NCG210391_MONITORING INFO_20180830

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv UC
DOC TYPE
❑HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ J 06 0 3�
YYYYMMDD

RECEIVED
AUG $ 0 2018
Stor mwater Discharge OutfaEl (SILO) E W DWR� CI FILES
Qualitative Monitoring deport
Pit No.: N1C4T4U,
Facility Namr.
Cmrlty: Crd &AL La
Inspector.
Date of Inspection:
T'Me of inspection:
Total Errant Preaa ():
Was this a Reprove Storm Event? (See information Wow) No
Please check your permU to verify ifQuaii=ve Monimring must be perfornurd during a mprt-venumw
storm evem (requirenee r vary).
A "Representative Storm Event" is a storm event that measures geater than 0.1 inches of rainfall and that
is preceded by at least 72 bours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single -storm event may contain up to 10 consecutive hours of no precipitatim
By this signature, I c artify that this report is accurate and complete to the best of my knowledge:
(Signature of Pemzittee or Design)
I. OutraH Dion:
outm No. �_ S tch, etc.)
Reveiving Stt+eacn:
Describe the industnal activities that occur widen the outfali drainage'
2. . Describe the color of the discharge using basic colors (red raw lue, etc.) and tint
(tip ) as descriptors:
3. Odor. Describe any distinct odors that the discharge may have (i e„ smells strongly of oil, weak
chlorine odor, etc-)- /\/ rrYt- el
Page 1 of 2
SWU-W-0513oa

;a
i r
A
Q

4. Clarity: Choose the minA r which best describes the dmty of ft wbm 1 is dem
and 5 is very cloudy.
1 2 4 5
S. Ming Solids: Choose the number which best descnibes the amownt of Ong sAkU m the
stonnwater dischmV, where I is no solids and 5-is the sut we with saw
1 �2 3 4 5
6. Suspended Solids: Choose the number which best descn-bes the amu= of sands in
the starmwater discharge where I is no solids and 5 is extremely [middy:
1 3 4 5
7. Is txe any foam in the stornnwater discharge? Yes
S. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erasion or deposition at the ou. fall? Yes
10. UtiteiObvious Ittdcatars of StwwwaferPollu.#ion:
List and describe y "�-
Note: Low clarity, high solids, and/or the presence of foam, oil sue, or crosiouldeposition may be
indicative of pollutant exposure. These conditions wad further investigatiam.
Page 2 o' 2
SwU-242-051308

I. Outfall Description:
Outfall No. - ----( - Structure ip itch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: o
2. Color. Describe the color of the discharge using basic colors (red,(�blue, etc.) and tint
Clight, edi , dark) as descriptors:
3. Odor. Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): P pf�-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2(:j� 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (f:�23 4 5
6. suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 4 5
7. Is there any foam in the stormwater discharge? Yes
$. is there an oil sheen in the stormwater discharge? Yes
9. Is there. evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of 5tormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2

DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON
AVERAGE, IN THE CALENDAR YEAR?
❑ Yes dNo (If yes, complete Part B)
Part B. Vehicle Maintenance Activity Monitoring Requlrenients-'`
1"Outtall `
; DateQ�"�;
"`Sample olleGteil,' m
, ill
00530
, y Total 1<talutall,
✓
:; 4'i�'i es+ x
ew Motgr qil Urge,
- a ir-�' .. tn_
aAhnual,ayer$ e:' al/mo
.h r pH, r
":'Standard units
-1Y({nn
Wand Grease,
k. .�
: m
Total, Suspended Solids,:
t
�.Y.
13enc ark
I.' 8 - Ski%•-Rl.-rl
r3 C .1n
fiX �'1. -i i��
/w �M. T`f'i/ inx Y3'
#; L t
- M
`6.0`` 7 V
1- 1✓'
JV { rt.
L: 0A.1�.'•'
TI )<do i
*Note: if you report a, value, in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attn: Central Files
1611 Mail'Service Center
-RalSig, North Carolina 27699-1617
VOU.MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED IN PARTS A ANDiOR li:
p, ty attachments ... e prepared Y p accordance with a
system idesigned to assurehat qualified personnel properly gather valuate 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.'.
(Sign re of Permittee) (Da
S WU-245-072808
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS ( q SAMPLES COLLECTED DURING CALENDAR YEAR; Z
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the aampling results from the laboratory.)
FACILITY NAMr d - Bi�y ;vyj— }
PERSON COLLECTINGSAMPLRS)
CERTIFIED LABORATORY(S)_/��,�,�C�CE.ab a_q�3�u�7q�1
Lab d
Part As Specific Monitoring Requirements
COUNTY �i14�dyfii�-V
PHONE NO.
SIGNATURE OF PERMITTEE OR DESIGNEE
13EQUIRED ON PAGE 2.
Date
Sample
Does this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? _yes _no
(if yes, complete Part B)
Part B. Vehicle Maintenance Activity Monitorine Requirements
Uutfall
Date
50050
00556
00530
00400
Total Flow
Total
Oil & Grease
Non -polar
Total
pH
New Motor
No.
Sample
Collected
(if applicable)
Rainfall
(if appl.)
O&G/TPH
Suspended
Oil usage
(Method 1664
Solids
SGT-HEM), If
appl.
14
molddlyr
MG
inches
m 1
mlo
unit
allmo
Form S WU-247, last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Total Event Precipitation (inches).
Event Duration (hours): (only if applicable — sea permit.)
(if more than one storm event was sampled)
Date -91-
Total Event Precipitation (Inches).
Event Durntion (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn; Central Flies
1617 Mail Servicc Center
Raleigh, North Carolina 27699-1617
"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 assuro 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 mom:==lledpP „ belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
the pc)ssi%lity y f 1`1 imprisonment for knowing violations."
of Pcrmlttee)
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

YaceAnalyt'cal
JJ
/. www.PaGelBDsaam
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
ANALYTICAL RESULTS
Project. Waste Testing
Pace Project No.: 92394179
Sample: Water Testing Lab ID: 92394179001 Collected: OS/01/18 09:51 Received: 08/02/18 10:15 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[
2540D Total Suspended Solids
Total Suspended Solids
4500H+ pH, Electrometric EDN
pH at 25 Degrees C
5220D COD
Chemical Oxygen Demand
Date: 08/15/2018 01:53 PM
Analytical Method: SM 254OD-2011
233 mg/L 17.2 1 08/06/1814:14
Analytical Method: SM 4500-H+B-2011
6.6 Std. Units 1.0 1 08/03/18 14:38
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
80.9 mg/L 25.0 1 08/0611817:00 08107/1816:58
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
H3,H6
Page 4 of 12

Permit Num '
FACILITY NAME _ XzWw I
PERSON COLLECTING SAMP
CERTIFIED LABORATORY(S)
Part At Specitk Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
SAMPLES COLLECTED DURING CALENDAR YEAR: f
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
_ COUNTY C r4 w UP"
�r?N PHONE NO. !o �a �u s�
ab #
Lob #
EIGNATURE OF PERMI'ITEE OR DESIGNEE
QIJiRED ON PAGE 2.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes
(if yes, complete Part B)
Part B., Vehicle Maintenance Activity Monitoring Reautrements
OutfalI
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), If
a I.
Total
Suspended
Solids
pH
New Motor
Oil Usage
molddl r
MG
inches
m I
Mon
unit
allmo
Form SWU-247, fast revised 21212012
Page i of 2

STORM EVENT CHARACTERISTICS:
Date _1- I ii�-- r
Total Event Precipitation (inches): Z
Event Duration (hours): (only if applicable — see permit.)
(If more than one storm event was sampled)
Dote
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —see permit.)
Mall Original and one copy to:
Division of Water Quality
Atm; Central Files
1617 Mail Service Center
Ralcigh, North Carolina 27699.1617
"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,
incl4theility . � nes imprisonment for knowing violations."
(Sigttee) (Date)
Form SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE 0VTFALL (SOO)
MONITORING REPORT
Permit Number NCS
FACILITY NAME��
PERSON COLLIVCfING $AMPLK ) :=-t r hLF
CER11PIED LADORATORV(S) Iab lf�
Lab
Port As Speclfle Monitoring Requirements
(ifyca, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
SAMPLES COLLEC fED DIJIUNG CALENDAR YEAR: Z
(This monitoring report shall be received by the Division no Inter than 30 days from
the date the foellity receives the sampling results from the laboratory,)
COUNTY 0il.1 e-
PHONE NO, )Zig
SIGNATURE OF PERM117HE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfoil
No.
Date
sample
Collected
50050
005S6
00530
00400
'fatal Flow
(If opplicable)
'fatal
Rainfall
Oil & Grease
(if Opp[.)
Non-poinr
O&Gtf PH
(Method 1664
SGT-HEM),1f
a L
Total
(Suspended
Solids
PH
New !Motor
Oil Usago
mo/dd/ r
MG
inches
m I
MAA
unit
a1/m0
Dorm SWU•247, last revised 21212012
Page i of 2

STORM %VM,N'I' CIIARAC I't,'RIS'I'ICS:
Date
Total Event Precipitation (fitchvo); tr
Rvent Duration (hours): _(only Ifopphooble- see permit.)
(if morn thtw one sterna evc m was sampled)
Date
Total Event Precipitation (inches).
Event Duration (hour!i):, (only if applicable — see permit
Mail Original anti oup espy to:
Division of Water 0oulity
Alto; Ce11tral Files
1617 Mail Service Centcr
Raleigh, North Cai-Mina 27699-1617
"1 certify, tinder 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 Inforutatloo submitted. Raved 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 stgniflcant penalties for submitting false Information,
Including the possi 1 ity of fines and Imprisonment for knowing violations."
I�— G� l�
(Date)
Farm SWU-247, last revised 21212012
Page 2 of 2

penuftNo- Ncr:2
Facility Nam=
count DM ofhwpmdm
rim of htqncdmc
Stormwater Dbdukrge OutfaR (SDO)
Quaubdive Monftoring Rqpwt
ea
TOW E (sWIM).-
Was this a Rqnseumdve Stam Event? (See idommim bdow) a.,es ONO
storm evert (AWdrewemo vary).
A -Represcauttive Stonn Even' is a storm event that measum greater than OJ bcbm of rabdall and the
is proccded by at least 72 hours (3 days) in which no storm event measming gmaW than Q1 inchn has
occurrc& A shude-stxnm event may contain up to 10 consecutive hofzm of no
By this Opalmr, I vatify &a this repott is a=u= and conpift to.dw best of my knowkdIpm
(SqpW= of Peraiace orDcagme)
L OMdM
Ouffaff No. s� &t* COO
Rmmvm-g
Describe the ndusuial activities that == withm the ouffidl t'ar =
2. Q*w. Dmcr&e the coW of the &Owp using basic w1m (wd,$wwq) bbw, CW-) Md tmt
{light, me&=4 dark) as &%crktom
3. Odw.- Describe any disubid dais dug the
chlodue ardor, ew-)-
Page I of 2
SWLLZ42ML308
bm (ix, stroogly of OiL WO&

• - � f
".
_, � 1
' ^ � _`
a � �, � / � S
�. � . � �
i
� � ( , ' � 1 �
. � � r<
. ' r
i' t
H. V �,
�, � � �
J' �
��i ' _
�• '
,er,F i
F� r
�� � � ,

4. Clarity: (tease the number which hest describes the ctm* of ft fie, where 1 is dcar
and 5 is very ckKKbr
1 3-' 4 5
5. Floaft Sates: Choose tine number which best describes the offlooft solids in de
stormwater dischzqe, where 1 is no soft and 5-is the surfaoe coved with flaming saw
(i J 2 3 4 5
6. Suspended Solids: Choose the number which best dmcn-bes the am "of d sohds m
the stormwater&=hwge, where 1 is no solids and-5 is extremely muddy:
2 3 4 5
7:- is there ey faun in the stormwater discharge?
8. is there an oil sheen in the stormwater discharge?
9. 1s there evidence of eradon or deposition at the ouduH?
10 Other Obvkms ors of Sb wmwater FoIInften:
List and descn-be
Yes
Yes
Yes ffNG
Note: Low clarity, high solids, and/or the presence of foam od sheen, or erosicsr/ ion xnay be
indacative of pollutant exposure. These conditions warrant furtber invesagatim
Page 2 of 2
SWti-2424St309

(� Wcekwcale
November 08, 2017
Accounts Payable
Bryan's Soil 8r Stone
3092 Sam Usry Road
4054 Highway 15
Oxford, NC 27565
RE: Project: Water Testing
Pace Project No.: 92361280
Paco Aasftdcd 8MVIDW LLC
WM Conference Drive
Raleigh, NC 276D7
(819)8344984
DearAccounts Payable:
Enclosed are the analytical results for samples) received by the laboratory on October 31, 2017.
The results relate only to the samples included in this report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footrioted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
wa- ". t$auAn.i
Angela Baioni
[e-mail]
[phone]
Project Manager
REPORT OF LABORATORY ANALYSIS
This report shag not be repro&wee, except in U,
wMxkd the wr$ten consent of Pace Ane4fcal services. LLC. Page 1 of 12

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ceAna"cals
rrrcp.aora
Pace Aoa179caf Servkmr. LLC
6M CUFdWN= Drive
Raleigh, NC 27607
(919W3"984
CERMCAnONs
Project Water Twig
Pace Project No.: 92361280
Asheville Certification IDs
2225 Piverside Drive, Ashevaie, NC 28804 North Carofma Wastewater C.ermcation t 4o
RoridalNE1.AP Certification #: E87648 South Carolina Certficatim A 99030001
Massachtmeft Germ * M-NCO30 VirginialVE Certification & 460222
North Carolina Drin" Water Certification #: 37712
Eden Certification I)s
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carofna Drinking Water Certification #: 37738 VirginialVELAP Certification i - 460025
REPORT OF LABORATORY ANALYSIS
This report shaa not 6e relau&wed. euept in fua,
w iff out the written consent of PaoeAnah4 cak Services, LLC. Page 2 of 12

C A 4*j
SAMPLE ANALYTE COUNT
Project Water Testing
Pace Project Noy 92361280
PacoAnallifficid Sanrlws, LLC
6701 conference drive
Raleigh. NC 27W7
{s gwu 4%4
Ate$
Lab ID Sart4310 m Method Analysts Reported Laboratory
9=1280601 Water Testing SM 2540D CTB 1 PASt-E
SM 4500-H+B SAMI i PASi-E
SM 5220D NAL 1 PASF-A
REPORT OF LABORATORY ANALYSIS
This report shaD not be reproduced, except in tint,
without the written consent of Pace ArWici f Services , tic. Page 3 of 12

AMALrnCAL RESULTS
Project Water Testing
Pace Project No.: 92361280
Faroo Anal Smvlaas, LLC
6701 C,a dmel DFWO
RaWgOti. NC 27607
(919)8344984
Sample: Water Testing
Parameters
Lab M: 9236128=1 Collected; 10130/17 1025 Received:
Resutts Units Report Limit DF Prepared
1013111711-00 MatruC Water
Analyzed (.AS No: Qual
2540D Total Suspended Solids
Analykal Method: SM 2540D
Total Suspended Sabots
269 rng/L
17.9
1
i110211711:01
4500H+ pH, Eleetr+ometric EDN
Anatytical Method: SM 4500-H+8
pH at 25 Degrees C
6.5 SW. Units
1.0
1
1110111713:22 H3,H6
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
9" mg1L
25.0
1
11/06/17 13;30 M1
Date: 1110811017 09.21 AM
REPORT OF LABORATORY ANALYSIS
TM r+epart M4 not be Mproft d, except in tuu,
rrEth xd the wnftn wrsent of PaoeArwlyticai Services, LLC.
Page 4 of 12

ceAWcal'
QUALITY CONTROL DATA
Pwject Water Tesum
Pace Project No.: 92361280
OC Batch: 3849% Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D TcW Suspended Solids
Associated Lab Samples: 9T.361280001
METHOD SLANK: 2134097 Matrix Water
Associated Lab Samples: 92361280001
Blank Reporting
Parameter Units Result L1mit AnaWed Qualifiers
Total Suspuided Saris m9A- ND 2.5 IIAM1711:00
Pm A>sa} gcd Services. LLC
MI Cordetefm Drive
Raleigh,14C 27607
(919)834-49M
LABORATORY CONTROL SAMPLE 2134098
Spilka LCS LCS % Rec
Parameter Units COM- Refit % Rae Limi4s Qualifiers
TOW Suspended Spuds m91L 250 232 93 90-110
SAMPLE DUPLICATE: 2134CM
92361280001 Dup
Parameter Units Result Result RPD Qualifiers
Total Sk spmfed Solids MWL 269 269 0
SAMPLE DUPLICATE: 2134100
92361475M Dup
Parameter Units Result Re$& RPD pttaffers
TOW Stispertded Solids mg1L 473 430 1006
PASS is preaerrtod en tthts pope smle the unift trhdicated iSN the 1Jnks' cohhmrh except Ydhere an attenu to unit is preswftd to the rWd of the nmmdL
REPORT OF LABORATORY ANALYSIS
This report sho not be mprad=d, amept in faf,
Date: 1110=017 09 21 AM witlhatd the written consent at Pace Analy0cal Services,1 LC.
Page 5 of 12

Pa An*dcat Swv t es, LLC
6M Carden= Drive
Ram,, NC 27507
Mg}834-4984
QUALITY CONTROL DATA
Proje[:I- Water Tes&Q
Pace ProjectNo.: 9M I280
QC Batch: 384842 Analysis Method: SM 450D i+B
QC Batch USOWL SM 45004i+B Analysis Description: 4500H+B pH EDEN
Aerated Lab Samples: 92361280001
SAMPLE DUPLICATE: 2133289
92361280001 Dup
Parameter Units Result Result RPD qualifiers
pH at 25 Defies C Std. Units 6.5 6.4 1 1-13, H6
R=vftspnwenW on do peps are hr"unft bucalmd by the ZrnW column except where an altemste writ to proa�dtathe right ortho reardi
REPORT OF LABORATORY ANALYSIS
this report mast not be repro, exgt In full,
Date: 11108F2017 0921 AM rrmxxd the man cortsent of Paw Anatyl M Services, LLC.
Page 6 of 12

pace11udydcdSWO-3,1 -C
6M cake Drive
RMdgh. NC 27WT
(919)834-49"
U
QUALITY CONTROL DATA
Project Water Testing
Pace PrWd No.: 923612W
QC Batch: 385290 Analysis Method: SM 5220D
QC Bath Method: SM 5220D Analysis Description: 5220D COD
Assodated Lab Samples: 92361280001
METHOD BLANK 2136569 Matrix: Water
AssodaW Lab Sarnples: 92361280001
Blank Reporting
Parameter Units Result Limit Analyzed Chralifiers
Oxygw Demand m911- ND 25.0 11/06/17 13:30
LABORATORY CONTROL SAMPLE: 2136560
Sp" LCS LCS % Rec
Paraneeter unft Conc. Result % Rec Li nits Quardiiers
Chemical Oxygen Demand M91L 750 737 98 90-110
MATRIX SPIN $ MATRIX SPIKE DUPLICATE: 2136561 2136562
MS MSD
92361763002 Sprite Spam MS MSD MS MSD % Rec
F%rafftater units PUMMItf Cone. Car— Resat Resew % Rec % Rec Lmuls RPD (heal
Chemical Oxygen Demand rn9k 127 100 100 229 231 102 104 W110 1
MATRIX SPICE & MATRIX SPIKE DUPLICATE: 213660 2136564
MS MSD
9=1290001 Spke Spike MS MSD MS MSD % Rec
Parameter thus Result Cores~ Caec. Result Refit % Rec % Reec Lalnifs RPD Qual
Chemical Oxygen Deenared M90L 90.0 100 100 200 204 110 114 90-110 2 M1
Rewrite presented on ttds page mein the u+dts htdlicaDed by the "Unets" column except where an alternate unit Is pnmm ted to de AVd of tre roatdL
REPORT OF LABORATORY ANALYSIS
This report shag not he teprodumd. axaept in fua.
Date: 11/08/2017 0921 AM wWxxd then written consent of Pace Analytical Searviaess, LLC.
Page 7 of 12

Paco Acdifteal Services, t.t.0
6701 Conference Drive
Raleigh, NC 27607
[phone]
QUALIFIERS
Project Water Testing
Pace Project No.: 92M1280
DEMITIONS
DF - Dtiution Fades, if reported, represents the factor applied to the reported data clue to dilution of the sample a5quot
INM - Not Detected at or above acQusted reporting limit.
TNTC - Too Numerous To Count
.t - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit-
MDL - Adpisted Method Detection UmtL
PQL - Prac icai Quantitation Limit.
RL - Reporting Unit.
it.
S - Surrogate
1 2-Dgthenystrydraztrte decomposes to and anux t be separated from Azobenzam using Method WM The result for each analyte is
a combined concentration.
Consistent with EPA guides, unrounded data are displayed and have been used to calculate % recovery and RPD values
LCS(D) - Laboratory CornTol Sample (DuprkG ft)
MS(D) - Matrix Spike (Dwl)
DUP - Sample Duplicate
RPD - Relai a Percent Dfffererrae
NC -Not Catadabie.
SG - Sdica Get - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvirtyl ether.
A separate vial preserved to a pH of 45 is recommended in SW846 Chapter 4 for the analysis of Aaoiein and Acrytooftle by EPA
Method 8260.
"itrosodoxwVlarrurve decomposes and cannot be separated from D#wnylarrtm using Meffwd SM The result reported W
each anafyte is a cornbirted eoncentmDo .
PASt-A Pace Analytical Services - AsfwviUe
ANAME QI;i MERS
D6 The precision between the sample and sample duplicate exceeded laboratory control #rnits.
H3 Sample was received or analysis requested beyond the recognized method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
M1 Matrix spike recovery exceeded M fimits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reprodtroed, except to ftA
Date:1110M017 09211 AM - wmxxd the wtrfen oonser►t of Pace Analytical Services, LI.C. Page 8 of 12

•
ceAnaly�cal
Pr* t Water Tesft
Pace Project No.: 92361280
Lab ID
923612800(1
9236128MI
92361280001
.AndyUcal SWVICMLLC
67(1 CardenwK a Drive
Pzk!yh, HC 27607
Me)834-4984
QUALJTY CONTROL DATA CROSS REFERENCE TABLE
Sample ID QC Batch Method QC Be" Araly-tfcal Nothod Batch
Water Testing SM 2540D 384996
Water testing
Water Testing
SM 450044+13 384842
SM 5220D 385290
REPORT OF LABORATORY ANALYSIS
This report shO not be reproduced. exoW in fug,
Date: 11I08)2017 0911 AM wRhout the vrrttten consent of PamArdyucai Services, LLC.
Page 9 0112

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I
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page I of 2
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Page 10 of 12

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Page 11 of 12

a`? CHAIN -OF -CUSTODY ! Analytical Request Document
Thri Chain•ni•Cnrti(rdy Is H ILGAt DUCItM[Ml .Ali resevartl fluids must ba L^am(leU;d 8=18(t:ly.
ir.rtian A Set13nn 0 8@08n C
r
Roph-ed client IntomutiOn: Repvlred Project Idiormat:on. In.Cite IWIVM06an: Pa O : t Of 7
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STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS ( SAMPLES COLLECTED DURING CALENDAR VEAR: f
(This monitoring report shall be received by the Division no later than 30 days from
I the date the faculty receives the sampling results frnin the laboratory.)
FACILITY NAME �� ll �o` COUNTY d14T"'4Ji ';-
PERSON COLLECTING SAMPLE(S) Sb PHONE NO. ( 9
CERTIFIED LABORATORY(S) Lab it
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REOUIR1rD ON PAGE 2.
Part At Specific Monitoring Requirements
s
1
Date
1lle1le - 1
ii i
—■
II 1 1Sam
EffE
I: 1 t
�■
ISM
Does this thci11ty perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes _no
(if yes, complete Part B)
Part A: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date '
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil &Grease
(#f appl.)
Non -polar
O&GITPH
(Method 1664
SGT-HEM), If
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd! r
MG
Inches
mg/1
mlo
unit
allmo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date -Z
Total Event Precipitation (inches); c fV
Event Duration (hours); (only" if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours); (only if applicable — see permit.)
Mall Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699.1617
9 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 hell rue, accurate, and complete. I am aware that there are significant penalties for submitting false information,
Including the possMilty of fin an i imprisonment for knowing violations."
of
�7T /—/ 7
(Date)
Form SWU-247, last revised 2/2/2012
Page 2 of 2

,w1F
Stormwater D*harge On" (MO)
Qualitative Monitoring Report
Pit No.: NACQoNo.:
_ sl�it?13�
Facility Name: tio
County: Phone No. - d
Inspector. �v � .
Date of Inspection:
Time of Inspection: $ % d d
Total Event Prec4ftatma (inches): ��6b
Was this a Representative Storm Event? (See information below) Yes ❑ No
Please check your pernrFt to vehfy if Qua&ad ve Monitoring must be. perfunned daring a reprtarotive
storm event (requirements' vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event ►nea' su e� greater than 0.1 inches bias
occurred. A single -storm event may contain up to 10 consecutive hours of no prec*dtafiott
By this signature, I certify that this report is accurate and conwle©e to. the best of my knowledge:
(Signature of Pwittee or Designee)
Outba � Outfall N . Structure 46� &tck etc.)
Receiving Stream:
Describe the industrial activities drat oo= wahm the outW ehamage area:
2. Corm -. Desenbe the ccdor of the discharge using basic colors etc.) and tint
(light, medium, dads) as descriptom
3. Odw = Describe any &sftw odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): d
Page t of 2
SWil-242-01308

A
1. Outfali Description:
4utfall No. 5tructur (pipe, '[ch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors ( ue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor. Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 14 z1vi ze--
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: �-�
1 2 l._/ 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
10 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy-
1 2 3 4 5
7. Is there any foam in the stormwater discharge? YesN
8, is there an oil sheen in the stormwater discharge? Yes
9. is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2

��aceAnalytiCal'
July 14, 2016
Accounts Payable
Bryan's Soil & Stone
3092 Sam Usry Road
Oxford, NC 27565
RE: Project: STORMWATER
Pace Project No.: 92303578
M1 Confereeoe Drive
Raleigh, NC 276137
(91 s)8344984
Dear Accounts Payable:
Enclosed are the analytical results for sample(s) received by the laboratory on June 30, 2016. The
results relate only to the samples included in this report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
a*o- 4r .
Angela Baioni
[e-mail]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shag not be reproduced, except in fug,
without the written consent of Pace Analytical Services, Inc_ Page i of 11

aceAnalytrcal "
WWWPacmlBb&0 m
Pace Ardyclrat sue, hw-
MI Conterenae Drive
Raleigh, NC 27607
(919Y 3"9tt4
Project: STORMWATER
Pace Project No.: 92303578
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NCO30
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
North Carolina Wastewater Certification M 40
South Carolina Certification #: 99030001
VrginiwVELAP Certitkmtion #: 460222
Eden Certification lDs
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification At 37738 VrginiaNELAP Certification M 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fun,
without the written consent of Pace Analytical Services, InC.. age 2 of 11

;./�' 3'1. 1
.`
.. '
.'.� . v`Yf

SAMPLE ANALYTE COUNT
Project STORMWATER
Pace Project No.: 92303578
Pace Analytical services. hra.
6701 Conferern a Drive
Raleigh, NC 27607
[phone]
Analysts
Lab ID Sample ID Method
Analysts
Reported
Laboratory
92303578001 STORMWATER SM 2540D
KCE
1
PASI-E
SM 4500-H+B
KCE
1
PASVE
SM 5220D
WRC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shag not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc-- Page 3 of 11

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�aceMalytical'
Pace Analytical Ste, kr—
6701 Conference Drive
Raleigh, NC 27607
(919)8344984
ANALYTICAL RESULTS
Project: STORMWATER
Pace Project No.: 92303578
Sample: STORMWATER
LablD: 92303578001 Collected:
0613011608:55
Received: 06/3011611:00 Matric Water
Parameters
Results Units Report Limit
DF
Prepared Analyzed CAS No. Oual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
39.6 mg1L
5.1
1
07/05H614:36
4500H+ pH, Electrametric EDN
Analytical Method: SM 4500-H+B
pH at 25 Degrees C
6.6 Std. Units
1.0
1
07/01/16 13:20 H1,H6
52200 COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
72.0 mg/L
25.0
1
07/13/16 17:45
Date: 07/14/2016 08:04 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 11

PAcnrnr-
GM Conference Drive
Ralei^ KC 27607
(919)83449e4
Project STORMWATER
Pace Projed No- 92303578
QC Batch: 3198M Analysis Method: SM 254W
QC Batch Method: SM 254W Analyss Desaiptiow 25M To1at Suspended Solids
Associated Lab Samples: 92303578001
METHOD BLANK 1772634
Assocated Lab Samples: 923035780Q1
Stank Repelling
Parameter units Result Lint /4rtadyned Quakers
Total Suspended Solids mg1L ND 25 07A W161428
LABORATORY CONTROL SAMPLE: 1T72635
Spike LCS LCS % Rec
Parameter Units Conc. Result % Roe Lirrtils 0mahums
Total Suspended Solids mg/L 250 248 99 90-110
SAMPLE DUPLICATE: 1772636
92303525002 Dup
Parameter Units Result Result RPD Quarters
Total Suspended Solids m91L 35.8 32.9 9 D6
SAMPLE DUPLICATE: 1772637
92303882D01 Dup
Parameter Units Result Result RPD Qs
Total Suspended Solids mg/L 62.7 57.2 906
wsetts prraerta on tr" pqp are m the unns marcarea oy me -unrw cwrumn except emen en wtunw s unit is g to me rrytrr or prrr rw" t
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In fug,
Date: 07/14/2016 08:04 AM wlemt the written consent of Pace Analytical Services. Inc...
Page 6 of 11

Paco AoalySc+d Suivicas, Inc—
film calftvaxe o rh e
Ra IeV% NC 2760T
(919M44884
QUALFTY CONTROL DATA
Project STORMWATER
Pace Project Nm: 92303578
QC Batch: 3196W Analysis Method: SM 45004 +13
QC Batch Medmd= SM 450044+B Analysis Desatptiort: 4500H+B pH EnE4r1
Associated Lab Samples: 92303578MI
SAMPLE DUPLICATE: 1771517
92303578001 flue
Parameter units Result Result RPD C.halififfs
pH at 25 Degrees C Std. Unfts 6.6 6.6 0 HI.H6
Results pro"rttea on tnN papa are In me urtns Inattaw vy %ne -unne- corumn excepc wnero an artemato rmn to prosvrmW m an fWa of chs moult
REPORT OF LABORATORY ANALYSIS
This report shay not he reproduced, except In full,
Date: 07/14/2016 08:04 AM wtihout the written consent of Pace Analytical Services, tno..
Page 6 of 11

QUALITY CONTROL DATA
Project STORMWATER
Pace Projed No-: 92303578
QC Batch: 321034 Analysis Method: SM 5220D
QC Bator Method: SM 5220U Anatysis Description: 522013 COD
Associated Lab Samplew 92303578MI
METHOD BLANK 1779001
Associated Lab Samples: 92303578M
Parameter units
Chemical Oxygen Demand mglL
LABORATORY CONTROL SAMPLE: 1779002
Parameter Units
Chemical Oxygen Demand mg1L
Pam Audiftall Swvkuw,h=
GM C¢Rtmaee 0rk e
. Nc zrso7
MgjB34-4984
Blank Repa*W
Resift Limit Analyzed Cktalffiers
ND 25-0 07113J1617:45
Spike LCS LCS % Rec
Conc. Result % Rec Lknft Qualifiers
750 732 98 W-110
MATRIX SPIKE $ MATRIX SPIKE DUPLICATE: 1779003 1Tr9004
MS MSD
92303756001 Spike Spike MS NASD MS MSD % Rec;
Parameter Units Result Conc. Conc. Result Result % Rec % Roc Lbnft RPD Qual
Chemical Oxygen Demand mg/L. ND 750 750 751 751 100 100 90-110 0
MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 1779005 1T79006
MS MSD
92303184009 SWke Splice MS MSD MS MSD % Roe
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L. 240 3000 3000 3060 3050 94 94 911-110 0
Result On"11Wa on aft page are in ahe units rnatcarea my the -units- miumn except where an alternate unit M W'emwted to VA right or the r uh.
REPORT OF LABORATORY ANALYSIS
This report shad not be reproduced, except in full,
Date: 07/1412016 08:04 AM without the written consent of Pace Analytical Services, Ina_
Page 7 of 11

trams Act swvswx, lor-
scot cb*rertoe grieve
. PVC 27607
(s+g)a344
QUAMIERS
Project: STORMWATER
Pace Project No.: 92303578
DEFINITIONS
DF - Dilufion Factor, If reported. represents the lector applied to the reported data due to ditution of the sarreple a5gewt.
ND - Not Detected at or above adested reporting biuL
.1- Estimated cormentration above the adjusted method detection mnit and below the adsstad reporting &YtL
MDL - Adiusted Metftod Detection LWL
POL - Practical Cwntitation Limit
RL - Reporting Lirrk
S - Surrogate
1,2-Diphenylhycirazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each anallyte is
a oombined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to cakiderte % recovery and FWD vahm&
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroefhylvinyt ether, Styrene, and Vlrttyt chloride.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of AcroWn and Aayionilyde by EPA
Method 8260.
"itrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
LABORATORIES
PAST -A Pace Analytical Services - Asheville
PAST-E Pace Analytical Services - Eden
ANALYiE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory cordrol limits.
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
REPORT OF LABORATORY ANALYSIS
This report shall not be repmduoed, except in full.
Date: 07/14/2016 08:04 AM without the written consent of Pace Analytical Services, Ina.. Page a of 11

x9
i

PW=tx , mr"
•
6MI cxrilerrnce Drina
clq�
�; uc 2T607
( g)83r-s9a4
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project STORMWATER
Pace Project No.. 92303578
Anabilcal
Lab ID Sample ID QC Batch WOW QC Batch Arm Method Batdt
92303578001 STORUWATER SM 2540D 319M
9230357=1 STORUWATER SM 4500-H+B 319655
92SMSMM STORMWATER SM 522M 321034
REPORT OF LABORATORY ANALYSIS
This report shag not be reproduced. except in full,
Cate: 07/14/2016 08:04 AM without the written consent of Pace Ana"cal Services, Inc. Page 9 of 11

PP'ilI11
NOUN In
monsomm! 11001010001100
.................
ingloollin
MENNEN son
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MCDEMR
Stormwater Discharge Outfall (SDQ)
Qualitative Monitoring Report
Forguidancteonfrllingo thisform,pleasev&it: ate
Permit No.: NJr,�/ or Certificate of Coveraize No-/�jC�
Facility Name: ��
County: Prone No.
Inspector: _ ._ ��� 2` lrg-L'
Date of Inspection: _ _!:�2 — - _ - <,--.- _ _ ff i C° i; a,�--r N _.....,,
�r..vV VI Y fir✓
Time of Inspection:
AUG 01 2016
Total Event Precipitation (inches). CENTRAL FILES
©WR SECTION
Was this a "Representative Storm Event' or `Measureable Storm Even' as defined by the permit?
(See information below
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
eventAor measureable storm even t"(requirements vary, depending on the permit)
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual disxbarge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office,
By this sigpture,) cergif Aat this rgWrt is accurate and complete to the best of my knowledge:
(Signaturep ermittee or Designee)
Page 1 of 2

L Outfall Description:
Outfall No. - - / Structur�itch, etc)
Receivine Sava&
Describe the industrial activities that occur within the outfaii drainage area:
CDescribe the color of the discharge using basic colors (red blue, etc.) and tint
Col
dark) as descriptors:
3. Odor. Describe any distinct odors that
weals chlorine odor, etc.): —
may have CLe , smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
(0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy-
2 3 4 5
7. is there any foam in the stormwater discharge? Yes 4917)
8. is there an oil sheen in the stormwater discharge? Yes
9. is there evidence of erosion or deposttion at the outfaW- Yes
10. Other Obvious indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant farther investigation.
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SOO)
MONITORING REPORT
Permit Number N j SAMPLES COLLECTED DURING CALENDAR YEAR: ?`!�'
(This monitoring report shall be received by the Alvlslonr no later than 30 days from
f v the date the facility receives the sampling real s from the laboratory.)
F'ACIL.I`t'Y NAMb vLt,�.AlmV0 COUNTY „�� G L �
PERSON COLLECTING SAMPLE(.,) U PHONE NO. { --
CERTIFIED LABORATORY(S) Lab #
Lab #
SIGNATURE OF PI RMITTEE OR DESIGNEE
REOUCIRE 1 ON PAGE 2.
Part A: Specitic Monitoring Requirements
Does this facility perform Vehicle Maintenance Activities using more thiin' 55 gallons of new motor oil per month? _yes _no
(ifyes, vomplute Part it)
Part K: Vehicle Maintenance Activity Monitoring Requirements
Outrall
No.
pate
Sample
Collected
50050
00556
00530
00400
Total Flow
{Ifepplicabie}
Total
Rainfall
Oil & Grease
(If appl,)
Non -polar
O&CCl PH
(Method 1664
SGT-HEM), If
Total
Suspended
Solids
pH
New Motor
ON Usage
mo/dd/ r
MC
Inches
m
mgA
unit
g@11mo
Form SWU-247, last revised 21212012
Page t of 2

STORM EVENT CHARACTERISTICS:
TotnI Itntion (inches): f
�'
p ( )
;vent Duration (hours): _I (only if applicable — see permit.)
(it wore than one stoma event wits Sampled)
Date
Total Event Precipitation (inches):
Event Duration (hou r q): (only if applicable -- sec permit.)
Mail Original and one copy to:
Division of Waier Quality
Attw Ceotral I'iles
1617 Mail Service Conter
Ratcigh, North Carolina 27699-1017
"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 anAbeilef, tUx.,,accurate, and complete. 1 am aware that there are signif5cnnt penalties for submitting false Information,
Including the possiblllt/'gf flues q6d jbnprisonrment for knowing violations."
of fermittee)
(pate)
Form SW 1_i-2A7, last revised 2,1212012
Page 2, of 2

)(P.CeAnalyticala
www.pawlab&oom
i
ANALYTICAL RESULTS
Project: STORMWATER
'Pace Project No.: 92303678
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Sample: STORMWATER
Lab ID: 92303578001 Collected:
06/30/16 08:55
Received: 06/30/16 11:00 Matrix: Water
Parameters
Results Units Report Limit DF
Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
39.6 mglL
5.1 1
07/05/16 14:36
4500H+ pH, Electrometrlc EDN
Analytical Method: SM 4500-H+B
pH at 25 Degrees C
6.6 Std. Units
1.0 1
07/01/16 13:20 1-11,1-16
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
72.0 mg/L
25.0 1
07/13/16 17:45

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Nu
�I D
PAC116ITY NAME Jy�'+��I.. ,� � � � f•���
Pli RSON COLLECTING SAMPLI
CERTIFIED LABORATORY(S) Lab 0—
La b #
Part A; Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2�l
(This monitoring report shall he received by the Division no later than 30 days from
the date the facility receives the mampling results from the laboratory.)
COUNTY
PHONE
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Does this fad lily partarm Vehicle Wintenance Activities using more than SS gallons of new motor oil per month? _yes —no
(if yos, complete Part 13)
Part Il: Vehicle Maintenance Activity Monitoring Requirements
Outfali
No.
Date
Sample
Collected
5001.90
00556
00530
00400
Total Flow
(if upplieable)
Total
Rainfall
Oil & Grease
(irappl.)
Non -polar
O&GNP1#
(Method 1664
SGT-HEM), If
Opp].
Total
Suspended
Solids
pH
New Motor
Oil Usage
moldd/ r
MG
inches
m l
m
unit
allmo
Form S WU-247, last revised 2121 012
Page 1 of 2

STORM EVENT CHARACTERISTICS-
pule�—
Total went 1Prtclpitotton (Inches):
Event Duration (hours), _ (only if applicable — see permit.)
(if more than give storm avant was sampled)
Date
—Tow-
Bvet+t Duration (hour* (only if applicable see permit.)
Mall Original and one Copy to:
Division of Water Quality
Attn: Central Files
W 7 Mail Service Center
ltoleigh, North Carolina 27699-161.7
to certify, under penalty of Law, that this document and all attachments were prepared under my direction or supervision In Accordance with a
eystenr defined to posuro 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 trry knowledge and hell, , true, aa te, and complete. 1 am aware that there are significant penalties for submitting false information,
Including the pos#WH"j fl and Im sonment for knowing violations."
J —Z.�
(Date)
Form 5WU-247, last revised 21212012
Page 2 of 2

/%
Vr
CDENR
Stormwater Discharge Gu ll (SDO)
QuaUtative Monitor ft Report
ForguidQnceonfilingmtdt&fw ,pleasevisit
Permit No.:NJr Certificate of Coverage i�o�__K1W7�- /1/AhT _Fj1j
Facility Name: ::I' v�,+�/ ,�2 Zf DLO
County: _ _✓L L -4 Phone No.
Inspector: _ o Y-111
Date of inspection:
Time of Inspection:
- -- z G,1/u
Total Event Precipitation (inches): CENTRAL FILES
DWR SECTION
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below
es ❑ No
Please verify whether Qualitative Monitoring must he performed during a "representative storm
event" or "meusureable storm event "(requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement Please refer to these definitions, if applicable.
1
A "representative storm event° is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred, A single storm event may contain up to 10 consecutive hours of no !
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signatuj*,rfm�tify th� tpU rep9" accurate and complete to the best of my knowledge:
(Signature of Pergfittee or Designee)
Page 1 of 2

STORM KVF NT C"ARAC'1 ERISTICS: Mali Original and oav ruby to,
DiviSlon of Water Qoality
Date t Z L5-1 S 5 Attu: Ccntrot File$
Total iivent l rotipitatiun (inches): �` 1617 Mail SeiviGc Center
Event Duration (hours): -(oniy ifapplinabiv--see permit.) Ralcigh,North Ourolina 27699-W7
(if more Man ono stonvi event was sampled)
Datt _
Total Event Precipitation (inches):
Event Duration (hours): - (only if applicable -- secs permit.)
"l certify, under penalty of tow, that this document and all attachments were prepared under my direction or supervision in accordanec with a
system designed to nssure 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 I& to the
bast of my knowledge and belief. true, accurate, and complete. t am aware that there are significant penalties for submitting toke informs►lion, 004
inciudlug the ►ossibility of fines and Imprisonment for knowing violations."
(Sig )aturr of l rmittee) (Date)
Forat SWU-247, last revised 21212012
Page 2 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
Vim}} 2 MONITORING REPORT
Permit Numb �&�`1631 1 SAMPLES COLLECTED DURING CALENDAR YEAR: o f 3r
(i`his monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME JOH�1 f3 ✓ �t-i'd kJlt� 47c �`'�r cOuxry L G 1
PERSON COLLECTING SAMPLE(g) c3 r�Ys+-/ Y J PHONE NO. ( 'f
CERTIFIED LABORATORY(S) Lab #
Lab # .
SIGNATURE OF PERMITTEE OR DESIGNEE
_ REQUIRED ON PACK 2.
Part At Specific Monitoring Rtct(uirements
CnD
Doett this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes no
(if yes, complote fart 13)
Part il. Vehicle Maintenance Activity Monitorine Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
OH & Grease
(if appl.)
Non -peter
O&G/TPH
(Method 1664
SGT-HEM), if
a 1.
Total
Suspended
Solids
pH
New Motor
Oil Usage
'
moiddl r
MG
Inches
m I
Me
unit
ai/mo
Form S WU-247, last revised 21212012
Page i of 2

,71
L can )esm-
Outtalll No. � W Structure ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfahh drainage area:
2. Color. Describe the color of the discharge using basic colors b e, etc.) and tint
{light. medium, dark) as descriptors:
3. Odor: Describe any distinct odors that
weak chlorine odor, etc.): _ ,4z
d� may have (w, sn� y of oil,
4. CL-wKy: Choose the number which best describes the clarity of the discharIM where 1 is
clear and 5 is very cloudy;
1 2 3'�- 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (:i-> 3 4 5
6. Sanded Solids~ Choose the number which best describes the amount of suspended
solids in the summnvater discharge, where 1 is no solids and 5 is extremely muddy.-
1 2 4 5
7. is there any foam in the stormwater discharge? Yes
& . Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious indicators of Stovrnwater Pollution.
List and describe
Note: Low clarity, high solids, and/or the presence of foam. oil sheen, or erash m/deposMOD
may be indicative of POUumnt eaposum These conditions warrant further investigation.
Page 2 of 2

aceAnalyticale
wwwpnar Room
�T
i
ANALYTICAL RESULTS
project: Stormwater
Pace Project No.: 922SO554
Pace Analythal Services, Inc.
67DI Conference Drive
Raleigh, NC 27607
[phone]
Sample. Stormwater
Lab ID: 92280664001 Collected:
12/18/16 09:20
Received: 12/18/15 11:10 Matrix: Writer
Parameters
Results Unite Report Limit
DF
Prepared Analyzed GAS No, Qual
4600H+ pH, Electrometric
Analytical Method: SM 4500-H+B
pH at 25 Degrees C
0.6 Std. Units
1.0
1
12/22/1515:03 H6
2640D Total Suspended Solids
Analytical Method: SM 2640D
Total Suspended Solids
92.0 mg1L
10.0
1
12123/1613:05 OB
5220D.COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
41.0 mg1L
25.0
1
12/29115 17:21

/�'a'CeAnalytical e
ANALYTICAL RESULTS
Project: Stormwater
Pace Project No.: 92280554
Pace Analytical Services, Inc.
8701 Conference Drive
Raleigh, NC 27907
[phone]
Sample: Stormwater
Lab ID: 92280564001 Collected:
12118115 09:20
Received: 12/18/1611:10 Matrix: Water
Parameters
Results Units Report Umlt DF
Prepared Analyzed CAS No. Qual
4500H+ pH, Bectrometric
Analytical Method: SM 4500-H+8
pH at 25 Degrees C
6.6 Std. Units
1.0 1
12/22/15 15:03 HS
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
92,0 mg/L
10.0 1
12123/1513:05 D8
5220D,CO0
Analytical Method: SM 5220D
Chemical Oxygen Demand
41.0 mg1E.
25.0 1
12120/1517:21

' 1
STORMWATER DISCHARGE OUTFALL (SDO) ;
MONITORING REPORT
Permit Numbe
FACILITY NAME a uje 7f1 illyd�
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: Ur3�
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.
ce
COUNTY C ,
PHONE NO.
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes —no
(if yes, complete Part B)
rart n: venicie maintenance A
viry xionnoring
ree uirements
Outfsll -
Date
50050 =
005561.
00530
00400
No
Seitnple
Total Flow,",",!
Total
Oil'•&Grease
Non -polar
Total
pHf •
New Motor
=
Collected':' " '
" If a livable
( pi? )
Rainfall
(. PP)
rf a L
.O&G/TPA :`
Sus ended:'
P
Oil Usa e''
g
=
(Meth6d=i664.
Solids
,
SGT.-HEM}, if
mo/dd/vr',:: `;
MG J:
inches;',
mall•°-:; ... _.
mRJI .:
snit
eaVmo.
Form SWU-247, last revised 2/2/2012
Page 1 of 2

r
!
r
-
i
4+
S
•
f
1
1
f
^'
-
_
j v

-Adltional Ouffall Attachment
Outtall No.
Is this outfall currently In Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever In Tier 2 (monitored monthly) during the past year? Yes ❑ No6 If this outfall was In Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other - El
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
SWU-264-Generic-1 3Dec2012

E....
__.
- _� -. _-` --T -
-.__^..,.__ ._ i- _•---^
_ - - -..
� .. = -- - - - - - - -•
wry _r �
<.- _. - __..,. F
� r
1
+: i

N
noRm KVI!iiNT CHAIIr1G'I'ERIS'TICSi
Total Evont Precipltotioil (Inches):
9mttt Doratiun (bours)s _ (only 11'oppliaahle- sae permit,)
(if morn tit€w ono storm Ovum wos Sampled)
Dote
TOM Evont Preelpliatiou (inches):
EV0111 Uurntion (hours); — (only if applleable — sce permit,)
Mall Original and one copy to:
Division ofWater Quality
Attu: Centrol lilies
1617 Mail Servlra Canter
Raleigh, North Carolinh 27699-1617
I eertlfj, tinder ptualty or law, that this document and all attachments were prepared under my direction or supervision In accordonce with n
evat000 deolgood to assuiv that qualified pernoemel properly gather and evaluate the information submitted. Based on my inquiry of the parson
or Pffsong Who manage the system, or ose persons directly responsible for gathering the information, the information Submitted Is, to the
bast of my Wiowledge an ellef, tru , ac orate, and complete. I any aware that there are significant penalties for aubmiiting folgo information,
Itt� fud#t►ft��ility of fines an in tsonment for knowing violations."
(onto)
Form SWU-247, Past revised 2/Z/2012
page 2 of 2

NCDE
Stormwater Discharge Qutfalll (SDD)
Qualitative Monitoring Report
Forguidance on frlhng out this form, please visit:
Permit No.- N/ (�/C` o/ or Cer-Ocate of Coverage No • � jS/ �/ j�
Facility Name:
County: �'s l rrn v z ll Phone No.
Inspector: - T,, ice! � "?
Date of Inspection: Z 2--_ -2L
Time of Inspection: . 9;
Total Event Precipitation (inches): 7
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
2-fes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "r-epresenwrive storm
event' or ineasurerable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an anal discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certi E�iatAhis rjq opf is accyfat�and complete to the best of my knowledge:
(Signature of Permiifee)fr Designee)
Page 1 of 2

r
L OutfaQ
putfall No. Structure ipe 'Uch, eta)
Receivine Stream: - -- -
Describe the industrial activities that occur within the outfiA drainage area:
2. Color. Describe the color of the discharge
(light, meditrm, dark) as descriptors L.
kors (red, brown, bhte, etc) and tint
3. Odor. Describe any distract odors that the disxbar&e may have {i.e., sus ston* of oil,
weak chlorine odor, etc.); Al l C.,rW ._
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 61) 4 5
& Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extrennely muddy.,
I (J) 3 4 5
7. is there any foam in the stormwater discharge? Yes
8. is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfaIl? Yes N�
10. Other Obvious indicators of Stormwater Pollution:
List and describe
Note: Low, clarity. high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of poIIutant exposure. These conditions warrant iwther investigation.
Page 2 of 2

4
CeAnaly[rCa1•
�' wMq=d3bM_
S ce, b�r-
GM tonne
Raleigh. NC 27607
(919)834-49e4
Laboratory Report
Page 1 of 1
Accounts Payable
Report Date: 1211512015
Bryan's Soil & Stone
Date Reaei+l 12/03/2015
3092 Sam Usry Road
-
Oxford, NC 27565
Project: STORMWATER
Pace Project No.: 92278275
Sample: STORMVIFATER
Lab lD: 922787750M Collected 12102l15 09:00 Matroc Wager
Method Parameters
Resits . units
Report L.irTd Analyzed Oua6r6era
SM 4500-H+B pH at-25 Degrees C
6.6 Sw_ Urdu
1.0 i2/1011510 39 HS
SM 2540D Tote! Suspended SOME
47.8 nrg1L
5.0 12MW5 15:52
SM 522013 Cherrucai Oxygen DeamW
66w0 ng&
4?" 12/14115 16:00
ANALYTE QUAWFIERS
H6 Analysis uvitiated outside of the 15 mirarte EPA mu m mended holding Cease.
Reviewed by:
Liamm Hanson
[e-mail]
Raleigh CertifienUon Me
6701 Conferenoe Drive, Raleigh, NC 27607
North Carolina Wastewater Certification tk: 67
Asheville CertHication IDs
2225 Riverside Drive, Asheville. NC 28804
Fiarlda(NEtAP Certification # E87648
Massachusetts Certification #: M-NCO30
North Carofim Drip" Water Catificatia+#_ 37712
North Caroftia Bioassay Can #: 16
North Carolina Diuddrg Water Cgtfficahm 1f- 37731
North Carolina ftsh arat er Cerblitatimt #: 40
South Carolina Certiticalka #: 99030001
West Vagina Certification #: 356
Yugir WVELAP Certilicafm #: 460222
Page 1 of 3

11"

c V IILr"4L[l +
I
Laboratory Report
Accounts Payable
Bryan's Sail & Stone
3092 Sam Usry Road
Oxford, NC 27565
Pan Aot<'!l" Servke% br-
0701 Caffe" rm Drive
Rsleigk NC 27607
[phone]
Pepe 1 of 1
Report Date_ 12/15/2015
Date Receive& 12/03/2015
Project: STORMMTER
Pace Project No.: 92ZM75
Sample: STOR1111WATER Lab ID: 92776275001 GoSer te& 121U2M 5 09:00 Matrix Water
Method Parameters Results - Units Report Lind Anayzed Cluafibess
SM 4500-H+B pH at 25 Degrees C 6.6 tea. units 1.0 1211 W151(Y.39 H6
SM 2540D Total §USPMXW Sands 47.3 mglL 5.0 12 WI515:52
SM 52201) Chemical Oxygen Demand 65.0 MOIL_ 25A 1211411516:00
ANALYTE QUALLFLERS
H6 Analysis initiated aside of the 15 minute EPA recoffmxYK ed tlddug time.
Reviewed by: �� O•�`� C�r+•1�c- ;:'
Liamm Harrison
liamm.hardson@pacelabs.00m
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater C rfification tk 67
Asheville Certification IDs
2225 Riverside Drive, Asheville. NC 28804
FkwKMlNELAP Certificatim 1r E87648
Massachusetts Certification #: M-NCO30
North Carolina Drtnidrtg Water Certification 9- 37712
North Carofrm Bioassay Cron $: 16
North Carolina Drinking Water Certffica Lion k 37731
North Carolina V93stewater Cerifiratiorl 11� 40
South Carati:ra CertiOCOM #' 99030001
West Virgmla Certification #: 356
VirgtntaiVELAP CoVicabon 6 460M
Page 1 of 3

T
r. n

v to
� WeAnalyttal
w,.w.paaerahswm
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Laboratory Report
Accounts Payable
Bryan's Soil & Stone
3092 Sam Usry Road
Oxford, NC 27565
Project: STORMWATER
Pace Project No.: 92278275
0
Page 1 of 1
Report Date: 12/15/2015
a Date Received: 12/03/2015
Sample: STORMWATER
Lab to:
92278275001 Collected: 12/02/15 09:00 Matrix:
Water
Method
Parameters
Results Units
Report Limit
Analyzed Qualifiers
SM 4500-1-11+13
pH at 25 Degrees C
6.6 Std_ Units
1.0
12/10/15 10:39 H6
SM 25400
Total Suspended Solids
47.8 mg/L
5.0
12I05115 15:52
SM 5220D
Chemical Oxygen Demand
65.0 mg1L
25.0
12/14/15 16:00
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA recommended hold -mg time_
Reviewed by:
Liamm Harrison
[e-mail]
Raleigh Certification tDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NEL.AP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
North Carolina Wastewater Certification # 40
South Carolina Certification #7 99030001
West Virginia Certification #: 356
Vrginia/VELAP Certification l7 460222
Page 1 of 3

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidanceonfrllingout thisfarm, please visit ht#p:lmortal.jrdenr.or webJlrliindes-stounwaterj
Permit No.: �I /�/G �J J��O or Cer fiicate of Coverage No.:
Facility Name: _ r r/r�rl �/�src ef=:L
County:
Inspector: —T—
Date of Inspection: i
Time of Inspection: `yU
Total Event Precipitation (inches): —.,. 7:;
Was this a "Representative Storm Event" or 'Measureable Storm Event" as defined by the permit?
(See information below.)
93' V s ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event"or "measureable storm event" (requirements vary, depending on the permit].
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a 'measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event'" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
01 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outran. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certi"i atAhis rq opE is accyfaty/and complete to the best of my knowledge;
(Signature of Permit/r Designee)
Page 1 of 2

1. Outfall Description:
Outfall No. �_ Structure ipe 'tch, etc.)
Receivine Stream:
Describe the industrial activities that occur within the outfail drainage area:
2. Color: Describe the color of the discharge
{light. medium, dark) as descriptors:
(red, brown, blue, etc.) and tint
UV 1-k-
3. Odor. Describe any distinct odors that the discharge may have (Le, smells strongly of oil,
weak chlorine odor, etc.): _ A)J?"'��
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
S. bloating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 L% 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of 5tormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2

STORM EVENT CHARACTERISTICS:
Hato �
Total Event Precipitation (inches):
Event Duration (hours): (only If applicable —see permit.)
(if more than mo storm event was sampled)
Hato —
`Dotal went Precipitation (inches):
Event Duration (hours): (only If applicable — see permit.)
Mall Orlglnat and one copy to:
Division of Water Quality
Attn: Central Files
t617 Mail Service Center
Raleigh, North Carollna 27699.1617
4 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. !lased on my Inquiry of the person
or porsons who manage the system, or ose persona directly responsible for gathering the Information, the information submitted Is, to the
best of my knowledge onoAellef, tru , nc: urate, and complete. i am aware that there are significant penalties for submitting false Information,
Including tj AVua-�N'blllty of flues anflm
441sonment for knowing violations."
ature
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

Additional Outfall Attachment
Outfall No. /
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was In Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency F-1
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
Total
Rainfall,
inches
Parameter,(units)
Benchmark
NIA
Date Sample
Collected,
mm/dd/yy
! -
,
?
Ai 3 -2
f'T�PZ
- 4
4t"
�p
7,
'�k
4
. .... .
SWU-264-Generic-1 3Dec2012

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS VC 6--Q1 c)3T SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
�7 the date the facility receives the sampling results from the laboratory.)
FACILITY NAME G{fii� t`�� �J ,�j-;?y) F" �� COUNTY
PERSON COLLECTING SAMPLE(S)��a�rrns lzo-/fig^-' PHONENO�(ff9.,_(�;,�[�
CERTIFIED LABORATORY(S) Lab #
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Port Al Specific Monitoring Requirements
'
Date
Sample Collected
Does this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? _yes _no
(if yes, complete Part H)
Part B: Vehicle Maintenance Ac lvity Monitoring Requirements
Outran
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(If applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Olt Usage
mo/dd/ r
MG
Inches
MWI
M10
unit
Kalvmo
Form SWU.247, last revised 2/2/2012
Page I of 2

I0007
�PaceARalytical"
wxwswrrr
e
Accounts Payable
Bryan's Soil & Stone
3092 Sala Usry Road
Oxford, NC 27565
Project: STORMWATER
Pace Project No.: 92229297
Sample: STORMWATER
Laboratory Report
Pace Analydsa! Services, hrc.
6701 Conference Orive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 1212312014
Date Received_ 12/11/2014
Lap ID: 92229297001 Collected: 12/11114 08:15 Matrix: Water
Parameters Results Units Report Limit Analyzed Quarifiers
Total Suspended Solids 90.8 mg/L 20.8 12/18/14 08:49
pH at 25 Degrees C 6.7 Std. Units 1.0 12/12/14 13:25 H6
Chemical Oxygen Demand 79.0 mg/L 25.0 12/20/14 11:30
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
Reviewed by: \r�� c"'"'
Liamm Carrubba
[e-mail]
Raleigh Certification IDs
6701 Conference Drive, Raleigh, NC 27607
North Carolina Wastewater Certification #: 67
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NCO30
North Carolina Drinking Water Certification #: 37712
I
North Carolina Bioassay Certification #: 16
North Carolina Drinking Water Certification #: 37731
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 9903DO01
West Virginia Certification #: 356
Vrginia(VELAP Certification M 460222
Page 1 of 3

r
�" 2eAnaryricar-
.......wr. !
CHAIN -OF -CUSTODY t Analytical Request Document
Tne �� aF- rusty is a L GAL DOCUMENT. AMr�M fxwI3 � ro be c«ktaa ley.
(� m
F
L -V16
REGULATORY
MATRIX I CM
.
SAMPLE ID Cu (x
..
m
■■�■�i■■�i■■�ii■■iiii■i■
ii■■■■i■■■■■i
MA,
077
�F07-0FRE
WW/
NF
■■■�'
•lrpotanr wax• ey:.gning mh sam yna an nen.04M Paces WT30o y art Mans on4i et..d,o toml. owgas ot:.s% DY m" for^ in,acri ew p 4-rtm 30 day% F-atl-0,020rev 07, t 5-May-407

Document Name; Sample Condition Upon
Document Revised: April 04, 2013
aceAnalrtical�
Receipt SCUR
e 1 of 2
Document No.:
Issuing Authorities:'
'
F-RAL-CS-001-rev.02
Pace Asheville Quality Mee
Client Name: A, Nt'VV`Q
Where Received: Huntersville [] Asheville Eden Raleigh
Courier(Clrcie): - Fed Et UPS USPS Client • Commercial 4Cnhw�__
Custody Seal on CooledBox Present: [] yes ILJ no Seats Intact: 'd yes [] no
Packing Material: [) Bubble Wrap [1 Bu a Bags Pf None Other
Circle Thermometer Used: IFt Gun 5N:1 2t)85387T of Ice: Wet Blue None Samples on ice, coating process has begun
lR Gun BackA)— 65321
Temp Correction Factor: Add 1 ira 6 �i C
�
Dato and Initials of person examining
P 9
Corrected Cooler iemp.: �i+ C
-
Biological Tissue Is Frozen: Yes No eYn
contents I Preservation
check. -
Temp should be above freazirt0 to 6%
Comments: -
Chain of Custody Present:
ON,
©wA
1. __.......
Chain ofCustody-Filled Oue
WaS-No
OwA
2.
'f
Chain of Custod lielln ulshed:
11Y. ❑No
❑t�A
3. 4
Sampler Name & Signature on COC:
Yes QNo
pwA
4. lay
Samples Atrived within hold Time:
Yos LINO
ONA
5.
Short Hold Time Analysts' Q2hr ;
❑Yee No
❑wA
6.
Rush Turn Around Time Requested:
❑Yea V(W
0' WA
7.
Sufficient Volume:
Llyea . ONo
❑NIA
8.
Correct Containers Used:
Yes ON*
❑rue
9.
-Pace Contalners Used:
Uyes Me
❑NIA
Containers Intact:
9Y. C1No
OWA
10.
Filtered volume -received for Dissolved tests
Oy. Ciko
A
11.
Sample labels match COO:.
Yne�i3Ho
atj
12.
-includes date/time/lDlArtal is Matrix
i ��,
Ati omalners needing preaenradw have been checked.
l�Yes ONo
ONIA
13.
All containers needing preservation are found to be in
ff
Yes ❑No
C]rUA
compliance with EPA faoommandation.
e=epnona: VOA, 0if6rm,_T0C, 085, WWRO (Water)
Yes DNO
Samples checked for dachlorinatlon:
Yoe ONO
OWA
14.
Heads ace In VOA Vials >6min :
©Yes ONo
rA
15.
Trip Blank Present:
❑Yes ONO
I WA
16.
Trip Blank Custody Seals Present
Dyes ❑No
PWA
Pace Trip Blank Lot # If purchaLed
Client Notifteallorif Resolution: Field Data Required? Y I N
Parson Contacted; Date
Comments! Resolution:aft KM jn (y1A
SCURF /SRF
Date:
Review:: �•i 1't.. t t
Note: Whenever there Is a discrepancy affecting North Carolina compliance
aamp!es, a copy of this form will be sent to the North Carolinti DEHNR
Certification Office j La out of hold, Incorrect preservative, out of temp.
incorrect contalners)
WO#:92229297
111111111111111111111
92229297
Page 2 of 3

VV-1
J
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS SAMPLES COLLECTED DURING CALENDAR YEAR: Z�
This monitoring report shall be received by the Division no later than 30 days from
' V Ydate the facility receives the sampling results from the laboratory.)
FACILITY NAME � �'&kPj Fi �'(i'� '� f +7 2i� �+�`5 ,(7✓c� G� �1 COUNTY
PERSON COLLECTING SAMPLE(S) _i a�4r�-rTLe(•v-= r PHONE NO. 6
CERTIFIED LABORATORY(S) Lab 4
Lab #
Part A: Specific Monitoring Requirements
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
e�
DateII
Samplei.
Collected
1
Rainfall
-
a . .i
.i.
•. 1
1 L. a
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes 1-
(if yes, complete Part B)
Part B: Vehicle Maintenance ActivityrMonitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/ r
MG
inches
mg/1
m /l
unit
al/mo
Form SWU-247, last revised 21212012
Page I of 2

STORM EVZ,11ILT CHARACTERISTICS:
Date 1,- 1 tk
Total Event Precipitation (inches): �'
Event Duration (hours): (only if applicable -- see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 th_possipility of-fia�s and imprisonment for knowing violations."
(Signature of
7
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2

' is ., � :���
;i„� 2 i , +
e. � �
• .� +y. '
' � 'F
.. - �
. 1 : ,. . ' . .......-i..�i k... ,:.
� . � -. ! ii

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS (03
FACILITY NAME A K94w/
PERSON COLLECTING SAMPLE(S d/fr✓ „ -„/_ Ff !'j "'
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 24013
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY 6' Z v``
PHONE NO. l l:; /! IF Ct
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
f
Date
Sample,Total
Collected
11 I
Aainfall­
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
ma/dd/ r
MG
inches
mg/1
m
unit
al/mo
Form SWU-247, last revised 2/2/2012
Page I of 2