NCG060007_MONITORING INFO_20190425

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V L& O
DOC TYPE
❑HISTORICAL FILE
C"MONITORING REPORTS
DOC DATE
❑ ���I 9 ny (�S
YYYYMMDD

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCGO60000
CERTIFICATE OF COVERAGE NO. NCG060 0 4 7
FACILITY NAME Keystone Foods, NC Division
COUNTY Rockingham
PERSON COLLECTING SAMPLES Tina Williams
LABORATORY Mentech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted 04/18/2019
SAMPLE COLLECTION YEAR 2019
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑■ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES ❑■ NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 -80 or n No discharge this period"
Outfall'No.
Sample -Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 10D ml
Benchmark
-
100 or 501
Within 6.0 — 9.0
120
30
1000
500
Outfall #1
04-05-19
21
7,4
72
8
27
Only applies to facilities that use/process meats. 7-0 1
!` r
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
5
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. In`
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes P no
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(i__f yes, complete Part B)
SWU-249 Last Reviscd: October 18, 2012
Page I or 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 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 3Q 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, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Per
04/18/2019
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orig/web/wq/wsLu/npdessw#tab-4
Last Revised: October 18, 2012
Paige 2 o1' 2
S W U-249

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Tina Williams
Client: Keystone Foods
11.0. Box 1436
Report Date: 4/17/2019
Reidsville, NC 27320 Date Sample 11cvd: 4/5/2019
Mcritech Work Order # 04051903 Sample: Stormwater 1 Grab
4/5/19
Pararneter5 Res.111 Analysis DatC Reporting Limit Method
COD
72 mg/L
4/9/1.9
15 mg/L
EPA 410.4
Total Suspended Solids
21 ing/L
4/10/19
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.8 nng/L
4/9/19
0.1 mg/L
EPA 350.1
Oil & Grease (HEM)
8 mg/L
4/9/19
5 mg/l,
EPA 166413
Fecal Coliforni
27 col/100 nil
4/5/19
9 col/100 ml
5M 9222 D
PH
7.4 SM.
4/5/19
1.0 - 14.0 S.U.
SM 4500-1-IB
TemperatLire
17 °C
4/5/19
SM 2550 B
1 hereby certify that 1 have reviewed and approve these data.
Laboratory -Re preserttativc
642 Tainco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
Client -_Equity Group
NPDES#:
Phone:
M E RITECH INC,
Address:_,-,_ 227 Equity Dr..
Fax:
ENVIRONMENTAL LABORATORIES
r
Reidsville, NC 2
Email:
` 642 Tamco Rd. Phone: [phone]
Project:
Reidsvflle NC 27320 Fax: [phone]
P.O.#:
Email: [e-mail]
Att: Tina Williams
Turn Around Time*
*RUSH work needs prior approval.
How would you like your report sent?
I� w
www.meritech-labs.com w.meritech-labs.com
Std 10days)
5 s
24-4aHrs
Orcleall that a I Email
apply: (preferred), Fax, Mall
Sampling Dates & Times'
Person Taking Sample (Sign/Print):
'�" • '
��
;
Sample Location and/or ID #
Start
End
Test(s) Required
'
Date
Time
Date
Time
Grab?
Cont.
Stormwater 1
�f.sl 6
1,-15A
LiJ.5 �V�
14zo%-�,
G
1
Oil & Grease W/HCL
G
1
TSS
`N.,.J
f.
G
1
COD,NH3 w/1-12504
a
;fir
G
1
Fecal Coliform
.,. '`
l r'i''
r
G
pH
Temp l ._�
tit:
F'�;t,1'� ;
illrie..hV
� '• „�,
_ . _'�
Method of
Dechlorination (c0.5 pm) of Ammonia, Cyanide, Phenol andTKtV samples must be done in the field ricer to preservation. "*
Comments:
Co "rfiO 01"�
Shipment:
* Client will Grab the pH and Temperature on site, and Meritech will re ort_U
j.,'-
PS
Fed Ex
Are thesq'results for regulatory purposes? Yes I No
Reportresults
in: -g/L mg/kg � ug/L
Hand Delivery
ReGnqulshed by: - Date: Time:
—, �,VA', C.ti1d k `i S ' l,t � . 2..� iti�'
Received by
ate: Ti e
-/07
Other
Relinquished by: 1 t7 tp: q_�r Time:
` "�
Received by: Date_ ime:
Rerinquished by: Date: Time:
RecPivr�fhy Lab: Sr te:
6�
F

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 0 0 0 7
FACILITY NAME Keystone Foods, NC Division
COUNTY Rockingham
PERSON COLLECTING SAMPLES Tina Williams
LABORATORY Merilech Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted 0411812019
SAMPLE COLLECTION YEAR 2019
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑■ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ■❑NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2.80 or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
Outfall#1
04-05-19
P 21
7.4
72
8
27
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑✓ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging a 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at 2a outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October IS, 2012
Page 1 ol'2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
a 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, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
04/18/2019
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#talc-4
S W U-249
Last Revised: October 18, 2012
Page 2 42

9
Meritech, Inc.
Environmental Laboratory
laboratory Certification No.165
Contact: Tina Williams
Client: Keystone Foods
11,0. Box 1436
Report Date: 4/17/2UI9
Reidsville, NC 27320 Date Sample Rcvd: 4/5/2019
Mciltech Work Order # 04051903
Sample: Stormwater 1 Grab
4/5/19
P�aranieter5 Resin
Analysis Date
Reporting Limit
method
COD
72 mg/L
4/9/1.9
15 mg/L
EPA 410.4
Total Suspended Solids
21 mg/L
4./1()/19
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.8 mg/L.
4/9/19
0.1 mg/L
UPA 350.1
Oil & Grease (IIEM)
8 mg/L
4/9/19
5 mg/I.
EPA 166413
Fecal Coliform
27 col/100 nil
4/S/19
9 col/100 ml
SM 9222 D
pH
7.4 S,U,
4/5/19
1.0 - 14.0 S.U.
SM 4S00-10
Temperature
17 °C
4/5/19
-
SM 2550 B
I hereby certify that I have reviewed and approve these data. all A - J9-
Laboratary Representative
642 Tamco Road, Reidsville, North Caroline 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
ClientEquity Group
NPDES#:
Phone:
M E R tT E C H INC,
1Address:_
227 Equity Dr..
Fax:
ENVIRONMENTAL LABORATORIES
Reidsville, NC 2
Email:
y ` 642 Tam co Rd. Phone: [phone]
Project:
Reidsville NC 27320 Fax: [phone]
P.O.#:
Email: [e-mail]
Att: Tina Williams
Turn Around Time*
"RUSH work needs prior approval.
How would you like your report sent?
� � /� � n v Y � �
v v v v m e ri t e c h -I a b s c o m
Std 10 days)
s
24 - 49 Hrs
. .
Circle all that apply. Email (preferred), Fax, Mai!
Sampling Dates & Times
Person Taking Sample (Sign/Print):
?�
Sample Location and/or ID #Start
End
Comp?
#of
Test(s) Required
Date
Time
Date
Time
Grab?
Cont.
Stormwater 1
1,.lsA
`JJ'5-
G
1
oil & Grease w/HCL
'
G
1
TssXgY'uG
1
COD,NH3 w/H25O4
�.
n
G
1
Fecal Coliform
W
G
pH
Te m p
p
•iN
'
Method of
"" Dechlorination {<0.5 pm) of Ammonia, Cyanide, Phenol and TKN sam
les must be done in the field rior to preservation. "*
Comments:
Client will Grab the pH and Temperature on site, and Meritech will report.
Com''a to"` �`� •�q��e
Shipment:
UP5xiI:
Fed Ex
Are thesp results for regulatory purposes? Yes No
Report results in: mg/L mg/kg ug/L
Hand Delivery
Relinquished by: - Date: Time:
1 V. _ C�tiv� ` -S' i� .`�
Received by te: -�� Ti e
_
Other
Relinquished hy: �, � Time:
i 5
Received by: Bate: ime-
Rerinqulshed by: Date: Time:
Rec ' y Lab: te: om
L

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060 0 0 7
FACILITY NAME Keystone Foods, NC Division
COUNTY Rockingham
PERSON COLLECTING SAMPLES Tina Williams
LABORATORY Meritech
Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted 04/1812019
SAMPLE COLLECTION YEAR 2019
FACILITY ACTIVITIES INCLUDE (check all that apply):
X use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ❑■ NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2.80 or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
Outfall #3
04-05-19
4
7.1
a15
r5
a9
z Only applies to facilities that use/process meats. APR ?019
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. °, . ;,
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark appifes.--an...!
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑✓ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18. 2012
Page 1 ol'2

*FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑■
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including -all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports) to.
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
04/18/2019
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.16S
Y:A
Contact: Tina Williams
Client: Keystone Foods
P.O. Box 1436
Report Date: 4/17/2019
Reidsville, NC 27320 Date Sample Rcvd: 4/5/2019
Meritech Work Order # 04051904 Sample: Stormwater 3 Grab 4/5/19
iP���lmeters Result Analysis Date Reporting LimitMethod
COD
<15 mg/L
4/11/19
15 mg/l..
EPA 410.4
Total Suspended Solids
4 mg/I.
4/10/19
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.4 mg/L
4/15/19
0.1 mg/I.
EPA 350.1
Oil & Grease (HEM)
<5 mg/L
4/9/19
5 nag/L
EPA 1.664E
Fecal Coliform
<9 col/100 ml
4/5/19
9 col/100 nil
SM 9222 D
pH
7.1 S.U.
4/5/19
1.0 -1.4.0 S.U.
SM 4500-HB
Temperature
23 °C
4./5/19
-
SM 2550 3
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, !North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
Client: Equity Group
NPDES#:
Phone:
Fax:
Email:
Project:
P.O.#:
ME R I T E C H INC.
1
,.. ENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
www.meritech-labs.com
Address:— 227 Equity Dr.
Reidsville, NC 2
Att: Tina Williams Turn Around Time*
How would you like your report sent? *RUSH work needs prior approval.
Circle all that apply: Email (preferred) , Fax, Mail Std 10 da s) - s 24-48 Hrs
Person Takin Sample (Sign/Print): f`
g p a�5
i
Sample Location and/or ID #
Sampling Dates & Times
Start
End
Com,
Grab?
t# of
Cont.
Test
(s) Required
Cl"
Date
Time
Date
Time
Stormwater 3
Ll(S
G
1
Oil & Grease W/HCL
17
G
1
ITSS
,
G
1
COD,NH3 w/H2504�
`
G
1
Fecal Coliformic
�1
)
� S
T
G
pH
.
Temp 2ir
9:
T'e� pe�9'""fified'po�i"1
! t
F'S?
Method of
Shipment:
*' Dechlorination (<0.5 pm) of Ammonia, Cyanide, phenol and TKN samples must be done in the field prior to preservation. **'
k
Comments:
* Client will Grab the pH and Temperature on site, and Meritech will report.n?
:Com osi
r'...,
IGIA_M4 '1"
UPS
red Ex
Are these results for regulatory purposes? Yes �No
Report results in: mg/L -g/kg ug/L
Hand Delivery
Relinquished by: Date: Time:
`' Crw.��. `{ S 1 A'. ukk+)
Received by:
Date: Time:
4-5- A4-c-e
Other
Relinquished by. S L teas, Time: y f� ov
L `Y
Received by: Date: Time:
Relinquished by: Date: Time:
RK ' by b: l at Tj
l%

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060 0 0 7
FACILITY NAME Keystone Foods, NC Division
COUNTY Rockinaham
PERSON COLLECTING SAMPLES Tina Wiliams
LABORATORY Meritech
Lab Cert. # 165
Part A: Stormwater Benchmarks and Monitoring Results
Oate submitted 04/18/2019
SAMPLE COLLECTION YEAR 2019
FACILITY ACTIVITIES INCLUDE (check all that apply):
■❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ❑■ NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z .80 or n No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
500
Outfall #3
04-05-19
4
7.1
<15
<5
<9
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ono
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I oC 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
0 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" reportsl to.
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel 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)
04118/2019
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp/web/wp/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 19. 2012
Page 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.1,65
Contact: Tina Williams
Client: Keystone Foods
11'.0. Box 1436
Report Date: 4/17/2019
Reidsville, NC 27320 Date Sample Rcvd: 4/5/2019
Meritedi WorkOrder # 04051904 Sample: Stormwater 3 Grab
4/5/19
rameter
Result
Analysis Date
Reporting Limit
Method
COD
< I5 nag/L
4/11/19
'15 mg/L
EPA 410.4
Total Suspended Solids
4 nig/L
4/10/19
2.5 mg/L
SM 2540 1)
Ammonia, Nitrogen
0.4 nig/L
4/15/19
0A. mg/L
EPA 350.1
Oil & Grease (H FM)
<5 mg/L
4/9/19
5 mg/L
EPA 1.664E
Fecal Coliform
<9 col/100 ml
4/5/19
9 col/100 ml
SM 9222 D
pH
7.1. S.U.
4/5/19
1.0 - 1.4.0 S.U.
SM 4500-HB
Temperature
23 °C
4/5/19
-
SM 2550 H
1' hereby certify that t have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

�ze>3'— Chain of Custody Record (COC)
Client: Equity Group
NPDESP:
Phone:
Fax:
Email:
Project:
P.O.#:
M E R IT E C H INC.
J
s... ENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]
t Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
www.meritech-labs.com
Address:— 227 Equity Dr.
Reidsville, NC 2
_ _
Att: Tina Williams
Turn Around Time*
"RUSH work needs prior approval.
How would you like your report sent?
Circle all that apply: Email (preferred), Fax, Mail
Stcl f lodays)
3 - 5 Days
24-48Hrs
Sample Location and/or ID #
Sampling Dates & Times
Person'ralcingSample(Sign/Print):
9 snj
�,y .a,1 � e�
Start
End
Comp.,
Grab?
N of
Cont.
Test (s) Required
�;� lo{
raffifir
Date
Time
Date
Time
Stormwater 3
G
1
Oil & Grease W/HCL
R 1
G
1
TSS
NO, c
ry
G
1
COD,NH3 w/H2SO4
'8F
°
G
1
Fecal Coliform
s�frx+',�CPrt�:'3
6Y
p
r t
si
,,'
Temp
Jfl��� 4�1
sa3t r�,k.4€
F,t,.. •
Method of
Shipment:
Dechlorinatlon (<D_5 m) of Ammonia, C anide, Phenol and TKN samples must he done in the field prior to preservation.
Comments:
* Client will Grab the pH and Temperature on site, and Meritech will report.
n� v.rr+r . t
;Corfpo ic�r
?h'�
JUg`#lsa.r�, s4
UPS
Lam" Fed Ex
Are these results for regulatory purposes? Yes fD" No
Report results in: mg/L -g/kg ug/L
Hand Delivery
Relinquished by: Date: Time:
��,�,, `{ S 1 -'. U-5
Received by: pate: Time:.,
Other
Relinquished by ate: Time: i
Received by: Date: Time:
Relinquished by: Date: Time:
Recleive-' by b: may. � f_ a[ L . u ; 4i C
l

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 I Date submitted C7 tip) I q
CERTIFICATE OF COVERAGE NO. NCG06-0Ob SAMPLE COLLECTION YEAR
FAC[L1TY_U4ME _ s_�,_ _ FICMsetlrocess
ITlES INCLUDE (check all that apply):
COUNTY] -_V C\ ;p meats ❑ use animal fats/ y}�roclucts
PERSON COLLf �TnIN_G, ,AMPLES _�. 1. +Ar`"� N�91",�IIYj JNG TO SALTWATERS? —YES
As -
LABORATORY ORY "�L�ar�C�� Lab Cert. ld CENT
D n�j, SEC�j� EASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitorinrz Results Total event ruirrfall '? 2. W. or, n No di.tir-huim- this oerioc j
Outfall No.
i
Sample Collected,
ono/dd/yr
T55,
mg
pll,
Standard units
COD, Oil and Grease,
mg/L m{Jf L
-------
Fecal Col
Colonies per 100 ml
Enterococci', —
Colonies per 100 ml
Benchmark
100 or 50
Within 6.0- 9.0
120 30
1000
50o
—
L---
- -� --
------ -- -- _-
J=�
i hey tn"al m;rst rr'rc,rdf_cd using datn from an on -site rairo gmit;e.
For Sampling pr,riods with no disch.3rge at Joy. oulfalls. You must still sufrmit i his discharge monitoring report with a checkmark here.
"See General Permit text., 'fable :3, id,,ritllyhij, the es4ivcizilly serrsitivf- receivinp water ca:rssilic,rtions vrhtre the more protective benchnuirk applies.
Did this facility pur(orm Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? n yes Fa o (if yews, complete Part B)
Bart B: Vehicict Maintenance Area Monitoring Results: only for facilities averaging > 55 pal of new motor oil/month.
Outfall No. Sample Collected, Oil and Grease, T55, pH, New Motor oil Usage,
too/dd/yr mg/L mg/1_ Standard units Annual average gal/mo
Benchmark - - 3[) 100or50' 6.0-9.0 — —� --
' Only applies to taCiliU0S that use/Process meats.
2The total precipitation must hc, reCorc ed using Bata ftum an on -site rain Vaupe.
I l or sarnpIing pc!riuds with no discharge at ;any outfalls, you rp.ust still sub m{t this discharl;c, rnoni'Lot in;r rupoit with a chuckrnark hare.
'See Gem rail l'er rniL text. l'airlc 3, identifying the especially scnsit:ive rr.reiving water classif ic,3tium where the more protective herichmark applies.
514'I_i '4 l.�tst ]tcvisuel: October 18. ZUl2
P.we1oV2

*FOR PART A_ AND PART B MONITORING RESULTS:
• A BENCHMARK FXCFEDANCE TRIGGERS TIER 1 REQUIREMENTS. tit:L= 11I=1�1VI1-C PART II 51=C1-ION C1.
• 2 I=X{_FrI'JAN( FS IN A ROW FOR THE SAME PARAMETER Ai -THE SAMF 0UTFAI-I_ TRIGGER TIER 2 REQUIREMENTS. SEF PFRMIi- ]'Ak"I- it Si=C: [-iON E3.
• T]CR 3: HAS YOUR FACII.ITY HAD 4 OR MORE BENO ]MARK EXCEEDEN(-E-S FOR THE SAME PARAMETFR AT ANY ONF OHTFAI i_ YES ❑ NO
IF YES, HAVE YOU CON1ACTED THE DWQ RFGIONA[ OFFICE? YES [l NO J-]
RFGIQNAI_ OFFICE CONTACT NAME=:
Mail an original and one copy of this DMR, including all "No ,Dischar_ qe" reports, within 30 days of receipt of the lab results or at end o
monitoringperiod in the case of "No Discharge" marts) to:
Division of Water Quality
Attn: 0WO C .retail Files
1617 Mail Service Centor
Raleigh, NC 27699. 1617YJ
Y_OU MUST SIGN THIS_ CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document rind all attachments were prepar-wd under my direction or supervision in accor-d�rncr with c)
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inrtuiry of t1w
parson or persons who manage the system, or those persons directly responsible for gathering the information, the inform.-ition Submitted is,
to the best of my knowledge and belief, true, accurate, and corTlpleic:- I am aware that there are significant penalties "Or SubMilting fai :r
information, inCluding th12 pOSSibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
i0= �Y2Ct8
(Date)
Additional copies of this form may he downloaded ;at. Ida://t��arC-�t,rarrlE�r�r-i,rr,�wF h/tic�c��fsiijnpd��_tistivlst,al� �t
S W U-24 9
I.nsr 1"twiscd: (.)c r 18, 2012

Meritech, Inc.
_�. Environmental Laboratory
Laboratory Certification No.165
Contact: Tina Williams Report Date: 10/24/2018
Client: Keystone Foods
P.U. Box 1.436
Reidsville, NC 27320 Date Sample Rcvd: 10/1.1/2018
Merirech Work Order # 10111803 Sample: Stormwater 1 Grab 10/11/18
P_ararneters Result Analysis Date Reporting Limit Method
CUD
206 mg/L
10/20/18
15 mg/L
I:PA 410.4
Total Suspended Solids
61 mg/L
10/15/18
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.4 mg/L
10/23/18
0A Yng/L
EPA 350.1
Oil & Grease (IIHM)
<S mg/L
10/16/1.8
5 mg/l,
EPA 166413
Fecal C.oliform
100,000 col/100 mi
10/11/ I Q
9 col/100 ml
SM 9222 I)
pH
7.1 S.U.
10/11/18
1..0 - 14.0 S.U.
SM 4500-HB
1 herehy certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

-:o-m,n
Chain of Custody Record (COC)
NPDES#: _
M E RITECH INC.
1Address:_
Client: Equity Group
Phone. _
Fax: _
227 Equity Dr.
ENVIRONMENTAL LABORATORIES
Reidsville, NC 2
Email: _
y 642 Tamco Rd. Phone: [phone]
Project: _
Reidsville NC 27320 Fax: [phone] P.O.#:
Email: [e-mail] Att: Tina Williams
How would you like your report sent?
WWW,meritech--Iabs.eom Circleall that apply: Email (preferred), Fax, Mail
Sampling Dates &Times Person Taking Sample(Sign/Print):
Sample Location and/or ID # start End comp? #of
Date -time Date Time Grab? Cont. Test(s) Required
Stormwater 1 V- 8 og 1 Oil & Grease W/HCL C-'�
Turn Around Time*
*RUSH work needs prioraoproval.
.H rin .ta—t I a _ s n.— I 24 - 4R Fir
G
1
TSS�'
G
1
COD,NH3 w/H2504
G
1
Fecal Colifornl
G
PH
p
Method of
"" aechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKid samples must be done in the field prior to preservation.
Shipment:
Comments:
* Client will Grab the pH and Temperature on site, and Meritech will report.
---_..._ —
Compositor#� y ;'
-—i�I'-5--
-- ___—.�- ---- ---------- — ----
dug,#.;; :•aE��-: _
Fed Ex
Are these ripsults for regulato purposes? Yes No
Report results in:
mg/L ! mg/kg ug/L � j
y@
" Hand Delivery
Relinquished b
Dater . Time: <: - '�a
tom. w (�--4 I v 3 S �+
Received b
l�+`CIC� WJ
ate:
1J `• ���
Time: :' y
other
Relinquished by: ; 4 r> { Date: Tim
�'��
Received by:
Date:
'Time: I
Relinquished by: Date: Time:
Received
Time:

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: 'Tina Williams
Client: Keystone Foods
P.O. Box 1436
Reidsville, NC 27320
Report Date: 10/24/2018
Date Sample Rcvd: 10/11/2018
Meritech Work Order # 10111804 Sample:
Stormwater 3 Grab
10/11/1.8
Parameters
R. esUlt
Analysis Date Reporting
Limit
Method
COD
61 mg/L
10/'L5/18
15 mg/l,
EPA 410.4
Total Suspended Solids
<2.5 mg/L
10/15/18
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.4 mg/L
10/22/18
0.1 mg/l,
EPA 350.1
Oil & Grease (HEM)
<5 nig/L,
10/16/18
5 mg/L
EPA 1664B
Decal Coliform
333 col/100 nil
10/11/18
9 col/100 ml
SM 9222 D
pH
7.4 S,U.
10/11/18 1.0 - 14.0 S.U.
SM 4500-1-113
I hereby certify that 1 have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]
s

Chain of Custody Record (COC)
Client: Equity Group
NPDES#:
I
Phone:
'F
M E R I TE CH, INC.
Address: � 227 Equity Qr.
Fax:
ENVIRONMENTAL LABORATORIES
Reidsville, NC 2
Email: j
642 Tamco Rd. Phone: [phone]
Project:
Reidsville NC27320 Fax:[phone]
P.O.#:
Email: info@mer'tech-labs.com
Att: Tina Williams
Turn Around Time*
'RUSH work needs prior approval.
How would you like your report sent?
WWW.meriteeh-labs.com
Std soda s)
- a s
I4-48Hrs
Circle all that apply: Email (preferred), Fax, Mail
Sampling Dates & Times
Person Taidng Sample (Sign/Print):
Sample Location and/or ID #
Start
End
�mp?
„of
Test(s) Required
�lce?�
pHo
Date
Time
Date
Time
(,rah?
cone.
Y /'rvo
`,CIOK
'
Stormwater 3
�_
L� r
G
1
Oil & Grease W/HCL'+
G
3
COD,NH3 w/H2SO4
G
J.
Fecal Coliform
i
G
I..
i
pH
r
Temp
�.
�.17
-
ci
on "``A'i7empera4ue,Upr.
Method of
Dechlorination (<0.5 ppm) of Arnmonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation.
Comments:
Composltor
:;
Shipment:
* Client will Grab the pH and Temperature on site, and Meritech will report.
_[� —LfP_S —
Oak Fed EX
e these results for regulatory purposes? Yes U No �, ,�
I�Jug
Report results I mg/L mg/kg ug/L
R d tr( _ Date: Tim J
Received h
Hand Delivery
j ■, rf �'
N ,
Other
Re qP� q 1[f
�t�
f .Rate:�� Time��t
Received by" i7ate: Time:
i
I�' , 1
i
1 '�
Relinquished by: Date: Time:
Rec by is 1 Oat ` Tjry�
�.
Cc' e— ilx�l

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted -9 - f ce
RECEIVED
AUG 14 2018
CERTIFICATE OF CO ERAGE NO- NCG06 () 0 U Z SAMPLE COLLECTION YEAR T
Cs�N � ftf=,i_ FILES
FACILITY NAME eucc „R� ter- FACILITY A 1TIE5 INCLUDE (check all that apply): D�JT� SECT1049
COUNTY ' \�UCk'. nF 11�,7 use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES akaDISCHARGING TO SALTWATERS? ❑YES LjNn6
LABORATORY tN-5 Lab Cert. # i b �
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
Total event rainfall • SL or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100or50
Within 6.0--9.0
120
30
1000
500
1 Only applies to facilities that use/process meats-
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at �ja outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [ 4fo (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
ma/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 54
6.0 - 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
`- 3 For sampling periods with no discharge at any outfalis, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

"FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE 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 for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
DB-09 -zo18
(Date)
Additional copies of this form may be downloaded at: http:/Zportal.ncdenr.org/webZwq/ws/­su/`npdessw#tab-4
SWU-249 Last Revised: Oc �r 18, 2012
age 2 of 2

Meritech, Inc.
,ty Environmental Laboratory
_ Laboratory Certification No. 165
•:F
Contact: 'fine Williams Report Date: 8/8/2018
Client: keystone Foods
P.O, Box 1436
Reidsville, NC 27320 Date Sample Rcvd: 7/30/2018
Meritech Work Order # 07301801 Sample: Stormwater 1 Grab 7/30/18
Parameters Result Analysis Date Reporting Limit Method
COD
82 mg/L
8/6/18
15 mg/L
1?11A 410.4
Total Suspended Solids
104 mg/L
7/31/18
2S ing/l.
SM 2540 D
Ammonia, Nitrogen
0.1 nig/L
7/30/18
0.1 mg/L
EPA 350.1
Oil & Grease (HEM)
<5 mg/L
7/31/18
5 mg/L
F11A 1664B
Decal Coliform
250,000 col/100 ml
7/30/18
9 cal/100 ml
SM 9222 D
pll
8.26 S.U.
7/30/18
1.0 - 14.0 S.U.
SM 4500-HB
I hereby certify that I have reviewed and approve these data. j
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
NPDES#:
Client: L, -�'-aucL Phone:
Address: Fax:
Email:
Project:
P.O.#:
Attention: V\` `z� Turn Around Time*
*RU5H work needs prior approval.
How would you like your report sent?
5td 10da s) s 24-48Hrs
Circle all that apply: Email (preferred), Fax, Mail
M EFRITECHp INC.
ENVIRONMENTAL LABORATORIES
r' f -
642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
www.meritechiabs.com
Sample Location and/or ID #
Sampling Dates & Times
Person Taking Sample (Sign/Print):
Lab USe Onlyr.
start
End
Comp?
Grab?
#of
Cont.
Test(s)
Required
On I e? yes
, No
PH OK?
a
Date
Time
Date
Time
i
Temperature Upon Receipt:
sp Li GG
Method of
Shipment:
* Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. **'
Comments:
�~
1�, �V� ►".'
Compositor #
Jug #
❑I UPSSA
Fed Ex
Are these results for regulatory purposes? Yes , No
Report results in: mg/L mg/kg � ug/L
Hand Delivery
itelinGuished yam"`- bate
+ ��� �' a,,�i+�
Time:
�,:35
} ����C C' �O_ T� +�
C� r \(>
Other
Relinquished by �� te: Time;
� v.. c��`} 3 6-'-
Received by: Date_ Time:
Relinquished by: Date: Time:
BreelV ed by Lab,,'/ �_ t ��

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
RECEIVED
for North Carolina Division of Water C,uality General Permit No. NCGO60000
Date submitted I -
CERTIFICATE OF COVERAGE NO. NCG060 ,Q O r_1
FACILITY NVMVE
COUNTY c) c
PER50N COLLECTING SAMPLES _'_ ;1
LABORATORY , Ve Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL FILES
SAMPLE COLLECTION YEAR ZQ DWR SECTION
FACILITY A IVITIES INCLUDE (check all that apply):
se/process meats ❑ use animal fats yproducts
DISCHARGING TO SALTWATERS? ❑YES LgfU
PLEASE REMEMBER TO SIGN ON THE REVERSE —>
Total event rainfall Z or o discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci2,
Colonies per 100 ml
Benchmark
-
100 or 50°
Within 6.0— 9.0
120
30
1000
500
} Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge-
3 For sampling periods with no discharge at 2ny outfalls. You must still submit this discharge monitoring report with a checkmark here-
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies_
Did this facility perform Vehicle Maintenance Activities using more than S5 gallons of new motor oil per month? ❑ yes 540-
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New (Motor Oil usage,
Annual average gal/mo'
Benchmark
-
30
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfafls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes• complete Part B)
SWU--249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER Z 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 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 anginal 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 oL"No_Discharge' reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
r
(Signature of Permittee)
07-I2-2-019
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orw/web/wQ/ws/su/npdessw#tab-4
S W U-249
I.asr Revised: Oc �r 18, 2012
age 2 of 2

P -r . w
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _G2_ A__ 1 _
CERTIFICATE OF COVERAGE NO. NCG06 0 SAMPLE COLLECTION YEAR 2 01
FACILITY N ME FACILITY IVITIES INCLUDE (check all that apply): RECEIVED
COUNTY use/process meats ❑ use animal fats byproducts
PERSON COLLECTING SAMPLES +,�;f� owcS DISCHARGING TO SALTWATERS? []YESOK-0JUN 0 8 2018
LABORATORY_ , EeG1~J Lab Cent.
PLEASE REMEMBER TO SIGN ON THE REVERSE CENTRAL FILESDWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 or PNeo discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
500
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge-
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmar;no
pli
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
3 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifcations where the more protective benchmark applies.
SWU--249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [q---'
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" report -within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wglwsfsu/npdessw#tab-4
SWU-249 Last Revised: Oc *r 18, 2012
age 2 of 2

SEMI --ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted _ - 4 `-- I - k %
CERTIFICATE OF COVERAGE NO. NCG06L,_Q � r]
FACILITY NAME Nit rvL
COUNTY '
PERSON COLLECTING SAMPLES _i
LABORATORY 1S \e,l,�re e . 5 Lab Cert. 9
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVE FAmLITY A PLE LIV�ION�CLUOE (check EAR -L �all� at apply):
MAY 1 4 zm se/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES G�M
Mr ' FT M`CT10n` PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event roinfoll z1 - :5 C1 or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
oil and Grease,
mg/L
Fecal CoIIform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-- 9.0
120
30
1000
5o0
L IS.L
�}�
i Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any.outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than S5 gallons of new motor oil per month? ❑ yes no (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
T55,
mg/L
pH,
standard units
New Motor Oil Usage,
Annual average gal/mo'
Benchmark
-
30
100 or 504
6.0 — 9.0
-
} Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised. October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il 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 original and one cop _9f this DMR,_including all "No Discharge"' reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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)
5D 2- 0 LL
(Date)
Additional copies of this form may be downloaded at: http./Zportal.ncdenr.org/web/wq/ws/­su/­npdessw#tab-4
S W it-249
Last Revised: Oc �r 18, 2012
arye 2 of 2

Merltech, Inc.
Environmental Laboratory
Laboratory Certification No.165
ryes::
Contact: Tina Williams
Client: Keystone Foods
P.O. Box 1436
Reidsville, NC 27320
Report Date: 5/2/2018
Date Sample Rcvd: 4/24/2018
Meritech Work Order # 04241803 Sample: 5tormwater 1 Grab 4/24/18
Paramet Result Anajy5js Date Reporting Limit Method
COD
<15 mg/L
4/25/18
15 mg/L
EPA 410.4
Total Suspended Solids
23.6 mg/L
4/25/18
2.5 mg/L
SM 2540 D
Oil & Grease (HEM)
<5 mg/L
5/1/18
5 mg/L
EPA 1664E
Fecal Coliform
811 cal/100 ml
4/24/18
9 col/100 ml
SM 9222 D
pH
7.34 S.U.
4/24/18
1.0 - 14.0 S.U.
SM 4500-HB
Temperature
15.8 °C
4/24/18
-
SM 2550 B
1 hereby certify that I have reviewed and approve these data. 4� a V1�7
Laboratory Repre entative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
r--, NPDES#:
Client: L� Phone:
Address: Fax:
Email:
Project:
P.O.#:
Attention: Turn Around Time*
How would you like your report sent? *RUSH work needs prior approval.
Circle all that apply: Email (preferred), Fax, Mail Std 10days) s 24-48Hrs
M RITECH IIVC.
A 1
ENVIRONMENTAL LABORATORIES
4- 642 TamcD Rd. Phone: [phone]
i_.
Reidsville NC 27326 Fax: [phone]
Email: info@meritech[abs.com
www.meritechlabsxom
Sample Location and/or i D #
Sampling Dates & Times
Person Taking Sample(SignfPrint):
Lab:Use, Only:
Start
End
comp?
Grab?
u of
Cont.
Test(s)
Required
on Iced
,. Na :.Cl.
. pH OKZ
oK
Date
Time
Date
Time
0,
1i-QCWQ
�G
Temperature upqn.Receipt:
ry
Method of
Shipment:
*"`* Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to reservation. *"
Comments:
Compositor:#
Jug # ..
UPS
Fed Ex
Are these results for regulatory purposes? Yes ` No
Report results in: mg/L mg/kg � ug/L
I�1
Hand Delivery
Relinquished by: Date: _ Time:
`
Received b : -
V 1 Date �! Time: t i
"[ 0—
Other
I
Relinquished
Time: �/i �[]
Received by: ate: Time:
Relinquished by: Date: Time:
eived bV�L. Timp; ryl f If
el-6

Semi-annual Stormwater Discharge _Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted February 20, 2018
CERTIFICATE OF COVERAGE No. NCG030607
FACILITY NAME O'Neal Steel
COUNTY Guilford
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. tt
Comments on sample collection or analysis: No samples were collected
for analysis. There was no stormwater discharge during this monitorin
period.
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2018
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
4 or ® Monthly' January (month)
DISC HARGINGTVLA@0ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
MAR U 7 2W ®Other Discharge to Mile Creek Run
CENTRAL Fil 1=C
DWR PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
�v J J4';v
® No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
- Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics5
Benchmarks ===>
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
Outfall #1
Not Sampled
No Discharge
---
---
---
---
---
---
---
Outfall #2
Not Sampled
No Discharge
---
---
---
---
---
---
---
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit; Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/16/2017-10/31/2018 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Kelli Raga
Name (Print name)
Safety Manager
4Tj,flet title)
e) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
lnches3
Non -polar O&G/TPH by
EPA 1664 (5GT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
-
1S mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/16/2017-10/31/2018 SWU-245, last revised 10/25/2012
Page 2 of 3

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 OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports to: .
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, 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 awareythat there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permitteej
(Date)
Permit Date: 11/16/2017-10/31/2018 SWU-245, last revised 10/25/2012
Page 3 of 3

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted _ �- _2 L -- 1.1z
CERTIFICATE OF COVERAGE NO. NCG06 QQ rl SAMPLE COLLECTION YEAR z_ t
FACILITYNAME FACILITY 6CTIVITIES INCLUDE~ (check all that apply):
COUNTY07:use/process meats ❑ use animal fats/byproducts
PERSON COLLE ING SAMPLES_V'� kl u15 F6 GING TO SALTWATERS? []YES ONO
Y LABORATOR(; rc Lab Cert. # los ' L.,
PR 0 3 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE -j
Part A: Stormwater Benchmarks and Monitoring Results DVvR R:, ,_. -Total event rainfall z�_ or No discharge this period'
S R �L'/
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
"Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 mi
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0— 9.0
120
30
1000
Soo
S
0
13RS
c7.
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here-
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes o (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 --9.0
-
3 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
For sampling periods with no discharge at Any outfafis, you must still submit this discharge monitoring report with a checkmark here-
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 5j--'
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES []NOR
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 o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
o 3 - 2C�- ZD ig
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orq/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised_ Or *r 18, 2012
aae 2 of 2

W
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Tina Williams Report Date: 3/21./2018
Client: Keystone Foods
P.O. Box 1436
Reidsville, NC 27320 Date Sample Rcvd: 3/12/2018
Meritech Work Order # 03121804 Sample: Stormwater 1 Grab 3/12/18
Parameters Resul Analysis DiltC Re o1r_rting Limit Method
COD
139 mg/L
3/13/18
15 mg/L
EPA 410.4
Total Suspended Solids
15 mg/l,
3/13/18
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
1.4 mg/L
3/13/1.8
0.1 mg/L
EPA 350.1
Oil & Grease (HEM)
<5 mg/L
3/19/18
5 mg/L
EPA 1664B
Fecal Coliform
2,703 col/100 mi
3/12/1.8
9 col/100 nil
SM 9222 D
pH
7.06 S.U.
3/12/18
1.0 - 14.0 S.U.
SM 4500-1-113
Temperature
12.1 °C
3/12/18
-
SM 2550 B
1 hereby certify that 1 have reviewed and approve these data. 12, &1�1
Laboratory Represe rtative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

}zo.m Chain of Custody Record (CDC)
Client: Equity Group
NPDES#:
Phone:
M E R IT E C H INC.
1
Address:_ 227 Equity Dr.
Fax:
ENVIRONMENTAL LABORATORIES
^`
Reidsville, NC 2
Email:
642 Tamco Rd. Phone: [phone]
Project:
Reidsville NC 27320 Fax: [phone]
P.O.#:
Email: [e-mail]
Att: Tina Williams
Turn Around Time*
*RUSH work needs prior approval.
Haw would you like your report sent?
� /� /� /� /� /� �
Y 1r V V V V m e ri t e e h - I a b s c o m
Std(10 da s)
24 - 48 Hrs
. .
Cirde all that apply: Email (preferred) , Fax, Mail
Sampling Dates & Times
Person Taking Sample
'
���" MN�
abOU, S' '4 k'
Sample Location and/or ID #x�
Start
End
.
Comp?
#of
Test(s)
Required
On,lce�
;
{HOOK?B;
Date
Time
Date
Time
Grab?
Cont.
Stormwater 1
1``3
3S
3-12A
9.`
G
1
Oil &Grease W/HCL l���'
+i•d•v�!:ki��
,�-12-1�5
14
O
+r�Y��t��ii..l'�
4piit...rdaSF°C�
G
1
COD,NH3 w/H2504
a ''
a_�`'
.�., :a . a5
G
1
Fecal Coliform
C -
S "�'i)3
G
c
pH • �
� ,?�i�'�r�'i��'�
: ti j�iNiRuE
Temp
';Temperagi�eUpon�.�i:
gV"1 v �Lew,t"`t-�"xt' l
Method of `*" Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation.
Comments:
Shipment: * Client will Grab the pH and Temperature on site and Meritech will report.
Corn p osito� #xwF�;l
UPS
Y:
:1 rig,#; f,,,_.,
Fed Ex
Are these results for regulatory purposes? Yes No
Report results in: mg/L mg/kg ❑ ug/L
Relinquished by: Dat Time:
'1',y3 �
Received 4 �l ate ,/ Time:
1 y r
��o� �ii
Hand Delivery
:.+-� - I't,_
r1 1`I�A;
Other
Relinquished by ��[,� \�� ate: _ re: : ©� q
Y jj 11
Received by: Date: Time:
Relinquished by: Date: Time:
Recei Tipt � F
G �
I

SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water uality General Permit No. NCG060000
Date submitted ` Zp — f S
CERTIFICATE OF COVERAGE NO. NCGO60 Q
FACILITY N�E
COUNTY uG
PER50N COLLECTING 5f&PLES �; ,� +A
LABORATORY �1L('� Lab Cert. # S
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �� O
FACILITY AgWITIES INCLUDE (check all that apply):
se/process meats ❑ use anim!lf!!stbyproducts
DISCHARGING TO SALTWATERS? ❑YES F�,4�O
PLEASE REMEMBER TO SIGN ON THE REVERSE —>
FEE("0' 11/F_0
FEB 2 6 2013..
C',h-N I WU. i=US
0VVR SECTION
Total event rainfoll ZV�j - or n No discharge this perioc 3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcii,
Colonies per 100 ml
Benchmark
-
100or50
Within 6.0 — 9.0
120
30
1000
500
U
I
'l I I to
,L 1 5
L
L
I Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
! For sampling periods with no discharge at 2ny outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Pormit text, -Cable 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new orator oil per month? Dyes (ifyes, Complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50'
6.0-9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
A For sampling periods with no discharge ate outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General PermiL .ert, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU•-249 Last Revised: October 18, 2012
Paac I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TR1GG TIER 2 REQUIREMENTS. SEE PERMIT PART lI SECTION B,
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR TH AME 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_Discha q reports, within 30 days of receipt o f the lab results (or at end of
monitoringperiod in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Flies
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/w,-b/wq/ws/su/ni2dessw#tab-4
S W U-249
Last Revised: Oc �r 18, 2012
age 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact; Tina Williams Report Date; 2/16/2018
Client, Keystone Foods
P.O. Box 1436
Reidsville, NC 27320 Date Sample Rcvd: 2/7/2018
Meritech Work Order # 02071808 Sample: Storntwater 1 Grab 2/7/18
Parameter 110su Ajja1ySj5j2ijt_Q Reporting Mini t Method
CUD
<15 mg/11
2/9/18
15 rng/L
EPA 410.4
Total Suspended Solids
1.8 rng/L
2/8/1.8
2.5 rng/I,
SM 2540 1)
Ammonia, Nitrogen
0.4 mg/l.
2/12/18
0.1 mg/L
EPA 350.1
Oil & Grease (11rM)
<5 mg/I.
2/12/18
5 mg/L
EPA 1664B
Fecal Coliform
<9 cal/1.00 Fill
2/7/18
9 col/100 ml
SM 9222 D
pH
7.16 S.U.
2/7/1.8
1.0 -14.0 S.U.
SM 4-500-HR
Temperature
6.2 °C
2/7/18
SM 2550 B
I hereby certify that I have reviewed and approve these data.
Laboratory Repres ntative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
Client: Equity Group
NPDES#:
Phone:
MERITECFI INC.
1
Address: 227 Equity Dr.
Fax:
' ENVIRONMENTAL LABORATORIES
Reidsville, NC 2
Email:
' 642 Tamco Rd. Phone: [phone]
Project:
Reidsville NC 27320 Fax: [phone]
P.o,#:
Email: [e-mail]
Att: Tina Williams
Turn Around Time*
RUSH work needs prior approval
How would you like your report sent?
� e � w �
W V V Y v m eri t ee h-I a bs. c o 1 � m i
5td to da sj
3 - 5 flays 24 - 48 Prs
.
Circle all that apply: Email (preferred) , Fax, Mail
Sampling Dates &Times
Person l'akingSample (Sign/Print):
or ID #
Sample Location and/or /
Start
End
Comp?
# of
Test(s)
Required
ii Y*.
Date
Time
Date
Time
Grab.
Cont.
e5; No °
Saci3OlC
Stormwater 3
�j�fls�
' zl A
G
1
Oil & Grease W/HCL J�
•��
k
G
1
TSS
G
1
COD,NH3 w/H2SO4
Y�.L
� .+i
.•if rk�;.•
G
1
Fecal Coliform
G
H�'.i
Temp
"�`".sFempe'refuj�e;�tlpon:%;�f
Method of
* " Dechlorination (<C.5 ppm) of Ammonia, Cyanide, Phenol and TKN sampfes must be done in the field prior to preservation.
Comments:
Corripasitor# h; 7'=
Shipment:
Client will Grab the pHand Temperature on site, and Meritech will report.
UPS
Fed l=x
Are these results for regulatory purposes? Yes 97 No FJ
Report results in: mg/L mg/kg ug/L
Relinquished by: { } Date
Time:`i
r Ti p
Ftece Ly:����
�
Hand Delivery
ti r,4`
��
�
7 � �,Qa
�(� / 3
FD Other
Relinquis d Time:
J
teived by Date: Time:
V 1C1 S r�Date:
3��
Relinquished by: Date:' Time:
Recrive 'T Lab: bate: Time: r'-

-- 5
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RFr%1=1N/F0
for North Carolina Division of Water Quality General Permit No. NCG060000 .TAN 0 9 2018
Date submitted
CERTIFICATE OF COVERAGE NO. NCG060 CZ L2 SAMPLE COLLECTION YEAR L �� _ WF0R�AAT'0i4! PR0CES0G UNP
FACILITY NAME c?+Z_ CxzQ C _ FACILITY A (TIES INCLUDE (check all that apply):
COUNTY '�V.;�c� �, r,� -� _ i se/process meats ❑ use animal fats/byproducts
PER50N COLLECTING SAMPLES DISCHARGING TO SALTWATERS? YES []AICr
LABORATORY rnQ,r. kez�J Lab Cert. # l 1�`S -
i PLEASE REMEMBER TO SIGN ON THE REVERSE -�
Part A: Stormwater Benchmarks and Monitoring Results i Total event rainfall 2_ or 7 No discharge this periad3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Entero[ocd ,
Colonies per 100 mi
Benchmark
-
100 or 50
Within 6.0— 9.0
120 i
30
1000
Soo
'Z 2
Z
Z .S
I
I
I
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water!classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no (ifyes• complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS, i
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50 i
6.0-9.0
-
�I
1
Only applies to facilities that use/process meats. I
2The total precipitation must be recorded using data from an on -site rain gauge.
° For sampling periods with no discharge at apy outfafis, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

I
*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 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 I❑ NO ❑
REGIONAL OFFICE CONTACT NAME: I
I
I
Mail an original and one copy of this DMR,_includlnq all_. "No Discharge" reports, within 30 days of receiut of the lab results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
i
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 an'd evaluate the information submitted. Based on my inquiry of the
i
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 cif Permittee)
tnl 03 -Z0M
G
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wgtwslsu/npdessw#tab-4
S W U-249
Last Revised: Oc �r 18, 2012
.agge2of2

no
ut
Contact: Tina Williams
Client: Keystone Foods
Q.O. Box 1436
Reidsville, NC 27320
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Meritech Work Order # 12201703
Parameters Result
COD
Total Suspended Solids
Ammonia, Nitrogen
Oil & Grease (HEM)
Fecal Coliform
pH
'temperature
Report Date: 12/29/2017
Date Sample Rcvd: 12/20/2017
Sample: Starmwater 1 Grab 12/20/17
Analysis Date Reporting Limit Method
168 mg/L
12/12/17
23 mg/L
12/22/17
1.2 mg/L
12/26/17
<5 mg/L
12/26/17
9 col/100 ml
12/20/17
7.16 S.U.
12/20/17
11.7 °C
12/20/17
15 mg/L
EPA 410.4
2.5 mg/L
SM 2540 D
0.1 mg/L
EPA 350.1
5 mg/L
EPA 1664B
9091 col/100 nil
SM 9222 D
1.0 -14.0 S.U.
SM 4500-I[B
-
SM 2550 B
I hereby certify that I have reviewed and approve these data. 1z "�z
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
teL[phone] fax.[phone]

3-70-2G33 Chain of Custody Record (COC)
Gtent: Equity Group
Address:_ 227 Equity Dr.
Reidsville, NC 2
NPDES##:
phone:
Fax:
Email:
Project:
P.O.##:
ME R IT E C H INC.
1
ENVIRONMENTAL LABORATORIES
r ` 642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
www. m e ri tec h-i a b s. e a m
E
Att: Tina Williams
Turn Around Time*
*RUSH work needs prior approval.
How would you like your report sent?
Circle all that apply: Email (preferred), Fax, Mail
Std I 10 da sj
- s
24- 49 Firs
Sample Location and/or ID #
p
Sampling Dates & Times
Fersl nTaking5amp[e(5ign/Print):WL
Start
Ertl
;
Comp?
Grab?
#of
Cont.
Test(s) Required
e' Ml
CIO
Date
T me
Date
Time
Stormwater 1
2 2� i'f
G
I
Oil & Grease W/HCL �' S
C1 i�1
G
1
TSs
"i�frCs?y.:.4�
G
1
COD,NH3 w/H2SO4u�#
G
1
Fecal ColiformS+,I,1y',';I;S
Jv
l S
Temp
I
�ltSe�°cN�i
c3"rgip�rrdhlfel
j}
a:.tf'L�fic
Ri"
Method of
Shipment:
p
`** Dechlorination (c0.5 p mj of Ammonia, Cyanide, Phenol and 71(N samples must be done in the field prior to reservation. ***Fir^if;!'
Comments:
* Client will Grab the H and Temperature on site and Meritech will report.
P P, P
Corrlpos�or.
�� h�
UPS
Fed Ex
Are these results for regulatory purposes? Yes U No I F,:J
Report results in: rnx/I_ mg/kg ug/L
Hand delivery
Rennquished by: Date: Time: r }
Z�3 !'.
Ret d b : i 4ate: Time:
'1U11 ` CiltV S ��✓i ?r��(i ��
Other
Relinquished by: Date: Time:
Received try: Date: time:
Relinquished by: 4 Dat Time' ' t
R! a ab:/date:, + Timq� ! -
4

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT —5 _
for North Carolina Division of Water Quality General Permit No. NCG060000 � wttu
Date submitted _ 9 - Z !" - i r7 SEP 2 9 2017
CERTIFICATE OF COVERAGE NO. NCG06 0_0 JD —'I SAMPLE COLLECTION YEAR ac C1 CENTRAL FILES
FACILITY NAME FACILITY ACTf
VITIES INCLUDE {check all that apply): DwR SEC7-I0j�1
COUNTYS h�.� _ use/process meats ❑ use animal fa /byproducts
PERSON COLLE ING SAMPLES--T—► RV Y%W` ri. DISCHARGING TO SALTWATERS? [—]YESNO
LABORATORY - t� i t,l� Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z• (o9 "or or n No discharae this oerioce
Outfall No.
Sample Collected,
mo/dd/yr
T55,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcii,
Colonies per 100 mi
Benchmark
-
100 or 50
Within 6.0— 9.0
120
30
1000
Soo
all 3
DPI I I 2-
Lz.s
.i71
l
L
d Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge_
3 For sampling periods with no discharge at 2ny outfa(ls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (ifyes. complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
10o or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR T SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST _SIGN _THIS _CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penafty 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."
re of Permittee)
cl- rZ(�
(Date)
Additional copies of this form may be downloaded at: http:Lportal.ncdenr.org/wet�Lwq/ws
IsuZnpdessw#tab 4
S W U-249
Last Revised: Or �r 18, 2012
age 2 of 2

Meritech, Inc.
r
Environmental Laboratory
s
Laboratory Certification No.165
Contact: Tina Williams Report Date: 9/25/2017
Client: Keystone Foods
P.O. Box 1436
Reidsville, NC 27320 Date Sample Rcvd: 9/12/2017
Meritech Work Order # 09121701 Sample: Stormwater 3 Grab 9/12/17
Parameters Result Analysis Date Rgporting Limi Method
COD
<15 mg/L
9/13/17
15 mg/L
EPA 410.4
Total Suspended Solids
<2.5 mg/L
9/13/17
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
<0.1 mg/L
9/18/17
0.1 mg/L
EPA 350.1
Oil & Grease (HEM)
<5 mg/L
9/14/17
5 mg/L
EPA 1664B
Fecal Coliform
>1000 col/100 ml
9/12/17
9091 col/100 ml
SM 9222 D
PH
6.01 S.U.
9/12/17
1.0 -14.0 S.U.
SM 4500-HB
&.C17
I hereby certify that I have reviewed and approve these data. �.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
Client: '' •S�
NPDES#
Phone:
®
ERI TECH, INC.
ENVIRONMENTAL LABORATORIES
A Division of Wa/er Techno%gy and Controls, Inc,
Phone: [phone]
642 Tamco Rd. Fax: [phone]
Reidsville, NC 27320 Email: [e-mail]
Web Site: www.moritech-labs.com
�r
Address: ��� �i��-��t� c� �'M1��`�'"
-
Attention:
Email:
Email:
Project #
P. a n
Turn Around Time*
'RUSH work must have prior approval.
Std (10 days)
0
3 - 5 Day
0
24 - 48 Hr
Sample
Location/ID #
Sampling Dates & Times
p g
Person Takin Sam !e Si nature :
Required
Method
tab Use
Only
START
END
Comp?
Grab?
#of
Gonts.
Tests Required
200.81200.7
pH
OK?
Date
Time
Date
Time
a �ii�✓f�
.-�
0,�
q
1 r ' ��
�f
D ��b
- "
�"
y r'�� ( � "� f j
I �"` ( � 7 " ` Z co C t�- V
1
Compositor #
Jug #
***Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol or TKN samples must be done in the field prior fo preservation."*
Comments:
Method of Shipment:
UPS
❑ Fed Ex
Hand Delivery
❑ Other
Are these results to�agulalory purposes?
YES �! NO �
Report results in
mg/L ❑ mg/Kg ❑ µg/L �
On Ico? Temperature On Recaipt *�
Relinquished by Date Time
PCMv 1—-2-1 �,
ceived y l Date Time
<
iplo -I
a nquish by Date Tyro
�0�9 1��c�`v`
Received by Date Time
Relinquished by Date Time
eceiv t b by Del Tim
I)) aa-

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted Q —off ,� — r) cc�� RE
CERTIFICATE OF COVERAGE NO. NCG060 �0 rl SAMPLE COLLECTION YEAR R r) MAR 0 7 2017 LJ
FACILITY ME2y 5}ar.�_ �opa j _ FACILITY A 1TIES INCLUDE (check all that apply):
COUNTY OC.1L; n c 1Lc,.t� h�.S use/process meats ❑ use animal fats/byproduct � fit, FILES
PERSON COLLE ING SAMPLES `T't nv� W ti `� DISCHARGING TO SALTWATERS? ❑YES U*Cr' ECG rON
LABORATORY Lab Cert. # 16-5-
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results T otai event rainfall 2. 31 or n No discharge this period't
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
5o0
%X +
a l Is 2-01'1
4 o
to I Z
Is
5
a y
OGc�('r�.11 3
I T 1 2 cs 1
I 7_
(o 3
j 5
L$
I
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies_
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 52to ( yes complete Part B)
Part B: Vehicle Maintenance Area Monitorine Results: oniv for facilities averaeink- > 55 lral of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
'Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at pny outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER I 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 ❑MR, includinq all "No Discharge"' reportsLwithin 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of lai&, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the -information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
IM 11
ature of Permittee} '
2-28- f�
(Date)
Additional copies of this form may be downloaded at: http:/Zportal.ncdenr.org/web/wqLWs/su/npdessw#tab-4
S W U-249 Last Revised: Oc -r 18, 2012
acre 2 of 2

Meritech, Inc,
Environmental Laboratory
Laboratory Certification No.165
Contact: Tina Williams
Client: Keystone Foods
P.O. Box 1436
Reidsville, NC 27320
Meritech Work Order # 02151723
Sample: Stormwater 3 Grab
Report Date: 2/24/2017
Date Sample Rcvd: 2/15/2017
2/15/17
ParaMete Result Ana ysis Date Reporting Liffli Method
COD
159 mg/L
2/23/17
15 mg/L
EPA 410.4
Total Suspended Solids
12 mg/L
2/16/17
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.2 mg/L
2/20/17
0.1 mg/L
EPA 350.1
Oil & Grease CHEM)
< 5 mg/L
2/17/17
5 mg/L
EPA 1664B
Fecal Coli€orm
1 col/100 ml
2/15/17
9091 col/100 ml
SM 9222 D
pH
6.3 S.U.
2/15/17
1.0 -14.0 S.U.
SM 4500-1-10
Temperature
11.1 °C
2/15/17
-
5M 2550 B
I hereby certify that I have reviewed and approve these data.
zlc�
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

3�m Chain of Custody Record (COQ
Client: Equity Group
Address:_227 Equity Dr.
Reidsville, NC 2
NPDES#:
Phone:
Fax:
Email:
Project.
P.O.#:
M E R I T E C H INC.
1
ENVIRONMENTAL LABORATORIES
642 Tamco Rd- Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
A /� A /� A (�
VY YY YY .meritech-labs.com
Att: Tina Williams
Turn Around Time*
*RUSH work needs prior approval.
How would you like your report sent?
Circle all that apply: Email (preferred), Fax, Mail
Std 14da s)Uf
s
24-48Hrs
Sample location and/or ID #
p
Sampling Dates & Times
Person faking Sample (Sign/Print):,
`�''� ka�•
Start
End
Comp?
Grab?
#of
Cont.
Tests Re u i red
q
ME-
,
Date
Time
Date
Time
Stormwater 3
ti
0 V,
G
1
Oil & Grease W/HCL
G
1
TSS
G
1
COD,NH3 w/H2SO4
G
1
Fecal Coliform
f
G
pH (o
'
TempJt.(
,.
;;.,
Y i
SONY
aep �`�;
A.
Method of
Shipment:
Dechlorination (<0.5 m) of Ammonia Cyanide, Phenol and TO
sam les must be done in the field rior to preservation. ***
�z +
Comments:
" Client will Grab the pH and Temperature on site, and Meritech will report.
C�orp,s
flti,r
UPS
Fed Ex
Are these results for re latory purposes? Yes No
Report results in: mg/L mg/kg ug/L
Hand Delivery
Relinquis 1[: Dale: Tm
2- - j"1
Receives �y Datee;, T
t_ �lnc.� t� � L ! 151
Other
Relinquish r,
` �_ Date: m :
�-S i` t 5 �k
Received by: Date: Time:
Relinquished by: Date: Time:
Re a l>;h; r Dte Cier�ix S
rA

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Tina Williams
Client: Keystone Foods
P.O. Box 1436
Reidsville, NC 27320
Report Date: 2/24/2017
Date Sample Rcvd: 2/15/2017
Meritech Work Order # 02151722 Sample: Stormwater 1 Grab 2/15/17
Parameters Result Analysis Date Reporting Limit Mgthod
COD
78 mg/L
2/23/17
15 mg/L
EPA 410.4
Total Suspended Solids
40 mg/L
2/16/17
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.8 mg/L
2/20/17
0A mg/L
EPA 350.1
Oil & Grease (HEM)
< 5 mg/L
2/17/17
5 mg/L
EPA 1664B
Fecal Coliform
24 col/100 ml
2/15/17
9091 col/100 ml
SM 9222 D
pH
6.2 S.U.
2/15/17
1.0 - 14.0 S.U.
SM 4500-HB
Temperature
10.3 °C
2/15/17
-
SM 2550 B
I hereby certify that I have reviewed and approve these data.
r,
Laboratory Representative
' 642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
Tent: Equity Group
227 Equity Dr..
Reidsville, NC 2
NPDES#.
Phone:
Fax:
Email:
Project:
P.O.#:
M E R I TE C H INC.
JAddress:—
ENVIRONMENTAL LABORATORIES
'MAW 642Tam co Rd. Phone: [phone]
Reidsville NC 27320 Fax. [phone]
Email: [e-mail]
www.meritech-labs.com
Att: Tina Williams
Turn AroundTln:e•
`RUSH work needs prior approval.
How would you like your report sent?
Circle all that apply: Email (preferred), Fax, Mail
Std soda s)
24-49Hrs
Sample Location and/or ID #
Sampling Dates &Times
PersonTaking Sample (Sign/Print):
U, ,
Start
End
Camp?
Grab.
#of
Cont.
Test(s) Required
P
Date
-rime
Date
Time
Stormwater 1
r1.�
Z-
G
1
ON & Grease W/HCL
r� i
G
1
y
TSS
G
1
COD,NW3 w/1-12SO4
G
1
Fecal Coliform
G
pH iv
Temp 103
s . ` '
.3 k Mi
3I
t W11-11
Method of
Shipment:
Dechlorination 1<05 m of Ammonia, Cyanide, Phenol and TKN sam
les must be done in the field prior to preservation.
Comments:
* Client will Gran the pH and Temperature on site, and Meritech will report.
Co 0
r
UPS
Fed Ex
Are these results for regulatory purposes? Yes 7 No ID
Report results in: mg/L mg/kg ug/L
Hand Delivery
Relinquished by: Date: Time:
Re i ed by: { � ate: Ti e:
ia/ ? Ld �g �- -1 ? *7 Z
Other
Relingti 1r. Date: Time _ ,
J _1
Received by: Date: Time:
Relinquished by: Date: Time:
R ve byrk— daterl Tir�peS

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted %- 21-- 1 L,
CERTIFICATE OF COVERAGE NO. NCGO61a 5�0__
�
FACILITY NAMEQ,UCa-���Q _Pni7-
COUNTY - 1 , \
PERSON COLLECTING Y AMPLES -TW' �1 ti
LABORATORY Lab Cert- #�
Part A: Stormwater Benchmarks and Monitorine Results
SAMPLE COLLECTION YEAR ZD I b
FACILITY APTIVITIES INCLUDE (check all that apply):
use/process meats ❑ use animal fa /byproducts
DISCHARGING TO SALTWATERS? []YES 260
RECEIVED
AUG 2 5 2016
CENTRAL r~tLES
DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
rotal event rainf0112. Z or ❑ No discharge this per' _lod3i
Outfall No,
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,`�
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
gc
4
(o
S - , (c,
< 5
c.
2.a
LS
` Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here-
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (ifyes, complete Part R)
Part R- VPhirle Maintenance Area Monitoring Results: only for facilities averaeine > 55 gal of new motor oil/month_
Outfall No.
Sample Collected,
mo/dd/yr
Off and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 5o
6.0 — 9.0
-
'only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anY outFalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOREPART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
1F YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMft including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
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
informatio, including the possibility of fines and imprisonment for knowing violations."
ature of Permittee)
_L-Zz-2o/a
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/wS/Su/npdessw4tab-4
S W U-249
Last Revised: Or -tr 18, 2012
-'age 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: August 1, 2016 06�
CERTIFICATE OF COVERAGE NO. NCG060020
FACILITY NAME Tyson Farms Inc.
Wilkesboro Complex
COUNTY Wilkes
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. 4 402 AUG 15 2016
(. 1!Tr)1 L -lLES
Part A: Storm water Benchmarks and Monitoring Results;
SAMPLE COLLECTION YEAR 2016
FACILITY ACTIVITIES INCLUDE (check all that apply):
® ;A%*
use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
l
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 'or ❑ No discharge this perio&
Outfall No.
Sample Collected,
Mo./dd./yr.
TSS,
mg/L
`pH;—v
Standard units
COD,
mg/L`
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100:ml
Enterococcil,
Colonies per 100 ml
Benchmark.
-
100 or 504
Within 6.0— 9.0
120
36
1000
Soo
Wilk- 02
NA
NA
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil &
Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
1s
100 or 50'
6.0 - 9.0
-
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

'See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies_
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER iREQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR indudin all "No Discharge" reports, within 30 days of receipt of the lab results or at end o
monitoring period in the case o "No Discharge" reparts) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
IL Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
.system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
_)person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
"_jo 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."
1�z— %—)
(SignatuA of Permittee) v (Date)
Additional copies of this form may be downloaded at:'http://portal.ncdenr.org/web/wq/ws/­­su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

1 Tyson Foods, Inc.
August 1, 2016
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699- I617 -_ C E :- •- - 4
AUG 1 z01b
Subject: General Permit No. NCG060000
Tyson Farms Inc. CENTRAL. FILES
CQC NCG060020 DvVR SECTION
Wilkes County
Dear Madam or Sir:
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
02 for the parameter of fecal coliform.
Tyson Farms Inc. Did not meet storm water sampling criteria for the month of June and July
2016.
Due to mostly dry weather and weekend rain events for the month.
Monthly (analytical and qualitative monitoring) will continue for this parameter until three
consecutive sample results are below the benchmark values or within benchmark range.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253 should you have any questions.
Sincerely,
Raymond E. Johnson (Bob)
Complex Manager
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson.com

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 3 I S- lv ff
CERTIFICATE OF COVERAGE NO. NCG06_61;_0�1_ SAMPLE COLLECTION YEAR Zb I b
FACILITY NAME FACILITY A IVITIES INCLUDE (check all that apply):
COUNTYp`�,� ®®��,I use/process meats ❑ use animal fats products
PERSON COLLE�lNG SAMPLE5 I L �h�i, .G r� R DISCHA GiNG TO SALTWATERS? []YES LABORATORY ``i1P,r` ;�C'C11� Lab Cert. # �
,312 .
PLEASE REMEMBER TO SIGN ON THE REVERSE -3
CENTRAL FILES:
Part A: Stormwater Benchmarks and Monitoring Results MR SECTIOI!r�� Total event rainfall1 or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Conform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0— 9.0
120
30
1000
500
212- y I 1 b
_5_
113So
z '2 r
c
� ,
a
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
} Only applies to facilities that use/process meats.
2Thetotal precipitation must be recorded using data from an on -site rain gauge.
'3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page I of 2

' FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO 5]'
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 o receipt o the lab results or at end o
monitoring period in the case of "No Discharge" reports} to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: htt2:://portal.ncdenr.org/webjwq/ws/su/npdessw#tab-4
S W U-249
Last Revised: Or -r 18, 2012
ace 2 of 2

_ .r
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted I I - 3 O - 1 �7_
CERTIFICATE OF COVERAGE NO. NCG06,) 9 SAMPLE COLLECTION YEAR au 1 r
FACILITY NAME ec �jo U- FACILITY A ITIES INCLUDE (check all that apply):
COUNTY se/process meats ❑ use animal fats/byproducts
PER50N COLLECTING SAMPLES L_. i r16c;_ � �G��rc�� DISCHARGING TO SALTWATERS? ❑YES 5qK6__
LABORATORY_ V\9_f 0 Lab Cert. # b !-i
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z l �Z or n No discharge this neriod3
Outfall No.
Sample Collected,
mo/dd/yr
T55,
mg/L
PH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50'
Within 6.0-9.0
120
30
1000
S00
11- 09 - L
B
y$
S
1
- 1
S . �-j
odS
r
<
` Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [J (if Yes, complete Part B)
Part B: Vehicle Maintenance Area Monitorine Results: oniv for facilities averaEine > 55 eal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TS5,
mg/L
PH,
Standard units
New Motor ail Usage,
Annual average gal/mo -
Benchmark
-
30
100 or 50
6.0 - 9.0
-
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU--249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER I 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 ME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [2]l-'
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy o this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
ature of Permittee)
`1 ab - I.0
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/w_eb/wn/ws/su/`npdessw#tab-4
SWU-249 Last Revised: Oc -r 18, 2012
. age 2of2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Cotltact: Tina Williams
Client: EquityGroup
P.O. Box 1436
Reidsville, NC 27320
Revised Date:
Report Date:
Date Sample Rcvd:
1112312015
11/19/2015
11/9/2015
Meritech Work Order # 11091513 Sample: Storniwater Outfall 01 Grab
11/9/15
Paranleter-5
Result
Andllysis Date
jkPorting 1.1111it
Method
COD
48 rng/L
11/9/15
15 mg/L
EPA 410.4
Total Suspended Solids
8 mg/L
11/11/15
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
1.7 nig/L
11/9/15
0A mg/L
CPA 350.1
Oil & Grease (HEM)
<5 nig/L
11/13/15
5 nig/L
EPA 1664A
Fecal Coiiform
450 col/100 ml
11/9/15
10 col/100 till
SM 9222 D
PH
7.0 S.U.
1119115
110-14.0 S.U.
SM4500-HB
Q1 Holding time exceeded prior to receipt by the lab.
I hereby certify that I have reviewed arid approve these data. �./I
LaboratwyRepreser tative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Chain of Custody Record (COC)
NPDES M
—
7�I� r
M R.I 1 ECH INC.
Client:
Equity Group
Phone:
y
E>uvilronnmental Laboratories
Fax
r. F
A Division of Water Tecbnology and Control, Inc.
Address:
Email:
'
"
Project:
642 Tamco Rd
Phone [phone]
17 a
Po *:
Reidsville, NC
Fax: [phone]
Tum
Around Time*
27320
Email: [e-mail]
Attention:
, y�Q !. );� , a jyiJ�_ _
Std (10 days)
3 - 5 Day
24 - 48 Hr
Web Site: www.meritech4abs.com
Sample
Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
START
END
Comp?
#of
Tests Required
on
pH OK?
Location/ID #
Date
Time
Date
Time
Grab?
Conts.
Ice?
C12 OK?
Stormwater
i- �-
5� :'fS f'A
G
1
Oil & Grease (w/HCI)
j
G
1
TSS
G
1
C0D,NH3 (w1H2SO4)
; :C
G
1
Fecal Coliform
t
Comments:
Method of Shipment:
Will these results be used for regulatory purposes?
*RUSH work must be approved prior to submiWng samples.
Yes No
by. Date:
Time:
R eived by.
aLrS�c
Date:
i.-g-/
Time:
-q-
�I
� S.
Z
Date:
1 —R45
Time:
pS n
Received by:
Date:
Time:
Date:
Time:
Ret by: te:
Time:
��
h.

i'liams
Group
Fx 1436
idsville, NC 27320
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Revised Date: 11123/2015
Report Date: 11/19/2015
Date Sample Rcvd: 11/9/2015
z
ritech Work Order # 11091514 Sample: Stormwater Outfall #3 Grab 11/9/15
am BuLd Analysis Date Reporting rting Limit Meth Qualifier
COD
25 nig/L
11/9/15
15 mg/L
EPA 410.4
Total Suspended Solids
3 mg/L
11/11/15
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.2 ing/l,
11/9/]5
0.1 mg/L
EPA350.1
Oil & Grease (HrM)
7 nng/L
11/13/15
5 mg/L
EPA 1664A
Fecal Coliform .
<9 col/100 inl
11/9/15
9 col/100 mi
SM 9222 D
pH
5.4 S.U.
1119115
1.0 -14.0 S.U,
W 4500-HB Q1
Q1 Holding time exceeded prior to receipt by the lab.
1 hereby certify that 1 have reviewed and approve these data. fl. A, -
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tcl,[phone] fax.[phone]

%,11dl11 Ull i.u5LVUY meuuru kt ut,)
NPDES #:
ERR 1 ECdCH INC,
Client:
Equity Group
Phone:
l
$h°'�
Y I;.. ;.
Environmental Laboratories
Fax
fiHiw
A Division of Water Technology and Control, Inc.
Address:
a �
Email:
h'.
Project:
642 Tamco Rd
Phone [phone]
PO#:
Reidsville, NC
Fax: [phone]
Turn Around Time*
27320
Email: wtclab(cbellsouth.net
Attention:
Std (10 days)
3 - 5 Day
I
24 -48 lir
Web Site: www.meritech-labs.com
F-=
Sample
I Sampling Dates & Times
Person Taking Sample (Signature):
Lab Use Only
LocationllD#
START
END
Comp?
#of
Tests Required
On
PH OK?
Date
Time
Date
Time
Grab?
Conts.
Ice?
C12OK?
Stormwater
F _
;
G
1
Oil & Grease (w/HCI)
(i
r
G
1
TSS
G
1
COD,NH3 (wiH2SO4)_
C:
G
1
Fecal Conform
Comments:
od of Shipment:
Will these results be used for regulatory purposes?
.Yes No
by: � c Date:
Date:
r �
Date:
*RUSH work must be approved prior to submitting samples.
7imc; R/ep�ei�,ed by:,�s f� Date: Time:
�!f/ll�r��/ G ' G�! /4 lam' G l/
Time: Received by: Date: Time.
Time: Rec ' / Vy 1 f Time: t�

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted H - %- I S _
CERTIFICATE OF COVERAGE NO.'NCG06b O O
{
FACILITY NAME I �E'1.{SjryQ COUNTY C
PERSON COLLE TING SAMPLES-7'k r\ A-
LABORATORY Lab Cert. # (<,
Part A: Stormwater Benchmarks and Monitoring Results
k COV 0
APR 13 Z015
CEI' TRAL FILES
SAMPLE COLLECTION YEAR a �� 5 DVIR SECTION
FACILITY IVITIES INCLUDE (check all that apply):
use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES © �,
PLEASE REMEMBER TO SIGN ON THE REVERSE ->
Total event rainfall 2+a,1 or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal ColiformI,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
-2--
4 5
30
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (if yes, complete Part B)
Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October IS, 2012
Pate I of 2

*FOR PART A AND PART B MONITORING RESULTS:
. • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORT SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO 0�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO [y
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Dischar e" reports within 30 days of recei t ot the lab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision 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)
q—l— l
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw4tab-4
SWU-249 Last Revised: Oc' -X 18, 2012
;x,, ,.iage 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Tina Williams
Client: Equity Group
P.O. Box 1436
Report Date: 4/7/2015
Reidsville, NC 27320 Date Sample Rcvd: 3/27/2015
Meritech Work Order # 03271505 Sample: Stormwater Outfall #1 Grab 3/27/15
Parameters Result Anal. sis Date RepQrtine Limit Method
A
COD
82 mg/L
4/1/15
15 mg/L
EPA 410.4
Total Suspended Solids
28 mg/L
4/1/15
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.5 mg/L
3/31/15
0.1 mg/L
EPA 350.1
Oil & Grease (HEM)
<5 mg/L
4/6/15
S mg/L
EPA 1664A
Fecal Coliform
30 col/100 ml
3/27/15
10 col/100 ml
SM 9222 D
pH
7.2 S.U.
3/27/15
1.0 - 14.0 S.U.
SM 4500-HB
Temperature
13.3 °C
3/27/15
-
SM 2550 B
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, ]forth Carolina 27320
tel.[phone] fax.[phone]

low SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted Li - s- I-.T
CERTIFICATE OF COVERAGE NO. NCG06_0 0 L'I r�
FACILITYNAME �, p ��rx �, �_c,:!,-L, ­rc�,,r�
COUNTY'
PERSON COLLECTING SAMPLES I ; r„pt W I I •>�
LABORATORYLab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR QO 1�
FACILITY IVITIES INCLUDE (check all that apply):
use/process meats ❑ use animal f p/byproducts
DISCHARGING TO SALTWATERS? []YES [R4O
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2. Aq " or ❑ No discharge this Period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 - 9.0
120
30
1000
500
Llo
I Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes is (if yes, complete Part B)
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 - 9.0
-
1wnly applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3.For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Paee l ol' 2

*_FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR E SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ED
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 o} "No Discharge" reports) to: ^
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
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)
3-a-)- is
(Date)
Additional copies of this form may be downloaded at: httpl/portal.ncdenr.org/web/wq/ws/su/nodessw#tab-4
SW U-249 Last Revised_ Oc' , fr 18, 2012
image 2 01.2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Tina Williams
Client: Equity Group
P.O. Box 1436
Reidsville, NC 27320
Report Date: 4/7/2015
Date Sample Rcvd: 3/27/2015
Meritech Work Order # 03271506 Sample: Stormwater Outfall #3 Grab 3/27/15
Parameter Result Analysis Date Reporting! Limit Method
k
COD
<15 mg/L
4/1/15
15 mg/L
EPA 410.4
Total Suspended Solids
10 mg/L
4/1/15
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
<0.1 mg/L
3/31/15
01 mg/L
EPA 3501
Oil & Grease (HEM)
<5 mg/L
4/6/15
5 mg/L
EPA 1664A
Fecal Coliform
<10 col/100 ml
3/27/15
10 col/100 ml
SM 9222 D
pH
7.2 S.U.
3/27/15
1.0 - 14.0 S.U.
SM 4500-HB
Temperature
11.4 °C
3/27/15
-
SM 2550 B
1 hereby certify that have reviewed and approve these data. nij Y 2t-)
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax, [phone]

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
k
for North Carolina Division of Water Quality General Permit No. NCG060000
k� Date submitted 1 2 -11- 114
CERTIFICATE OF COVERAGE NO. NCG06_0
FACILITY NAME ert Lj_,;_ .v �or�rLS
COUNTY
PERSON COLLECTING S MPLES - : ,A\4v W AVAnkS
F
L'ABORATO�iY` @Cr:�e+�C.ii�C>"f`t'r~ Lab Cert. # 1G.5
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR '14:�
FACILITY A TIVITIES INCLUDE (check all that apply):
use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES [,J<0
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Totol event rainfall 2.10 or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 - 9.0
120
30
1000
500
1
11-
O
45
3 SO
RECEIVE
D
1 Only applies to facilities that use/process meats. Vk"k' JL & `W `T
2The total precipitation must be recorded using data from an on -site rain gauge. CENTRAL FILES
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge mongWRSCiQflG* a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 5alno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 -- 9.0
-
1 Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October lh, 2012
Paw I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES 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 lab results for at end of
monitoring period in the case of "No Discharge" reports to: r
Division of Water Quality ~`
Attn: DWQ Central Files
1617 Mail Service Center
L.Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify,, under penalty pf law, that this document and all attachments were prepared under my direction or supervision .n accordance with a
system designed-to'a`ssure that qualified persbhnel, properly gatliet-and evaluate the information submitted. Based on rn 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�
. mot, `� �• {� "�..' �'' r • 't" i
r1
,i
Additional copies of this form may be downloaded at
h
12. 9-1
(Date)
http://portal.ncdenr.org/web/wq/ws/su/npdesswgt_a6-4
71
-
M
SWU-249 Last Revised: Or' 'ir 18, 2012
.• /agc 2 oI' 2

Sir
Contact: Tina Williams
Client: Equity Croup
P.O. Box 1436
Reidsville, NC 27320
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Meritech Work Order # 11261408
Parameters Resul
Report Date: 12/9/2014
Date Sample Rcvd: 11/26/2014
Sample: Storniwater Outfall #1 Grab
11/26/14
Analysis bate Reporting Limit Method
COD
55 ing/L
11/28/14
15 mg/L
EPA 410.4
Total Suspended Solids
10 mg/L
11/26/14
2.5 nig/L
SM 2540 D
Ammonia, Nitrogen
0.4 mg/L
12/8/14
0.1 mg/L
EPA 350.1
Oil & Grease (1-{EM)
< 5 mg/L
12/1/14
5 mg/L
EPA 1664A
Fecal Coliform
.380 col/100 ml
11/26/14
1 col/100 in]
SM 9222 D
pH
7.3 S.U.
11/26/14
1.0 -14.0 S.U.
SM 4500-HB
Temperature
12.3 °C
11/26/14
-
SM 2550 B
I hereby certify that 1 have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000--
CERTIFICATE OF COVERAGE NO' NCG06 C7Q I vZ
FACILITY NAME C64 5 LL L
PERSON COLLECTING SAMPLES t,l
CERTIFIED LABORATORY Lab 0 Of�49
i m ' e5 Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: /4-1
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Le, C
PHONE NO. Q/5
PLEASE SIGN ON THE REVERSE 4
Outfall.:.
No
: , Date
Sample
Collected,
nib/d dl� r
:',00530 . Y.
:: ;.A0400 .,:::, - . ,
;- 00340 , ,
• i ..,, ,. 00556 , ;:,;.'
, .�31616 �'.:. •..
Total Suspended
- Solids;; ,k+ �,.,
m'`
+ pII,
`Standard units
Chemical Oxygen ,
�:1)emand,Colonies
;:m �"
,.Oil andmGrease,
Fecal Coliform,
per 100 rril
Benchmark:
-
100t;-r
Withirt'6:0 9.0
120
^� 30
'.::1000_:.`
00 t
6 )-f
iQ .1710
L 14
Ca
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pI-t, you must implement Tier 1 or I'idF"YpaRECEIVED
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part B)
Fart 15: vehtcie Maintenance Acttvrty Monttorme Requtrerr
OutfaIl,: Date!
:':No.,Sample Callecte.d, Oil and 'Grea5
rno/dd/ r..
Benchmark- i;d :36
Note: If you renort a samnled value in excess of the
See General Permit text.
STORM EVENT CI,1�ARACTERISTICS:
Date(first event sampled)
Total Event Precipitation (inches): Q.�a
nts
NOV 14 1014
CENTRAL FILES
DWR SECTION
00530 -
Total Suspended Solids, pH, ': New Motor Oil Usage,
m''1L ..Standard units Anirual;nvera a aumo
9.0
value- or outside the benchmark ranee for nH. you must imnlement Tier I or Tier 2 resnonses
Date (list each additional event sampled this reporting period, and rainfall amount)
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
/ Total Event Precipitation (inches):
SWU-249-102107
P.,,,o , r

"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 informations, including
the possibility of fines and imprisonment for knowing violations."
z cnff
` 1/ ho l2o!`t
(Signature of Permittee)
(Date)
SwU-249-102107
Page 2 of 2

W A Tt
r
y
o
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NIC1410I 6I0l 60LI4 - or Certificate of Coverage No.: N/C/GI^l I_I_l_/—/
Facility Name: 60 V > U, C- _
County: o - Phone No.
Inspector; DoNid Vavo
Date of Inspection: Cj ?Ir� I 1 L
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Pernuttee or Designee)
>!. Outfall Description
Outfall No. Structure i , tch, tc.) /,
Receiving Stream t ��p r/itu C_ Y. V 1�-'P
Describe thF industrial activities that occur within the outfall drainage area:'
5 � � �� � r. � to ✓ N��� 5 ��-� �� - -
2. Color
Describe the color of the dis barge using basic colors (red, brown, blue, etc.) and tint (light, medium,
dark) as descriptors:6V1_--
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) 0bI} t-
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
1 3 4 5 6 7 8 9 10
Page I
SWU-242-020705

5. Floating Solids
Choose the number which best describes the amount of floating solids in the stormwater discharge where
I is no solids and 10 is the surface covered with floating solids:
2 3 4 5 6 7 8 9 10
6. Suspended Solids
Choose the number which best describes the amount of suspended solids in the stormwater discharge
where I is no solids and 10 is extremely muddy:
1 3 4 5 6 7 8 9 10
7. Foam
Is there any foam in the stormwater discharge? Yes lfo
S. Oil Sheen
Is there an oil sheen in the stormwater discharge? Yes
9. Deposition at Outfall
Is there deposition of material (sediment, etc.) at or immediately below the outfall? Yes'
10. Erosion at Outfall
Is there erosion at or immediately below the outfall? Yes �10
11. Other Obvious Indicators of Storrnwater Pollution
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, deposition or erosion maybe
indicative of conditions that warrant further investigation and corrective action.
Page 2
SVM-242-020705

Cameron Testing Services, Inc.
Laboratory Report NC DENR #054
NC PHH$ #37799
z't..
. US EPA #NC01918
CotyCTi
r 141189
Rro�ect-Z,7,
Stormwater Semi -Annual Regulatory Yes
iadati,il:3£iEi:�iy
Nzfa 1h`I'tirrsl
Sample Information
aAnPfa�
N. Cutler •�abeit.
09/24/14 R e �d� C, Cameron A &0 09/24/14
Analyses and Results
141189 01 Pond Outflow 01 sw Gr COD <10 mglL rG 10/10/14 5220 COD - D
O&G-W <6.00 m91L 8 09/26/14 EPA 1664A
TSS - <5.00 mgA- 5 09/30/14 2540 0 - TSS
O
Data
Review
Lab echnician
Date 1
Report
Review
Lab Director
Date
219 S. Steele Str. 919-208-4240
Sanford NC 27330 Chris ryCamcrontcsting.corn

219 S. Steele Str. Cameron TestingServices, Inc. Chaln� of +custody
Sanford, NC 27330 .
Phone. [phone] NC WW/GW Cert. #654 NC PHHS Cert # 37799 US EPA NCO1918 Page _ I _ of
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hRP 8Ct iKi"�r Stormwater
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Rush work will require prior approval. Additional charges will apply

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 10' oZ_1— 1 Cl
CERTIFICATE OF COVERAGE NO. NCG06QjCLQT
FACILITY NAME
COUNTY�aC, h�+�
PERSON COLLECTING SAMPLES
LA80RATQRY.�&t`: b Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2 6 1 L4
FACILITY ACTIVITIES INCLUDE (check all that apply):
�use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES [�O
PLEASE REMEMBER TO SIGN ON THE REVERSE -�
it
Total event rainfall 2L z or ❑ No discharge this period}
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 -- 9.0
120
30
1000
500
a U #k
- 14
1CA
L
S
�
CI
C UnrT
CI_
1 Only applies to facilities that use/process meats. vs.. ° L a CU 14
2The total precipitation must be recorded using data from an on -site rain gauge. CENTRAL FILE.
3 For sampling periods with no discharge at � outfalls. You must still submit this discharge monitorir@WAggLvnt'tj�la�c� eckmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [] no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at In
y outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if �, complete Part B)
SWU-249 Last Revised: October 18, 2012
Pace l of-2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1
• 2 EXCEEDANCES IN A ROW FOR THE SAME PAF
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE I
IF YES, HAVE YOU CONTACTED THE DWQ REGI
REGIONAL OFFICE CONTACT NAME:
Mail an c
monitori
final and one copy of this DI
2eriod in the case of "No Di
MUST SIGN THIS CERTIFII
tEQUIREMENTS. SEE PERMIT PART 11 SECTION B.
METER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
=N' HMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO [�
iNA L OFFICE? YES ❑ NO ❑
e
including all "No Discharge"
frae" r,`eportsl to:
j Division of Water Quality
Attn: DWQ Central Files
11617 Mail Service Center
Raleigh, NC 27699-1617
103
within 30 days of receipt of th
,I certify,�u det;ipenalty of law', that this document aInd all attachments were prepared under my direction or supervision in accordance with a
system designedto a's-sure'that qualified per5onn .1 properly gdther'and evaluate the information-sdMiitted. 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, acc .ralte, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines andimprisonment for knowing violations." 4
t • r.r:+ ry� .
(Signature of Permittee)-
r4
Additional copies of this form may be downloaded at
SWIJ-249
10. ar 1
(Date)
Last Revised: Or' zr 18, 2012
i
gage 2 of 2

Meritech, Inc,
Environmental Laboratory
Laboratory Certification No. 165
Contact: Tina Williams
Client: Equity Group
P.O. Box 1436
Reidsville, NC 27320
Report Date: 10/24/2014
Date Sample Ruck 10/15/2014
Meritecli Work Order # 10151427 Sample: Storrnwater Outfall #3 Grab .
1.0/15/14
Parameters
Restilt
im si DIte
Reporting Limit
method
COD
< 15 mg/L
10/15/14
15 nlg/L
EPA 410.4
Total Suspended Solids
1€1 mg/L
10/16/14
2.5 mg/L
5M 2540 D
Ammonia, Nitrogelt
< 0.1 nig/l,
10/22/14
0.1 ing/L
EPA 350.1
Oil & Grease (HEM)
< 5 mg/L
10/20/14
5 mg/L
CPA 1664A
Fecal Coliform
350 col/100 nil
10/15/14
1 col/100 ml
SM 9222 D
! hereby certify that I have reviewed and approve these data. �0'
U�'
Laboratory Represehtative
642 Tatnco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted -9- i Z - l u(
CERTIFICATE OF COVERAGE NO. NCG06-0 O 0 ❑ SAMPLE COLLECTION YEAR ra) b
FACILITY Nj&a ��m.Q�cX�S FACILITY A VITIES INCLUDE (check all that apply):
COUNTY 6 w� ` - se/process meats ❑ al use animfat yproducts
PERSON COLLECTING SAMP ES r S` DISCHARGING TO SALTWATERS? []YES EWO
LABORATORY____ Pam: Lab Cert. # (a
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Part A. 5tormwater Benchmarks and Monitoring Results
Total event rainfall z or ❑ No discharge this Period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 - 9.0
120
30
1000
500
CkA k\1z
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at D_gy outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ko (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
T55,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 - 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Paee 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES n NQ
REGIONAL OFFICE CONTACT NAME: ri,— � Clkl ;
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
r
(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-249 I-ast Revised: Oc' -,ar 18, 2012
age 2 of 2

Meritech, Inc,
Environmental Laboratory
Laboratory Certification No. 165
a -
Contact. Tina Williams Report Date: 8/8/2014
Client: Equity Group
P.O. Box 1436
Reidsville, NC 27320 Date Sample Rcvd: 8/t/2014
Meritech Work Order 0 08011419 Sample: Stormwater Outfall 2 Grab 8/1/14
Parameters Result Analysis, Date i�enortiltg Limit iod Q1101ifiel
COD
114 nag/L
8/5/14
15 mg/L
CPA 410.4
Total Suspended Solids
172 tng/l,
8/6/14
2.5 rug/L
SM 2540 D
Ammonia, Nitrogen
< 0.1 nig/L
8/4/14
0.1 mg/L
CPA 350.1
Oil & Grease (1IEM)
< 5 mg/L
8/7/14
5 mg/L
EPA 1664A
Fecal Coliform
97,273 col/100 ml
8/1/14
1 col/100 ml
SM 9222 D B4
pli
7.7 S.U.
8/1/14
1.0 - 14.0 S.U.
SM 4500-HB
Temperature
22.1 °C
B/1/14
°C
SM 2550 B
B4 Filters have counts of both >60 or 80 and <20, Reported value is a total of the counts from all countable filters
reported per 100 ml.
1 hereby certify that I have reviewed and approve these data.
. �'. a �'-
Laboratoiy Representative
642 Tanico Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]
Ij
I

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted Oo— I t4.
ft
i
CERTIFICATE OF COVERAGE NO. NCG 6 IRECENE®
� � `� eee���` SAMPLE COLLECTION YEAR
FACILITY NAME r�Q_ �5 _ FACILITY 1VITIES INCLUDE (check all that apply):
COUNTYt,�k�r�rd h�� �J AI)G Z�)� use/process meats ❑ use animal fats/byproRECEIVEF
PERSON COLLECTING SAMPLES ��; r• DISCHARGING TO SALTWATERS? ❑YES NO'
LABORATORY Lab Cert. i# 1 AUG 0 6
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE —)CENT FILL
DwaspG
Total event rainfall z or o discharge this periocr
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
Z
` Zo O-S
1
N u—e—
k) 0- C
iV
s
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? 0 yes [DIno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Pace I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAMEF
TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDETHE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO It
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES
REGIONAL OFFICECONTACT NAME:nG�t��o
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
IL Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, Under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. i am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
- y - v-A
(Date)
Additional copies of this form may be downloaded at: http:Z/portal,ncdenr.org/web/wq/ws/­su/npdesswfttab-4
S W U-249
Last Revised: Or -r 18, 2012
_'age 2, of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted '7 _ I- I G(
CERTIFICATE OF CZLL45±-"�
RAGENO. NCG � a Q ❑
FACILITY ME c'
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY - C Lab Cert. #
r-
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
JUL 9 5 2014
SAMPLE COLLECTION YEAR _ Q ` �—� CENTRAL FILES
FACILITY A IVITIES INCLUDE (check all that apply): DWQ/BOG
use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? EYES [J�
PLEASE REMEMBER TO SIGN ON THE REVERSE
Totol event rainfall z or ❑ No discharge this period"
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
'30
1000
500
N
U li,J
�ck J
�7
"S
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes D11,o (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249 Last Revised: October 18, 2012
PaLve I ol'2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE 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 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 Dischar e" re orq within 30da s of receipt of the lab results(or at end o
monitoring period in the case of "'No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assOre'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."
nature of Permittee)
(Date)
Additional copies of this form may be downloaded at: http:Z/qor-tal.ncdenr-org/web/wq/ws/`su/`npdesswtttab-4
SWU-249 Last Revised: Or �r 18, 2012
wage ? of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted (0 Cj _ I Y
CERTIFICATE OF COVERAGE NO. NCG06D_0 `]_ SAMPLE COLLECTION YEAR � I "'I
FACILITY ME _— FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY C i Ise/process meats ❑ use animal fats/byproducts
PERSON COLLE ING S PLES i ��v ti :1r't ^'� S DISCHARGING TO SALTWATERS? ❑YES ❑NO
LABORATORY 42-C s kv Lab Cert. # I 6S
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z .a� 10 or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504Within
6.0-9.0
120
30
1000
500
5
L
1 Only applies to facilities that use/process meats-
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [ 4ro (ice complete Part R)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
PH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 5o'
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
RECEVED
JUN 18 2014
CENTRAL PILES
DWQI80G
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS_
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SIFE 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, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signa ut re of Permittee) (Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wQ/ws/su/npdessw4tab-4
SWU-249 Last Revised: Or �r 19, 2012
--age 2 of 2

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Contact: Tina Williams
Client: Equity Group
P.O. Box 1436
Report Date: 3/13/2014
0
Reidsville, NC 27320
Date Sample Rcvd:
3/3/2014
Meritech Work Order # 03031405 Sample: Stormwater crab/Outfall #3
3/3/14
Parameters
Result
Analysis Date
Reporting Limit
Method
COD
16 mg/L
3/4/14
15 mg/L
EPA 410.4
Total Suspended Solids
7 mg/L
3/8/14
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
< 0.1 mg/L
3/6/14
0.1 mg/L
EPA 350.1
Oil & Grease (HEM)
< 5 mg/L
3/11/14
5 mg/L
EPA 1664A
Fecal Coliform
< 10 col/100 ml
3/3/14
10 col/100 ml
SM 9222 D
'? \�
I.3
1 hereby certify that I have reviewed and approve these data. G ,
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF C VERAGE NO, NCG06 D �� SAMPLE COLLECTION YEAR ai(i 1�4
FACILITY ME S FACILITY IVITIES INCLUDE (check all that apply):
COUNTY - use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SA PLES -r_ .�+4 +,`.iAc'+^S DISCHARGING TO SALTWATERS? ❑YES �O
LABORATORY Ae-ft Ve Lab Cert. # i b S
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 1 2II or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
oil and Grease,
mg/L
Fecal Coliforml,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100or5D
With in6.0-9.0
120
30
1000
500
- _ ►
. -z
1 Only applies to facilities that use/process meats-
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at pny outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (if yes complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month_
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/me
Benchmark
-
30
100 or 504
6.0 - 9.0
-
I Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
RECr=I V E®
JUN 18 2014
CENTRAL FILES
DWQIBOG
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER Z REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FORTH E 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 resultsjor at end of
monitoring period in the case of "No Discharge"reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
-1r1-1�
(Date)
Additional copies of this form may be downloaded at. http://portal.ncdenr.org/web/w-q/wslsu/"nodessw4tab-4
S WU-249
Last Revised: Or -�r I8, 2012
_ -age 2 Of 2

Meritech, Inc.
Environmental Laboratory
" Laboratory Certification No. 165
r } '
.
Contact: Tina Williams
Report Date:
4/16/2014
Client: Equity Group
227 Equity Drive
Reidsville, NC 27320
Date Sample Rcvd:
4/7/2014
Meritec..h Work Order # 04071404 Sample: Stormwater Outfali # 2 Grab
4/7/14
Parameters
Result
Analysis Date
Reporting Limit
Method
COD
73 mg/L
4/9/14
15 mg/L
EPA 410.4
Total Suspended Solids
72 mg/L
4/8/14
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.5 mg/L
4/8/14
0.1 mg/L
EPA 350.1
Oii & Grease (HEM)
< 5 mg/L
4/8/14
5 mg/L
EPA 1664A
Fecal Coliform
2,800 col/100 ml
4/7/14
1 col/100 ml
SM 9222 D
pH
7.2 S.U.
4/7/14
1.0 - 14.0 S.U.
SM 4500-HB
Temperature
11.7 °C
4/7/14
-
SM 2550 B
! hereby certify that i have reviewed and approve these data. U , 42,
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted b " i -)— 1
CERTIFICATE OF COVERAGE NO. NCGO�QQ'I SAMPLE COLLECTION YEAR
FACILITY E P.1.1 5� ~—Uor�►S FACILITY TIVITIES INCLUDE (check all that apply):
COUNTY �Cti✓J use/process meats ❑use animal fats/byproducts
PERSON COLLQ TING SA PLES�_i V�'� I `: �4M5 DISCHARGING TO SALTWATERS? []YES 0'K'O
LABORATORY 11�1�.C; �-e.GV-D Lab Cert. # 11 b 5
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE ->
Totol event roinfail z !2f t or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0— 9.0
120
30
1000
500
l
mil- J.LA.
Li O
I
ot1
4. S
4 0
I.
1VED
] Only applies to facilities that use/process meats. .-UN$
2The total precipitation must be recorded using data from an on -site rain gauge. CENTRAL FILE'S
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. DWQ190G
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Q4<5"_ (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
s For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
ISee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249 Last Revised: October 18, 2012
Pa�ze I of 2

—.'M.
*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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4OR 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, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(o- f i-1
(Date)
Additional copies of this form may be downloaded at: http_.I/portal.ncdeiir.org/webZwq/ws/su/npdesswtttab-4
S W U-249 Last Revised: O( T 1 b, 2012
age2.of2

Meritech, Inc. f
Environmental Laboratory
Laboratory Certification No. 165 i
5
Contact: Tina Williams Report Date: 4/16/2014
Client: Equity Group
227 Equity Drive
Reidsville, NC 27320 Date Sample Rcvd: 4/7/2014
Meritech Work Order # 04071.403 Sample: Stormwater Outfall # 1 Grab
Parameters
COD
Total Suspended Solids
Ammonia, Nitrogen
Oil & Grease (HEM)
Fecal Coliform
pH
Temperature
Result
Analysis Date
Reporting Limit
91 mg/L
4/9/14
15 mg/L
40 mg/L
4/8/14
2.5 mg/L
0.5 ing/L
4/8/14
0.1 mg/L
< 5 mg/L
4/8/14
5 mg/L
430 cot/100 ml
4/7/14
1 col/100 ml
7.8 S.U.
4/7/14
1.0 - 14.0 S.U.
10.8 "C
4/7/14
-
4/7/14
Method
EPA 410.4
SM 2540 D
EPA 350.1
EPA1664A
SM 9222 D
SM 4500-HB
SM 2550 B
I hereby certify that I have reviewed and approve these data, Lf. ks
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]