NCG060364_MONITORING INFO_20190403

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV
DOC TYPE
❑HISTORICAL FILE
�j. MONITORING REPORTS
DOC DATE
❑ p� b J �J � q �J
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted 3z*'/ / 2 D/ 9
CERTIFICATE OF COVERAGE NO. NCG060 3 IC �
FACILITY NAME Al-A4
COUNTY P -
PERSON COLLECTING SAMPLES Ups+ L°/24v4
LABORATORY ,6�/'r1r'f-^t0h 4 / C.ffnir/na b Cert. # A E G I* I ► i!✓.' D
APR 0 5 2019
SAMPLE COLLECTION YEAR
Za/I
SAMPLE PERIOD gJan-June ❑ July -Dec
or OMonthlys ,Wq,j ,4 (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply RSA
[20ther bi Y'C4
CENTRAL FILES FACILITY ACTIVITIES INCLUDE (check all that apply):
"AAM SECTION ❑ use/process meats ®'use animal fats/byproducts
PLEASE REMEMBER TO•SIGN ON'THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall z 3�Lnor ❑ No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 - 9.0
120
30
10001
500L
Parameter Code
-
C0530
00400
00340
00556
31616
61211
Z 1 1-124� / �%
�/• �.
/ 3
c;2,0
< S,
a
z r fir.•-
, s
. RIP
Z
/1<
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Wonthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ®'no
Permit Date.11/1/2018-05/31/2021
(If ge , complete Part B)
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part.B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)
24hour rainfall amount,
InchesZ
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/O
Parameter Code,
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B.MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION.B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
1F YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original 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
4 "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations."
Signature of Permittee
Permit Date: 11/1/20IM5/31/2021
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2
.r

Environmental Chemists, Inc.
�t�enyirochem�
ANALYTICAL & CONSULTING CHEMISTS
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Butterball-Farrnviile
Date of Report:
Apr 02, 2019
3628 South Fields St.
Customer PO #:
Farmville NC 27828
Customer ID:
17080036
Attention: Don Genova
Report #:
2019-04763
Project ID: Storm Water
Lab ID Sample ID:
Collect Date/Time Matrix
Sampled by
19-11994 Site: outfali 1
3/21/2019 12.30 PM Water
Don Genova
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5 mg/L 03/27/2019
Residue Suspended (TSS) 5M 2540 D 11.1 mg1L 03/25/2019
pH SM 4500 H 8 6.93 units 03/25/2019
COD SM 5220D <20 mglL 03/29/2019
Comment:
Reviewed by: _Vol
Ab
Report #:: 2019.04763 Page 1 of 1

6602 Windmill Way
M
ENVIRONMENTAL. CHEMISTS, INC OFFICE: 9IG-32-02 3iImingtonFAX910-392-44245
Analytical & Consulting Chemists
NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 Info@environmentatchemists_com
COLLECTION AND CHAIN OF CUSTODY
Client: Butterball-Farmville PROJECT NAME: Storm Water (am -IA �� # � � REPORT NO:
ADDRESS: 3628 South Fields Street CONTACT NAME: 0,017. (aA?0t--q PO NO:
Farmville, NC 27828 REPORT TO: Don Genova PHONE/FAX:[phone]
COPY TO: email: dgenova®butterball.com
Sampled By: a4 -iI-4 SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO Soil, SL = Sludge, Other:
Collection a = PRESERVATION
c cC7 e� ow
Sample Identification E n `o `a o M m� a N o 0 0 ANALYSIS REQUESTED
Date Time Temp v, `� a " z x x Z
ZI�a I /13a J, C P
1)0 1 G �� X TSS, COD pH, Oil and Grease
zl/j70� ,�� C G
rsr
2) 3
S7-1
C
I P
1#rl
X
1TSSCC0-D)pH, Oil and Grease
14
1 .91.7
9
1 G
Z l,,Ikr 12: 3o s'r- C P !
C P
G G
C P =
G G
C P
G G
C P
G G
C P
G G
Transfer Relinquished By: DatefTime ReceivedBy: Date/Time
1. Z l/,%,- 19 // Phi _ Z Z S,37
2.
Temperature when Received: 1l Accepted: Rejected: Resample quested:
Delivered By: Received By: Date: 3 2 Time: S
Comments: TURNAROUND:

w�envro:chem �k.
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info a,environnientalehemists.com
Butterball-Farmville
Date of Report:
Apr 02, 2019
3628 South Fields St.
Customer PO #:
Farmville NC 27828
Customer ID:
17080036
Attention: Don Genova
Report #:
2019-04764
Project ID: Storm Water
Lab lD Sample ID:
Collect DatelTime Matrix
Sampled by
19-11995 Site: outfall 2
3/21/2019 12:30 PM Water
Don Genova
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5 mg/L 03/27/2019
Residue Suspended (TSS) SM 2540 D 9.5 mg/L 03/25/2019
pH SM 4500 H 6 6.88 units 03/25/2019
COD SM 5220D 22 mglL 03)29/2019
Comment!
Reviewed by:
Report M: 2019.04764 Pape t of i

ill Way
mington
rTw nd
ENVIRONMENTAL CHEMISTS, INC OF ICE' 9 0-392-02 3'tFAX910-39244245
NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
Anaiyiieal & Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY'
Client: Butterball-Farmville
PROJECT NAME. Storm WaterDc.7` 1/,2 �
REPORT NO:
ADDRESS: 3628 South Fields Street
CONTACT NAME: 90,, L 01,001 F
PO NO:
Farmville, NC 27828
REPORT TO: Don Genova
PHONEIFAX:919.252.1326
COPY TO:
email: [e-mail]
Sampled By: doi 7 10n 0 vA SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
K
H
a
G A
a 8E
1
CC7
'o
C�
o rn
"
ix
QW
m
3 z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
z
z
x=
a
o
z
o
o
1)
C
P
X
X
TSS, COD, RH, Oil and Grease
G
G
C
P
G
G
2)
C
P
X
X
ITSS, COD, pH, Oil and Grease
G
G
,D I
J:3 Q
r
C
P
q
� � l� �
''
O► � d' r1�4 I'P
41r7
4D
G
"
!Z= 3D
S7-
C
P
/
fi111
G93
Zl.h�„
1?:gyp
ST
C
P
COD
G
�J
2/f�lr�
�2'30
�• r
C
P
14
ii/h
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
DateMme
Received By:
DateMme
2.
3 -2Z ^3
Temperature When Received: 3 . 7 Accepted: Rejected: Resample Requested:
Delivered By: __Received By: Date: 3 " Z Timer
Comments: 41L TURNAROUND:

r
�4
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted /Q Tv "y 2a/*'
CERTIFICATE OF COVERAGE NO. NCG06 0-3-•6 # SAMPLE COLLECTION YEAR ZQ /?
FACILITY NAME Ur.r fir 6a /� f.��nrLi /�� Fl�f /s'!� // FACILITY ACTIVITIES INCLUDE (check all that apply);
COUNTY f r t Y' C � �� � Eluse/process meats Q use animal fats/byproducts
PERSON COLLECTING SAMPLES _ _ 9On C� / �� R_ DISCHARGING TO SALTWATERS? []YES ®NO
LABORATORYP'57,;►'',-,n,qnf• / Lab Cert. # it Il bQ1�
ILLS PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CEN� �❑�i0i''
Part A; Stormwater Benchmarks and Monitoring Results DW' Total event rainfall rf A; "or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,'
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
S00
a Z'r1 P
r 4
6.9 -C
Z 9
2
os zIfPr
Z3?
7• S.1
67
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.
aSee 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 2rno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
30
100 or 50
6.0 - 9.0
-
Only applies to facilities that use/process meats.
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.
aSee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I 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 XC
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one col2y of this DMR including all "No Discharge" re orts within 30 daysof 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."
(Signature of Permittee)
/o
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
r
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

0
env{i�rochem .
ANALYTICAL & CONSUL_TfNG CHEMISTS
Environriiental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392,0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax
[e-mail]
Butterball-Farmville Date of Report: Jul 06, 2018
.................................................................................. ...-_...... ...............
._.....................
"3628'S6utH*Fields Sti_ Customer PO #:
Farmville NC 27828 Customer ID: 17080036
Attention: Don Genova Report #: 2018-10235
Project ID: Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
18-25708 Site: outfall 1 6/26/2018 2:00 AM Water client
Test
Method
Results
Date Analyzed
Oil & Grease (O&G)
EPA 1664
<5 mg/L
06/28/2018
Residue Suspended (TSS)
SM 254o D
19.5 mg/L
06/27/2018
pH
SM 45oo H B
6,96 units
06/27/2018
COD
SM 5220D
29 mg/L
07/02/2013
Lab ID Sample ID:
Collect Date/Time
Matrix Sampled by
18-25709 Site: outfall 2
6/26/2018 2:00 AM
Water client
Test
Method
Results
Date Analyzed
Oil & Grease (O&G) EPA 1664 <5 mg1L 06/27/2018
Residue Suspended (TSS) -SM 254o D 238 mg/L 06/27/2018
pH SM45ao H B 7.52 units 06/27/2018
COD SM 522oD 67 mg/L 07/02/2018
Comment:
Reviewed by:
Report,l:: 2018-10235 Paw 1 of 1

ti
SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted /4 9-1-2 2,0/,?
CERTIFICATE OF COVERAGE NO. NCG06 0 3 G
FACILITY NAME �� 7" /!� Lt1 1/ fa��+�i /I! )' lVJ
COUNTY P, �f
PERSON COLLECTING SAMPLES IlOnn o v.f
LABORATORYLab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 20 /00
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats Z use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z / %/ 1.'or ❑ No discharge this period
Outfall No.
Sample Collected,
.. mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,'
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 5D
Within 6.0— 9.0
120
30
1000
500
o KZ zriP
/9
6.
29
4 s
1-71,11111
ti/f
*el z 6 //r
Z 3 r
7. S-A
a' 7
C ,s-
Hid
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.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 2 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 anv 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.
(ifyes, complete Part 13)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS;
• A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS, SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO Rr
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 tab 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."
y
(Signature of Permittee)
/a
(Date
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

F� y
- enw�roc�iem-
ANALYTICAL& CONSULTING CHEMISTS
Environ rental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910-392.0223 Lab • 910-392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Butterball-Farmville
Date of Report:
Jul 06, 2018 .... ...................... .
.....
3628'866 i'l=ieltls St.
.......... ........ ..... ........................... .....................
Customer PO #:
.........._...................
Farmville NC 27828
Customer ID:
17080036
Attention: Don Genova
Report #:
2018-10235
Project ID: Storm Water
Lab II) Sample ID:
Collect Date/Time Matrix
Sampled by
18-25708 Site: outfall 1
6/26/2018 2:00 AM Water
client
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5 mg/L 06/28/2018
Residue Suspended (TSS) SM 2540 D 19.5 mg/L 06/27/2013
Phi SM 4500 H B 6.96 units 06/27/2018
COD SM 5220D 29 mg/L 07/02/2018
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
18-25709 Site: outfall 2 6/26/2018 2.00 AM Water client
Test
Oil & Grease (O&G)
Residue Suspended (TSS)
Method
EPA 1664
-SM 2540 Q
Results Date Analyzed
<5 mg/L
238 mg/L
06/27/2018
06/27/2018
PH SM 4500 H s 7.52 units 06/2712018
COD SM 5220D 67 mg/L 07/02/2018
Comment:
Reviewed by: tQ7t�1Q O
Report rs:: 2018-10235 Paoe 1 M 1

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted f 14,7 Za!'? RFrFlt/F—D
CERTIFICATE OF COVERAGE NO. NCG0r6 0 3 S 4
FACILITY NAME 9u41fr 6a I! FvPj 1W111
COUNTY f
PERSON COLLECTING SAMPLES Don NO v
LABORATORY 6fmi d-P Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Z a / 7 IAN 1 y.2018
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/lAVOR 'AM
DISCHARGING TOSALTWATERS? ❑YES ZMMATION PROCESSING UN17
PLEASE. REMEMBER TO SIGN ON THE REVERSE
Total event rainfall zY- or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
Z4.
•73
I
AV4
.�
;L
1 Ito/7
Sr.
7.0
EHE
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 out€ails. 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
-
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)
S W U-249
Last Revised: October 18, 2012
Page i of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 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 doss ot receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under•penalty of law, that this document•.and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
9 0-.4,7 Zaijv
(Date)
Additional copies of this form may be downloaded'at: http.1/portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

�en��Frochem
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, INC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax
255-A Wilmington Highway Jacksonville, NC 28540 a 910.347.5843 Lab/Fax
i nfnCenvironmentalchemists.com
...---........Butterball-Farmville.----.......
--.... ...... _-.-...-...-._-- —
__. __ __..._r.-_.....--Date.of-Report:---Jan-09; 2018—
---.....-....._....................
---- 3628-South-Fields-St.
CUStdRler PO-#:
Farmville NC
27828
Customer 10: 17080036
Attention: Don Genova
Report #: 2017-20016
Project ID: Storm Water
i_ab lD Sample ID:
Collect Date/Time Matrix Sampled by
17-48539 Site: outfall 2
12/20/2017 5:00 PM Water client
Test
Method
Results
Date Analyzed
Oil & Grease (O&G)
EPA 1664
<5 mg/L
12/22/2017
Residue Suspended (TSS)
SM 2540 D
55.5 mg/L
12/21/2017
pH
SM 4500 H B
7.09 units
12/27/2017
COD
SM 5220D
98 mg/L
12/22/2017
Comment:
Reviewed by:
XWda
.�..— 6
ReportW: 2017-20ole

�"�riv3rn�hern,
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: Butterball-Farmville j
PROJECT NAME: Storm Water �u7� �q ll�a
REPORT NO: Cp
ADDRESS: 3628 South Fields Irtreet
CONTACT NAME:
PO NO:
Farmvlile, NC 278
8
REPORT TO: Don Genova
PHONEIFAX:919.252.1326
COPY TO:
email: [e-mail]
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
I
Collection
m
m
w
w
E o c�
G
_
E o
�j a.
4
�_
o a+
u
cLU
m
z
PRESERVATION
ANALYSIS REQUESTED
��
Da
Time
TempU
z
z
=
g
z
o
i
=
z
o
~
w
p
1
j
C
P
X
X
TSS, COD, pH, Oil and Grease
G
G
C
P
i
G
G
2
{
C
P
X
X
ITSS, COD, pH, Oil and Grease
I
G
G
`s r
C
P
�d�
G
B�
zap
s"r/'7
sr
C
P
x
CaD
G
93
Zap
c
s f4l
T
C
P
G
u
SIT
C
TSS'
G
I
C
P
G
G
II
C
P
II
G
G
I
Transfer
; #
Relinquished B
DatetTime
R ived By:
Date/Time
1.
�
Z D /ors // Pi'I
� �� �\•'S D
2.
�!
Temperature when Received:
Delivered By:
Comments: I
Accepted: Re' cted: Resample Requested:
Received By:__„__ Date: �I Time: i �jI
TURNAROUND:

g !61,
7-1
�,� env�irochem��
ur
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 - 910.392.0223 Lab - 910.392.4424 Fax
710 13owsertown Road, Manteo, NC 27954 - 252-473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax
[e-mail]
__..___Butterball-Farmvilie-. ---- - .---_--_- .—Date-of-Report:---Jan-09�-2018 - - -- - _...................................._..-
- 3628-South-Fields-St. ---- Custam—erPO-#: —Y`T---
Farmville NC 27828 Customer ID: 17080036
Attention: Don Genova Report #: 2017-20015
Project ID: Storm Water
Lab ID Sample ID: Collect Date/Time Matrix Sampled by
'17-48538 Site: outfall 1 12/20/2017 6:00 PM Water client
Test Method Results Date Analyzed
Oil & Grease (O&G)
EPA 1664
6 mg1L
12/22/2017
Residue Suspended (TSS)
SM 2540 D
24.3 mg1L
12/21/2017
pH
SM 4500 H B
6.73 units
12/27/2017
COD
SM 5220D
29 mg/L
12/22/2017
Comment:
Reviewed by: _-
?nantala 6--
.10
Report #:: 2017-20015 Pnn. t of I

ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWQ CERTIFICATION # 94 NCDHHS: OLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: Butterball-Farmville I
PROJECT NAME: Storm Water Dy+7,� �� j
J'
REPORT NO: (}
! I
ADDRESS: 3628 South Fields Street
CONTACT NAME:
PO NO:
i
Farmville, NC 27828
REPORT TO: Don Genova
PHONEIFAX:919.252.1326
COPY TO: lemail.
[e-mail]
Sampled By:. ' 4 SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Identification
Collection
m
s
m
o—
UTime
m
n
PRESERVATION
ALYSIS REQUESTED
ANSample
a
TempDa
x
o
x°
oz
1 j
ii
C
P
X
X
TSS, COD, pH, Oil and Grease
l i
G
G
iI
C
P
I
G
G
2
►.I
C
P
X
X
TSS, COD, pH, Oil and Grease
f i
G
G
A l
D
It
6 P,*7
S t
C
P
kV,3�
x
L
D r f dL G�PQsP
I I
G
C
P
Ca
A3
Z►
p�
sr
x
�'tf
i
�
.9�
2aI
P"
ST
C
X
7-,PP
G
it
C
P
G
G
li
C
P
11
G
G
it
Transfer
Relinquished By:
Date/Time
Received By:
Date/Time
�.,
2.
,I
Temperature when Rece
Delivered By:
Comments:
J: Reject d: Resample R que ted:
Received By: P ate: 1 23 `j Time:
TURNAR UND:
9

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 20 17
RECEIVED
JUL 0 'ii11
CERTIFICATE OF COVERAGE NO. NCG06 O 3 6 q SAMPLE COLLECTION YEAR Z 0 / % CENTRAL FILES
FACILITY NAME &�> , -, / ^./i FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SFCT101.1
COUNTY P, h' RECEIVED ❑ use/process meats Fuse animal fats/byproducts
PERSON COLLECTING SAMPLESn0✓ DISCHARGING TO SALTWATERS? ❑YES XNO
LABORATORY Ale lgh4h/f►C. j Lab Cert. 4 JUL 0 7 N17
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
��
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION Totol event rainfall z or ❑ No discharge this periad3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
500
a Zo 1 �
of. O
j
3 q
D
/Yr9
/!izl
a
04CZO / 7
747
7,0
/7JI
Dnly applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
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 ail per month? ❑ yes krno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
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 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
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
3 T6, , z pi 7
(Date)
Additional copies of this form may be downloaded at:.http://portal.ncdenr.org/web/wq/ws/su/npdesswlttab-4
S W U-249
!--I
Last Revised: October 18, 2012
Page 2 of 2

aceAnalytical
www.pstelab.7.com
June 29, 2017
DON GENEVA
BUTTERBALL LLC
3628 S. FIELDS ST
Farmville, NC 27828
RE: Project: FARMVILLE OUTFALL 1
Pace Project No.: 92345158
Pace Analytical Services, LLC
6741 Conference Orive
Raleigh, NC 27607
[phone]
Dear DON GENEVA:
Enclosed are the analytical results for sample(s) received by the laboratory on June 21, 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 footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
V�
Terri Page for
Kristi Dancy
[e-mail]
[phone]
Project Coordinator
Enclosures
cc: BECKY MERCER, BUTTERBALL LLC
REPORT OF LABORATORY ANALYSIS
Y;
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical services, LLC. Page 1 of 17

Pace Analytical Services, LLC
VaceAnalVtica!®
6701 Conference Drive
t / �
Raleigh, NC 27607
fI/ www.pacelabs.com
[phone]
CERTIFICATIONS
Project: FARMVILLE OUTFALL 1
Pace Project No.: 92345158
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
North Carolina Drinking Water Certification #: 37706
Florida/NELAP Certification #: E87627
North Carolina Field Services Certification #: 5342
Kentucky UST Certification #: 84
North Carolina Wastewater Certification #: 12
Virginia/VELAP Certification #: 460221
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NCO30
VirginiaNELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738
Virginia/VELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 17

Pace Analytical Services, LLC
® 6701 Conference Drive
aceAnalytical Raleigh, NC 27607 •+
wwwpacefabs.com
[phone]
SAMPLE SUMMARY
Project:
Pace Project No.:
FARMVILLE OL)TFALL 1
92345158
Lab ID
Sample ID
Matrix Date Collected Date Received
92345158001
Al
Water 06/20/1718:00 06/2111714:05
92345158002
A2
Water 06/20/1718:00 06/21/1714:05
92345158003
A3
Water 06120/1718:00 06/2111714:05
92345158004
A4
Water 06/20/1718:00 0612111714:05
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 17

aceAnalytical
wvrw.paCela&S.CoM
Project: FAR MVILLE OUTFALL 1
Pace Project No.: 92345158
Lab ID Sample ID
92345158001 Al
92345158002 A2
92345158003 A3
92345158004 A4
SAMPLE ANALYTE COUNT
Method
SM 2540D
EPA 1664B
SM 5220❑
EPA 9040
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical: Services, LLC
6701 Conference drive
Raleigh, NC 27607
[phone]
Analysts
Analytes
Reported
GT8
1
JMS
t
CJH1
1
NMH
1
Page 4 of 17

acmnalytical
ww .pm1abs.c=
ANALYTICAL RESULTS
Project: FARMVILLF OUTFALL 1
Pace Project No.: 92345158
Pace Analytical Services, [LC
6701 Conference Drive
Raleigh, NC 27607 s"
[phone]
Sample: Al Lab ID: 92345158001 Collected: 06/20117 18:00 Received: 06/21/17 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Total Suspended Solids
Date: 06/29/2017 09:59 AM
Anatytical Method: SM 2540D
8.0 mg/L 2.6 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
06/23/17 11:41
Page 5 of 17

2eAnalytical
—pecefebs.com
ANALYTICAL RESULTS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)834-49B4
Project: FARMVILLE OUTFALL 1
Pace Project No.: 92345158
Sample: A2 Lab Id: 92345158002 Collected: 06/20/17 18:00 Received: 06/21/17 14:05 Matrix: Water
Parameters Results Units I Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664E
Oil and Grease ND mglL 5.0 1 06/28/17 06:18
V
Date: 06/29/2017 09.59 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Page 6 of 17

•
acmnalytical
www.pacelabs.com
ANALYTICAL RESULTS
Project: FARMVILLE OUTFALL 1
Pace Project No.: 92345158
Pace Analytical Services, L•LC
6701 Conference Drive
Raleigh, NC 27607 ,
{919}834-4984
Sample: A3 Lab Ib: 92345158003 Collected: 06/20/17 18:00 Received: 06/21/17 14:05 Matrix: Water
Parameters Results Units Report limit DF Prepared Analyzed CAS No. Qual
5220D COI} Analytical Method: SM 5220D
Chemical Oxygen Demand 34.0 mg/L 25.0 1 06/28/17 02:10
Date: 06/29/2017 09:59 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 7 of 17

aceAnalytical
www.pacelahsmm
ANALYTICAL RESULTS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: FARMVILLE OUTFALL 1
Pace Project No.: 92345158
Sample: A4 Lab ID: 92345158004 Collected: 06120/17 18:00 Received: 06/21/17 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
9040 pH
pH
Date: 06/29/2017 09:59 AM
Analytical Method: EPA 9040
6.5 Std. Units 0.10 1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
06/23/17 13:00
H1,H6
Page 8 of 17

Pace Analytical Services, IaLC
/�
Analytical
6701 Conference Drive
Raleigh, NC 27607
WWW.Peseleb&C0M
[phone]
QUALITY CONTROL DATA
Project: FARMVILLE OUTFALL 1
Pace Project No.: 92345158
OC Batch: 366270
Analysis Method: SM 2540D
QC Batch Method: SM 2540D
Analysis Description: 2540D Total Suspended Solids
Associated lab Samples: 92345158001
METHOD BLANK: 2030405
Matrix: Water
Associated Lab Samples: 92345158001
Blank Reporting
Parameter
Units
Result Limit Analyzed Qualifiers
Total Suspended Solids
mg1L
ND 2.5 06/23/17 11:40
LABORATORY CONTROL SAMPLE: 2030406
Spike LCS LCS % Rec
Parameter
Units
Conc. Result % Rec Limits Qualifiers
Total Suspended Solids
mg1L
250 266 1D6 90-110
SAMPLE DUPLICATE: 2030407
92345198001 Dup Max
Parameter
Units
Result Result RPD RPD Qualifiers
Total Suspended Solids
mg/L
6.1 213 189 5 D6
SAMPLE DUPLICATE: 2030408
92345150001 Dup Max
Parameter
Units
Result Result RPD RPD Qualifiers
Total Suspended Solids
mg/L
600 600 0 5
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/29/2017 09:59 AM without the written consent of Pace Analytical Services, LLC. Page 9 of 17

. aceAnalytical
wwwpacelab&Mn
QUALITY CONTROL DATA
Project: FARMVILLE OUTFALL 1
Pace Project No.: 92345158
QC Batch: 366286 Analysis Method: EPA 9040
QC Batch Method: EPA 9040 Analysis Description: 9040 pH EDEN
Associated Lab Samples: 92345168004
SAMPLE DUPLICATE: 2030513
Parameter
pH
92345158004 Dup
Units Result Result
Std. Units 6.5 6.5
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Max
RPD RPD Qualifiers
0 9 H1,H6
Results presented on this page are in the units indicated by the" Units" column except wti ere an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in Sidi,
Date. 06/29/2017 09:59 AM without the written consent of Pace Analytical Services, LLC. Page 10 of 17

aceAnalytrcal
wwwpacefabs.cont
QUALITY CONTROL DATA
Pace Analytical Services, kLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: FARMVILLE OUTFALL 1
Pace Project No.: 92345158
QC Batch; 366791
Analysis Method:
EPA 1664B
QC Batch Method: EPA 1664B
Analysis Description:
1664 HEM, Oil and Grease
Associated Lab Samples: 92345158002
METHOD BLANK: 2033178
Matrix: Water
Associated Lab Samples: 92345158002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Oil and Grease
mg1L
ND 5.0
06128117 06:17
LABORATORY CONTROL SAMPLE: 2033179
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Oil and Grease
mg1L
40 37.2
93 78-114
MATRIX SPIKE SAMPLE: 2033180
92345526001 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Oil and Grease
mglL
ND 40
36.8 92 78-114
Results presented on this page are in the units indicated by the "Units" column except where an altemate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 06/29/2017 09:59 AM without the written consent of Pace Analytical Services, LLC. Page 11 of 17

aceAnalytical
www.Pacelablcom
Project: FARMVILLE OUTFALL 1
Pace Project No.: 92345158
QC Batch: 366600
QC Batch Method: SM 5220D
Associated Lab Sampies: 92345158003
METHOD BLANK: 2032040
Associated Lab Samples: 92345158003
Parameter Units
Chemical Oxygen Demand mg[L
LABORATORY CONTROL SAMPLE: 2032041
Parameter Units
Chemical Oxygen Demand mg/L
Pace Analytical Services, LLC
6701 Conference Drive
Raieigh, NC 27607
[phone]
QUALITY CONTROL DATA
Analysis Method: SM 5220D
Analysis Description: 5220D COD
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 06/28/17 02:10
Spike LCS LCS % Rec
Cone, Result % Rec Limits Qualifiers
750 778 104 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2032042 2032043
MS MSD
92344982001 Spike Spike MS MSD MS MSD %Rec Max
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual
Chemical Oxygen Demand mg/L 21.OJ 750 750 852 833 111 108 90-110 2 3 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2032044 2032045
MS MSD
92345160003 Spike Spike MS MSD MS MSD % Rec Max
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD RPD Qual
Chemical Oxygen Demand mg/L 178 750 750 954 996 103 109 90-110 4 3 R1
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/29/2017 09:59 AM without the written consent of Pace Analytical Services, LLC.
Page 12 of 17

ace Analytical
www.pacwabs.cam
QUALIFIERS
Project: FARMVILLE QUTFALL 1
Pace Project No.: 92345158
`a14yL`Ii11119HR
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL- Practical Quantitation Limit.
RL- Reporting Limit.
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607 ,
[phone]
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
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 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/29/2017 09:59 AM without the written consent of Pace Analytical Services, LLC. Page 13 of 17

aceAnalytical
_pecelabs.Mm
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: FARMVILLE OUTFALL 1
Pace Project No.: 92345158
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
{919}834-4984
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method
92345158001
Al
SM 2540D
366270
92345158004
A4
EPA 9040
366286
92345158002
A2
EPA 1664B
366791
92345158003
A3
SM 5220D
366600
Date: 06/29/2017 09:59 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
Page 14 of 17

Document Name; UI le'cn spec Document Hevlteo: kept. '21, ZU16
aceAnalytiea! Sample Condhton U on Recei t SCUR Pa e 1 of 2
Document No.: Issuing Authority;
c rear a.rva.wa.. n, I ._._ ,..,u . —--
Laboratory receiving samples:
Asheville ❑ Edeno Greenwood ❑ Huntersville ❑ Raleigh® Mechanicsville❑
Client Name: �Project? WO# : 92345158 � 1 IIIl6��6ii11 Irf I pYpY I I I
Cc Fier
❑ Cam mercfal Fede ❑UPS ❑pSher_ [:]Client9��Ilil
jr451158 III ■pp f 11!! li
Custody Seat Present? []Yes No Seats Intact? ❑Yes e _
Dale/Initials Person Examining fantenwk..I b `•- '
Packing Material; ❑Bubble Wrap ❑Bubble Bags Nano ❑Dthr:r:
Thermometer:
❑
®IR Gun ID: , IS-3492 _ Type of ke: We[ Bluo ❑Hone ❑ process
Samples an ice, cooling has begun
Correction Factor: sue.os Cooler Temp Corrected ('Q: r Biological Tissue Frozen? ❑Yes ONO 1/A
Temp should be above tr g to 6'C
USDA Regulated i! { N/A, watersamptel
Did samples a mate In a quarantine zone within the United States: CA, NY, or SC (check maps)? Did simples originate from a foreign source (int tional IV,
❑Yes o including Hawaii and Puerto Rico!? (:]Yes/.UHo
{ommern s/Discrepancy:
Cha In of CustodyPresent?
Ll
t,
Samples Arrived within Hold Time?
�.
Short Hold Time An■ s 02 ht.)?
U
Rush Turn Around Time Requested?
4.
Sufficient Volume?
S.
Correct Containers Used?
-Pace Containers Used?
�55_t"�In
6.
Containers Intact?
7.
Samples Field Filtered?
8. Note i( sediment is visible in the dissolved container
Sample Labels Match CDC? �
-Includes Oate/Tirne/i6/Analysis
..,
9.
Headspace in VOA Vials >5.6mm ?
El
Yes
L1
No
WA
10.
Trip Rlank Present?
Trlp Blank Custody Seals Presmt?
Yes
Yes
No
No
NA
"fik
It.
CLIENT NOTIRCAT1ON/RESOLUTION
Person Contacted:
Cemments/Sample Discrepancy:
Date/rime;
Field Data Required? ❑Yes UNO
Project Manager SCURF -� f
Review: f� Date:
Project ManageraRF , ,
Review: ���//%M IP date:
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a COPY of this form will be sent to the North Ground OEHNR Certifkation Office (Le.
Out of hold, incorrect preservative, out of temp, incorrect containers)
Page 15 of 17

�CeAltdlytiCa!-
CHAIN-OF-CUSTODY I Analytical Request Document
The Chat -WA shay is a LEGAL OOCULfEtTT. M m* and fi&W3 moat be =Tpk ed acvnarely.
P.a:
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DATE
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DATE
.- .TtLE:
.
SMIPLECOMDITTDRS
'
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SAMPLER NAME AND SN.NATURE
ORIGINAL Pima Nema arsrulPT.M On �a IrA
R
R
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• SIQNATtrRE o, sA�eaEle DATE 64"d Z & �� -a `, 7
• aa�br hapwti an am}oy re acvo gr.u�rET»an oas+a<i>a-+w,e y..nenww,a..aT.lfV r..wr n.o,n.-a on rev. aoa f` FALL-Q-WD •A7. 1SWy-713137
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umunlelll ivamC: C 1 lem N)pc
Sans le Condition up"
on Recet t se
dCGAOy AWI ' m Docuent l
c_rAos-mmoe., no
*Check mark top half of box If pH and/or dechlorinatlon
Is verified and within the acceptance range for
preservation samples.
"Bottom half of box Is to list number of bottles
Projei
�uiuimrru -ev "u: Dept. ar, �Uta
Page 2 of 2 -- — _
WOW 92345158
PM: KPD Due Dale: 06/30/17
CLIENT: 91-Bullerba!
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12
pH Adjustment Log for Preserved Samples
sample IQ
Type of Preservative
pN upon recatpt
Oats pnservadon adl+ated
Time preservation
odfutted
Arnount of Pros mdw
added
tot a
Page 17 of 17

ace Analytical
wwwpacefabs.com
June 28, 2017
DON GENEVA
BUTTERBALLLLC
3628 S. FIELDS ST
Farmville, NC 27828
RE: Project: FARMVILLE OUTFALL 2
Pace Project No.: 92345160
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Dear DON GENEVA:
Enclosed are the analytical results for sample(s) received by the laboratory on June 21, 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 footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Terri Page for
Kristi Dancy
[e-mail]
[phone]
Project Coordinator
Enclosures
cc: BECKY MERCER, BUTTERBALL LLC
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 17

accAnalytical
/ rnvw.pacela,5s.com
Project: FAR MVILLEOUTFALL2
Pace Project No.: 92345160
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Charlotte Certification IDs
9800 KinceyAve. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #; 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #; 99030001
VirginiafVEI AP Certification #; 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, LLC, Page 2 of 17

aceAnalytfical
www.pacelebsx=
SAMPLE SUMMARY
Project: FARMVILLE OUTFALL 2
Pace Project No,: 92345160
Lab ID
Sample ID
Matrix
Date Collected
Date Received
92345160001
131
Water
06/20/1718:00
06/2111714:05
92345160002
B2
Water
06/2011718:00
06/21/1714:05
92345160003
133
Water
06/20/1718:00
06121/1714:05
92345160004
B4
Water
06120/1718:00
0612111714:05
REPORT OF LABORATORY ANALYSIS
Thls report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Pace Analytical Services, !_LC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 3 of 17

aceAnalytical
_pscelabs.com
Project: FARMVILLE OUTFALL 2
Pace Project No.: 92345160
Lab ID Sample ID
92345160001
61
92345160002
B2
92345160003
63
92345160004
B4
SAMPLE ANALYTE COUNT
Method
SM 2540D
EPA 1664E
SM 5220D
EPA 9040
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in Tull,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services. LLC
6701 Conference Drive
Raleigh, INC 27607
[phone]
Analytes
Analysts
Reported
GTB
1
JMS
1
CJH1
1
NMH
1
Page 4 of 17

lacieAnalyticalo
www.AetafSb&="
ANALYTICAL RESULTS
Project: FARMVILLE OUTFALL 2
Pace Project No.: 92345160
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Sample: S1 Lab ID: 92345160001 Collected: 06/20/17 18:00 Received: 06/21/17 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 475 mg/L 25.0 1 06/23/17 09:17 D6
Date: 06/2812017 04:02 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 5 of 17

aceAnalytrcal
www.pacWabs.com
ANALYTICAL RESULTS
Project: FARMVILLE OUTFALL 2
Pace Project No.: 92345160
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Sample: 62 Lab ID: 92345160002 Collected: 06/20/17 18:00 Received: 06/21/17 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease Analytical Method: EPA 1664B
Oil and Grease ND mg1L 5.0 1 06/28117 06:19
Date: 06/28/2017 04:02 PM
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
Without the written consent of Pace Analytical Services, LLC.
Page 6 of 17

aceAnalytical
www.pecalab&=n
ANALYTICAL RESULTS
Project: FARMVILLE OUTFALL 2
Pace Project No.: 132345160
Pace Analytical Services, +-LC
6701 Conference Drive
Raleigh, NC 27607
(919)834-49B4
Sample: E13 Lab ID: 92345160003 Collected: 06/20/17 18:00 Received: 06/21/17 14:D5 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
5220D COD Analytical Method: 5M 5220D
Chemical Oxygen Demand 178 mg/L 25.0 1 06/28/17 02:10 R1
Date: 06/28/2017 04:02 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 7 of 17

aceAnalytical e
—pacelabs.corn
ANALYTICAL RESULTS
Project FARMUILLE OUTFALL 2
Pace Project No.: 92345160
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Sample: S4 Lab ID: 92345160004 Collected: 06/20/17 18:00 Received: 06/21/17 14:05 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
9040 pH Analytical Method: EPA 9040
pH 7.0 Sid. Units 0.10 1 06/22/17 15:06 H1.H6
Date-. 06/28/2017 04.02 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 8 of 17

aceAnalylical.
wrvwpacefalecotn
QUALITY CONTROL. DATA
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
(919)834-49 B4
Project: FARMVILLE OUTFALL 2
Pace Project No.: 92345160
QC Batch: 366216
Analysis Method:
SM 2540D
QC Batch Method: SM 2540D
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92345160001
METHOD BLANK: 2029978
Matrix:
Water
Associated Lab Samples: 9234,5160001
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed
Qualifiers
Total Suspended Solids
mg/L
ND
2.5 06123I17 09:12
LABORATORY CONTROL SAMPLE: 2029979
Spike
LCS
LCS
% Rec
Parameter
Units
Conc.
Result
% Rec
Limits Qualifiers
Total Suspended Solids
mg/L
250
256
102
90-110
SAMPLE DUPLICATE: 2029980
92345160001
Dup
Max
Parameter
Units
Result
Result
RPD
RPD Qualifiers
Total Suspended Solids
mg/L
475
502
6 5 06
SAMPLE DUPLICATE: 2029981
92345090001
Dup
Max
Parameter
Units
Result
Result
RPD
RPD Qualifiers
Total Suspended Solids
mg1L
83.1
82.7
1 5
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/28/2017 04:02 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 17

aceAnalytrcal
wtvwpacelabs.com
Project: FARMVILLE OUTFALL 2
Pace Project No.: 92345160
QC Batch: 366112
QC Batch Method: EPA 9040
Associated Lab Samples: 92345160004
SAMPLE DUPLICATE: 2029570
Parameter Units
Std. Units
pH
QUALITY CONTROL DATA
Analysis Method: EPA 9040
Analysis Description: 9040 pH EDEN
92344883001 Dup
Result Result RPD
7.8 7.8 0
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Max
RPD Qualifiers
9 H1,H6
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the rtght of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date'. 06/28/2017 04:02 PM without the written consentof Pace Analytical Services, LLC. Page 10 of 17

aceAnalXical.
wwwpacelab&com
QUALITY CONTROL DATA
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: FARMVILLE OUTFALL 2
Pace Project No.: 92345160
QC Batch: 366791
Analysis Method:
EPA 1664E
QC Batch Method: EPA 1664E
Analysis Description:
1664 HEM, Oil and Grease
Associated Lab Samples: 92345160002
METHOD BLANK: 2033178
Matrix: Water
Associated Lab Samples: 92345160002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Oil and Grease
mg/L
ND 5.0 06128117 06:17
LABORATORY CONTROL SAMPLE: 2033179
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Oil and Grease
mg1L
40 37.2
93 78-114
MATRIX SPIKE SAMPLE: 2033180
92345526001 Spike
MS MS % Rec
Parameter
Units
Result Conc.
Result % Rec Limits Qualifiers
Oil and Grease
mglL
ND 40
36.8 92 78-114
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/2812017 04702 PM without the written consent of Pace Analytical Services, t.LC. Page 11 of 17

aceAnalvfical
wwwpacefabs.corn
QUALITY CONTROL DATA
Project: FARMVILLE OUTFALL 2
Pace Project No.: 92345160
OC Batch: 366600 Analysis Method: SM 5220D
QC Batch Method: SM 5220D Analysis Description: 5220D COD
Associated Lab Samples: 92345160003
METHOD BLANK: 2032040
Associated Lab Samples: 92345160003
Parameter Units
Chemical Oxygen Demand mi
LABORATORY CONTROL SAMPLE:
2032041
` Parameter
Units
Chemical Oxygen Demand
mg1L
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 06/28/17 02:10
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
750 778 104 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2032042 2032043
MS MSD
92344982001 Spike Spike MS MSD MS MSD % Rec Max
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qua[
Chemical Oxygen Demand mi 21.OJ 750 750 852 833 111 108 90-110 2 3 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2032044 2032045
MS MSD
92345160003 Spike Spike MS MSD MS MSD % Rec Max
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual
Chemical Oxygen Demand mg1L 178 750 750 954 996 103 109 90-110 4 3 R1
Results presented an this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/28/2017 04:02 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 17

acMnalytical
www.patefab&CM
QUALIFIERS
Project: FARMVILLE OUTFALL 2
Pace Project No.: 92345160
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit,
PQL- Practical Quantitation Limit.
RL- Reporting Limit.
Pace Analytical Services, !LC
6701 Conference Drive
Raleigh, NC 27607
[phone]
S - Surrogate
1,2-Diphenyihydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unfounded data are displayed and have been used to calculate % recovery and RPD values.
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 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SVV846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA
Method 8260,
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/28/2017 04:02 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 17

aceAnalytical o
—pacelabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: FARMVILLE OUTFALL 2
Pace Project No.: 92345160
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Lab ID
Sample ID
QC Batch Method
QC Batch Analytical Method
92345160001
B1
SM 2540D
366216
92345160004
B4
EPA 9040
366112
92345160002
B2
EPA 16646
366791
92345160003
B3
SM 5220D
366600
Date. 06/28/2017 04.02 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Batch
Page 14 of 17

UDCumem ivamu: &;w socn spec aw. �snvu+eus nev�xps.
Sam leeonditlon U on Recei t[SCUR} Page I of 2 I uro
ace Ai131ytrcal` Document No.: Issuing Authority:
F-CAR-CA-003-Rev.02 Pace Quality Office
laboratory receiving samples:
Asheville ❑ Eden[] ❑ Huntersville
❑ Raleigh® Mechaniesvillerl
yG�reee%nwood
INEM [[lent Name- ��\I l u "
WO# : 92345 1 60
Prole,
Courier: ❑Fed clups cusps ❑Client
�
❑ Commorciaf ce ❑other: �
9234516B
—
Custody Seal Present? ❑Yes Seals Intad? []Yes O
-
�� /
1 /
Pack]ngMaredal: ❑Bubble Wrap ubble Bags []None❑Other:
Thermometer:
Date/tnldals Person Examining Cent*
yre!
M IR ciun ID: _ IS-3492 _ TYpe oe 1 : ❑Bloc ❑Hene ❑Samples an Ice, cooling process has begun
Correction Factor: Cooler Tamp Corrected I'Cf: f Biological Tiuue Froze ©Yes QNo /A
tuaai .� .
e,
Temp should be above freer' o 6'C
n?
USDA Regulated Sol /A, water sample►
Did samples or . to In a quarantine tone within the United States: CA, NY, or SC (check maps)?
Bid samples originate from a foreign source (lntem
❑Yes o
including Hawaii and Puerto alfo)? []Yes No
Comm ems/Dlscre ancy.
Chain or Custody present?
1.
Samples Arrived within Hold Time?
11
2.
5hort Hold Time Analysis (472 hr.)?
2MI
D
3.
RushTum Around Time R uerted7
4.
Suffldent Volume?
5.
Correct Containers Used?
-Pace Containers Used?
Ei
U
0
6.
Containers Intact?
Samples Field Filtered?
❑
8. Note if sediment Is visible In the dissolved container
Sample Wbels Match 000?
•includes Datc/Time/ID/Anairsis VV
9.
Readspace in VOA Vials (a5.6mm)7
Yes
No N.
10.
Trip Blank Present?
tripBlank Custod Seals Present?
Yes
❑
Yes
No N
❑
No N
I1.
CLIENT NOTIFICATION/RESOLUTION Field Data Requ3nsd? ❑Yes ❑No
Person Contacted:' Date/Time:
Comments/Sample Discrepancy:
Project Manager SCURF
Review- r� Date:
Project Manager SRF t ' i
Review; Date:
Note: Whenever there Ise dherepancyoffectinis North Cwolinacompliamesamples, acopyolihlsformwillbesent totheNonhCarcirnaDEHNRCendkationOftkehe.
Out of hold, incorrect presenralive. out of temp, incorrect containers)
Page 15 of 17

0
/92
CHAIN -OF -CUSTODY! Analytical Requesi Document
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BP1U-1 liter Plastic Unpreserved {NIA)
M-250 mL Plastic 42504 (pH < 2) (LI)
ELM-250 mL pbStic 44NO3 (pH <21
BP32-250 mL Plastic 2N Acetate & MOH (>9)
BP3C-ZW mL Ptastk N20H jpH> 12) JO-)
WGFU-Wide mouthed Glass jar Un preserw!d
AGIU-1 liter Amber Unpreserved (N/A) (Cl-)
AG1H-1 Wier Amber HCl (pH <2)
AG3U-250 mL Amber unprgs4ne0 INIA)(CI-)
AG15.1 liter Amber H25D4 (pH <21
AG35.250 mLAmber H2SO4 (pH <21
AG3A(DG3A)•25DmL Amber NH4CI (N/A)(C1.)
DG9H•40 mL VOA HCI (NIA)
V69T-40 Mt VOA Na2S203 (NIA)
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OOP-40 mL VOA H3PD4 (WA)
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V/GR (3 Vials per W*VPH/Gas kh (N(A)
SPST-125 mLSterile Plastic (NIA- tab►
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aceAnalytical
"wpacerabsccan
Lorenzo Falls
Goldsboro Milling Company
PO Box 10009
Goldsboro, NC 27532
Project: MILL 4 OUTFALL 1&,2
Pace Project No.: 92324306
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
// (919)834-49B4
30 RECEIVED Page 1 of 2
lJ
Laboratory Report ?,01i
CENTRAL FILES
DVVR SECTION
Report Date: 01/10/2017
Date Received: 12/21/2016
Sample: Ai-A7 (OUTFALL 1)
Lab ID. 92324306001 Collected: 12/20/16 20:00 Matrix:
Water
Method
Parameters
Results
Units
Report Limit
Analyzed
Qualifiers
SM 2540D
Total Suspended Solids
8.2
mg1L
2.5
12/22/16 13:30
EPA9040
pH
6.6
Sid. Units
0.10
12/23/1612:15
HJ,H6
EPA 16646
Oil and Grease
N❑
mglL
5.0
12/30/16 06:56
SM 25406
Total Solids
60.0
mglL
25.0
12/27/16 11:26
D6
EPA 350.1
Nitrogen, Ammonia
0.065
mg1L
0,010
12/28/16 15:19
SM 4500-CI-E
Chloride
2.1
mglL
1.0
01/03/17 17:51
SM 5220D
Chemical Oxygen Demand
12.0
mg1L
10.0
12/27/16 23:23
Sample: B1-B7 (OUTFALL 2)
Lab ID: 92324306002 Collected:
12/20/16 20:00 Matrix:
Water
Method
Parameters
Results
Units
Report Limit
Analyzed
Qualifiers
SM 254DD
Total Suspended Solids
66.5
m91L
6.2
12/22/16 13:30
EPA9040
pH
6.6
Std. Units
0.10
12/23/16 12:15
H1,H6
EPA 1664E
Oil and Grease
ND
mglL
5.0
12/30/16 06:57
SM 2540B
Total Solids
463
mglL
25.0
12/27/16 11:27
EPA350.1
Nitrogen, Ammonia
3.4
mglL
0.030
D111011713:24
M1
SM 4500-CI-E
Chloride
59.2
mglL
4.0
01/03/17 18:06
SM 5220D
Chemical Oxygen Demand
39.0
mglL
10.0
12/27/16 23:23
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
M1 \Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
Reviewed by: vim`
Terri Page
[e-mail]
Charlotte Certification iDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078 .
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
FloridalNELAP Certification #: E87648
Massachusetts Certification #: M-NCO30
North Carolina Drinking Water Certification #: 37712
South Carolina Certification #: 99006001
FloridalNELAP Certification #: E87627
Kentucky UST Certification #: 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
Page 1 of 6

aceAnalytical
wwwpecefabac m
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
North Carolina Wastewater Certification #: 633
VirginiafVELAP Certification #: 460025
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 2 of 2
Page 2 of 6

Laboratory receiving samples-.
Asheville C1 EdenD
Document Nairti�
: . ; , -- L.
Document No,:. I` -t� .1 -
F-CAR-CS-033-Rev.01
Greenwood Ej liultCerstiH
nA(i1Ment,fIw5*ed: Sept. 21,200
Pate 1W_
JjsukurAuthofity: '
A
. . . . . . . . . . .
W
Client Name; 6c"W-Lr-
M,11(�
.
projact",
ca urler: Fed UPS USPS
[]Client IN 11111111
C] Commercial. ace 92324306
Custody Seat Present? [jYes rho/Seals3Intact?
[:]yes 3j-
Date/iftItIals Person EwInN Cwt&M, �f
Pa'cklrig Material: 05ubblewrip 0Bubble Rags
13t,40110 [)othr.^
Type of fee; et -[]8rue .[314civ DarnpIesonkewokngpr0c4uWb
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C.r Slologleal Ti.isue Fro36n? E]Yes []ND 9@VA-
Temp should be above f
USDA Regulated Wkwattw-rnple)
0yes
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Yet
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o
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aye,-
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4.
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51*
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-Pate Lmurners Used?
CIRO
CIIVA
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Yei[�rlo.
_[1741AL
C]t A
7.
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& Nctttfsedinaitj Is �Islbfe In Oe disfakti container
Smpla labels match Coc?
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/
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eleaftacq In VOA Vlals (>5-6mm)?
%)
J11A
1-10.
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[]Yes
[1yes
0:40
QII*.—
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11.
CU Fiff UOMFICATIOWKSOLUTI ON • Fkkf Data Re4ukt& DYes 0110
PeiwnCoilacttd: DatAlrWo:
Commenti/Sample
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rt C-C2.
projeck &JanMse SCURF Date:
Prqject Manager SRP RwOw.
Date.
put . �af- W'A�,IO!TOP!m il!kll tof ti",
Page 3 of 6

uocomentNo-:,: ✓— 4mnutnortty:
'y _ _ F{AR{S_-0_3.3-Aey.ol: . :•:
Check mark top half of box If PH and/or dechlorination -.Rroje F0 • 923243
is verified and within the acceptance rangy for ! Pfi. THP 06
preservation samples. 1 buej date: el/@6
o/17
— CLIENT: 91-Go1duP11jj ttom-ltal(-vf�bac-Is-toifst-numberaftrottles _. -'-
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Page 4 of 6

CM
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CHAIN -OF -CUSTODY I Analytical Request Document
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///� �(/�CRAIN-OF-CUSTODY I Analytical Request Document
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F-ALL-C-027w Ulr.+S4AM'2WI

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 12 J4. ZOO
CERTIFICATE OF COVERAGE NO. NCG060 34
FACILITY NAME Ga Urlu,-s
COUNTY Pi tf
PERSON COLLECTING SAMPLES 9417 0/✓C
LABORATORY (QcP dim /y tea Lab Cert. tt
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ZD 1r�.
RECEIVED
FACILITY ACTIVITIES INCLUDE (check all that apply): IAN 3 1 Z017
❑ use/process meats Wuse animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES YNO CENTRAL FILES
DWrR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
./
Total event rainfall 2 k1f or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0--9.0
120
30
1000
500
I
�oDPC &I'L
91A
.6
/a
tia
Zo Arc lDi
d 6. S
3 9
14__10
�9
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes krno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
Only applies to facilities that use/process meats.
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 Bj
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO kr
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring_ period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 276991617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
IQ 3917 2d/7
(Date)
Additional copies of this form may be downloaded at: http://portal_ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted o2 7 j"- I y ZO/6
CERTIFICATE OF COVERAGE NO. NCG06 U 3 6* q
FACILITY NAME C>O&J
COUNTY /01 f_7"
PERSON COLLECTING SAMPLES 044 K'P-17ay4
LABORATORY PAOe A14 f v7'ICR f Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED %
JUL 2 9 1016 s"
SAMPLE COLLECTION YEAR 00 /�_ CENTRAL FIL
FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTIC
❑ use/process meats 2use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES &10
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L .
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
`Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 —9.0
120-
30
1000
, Soo
T T,;I
Ira
3
0 • klp.
Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
s For sampling periods with no discharge at aM 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 Nrno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
T55;
mg/L
pH; ' "
Standard units -
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504,
6.0 — 9.0
-
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.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes• complete Part' B)' "
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PAIN 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 if SECTION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NOS'
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."
(Signature of Permittee)
aV �G6
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/wslsun desswtstab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

aceAnalytica!
i If www.paca)abs.com
Lorenzo Falls
Goldsboro Milling Company
PO Box 10009
Goldsboro, NC 27532
Project: DETENTION POND
Pace Project No.: 92304122
Sample: Al-A7
Method
SM 2540D
EPA 9040
SM 2540B
EPA 350.1
SM 4500-CI-E
SM 5220D
ANALYTE QUALIFIERS
Parameters
Total Suspended Solids
PH
Total Solids
Nitrogen, Ammonia
Chloride
Chemical Oxygen Demand
V�CC�o6o���
Laboratory Report
RECEIVED
JUL 2 9 2016
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NO 27607
[phone]
Page 1 of 1
CENTRAL FILES Report Date: 07/21 /2016
OWR SECTION Date Received: 07/06/2016
V /
Lab ID: 92304122001 Collected: 07/05116 23:00 Matrix: Water
Results
Units
Report Limit
Analyzed
Qualifiers
7.7
mg/L
3.3
0710711616:00
6.4
Std. Units
0.10
07/08/16 10:15
H1,H6
56.0
mglL
25.0
07/08/1616:18
0.18
mg1L
0.010
0712111611:42
2.1
mg1L
1.0
07/16/16 02:27
23.0
mg1L
10.0
07/08/1614:50
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time. �
Reviewed by: \—A'XX;
Terri Page
terri,[e-mail]
Asheville Certification lDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginialVELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
Virginia/VELAP Certification #: 460025
Page 1 of 10

DOCtrment Name..
Sample Condition 11 a n Re
aCe,4rfalyfrCal Document No.:
. F-RAL-CS-001-Rev,o
' o Client Name:
C �]Yla �V1�11�,1ti`� Project
Courier: Fed Ex ❑UPS ❑U;PS J Cpent
Cl Commercial HPace ❑Other:
Custody Seal Present? []Yes ONo Seals Intact? ❑Yes 6,
Document Revised: May 24, 2016
Paige 1 of 2
Issuing Authority:
Pace Raleigh Quality Off €ce
Packing Material: ❑Bubble Wrap ❑Bubble Bags ,None ❑Other: Date/mItlals Person Examinln8 Conten4AL"u
Thermometer: T1$05 Type_I tee;., Wet ❑Blue ❑None []Samples on ice, cooling process has begun
Correction Factor: 0.0'C Cooler Temp Corrected ('C): C biological Tissue frozen? ❑Yes [:]No ON/A
Temp should be aboveleezing to VC
USDA Regulated So€E (,V J N/A, water sample)
Did samp! originate in a quarantine zone within the United States; CA, NY, or5C (check maps)? Did samples originate from a foreign source €inte�rrr��tionally,
❑Yes It Iadudlna Hawall and Puerto Rlcol? r71Yes qw
Comments/Discrepancy.-
Chain of Custody Present? ^^
Yes
QNo,
N/A
1. J
Samples Arrived within Hold Time?
Yes
QNa
ONIA
2.
Short Hold Time Analysts e72 hr.)?
Yes
UZ.
QNjA
3.
Rush Turn Around Time Requested?
❑Yes
Na
NIA
A.
Sufficient Volume?
es
No
NIA
5,
Correct Containers Used?
Yes
[]No
❑NIA
6.
-Pace Containers Used?
No
N A
Containers Intact?
Jos
s
No
NIA
7.
Samples Field Filtered?
Des
ONO
EdNIA
8. Note H sediment Is visible In the dissolved container
Sample Labels MatchCOC?
Yes
[]NO
❑NIA
9.
-Includes Date/71me ID/Anal sls Matrix:
All containers needing acid/base preservation have been
10. Hr,ePita
Checked? .
(Yes
[]No
❑N/A
All containers needing preservation a re found to be In
r
"OPH^
compliance with EPA fecommendation?
/
H"pe.:
(HNDs, HAN HCt<2, NaOH >9 Sulfide, NaOH>12 Cyanide)
rp—fives
❑No
❑NIA
r,.Q,vwr=
Exceptions: VOA, Coliform, TOC, Oil and Grease,
OR2/8015 (water) DOC,LLHg
es
No
LNIA
_
Samples checked for dechlorinatlon?
Yes
❑No
N A
11.
_ _v
Heads ace In VOA Vials (>5-6mm)?
QYes
UNo
A
12.
Trip Blank Present?
❑Yes
QNo
/A
U.
Trip Blank Custody Seals Present?
❑Yes
❑No
VN/A
Pace Trip Blank Lot H (if purchasedl:
CLIENT NOTiFiCATioN/REsoLuTTON
Person Contacted:
comments/Sample
Discrepancy:
Project Manager SCURF Review;
Date/time:
Date:
Project Manager SRF Reviewl _ Date:
Note. Whenever there is ad iv-repancy affecting north Carolina 6ompliance samples, a copy of this farm veil be sent to
Out of hold, Incorrect preservative, out of temp, Incorrect containers) ,
Field Data Required? OYes []NO
th Carolina DEHNR Certification Office (Le.
Page 2 of 10

0
CHAIN -OF -CUSTODY 1 Analytical Request Document
o
-- -•
The Chain -of -Custody is a LEGAL DOCUMENT. Al relevant fields must be completed euurately.
ca
acflon A
section a
section C
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f..' ENCO Laboratories
Accurate. Timely. .responsive. Innovative.
4810 Executive Park Court, Suite 111
Jacksonville FL, 32216-6069
Phone; 904.296.3007 FAX: [phone]
Friday, July 15, 2016
Pace Analytical (PA007)
Attn: Terri Page
205 East Meadow Rd
Eden, NC 27288
RE: Laboratory Results for
Project Number: Detention Pond, Project Name/Desc: 92304122
ENCO Workorder(s): BZ03155
Dear Terri Page,
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
Friday, July 8, 2016.
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 Jacksonville.
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,
Chris Tompkins
Project Manager
Enclosure(s)
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full, Page 1 of 7
Page 5of10

www.encolabs.com
SAMPLE SUMMARY/ LABORATORY CHRONICLE
Client ID: Al-A7 Lab ID: BZ03155-01 Sampled: 07/05/16 23:00 Received: 07/09/16 11:00
Parameter Hold DatelTimefsl Prep DatelTlmefsl Analysis DaIg/liEnr(s)
EPA 1664E 08/02/16 07/12/16 10:18 07/12/16 13:47
FINAL This report relates only to the sample as reeelved by the laboratory, and may only be reproduced in full. Page 2 of 7
Page 6 of 10

www.encolabs.com
SAMPLE DETECTION SUMMARY
Client ID: AI-A7 Lab ID: BZ031SS-01
Analvte Results fun APE. E.QL 9= MethQd Notes
Oil & GreaSe (HEM)
0.844 3 0.633 1.32 mg/L EPA 1664B
FINAL 3h15 report relates only to the sample as received by the laboratory, and may only be reproduced kn full. Pape 3 of 7
Page 7 of 10

www.encolabs.com
ANALYTICAL RESULTS
Description: Al-A7 Lab Sample 10,. BZ03155-01 Received: 07/08/16 11:00
Matrix: Water Sampled:07105/16 23:00 Work Order: 8Z03155
Project: 92304122 Sampled By:
Classical Chemistry Parameters
^- D%CV lvkson vii oiMfiedaW61e(AC 442]
Analvte OCAS Numher] Re ul Flag nits PFF MDL POL Batch Method Ani Py Note
Oil & Grease (HEM) [C-0007]^ 0.844 3 1 0.264 0.633 1.32 6G12004 EPA 16546 07/12/16 13:47 SMA
FINAL This report relates only to the sample as received b7 the laboratory, and may, onty be reproduced in full. Page 4 of 7
Page 8 of 10

www.encolabs.com
QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch 5GI2004 - EPA 16645
Blank (602004-111-1(1)
Prepared: w/12J2016 10:18 Analyzed: 07/12/2016 13:47
Spike Source %REC
RPD
Anal
Re5ult
Elaa
P— L
Units
Level Resul[ %REC Limits RPD
Limit Notes
Oil & Grease (HEM)
0.615
U
1.28
mg/L
LCS (6G12004-BSI)
Prepared: 07/12/2016 10:18 Analyzed: 07/12/2016 13:47
Spike Source a/uREC
RPD
Analyze
Resin
Elag
P91
Sinks
Level gesyR %REC Limits RPD
Limit Notes
Od & Grease (HEM)
148
5,00
mg/L
149 99 78-114
LCS Dup (6G12004-BSD1)
Prepared: 07/12/2016 10:18 Analyzed: 07/12/2016 2:47
Spike Source a/oREC
RPD
Analldg
Re"It
Flag
P-1
Slnits
level Result %REC Limits RPD .
Limit Notes
Oil & Grease (HEM)
142
5.00
mg/L
151 94 78-114 4
Matrix Spike (6G12004-MS1)
Prepared: 07/12/2016 10:18 Analyzed: 07/12/2016 13:47
Source: BZ02855-01
Spike Source %REC
RPD
Analyt
Result
Flu
NX
units
Level Result a/aREC Limits, RPD
mil; Notes
Oil & Grease (HEM)
154
5.00
mg/L
147 9.40 98 78-114
FINAL This report relates only to the sample as rmeNed by the Laboratory, and may only be reproduced in full. Page 5 of 7
Page 9 of 10

axe
www.encolabs.com
FLAGS/NOTES AND DEFINITIONS
e The analyte was detected in the associated method blank.
b The sample was analyzed at dilution.
] The reported value is between the laboratory method detection limit (MOL) 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 far 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 quantltation limit (PQQ and is
based on the low point of the calibration curve, when applicable, sample preparation factor, diluton
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.
FINAL Ttds report relates only to the sample as received by the laboratory, and may only bereproduced In full. Page 6 of 7
Page 10 of 10

aceAnalytical
wwwpacarabs.com
Laboratory Report
Lorenzo Falls
Goldsboro Milling Company
PO Box 10009
Goldsboro, NC 27532
Project: DETENTION POND
Pace Project No.:92304120
Pace Analytical Services, Inc.
6701 Conference Drive
Raleigh, NC 27607
[phone]
Page 1 of 1
Report Date: 07/21 /2016
Date Received: 07/06/2016
Sample: B1-B7
Method
Parameters
Lab ID: 92304120001 Collected: 07/05/16 23:00 Matrix: Water
Results Units Report Limit Analyzed Qualifiers
SM 2540D
Total Suspended Solids
150
mg1L
16.1
07/07/16 15:59
EPA9040
pH
6.7
Std. Units
0.10
0710811610:15 H1,H6
SM 2540B
Total Solids
544
mg1L
25.0
07/08/16 16:17
EPA 350.1
Nitrogen, Ammonia
6.5
mg/L
0.050
07/21/16 11:40
SM 4500-CI-E
Chloride
33.5
mg1L
1.0
07/16/16 02:24 M1
SM 5220D
Chemical Oxygen Demand
38.0
mg/L
10.0
07/08/16 14:50
ANALYTE QUALIFIERS
H1 Analysis conducted outside the EPA method holding time.
H6 Analysis initiated outside of the 15 minute EPA required holding time.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
Reviewed by: \_�
Terri Page
[e-mail]
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
Eden Certification IDs
205 East Meadow Road Suite A. Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginialVELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
Virginia[VELAP Certification #: 460025
Page 1 of 4

Uacument Name:. Document Revised: May24, 2015
CBAnalyfrCal ` Sample Condition Upon Rece1 t(SCUR Pa e 1 of 2
r Document No.: Issuing Authority:
F-RAIL-CS•001-Rev.04 Pace Raleigh Qualit Office
: Pago 2 of 2 for iinntteernal Use ONLY
� Client Name. {�� } Q9 (� 12�if f `
r nl - praJe� W�iR • .JL �ii4
Uh 1 f
Courier: []fed Ex UPS USPS Client
❑ Commercial (Pace ❑Other.1
l92304120 '' '
Custody Sea) Present? ❑Yes VNo Seals intact? []Yes ZNa
Rate/Initials Person Examining Contents:
Packing Material: ❑Bubble Wrap []Bubble Bags (Non ❑Other:_
Thermometer. T1505 Type of I - Wat ❑slue []None (ISamples on ke, cooling process has begun
Correction Factor: D.01C Cooler Temp Corrected (•C): Biological Tissue Frozen? ❑Yes ❑No ON/A
Temp should be above freezing to 6'C -
USDA Regulated Solt( 0 N/A, water sample)
Did samples
originate in a quarantine zone within the United States: CA, NY, or SC (check: maps)? Rid samples originate from a foreign source (interpationally, ;
©iJ �Yes No Inrl,idine Hawallnnd puartn AIrnl) r-IYAt f'71N
Comments piscre nc :
Chain of Custody Present? _
byes
[]No
j3N/A
1.
Samples Arrived within Hold Time?
&6Yes
QNo
QyLA
.2.
_
_Short Hold Time Analysts (<72 hr.)? _
Yes
Olslo
©N/A
3.
Rush Tum Around Time Re uested7
QYes
4No
OyLA
4.
Sufficient Volume?
Yes
No
N A
S.
Correct Containers Used?
Yes
©No
EIN/A
6.
-Pace Contalners Used?
A.
No
N/A
Containers Intact?
Yes
©No
QN/A
7.
Sam ples Field Filtered? w
QYes
❑No
&fNIA
8.
Note ifsedlmentisvlslbieinthe dissolved container
Sample labels MatchCOC?
Yes
❑No
©N/A
9,
-includes Date ime/lD/Ana! sls Matrix:
All containers needing acid/base preservation have been
10,
wcjp,,,
checked? .
Q Yes
[3No
ON/A
All containers needing preservation are found to be in
(
"P'"°r
compliance with EPA recommendation?
HUN ai«
(HNO3, HrSA,. HCI<2, NaOH >9 SvItide, NaOH>12 Cyanlde)
Yes
[]No
©NIA
r.arsn.0
Exceptions: VOA, Gollform, TOC, oil and Grease,
Zy'es
DRO/9015 (water) DOC,LL
E]No
ONIA
5amYtes checked for dechlorinatlon?
Vfyes
No
©N/A
II,
HeadspaceinVDAVlais >5-6mm?
dyes
❑No
&A
12.
Trip Blank Present?
Ayes
[]NO
ANIA
13.
Trip Blank Custody Seals Present?
©Yes
❑No
IAN/A
Pace Trip Blank Lot d (if purchased);
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Sample
Discrepancy:
Project Manager SCURF Review.
Project Manager SRF Review., _�1 _./
Note: Whenever there Is a discrepancy affecting North Carolina Compllance
Out of hold, Incar(act preservative, out of temp, incorrect containers)
Fluid Rats Required? ❑Yes ❑No
Date/Time:
Data: _ _d —i [ r,
Date:
a copy of this form win be sent to the North Carolina OEHNR Certification Office (Le.
Page 2 of 4

CHA[NOF-CUSTODY 1 Analytical Request Document
the Chaln.of-Custody Is a LEGAL DOCUMENT. All relevant fields must be completed aeearatL-ly.
i cdm A Seaton 6 Swedan G
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PRE)
SEMI-ANNUAL STORMWATER DISCHARGE MO IT0R1WREP,0RT
for North Carolina Division of Water Quality General Permit No. NCG060006
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 U 3 E JL
FACILITY NAME r—q 11"P+ l /e FeP d /h, / /
COUNTY Pr ft
PERSON COLLECTING SAMPLES 00,74 d GPh C vQ
LABORATORY P4,-e %n9 A,,hr4 I Lab Cert. #
. f
Part A: Stormwater Benchmarks and Monitoring Results
s
Rervt)
MAR 3 I 2016
SAMPLE COLLECTION YEAR Z ° y CENTRAL FILE
FACILITY ACTIVITIES INCLUDE (check all that apply): DWR SECTION
5
❑ use/process meats Buse animal fats/byproducts N
DISCHARGING TO SALTWATERS? ❑YES RNO
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Total event rainfall 2 Z •- f' or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
. TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 mi
Enterococci ,
Colonies per 100 mi
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000,
'4 S00
1
/ 3 .Z 2 / j
1 Ur
-2 .2
��4
ZZ Z /1-
9S'- 7
LZ
/
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 pM 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 Eno
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfali No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 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 FORTH E 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 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" retsorts, within_30 days of receipt of the lab results (ar at end of
monitories period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed'to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
/ D /94 ,- /e-
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web%_wq/ws/suLrnpdesswntab-4
S WU-249
Last Revised: October 18, 2012
�2of2

i
STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG0600
Date submitted Z / / ?` / 9
CERTIFICATE OF CO�XjERAGE NO. NCGO6 Q 3 6 q
FACILITY NAME D &11 tA0' 64 / 1— ZZI;P11/P fPPd._1111
COUNTY Pi f
PERSON COLLEP ING SAMPLES Doi
Cy
LABORATORYr►-?4MAf4/ 4PtrlfLab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
FEB 2 6 2019
CENTRAL FILES
SAMPLE COLLECTION YEAR
DWR SECTION
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ?R Monthlys FP6 t,,ar y (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[:]Zero -flow [:]WaterSupply [—.]SA
®other ,0i Ar.4
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats Muse animal fats/byproducts
PLEASE REMEMBER TO SIGN 'ON THE REVERSE 4
Total event rainfall z _T/� or n No discharge this period'
Outfall No.
STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG0600
Date submitted Z / / ?` / 9
CERTIFICATE OF CO�XjERAGE NO. NCGO6 Q 3 6 q
FACILITY NAME D &11 tA0' 64 / 1— ZZI;P11/P fPPd._1111
COUNTY Pi f
PERSON COLLEP ING SAMPLES Doi
Cy
LABORATORYr►-?4MAf4/ 4PtrlfLab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
FEB 2 6 2019
CENTRAL FILES
SAMPLE COLLECTION YEAR
DWR SECTION
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ?R Monthlys FP6 t,,ar y (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[:]Zero -flow [:]WaterSupply [—.]SA
®other ,0i Ar.4
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats Muse animal fats/byproducts
PLEASE REMEMBER TO SIGN 'ON THE REVERSE 4
Total event rainfall z _T/� or n No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
-
100 or 50'
Within 6.0 — 9.0
120
30
10001
Soo,
Parameter Cade
-
C0530
00400
00340
00556
31616
61211
I! z a/
. 7,f
33
< -s-
1 Only appliesto 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 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes Egno Km complete Part B)
Permit Date: 11/1/2018-05/31/2021
SWU-Z49, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Date Sample Collected
[mo/dd/yr}
24-hour rainfall amount,
inches z
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or SO mg/O
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
*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 DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR including all "No Discharge" reports _within 30 days of receipt of the lab results far at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of.fines and
imprisonment for knowing violations."
Signature of Permittee
r Permit Date:11/1/2018-05/31/2021
Z / AteL ea / y
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

A
"M
enirochem
.. s i
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 gowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax t
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
[e-mail]
Butterbail-Farmville Date of Report: Feb 21, 2019
3628 South Fields St. Customer PO #:
Farmville NC 27828 Customer ID: 17080036
Attention: Don Genova Report #: 2019-02369
Project ID: Storm Water
Lab lD Sample ID: Collect Date/Time Matrix Sampled by
19-06020 Site: outfali 2
2/11/2019 5:00 PM Water Don Genova
Test Method Results Date Analyzed
Oil & Grease (O&G) EPA 1664
Residue Suspended (TSS) SM 2540 0
pH SM 4500 H B
<5 mg/L
02/14/2019
7.2 mg/L
02/13/2019
6.78 units
02/13/2019
COD SM 5n0D 33 mg/L 02/14/2019
Comment: n
Reviewed by: _Rau,�1
Report C 2019-02369 Page 1 of 1

"44C NAIL.
;i�tivl.}T�OGherij
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
6602 Windmill Way Wilmington, NC 28405
OFFICE: 910-392-0223 FAX [phone]
[e-mail]
Client: B utterball- Farm vil le
PROJECT NAME: Storm Water &,y A4/l 0.2
REPORT NO:
ADDRESS: 3628 South Fields Street
CONTACT NAME: D' rj0no4-q
PO NO:
Farmville, NC 27828
REPORT TO: Don Genova
PHONE/FAX:[phone]
COPY TO:
email: [e-mail]
Sampled By: agn go.-i-P-A SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
a
N
a
�+
& E
c3
ti
ct7
B `oa.
� "
o
G
.2 E'
"
OW
a g
J
PRESERVATION
ANALYSIS REOIiESTED
Date
Time
Temp
?
_
3
2
=
a
z
a
W
o
1)
C
P
X
X
TSS, COD, pH, Oil and Grease
G
G
C
P
G
G
2
C
P
X
X
TSS, COD, pH, Oil and Grease
G
G
n
C
Xi
G
�
,/ Fr°,6 ,9
Pry
�.�
C
P
G
ea
G
i
.r r
C
P
� a
G
C
P
G
G
C
P
G
G
Transfer
Relinquished By:
Daterrime
R ived By:
Date�me
1.
!�°
PAW /;9111A,!p
�
� 1-
2.
Temperature when Received: Tj [1 Accepted:
Delivered By: Received By:
Comments:
TURNAROUND:

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted 7 A-10i ZO 114
CERTIFICATE OF COVERAGE NO. NCG06 0 3 S"41 SAMPLE COLLECTION YEAR Z 01 4
FACILITY NAME 914tVV- AP
COUNTY p� �'T SAMPLE PERIOD ❑ lan-June ❑July -Dec
PERSON COLLECTING SAMPLES DO,, �for� or ®Mnnthlys lT r7 �' nonth)
11
LABORATORY,^^,,, 44/ /'ii/�ilfr Lab Cert. # DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
C ❑Zero -flow [:]watersupply ❑SA
REC,F"P—D ®Other pits/
FEB 18 w01g FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ® use animal fats/byproducts
CEN i f-,LES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall' / or ❑ No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
100 or 504
Within 6.0 — 9.0
120
30
10001
5001
Parameter Code
C0530
00400
00340
00556
31616
61211
1 Ta l
S• 'f
C s
ii/
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 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes D?Ino (if yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Qutfall No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L°
Parameter Code
-
46529
NCOIL
00S52
C0530
Footnotes from Part A also apply to Part B
*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 X
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original 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 Permittee Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

Butterball-Farmville
3628 South Fields St.
Farmviile NC
Attention: Dan Genova
Lab ID Sample ID:
19-02132 Site: outfall 2
Environmental Chemists, Inc,
6602 Windmill Way, Wilmington, NC 28405 - 910.392.0223 Lab - 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 - 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 - 910.347.5843 Lab/Fax
info a environmentalchemists.coni
Date of Report: Jan 24, 2019
Customer PO M
27828 Customer ID: 17080036
Report M 2019-00851
Project ID: Storm Water
Collect DatelTime Matrix Sampled by
1/13/2019 11:00 PM Water Don Genova
Test
Method
Results
Date Analyzed
Oil & Grease (O&G)
EPA 18sa
<5 mg/L
01/15/2019
Residue Suspended (TSS)
SM 2540 D
5.4 mg/L
01/16/2019
pH
SM 4500 H 8
6.61 units
01/17/2019
COD
SM 5220D
<20 mg/L
01/18/2019
Comment:
Reviewed by: ._ C�
Report#:: 20ts-0oa51 Page 1 of 1

Way
ENVIRONMENTAL CHEMISTS, INC OOFFFIC in910-3 2-0223iFAX 910-392-4424$
0=0 info®en�ironmentalchemists.com
Analytical & Consufting Chemists NCpENR: DWO CERTIFICATION # 94 NCpFiNS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
Client: Butterball-Farmvilie
PROJECT NAME: Storm Water i, aru)fAl/ #-2
REPORT NO.
ADDRESS: 3628 South Fields Street
CONTACT NAME: D41r7 l 14�40&­4
PO NO:
Farmville, NC 27828
REPORT TO: Don Genova
PHONE/FAX:[phone]
COPY TO:
email: [e-mail]
Sampled By: !/ SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
1
a
E
n"
m
a
$ o
o
..
5
c v
a
m
o f
r E
o w
m"'
-5 2.
z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
U
c
z
,
i
9
°A
n
=
x
i
o
W
iz
o
1)
C
P
X
X
TSS, COD, pH, Oil and Grease
G
G
C
P
G
G
2
C
P
X
X
I
I
ITSS, COD, pH, Oil and Grease
G
G
1/
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-
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PH
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C
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z-
Za/9
G
C
P
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G
C
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G
G
C
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G
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Transfer
Relinquished By:
Date/Tlme
Received By:
PateMme
2.
Temperature when Received: Accepted:
Delivered By: Received By:
Comments:
5 Time: IS4-__�_.
litRTiT_rLS1T1M

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted 7 T,4 n z e/ 9
CERTIFICATE OF COVERAGE NO. NCG06 0 3 6 4
FACILITY NAME _ Bk ) #14C ~ rA�M v► II P �!!O /%
COUNTY AI '/ f
PERSON COLLECTING SAMPLES Dan_ ge i �a
LABORATORY 64g1*,jr Lab Cert. # T
SAMPLE COLLECTION YEAR Z & /(?
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthlys (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECEDED Other DI tcA
JA �F�CILu t ACTIVITIES INCLUDE (check all that apply);
❑ use/process meats Ouse animal fats/byproducts
CEMTRAL FILES
E)WR S-E-CTION
PLEASE REMEMBER TO SIGN ON:THE REVERSE --)
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall' / !12 "or ❑ No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
GOD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
100 or 50'
Within 6.0 — 9.0
120
30
10001
500`
Parameter Code
-
C0530
00400
00340
00556
31616
61211
I►
Jr
7 q
C S,
.�
cs
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 mast still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes Yno (Ifyes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches
New Motor Oil or
Hydraulic Oil Usage
Non -Polar 0&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L4
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
*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 ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
Mail an original cooK ot this DMR including all "No Discharge" reports, within 30 days of recer t of the lab results or at end of manitorin 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 Permi"ee
Permit Date: 11/112018-05/31/2021
Date
7Q„ 2 01 t
SWU-249, Last Revised 11/5/2018
Page 2 of 2

Environmental Chemists, Inc.
ANALYTICAL & CONSULTING CHEMISTS
6602 Windmill Way, Wilmington, NC 28405 . 910,392,0223 Lab . 910.392.4424 Fax
710 Bowsertown I Road, Manteo, NC 27954 e 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5943 Lab/Fax
[e-mail]
Butterball-Farmville Date of Report: Dec 29, 2018
3628 South Fields St. Customer PO #:
Farmville NC 27828 Customer ID: 17080036
Attention: Report #: 2018-20780
Project ID: Storm Water
Lab lD Sample 1D: A Collect Date/Time Matrix Sampled by
18-52363 Site: outfall 1 12/14/2018 7:00 PM Water client
Test Method Results Date Analyzed
Oil & Grease (O&G)
EPA 1664
<5 mg/L
12/1812018
Residue Suspended (TSS)
SM 2540 D
14 8 mglL
12/1812018
pH
SM 4500 H B
6.95 units
12/20/2018
COD
SM 5220D
74 mg1L
12/24/2018
Lab ID Sample ID: a
Collect DatelTime
Matrix Sampled by
18-52364 Site: outfall 2
12/14/2018 7:00 PM
Water client
Test
Method
Results Date Analyzed
Oil & Grease (O&G) EPA 1664 <5 mg/L 12/1812018
Residue Suspended (TSS) SM 2540 D 128 mg/L 12/18/2018
pH SM4500 H B 6.77 units 12/20/2018
COD SM 52200 100 mg/L 12/24/2018
Comment:
Reviewed by f
CA
Report :: 018-24780

61112
ndmill Way
ion
ENVIRONMENTAL CHEMISTS INC OFFICE: 91G-392 2 3'IFAX9910- 224 i+ `v
` [e-mail]
Analytical & Consulting Chemists NCDENR: DWG CERTIFICATION # 94 NCDHiiS: DLS CERTIFICATION # 37729
COLLECTION AND CHAIN OF CUSTODY
Client: Butterball-Farmville
PROJECT NAME: Storm Water D+, f� II# %
REPORT NO: �� 2�7 U
ADDRESS: 3628 South Fields Street
CONTACT NAME: 0a i 910n e z-q
PO NO:
Farmville, NC 27828
REPORT TO: Don Genova
PHONE/FAX:[phone]
COPY TO:
email: [e-mail]
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
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Date
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Temperature when Received: Accepted:
Delivered By: R
LTime: ,s_

6602 Windmill Way
on, NC
`l ENVIRONMENTAL CHEMISTS, INC OFFICE: 9 03 2 2 3`IFAX9t10392-44245
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NCDENR: DWO CERTIFICATION # 94 NCDHHS: DLS CERTIFICATION # 37729 [e-mail]
Analyfical & Consulting Chemists
COLLECTION AND CHAIN OF CUSTODY
Client: Butterball-Farmville
PROJECT NAME: Storm Water (Oyf%q /j
REPORT NO: (�
ADDRESS: 3628 South Fields Street
CONTACT NAME: ,9aq Giollw-i
PO NO:
Farmville, NC 27828
REPORT TO: Don Genova
PHONEIFAX:919.252.1326
COPY TO:
email: [e-mail]
Sampled By: SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
Collection
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x
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N
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Date/Time
2.
Temperature when Received: ,G, I Accepted
Delivered 8y: Received
Comments:
Time: tt-2' :S
-ow .-"%

�.1
Central Files: APS _ SWP _
9/24/2015
r
Permit Number NCG060364
Program Category
NPDES SW
Permit Type
Food/Tobacco/Soaps/Cosmetics/Public Warehousing Stormwater Discharge COC
Primary Reviewer
rick.riddle
Coastal SWRule
Permitted Flow
Facility
Permit Tracking Slip
Status
Project Type
In draft
New Project
Version
Perm it C lass if [cation
COC
Permit Contact Affiliation
DIVED
SEP 3 0 2013
CENTRAL FILES
DWR SECTION
Facility Name
MajorlMinor
Region
Goldsboro Milling Company Farmville Feed Mill
Minor
Washington
Location Address
County
3648 S Fields St
Pitt
Facility Contact Affiliation
Farmville NC 27828
James Jacobs
3648 S Fields St
Owner
Farmville
NC 27828
Owner Name
Owner Type
Goldsboro Milling Company
Non -Government
Owner Affiliation
James Jacobs
3648 S Fields St
Dates/Events Farmville NC 27828
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
7/23/2015 9/17/2015
Regulated Activities Requested /Received Events
RO staff report requested 7/27115
r
RO staff report received 9/24/15
Outfall 1
Waterbody Name Streamindex Number Current Class Subbasin
Middle Swamp 27-86-26-5 C;Sw,NSW 03-04-07

North Carolina Department of Environmental Quality
Pat McCrory
Governor
James Jacobs
Goldsboro Milling Company
P.O. Box 1009
Goldsboro, NC 27532
Dear Mr. Jacobs:
Donald R. van der Vaart
Secretary
September 24, 2015
Subject: General Permit No. NCG060000
Goldsboro Milling Company
Fartnville Feed Mill
COC NCG060364
Pitt County
In accordance with your application for a discharge permit received on July 23, 2015, we are forwarding
herewith the subject certificate of coverage to discharge under the subject state —NPDES general permit.
This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated
October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Energy, Mineral, and Land Resources, The Division may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
Resources; Coastal Area Management Act, or any other federal or local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Richard Riddle at telephone number
[phone].
Sincerely;
4"�' ��e.
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and
Land Resources
cc: Washington Regional Office
Central Files
Stormwater Permitting Program File
Division of Energy, Mineral and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Telephone [phone] / FAX: [phone]
S12 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal,ncdenr.org/web/Ir/
An Equal Opportunity\ Affirmative Action Employer— 50% Recycled \ 10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060364
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Goldsboro Milling Company
is hereby authorized to discharge stormwater from a facility located at
Goldsboro Milling Company
Farmville Feed Mill
3648 South Fields Street
Farmville
Pitt
to receiving waters designated as Middle Swamp, a class C, Sw, NSW water in the Neuse River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, 11, 1II, and IV of General Permit No. NCG060000 as attached.
This certificate of coverage shall become effective September 24, 2015.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 24, 2015.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

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Farmille Feed Mill
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Goldsboro Milling Company
Farmville Feed Mill
Latitude: 350 35' 35" N
Longitude: -770 35' 53" W
County: Pitt
Receiving Stream: Middle Swamp
Stream Class: C; Sw; NSW
Index Number: 27-86-26-5 (Neuse)
Facility Location

P
ARFAIIA
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCDENR NCG060000
i+++nreo mN —D Note RESCRjRCcp
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Dav
Certificate ofCovera
e
eck #
unt
Permit Assi ed to
td
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 20 Food and Kindred Products
SIC 21 Tobacco Products
SIC 283 Drugs
SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations
SIC 422 Public Warehousing and Storage (except 4226)
For questions, please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this NOl for renewals.
(Please print or type)
1) Mailing address of owner/operator address to which all permit correspondence will be mailed):
Name Goldsboro Milling Company
Street Address PO Box 1009
City Goldsboro, NC 27532
Telephone No. 919-778-3130
2) Location of facility producing discharge:
Facility Name Goldsboro Milling Company Farmville Feed Mill
Facility Contact Mr. James Jacobs
Facility Address 3648 South Fields Street
Facility City Farmville, NC 27828
Facility County Pitt
Telephone No. Pending_ Fax: Pending
Email [e-mail]
3) Physical Location Information:
RED'F1IVCD
J11L 23 2015
DENrq_
S70jRMUv r R i'QUALI t p�
vG
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). The site is located at the intersection of South Fields
Street and Wallace Street in Farmville, NC
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35' 35' 35" N Longitude -77' 35' 53"W
5) This NPDES Permit Application applies to which of the following:
x New or Proposed Facility
❑ Existing
Date operation is to begin: August 2015
�F. 5-9 3 3 03
SWU-221 r 7. 7, 5 9 `1 733
Page 1 of 4
Last revised 6/24114

NCG060000 N.O.I.
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this facility.
SIC code: 2048
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: grain storage and preparing feed for livestock.
b) Check all activities occurring at this facility: None of the activities listed below
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? Two
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Drainage ditches that flow into an unnamed tributary of Middle Swamp
Receiving water classification: C; Sw: NSW
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? Not Applicable
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). Not Applicable
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
16) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: covered storage areas, secondary containment, gravel surfaces
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
❑ Yes
If yes, when was it implemented? Pending
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
SWU-221
Page 2 of 4
Last revised W24114

NCG060000 N.O.I.
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
XNo ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
X No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year_
Name of transport 1 disposal vendor:
Vendor address:
15) Certification:
North Carolina General Statute 143-215.6B (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report,
plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who
knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or
who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Carl F. Bonner, PE with Terracon Consultants, Inc.
Title: Agent 1 Consulting Engineer for the Owner
(Signature of Applicant)
July 21, 2015
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR. Do not send the check or money order separately.
Page 3 of 4
SWU-221 Last revised 6124114

NCG060000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR. Must be included with this application (not sent separately).
❑ This completed application and all supporting documents.
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, and unloaded, (f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 4 of 4
SWU-221 Last revised 6124114

UNITED STATES — DEPARTMENT OF THE INTERIOR — GEOLOGICAL SURVEY
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AppmvW BY.
3648 SOUTH FIELDS STREET
CB JULY 2055 37� �0°� ortye m^serorle taC 2859G FARMVILLE, NC