NCG060099_MONITORING INFO_20181113

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
v
DOC TYPE
El HISTORICAL FILE
E1,4IONITORING REPORTS
DOC DATE
❑ U OI O I I l
YYYYMMDD

l�
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted -Ar
CERTIFICATE OF COVERAGE NO. NC�06_O D _� q SAMPLE COLLECTION YEAR
FACILITY NAME �rrd+ke_ � FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY 5 ,rr- ❑ use/process meats []mouse animal fats/byproducts
PERSON COLLECTING SAMPLES _ �',Y Al -745 _ _ _ DISCHARGING TO SALTWATERS? ❑YES [;�AO
LABORATORY Spa �,%%a✓•�r.Q/v �.�g / Lab Cert. # 3 7 75��_ �.
PLEASE REMEMBER TO SIGN ON THE REVERSE
No 0461
Part A: Stormwater Benchmarks and Monitoring Results G`�, vj , 0'y Total event rainfa!1z or ❑ No discharge this period'
Outfall No.
Sample, Collected,
mo/dd/yr
TSS,
mg/L
pH, �GyR%'�r
Standard units kS
vCOD.
�� ,c,mg%L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
b—l/ - apt8
100or50'
Within6.0-9.0
`-"/'1420
30
1000
Soo
4.34
N
�1,4
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective 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'Nb.
Sample Collected;
mo/dd/yr
O&6nd GFease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual -average gal/mo.
Benchmark
-
30
100 or 5046.0
— 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 18, 2012

*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 ANYONE OUTFALL? YES ❑ NO [+�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copV of this DMR includin all "No Discharge" reports, within 30 da s of receipt of the lab results or at end o
monitoring period in the case of "No Discharge" resorts) 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 avid imprisonment for knowing violations."
(Signature
11-4 16,
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/webzwg/ws/su/npde55w#tab-4
SWU-249 Last Revised: C )er 18, 2012
k Page 2.of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO6OOOO
Date submitted q c4/ / 7
CERTIFICATE OF COVERAGE NO. NC OG 6-y-D`_f 9
FACILITY NAME __lrotgw i�_005
COUNTY 6u>•r
PERSON COLLECTING SAMPLES —fig
LABORATORY �4ogIvI u/ Lab Cert. # 7 S"
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 7
FACILITY ACTIVITIES INCLUDE (check all thaVapply): 2�)
❑ use/process meats [?use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES []'NO°a�`�7,�
,c.,
0:),�1 .
PLEASE"REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z .s ,-;10 ❑ No discharge this period'
Outfall.No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
m�g/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 nil
Benchmark
- p/ 7
100 or 50
Within 6.0 — 9.0
120
30
1000
500
/ 3
G •
z
N 4f.
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 Q no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
•Outfall=Nb.
Sample Collected;-
mo/dd/yr
Oihan&Grease,
mg/L
TSS,
mgX
pH,
Standard units
New Motor oil Usage,
Annua[aveFage.gal%riio ,
Benchmark
-
30
100 or 504
6.0 — 9.0
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at anv outfalls, you must still summit 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
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 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 on final and one copy of this DMR including all "No Dischar e" re orts within 30 days of receipt of the lab results or at end o
monitoring period in the case of "No Discharge" reportslto:
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
C! vZ1-17
(Date)
Additional copies of this form may be downloaded at: htt€a://portal.ncdenr,orgjweb/wq/ws/su/npdessw#tab-4
SWU-24V' Last Revised: C'�)er 18, 2012
Pace 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted Y-31-/9
CERTIFICATE OF COVERAGE NO. NCG06 V R R IVEDSAMPLE COLLECTION YEAR a'0/7
FACILITY NAME «o�u�e _s FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY _i Su✓r.� ��' r W7 ❑ use/process meats Z use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? ❑YES E�1110
LABORATORY Lab Cert. # l' VVP '�,P(.TIDN
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfoll z or [�rNo 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 m11
Benchmark
-
100 or 504 .
Within 6.0 — 9.0
120
30
1000
500
D, 4
Cr
s Only applies to Facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°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 [✓]ono
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
-6L4all No. '
= ',Sample -Collected;•
mo/dd/yr -..
Oil-and,Grease,
mg/L
TSS,
mg/Lt
pH,
-Standard units
New Motor Oil Usage,
.Annual aveFiage.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.
`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, 20I2
- Pabe 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 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, twithin 30 days 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 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."
3
(Signature of Meirmittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdes5w-#tab-4
SWU-24V' Last Revised: C"�)er 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted . 7 3/ _1" 7
CERTIFICATE OF COVERAGE NO. NCG06 U 9 SAMPLE COLLECTION YEAR CPO 7
FACILITY NAME 1:�7poj% FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Su t��l REC OVE ® ❑ use/process meats [ use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? ❑YES 2<0
LABORATORY Lab Cert. # AUG 0 6 2031
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z or [� Na discharge this periocf�
�OutfallNo.
Sample Collected;_
. - .i`- a
ma/dd/yr
TS5,'.
7 ..i ,.. .. i
mg/L
pH,.
•: S ..
Standard units
COD,
.� "i - }�
mg/L
_Oil,and Grease,
!. r - - }r-" .y
mg%L,
t, Fecal Coliform„
._ ., . ,_ACT
Colonies per 140 mk
.-Enterococci.,.
Colonies per 100 m1.
Benchmark
.` "'- -
'100 or50 "
Within-6.0-9.6
120
'30
;" 100o
5U0
O
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 ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outf5Il Noi'
1 `Sample Collected;-;
JV..' Oil'and•Grease, ' =
TSS,
mg/L_ _
pH,
-'Standard units
New Motor Oil Usage,
':Ann'ual'average gal/mo.
Benchmark
-
30
100 or 0
6.0-9.0
-
I Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if yes, complete Part B)
SWU-249
Last RevisR'fztober I8, 2012
Page I of 2

r
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO [�
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy -of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, 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
7 -3,,-' 7
(Date)
Additional copies of this form may be downloaded at: http://por-tal.ncdenr.org/web/wq/ws/suZnpdessw#tab-4
SWU-2W' r1 Last Revised: Cl-,�)er 18, 2012
Page 2 of 2

r
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted G -30 -/ 7
CERTIFICATE OF COVERAGE NO. NCGI06 D O g �r-CE1 V ED
FACILITY NAME rroiu QL_5 ,
COUNTY '5,. JUL
PERSON COLLECTING SAMPLES r,rrp A I P I I PS
LABORATORY Lab Cert. # p%XIR !�,hV0TI0N
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR o201 7
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats []mouse animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES [aAO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 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 504
Within 6.0 — 9.0
120
30
1000
500
4
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 a ny 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 > 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.
(if yes• complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
o 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 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 Lor 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 U Permittee)
G 3d /7
(Date)
Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.org/web/wq/ws/su/npdessw#tali-4
SWU-249� Last Revised: C—�er 18, 2012
Page ? of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted G
CERTIFICATE OF COVERAGE NO. NCG06 O'd �f".Q_ RECEI FDAMPLE COLLECTION YEAR �d�7
FACILITY NAME �!Yrc�uP �CJ� �AG FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY 5L rf JUN 2 0 'Jlr ❑ use/process meats [use animal fats/byproducts
PERSON COLLECTING SAMPLES 111 ' LS ^,£ DISCHARGING TO SALTWATERS? [:]YES [�190
L.
LAB 0RATORYS%A,_5y,Yle_ Am. 476',Q/T Lab Cert. # ��`
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event roinfoli 2. ,',A or ❑ No discharge this perrod3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform;,
Colonies -per 100 ml
Enterococci ,
µ Colonies per 100 ml
Berichniark
100 or 504
Within 6.0— 9.0
120
30 "'
1000
500
S
S3
a 7
N/ft
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 [u]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 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.
(ifyes, complete Part B)
SWU-249 LaSL Revised: October 18, 2012
Patze 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
C 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 FOVE 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 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."
(5ignaturdVol"Permittee)
(Date)
-15 / 7
Additional copies of this form may be downloaded at: http:/ ortal.ncdenr.orgZweb/wglws/su/npdessw#tab-4
SWU-249/' Last Revised: C 1er 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted Ste'/7
CERTIFICATE OF COVERAGE NO. NCG06 4 D q' q rt ' I4_AKPLE COLLECTION YEAR c9-a-7
FACILITY NAME �croiu e s ��G REG, I V EAGILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY „err - I MAY 3 1 2(17 ❑ use/process meats [Fuse animal fats/byproducts
PERSON COLLECTING SAMPLES : /S DISCHARGING TO SALTWATERS? []YES [► NO
LABORATORY Lab Cert. # FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE �+
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 /R , , �J 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
100or504
Within 6.0 — 9.0
120
30
1000
S00
1 Orly 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 (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 an&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 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
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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO [2'
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and'one cry of this DMR, including all "No,Discharge" reports, within 30 days of receipt of the lab results Lor at endue
monitoring period in the case of 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 61 Pgrmittee) ,
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wglws/sulnpdessw#tab-4 M
S W U-24Y'
Last Revised: C der 18. 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG46Z-,- w- ' SAMPLE COLLECTION YEAR ^vZD17
FACILITY NAME�r�_a�1s _r�G i� Y ACTIVITIES INCLUDE (check all that apply):
COUNTY T V use/process meats [Fuse animal fats/byproducts
PERSON COLLECTING SAMPLES MAR 2 % 0($CHARGING TO SALTWATERS? []YES [ONO
LABORATORY Lab Cert. # 2 _S_ r RAL TES
DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 X- +A,Ior ❑ 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 ,�
l i ..'+Gar •�, J
Colonies per160.m1
: ; - Enterococci-,,
.. Y': �.:.1• .
Colon ie's.per 100 mI
Benchmark
3 _ / - apf 7
`100 or 504
Within 6.0 — 9A
120
30
F 1000
F4 7Nra
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 R'no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
lOutfall No.
$4! -h
'Sample Collected;
"mti/dd&rr"
-.Oil -and Grease; 7
• mg/L
TSS,
mg/&
pH,
'Standard'units
New Motor Oil Usage,
:`Annual:ave�age;gal%mo °
benchmark
-
30
100 or 504
6.0 — 9.0
-
i
(if yes, complete Part B)
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 2U outfalls, you must still submit this discharge monitoring report with a checkmark here.
QSee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S i U-249 Last Revised: October 18, 2012
Page 1 of 2
I 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 It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO [✓r
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on final and one copy of this DMR including all "No Discharge"' reports, within 30 days 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 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."
3 -17-17
(Signature of Pe`rmittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/"Lq/ws/su/npdessw#tab-4
SWU-24W' Last Revised: C 1er 18, 2012
Page 2, of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted Z 'L 17
CERTIFICATE OF CO,jERAGE NO. NCG06 06 9 9 SAMPLE COLLECTION YEAR a4�7
FACILITY NAME !-`r-rdue- — zA FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY RECEIVED use/process meats LE"use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCARGING TO SALTWATERS? DYES [�NO
LABORATORY: Lab Cert. # MAR 0 6
ANTRAL PILES PLEASE REMEMBER TO SIGN ON THE REVERSE -�
Part A: Stormwater Benchmarks and Monitoring Results DiNR SECTIONTotalevent rainfall z or [ro 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 Col3formd, `
Colonies per -160 ml
. r Enterococycia,.Y
Colonies per -100 ml
Benchmark'
-
100 or 50°
Within b'0 —'9.0
' 120
' 30
~1000
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
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
`-�Outfall'Nii:a
•*'
�` Sample Collected;.'.
- ;mo/dd/yr; -
.' Oil•and`Gr'ease,``
mg%L
TSS,
- - mg%G.'•'.
pH,
.-5tandard'units, =E,
New Motor Oil Usage,
F:-Annualraverage,gal/moos
Benchmark
-
30
100 or 5
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.
°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 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 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 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
il
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 df if'eYmittee)
Z 'z? l7
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wg/ws/su/npdessw#tab-4 ' `.
SWU-244e-N' Last Revised: Ce—,N7er 18, 2012
Page 2.of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING_ REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted i --31-17
CERTIFICATE OF COVERAGE NO. NCG06 D D 4 SAMPLE COLLECTION YEAR .7_'0!'7
FACILITY NAME ero/u�_ ci�5 �.T_dr FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ,Si. rr ❑ use/process meats ❑✓use animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? ❑YES EaNO
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall Z or 14No discharge this period3
Outfall No.
• ..
Sample Collected,
mo/dd/yr
TSS,,
mig%L
pH,_
Standard units
COD,
_ mg/L
Oil,and Grease,
.. i..} • -.
mg%L,
Fecal Coliform ,
L - v 0 .'t1J I 'L, it'.
Colonies per,100 ml
Enterococcil,
�+�? - -. -, - _- - :.!';-,t'.. + .
Colonies per 100 ml
Benchmark
' -
100 or 504 '
Within Eiff-9.0
' / 124' '
30
'•1b00'�
" 5bo '
P114
s+ -
d
W ,44
r
C k1+ 1 XLj=
lot/
2 Only applies to facilities that use/process meats, # R 3ECfijON
The total precipitation must be recorded using data from an on -site rain gauge.4r
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 [;-Tro
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
ltkqutfalhNb_.'�
_ 'Sample C6116c_ ed,'-'-
•—mo/dd%yr , -
Oil -and -Grease;
-- mg/L :;v
TSS,
mg/L' '*.
pH,
�' ?Standard:units
New Motor Oil Usage,
:Annual:ave�age,gai%mo"•�
Benchmark
-
30
100 or 504
6.0 — 9.0
-
Fx
rrh
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 Foy 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.
F' 4
S W<U-249
(ifyes, complete Part B)
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 11 SECTION B.
• 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART ll SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO Ea'
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMRL including oil "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:
s , 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 df lye`fmittee)
3f Y 7
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wc[/ws/sulnpdessw#tab-4
SWU-249/" Last Revised: CI 18, 2012
- Page 2 of 2

SEMI-ANNUAL; STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 REC��D
Date submitted la��`/ ��
CERTIFICATE OF COVERAGE NO. NCG06 D 9
FACILITY NAME ��uv C_ _ j- ne-
COUNTY —"-:5 -
PERSON COLLECTING SAMPLES
LABORATORY s h-sg ill,. Al _� ,'-a 1 Lab Cert. # 37-75!S-
Part A: Stormwater Benchmarks and Monitoring Results
JAN 0 3 2017
SAMPLE COLLECTION YEAR v;20//v
FACILITY ACTIVITIES INCLUDE (check all that apply): CENTRAL FILES
❑ use/process meats v use animal fats/byproducts SECTION
DISCHARGING TO SALTWATERS? ❑YES [✓ NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or ❑ No discharge this period
Outfall No.
'
5ample,Callected,
mo%dd/yr
TSS, ,
mg/L
pH,
_
Standard units
COD,
y. I
mg/L
O.il'and Grease,
' �.'.
mg/L
Fecal Coliforml,,
.r'� .1
Colonies per 100 ml
. Enteroc6cq
�il. .��.i •'i
Colonies per_1D0 ml_
Benchmark
/—] - �e/C.
'100 or 504�
Witliln 5A�— 9.0
120
83 333
G_4
v?71tALIA
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
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
=-Outfall'Nb.. '-
-'•.Sample Collected; '•
mo/dd/yr,,
Oiloand Grease,'`
mg/L
TSS,
mg/,L, r
pH,
-,Standard units;
New Motor Oil Usage,
:Annual�average,gal/mod
Benchmark
-
30
100 or 50
6.0 — 9.0
-
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.
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 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 EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO [j.
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 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 thebest 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."
f�
(Signature o Permittee)
/.I -
(Date)
Additional copies of this form may be downloaded at: http:Hportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 '
SWU-24411-1`
Last Revised: C )er 18, 2012
Page ?-of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF C VERAG£ NO. N G06 0 o S 9
FACILITY NAME r ue- % c
COUNTY
PERSON COLLECTING SAMPLES— - /ls
LABORATORY1'*"A,:a ! Lab Cert. # 3 776:S—
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR aZO�G
RECEIVED
JUL 0 7 2016
CENTRAL FILES
DWR SECTION
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats [tluse animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES 2NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 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 ColiformI,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
100 or 504
Within 6.0 — 9.0
120
30
1000
500
S!"
G.a
< S• 3
Nl.�
Nl.,F
s 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? ❑ yes 0 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
-
Sample Collected;
mo/dd/yr •,
Oil and•Grease, .
mg/L
TSS,
mg/L'
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 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.
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
(ifyes, complete Part B)
SWU-249 Last Revised: October 18, 2012

*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 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 des of receipt of the lab results (or at end
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 oVkh"nittee)
,�,, —30 /(
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tad-4
SWU-249 Last Revised: C ler 18. 2012
'Page 2 of 2

i
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
i
RECEIVED
CERTIFICATE OF COVERAGE NO. NCG06 D O 9 SAMPLE COLLECTION YEAR Zy/S sFP 2 5
FACILITY NAME _ Y)e �06A T.nlf� FACILITY ACTIVITIES INCLUDE (check all that apply): CENTRAL F1 rr,
COUNTY Sorry i ❑ use/process meats [ use animal fats/byproduci°WR SECrlpn?
PERSON COLLECTING SAMPLES
LABORATORY, rudjLab Cert. # 775
Part A: Stormwater Benchmarks and Monitoring Results
DISCHARGING TO SALTWATERS? ❑YI_S E490
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 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
Enferococcil,
i Colonies per�100 ml
Benchmark
100 or 504
Withiii 6.0 — 9.0
120
30
1000
S00
95-
17
4
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 an�, outfalls. You must still submit this discharge monitoring report with a checkmark here.
QSee 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 E'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,'
i 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
-
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.
QSee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
WE,
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Pagel 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 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 jor 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:
we
"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).
F- /6 -/S
(Date)
Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4
S W U-249� Last Revised: C ^rer 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
nc&�)koqq Date submitted 7- 7-/S
CERTIFICATE OF COVERAGE NO. NCG06 D jQ D d
FACILITY NAME ".4
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 126/6
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats. [fuse animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ❑i 90
11 /✓
PLEA_ 5E REMEMBER TO SIGN ON THE REVERSE
RECEIVED
JUL 10 2015
CENTRAL FILES
DWR SECTION
Oil and Grease, Fecal Colifarml, Enterococcil
TO�I'event rainfall z or 10 Na discharge this perio
,
Outfall No.
Sample Collected,
TSS,
pH,
COD,
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 anyoutfalls. 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? Elyes 5fno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
OutfaWNo. Sample Collected, Oil,and Grease; TSS, pH, New Motor Oil Usage,
mo/dd/yr mg/L mg/L Standard units 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 anyoutfalls, 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
Paee 1 of 2
n
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 anyoutfalls, 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
Paee 1 of 2
n

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water 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 ivei`m"ittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-2491-�' ' Last Revised: C �)er 18, 2012
Page 2.Qf 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 RECEIVED
Date submitted _ ZA —/G„ _1`f DEC 18 2014
CERTIFICATE OF COVERAGE NO. NCG06 aQ� 4
FACILITY NAME i erclue_ r s
COUNTY r�
PERSON COLLECTING SAMPLES e,;r,V M.,
LA80RATORY,Y{ /A5'1,& ,%ram / Lab Cert. # _37755'_
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ^'�_ 61 CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTION
❑ use/process meats [?use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES [?NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or ❑ No discharge this period
OutfalLNo.
Sample Callected,J
mo/dd/yr
T55,
mg%L
pH,_ .
Standard units . '
COD,
rn
Oil,and Grease,
mg/L. ^'
Fecal ColiformI,
Colonies per 100 ml
Enterococci,,
y Colonies per 100 ml
Ben`chniark
-
:100 or 504
Within.6.0'—'9:0`-
120
30
1000
500
4
L.2
3ci 7
s o
l
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 SS gallons of new motor oil per month? ❑ yes Q no (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gall of new motor oil/month.
=OutfalI No.
•
a (Sample.Collected;Y
- ;-mo/dd%yr . -
."- Oil iand'Grease,' =``t
mg/Ly •":"
`'' TSS,
mg/6 �. _
pH,
'Standard -units
New Motor Oil Usage,
�:Annual:a�eragegal%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 ATTHE 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 (or at end_o}
monitoring period in the case of "No DischoLge" 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."
(Signatuns & Vermittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-24V '� Last Revised: C—)er 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 11 Dec 2014
CERTIFICATE OF COVERAGE NO. NCG060105 SAMPLE COLLECTION YEAR 2014
FACILITY NAME GlaxoSmithKline Zebulon FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Wake ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Melissa Seguin DISCHARGING TO SALTWATERS? ❑YES ®NO
LABORATORY ENCO Laboratories Lab Cert. #NC 591 and NC 442
' PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event roinfaii z 0.15" 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
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0— 9.0
120
30
1000
500
005
11/17/14
110
6.3
71
8.51
N/A
N//A
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge. DEC 16 2014
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 benchLa TRAi_ FILES
Plps�TION
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 504
6.0 — 9.0
-
(if yeS complete Part B)
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
Page l 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 (or at end of
monitorinq 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 Pjyrmittee)
I-Z-1j,t.LjAj
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/`npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Pate 2 of 2

ENCO Laboratories
Accurate. Timely, Responsive. Innovative.
102-A Woodwinds Industrial Court
Cary NC, 27511
Phone: [phone] FAX: [phone]
Monday, December 1, 2014
Atlantic Environmental Associates (AT025)
Attn: Candice Moore
2483 Reliance Ave.
Apex, NC 27539
RE: Laboratory Results for
Project Number: [none], Project Name/Desc: GSK Zebulon Stormwater
ENCO Workorder(s): C413630
Dear Candice Moore;
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
"Tuesday, November 18, 2011.
Unless otherwise noted in an attached project narrative, all samples were received in
acceptable condition and processed in accordance with the referenced methods/procedures.
Results for these procedures apply only to the samples as submitted.
The analytical results contained in this report are in compliance with NELAC standards, except
as noted in the project narrative. This report shall not be reproduced except in full, without
the written approval of the Laboratory.
This report contains only those analyses performed by Environmental Conservation
Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from
outside organizations will be reported under separate cover.
If you have any questions or require further information, please do not hesitate to contact me.
Sincerely,
4
Link Thrower
Project Manager
Enclosures)
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 1 of 8

(9�KllCG
www.encolabs.com
SAMPLE SUMMARY/LABORATORY CHRONICLE
Client ID: GSKZebulonClutfalll Lab ID: C413630-01 Sampled: 11/17/14 14:10 Received: 11/18/14 13:00
Parameter Hold Date/Time(s) Pry-Datg Time(s) Analysl5 DatelTime(s)
EPA 1664B 12/15/14 11/25/14 10:11 11/26/14 16:13
SM 2540D-1997 11/24/14
SM 522OD-1997 12/15/14
11/19/14 13:00 11/19/14 13:00
11/21/14 11:38 11/22/14 10:04
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. Page 2 of 8

�co
www.encolabs.com
SAMPLE DETECTION SUMMARY
Client ID: GSK Zebulon Outfall 1
Lab ID:
C413630.01
Arl
Results
Fla" MDL
Q
Units
Method Notes
Chemical Oxygen Demand
71
10
10
mg/L
SM 522OD-1997
Oil & Grease (HEM)
9.51
2.40
5.00
mg/L
EPA 1664B
Total Suspended Spuds
110
1.0
1.0
rng/L
SM 254OD-1997
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 3 of a

ci�ICO
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ANALYTICAL RESULTS
Description: GSK Zebulon Outfall 1 Lab Sample ID:C413630-01 Received: 11/18/14 13:00
Matrix: Water Sampled:11/17/14 14:10 Work Order: C413630
Project: GSK Zebulon Storinwater Sampled By:Melissa Sequin
Classical Chemistry Parameters
^ - CNCO Cary certified analyte [NC 591]
All WAS Numberl Results Flag
Units
DF
MOIL
POLL
Batch
Method
Analyzed
By Notes
Chemical Oxygen Demand^ 71
1
1
10
10
4K21008
SM 5220D-1997
11/22/14 10:01
10C
Total Suspended Solids^ 110
mg/L
1
1.0
1.0
4K19017
SM 254OD-1997
11/19/14 13:00
MMR
Classical Chemistry Parameters
^ - ENCO Jacksonville c&MZed analyte (IVC 442)
Ar lyte [CAS Numberl Resul ON
ynitk
dF
MDL
POLL
Batch
Method
Analyzed
By Ill
Oil & Grease (HEM} [C-0007]^ 8.51
rng/L
1
2,40
5.00
41<25009
EPA 1664B
11/26/14 16:13
MY
1
FINAL This report relates only to the sample as received by the laboratory, and may only he reproduced In full. Page 4 of 8

www.encolabs.com
QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 4K19017 - NO PREP
Blank (41(19017-BLK1) Prepared & Analyzed: 11/ 19/2014 13:00
Spike Source o/aREC RPD
Analyte Result Flag POL Units Level Roult D/oREC Limits RPD Limit Notes
Total Suspended Solids 1.0 U 1.0 mg/L
!CS (4K19017-BSI) Prepared & Analyzed: 11/ 19/2014 13:00
Spike Source a/oREC
RPD
-Analyte
Result Flag
POL
Units
Level Result a/aREC Limits RPD
L_ imit Notes
Total Suspended Solids
97
1.0
mg/L
100 97 80-120
Duplicate (4K 19017-DUPI)
Prepared & Analyzed: 11/ 19/2014 13:00
Source: C415070-01
Spike Source o/aREC
RPD
-Analyte
Ress_rl.t F.laq
POL
Units
Level Result %REC Limits RPD
KLMA NMe;i
Total Suspended Solids
66C
1.0
mg/L
680 3
10
Duplicate (41<19017-DUP2)
Prepared & Analyzed: 11/19/2014 13:00
Source: C415070-02
.Analyte
Total Suspended Solids
Batch 4K21008 - Same
Result Flan POL
1400
1.0
Spike Source o/aREC RPD
Units Level Result a/o REC Limi RPD mma Notes
mg/L 1400 2 10
Blank (4K21008-BLKI) Prepared: 11/21/2014 11:38 Analyzed: 11/22/2014 10:04
Spike Source %REC RPD
Analyte Result Flaq P-QL Units Level Resul °/aREC Limits RPD Limit Notes
Chemical Oxygen Demand 10 U 10 mg/L
LCS (4K21008-BSI) Prepared: 11/21/2014 11:38 Analyzed: 11/22/2014 10:04
Spike
Source
%REC
RPD
-Analyte
Result Flaq
POL
Units
Level
Result
%REC
Limits RPD
limLtof
Chemical Oxygen Demand
490
10
mg/L
500
97
90-110
Matrix Spike (4K21008-MSI)
Prepared: 11/21/2014 11:38 Analyzed: 11/22/2014 10:04
Source: C408682-01
Spike
Source
%REC
RPD
-Analyte
Result Flag
PQL
Units
Level
kesul
%REC
Limits RPD
Limit Notes
Chemical Oxygen Demand
540
10
mg/L
500
61
96
90-110
Matrix Spike Dup (4K21008-MSD1)
Prepared: 11/21/2014 11:38 Analyzed: 11/22/2014 10:04
Source:C408682-01
Spike
Source
%REC
RPD
.Analyte
Result Flaq
PQL
Units
Level
Result
%REC
Limits RPD
Limi Notes
Chemical Oxygen Demand
540
10
mg/L
500
61
96
90-110 0
10
Classical Chemistry Parameters - Quality Control
Batch 4K25009 - EPA 1664A
Blank (4K25009-BLK1) Prepared: 11/25/2014 10:11 Analyzed: 11/26/2014 16:13
Spike Source a/oREC RPD
-Analvte Result Flag PQL Units Level RRe�ylt a/oREC Lim! RPD Lima Notes
Oil & Grease (HEM)
2.40 U 5.00 mg/L
FINAL TNs report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 5 of 8

�co
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QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 4K250O9 - EPA 1664A - Continued
LCS (4K25009-851) Prepared: 11/25/2014 10:11 Analyzed: 11/26/2014 16:13
Spike Source %REC RPD
.Analvte Result Flaq ROL Units Level Result °/nREC Limits RPD Limi Notes
Oil & Grease (HEM) 39.5 5.00 mg/L 40.9 97 78-114
LCS Dup (41<25009-85D1) Prepared: 11/25/2014 10:11 Analyzed: 11/26/2014 16:13
Spike
Source
°/oREC
RPD
-Analvte
Result Flaq
ROL
Units
Level
Result
a/oREC
Limits RPD
iLm!l Notes
Oil & Grease (HEM)
44.9
5.00
mg/L
41.5
108
78-114 13
18
Matrix Spike (4K25009-MSI)
Prepared: 11/25/2014 10:11 Analyzed: 11/26/2014 16:13
Source:8405175-01
Spike
Source
%REC
RPD
-Analvte
ReSult F.laq
ROL
OniU
Level
Result
%REC
Lirnit5 RPD
Limit Notes
Oil & Grease (HEM)
39.3
5.00
mg/L
41.0
9.55
73
78-114
QM-05
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 6 of 8

C(F==co
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FLAGS/NOTES AND DEFINITIONS
B The analyte was detected in the associated method blank.
D The sample was analyzed at dilution.
I The reported value is between the laboratory method detection limit (MDL) and the laboratory method
reporting limit (MRL), adjusted for actual sample preparation data and moisture content, where applicable.
U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation
data and moisture content, where applicable.
E The concentration indicated for this analyte is an estimated value above the calibration range of the
instrument. This value is considered an estimate.
MRL Method Reporting Limit, The MRL is roughly equivalent to the practical quantitation limit (PQL) and is
based on the low point of the calibration curve, when applicable, sample preparation factor, dilution
factor, and, in the case of soil samples, moisture content.
N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater
confidence) to make a "tentative identification".
Greater than 25% concentration difference was observed between the primary and secondary GC column.
The lower concentration is reported.
QM-05 The spike recovery was outside acceptance limits for the MS and/or MSD due to matrix
interference. The LCS and/or LCSD were within acceptance limits showing that the laboratory is
in controi and the data is acceptable.
FINAL This report relates only to the sample as receNed by the laboratory, and may only be reproduced in U. Page 7 of 6

ENVIRONMENTAL CONSERVATION LABORATORIES CHAIN -OE -CUSTODY RECORD www.encolabs.com
---- 10775 Central Port or. 4sio Emmet ve Park Coup, Suite 111 102-A Woodrends Industnal Ct-
t - - ��-•. .fir- � Orlando. FL 32024 Jacksa:rvilte, FL 32216.6669 Cary, NC 27511
[phone] Fax (407) 8W-6945 (904) 296.3G07 Fax (90<) 296-6210 (9191 467-3090 Fax (s19) 467.3515 Fagg 1 .Of
Client Name
Atlantic Environmental Associates ATQ25
Project Ntanber
nonel
Requested
Anatyses
Requested Tumaround
Times
Nnrn ;gush requestssuhjectao
acceptance by the'facility
Standard
� Expedited
Due
❑
�
©
�
to
L
a
[7
�
u1
Address
2483 Reliant:e Ave.
Project NameMesc
GSK Zebulon Sttannwater
C1tyfSTlZip -
Apex . , NC 27539
PO r I BIE19 Info
Tel
(919) 387-'1269
Fax -
Reponing Contact
Candice Moore
Sampler(s) Name. ArfiBallon (Print)
�I
C. j k
iRing Contact
Candice Moore
Sampler(s) Signal -re
SIin Lncail-xn Time Zone
Lab WDrkarcler
Y 4 1 36 3 0
Preservation
(See
Codes)
(Combine
as necessary)
It= r
Sample ID (Field ldenaticatlon)
Coredtlon Dale
Collection.
lime
Comp ! Grab
atalrlx
(see codes)
Total Ar 6I
Containers
Sample C mm fits
i
GSKZabul6P'Qutfall
T76!_G r Lq
f�i : Its
Gnu•
f
a.
i
�� •3 c, .�1-7.Gc'
I
I
-
<-- Total it of Containers
Samplo Kit Prepa" By Date?ime (': t , r Pi'
rv�:�_ f —
CommenlstSpecial Reporting Regtrrements (
'Lielincluished
ro
ellnquished By //� � - � �J
GIS [
Reyngoished By/ /• F �! M�' �r
r'b ! ,r�[• Z^C�( � �'�'�' r
DatNTFme
!�i•1ir' :; `
neb'bi ..d By // � �� '
.1•: ' .GGC� /G��rr'
Datelnrtle
ia'/./e /Y
Da e.'lTinie t
.',r /v/11 � r �,•! VC'
ReeeNedoy
t --- _ �` - _
Datr+,Ffime ;
: r ti - .
By
DaTem.ne
Received By
Dale.'Time
Cooler Ws & Temps n Recelpt fL
Wu
Condiiton Upon. Receipt
Acceptable Unacceptable
o arix : GW-Grounthvater SO-Soi! OW -Drinking Water SE,Sedlmvnl SW -Surface Water W W-Wasler+aler A -Air 0-00ver (detail in commonts) Preservation: I -Ice H-HCI N-HNO3 S-1-1215C4 NO NaOH 0-01her (detail in comments)
m Note: Aft samples submitted to ENCO Labs are in accordance with the twins and conditions licled on the icverse ni lhi5 term, unlwsS eriof vintton aoroomenls exist

December 11, 2014
N.C. Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
SUBJECT: Permit No. NCG060000
Certificate of Coverage No. NCG060105
GlaxoSmithKline, Zebulon Facility
Stormwater Sampling — Year 2, Period 2
Dear Bradley Bennett:
V
GlaxoSmithKline
Please find enclosed two copies of the SDO Monitoring Report and analytical results for the Year 2 — Period 2
monitoring period at representative outfall # 5.
If you have any questions, please contact me at [phone].
Sincerely,
Melanie Szydlik-Hawkes
EHS Director
CC: Central Files, Central Office Stormwater and General Permits Unit
Y:1506-Water Mgmtll-Storm 1A'aterl4-Monitoring120141Year 2 Period 21Cover Lw- monitoring event 2014 period
2.doc

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
i for North Carolina Division of Water Quality General Permit No. NCG06OOOO
Date submitted ��30. �� JUN 0 2 Z014
CERTIFICATE OF COVERAGE NO. NCG06A _�2 -2 g SAMPLE COLLECTION YEAR Z o! V CENTRAL FILES
FACILITY NAME feejAz FACILITY ACTIVITIES INCLUDE (check all that apply): DWI/BOG
COUNTY ? 64' ❑ use/process mdats Fuse animal fats/byproducts
PERSON COLLECTING. SAMPLES Leaq A. IIJ DISCHARGING TO S_ALTWATERS? DYES 2NO
LABORATORY'S{asJ�'llc _&al_gpab Cert. # 37755
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or ❑ No discharge this period'
'Outfall No:',
F
3. _ .
`Samplei6ollecfed,'TSS,
>_ mo/dd/yr rFrg/L
. :'
h pH,r F t;
x<[1l L i.
Sfandardlunitss;
rcOD,' s
-
-c f
�. in L c.?
ail and:.Grease,j
�
�i mg/L . �, . ,
"`Fecal'tolifoVm:, -
�e�f:l
. 'ColoniesrperlDO.ml
- ;� Enterococci,,
�'Calonies per 100 ml-
Benchmark;
_ -
l00 or,SD,gWithm.6A='9
0 :
120 r:M1
, ,30;,
z^. 1DOD
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 2ny 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.
E
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes U no (if ves, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new mdtor oil/month.
z 0utfall No i
»,�
SampleCollected1%
mb/dd/yr' ' ,
"Oil en'd`Grease,
r v� mg/L
a fSS <`
.m L � i -
; pH, �_ ulVew
fi"ard units,
IVlotor011 Usage,
4Annual'average gal/mop?
1enchmark30
100'6r 50 '
°
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.
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 1 of 2

*FOR PARTA;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:
i
3
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)
i
I Division of Water Quality
a
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, INC 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
.--.Z,o /�
(Date)
r
i
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: C )er 18, 2012
Page 2 of 2