NCG170369_MONITORING INFO_20180803

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. Iv u% / I b j b /
DOC TYPE ❑ HISTORICAL FILE
Ea MONITORING REPORTS
DOC DATE ❑ o�l7i (]� d
YYYYM M DD

Y
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit https://(Ieq.tic.gov/about/divisions/energy-mineral-land-
reso u rces/energy-m i nera l-I and- pert i is/sto nn wat e r-perm i is/npdes-i nd ust ria l-sw# tab-4
Permit No.: / or Certificate of Coverage No.: N/CQ/j_/7
Facility Name: AmuicAN F)btR SA)
County: $-rA, .tL Y" Phone No. (701 qi g - q 252
Inspector: (1jQkE-Y STatjEA
Date of Inspection: '7 I31 / 18 19r
Time of Inspection:
Total Event Precipitation (inches): _ (op R�cc'j t
CPAUG 2018
All permits require qualitative monitoring to be performed during V iiSeasur�t 1pStQrm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Wrmittec or Designee)
1. Outfall Description:
Outfall No. (t61 Structure (pipe, ditch, etc.): P1 PE , fL%)N -- U 1F
Receiving Stream:
L. tE it /VG Cft£EV,
Describe the industrial activities that occur within the outfall drainage area: CLACAI hIG
Page 1 of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of
(light, medium, dark) as descriptors: _
discharge using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): IVC3 t l Drt fZ i7ErEc—f.En
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
2 3 4 S
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
V 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes ® No.
8. Is there an oil sheen in the stormwater discharge? OYes C No.
9. is there evidence of erosion or deposition at the outfall? O Yes ® No.
10. Other Obvious Indicators of Stormwater Pollution:
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242. Last modified 07/28/2017

Envim mmmt
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit littps://deq.nc.Ruv/about/divisions/energy-mineral-land-
resourccs/energy-mineral-land-permits/stormwater-permits/npdcs-industrial-sw#tab-4
Permit No.: N/C/G/ I ./ 7/ (�/ O / 6 /O / or Certificate of Coverage No.:
Facility Name: AfAEktr-AtJ }%ioe-R ! FyjisxlnlG} .2NC.
County: Phone No. (7n4 i ojP,4•- 9'252
Inspector: M % C-P EY S -farlFFp,
Date of Inspection: 2 /$ r/2 O 1 S
Time of Inspection:
Total Event Precipitation (inches): (p5
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the pennittec is able to document that a shorter interval is representative for
local stone events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and comphte-to,thq best of my knowledge:
I IV —®
2018
(Signathre of Petfnittee or Designee) av t '"EL FILEe
SECTIOpj
1. Outfall Description:
Outfall No. Qd l /oo Structure (pipe, ditch, etc.): Pt Pf i Qt IN - CJ FF
Receiving Stream:
LiT-7'LE )-Qntc, C2E£k
Describe the industrial activities that occur within the outfall drainage area: G3 XAC N t d 67
Cor1JER'f1 XJG GAuz�.l MANvtraCTv2tnl6 0+^ Corr-roN S3r>t�,
U- IA. 2E)A C? t15 t ry G
Page 1 of 2
SWU-242, last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: / o/ C r l-ng t1N SN F-EAJ ( LEAR
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): NO ODorz i7�ETEe-rEp
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
lO 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
\:J
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
a
7. Is there any foam in the stormwater discharge? O Yes ® No.
8. Is there an oil sheen in the stormwater discharge? OYcs ® No.
9. Is there evidence of erosion or deposition at the outfall? O Yes ® No.
10. Other Obvious Indicators of Stormwater Pollution:
Listanddescribe Nei (24AriGS'-(O i3uuDuVryFoQ)PMFmlr CR R?ac-eSS StNC£
LA9-r 4 r4-5pEC-ri 6 A/ AL_I- STvRA6F:TA-;41�.S tAfbRE £mP i)'NO SPII,LS S[,JCZ-
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242. Last modified 07/28/2017

Wwy
MC®ENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htttpb//12ortal.ncdenr.org/web/­wQ/ws/su/­npdessw#tab-4
Permit No.: N/�/_/_/_/_/_/_/_/ or Certificate of Coverage No.:
Facility Name: ArnFRi(! {rJ FiDER F Fin/ISF(W6 S rc
County: S-r-4N)-Y Phone No. '7o4-9804-92S2
Inspector: 17)6,:kQPA PVKW000 /pAiCK£Y .S' 4 r2
Date of Inspection:
Time of inspection:
Total Event Precipitation (inches): .(5
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm even(' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
re ofl5ermittee or Designee)
Pagel of 2
SWU-242, last modified 10/25/2012

1. Outfall Description:
Outfall No. 06 1100 2 Structure (pipe, ditch, etc.) F
Receiving Stream: �.L--T : -Lnuc. f EEV'
Describe the industrial activities that occur within the outF
drainage area:-ik.EAeAiNC.
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: NO CQ"E Nn .SHE£eJi Cl Fad
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc-): N/< Qf)OR �E- CQ'f Eo
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
l0 2 3 41 5
S. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
(1 2 3 4 j 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
i
i
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence
may be indicative of pollutant exposure. These con
Page 2 of 2 1
, oil sheen, or erosion/deposition
warrant further investigation.
SWU-242, Last modified 10/25/2012

STORAIWATERDISCHARGEOUTFALL(SDQ_-__—___
1v101v11UXhNG REPORT —------------- --- -
Permit Number: NCS or
Certificate of Coverage Number: NCGJ 763G9
FACILITY NAME Afn P-tCAnl F,13E �NL4rltN6i�NL
PERSON COLLECTING SANIPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY 5-rA VL_y'
PHONE NO. (_�
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
No.
Date
Sample
Collected
mo/dd/vr
50050
Total
Flow (if app.)
MG
Total
Rainfall
inches___
Oil & Grease
m
Total
Suspended
Solids (TSS)
Total Lead
pH
m -----
-m -
Units
..00, uus mcmty perform vemcle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes no
(if yes, complete Part B)
Part B: Vehicle Mnintenanrr Arftv;n, nrt,...:•_�__.,
Outfall
No.
Date
Sample
Collected
mo/dd/vr
50050
Total Flow
(if applicable)
MG
Total Rainfall
inches
00556
Oil & Grease
ingwi
00530
Total
Suspended
Solids
m
OpgpO
PH
Units
NewMotor Oil
Usage
al/mo
FormSWU-2n` 112608
P. I of 2

STORM EVENT CHARACTERISTICS: _ Mail Original and one copy to:
Date 7 Dtvtsio'n of ater u—Ia ity
Total Event Precipitation (inches): , /.S Attn: Central Files
1617 Mail Service Center
Event Duration (hours): i 2 (only if applicable - see permit.) Raleigh, North Carolina 27699-1617
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
"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 subnutted. 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 lines and imprisonment for knowing violations."
C7�7/7/1-7
(Signal re of P mttee) (Date)
Form SWU-246-112608
Pa of 2

RECEIVED
FEB 8 S Z017 MCDENR
CENTRAL Fatormwater Discharge 1
DWR SECTION Qualitative Monitori
Forguidance on filling out thisform, please visit: b1112 /portal
Permit No.: N/�_/_/_/_/_ _/_/ or Certificate of
Facility Name: qmF jrAyjC'E2 ;:ITj I.SiJ i,.i
County:
Inspector: 139 i D
Date of Inspection:
Time of Inspection:
:fall (SDO)
Report
No.:
Total Event Precipitation (inches): . 3A �
Was this a 'Representative Storm Event' or "Measureable Storm Event' as defined by the permit?
(See information below.)
I
0 Yes ❑ No I
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event' or during a "measureable storm event" However,
some permits do not have this requirement Please refer to
A "representative storm event" is a storm event that me:
and that is preceded by at least 72 hours (3 days) in which
0.1 inches has occurred. A single storm event may contain
precipitation.
A "measurable storm event' is a storm event that results
permitted site outfall. The previous measurable storm eve
prior. The 72-hour storm interval does not apply if the per
interval is representative for local storm events during the
obtains approval from the local DW(
Office.
definitions, if applicable.
-es greater than 0.1 inches of rainfall
storm event measuring greater than
to 10 consecutive hours of no
an actual discharge from the
must have been at least 72 hours
ittee is able to document that a shorter
mpling period, and the permittee
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
�lslse44 �62�6-1 an 1
or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. 0¢00 9 Structure (pipe, ditch, etc.) Pi PF- 2 )N- (DEr
Receiving Stream: LL:ME I.cwC CSU9
Describe the industrial activities that occur within the outfall drainage area: eii E4 c Hi r C.
LONys6R'r'inf6 e1AQZF 91ANUE&t�U&rJ6 f- � rR l 11)A'L Syjl—F-A AiYjr,,
i
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Nn CCLme
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): I& CIDO T E-rcj T-c-D I
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
Ol 2 3 41 5
I
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
02 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
Ol 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
i
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
I
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of
may be indicative of pollutant exposure. These coudi
Page 2 of 2
, oil sheen, or erosion/deposition
warrant further investigation.
SWU-242, Last modified 10/25/2012

-- — ------ — — — STORAIWATER DISCHARGEOUTFALL (SDO)-------------------------- --- ---_ __
1VtUMIUIunN REPORT
Permit Number: or
Certificate of Coveraera SAMPLES COLLECTED DURING CALENDAR YEAR:
Coverage Number: NCG / 7n "3l q (This monitoring report shall be received by the Division no later than 30 days from
FACILITY NA\1E the date the facility receives the sampling results from the laboratory.)
PERSON COLLECTING SAMPLE(S) COUNTY SIA N I-Y
CERTIFIED LABORATORY(S) Lab k PHONE NO. (_�
Lab N (SIGNATURE OF PERMY17EE OR DESIGNEE)
By this signature, I certify that this report is accurate
Part A: Specific Monitoring Requirements complete to the best of my knowledge.
Outfall
No.
---
Date
Sample
Collected
mo/dd/vr
--
50050
Total
Flow (if app.)
MG
Total
Rainfall
inches___--
Oil &Grease
to _ __
-- —
Total
Suspended
Solids (TSS)
Total Lead
-m —
pH
____-
�m — �
-Units
-11 110 lnclnly penorm vemcle Maintenance Activities using more than 55 gallons of new motor oil ptr month? _yes no
(if yes, complete Part B) _
Part B:Vehicle MaintenanceArtivif nrt,..;#—i_..o__._�__-.--.
Outfall
No
Date
Sample
Collected
mo/dd/vr
•�•.�.
50050
Total Flow
(if applicable)
MG
��„ uu c3a3Gl3U
Total Rainfall
00556
Oil & Grease
MO
00530
Total
Suspended
�
Solids
m
00400
PH
Units
New Motor Oil
Usage
al/mo
Form SWU-2n` 112608
P.- I of

STORM EVENT CHARACTERISTICS:
Date 212,47
Total Event Precipitation
Event Duration (hours): 12 (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
il•Iail Original and one couv to:
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information subnutted. 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."
f f %Zo,
(Sngnatude of PerhAttee)
z/6/17
(Date)
Form SWU-246-112608
Pa of 2

Imo0 ��^ STOR,IIIVALI'TERDISCHARGEOUTFALL(SDO)
Permit Number: NCS
�J / Y MONITORG REPORT
_ or SAMPLES COLLECTED DURING CALENDAR YEAR:
Certificate of Coverage Number: NCG_ I io000 (This monitoring report shall be received b ' the D' ' I t th i
FACILITI' NA vIE �n2�2 CAn! �tlSE2 F i N SH t h1 G
PERSON COLLECTING ING SAIvIPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
g y Tv;ston no a er an . 0 days from
the date the facility receives the sampling results from the laboratory.)
COUNTS'-—'5TAJLY
PHONE NO.
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Outfall
No.
Date
Sample
Collected
mo/dd/yr
50050
Total
Flow (if' pp.)
MG
Total
Rainfall
inches
Oil $ Grease
me/1
Total
Suspended
Solids(TSS)
m2A
Total Lead
mo
pH
Units
t
"210
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes �no
(if yes, complete Part B)
Part B: Vehirlr Mninfnoonrn n�r:,ati.
6utfal]
No.
-________
Date
Sample
Collected
...............
50050
.... .... cumnw
00556
00530
00400
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage -
mo/dd/yr
MG
inches
ma/1
m
Units
aVmo
Form SWU-246-112605
Pa ' of 2

STORM EVENT CHARACTERISTICS:
Date? 24-t5
Total Event Precipitation (inches): LZS
Event Duration (hours): _19(only if applicable — sec permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit)
\Sail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, wider 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."
-- - ----7(Date)
FormForm SWU-246-112608
Page ^ of 11

ECEiVED
i®AUG 0 4 2015
MODEpp R CENTRAL FILES
Stormwater Discharge Outfall (SDO) DWR SECTION
Qualitative Monitoring Report
For guidance on filling out thisform, please visit: httn.//12ortal ncdenr org/web/wq/w5/su/nndesswktab-h
Permit No.: N/�/—/—/—/—/—/—/—/ or Certificate of Coverage No.:
Facility Name: _F
County: STAvy k
Inspector: Ml e
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 1.25
Phone No. '70q- qeH- g252
Was this a 'Representative Storm Event' or "Measureable Storm Event' as defined by the permit?
(See information below.)
211es ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event' or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. O 1 Structure (pipe, ditch, etc.) P� P4 r -RUN - oFy
Receiving Stream: ,L 12M - /.. and G CR (-L
Describe the industrial activities that occur within the outfall drainage area: C3 ,E1'AQ N w 6i
C'oNyQ/nIC iG�z'MFtJ7 Ac'!LA WC r_'o-rat) Bn11-51, LLJAi-<EI-EaoSc try
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: NO C ,i-oK j Cr�f12
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 11) 6 n(DO Z
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: /�
ll/ 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
OVA
4
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
Listand describe NOQikANQ zJbQi�-DlNGS,Faj(PM,-,tT OFZ PKocFSS eSiNC"
I..As'i 3NS1'ECYranl Ar_� .�roRra T'a�r1�',S "Rfrhn+N i=mrry T�(ft"rLs }{-r.yE r�iFs i
A)a vSALLS S rcr L Sn SPECiron Ti(£eE rlswF .7 Nd QkP'ti6t& To
L41EfzE (SPFAI z C-LCAR OF n rl ,'Q No EVr.DICACE Q ';PilL.S Ttr RF L'WeF
NvmFkti\LS-r-LDPo4.5 S imAItJG-.L74 Q,7TFAti t AREA
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU•242, Last modifted 10/25/2012

STOPNINVATER DISCHARGE OUTFALL (SDO)
lJ 1 IJKKCJJ I MONITORING REPORT
Permit Number: NCS or
Certificate of Coverage Number: NCG U[ _Q t O.
FACH,ITYNA11E Ay,,F—K\CAti Em(F F t\S�trnY T�1C
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received*by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY yS i �N LY - PM
PHONE NO. (_� C===
(SIGNATURE OF PERMTITEE OR DESIGNEE) TVt
By this signature, I certify that this report is accurate
complete to the best of my knowledge. CD
rwn
Outfall
No.
Date
Sample
Collected
mo/dd/vr
50050
Total
Flow (if app.)
MG
Total
Rainfall
inches
Oil & Grease
m
Total
Suspended
Solids (TSS)
m
Total Lead
m
pH
Units
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes xno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitorin Re uirements
Outfall
No.
Date
Sample
Collected
00556
00530
00400
Total
Total Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage
mo/dd/ r
MG
inches
m
m
Units
aUmo
Form SWU-246-112608
Pa ' of 2

STORNI EVENT CHARACTERISTICS:
Date 3_2_ _l5
Total Event Precipitation (inches): e 3
Event Duration (hours): 1 2. (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable —see permit.)
\flail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of law, that this doenment 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."
�a 3-
(Sig4ture ofVrtmttee) (Date)
13
Form SWU-246-112608
Page ^ 4 2

RECEIVE®
MCDENR APR 01 2015
Stormwater Discharge Outfall (SDO) CENTRAL FILES
Qualitative Monitoring Report DWR SECTION
Forguidance on filling out this form, please visit: http J/portal.ncdennorg/web/wq/ws /su /npdessw#tab-4
Permit No.: LI&/_/_/_/_/_/_/_/ or Certificate of Coverage No.: LI/_Q/�j/ 1 /_7JC2JQ/Q/.a/
FacilityName: EimFRICArO riCiE2 k �)NiSKIN-G,:rNC,
County: 5TAtJLY Phone No. 70 K - 9 RL-I—q ZS
Inspector: rclICKEY S-Tn JI K
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): . 3
Was this a "Representative Storm Event' or "Measureable Storm Event" as defined by the permit?
(See information below.)
ErYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of'P'ermittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. Q 2 Structure
Receiving Stream:
ditch, etc.) R PE., LPM-6EF
Describe the industrial activities that occur within the outfall drainage area: 81. Ar J - n1G ,
CnrvVEKriN6 &uZ£,, AAU vDFACTt,Amr- Cn'rrv,y 3no-si 1. APo-(oislrvG
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: N o Co w k� CLFAK
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): No ODoK
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
O2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
() 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
U2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
•
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

C1 Y I I 0 STORAIWATER DISCHARGE OUTFALL (SDO) � / V l � � D'
VVV MONITORING REPORT
Permit Number: NCS or SAMPLES COLLECTED DURING CALENDAR YEAR:
Certificate of Coverage Number: NCG. 17nLI p.0 (This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME artLsjc rj r—fL t R e FI r.! IS?lt rJG 1.0C
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) Lab k
Lab #
Part A: Specific Monitoring Requirements
COUNTY SrAN �_
PHONE NO.
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge
Outfall
No.
Date
Sample
Collected
mo/dd/vr
50050
Total
Flow (if app.)
MG
Total
Rainfall
inches
011 & Grease
m
Total
Suspended
Solids MS)
MRA
Total Lead
pA
Units
r m
=Z9
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes �(no
(if yes, complete Part B)
Part R• VPtl A. e,.r;.a«.,
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
TZ[ I Flow
(if applicable)
Total Rainfall
Oil & Grease
Total
Suspended
Solids
pH
New Motor Oil
Usage -
mo/dd/yr
MG
inches
mgAm
Units
aUmo
Form SWU-246-112608
Pa ' of 2

STORNI EVENT CH.tRACTERISTICS:
DatQL2 T-1,5
Total Event Precipitation (inches): .3
Event Duration (hours):_ only if applicable - see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 P ntittee) (Date)
Form SWU-246-112608
Page ^ of 2

'RECEIVED
a W5
AM®
N UHR
tN 1 RAL FIU ormwater Discharge Outfall (SDO)
^!R CECTI
Qualitative Monitoring Report
RECEIVED
APR 0 8 2015
CENTRAL FILES
DWR SECTION
For guidance on filling out thisform, please visit: http://portal.ncdenr.org/web/­wq/­ws/sLi/­ni2de.ssw#tab-
Permit No.: LI&/_/_/_/_/_/_/_/ orr �Certificate of Coverage No.:
Facility Name: Arri R&CAu Fi i�?t k 1—L 1JiS}�i N0 , -7 NC
County: <STArJJ_Y Phone No. 't()4-9P,H-g252
Inspector: rntCKEY S-r4tjER
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): .3
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit"?
(See information below.)
9 Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall D scription:
Outfall No. QQ 1 f002 Structure (pipe, ditch, etc.) �i PE i �ULI (iP
Receiving Stream: )—oNS CRFrW
Describe the industrial activities that occur within the outfall drainage area: .&- ACN I)J Gy
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 40 CDL[ilZ- . C L&1P,,
3. Odor: Describe any
weak chlorine odor, etc.): _
nct odors that the discharge may have (i.e., smells strongly of oil,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
O 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
Ol 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
01 MARER M
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

JUL 21 2014
1 20�4 ll�U [ / CENTRAL FILES
�'- DWQ/BOG
CENTT RAL FILES A&UMA
0wnlBoG NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit.- http,//portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
Permit No.: N,
Facility Name:
County: 51'
Inspector: Ge drq Navwcod
Date of Inspection: l' 15-14
Time of Inspection:
Total Event Precipitation (inches): 3A
Was this a "Representative Storm Event' or "Measureable Storm Event" as defined by the permit?
(See information below.)
Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event' or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

�
[ '
l
�
.1
.�..
.
•
•
•
��
`
�` .
�
•
�
i..
�•
�
Y
_
..
_
� �� I
..
•. r. I
'
.,
i
' ILL.
r.
�..
.1'
:1
�
_
_
�
'. i
�
-
I
.,u. •.
. -
� �
�
I
.�.
..
�
I
. � �..
�

1. Outfall Description:
Outfall No. 001 100a Structure (pipe, ditch, etc.) p iTl rut) -0-R-
ReceivingStream: L-tfle Lonq Cre L
Describe the industrial activities thai occur within the outfall drainage area: 14fir i ; ronVtriir JI
ctJ0.VV I irlxnuFarilxiru rotlyr bulN WUthoisinA
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 110 CdQiV n0 511"n CI e0.r
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): n0 0ODY'
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
O 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
l.J
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
10 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes to
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
RjT�TJiir�S��C�i��]R9ILT4`�'Jd�=Ilrii7llS:
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

I

a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: N/C/�'/ or Certificate of Coverage No.: N
Facility Name: �JGa w z4r%,-r -rti'� Zr,2r Rw
County: 0,44'V ,- Phone No.
Inspector: l^ V
Date of Inspection: 60
Time of Inspection: h
Total Event Precipitation (inches): r ?t.z
Was this a Representative Storm Event? (See information below) ❑ems ❑ No
- f/- /
uw
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A `Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I cc" that [pi� report is accurate and complete to; the best of my knowledge:
(Signature of4l ermittee or Designee)
1. Outfall Description:
Outfall No. 4— Structur pipe itch, etc.
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
�---f1, 19.. -_ , T
2. Color: Describe the color of the discharge using basic colors (red, row lue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Z;:zoP��
Page 1 of 2
S WU-242-05 t 308

•e :.;�. .� ' _ . is ..w:�.,�
r-,

1. Outfall Description:
Outfall No. b Structure k1q, ditch, etc.)
Receivine Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 C4) 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with Floating solids:
1 2 3 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4� 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes �o
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2

,:..
�
r
..
,.
._
..
.z
r �.
r
:
r
:�
..
.,
,r.
.....
�,.
..�,
r
,
_ .
,....
..
r
, ,
r .. �{
r
:4'1�:
r
f
fi
i' I`f
7r.
..
f
r
..
.. 1 ..
• n
...
� ..
..
� r
r
r
a .� • ...
i a
(1. ..
4
..
..
1

&10�7
,,FaceAna1yAca1
wrr�xv�4
mm
Accounts Payable
Bryan's Soil & Stone
3092 Sam Usry Road
Oxford, NC 27565
Project: STORMWATER
Pace Project No.: 92210169
Sample: STORMWATER
Parameters
Total Suspended Solids
pH at 25 Degrees C
Chemical Oxygen Demand
ANALYTE QUALIFIERS
Laboratory Report
Pau Amly6ol S4.vlcm be
6701 Cardaccc Drive
Rat 41. NC Z7607.
(919)6.144994
Page 1 of 1
Report Date: 07/312014
Date Received: 07222014
Lab ID: 92210169001 Collected: 0721114 00:00 Matrix: Water
Results Units Report Limit Analyzed ouarifiers
54.7 mg/L 16.7 072W14 14:25
7.0 Std. Units 1.0 0724114 11:14 H6
32.0 mg)L 25.0 07r"14 22:30
H6 Analysis initiated outside of the 15 minute EPA recommended holding time.
/
Reviewed try:Y
Jon D Bradley
[e-mail]
Raleigh Certification IDS
6701 Conference Drive Raleigh, NC 27607
North Carolina Wastewater Certification II: 67
Asheville Certification for;
2225 Riverside Dc, Asheville, NC 288D4
Florida/NEIAP Certification II: E87648
Massachusetts Certification II: M-NCO30
North Carolina Drinking Water Certification V. 37712
North Carolina Bioassay Certification S: 16
North Carolina Drinking Water Certification II: 37731
North Carolina Wastewater Certification 1t. 40
South Carolina Certification 1t. 99030001
Wiest Virginia Certification II: 356
KugiroaAlEL.AP Certification II: 460222
Page 1 of 3

Naxio30 STORMWATER DISCHARGE OUTFALL
MONITORING REPORT
Permit Number: NCS —Uor
Certificate of Coverage Number: NC
i
FACILITY NAME Afheficcb, F�bar£ Finish;lw Tnr
PERSON COLLECTING SAMPLE(S) —�
CERTIFIED LABORATORY(S) Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Sftilt l tl
PHONE NO. (_-)
(SIGNATURE OF PERMJTI'EE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
-----------
-----------
-----------
-----------
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes Xno
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitnrina Rrmri,wronnrc
Outfall
No.
Date
Sample
Collected
50050
00530
00400
Total Flow
(if applicable)
Total R9infall
;00556
ease
Total
Suspended
Solidsmo/dd/
pH
New Motor Oil
Usage
r
MG
inches
Units
aVmo
Form SWU-o 12608
• • 1 of

STORM EVENT CHARACTERISTICS:
..Date -I -is —14
Total Event Precipitation (inches);
Event Duration (hours): _L (only if applicable —see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (itches):
Event Duration (hours): (only if applicable —see permit.)
.Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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 gatbering 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)
0
(Date)
Form SWU-2461j2608
ePa f 2

'~ r 4' FEB 2 4 2014
CENTRAL FILES
OWQIBOG
StorniNvatef Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit
Permit No.: N/C/ / /_/_/_/_/_/ or Certificate of Coverage No.: W.CIQ/ I / 7/ Ol O/ 0/0 /
Facility Name: Amuvao J Inc
County: Si anl� _Phone No. 70q qg4-9al'f
Inspector: Dei era Hayw000t
Date of Inspection:
Time of Inspection: 9 IS am
Total Event Precipitation (inches):
Was this a Representative Storm Event? (See Information below) ("Yes ❑ No
Please check your penrU to var(& ijQuallrallve Monitoring Muir be performed daring a nprenniative
storm event (reqult-enrerits vary).
A "Representadve Storm Event" is a norm event that measures greater than 0.1 Inches of rainfall and that
is preceded by at least 72 hours (3 days) In which no storm event measuring greater than 0.1 Inches has
occurred. A single storm event may contain up to 10 consecutive hours of no orwiciudon.
By thin signature, I oaMfy that this report Is accurate and complete to the boa of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. ran l /rb2, Structure (pipa, ditch, etc.) �, run - o�
rea
Receiving Stm. _ LrMe Wmi (✓2ot
Describe the industrial acdvItI thhat occur within the outfall drainage area: hlffadlitw . rJm"lig
z Color: Describe the color of the discharge using basic colon (rod, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ (10 e-o to rr ( I( l Par, ran shpi n
3. Odor: Describe any distinct odors that the discharge may have (Le. smells strongly of oil weak
chlorine odor,etc.): nn r1riny-
Page I of 2
SWU-242-112608

4. Clarity: Choose the nunilxr which best describes die clarity of tlac disclmigc, where I is clear
and 5 is very cloudy:
tO 2 a 4 s
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with flowing solids:
IO 2 3 4 5
G. Suspended Solids: Choose die number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extreniely muddy:
lO 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil shoen In the stormwater discharge? Yes No
9• Is there evidence of eroalon or deposition at tho outfail? Yes No
10. Other Obvious Indicators of Stormwalor Polludont
I).
Note: Low clarity, high solids, and/or the prosettoe of foam, oil sheen, or emloNdepaltlon nay be
Indicative of pollutant "posuro. Them oonditlons wannuit fludw Investigation.
Page 2 of 2
SWU-242-1 I2608

NGCY Iqoa�q
Pern:;t Number. NCS
t Certrf to of Coverage Number;
FACIIAYNAME AMexuah Fjf72YE �igi5i71
PERSON COI.LE(TING SAMPLES)
CERTIFIED LABORATORY(S)
Part A: Specific Monitoring ReW(rmemt
Outfau Date 5ppgp
No. Sample Totem T•ow
Collected Flow (if app ) Ram�D
t:., et:• ,..a• •.r.:ttI P
Ji C,
?C/
SAMPIM COLLBCT= DURDW. CAI"MAR re YEAR:
than
= than he reodvetl by the Division mo 30 days from
So daft Mebc tjtthesnmqftra Lambelaboratoay.)
COUNTY Sf
PHONE NO. (_ )
MGNATIIRE OF P11 Rwrm OR DESIGNEE)
By /ffissi�a0>ZS I ctzl$j tbat 19ds report is aoemste
complde to the beat t[my knowledge.
(fie complete art Perform Vehicle Mamecaance At:pviti's 9 mate 1mm 55 gallons of new moor oil per march? _ yes !Loo
Part
VutfaD I Irate
No. Sample
Collected
(B applicable)
New Motor
UMV
Form SWU-246-112608
i�, Pa'' of 2

Date
Total Event Predpitation
Event Duration (boars):?, (only if appSea6te-see per)
(if more than one storm event war empied)
Date
Total Event prodplitatim (Mcbes):
Event Duration (bou s)' (ashy if _ sm I
Haft WOW and ow Dopy to
D Mnacoa of water Qat'6y
Atm: Csat d Files
1617 Mail Service C,morr
Rdeigt. tiara Qaolma ZM9-1617
"I certify, tinder penalty of law, that this dock and all at o6o"b were Wqetred tnder my men or vision m aaordance catty a
system designed to assure that quail led personnel property i and evslmte The or persons who manage the system or those infortmtba snb�. Based on my bxq of the person
of my knowledge and bed true, accurate, r�pousrbm for information, the infarmatioa sti!>� is, to the best
including the possibility of toes a� �eI8maware vhOlatims.there are sigoiBeRW penalties for submitting false information,
(signature of Pe utter) Z - / 9-
Form SwU-246-112608
Pa g of 2

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling old this form, please visit litti)s://deg.iic.eov/about/divisions/ciierey-mineral-land-
resourccs/mietgy-m i nci aI -I and-puntits/stormwaIcr-ncrmi is/n pdes-i ndustri❑ I-sw#tab -4
Permit No.: N7C/6/l/1/ dam' / 6 /�/ or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Facility Name: Afn&izi e AN as 1,) U5 )A IIVC,, inPC.
County: S rANt-Y Phone No. (-lot-l) 9 ,;6'1 - Q 2 S 2
Inspector: /VLtCK£? S'rdtvjE_
Date of Inspection: 6 /-7CiP,
Time oflnbpection: U(j a.m.
CENTRAL FILES
Total Event Precipitation (inches): e I $ DWR SECTION
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event' is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
of Yefmittee or Designee)
1. Outfall Description:
Outl:dl No. Oo 11co Structure (pipe, ditch, etc.): PIPS , R_cJN— OrF-
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
S W U-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: CL,6ARy NG SY-kFFnI� No CnLOK
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): nja 013nlZ
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
G2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
storntwatcr discharge, where I is no solids and 5 is the surface covered with floating solids:
Q 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
OI 2 3 4 5
7. Is there any foam in the stormwater discharge? Q Yes ® No
8. Is there an oil sheen in the stormwater discharge'? QYes ® No.
9. Is there evidence of erosion or deposition at the outfall'? o Yes ®No
10. Other Obvious Indicators of Stormwater Pollution:
' C
.� a W` `. •.•
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
S W U-242, Lnst modified 07/28/2017

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
hbr guidance onfilling out this form, please visit https7//den nc eov/ibowl/(livisions/eiier,;v-minerlil-Pmd-
resources/enerw-mi neraI-land-permits/stormwater-perm is/nRdes-industrial-swgtab-4
Permit No.: N/C/G/_L/Z/ or Certificate of Coverage No.: N/C/G/_/_/_/_/_/_/
Facility Name: ArfI e A N T1132f1 E PLtJI5;'AII)V? _rr4Q.
County: -,S i AN y Phone No. C-7OLA) i 4,L1
Inspector: MII KEc,
Date of Inspection: /'7 4 26 i
Time of Inspection: ' (30 0. OA
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "treasurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permit tee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DBMLR
Kcgional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Peimit(ee or Designee)
I. Oulfall Description:
Outfall No. C , I ZL,2Structure (pipe, ditch, etc.): PiPF s Pia— OFF
Receiving Stream: -
I it F_ Lx;rjG 4 2fEK
Describe the industrial activities that occur within the outfall drainage area:
Pagel of2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 1_6AR. NC> Fr4 N tc, CL1LofL
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weals
chlorine odor, etc.): non smog- ,J y-I�F'Ce--fFA
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
U 2 3 4 5
>. Floating Solids: Choose the number which best describes the amount of floating solids in the
sttumwater discharge, where l is no solids and 5 is the surface covered with floating solids:
Q 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
V 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes ® No
8. Is there an oil sheen in the stormwater discharge? Oyes ®No.
9. Is there evidence of erosion or deposition at the outfall? o Yes ®No.
10. Other Obvious Indicators of Stormwater Pollution:
List:mddescribe ali C oit.DtrJGr P%2dC'ESS OR iQkpt PreSFx-F SIK4
^Si SniSPfCTlc5n1 4LL �rraRa6F ArvKS t.)TE,F�PtY.N6.5Pt11S
LJ h'1<- N-' E-4ipErJCF
di' At4v
S-"rt-L-5n i • IA-t'rK
!.�!AS ACAIWC ZL. I ri-Y.
�'f7e4ti �A'tl \rJ$
«'r�l�nd�£S
AND Ff,c C-
AT 6u-0 ALL'rt I % IUA AKn
Cl. 'T Az L 2
A 2FA P4-AS
)T f iC--,c IOJA G G o .
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
sWU-242. Last modified 07/28/2017