.
IC The sample was received in an improper container.
HS The VOC container was received with headspace present.
NR The sample was not run due to lab error.
UC Unable to confirm analysis due to insufficient sample being submtted.
D Sample was diluted due to physical problems with the sample.
i Value is an estimate from a library search using the nearest internal standard.
A

CERTIFICATE OF COVERAGE
FACILITY NAME
COUNTY I)"L:&2
Semi-annual Stormwater Discharge Monitoring Report
for N Carolina Division of Water Quality General Permit No. NCG080000 = <�
Date submitted '47'a— (5= --- r 5G
V
lg _ 10 __ L $ SAMPLE COLLECTION YEAR
2. -t <.-r/,4- e
PERSON COLLECTING SAMPLES 1 -4� ig-r
LABORATORY R k 0&,27 Lab Cert. #
Comments on sample collection or analysis:
Part A: Vehicle Maintenance Areas Monitoring Requirements
SAMPLE PERIOD DSJan-June ❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECEIVED ❑Other
APR 2 1 2014 PLEASE REMEMBER TO SIGN ON THE REVERSE -->
CENTRAL FILES ❑ No discharge this period'
QWQ/80G
Outfal l
No.-
Date
-Sample Collected,
mo/dd/yr.
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0-
15
-
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?yes —no
(if yes, report your analytical results in the table immediately below)
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals
-Outfall
No.
Date -
Sample Collected,
mo/dd/yr.
00556
00530
00460
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT=HfM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
.50 or 100 see permit
6.0 — 9.0
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised October 25, 2012
Page 1 of 2

SWRM EVENT CHARACTERISTICS:
Date 3 1! /T (first event sampled)
Total Event Precipitation (inches):
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 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, North Carolina 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)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
. SWU-250
last revised October 25, 2012
Page 2 of 2

NPDS Reporting Groundwater
1�cp(y)( o:
Blue Ridge Labs, Inc.
11.0. I3ox 2940
1lenoir. NC 28645
Telephone [phone] Fax [phone]
Chain of Custody
Sanitary Landfill HazardOL3S WZISIe Industrial or QC Non State Reporting,
US'I'/Trust I -Lind Reporting
Bill To:
Project Nance:
110 Number:
[CC Present: Y N
Field Preservatives Lab Check
Sample 11)
Sample
Type
Date
Time
Time <<.
Temp
I-1R:MM
°C
Field
Sulfide
Check
Y N
Field
Sulfide
Present /
Removed
Y N
Resid
Chlor
Field
Clieck
Y N
Field
Dechlorination
Y N
pl-i
Resid
Chlor
P or A
Temp
°C
Sampler
Initials
Analysis Requested
Guft
Wingtli led Date- f ime: Ree d Date: Tillie:
�
Upon suhntission orsamples• client agrees that invoices are due at the time stork is completed, Open accounLs arc due N days tollowim, invoice date. A linance charge or L5'Y4 per month will be imposed on all pastue acaurnts,
Wben relinquishing samples to Bitic Ridge Labs (13RL), hu}cr autlimiies tilts_ to perform only the analysis indicated ahove and also ag.recs to pas' collection and attorney lec.. the account becomes dclinquenl. Blue Ridge Labs
reserves the right to derp documenlatiort for art?' work where payment has not been made, in effect rendering that data unsupported fir rcmdatorr purposes. 13RL cannot guarmucc that any regulatory authority will accept any wort:
submined, therellore it is the client's responsibility to request on this limn appropriate Iests. W DENR Certified Lab �Y275

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client : MFX
PO Box 1790
Hildebran, NC 28637
Attention: Mr. Allen Deitz
Date Received: 17-Mar- 14
Report Date:
1 l-Apr-14
Sample Date:
17-Mar-14
BRL #:
BRL-2014-0145
Lab Sample lD:
LSID-2014-00778
Client Sample 1D:
Outfall #2
[e-mail]
Parameter Result MQL Unit Method
Oil & Grease * 5 mg/l GPA 1664 n-
Analysis Analysis
Time Date
4/8/20 l 4
Reported By: !�
eCLaMbonratory
. Johnson, D.R. Wessinger
* Concentrations areiimum Quantification Limit except where noted.
Certificate No. 275
Page 3 of 4
Analyst
WtrQlty

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client:
MFX
PO Box 1790
Hildebran, NC 28637
Attention:
Mr. Allen Deitr
Date Received:
17-Mar-14
Report Date:
I I-Apr-14
Sample Date:
17-Mar-14
BRL 4:
13RL-2014-0145
Lab Sample ID:
LSID-2014-00779
Client Sample ID:
OLltfall 42
[e-mail]
Analysis Analysis
Parameter Result MQL Unit Method Time Date Analyst
I'SS
PH
El
20.8 10
7.4 0.1
Reported By:
mg/1 SM l9 2540D 1020 3/21/2014 KC.1
su SM19th4500 13:18 3/17/2014 KC.1
J. Johnson, D.R. Wessinger
Concentrations are h w Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 4 of 4

Water Quality Lab20140410170826.pdF
Page I of I
--Johnson
ch,wansunooned. 50� fealums rmay not —k conrectiv. Please uodate vour browser or t" Gq ule Ch,o.ne. Dismi
Water `171"2 Add to i ' 00�ntoad -91'na I 1H
File View Hell)
;eafCh the CIOCuMert.
WATER QUALITY LAB &OPERATIONS. INC.
P.O. BOX 1107
BANNER ELK. 1 28604
(828) 8911
CLIENT: BLUE FUDGE LABS
ADDRESS: P.O. BOX 2940
CITY: i
AT ZIP Zq�45 nn T
Ai is
RESULTS
......
LOCATION
'::I)A'i
OIL & GREASE
77BI r5
5,00
MGtL
8-Ap, 14
pit
OIL & GREASE
T78 <5
500
i
_& -14
pi
REPORTED BY: i CERTIFIED LAZI # 544
PAUL ISENHOUR, SUPERVISOR
littps:lldocs.google.con-Yviewer?a=v&pid=gmail&attid=0.I&thid=1454d97dcb56a9a2&mt... 4/11/2014

0
.KJG'
NCENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For -guidance on filling out this farm, pleasc visit: http-L//portaI.ncdenr.or« ti% - h tivcl/�tis/sty Inncless�v-jtah 4
Permit No.: N/i/O[)/�/_��/ or Certificate oFCoverage No.:
Facility Nanle: AF3,-- /�Ve—,,
Comity: —C�t�—K� Phone No. fj'?-a;-37�-21,7J-J
Inspector: /
Date of Inspection: 3 —
Time of Inspection: 0 10 = S0 /,O_, T-57
Total Event Precipitation (inches): L 7 ,
Was this a "Representative Storm [:vent" or "Measureable Storm Event" as defined by the permit?
(See information below.)
KYes ❑ No
Please verify whether Quolitative hfonitoring must be performed during a "representotive storm
event" or "measureuble storm event" (requirements vary, depending on the hermit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performer[ during a "representative storm event" or curing a "rneasureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
I
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 greeter than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of 110
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
obLlins approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the hest of my knowledge:
(Signature of ['errnixie)r Designee)
S%V11-2.42, Last modified 10/25/2012
Page I sal, 2

1. Outfall Description:
Outfall No. I Structure (pipe, ditch etc.)
Deceiving Stream: _ ��NN,�y�t r=D 5'�iN 1 •5 i►t r5 R�arl ! f,��'� tom, �; [��r_
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using hasic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odor's that the discharge play Dave (i.e., smells strongly of oil,
weak chlorine odor, etc.): J
AIPAlk
4.. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
D 2 3 4 S
S. Floating Solids: Choose t}le number which best describes the amount of flaatinb solids it)
the storrnwater discharge, where 1 is no solids and S is the surface covered with floating solids:
0 2 3 4 5
G. Suspended Solids: Choose the number which best describes the amount of suspenders
solids in the storinwater discharge, where 1 is no solids and S is eAremely muddy:
/1 J 2 3 el S
7. Is there any foam In the �sttorrmwater discharge? Yes ONO
B. Is there an. oil sheen in es
L�
4. Is there evidence of erosion or deposition at the Outfall? Yes DNO
10. Other ObvlouS Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, hioll solids, Mld/or'tile presence of foarll, ail sheen, or erosion/rlepr:)sitiorr
may he indicative of pollutant exposure. These conditions warrant Irlrther rnvesti"atlotl.
i'a u 2 of ?
,Y,VU-242, Last modified 10/251NI?

L Outfal! Description:
0u(fa II N0. Structure (pipe, ditch, etc
Receiving Stream: /DES T�L�ti! h� "�- Fyr /?r✓oz
e �. 1
Describe the industrial activities that Occur within the autfall drainage area:
2. Color: Describe the color of the discharge using hasic 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.):
Zt. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 0 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:
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 11. 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the storimvMer discharge? Yes r o
9. Is there evidence of erosion or depositi011 at the outfall? Yes Rio
10. Other Obvious Indicators of SLornmater Pollution:
List and describe
Note: Loin clarity, high solids, and/or the presence of foal, oil sheen, or erosion/deposition
play be indicative of pollutant exposure. These conditions +,varrant further invcstigatian.
Pap 2 of 2
S�VU 2aL, Las[ mnsii�ed 10%L�/'L{] 42