NCS000289_MONITORING INFO_20181114

---STORM WATE R-D IVISI ON-CODI NG-SH EET
PERMIT NO.
DOC TYPE
❑ FINAL PERMIT
K MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ �1017
YYYYM M DD

SHIDCESTORE
(w)
June 08,2018
Division of Environmental and Natural Resources
North Carolina Division of Water Quality
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Central Files
Please find enclosed copies of our NPDES Storm Water Monitoring reporting forms. The results on
these forms are completed to the best of our knowledge.
These samples were taken during a rainstorm on May 16, 2018. The rainfall from this storm event was
0.7 inches of rain. The rainfall was measured by a rain gauge manufactured by Taylor Precision Products,
Oak Brook IL 60523. This flow was calculated based on the amount of area draining to the different
outfalls, the amount of build -upon (impervious area), and the total amount of rainfall. Based on this
storm event, we had the following flow from the designated outfalls:
OUTFALL#
FLOW IN MGD
1
1.234
3
1 1.310
As always, we continue our efforts to comply with the limits of our NPDES Storm Water permit.
If you have any additional questions or need addition information, please feel free to contact me at
[phone], Extension 5293.
Sincerely,
Bridgestone -Band C
rray Bat ,
Environmental Coordinator
RECEIVED
JUN 0 8 2010
DENR-LAND QUALITY
STORMWATER PERMITTING
Bridgestone Bandag LLC
505 West Industry Drive
Oxford, NC 27565
Tel [phone]

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000281 SAMPLES COLLECTED DURING CALENDAR YEAR: 2018
(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 BRIDGESTONE-BANDAG. LLC COUNTY GRANVILLE
PERSON COLLECTING SAMPLE(S) .Icrrav Battle PHONE NO. [phone]
CERTIFIED LABORATORY(S) PACE ANALYTICAL Lab # 67
Lab #
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Part A: Specific Monitoring Requirements
Outfall
Date
50050
No.
Sample
Collected
Total
Flow if a
Total
Rainfall
TSS
BOD
*PH
TOTAL
NITROGEN
PHOSPHOROUS
ZINC -
mo/dd/yr
MG
inches
m /L
m /L
Std. Units
m /L
m /L
m /L
001
05/16/18
1.234
0.7
0.412
6.0
6.25
1.5
0.32
0.435
003
05/16/18
1.310
0.7
0.242
21.3
6.50
4.7
0.32
1.03
*pH taken at time of sample.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no
(if yes, complete Part B)
RECE/v D
JUN Y 3 2018
CENTRAL R
CI"✓'� s�crloA,-
Form S WU-247. lost revised 21212012
Page I of 2

STORM EVENT CHARACTERISTICS:
Date 5/16/2018
Total Event Precipitation (inches): 0.7
Event Duration (hours): I (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
Adn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, tinder penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of tines and imprisonment for knowing violations."
0�
(Date)
Form S WU-247, lust revised 21212012
Page 2 of 2

lace Analytical
mrwpacelabir=
May 31, 2018
Jerray Battle
Bridgestone Bandag
505 West Industry Drive
Oxford. NC 27565
RE: Project: Monthly
Pace Project No.: 92385038
Pa ce An a lyticaI Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Dear Jerray Battle:
Enclosed are the analytical results for sample(s) received by the laboratory on May 17, 2018. 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,
0" qq, Pxu axti
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
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aceMalytical s
w pacelabs.=
Project: Monthly
Pace Project No.: 92385038
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
FloridalNELAP 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
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 2 of 16

laceAnalytimlo
i wwpscelehs.mrn
SAMPLE ANALYTE COUNT
Project: Monthly
Pace Project No.'. 92385038
Pa ce An a lyticaI Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Lab ID
Sample ID
Method
Analysts
Analytes
Reported
Laboratory
92385038001
Outlet 001
SM 2540D
NMH
1
PASI-E
SM 5210B
KKP
1
PASI-E
EPA 200.7
SH1
1
PASI-A
TKN+NO3+NO2 Calculation
DMN
1
PASI-A
EPA 351.2
BRJ
1
PASI-A
EPA 353.2
DMN
1
PASI-A
EPA 365.1
CJH1
1
PASI-A
92385038002
Outfall 003
SM 2540D
NMH
1
PASI-E
SM 5210B
KKP
1
PASI-E
EPA 2003
SH1
1
PASI-A
TKN+NO3+NO2 Calculation
DMN
1
PASI-A
EPA 351.2
BRJ
1
PASI-A
EPA 353.2
DMN
1
PASI-A
EPA 365.1
CJH1
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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Page 3 of 16

Pace Analytical Services, LLC
aceAnalytical o
6701 Conference Drive
Raleigh, NC 27607
m w.pscelebtu=
[phone]
ANALYTICAL RESULTS
Project: Monthly
Pace Project No.: 92385038
Sample: Outfall 001 Lab ID: 92385038001 Collected: 05/16/18 15:00 Received: 05/17/18 08:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
412 mg/L
23.8
1
05/21/18 13:48
5210E BOD, 5 day EDN
Analytical Method: SM 5210B
BOD, 5 day
6.0 ni
2.0
1 05/18/18 12:50
05/23/18 13:10 B3
200.7 MET ICP
Analytical Method: EPA 200.7 Preparation Method: EPA 200.7
Zinc
435 ug/L
10.0
1 05/25/1818:50
05/26/1816:08 7440-66-6 P8
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Total Nitrogen
1.5 mg/L
0.52
1
05/31/1809:47
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2
Nitrogen, Kjeldahl, Total
1.2 mg/L
0,50
1
05/31/18 00:53 7727-37-9
353.2 Nitrogen, N021NO3 pres.
Analytical Method: EPA 353.2
Nitrogen, NO2 plus NO3
0.26 mg/L
0.020
1
05/24/18 18:20
365.1 Phosphorus, Total
Analytical Method: EPA 365.1
Phosphorus
0.32 mg/L
0.050
1
05/25/1806:23 7723-14-0
REPORT OF LABORATORY ANALYSIS
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laceAnalytical
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ANALYTICAL RESULTS
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: Monthly
Pace Project No.: 92385038
Sample: Outtall 003 Lab ID: 92385038002 Collected: 05/16/18 15:10 Received: 05/17/18 0845 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
242 mg/L
20.0
1
05/21/18 13:48
5210E BOD, 5 day EDN
Analytical Method: SM 5210B
BOD, 5 day
21.3 mg/L
2.0
1 05/18/18 12:50
05/23/18 13:10 B2,133
200.7 MET ICP
Analytical Method: EPA 200.7 Preparation Method: EPA 200.7
Zinc
1030 ug/L
10.0
1 05/25/1818:50
05/26/1816: 11 7440-66-6 P8
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Total Nitrogen
4.7 mg/L
0,52
1
05131/18 09:47
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2
Nitrogen, Kjeldahl, Total
3.1 hi
0.50
1
05/31/18 00:54 7727-37-9
353.2 Nitrogen, NO2/NC3 pres.
Analytical Method: EPA 353.2
Nitrogen, NO2 plus NO3
1.6 ni
0.020
1
05/24/18 18:21
365.1 Phosphorus, Total
Analytical Method: EPA 365.1
Phosphorus
0.32 nrl
0.050
1
05/25/18 06:24 7723-14-0
REPORT OF LABORATORY ANALYSIS
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aceAnapical
wwwpatalabamm
QUALITY CONTROL DATA
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: Monthly
Pace Project No.: 92385038
QC Batch: 411609
Analysis Method:
SM 2540D
QC Batch Method: SM 2540D
Analysis Description:
2540D Total Suspended Solids
Associated Lab Samples: 92385038001, 92385038002
METHOD BLANK: 2283479
Matrix:
Water
Associated Lab Samples: 92385038001, 92385038002
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 05/21/18 13:47
LABORATORY CONTROL SAMPLE:
2283480
Spike
LCS
LCS % Rec
Parameter
Units
Conic.
Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250
250
100 90-110
SAMPLE DUPLICATE: 2283481
92385204001
Cup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
204
268 27 D6
SAMPLE DUPLICATE: 2283482
92385206005
Dup
Parameter
Units
Result
Result
RPD Qualifiers
Total Suspended Solids
mg/L
482
596 21 D6
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: 05/31/2018 09:49 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 16

(�IaceAnalyfical*
rtmwpacelebsoorn
QUALITY CONTROL DATA
Pa cc An alyticaI Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: Monthly
Pace Project No.: 92385038
OC Batch: 411357
Analysis Method:
SM 5210B
QC Batch Method: SM 5210B
Analysis Description:
52106 BOD, 5 day EDN
Associated Lab Samples: 92385038001. 92385038002
METHOD BLANK: 2282149
Matrix: Water
Associated Lab Samples: 92385038001, 92385038002
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
BOD, 5 day
mg/L
ND
2.0 05/23/18 1310 B3
LABORATORY CONTROL SAMPLE:
2282150
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
BOD, 5 day
mg/L
198 199
101 84.6-115.4 B3
SAMPLE DUPLICATE: 2282151
92385050001 Dup
Parameter
Units
Result Result
RPD Qualifiers
BOD, 5 day
mg/L
4.8
4.4 9 B3
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: 05/31/2018 09:49 AM without the written consent of Pace Analytical Services, -I-C.
Page 7 of 16

aceAnalytical
www.pacelabacorn
QUALITY CONTROL DATA
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: Monthly
Pace Project No.: 92385038
QC Batch: 412440 Analysis Method: EPA 200.7
QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET
Associated Lab Samples: 92385038001, 92385038002
METHOD BLANK: 2287758 Matrix: Water
Associated Lab Samples: 92385038001, 92385038002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Zinc ug/L 10.8 10.0 05/29/1810*04
LABORATORY CONTROL SAMPLE: 2287759
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Zinc ug/L 500 458 92 85-115
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2287760 2287761
MS MSD
92384491001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Zinc ug/L 13.8 500 500 474 480 92 93 70-130 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2287762 2287763
MS MSD
92385078001 Spike Spike MS MSD MS MSD e/ Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Zinc ug/L 0.18 500 500 646 645 92 92 70-130 0
mg/L
Results presented on this page are in the units indicated by the"UNts" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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Page 8 of 16

(�IaceAnalyfical*
o»wpecell com
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
QUALITY CONTROL DATA
Project: Monthly
Pace Project No.: 92385038
QC Batch: 412765 Analysis Method: EPA 351.2
QC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN
Associated Lab Samples: 92385038001, 92385038002
METHOD BLANK: 2289660
Associated Lab Samples: 92385038001, 92385038002
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
LABORATORY CONTROL SAMPLE: 2289661
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 0.50 05/31/1800:43
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
10 9.8 98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2289662
2289663
MS
MSD
92384514001 Spike
Spike
MS
MSD
MS
MSD % Rec
Parameter Units Result Conc.
Conc.
Result
Result
% Rec
% Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 77.8 10
10
180
178
1030
1010 90-110 1 M6
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2289664
2289665
MS
MSD
92385193001 Spike
Spike
MS
MSD MS MSD
% Rec
Parameter Units Result Conc
Conc,
Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 4.1 10
10
14.7
14.4 106 103
90-110 2
Results presentee on this page are In the units Indicated by the "Units" column except voters 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: 05/31/2018 09:49 AM without the written consent of Pace Analytical Services, L-C.
Page 9 of 16

laceAnalyficalo
w pacelabs.com
QUALITY CONTROL DATA
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project: Monthly
Pace Project No.: 92385038
QC Batch: 411822
Analysis Method: EPA
353.2
QC Batch Method: EPA 353.2
Analysis Description: 353.2 Nitrate + Nitrite, preserved
Associated Lab Samples: 92385038001, 92385038002
METHOD BLANK: 2284626
Matrix: Water
Associated Lab Samples: 92385038001, 92385038002
Blank
Reporting
Parameter Units
Result
Limit
Analyzed Qualifiers
Nitrogen, NO2 plus NO3 mg/L
NO 0.020
05/24/18 18:01
LABORATORY CONTROL SAMPLE: 2284627
Spike
LCS
LCS % Rec
Parameter Units
Cone.
Result
% Rec Limits Qualifiers
Nitrogen, NO2 plus NO3 mg/L
2.5
2.5
100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2284628
2284629
MS
MSD
92385246014
Spike
Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone.
Cone. Result
Result % Rec % Rec
Limits RPD Qua]
Nitrogen, NO2 plus NO3 mg/L ND
2.5
2.5 2A
2.4 98 98
75-125 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2284630
2284631
MS
MSD
92385038002
Spike
Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone,
Cone. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L 1.6
2.5
2.5 4.0
3.9 93 92
75-125 1
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: 05/31/2018 09:49 AM without the written consent of Pace Analytical Services, LLC.
Page 10 of 16

0
aceAnalytical
m ..pacela6amm
QUALITY CONTROL DATA
Project: Monthly
Pace Project No.: 92385038
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
QC Balch: 411865
Analysis
Method:
EPA 365A
QC Batch Method: EPA 365A
Analysis
Description:
365.1 Phosphorus, Total
Associated Lab Samples: 92385038001, 92385038002
METHOD BLANK: 2284890
Matrix:
Water
Associated Lab Samples: 92385038001,
92385038002
Blank
Reporting
Parameter
Units
Result
Limit Analyzed Qualifiers
Phosphorus
mg/L
ND
0.050 05/25/1806:11
LABORATORY CONTROL SAMPLE: 2284891
Spike
LCS LCS % Rec
Parameter
Units
Cone.
Result e/ Rec Limits Qualifiers
Phosphorus
mg/L
2.5
2.6 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2284892
MS
92385324005 Spike
Parameter Units Result Cone.
Phosphorus ni 1.15 2.5
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2284894
MS
92385038002 Spike
Parameter Units Result Cone.
Phosphorus mg/L 0.32 2.5
2284893
MSD
Spike MS MSD MS MSD % Rec
Cone. Result Result % Rec % Rec Limits RPD
2.5 3.5 3.6 94 96 90-110 2
2284895
MSD
Spike
MS
MSD MS MSD
% Rec
Cone.
Result
Result % Rec % Rec
Limits RPD
2.5
2.9
3.0 104 106
90-110 2
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
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Dale: 05/31/2018 09:49 AM without the written consent of Pace Analytical Services, LLC.
Qual
Qual
Page 11 of 16

Pace Analytical Services, LLC
Drive
aceAnalytical' 67°' Conference NC 7607
Raleigh, NC 27607
wpaceleba.tom
[phone]
QUALIFIERS
Project: Monthly
Pace Project No.: 92385038
DEFINITIONS
OF - 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.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
POL- Practical Quantilation Limit.
RL- Reporting Limit -
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 of Acrolein 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.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
B2 Oxygen usage is less than 2.0 for all dilutions set. The reported value is an estimated less than value and is calculated
for the dilution using the most amount of sample.
B3 The dissolved oxygen depletion of the dilution water blank exceeded 0.2 mg/L.
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
P8 Analyte was detected in the method blank. All associated samples had concentrations of at least ten times greater than
the blank or were below the reporting limit.
REPORT OF LABORATORY ANALYSIS
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laceAnalyfical'
r ..peceleba.cum
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
6701 Conference Drive
Raleigh, NC 27607
[phone]
Project:
Pace Project No.:
Monthly
92385038
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92385038001
Outfall 001
SM 2540D
411609
92385038002
Outfall 003
SM 2540D
411609
92385038001
Outfall 001
SM 5210B
411357
SM 5210B
411378
92385038002
Outfall 003
SM 5210B
411357
SM 5210B
411378
92385038001
Outfall 001
EPA 200.7
412440
EPA 200.7
412552
92385038002
Outfall 003
EPA 200.7
412440
EPA 200.7
412552
92385038001
Outfall 001
TKN+NO3+NO2
413113
Calculation
92385038002
Outfall 003
TKN+NO3+NO2
413113
Calculation
92385038001
Outfall 001
EPA 351.2
412765
92385038002
Outfall 003
EPA 351.2
412765
92385038001
Outfall 001
EPA 353.2
411822
92385038002
Outfall 003
EPA 353.2
411822
92385038001
Outfall 001
EPA 365.1
411865
92385038002
Outfall 003
EPA 365A
411865
Date: 05/31/2018 09:49 AM
REPORT OF LABORATORY ANALYSIS
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without the written consent of Pace Analytical Services, LLC.
Page 13 of 16

Document Name: Document Revised: Feb,
nditlon Upon Receipt(SCUR) I . PaRe 1 of 2
No.:
Laboratory receiving samples: L
Asheville ❑ Eden❑ Greenwood ❑ Huntersville ❑] Ralelgf�j'I Mechanicsville[]
Client Name: Project f,` wo '2r35®38r
Brad SMne yBn
❑Courier: QFed Ex [JUPS ULISPS (lent r IIGII�IIILIII�II=I��II �II'
Commercial QPace ❑Other.
r-n92385038
Custody Seal Present? Dyes Of< Seals Intact? []Yes ❑No .t 1
Date/Initials Person Examining Contents: r 1 I NMIw
Packing Material: []Bubble Wrap QBubble Bags [lone ElOther Biological Tissue Frozen? I
Thermome er, ������ �,QYes ❑No ❑N/A
IR Gun ID:��l/ Type of Ice: C3/wet ❑glue ❑None
Cooler Temp('C): Qa (p Correction Factor: Add ubtra('C)
Temp should be above freezing to 6'C
Cooler Temp Corrected ('C): ❑Samples out of temp criteria. Samples on Ice, cooling process
USDA Re ulated Soil has begun
B (QN/A, water sample)
Old samples originate In a quarantine zone within the United States: CA, NY, or SC (check maps)? old samples originate from a foreign source (internationally,
,
Oyu ❑No including HT.- (( and Puerto Rico)?❑Yes ❑No
Chain of Custody Present?
rs
ONO
N/A
Comments/olscrep ancy:
L
Samples Arrived within Hold Tme?
Yes
'❑No
❑N/A
2.
Short Hold Time Analysis (c7-I —
es
ONG
ON/A
3. QQ
Rush Turn Around Time Requested?
❑Yes
o
N/A
4.
Sufficient Volume?
er
ONO
❑N/A
S.
Correct Containers Used?
-Pace Containers Used?
Yes
ONO
No
❑N/A
❑N/A
6.
Containers intact?
es
No
N/A
7.
Dlssolved anal Is: Sam 10 Field Filtered?
Yes[IN.
N/A
S.
Sample labels Match COC7
-Includes Datefflme/ID/Analysis Matrix:
Cryu
ONO
❑N/A
9.
Headspace in VOA Vials (>S-6mm)?
Yes
No
10. '
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
QY.
ONO
EIN.
N/A
N/A
11.
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION Lot ID of split containers:
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review: CU
Date/Time:
Field Data Required? ❑Yes FIND
Date:
Date:
Page 14 of 16

f
\n
I � Document Name: Document Revised: February 7, 2018
Sampte Condition Upon Rerelpt(SCUR) Page l of 2
i CBAIk11ytIC9j' Document No.; Issuing Authority:
*Check mark top half of box If pH and/or dechlorination Is Project Its 1 1 g��
verified and within the acceptance range for preservation �AIO.#` 92385®38�
samples. PM: pM6 ° bue Date; 65/'29/.11
Exceptions: VOA, Conform, TOC, Oil and Grease, DRO18015 (water) DOC, LLHg tCdENT,:"'91tBandag `
"Bottom half of box is to list number of bottle I I,
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pH Adjustment Log for Preserved Samples
Sample ID
Type of preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of preservative
added
Lot x
Net, Whnv v..th...
t.. wt............_u__.�__.�_�..
- -• ---- . - -" —•-•• •-.......... .o���w.:+, u suer �� u,n mnn wm oe Sens or me Horn lama lmvtmNR cartitlatlon Office ll.e.
Out of hold, incorrect preservative, out of temp, incorect containers.
Page 15 of 16

�2
CHA&N-OF-CUSTODY /Analytical Request Document
The rhail Wustody Is a LEGAL DOCUMENT. AD relevant fields must be completed accurately.
A
A cum S*.Oc� C
Report To:
For
V1 N-�
COLL
ECTED
4
prese"alwe,
P.`
SAMPLE ID
0" Cher wr e.END
laamwt
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DATE
TIME
DATE
TIME
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S* SAMPLER:run&
a

.I�
'{ STOR WATER DTSCHARGE OL'"LFALL;SDO)
MONITORTFG REPORT
Permit Nu ber: NCS r6 � $1? --
Certineate of Coverage Setmber: NCG _
or
SAStPLES COLLECTED D[;RLNG CALENi)AR YEAR:- --
(This ma:.itn r4ag report shsd[ he received by the Divisioa no later man 30 days from
the date the facility receives the sampbng rez . is Cram the laboratory.)
FACILM' :1A'KE S �•f "6 IZ .{` V`-'�rZs
PERSON COLLECTLtiG SAMPLE(S}.e1� 'r�- a -���• ��I\/�®
CERTTFTED LARORATORY(S) C_ Lab
Tab u
JAN 19 2018
Part A: Spec N-!Oafoxing Requirements DWRSECTION
T ON PROCESSING UNIT
11
COLIiTY _ _ Q.li +L
PHQtv.-ENo
/(S
(SIGNATURE OF PtF—tiLI7TEE OR 6ESTG?��:E)
By this signature, f cercfc tLat this report is acc grate
complete to the best of try'vulowiedge.
usWe -etc f:^a:."gamic.^.s c`:.e',�• mocc: a: r ::`:cz:' _ ;c.s ' cc
(5 vcs; compictc Par. 3)

t�STORM EVEN7CH: -R-ACTERLSTTCS:
Date
Total Event Precipitaboa (inches):
Event Dec: ation (hours): (or-, L apphcabie - scc pe.^_i[.
(� � more : a : o :e s:c^s- C,Sr.t 'as s=plccj
Date
Total Event Precipitation (inches"':
Event Duration (licu:'s): sw
MaH Original and one copy
D:vsicn c; Wa:e. QuaaCy
1 6.7 V a ii scmcc Ccr.:cr
R:ucigh. No:th C oL na 27,59c-16:'
"I certify, under penalty of Lace, that L:is document and all attachments were prepared under try direction or supervsnn in accordance k'•:t: a
system designed to assure that qualified personnel propc-!y ga,_hcr and evaluate tEe infor=tion submitted. based on n.y inqu -y of t::e person
or persons who manage the system, or hse operson ff directly rtotvsible for gathering the inforutaaoc, the in.`o;,ia _oa submitted is. to cite best
of env knowledge and belief; trite, accurate, and complete_ l ant aware that :he.r: a.-e signL5cact peeaities for sub: utr-ng faLse
inciu ding the possibii:ty of fines and impr_sontnctu for knocv:ng vioiaboms."
Pertrmtcec)�����

STORMWATER DISCHARGE OL'I"FALL'SDO)
MONITORING REPORT
O
Permit Number::CS r� $ 1 or
Certificate of Coverage Number:
IN G
Part A: Specific kJoniforing Requirements
SAMPLES COLLECTED DURLNG 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 labor2wo )
COUti'R' U—lf inn
PELONE NO.
(Sv IGtiATT-RE OF PIERNel-ITE OR DESIGtiTEE)
By this signature, I cercfy that this report is accurate
complete to Lie best of my icnowiedge.
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(if yes; complete Part B)
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STOR_%I EVENT CFL4RAC FRiSTICS:
Dite
Total Event Precipitation (incbes):
Event Duration (hours): (only if app Lcabic - sce permit.)
(�_' ore d= one stem e:er.t was sampled)
Date
Total Event Precipitation (inches): _
Event Duration (hca:s): (only i.` appiicabic -see pe.��it.)
Mail Origmal and one copy to:
Divis.c, c' %Vater Quaii^+
A,- : Ce-t-2i l.iies
1617 Sta_i Service Cen Ltr
Ralcig`.:. No--" Ca=o!ina 2-1699-;E; 7
"I certify, trader penalty of law, that this document and all attachments were prepared under my direction or superc^sion in accordance with a
System designed to assure that quaii6ed personnel properly gather and evaluate the information submitted. Da_sed on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the iaforutation submitted is. to dle best
of my knowledge and belief, true, accurate, and complete. 1 am aware dent there arc significant penalties for submitis$ false mfo r, tCon,
including the possibility of Ernes and imprsoumeat for lmowing violations."
t�-lf i
afore �f Percmttce)
at 1

STORM WATER DISCHARGE OI:-ITALL (SDO)
NIOtiITORING REPORT
O
Permit Number: 'SCS 02>(�' �� � or
CerrScate of Coverage Number: .NCG
FACELM' NA!.IE S 6t.a'>6-44 A.{l W OO�J'. kCP�S Lly-
PERSON COLLECTLNG SA.MYLE(S) - CZrl- a_s1 r-j
CER"IFTED LABORATORY(S) �5C —Lab;, -375
Lab u -
Part A: Speck Monitoring Requirements
SA_WfPLES COLLECTED DURING CALEN-DAR YEAR: _
(This monitoring report shy[ be received by the Division nc later than 30 days from
the date the facility receives :he sampling results from the laboratcrv.)
COLrtiTY 4a.ti Tt1?C.
PUDNE NO.
nS GNATLTZE OVPEfiKU -IF.E OR DESIG`'EE)
By this signature, I certify that this report is accurate
complete to the best of my knowiedge.
/�`..
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Does this facility perform Vehicle Mairtenance Activin-es us.ag tio:c than 55 galions of new motor oil Per month- _ yes X'no
(if yes; complete Part B)
Part R- Vehicle Maintenance Activity Monitoring Requirements
v
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STORM P�'"EN7' CKARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Dtaatioo (hoeus): (only Lf alp Ccabie - sce permit.)
(°1 =re t!:ar. cue stc.^:: cye.^.t v M saaplec)
Date
Total Event Precipitation (inches):
Event Duration (hours): (oWly r` applicable - see per i:.?
!Mail Original and one copy to:
5 i7 Ma'.1 sccti'ice Cc,ys
Ralcig'n. %o^h Carolma 27699-:6 i'
"I certify, under penal"' of Law, that this document and all attachments were prepared under my direction or snperv^sion in accordance with a
system designed to ass= that qualified personnel property gather and evaluate the information submitted. Based on my iaga:-y of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the iafonaeon submitted is. to the F
rest
of my icnowiedge and belief, true, accurate, and complete. I am aware that there arc signiricart penalties for submittag fa[se info r-nation.
indad_ing the possibility of Genes and imprsonment for Imo' ng violations."
"�"
( gratc:re e.` Perrmttee) ��

STOR-%IWATER DISCHARGE OUITALL (SDO)
MONITORING REPORT
�t
Permit Number: NCS
CerrMicate of Coverage Number: NCG
FACILIT'NANtE
PERSON COLLECTLNG SAMTLE(S �-'
AR �tc-f
CERTIFIED LBORATORY(S) SC v Lab a 37j
Lab a
Part A: Specific Momforing Requirements
SAIMPLES 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 laboratcR-)
COUNTY 0-1I
BROIN-E NO. E
(SIGNATURE OF PER E OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to Lhe best of my knowiedge.
RECEIVED
P �v��as
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e.
Does this faciLty perform Vehicle Maimcnacce .Acd: the using more tin: 55 gaHons of new motor oii per meat_'^.? _ yes 4-120
(if yes; complete Part B)
v-. P. Vobi.-to Main tunanrr Arrivitv Mnnitorinv Renuirements
of-. -.�i _
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tt= R 'i44i. '�" yy +�.'�Qi' M1`f`�g•]..<y�.'i r��il
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a

s COR14 EVENT CHAR4CCERIS 1 ICS:
Date
Total Event Pr ecipitzbun (inchesi: —
Event Dtration (h=t ): (caly is appiicab:e -sec ^ermit.)
(iv° more ;.hoc one stem event was sa_:.pled)
Date
Total Event Precipitation (inches':
Event Duration (hones): (or!c r°appi:cabc - see
Mad Original and one caps' to:
Divisicr. of
Anr.: Ce.'sai P1es
! 6: ; tita:: Service Cen:rr
Raicig` ^%o^`' Carolina 27699-:6;
"I certifv, under penalty of Law, that tbis document and all attachments were prepared tinder my direction or supervision in accordance with a
system designed to assure that qualified personnel property gather and evaluate the infortn2aau submitted. Based on my Lngn:ry of the person
or persons who manage the systern, or those persons directly responsible for gathering the information, the ia.`ormahan submitted is, to the best
of ray knowledge and belief; true, accurate, and complete. I nm aware that :here are significant penalties for submitting faLse info rtnaCon,
including the possibulty of times and iiimprim saneat for knowing violatioas."
'Ls
( attire of Perenittee)

At
Permit Number: NCS or
Certificate of Coverage Nttmber: NCG
STORMWATER DISCHARGE OLZ'FALL {SDO)
MONITORPvG REPORT
_ SA_NITLES COLLECTED DCRLtiG CALE\"DAR YEAR: _ -
(This monitoring report shaE be received by the Division no later than 30 days from
the date the facrlity receives the sampling results from the laboratory.;
FACLLM' NAME S I�Lf%6 _k% (2�cr✓G/s
PERSON COLLECTLIG SA -MT, F(S�-'?-�
CERTIFIFDLABORATORY(S) SC Labli 7���I`1�9�
Lab n b
Part A: Sp, c fic Monitoring Requirements
AUG 22 2018
CENTRu L FILE
COUNTY 4CLij i
.d
(SIGNATTIRE OF PE tI"I"['EE OR DESIGM1EE)
By this signature, I certify that this report is accurate
complete to the best of my knowiedge.
'C @ 1 i : "�+ > # �r 3ti'G.'3i' .'M�' ��;�,,� °fit i`i !v'r'�•I� a'A r'iF�'p'+�
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I.:: �'Y� �5. xl't�''��� s'.`A���I'+�>�f�' 9i �e y 1 . 'r b� wlCi s.• '°e:.� F�N&���Hj
(
d�
Does this facility perform Vehicle Maimznacce .Acn ^:es using t o c than 55 gallons of new motor. o pPr mon,',. _ yes co
(if yes; complete Part B)
Part R• Vehirle Maintenance Activitv Monitoring Requirements
w•.�L���'Ic��R'.'1"�,..QS
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STORM EVEN-T CHARACTEKLS"i ICS:
Date
Total Event Precipitation (inches): _
Event Duration(oniy'f app L'cabie
(Lf Liore than one s[c " --vcn: was sampled)
Date
Total Event Precipitation (inches):
Event Du -ration (hcurs): CoWv i° applicable — see
Mail Original and one cope to:
Divisic: o[ Watcr Qcaii^:
Ann: Cer.t ai Flies
6 i' Masi Ss.v= Center
Cairo! as 27t9S-:6�
''I certify, under penalty of Law, that this document and all aC,achments were prepared reader my direction or snperc^s.on in accordance with a
system designed to assure that gtraliGed personnel properly gather and evaluate we informatioc submitted. Rased ec my ingniry of Lke person
or persons who manage the system, or those persons directhv responsible for gathering the informaion, the iaformation submitted is. to the hest
of my knowledge and belief; true, accurate, and complete. : n_m aware that there are significant penalties for submitting faLse info r=tion,
including the possibdi ry of fines and imprisonment for lmow:ng violatioms."

Permit Number NCS�
Certificate of Coverage Number: NCG
STOR.MWATER DISCHARGE OUTFALL (SDO)
MONTIORING REPORT
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.)
FACILITY NAME S(1t..o+• WO ve �G. RECEIVED COLIVTY 0.lc iti L
PERSON COLLECTING SA_MYLE(S a ads_
CERTIFIED LABORATORY(S) SC Lab # JUL 0 9 2018
Lab # CENT" SIGNATURE OF PE LITTEE OR DESIGNEE)
L FILES B thus signature, I certify that this report is accurate
DWR SECTION complete to the best of my knowledge.
Part A: Specific Monitoring Requirements
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Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of aew motor oii per month.? _ yes 4-no
(if yes; complete Part B)
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STORM EVEhT CRARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date Attn: Central Files
Todd Event Precipitation (inches): _ 1617 Mad Service Center
Event Duration (hours): (only if applicable — sce pern 0 Ralcigh, North Carolina 27699-i 6 i 7
(if more than one storm event was sar pled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.).
"I certify, under penalty of law, that this document and ail attachments were prepared trader 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 ;hem am significant penalties for submitting false information,
including the possibiRy of fines and imprisonurent for knowing violations." -

STO RM W ATER DISCHARGE OLFFFAL L (SDO)
MONITORING REPORT
Permit Number: NCS cc)c� R 74 01
Certificate of Coverage Number: NCG
FACILITY NAME
PERSON COLLECTING SAMPI e "�= \ Lab
CERTIFIED LABORATORY(S) S C Lab
Part A: Specific Moniforineo Requirements
SAMPLES COLLECTED DURING CALENT)AR 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
ONEN .( d 6— j
(SIGNATURE. FP E OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Does this fac lity perfc, Veh cle Ma ntenance AcdviCcs using more than, 55 gaiions of new motor orl per :no nt:^.? ycs Xno
(if yes; complete Part B)
.
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STORM FVEfv'T CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (honrs): (only if appLicabte — see perrnit.)
(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 Wate, Quality
Attn: Central Files
1617 Mail Service Center
Palcigh, North Carotin, 27699-i617
"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,
inJadiag the possibility, of f<ne_c and imprisonment for knowing violations." p
(��a max
( ignature of Permittee) lU tc

STORMWATFR DISCFIARGE OUITALL {SDO)
MONITORRvG REPORT
Permit Lumber: tics '-Cc� I?0 or
Cert ricate of Coverage lumber: NCG —
1 I_
FACILITY NAMES ^t-^o^aoa-il �" �'r?�Sr�
PERSON' COLLECTLNG S.A.MTLE(S
CERTIFIED LABORATORY(S) 5c•. Lab 4�75
Lab v
Part A: Spec Moniforing Requirements
SA,NIPLES COLLECTED DCR.L'<G CALFNDAR YEAR: _ .—
(This mocitnring report shall be : cceived by the Division no Later than 36 days from
the date the faciity receives the sampling re_r._3Ls from the laboratn -,
t t , r
COL'NTY C a� i A
P: .-ENO. I—A6—L-tJi
(SIGlATT"RE OF PE9j 0 t I .E OR utJtt :.e r)
By this signature, i c,rffy that this report is accurate
coetplete to the be<t of my icnowiedge.
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STORM E�"E'f' CEiARAC[ERISiiCS:
Date
Total Event Precipitation (inches;:
Event Duration (hotn-s): _ (caly if aco Gcabie - sw ❑e.-r+it.)
(,f more tLan one s:c= c+ect 'as say.plu;
Date
Total Event Precipi:atioa (inchesj:
Event Duration (hau:-s): a v is apiicaEi:: - sue.
Mail Original and one cape to:
c: QuaErw
Acts Cen-ai Files
16 i- y.—, ii scrvice Ce: W:
R-iicigh. No:-th Carni_:ta 2f69I-:5:
"I certify, under peaalty of Law, tEat this t`.ocnment and und
er my direction or supervs;on in accordance with a
system designed m assmre drat gnaii,ce d personnel properly gal -her and evaluate tl:e infurtn ncn submitted. Dared ca my inquiry of t:':e person
or Per -sons who mauve the system, or those persons directly _ess,>onsibie for gathering the infor=don, the iafo==a-on snbm:tter- is. to the i-.est
of my knowledge and belief; true, ncacra a;, aad c rrtplete I am aware Lhat there a.--c sig;e_icant penalties for s: kmtcng false inforttacon.
including the possibility of Ines and imprsontnent for knowing viaiatioms."
t
( .gna hire ^` Permittzej
kkk,\

STOR_MWATER D[SCFL3RGE OL-ITALL:;SDO)
S10tiTT0RING REPORT
Permit ttmmber: NCS ', !�; $p of
CertiCecate of Coverage Number: NCG -
d
FACILITti' NA'vLE S i. t.na.r xI
Vol
J. c.
PERSOti COLLECTLNG SANIFI T
CERTIFIED LABORATORYIS) _�S Lab:; 375
Lab ii
Part A: SpeCifk 41a¢if0ring Requirements
SA,tiLPLES COLLEC TIED DURLtiG CALF, DA-R YEAR: _
(This monitoring report shah be rcccived by the Division ne Eater than 36 days from
the date the faclity receives the sarnp[ing rer.:lt_s from the laboratory.;
COUNTYgs
iIf
R CEIV NEN6—
APR 1 0 2018 (StGNATINU-1-'EE OR DESIG SEE)
By this signature, [ cerCfv that skis report is accurate
CENTRAL FILES complete to the best of mmy icnow'iecge.
DWR SECTION
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(if ves; �em piece Pa.^. 3)
Part B A ebicle
Nlamtettance Aticuvtty . Iert.orr
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STORM EVENT CHA-RACTERISTICS:
Date
Total Event precipitation (inches',:
Event Duration (hours): (ca:y .f a_:phcabie - s:c ac=t )
(•f more than one s:c.^: event Was sa_: led;
Date
Total Event Rrecipit tioa ;inches"':
Event Duration (hours): laniv;ra:i.pLcab:c - Ste.
:tail Ori, .nal and one copy :e:
Dieisic c: Watcr
A= Cca::ai Hies
s a'mce Centcr
Raleigh. North Carolina=7595-:5::
"I re_rtify, under peaalty of Law, LE2C this document and aJ at.achmens were prepared under sc dL-ecCcn or si:pervs.on in accordance
system designed to assure th2l qualified personnel proper!_ gather and evaluate cite tnr'o razatio: submitted. Based o❑ my inquiry of t-he perso❑
or persons who manage the system, or those persons directly respo asibre Cor gati:ering ttte into rratioa, the iafo:�a con sa5nit'.ec'. is. to tite best
of my knowledge and belief, true, accarate, and con:plece- i am aware tfa::here are sigv,c m penalties for s::5: :itc2g false infc;�acon.
indading the possi5ility of fines and impr_sonmcat far know- ng vioiatioas.'"
(.:gnatnre of Perauti

0
Permit Number:.NCS � $ `
Certificate of Coverage lumber: NCG
STORIMWATFR DISC-r1RGE OLTFALL (SDO')
M0\IT0RrNG REPORT
S.Ab'IPLES COLLECTED DURING CALEN-DAR l'EAR: _ . —
(This monitoring report shall be : eceived by the Division no later than 30 days .from
the date the facility receive,: the sampling r,,,ults from the laboratcry'.j
11
FACIIITt'nn.,IE S�.�„a..doai�r!s �"== ;-=CFf\!ED
PERSON COLLECTING SAMTLE;SY_! a-
CERTIFIED LABORATORY(S) Lab # AR 15 2 o i a
Lab 9
CEN-1RAL FILES
DWR SECTION
Part A: Spec!ic Mott toring Requhr ernentS
PH0,NF NO.
S1G\AT O tiiCl I EE OR DESIGNEE)
By this signature, cerdfv that this report is accurate
complete to the best of -.t. iMow'iedge.
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(C v--5; Com Olete Pa.'t B)
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STORM EVENT CEL4RACTERISTICS:
Date
Total Event Precipitation (inches;:
Event Duration (hours): (an:,,, if anp Gcabie - sec pe. sue.;
(if more :Han one stc.^v: e-:er.: was say.p[eCj
Date
Total Event Pr ecipitatioa (i^.c`:es):
Event Duration (hours): (oa y -t`appiicabic: - see pe,-niL!
:Mail Original and one copy to
D'.vis.cn cf w'atcr
Ann: Cc= ai : tics
I51-, MaE Serv=.^_.c;
Raleigh. �e tl. CaroL.ia 2759S-;51
"I certify, ceder penalty of taw, that this document and ail arachments were prepare' under my direction or Snpervs:on in accordance e 1' h a
system designed to assure that qua!i tied personnel properly gal -her and evaluate •'e iefot:na:ioc snbcti_:ee`. bra ! on my ingW.-y of tine person
or persons who manage the system, or thage persons die tiv respoasib[e for gatheriug the information, the iafortr.a_;on submitted :s, to the best
of my knowiedge and belief, Lr e, accurate, and complete_ I turn aware (fiat then arc significant penalties for s,db. dtCng false :aforma'-:,on.
including the possibiLty of fines and impri-sonment for Lnown g vioiatioasat
.'"
(. .atnre eP Perruittee)

STORMVRATERDISCHARGE0UlTA[-L SDO)
MO`ITORLNG REPORT
0
Permit Number: NCS Mc,$ or
CertiLcate of Covetge Number. YCG —
n
F:�CILI-I'1' :1A!vIE S
d� n�res cr��n ,
PERSON COLLECTLtiG SA.'f'LE(S
CERTiFTED LA-BORATORY(S) C_ Lab x _
_—Lab +_
Part A: IcN. Requi: emeats
SA.%IIWLES COLLECTED OUR NG CALENDAR PEAR: _ _ __
(This monitoring report sha:i be received by the D;vis:oa ne Later than 36 day from
the date the taclity reccivp the samp[ing restJt-s from the [aboraton '
I I
COLti'i'Y 't?-.l
j-GN,A-FUTRE0FPE
iSE tiO. MTEEORDESIGNTFMAR 13t' is signature, I nerdy that this report is accurate
CENTRHL FI ° p[ete to the best of utv n-aow;edge.
DWR SECTION
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r- pe fe c c:e ,a . caarc es wive -" z�ces o[ ..eu G..,t O3 i'e :c- :? — es c
(-` yes: compiete ?a.^. B)

STORM E%'EN-F CHARACTER[STICS:
Date
Total Event Precipitation (inches;:
Event Duration (hours): _ (cc[v L app Gcabie -
(it L orc tLan one s:c,=. as saznplcd)
Date
Total Event Pr ecipitatioa (i ncb�sj:
Event Duration (hours): (a¢ic � a piicab c -see re
;'vtail Qrig:ral aad one cap_ to:
D; viscc of wale; QuaLt^'
Al'--: Cec::a: Fries
i6i Nlaii Service ce=c
R;ucig:..
NGph Carolina 7-695-76:7
"I certify, under penalty of taw, that tLi; document and nil at'.achmenLs were prepared -Under my direction cr supervision in accordance svi:L a
system designed to assttre tlat qualified personnel properly gatLer and evaluate 1-he infarma'tioa subutitted. based on my ingn r<' of t:te person
or persons who r=nage the system, or those persons directly resp oasib[e for gathering Lhe information, the iarornmaroa subntirer. Ls. to the F,est
of my {mow[edge and belief, true, accurate, and coutplece. I aal aware that there are signifecar.t penalLcs fcc s'UbauttLqg false
incluc'.ing the p, s ibiL [v of rues and impr_unment for 6nocv:rg vioiatians."

STOR WATER DISCHARGE OIiTBALL (SDO)
MONITORING REPORT
Permit Number: tics �'
r� 7 n or
Certificate of Coverage -,'=her: NcG —
FACILITY -NAME S if.nar0.Oa.{1 ir'2�crJ!ls�Z, _
PERSON COLLECTING SAMPLES 5/ %r r.zi
IFI_= �e
CERTED LABORATORY(S) Lab u 375
Lab a
Part A: Speci?ic . -oa foxing Requt.^emet'.Ls
SAb'TPLES COLLECTED DUPLNG CALENiDAR YEAR: _
(This maaitnring report shaft :re received by the Division ne Eater than 30 days from
the orate the facifity receivers the sampling re_r.:]ts f:om the laboratory-;
RECEIVE-Q�
OEC 1 1 201:
(SiGNATLItE OF ERti E OR DESIGNEEI
CENTRAL Flt E8c eats sig at re, [ cerGc hat t� s repot, i acce:race
DWR SECge.
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1. ..
sroR_im .t EvE1'T cllAxAcTslus, ics:
Date -
Total Event Precipitation (inches;:
Event Duration (hour-s): (ca:v if appccable - sce
(iI more mac cne stc= cvsn: was sampled!
Date
Total Event Precipitation (inches":
Event Duration (hcut-s): (on:y ; appi;caEc - s= pe. it.j
Mail Qrigiral aaa one copy :o:
DMsicr. of Warm Quaii
Arm: Ccncrai Fees
1617 Vaii Service Ce ter
Raicig:'.. N' G1rolina i?5>S
"I certify, under peaalty of taw, that this •iocument and ail attachments were prepared under my dfmtiou or seperc4sion in accordance with a
system designed to assure t:at qua[i,9ed personnel properly ga'her and evaluate tLe info caution submitted. Based on, my imqu:_-y of the person
or persons who manage the system, or 'those persans directly responsibie for gatherrag the information, the i:rformznO:: snhrmr.ec' :s.:o the hes:
of my knowledge and belief; true, accara:e, and counplece_ i am aware that there are sig;i `icar:: penalties fu, Subn itt�ng false irjo::::;moo:::
incinding the po-EriLty of ftnc and imprsomnent for knoc .ng vioiations."
tur e of Permittee) .

STOR HATER DISCHARGE OUITALL (SDO)
MONITORING REPORT
0
Permit Number: NCS OF
Certificate of Coverage -,umber: NCG —
FACELM' NAME
PERSONCOLLECTINGSAMPLECSI'
CERTIFIED LABORATORY(S) S� C Lab v 375
Lab ii
Part A: Spec Njon:: Lng Req:iirements
SAMPLES COLLEC:"ED DGRLtiG CALEKDAR YEAR:- . — -
(This monitoring repor-t sha!i lie -eceice l by the Di,-ision no later than 36 days from
the date the Cactus reccives the sampling re_r.-Its °. om the [aboratnr}
[I r
COUNTY _ 0_I s -a-�
PHONE NO. / )
(StGGNATURE OF'PER'Kf=F OR DESIGNEF)
Bc this signature, [ certify that t is report is accurate
cou:olete to the best of c ictowiedge.
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=
C)C('`EI\
Does th s taci ry pe eT: Ve`:c:e to az ce : es us;= — c tta:. « t is^s ;.. ao r o r_ -:e-
Cli vcs; ce.^..pie.e pa^, 3)
etivity . iOnitori[t Regtitrements
�p `��k,i„Nn
q
�q4� ;A.�
�r. 1 i� i r C�✓�
r{'F_r f.~ ,�kj f�ft` �• �
7"ir . �� 't
`SY t�
1 f .�'x��`. '"
d� c
t f 1�'�f 11 ift �`"t �a�'. u' .
i�' . � : f!- �' } A
..
•i�.
' •i .. alp . _- ' _, s_a aj���+L+s:a
�= �i'L::.PJffit
�-'' s-i -
_

STORM EVENT CFiF.RACTERLS-TICS:
Date
Total Event Preripitatiou (inches"':
Event Du: adon (hoar): (ccCy -:`app L•cab:c -
(Lf more rhan one S:c= cvicer vas sampled;
Date
Total Event Precipitation finches?:
Event Duration (hcur-s): 'a, -,Iv -r` acpiicab:c - see pe.
Mail Original and cue copy :o:
Dis"s:cr. o: µ'a;c. Qutii^:
Ar::: Cosa! r::cs
15 i7 Mad Scrvice Ce: rcr
i2alcigh. 1c:•L Ca:o!i:ia 2759S-:5::.
''I certify, under penalty of Law, that this document and all at arjunens were prepared under my direction or superes.on in accordance c -:h a
system designed to assure that qualified personnel property gather and evaluate d:e irfarmatioc submitted. Basal on my Lnqu_-r of trrc person
or persons who manage the system, or ;hose persons direcUv respoashble for gathering the into t3radon, the On submitted is_ :a the is es:
of my kuow[edge and belief, true, accurate. and complete_ 1 am aware tl:a; there arL sigai5cart penalties for subautr2g faLse iuformat'or:.
inclue'.ing the passsbil:ty of cues and impr_saament for 6nasv:r.g viaintions."
/o -/o--/ %
( igna[�re o.` et tnirteel

'+ STOILti1W.-kTER DISCFLARGE OGTFALI, (SDO)
ti10NTTORLNG REPORT
Permit Number: NCS lc)c, !�; 74
Cettir,, to of Coverage tiamber: NCG
or
FACIL[TY NANtE S 4•f.rw++at>a.11 W to
PERSON COLLECTING SA.�LPLE(S a R JG 5CC
CER•ITFIED LABORATORY(S) _� Lab # 75
1.ab 4
SAMPLES COLLECTED DURLNG CALENFDAR YEAR: _
(This monitoring report sha!I be received by the Division no Eater than 30 days from
the dnte'the facility receive+ the sampling
results from the laboratory.)
COUNTYj 6L t
PHONE NO. b
RECE,IVED-------------
(SIGNATURE OF PERMrI-PEE OR DESIGNEE)
By this signature, I certify that this report is accurate
SEP I 1 2011 complete to the best of my knowledge.
Part A: Specfic vlonifot�ng Requ remeaL CENT
"WR S rri.LEs
LF.. n c.
•.�`w
H�`-Ayi'
�.
O r".� Ve•
t �< _+��_� 't°' 9.p
1 ]lh _�".' -��::��.
—s x
bCT�®""
' ' c
tC �y i��a ;E���' ...'z,
Y,l`Gy1 i ti t�'�i
�MlY
s
YF4 l�s ©� i i'! 1�I1�(�• �j if Yt +1`Y'i
• 1. �,� �
t�j�,
_�_�������t'C�
141-y
�TYI�tM
C'�0 G�..�
' '�"i;`i a"
�9a
`�! 5 � -us•'•
��e
'Yc`.1 ��s�.
:� ��.'s:.7�
tt��i(�5�;��
."
y!
��,f3111i'���fL�Fd�'cP � �' aE.;��'V��'tS
._'O. ,��.'F"^i.:�
.��
� �v�S`,�•,S.
,., 'i.H
Does this rac'L v perfc t..
(if yes; complete Par B)
Veh cle Ma aance F evi cs . <`.^g ox t_lmr, 55 ga!ions of ;ec. aacr nii pe; -e, :^.1 . _ Yes ne

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (incites):
Event Duration (hours;: (on:if app❑cable - sec permit.)
(if more than one Ste= e'ent was Safnpled)
Date
Total Event Precipitation (inches?:
Event Duration (hou: s): (eniv it appiicab!e - see pcmnit.;
Mail Original and one Capp to:
Di visica of Water Qaalit+
Attn: Ctn[ra! Fiics
16 17 Mail Service Center
R,aicigr, North Carolina 27599-161?
"I certify, under penalty of Law, that this document and all attachments were prepared under my direction or supervision in accord2rice witli a
system designed W assure that qualified personnel proper[}- gather and evaluate the information submitted. used on my inquiy of Lie person
or persons who manage the system, or those persons directly res;Nnsib[e for gathering the infor:rltron, file informaton subm.:tted is. to the tics:
of my knowledge and belief, taste, accurate, and complete. I am aware that there are significant penalties for scbtnitt Lng false ir�forn'.ation.
^during the possibinty of fines and imprisonment for knowing viciatioms.-
( ignatar-e of Perrnitte

STORNI WATER DLCHARGE OUTFALI,(SDO)
MONITORING REPORT
r $�{ or SAMPLES COLLECTED OURLNG CALENDAR YEAR: _
PermiPermit Number- NCS
t
N,r of Coverage Number- NCG - (This monitoring report sha!I be received by the Division no later than 30 days from
the datethefacility receives the samPhng reault_s from the laboratory'.)
FACILITY'NAME S4`<-^4^W0 LDS �G'
—
-
PERSON COLLECTLtiLab
G SAiKI LE(S e. " i" t b 76 F\ECEIVED
CERTIFIED LABORATORY(S) S �—
Lab AUG -; 6 20ii
Part A: Spec Rlaaitoriug Requ:remet:L
CENTRAL FILES
DWR SECTION
r
COUNTY
PHONE NO-
(SIGNATtiRE OF PERMITI EE OR DESIGNEE)
By this sigttahtre, I certify that this report is ac,ur a!e
complete to the best of my knowledge_
Does h s .racil ry' pe cm, Veb c!e Ma nte.^.arce avi cs 1's:gig -: -- t, . 5 gz ons of rLcw fe!c: cii pc: c ,:^. _ yes �no
(f yes; codpiece Pa..', B)
., A-✓.vity ATnnitnrina RPM!:rementS
• : --•��urr��+--
.�...-•ry�++r-r+oi' �`r'�'
3t� '�
� I t t t
1 4 t (1 ^Nti'^"l��SG[i 1��`'`4 .��'+L'A—ii��-..
5e f(i&n YSCi. •yi
fDf 6y�{y`e i ��
�. _t. � -u.`
-n r� '1}'.
.,? �'sf°'a�e�'Xl �f1°l5'fl
3t�Ie
�- � iLt�.Ti,
'c•
•r%E�, 4r""�y-l�tt'e2a'.'���'W�f`'s%seiTil... �
d �'F�f�
t9§
pp��. ��L9�P
- 'St' F T°u�Ia%FF,�
t+'"�, v' �.t. � -i. �
.•��
�[f��.P�•.
or
��f4y
lVfi-i R:t�'Ct+ibb� � � I,S•.ia
{�(�,�"+y�t�Y�'«�'
���i'`��i1�4�tH ����=+
'ail' `:
R t T1�
�,.e���y.
i�}C t�^I�� ��Y-`!.'i�p'
_
d; ry•

STORM E'V"EhT CRARACTERIS"LTCS:
Date
Total Event Precjpitatia¢ (inches):
Eve¢t Duration (hours): (only if aop Geable —sec pc=it.l
(if more than one stet: a eveut was Saunpled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only i�appiicabic - sec permit.;
Mail Original and one cagy to:
Division of %^'ate'- Qaali R
Attn.- Ccra:al Fiics
1617 ."aii Scrvice Ccntcr
Raicigh, Nor:h Carolina 2-'699-i617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or snpervision in acwrdance k-itlt a
system designed to assure that gna!i6ed personnel pmperiy gather and evaluate the information submitted based on ms ingtory of Lhe person
or persons who manage the system, or those persons dir ctiv responsible for gathering the info r:na Linn, tllc in(orma eon sobtcctted is, to the bey:
of my knowledge and belief, true, accurate, and complete: I ,, aware that there are signi Cicant penalties for s;:b:nitting false:
;—ju,+- o the possibFFity of f:ne_s anti imprcnnment for knowing violations-"
ature of Peraritte ) (�

STOR:, WATER DISCHARGE OUTFAI.F. (SDO)
MONITORLNG REPORT
Permit Number: NCS cc�c, A$4 or
CerdC.c to of Coverage Num er: NCG
FACILITYNAME SG.E.naIvrLP
WOpr PSC.rI/��"C_.
PERSON COLLECTLNG SALE(S-e R `Labs
CERTIFIED LABORATORY(S) S C
Lab 4
Part A: Specific Monit-oring Requirements
SAMPLES COLLEC='ED DURIIvG CALHNITAA YEAR:
(This monitoring report sha!! be received by the Divisioa no later than 30 days trom
the date -the facility receive+ the sampling` recuFLs from the laboratory.)
COUNTY
PIFONF. NO—( _
(SIGNATURE OF PER.MITTEE OR DESIGN Lt)
6c this signature, ( certifv that tL•is report is acrura:e
complete to the best of my icaowledge.
Does this faci'ity perfcrci Veh;cle Mainteaar:ec Acevies ,:s�.g ; o e tha . 55 gallo-s of new mete: Oil pe; c :C.^. _yes X_no
(if ves,- coi�-,plete Pa. B)
L.

STORM E'VEh'T CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicabie -see pc::nit.)
(if more than one stoma evert was s�,pled)
Date
Total Event Precipitation (inches):
Event Duration hours): (only i_` appiicabie - see pe-rmit.;
Mail Original and one copy to
Divsicn of ,Vaier Qcalir;:
Attna Filcs
i ( i7 !vt aii Scrvice C c n cnr
Raici ph. 'worth Carolina 2-1599-i6 i
"l certify, tinder penalty of law, that this document and all attachments were prepared tinder my direction or supervision in accordance with a
system designed to assare that qualified personnel property gather and evaluate the informmtion submitted. Based an my inquiry of L- pe: son
or persons who manage the system, or those persons directly responsible for gathering the info=ltion, tfte i,Cormat!oa submitted is. to the hes'
of y knowledge nd belief; true, accurate, and complete_ I am re awathat there are significant es
e sigcat pennitifor snbrnitting false informa
mauration,
including the possibility of f nr_s and impricoament for knowing ciaiations."
-
( ignature of Pern-titte)

STORNIwnTER DISCRARGE O('TFALI. (SDO)
MONITORING REPORT
Permit Number:.NCS lc)b or
Certif: ate of Coverage Number: NCG
SG fnarOpall �l OG.
FACII_ITY NA,%I:E —.
PERSON COLLECTII G SANIPI E(S -e ' a 5e<z
CER"GIFTED [ ABORATORY(S) S C Lab k 37�
Lab a
SAMPLES COLLECTED DURING CALENDAR YEAR: _ —
(This monitoring report shalt be received by the Division no Later than 36 days from
the dste'the farllity recciv�' the sa mpting resn l is .from the [n bor a to ry.)
COUNTY
PHONT NO.
(SIGNATURE OF PER.%jjTI`EF, OR DESIGNTEE)
Bc this signature. I certifv that tttis report :s accurate
complete to the 'best of my knowledge.
\'Y , \_ \
SY S'w�R(.'u31�`��J:{Nui : �' ... Y� 1 � �� v '•� l
'MN �-1
G, i `?%' . rye`M ,\�\ • t<` 1 '� t 7><t 'bZf. G . i se
.:+i'�Si '�' � ,k. Y \ &Yil^ s� ♦ �e 'fir .ew,- ai!At1se yyy��'''' p .,� { ��y� �$ � .'ti��.s
Does this faci c fcrm Vehicle Mainirna: ce A: n':iacs c<=3mom SS zalic:s of :e c.e:c; oil Pc- me ^.7 __ vcs re
(L ` ves- compic;e Pa.^-. B)-
,.... cwU 1, 46-! . -608

STOR%I EVEriTCHkRACTERISTICS:
Date
Total Event Precipitation (inches): _
Event Duration (hours): (oni;: if zpp Hcabic—.c per:rc..)
(if more th,^. one storm event was sampicd)
Date
Total Event Precipitation (inches):
Event Duration (hours): (a -v c` zppliwbte -sec pe.^:it.)
:Mail Original and one copy :a:
Division of Wate. Quahr'
Ann: C.'ccL ai Fiics
1617 Mail Service Center
Raicigh, tiarth Carolina 27699-i6
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance Witt: a
system designed to assure that qualifi,A personnel properly gather and evaluate the information subtaittcd. ISased on my ingtury of t-'Le person
or persons who manage the system, or those persons directly responsible for gathering the information, the information subrnitted is, to the hest
of my knowledge and belief; true, accurate, and complete_ I am aware that there are significant penniti�; for submittyng false inforn att"O",
inc nlud'ag the pon-ibility of finr_s and imprisonment for knotting tiaiatiom."
:gcatum of Perini:tee lr� �ttl

STOR1LIV,ATER DISCHARGE OIITFAIJ, (SDO)
MONITORING REPORT
0
Permit Number: NCS �•% ?' B or
Cerdfi.,ate of Coverage Number: *tCG
FACILITY NAME SG•Lr�'"oNs
PERSON COLLECTLtiG SAMPLE(SLab t �7jCERI=D LABORATORY(SI _
lab4 _
Part A: Specific Mtiiiifering Regttsemer.Ls
SAMPLES COLLECTED OURLNG CALEN-DAR YEAR: - -_-
(This monitoring report shalt be : ecei"ed by the Division no Later than 36 days from
the date the facility receives the sampling r,, :ILs Rom the Laboratory.)
COUNTY ('-CC- I !
PI3.ANE NO (t'� i - 1
(SIGNATURE OF E CEE OR DESIGNEE)
6c this signature, [ certify- that this report Ls accurate
complete to t:le best of my Knowledge.
i' Vc`W:c!e Ma lte.aance :wcc:itics s ,g rnoa; titan `5 za!io.=s of cep. .etcr oil per M0 ,:h? ._ ,vcs ao
Does this .`acute perfcrr
(ice yes, co�+ple;e Pa.^. 3) - - --- - -
M.. .. Aan rPmentC
I . t
l''^t%C:• 1a1- '.�F;,• •c6tY.'Z-i'-j'�
"' �3a` Yr5-rtTi£•�1' waI > '
w ...33.i9p
-LMW,
!_.
.y..v'''
'\ . a_aa'.�i°.�s`,'?
x.
,°_ —��'

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (iuchesj:
Event Duration (hours): (oni_: if app8cabie -sec pc.==
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duratiou (hours): (ar-1 _r' appFicab e - sec pc.^._it.)
Mail Or and ore copy to:
Divisiml of Wale. Qualit,
Attr.: Cc -;:I; riics
i 6 i7 Mail Scrvice Ccutcr
North Cuotina 27699-i 6i
"I certify, under penalty of taw, that this document and ail attachments were prepared under my direction ar sttperes:ore in accordance wits: a
system designed to assure that qua:ified personnel properly gather and evaluate the informabor, submitted. 13 ascd on my inquiry of Lhc 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 completm e. I aaware that them are significant penalties for sub:rti[Cng Case informacorr,
ccu
iacudi g the pos'sibility of fin" and imnr_conment for knowing cioiatioms
( i ature of 4PCttee)

STOR.tiIW.ATER DISCHARGE OL1TALL(a"n0)
MONF ORIING REPORT
Permit Number: !JCS
Cert3Cicate of Coverage Number: NCG
PACILI"I"Y NA1fE S4'C•/sd'^ V.i r D �C._-
PERSON COLLECTING SAM-PTE(S e ^se >
CER'I Ii IED LA Lab d�
Part A: Specific M11anffering Regtiret^.ents
SAMPLES COLLEC"T-1-1) DURING CALENT)AR YEAR: _
(This moaitnring report shah be received by the Divisio❑ no later than 36 days from
the date the Facility reccivcs the sampling rcaea Ls f'-om tl�c Ia bo ra to ry")
COUNTY 0A1;a_
�._, P RTN 6— I
REeEzftf
, IGNATU ', OF P '�tI"ITEE OR DESIG'�`EE?
APR 11 2017 By this signature, I certify that this report Ls accurate
CENTRAL FILES complete to the hest of my Know[edge.
DWR SECTION
LL Ve`Wicic MaintPnarce Acc i cs g o e thanes ga!io::s of new n.etr. oil cr ; cat::^.? --" ycs no
Does .rs`acil:ty perfcr�
,j+ yes, cotnplcte Pa.^..Bj--

STORM EVEri'T CRA"CTERLSTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (on:*, if appi:eabie - see pc=[.)
("f more than. one stow_: event was sun:pied)
Date
Total Event Precipitadou (inches):
Evert Duration (hours): ;on!i.` applicable - sec permit.)
Mail Original and one copy to:
Division or Watc: Qca!i:
Arn: C'ceCai riles
16 17 Mai! Service Centcr
i2akcigh, Nor4: Carolina 27699-16
"I certifv, under penalty of taw, that this document and all attachments were prepared -Under my direction or supervision in accordance with a
system designed to assure th2t quaftfed personnel properly gather and evaluate the information submitted. based on my inquiry of Lke person
or persons who manage the system, or those persons directly responsible for gathering the information, file mfornui ion subrnmed is. to the best
of my knowledge and belief; true, accurate, and completes I am aware that there arc signi�cart penn[tics Cur submi[Trng Case info rm^-tfon.
cfnT:na the possibility of finr_c and imnr_uinment for knowing r-iaiatioms."

i
STORNI W..kTER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
permit !Number: NCS � A —
or
Certificate of Coverage Number: NCG —
W Pr?5 S✓c✓s �^�
FACILITY NAME S G•t rwr _
PERSON COLLECTING SAN1_PLE(S z a�s =r
CFRTU IED LABORATORY(S) Lab N �75
_Lab #
SAMPLES COLLEC-I-EU DURING CALENMAR YEAR: _
(This monitoring report shall be received by the Division no later than 30 days from
the datethefacility receiver the samp``lin(grecutts from the laboratory.)
COUNTY
ONE NO. —
(SIGNATURE O PE sE OR DESIGNEE)
By this signature, I certify that this report i< accurate
complete to the best of my icaowledge.
Does this facili y PC a Veh cle Mairteaarce Activities g mo e than 55 ga ions of ew motor oil per mocth?
(if yes; coetp!ete Part B)
-— yes X na
Fore c-111ij 6-! I =1603

: STORM EVENT CHARACTEP-ISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicabie —zee permit.)
(it more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (caly if applicable - see permit)
Mail Original and one Copy to:
Division of Water Quality
Ann: Central Files
1617 Mail Service Center
2aIcigh, North Carolina 2.7699-16i7
"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 inforrn�tion submitted. based on my inquiry' of the person
h
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the est
of my knowledge and belief; true, accurate, and complete_ I am aware that there am significant penalties for submitting false information,
including the possibility of ftnes and imprisonment for knowing ciolatioms."
( ignatum of Permittee)/%/��2

� , a
"I Ci El tii A I "R D 1SU IA :I
Ncs- SA M A f.;-.%; )AR VFIA P,
. .......... .... :vtm: by th" E:oc: :hlo, 3.0 cl:"'S
1h.
7L, N UY -�-o
NAN'
PERSON CrlE C-j,-ClTNG SANT PH
LABCRATORWS,
-gh 11
CT R k I )F ['r,:T, i 0 IZ I G NEI,
ECEIVED
JAN 18 2017 com:jicte to the 'lest of r:i-; Knowic(:Ke.
Part A: Speck CENTRAL FILES
Doc-s v
't-; A
(zf yes, cotnplstc Pan 3

IP i4
STORt: ! FFEti r CHAPAC_
:late
Total E,eut Preupi anou (inches;: ___ _
Eww Duration (houmo, _ plicablc - SCC p=n;: 1
(:! mo:e IhHII C1:c S:cn (':^nr "as
Date _
'rctal ncnt Precip ancio❑ (in cnc_s):
Event Duration (hours):......... (;;tie:: appinablo see PC:=_
'f certify, under pea2lty of Llw, that Lis document and all at:nchrnerrfs were preparc�t under direction <;r se:percisinn in accorttar:ce ::
system designed to accnre Chat gna'.ified pcsonnel pralxrlv gather rind evMnate the i:dor"whow suhuuW. ❑aa:d on :try inquiry of the pw: w:.
or persons who manage the system, or those persaa5 directly regKin Me far gathering Ow irdi:ramdon, the ir,Conrurtiea submitted is.:a the No
of my knowledge and belief; true, accurate, and complete_ E aai aware that then: arr sipni::c':: r.; ;Wrudtirs Cur s:h:::;tcng faisc inror u: n;ia::.
indlurivng. the ..pssibEGty nC trees and in:crismmner.t for knowing vieEations.'
I /)
V)a,A __—

r , .
Permit Number: NCS C)C>r-� A 4?Q or
Certificate of Coverage Number: NCG
STORMWATER DISC
IT
Wp v mac.
FACILITY NAME S G+t no++.MYY`�
PERSON COLLECT04G SALE(S = `�� Lab It
CERTIFIED LA-BORATORY(S) 5 C Lab
UI
AARGE OFALL (SDO)
RL* G REPORT
SAMPLES COLLECTED DURLNG CALENDAR YEAR: r
(This monitoring report shall be received by the Division no�Iatprn0 ays from
the date the facility receives the sampling results from the laboratory.)
COUNTY _ ' l I � a
P E NO.
(SIGNATURE OF PE E OR DESIGNEE)
By this signature, I certify that this report is accuratte"
3
Does this facility perforrl Veh cle Maintenance Activities using mom than 55 ga!icns of new motor oil Mr mo .ta? _ ycs � no
(if yes; complete Part B)

STORY t EYENNT CHARACTERLSTICS:
Date
Total Event Precipitation (inches):
Event Duration (bolus): (only if applicable - scc pernit.)
(if more than. one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if appiicabic - see permit.)
-
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Centtr
Raicigh, North Carolina 27699- i 6 i 7
"I certify, under penalty of Law, that this document and all attachments were prepared under my directiogor superv&on in accordance with a
system designed to assure that qualified personnel properiy gather and evaluate the information submitted. Based on cry 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 imowledge and belief; true, accurate, and complete. I am aware that :here are significant penalties for snbmitt ag false info rmatior.,
including the possibility of fines and imprsonment for knowing violations."
Vi

Permit tiumhcr: tics
._..c_.._ ..r C;;.,�....
o:
STORNt,VATi' l? IIISC:;i F fit.;.
MONFCOPUNC PEPOR-r
1
FACI.I-ITY NAME CS �'-- � t-�_wI e_
- _
— _
PERsoN col,r.ecrr.,c, sA+aJ'LE(s %art
CF.RTH-I.F,D L1BORATORY�S) __ E7
Lab
P:u t A: Specific Monifor-mg Recfuurer-neat
S-A&IPIAS (AMAC:-ED 1"WIN : CALENDAR VEAR_
lThic ncn:eitn rini, : ",cnrt OWE he :'ceeierd by the :)woma nc hum t`. . 30 days rr'o:r.
L`cc date chc Cacitity n'!cciyr_ti the ca:upitug reea:[ttr r.'bn the ia6o: ntnr:.)
t_*Oi!N'ET ("tat {
IJFONF
I�((SaINANA"ru RE OF 1 .'.th 1TE c R
Ei this signature, [ cect.`c that t',:is report is acc;t:-a:e
coeTIOC to lie bast of no knowledge.
Dxs ..is faciL:y pe .`omn V ,,, h`a- mcna ce Ac:iMCS es=:g .-.o ' than. 55 -:s of . ^w ;aotot o1 . -..::c :i.? _- ',es 4ncll
(if yes, coc;p'tcte Pa.^, 3)
Part 3: Vehicle Maintenance Acticitc Moritorine Recuire : ent_s
1011,��I' x _�Wp'st'�r
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ao;s:.vadns :)n nD}):ri np .iw japan a.:a." s7uamlpmlu }iv pnu JnamnDop � )uu)'.�ci �o .i7}�:ad japun'nniiaD
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permit Number: tics cc,4�. �13Q
CerdE,• to of Coverage Number: NCG
or
STORM WATER DISCFUkRGE 013-1-EA1.E. (SDO)
MONFtORLNG REPORT
W vs tlfls �^c.
FACILI"I1' NAME --
PERSON COLLEC C';G SAMPLE(S
CERTFP'IED LABORATORY(S) Lab P
Cab N
Part A: Specific N10aifering Requ retreats
SAMPLES COLLFCTED I)URING CALENDAR YEAR: _ — -
(ThLs monitoring repo:-t shall be received by the Divisioa no tester than 70 days from
the datc the farllity reccivcs Lhc sampling results from the laboratory.)
COUw"I'Y aA l zr`- L
PI NE NOO-
IGNATTTRE OF NMI EF OR DESIGhTE)
By this signature, I certify that this report Ls accurate
complete to tile best of my knowledge.
J
Does this :cacLillI}' xaffOi Vc�`c1C Mam L^.aar:CC .w^.G ii7C5 li5: r,e !=',0•^, LF:2:: �S gai=o CS of ni w mic!0r 0:1 tK, :i:O^ii:� _— ves ^ n0
(if ves, co--tplete Pa.^. S)

STORM EVE'.�T CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (oay if app L•cable — see permie-)
(if more than one sto= even: was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only i` appEcab':e - sec pcmut.)
Mail Original and one copy to:
[): vis Ian of Watc: Quaflt
Ann: Cer.,.- l Tics
1617 Mail Scrvicc Ccatcr
Raleigh. North Carolina 27599- i r, i 7
"I certify, under penalty of law, that this dxumeut and all attachments were prepared under my direction or supervision in iccordapce with a
system designed to assure that quratified personnel property gather and evaluate tl:e information subunitted. (laud on my intlniry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the ice Cora:u'ion subrrritteci ts, to the hest
of my knowledge and belief; true, accurate, and complete I am aware that :here are significrr.: penalties for sebmirtiaft raise inforration,
induding the possibility of Eine_c and imprisonment for knowing viaintionc."
( :gca[.u'e of Pera:ittee ([3"at�)

permit Number: NCS cc>c,
CertiCrcate of Coverage Number: NCG
or
STOR-NI WATER DESCHARGE OU ITALL (SDO)
MONITORING REPORT
FACELrrY NAME - S �•t,na.+\rip _W Qf �S �
PERSON COLLECTING SANLPLE(S
CER'TWIED LABORATORY(S) ?CLab
fah N
SAMPLES COLLFC'I'ED DURING CALENDAR YEAR: _
(This monitoring repo: t shad be received by the Division no later than 30 days from
the date -the facility rcccivea the snmplieg results from the Laboratory.)
COUNTY
PELON-E NO.
S[GNA'I'URF, OF PER!` I"I'EE OR DESTG vF E)
By thissignature, T certify that this report is accurate
complete to the best of my knowledge.
Does this fac 1 ty perform Vehicle Maintenance Ac" cs sing mo e L an 55 gallons of new motor oil per mo.^.ti; _yes no
(if yes, complete Par. B)
,.O�& r, c�
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moo..; � ti' • _

STORM EVENTCHA-RACTERLSTICS:
Date
Total Event Precipitation (inches):
Event Duration (bouts): (only if applicable — sce pc=t.)
(if more than one storin event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (oniy if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Mtn: CcnCal Hies
1617 Mail Service Center
Raleigh, North Carolina 27699-i6i7
"I certify, under penalty of Law, that this document and all attachments were prepared under my direction or supervision in accordance witt: a
system designed to assure that qualified personnel properly gather and evaltiate the infortuntion submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directiv responsible for gathering the information, the information submitted is, to the hest
of my knowledge and belief, true, accurate, and complete- I am aware that them are significant pennitics for submitting false information:
..duding the possibility of Pnes and imprisonment for knowing vialatioms-"

STORi�i W ATr, R DLSCPARGE OCsTF'ALI. (SD())
MONITOR -LNG RFPORT
�C, �+7� or
Permit Nutnber: tics
Certifn ate of Coverage Number: NCG —
FACII,fT-Y NAtv1E
PERSON COLLECTING S:LNhI'LE(S z- e—
CERTTFLED LABORATORY(S) isb ri 3-
part A: Spec-Fic M0niforing Requiremerts
SA.NtPLES (.:OLLSC', F.D DURING CALENDAR YEAR: _
lTlcis monitoring "port shall be received by the Divis.on no later than 30 days `rom
the datc'thc facility nxcivra talc Sampling results tro rn tile [a bo ra tc^,:.)
Z ��—
SIGNE NO.
:tiA"IT�RI? OF PF. . tI"I`I EF OR DESIGNEE)
Rc [Ft is sigrmtsre, I certify that this report is accurate
complete to the best of ene knouicdge.
— •-I�G'—t-S
« _ -s X
,cs 'o.Taietc ?a;. D)

Mai! Original and oncc co, y ta:
STORM EVENT CRA-RAC-'-RSSTICS: Division obate: Q'm!i:
A!:n: Cea::ai Files
Date 1 M Mai! scrvicc Ccnic:
Total Event Precipitation (inches): fZ kigh, Nash Carolina 27699-1617
Event Duradon (hours): (only if app5cablo -sec permi.)
(f more duin one stem ever.; was san:p!ec;
Date
Total Event Precipitation (inches):
toaiv i., applicable - sec pc^tit.;
Event Duration (hou;-s): ,
"I cer5fv, under penalty of law, that this dxnment and all attachments were prepareh
d under n:v direction cr snperesun in ::ccurdaaC vvtui :i
system designed to assezre that quali5ed personnel pro perk gather and evaluate the infurumbon submitted [irsec! on riy intlI;"Y of te ltc:'son
r
or persons who manage the system, or those persons directly respo risible for ba:hering Ih:•. nCo rnctfion, the i:;fo r:r.a u subncnet! is, to the ties!
of my knowledge and tx•1ief; Lrue, aceuratt, and complete I am aware that there arc s;ftnificaiit;wrnnkies for st:bmittin raise
,...yh_.sj,e th^- n�-ibi!ity of Fncc and imnr.snament for knowing violations.-
- ivnature-ofRermittecl .

STORM EVE24T CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date Attn: Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Event Duration (hours): (only if applicable — sce 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 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."
�ji
of
Foy SWU-216-112608

STORIYIWATER DISCRARGE OU'I'FALL (SDO)
MONITORING REPORT
---Permit Number:-NCS --M(, or
Certirccate of Coverage Number: NCG
FACILITY NAME S � t-r ''` W r f/ 1^ G.
PERSON COLLECTING SMMYLE(S tz an ti
CERT=, D LABORATORY(S)SC v Lab # 375
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DUR 1;G CALEI -DAR YEAR: _
(This monitoring ,,port shati be received by the Division no Inter than 30 da}§ Crow
the date the facility receives the samplting res ars from the [nboratory")
COUNTY '�Q l71L
PHONE NO.
(SIGNATURE OF PERI M-I-EE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my tmowiedge.
1_a I
_
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Does this facility perferm Vehkle Mai: tL:racce A::iv;5cs usmg mo _ alas 55 gallons of oc•i' motor oi! r.:r ❑"�c: tb? _ des Ana
(if vcs, completc Part 3)
Part B- V hicle Maintenance Activitv Momloring R teirements
e
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it5afi zee �
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i

STORM EVEtN`T CHARACTERISTICS:
C2ate
Total Event Precipitation (inches):
Event Duration (hours): (only if appLcablc —see perm, c)
(if more than. one storm event was sampled)
Date
Total Event Precipitatiou (inches):
Event Duration (hou, s): (oniy L appIlcabie — sc:. pc-mit.).
Mail Original and one copy to:
Division of Water Quahry
Atin: Central Fiies
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"I certify, under penalty of Liw, that fibs document and all attnchmeuts were prepared under my dicectiogor supervision in accordaoce :with a
system designed to assure that qualified persouncl properly gather and evahmte the irtforrrtatior. gulintitted. Jtsed on my i-- quiry of L`te person
or persons Who manage the systern, or those persons directly respousib[e for gathering Lte iaforrration, the infomuition submitted s, to the best
of my 4uow[edge and belief; true, nocurate, and rnruplete_ I am aware treat there are significagnt perutlties for sobuutting false in.`o rmabo
inc[uding the possibility of lines and imprisonment for knowing violations."
( ignat�rri tree} Tffar() ^"'Y
_('—=5'.V(,i. L e" isL`J�

STORMWATER DISCHARGE OUTFALL (SDO)-
MONITORING REPORT
Permit-Number:-NCS -�$-R- -" or - --- _ - --SAMPLES -COLLECTED -DURLNG-CALEN. 'DAR-YEAR._--
CertiCicate of Coverage Namber- NCG - - (This motutoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the taboratnry-)
FACMITYNAME S�t.nare W rPS -ytfn,�^c. COUNTY Q.l L
PERSON COLLECTING SA_MTLE(S e ee�s_c e P IrE NO. 1
CERTIFIED LABORATORY(S) S C Lab tt 375
Lab (#Dc��+�' I\ V /C D (SIGNATURE OF P f iTEE OR DESIGNEE) t�
G By this signature, I certffy that this report is accurat
MAY 1 0 ZUi6 complete to the best of my knowledge.
Part A: Specific Motuforing Requirements
- CFNTC�Ai Cu cc
9..�.`��
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P
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�6S;D`� �,.ii'Y. � `�,. .t
'��'�'�',-
�
I
l
I
I
I
I
Does this facility' perform Vehicle Mairteoance Activities us—ing r m - than 55 gallons of new raotor oil pe: month? _ ves oo
(if yes; complete Part B) --
• e
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STORM EVENT CRARACTERISTICS:
Date
Total Event Precipi_tatio_n (inch_ es):
Event Duration (bor) (ooly if applicable - scc per: nit.)
(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
-_.-_-1.617-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 property gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is. to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprsonment for knowing violations."
( ignatnre of Permittee)
rom SSvtl.7c<.-; %6Gn

Rze
STORMWATER DISCHARGE OUTFALL (SDO COP h
MONTCORING REPORT
Perit Number: NCS -CYiO 0` $�
mor _ SAMPLES COLLECTED DURING CALENDAR YEAR:
Certificate of Coverage Number: NCG - (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.)
FACII.ITYNAME t,na++ O :rliClsi C. _ COUNTY
PERSON COLLECTING SAMPLE(S a� �k1te.,g; P NO.
CERTIFIEDLABORATORY(S) —5C Lab # � CEI\ ED (SfGNA'_n_JRE OF PERNa=EORDESIGNEE)
APR 11 2016 By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Part A: Specific Moniforing Requirements CENTRAL FILES
DWR sFrrrtn.,
Iw �Y t io`�'�St
€"W
f Si4 - ift /
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M-1 .
:d
Does this facility, perform Vehicle Maintenance Activities using more than, 55 gallons of new motor oil per month? —yes 4110
(if yes; complete Part B)
Part B: Vehicle Maintenance Ac vityMonitorfn Requirements
.,p ,FSIP. , �o�j(Y,, �• "� e i�i .� „
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.St'c'•.`� -UM •°°t�'5a�tr.'•#15Eir'-..`3,s'.n_F"�t''C�1':.�'�
Form S Wli-246- l ! 2608

STORM EVENT CHA-RACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (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.).
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 pmperiy 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."
of Permittee)
Qom SWU 246 1 1 260$

STORM VENT CEEARACTERISTICS: Mail Original and one copy to:
! Division of Water Quality
Date Attn: Clentral Files
Total Event Precipitation (inches): 1617 Mail Service Center
Event Duration (hours): (only if applicable — sce 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 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."
; e=, s%vu-2-6-1 i260S

.\ 'STORtiSWATER MONDIORIP_vG REP
pLL (,SD(-)) FILE
py
SOD Permit Number:NCS %i7q or
Certificate of Coverage Number: NCG
l,!o 7�
FAULITY NAME
PERSON COLLECTLtiG SAIMPLE(S e a � �e
Lab # 375
C-ERTFFFED LABORATORY(S) �S- Lab
SAMPLES COLL 'COED DUICL*iG CALENDAR YEAR: _
(Thu mo ni to:-ing report shalt he received by the Division no later than 30 days from
the date the facility rcceiv�s the sampling resntts Cram the laboratory.)
COUNTY
P NE No. -
1� —
E OR DESIGNEE)
(SIGNATURF; OF PF .
Bc this sigratlue, I certify that this report is accurate
cor.:ptete to tl:e !test eC n:y knowledge.
_� ��ic^so`,;actor�'l'c::nc`.I' ---vcs
[}c,e this iac'.�n-.' pc-Cr-: Vc`:icie Mzi:.t`.arrce .Acti:i;ics us�:g :-:o:y tea.. _ 3 .
(t; ycs; compicte Par, ii)
Pact B: Vehicle Maintenance Activitc Morrito
kc

bJail Original and one copy to:
STOELti1 E"''EIN'T CELAP .C" R-S' ICS: Division e; 'w`a:c: Quai- `,.
Attn: Ccctral Fiics
Date - 15i7 Mai Service Center
Total Event Precipitation (inches;: — Raleigh. IJcrth C. -olma 27599-i6 i
Event Duration (hous;= (only L` appi:cab!c
r- sec permi[.J
more ;i:an c.^.e storm event was S=Ipiw';
Date
Total Event Precipitation (inches):
Event Duration (horns): _ (oniv �.orl:cable - See per-._.:ril
"I certify, under penalty othat ttaii.5ed 3�c[zntl pument roperly nd t�.'agathcrnent-S were nnd evaluate theprepared
::ur`under
i ti otc `sr Et rt ittct? or. ons o� ic? ryreC Lie person
system designed to assnr'e q Pe'
or persons who manage the system, or those persons directly respattsiht for Batt:enng the icant Penalties
the r subtnittan sub matted is, :o the Fes:
of n:v knowledge and belief, true, accurate, and complete. i am aware that there arc s{,n:fica r.t penssitics `nr s.:6 rct6rg Case i.^.`orm_?t:o.
inG1ding the poecih";ty of Cures and for knnwin{t yiolat:ions."
r n �
( igna[ure eC Pe rinitteej —_

1
f
0
Perini[ Nnu:ber: NCS
I or
Certificate of Coverage Nn ber: VCG ..
STOR-NI WATER DISCHARGE OLTFALI_ (SDO)
tifONTTORING REPORT
FACLLM' NA34E S l.c,,,a..d..F.a,i� W oo�. �r?,� .�^c.
PERSON COLLECTING SA KPLE(S���� ���R s1s_�e
CERTIFIED LABORATORY(S) S1G C Lab5
Lab4 -
Part A: Specific-Vonifering Regturet vents
SAMPLES COLLECTED DUR-ING CALENDAR YEAR: _ . —
(This monitoring report shah be : eceived by the Divisioa ne later than M day- from
the date the ractity receives the sampling res Its from the [ahoratnry
COUNTY i kG1.1+'-a.
NENO.r )
(SIGNATURE OPER-QTIMTE OR DESIGNEE)
By this signature, [ certify that this report is accurate
complete to the best of my ictowiedge.
- L'.
�3 -
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(%' ves; CoMpiete Par,. 3)
ran u vetude-
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LiRI � :.5. � MY" 0 111
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STORM EVENT CFL RAC'i E ZIS T ICS:
Date
Total Event Precipitation (inches;:
Event Duration (hours): (cni :.`acpccabie -
(if more t:.ar. one stc.= cvr-[ was sa_:.pleC
Date
Total Event Pr ecipitatioa (i^.c`aesl:
Event Duration (hears}: (oar-ly if =Hcabic - see
:titan O=giral and one copy :o:
Divtsia:;
A Cce7ai Flies
151- M✓ cl Cen to
Ralcien, NG: ,h CaicL:ta 27595
"I Cer Ify, under, penalty of law, that t`.lis docament and all attachments were prepared nader me direcCon or saperds;rrr in accord2nce will: a
system designed to assure that qualified pers:.nnel property" gather and evaluate tf:e information submitted. Based on my iaga'-y of t_`:e person
or persons who manage the system, or those persons directly responsible for ga;he: ing the information, :he i fo,=_on submitted is., to the F.est
of my knowledge and balief, true, accurate, and complete. 1 am aware Char there are sign fii.-t petut!Cies for .nbcnitt:ng faLse
including the possibiLty of ones and imprscntucnt far Snowing viaintioms."
C :gcature e .Perch -_ a '

j
Permit N amber: NCS oc)(�, A $q -
Certir-Icate of Coverage ;Yetmber: NCG -
M
STORNI'AA'iER DISCHARGE OUP;• ALL;SI>O) Y .
MONITORLNG REPORT
SAMPLES COLLECTED DURING-I+LENDi1R Y--
(Tt:is monitoring report shalt he received by the Divas on nc later thin 30 days from
the date the facility recr.cas tite sampcing re1-ttlts .`ram Lhe laboratory.;
FAClz.rrYtiAME S; c.a-doah woo �[3��rrlcrs Z �-
PERSON COLLECTING StkLPLE(S'
CER'['¢'FED LA-BORATORY(S) 5 c Lab t? �75
_Lab u
Part A: Spedfic 11oni[oring Regtireccents
ii I rr
COUNTY a.t l i'ei.
RECEIVE SIGNATURE OF P :ItrT`I-EE OR DESEGM"E)
E3c this signature, I cert_fv tttat'his report :s accura:e
N�V 1 2015 complete to —'lc best of try icaogicdge.
n 'Fd _ 'i0'—t �''Ct•..CiC w`2....., 2:C.. .^.C!:'CS CS i•.E ••.0 •••ioFs Oi :cw .^.iO:o: O:i ,pC: me .?H: _. V::s py_F.
VotS s :acl"i -_
f ycs,� Cow plea: Pa:^. -3)

STORM F=.FN-T CELlILACTERiSTICS: N'.aii O:-i�:raf and one copy to
' 1 D[V:S:C:: O: Wa:e: Qnaii:y
Date .1tiP.l CCG:raJ F:ICS
Total Eveat Precipitatiac (inches): :5 i ; ,V, tali Service Center
Event Duration (hon.-s): (ocy i`aPp Gcabic - sec Dc.nonc.) Raicg7,h :Nor;S G.:e:ira 2759S-i6i?
(-°.more [haz one sro ever.; was satn�icd)
Date
Total Event Precipitation (inches): .
Event Dtn-atiou (heu:s): (Dale appucabic -see pc.- i:.)
"I certffv, under penalty of taw, that t!ns documeut and all at!a8tments were prepared undo, :: c di; ectfe¢ cr st:pere sio¢ i¢ acco rdaace witf: a
system designed to assure that qualified personnel properly gather uad evaluate the mfor.:moon subruil ed. Based ee my ingci of the peon
or persons who manage the system, or those persons di: ectly responsible ror ganlering the info matron, the i:[.`o.mation subm:ttec.` s, :n Lhc hest
of my knowledge and Eder; true, accurate, and complete. : am aware that :here arc sign: leant penalties Irrr stabn:itCng Cerise i.^..`o r;; 1t:or.,
iadndiag the pos%ibLEty of tines and imprisonment Co, knowing viotatto ems."
(.:ignatnre or Permi tteej

STORMWATER DISCHARGE OUITALL (SDO)
MONITORING REPORT
Permit Number: NCS cx)O R 7Q or SAMPLES COLLECTED DURING CALEN-DAR YEAR: _ `
Certificate of Coverage Number: NCG - (This monitoring report shall be received by the Division no later than 30 days from
the datethefacility receives the sampling results from the laboratory-)
S' tlC�II WOO. ✓G.
FACILITY NAME
PERSON COLLECTING SAMTLE(S �� "— � z Lab ik �7�
CERTIFIED LABORATORY(S) SC
Lab #
Part A:. Specific Monitoring Requirements
COUNTY
P W NrE NO. 1
SIGNATURE OF PE E OR DESIGNEE)
By this signature, I certify that this report Ls accurate
complete to the best of my iimowiedge.
`+0 . �•i�4�.(L.r
ii� � ��
�, 11' 1 (. �. 6�_."s-'.•�x�F�i�'�s_=� �.. _
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Does uh s fay Lty pe o m
Vc c:e Ma aancc A:.dvw:
-cs us_rg gory than 55 gallons of n— motor o'i rc: T:o.^. h?
-yes � ro
(iI yes, complete Part 3)
_
. � ��F;2C5,,.vj
1 1 1 �'y � �
1 1 • 11,��,�.i`j���`.�Cfi":
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STORM EVE;,'T CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (bourn): (oniv applicable - see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only is applicabic - sec permit..
Mail Original and one copy to:
Division of Water Quayty
Ann Cc.., al Filcs
1517 Mail Scrvice Center
Raleigh, North Carolina 27599-W7
"I certify, under penalty of Law, that this document and all attachments were prepared trader me direction or supervision in accordance with a
system designed to assure that qualified personnel property gather and evaluate the information- submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is. to the hest
of my knowledge and belief; true, accurate, and complete. I am aware that there are Sign: cast penalties for submitting false information.
including the possibility of fines and imprisonment for knowing violatiotss."
( iguature of Perenttee Tff"tel v --

Permit Number: NCS �q
Certificate of Coverage Number: NCG
or
STORMVVATER DISCHARGE OUITALL (SDO)
MONITORING REPORT
FACILITY NA..MX S
PERSON COLLECTING SA_k.IPLE(S �e .a v&:N c�-
CERTIFIED LARORATORY(S) SC Lab,4 j75
Lab #
Part A: Speci�f-jc N4lotuforing Requirements
SA2vIPLES COLLECTED DUR NG 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.;
REeMVED
{{
COUNTYt?..l c i'a L
PFj�E NO. 1 1
(SIGNATURE OF PELtiU*TEE OR DESIGNEE)
By this signature, I certify that this report Ls accurate
complete to the best of my iatowiedge.-
-
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Does his fatuity' pe o.:.t Vebic'c Mai,'=ance :1 :i es us :g -or-- 'M-M 55 gLGnS G new ,otcr 0:1 .:nc :^. _ : eS X .^.c
(if yes; compiete Pat 3)
• Y h'cI Maintenance Activity Mcnitorit' R nirettients
IFIt
(� t
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��:%�z_. °°r•;,-s�
. �� .+� {=
ra � + ��� �� .�.. ,' u l LlLL 'cF�. cr{
LC i ,u�°PLy�3 .±�,fi,__
�oe�r� r �:
J

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation
Event Duration (hours): (ou!v if appEcable — sec pe^niu)
(�f more than one storm even[ was saapied)
Date
Total Event Precipitation (incises):
Event Duration (hours): (only if appiicabic - see pe d:.).
Mail Original and one copy to:
Divsior. of Water QuaSr+
Attn: C=ai dins
16 t7 Ma Scrvlce Center
i2aicigh, No^h Carolina 27699-i6i7
"I certify, trader penalty of Law, that this document and all attachments were prepared under my direction or st:perv�sion in accordance witl: a
system designed to assure that qualified personnel properly gather and evaluate the information .submitted. fused on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the iaforumdoa submitted is, to the best
of my knowledge and belief; true, accurate, and complete- I am aware tlmt there lresigaiflic=t penaldc: for submitting false info rtna Con,
including the possibility of Ines and imprisonment for knowing violations."

STO W,I WATER DISCHARGE OUTFALI. ;SDO)
MOVITORING REPORT
q
Permit tinmber: tics
CerCGcnte of Coverage Number: NCG
FACILITY NAME S nt,nM•0.C�a,f1 ; �OJ. rre�GrllCn
PERSON' COLLECTING SA_'KPLE(SI' tl.r s tc t
CERTTFTEDLABORATORY'S)La6t? "37j
Lab ?
Part A: Sp-ecfic Mo¢ICorng Regtilreruents
SAMPLES COLLECTED DURING CALENDAR YEAR./1— T
(This monitoring report shaC he received by the Division no Inter than 3Q a_Yg from
the date the facility receives the sampling resul Ls from the tahoracorv.;
f� rr
COUti'I1' • 0.i 1 i'A.>L
Lq
(SIGNATL"RE OF P % TI'EE OR DESIGNEE)
By CZis signature, I certify that Lhis report Ls accurate
- eomple2e-20-:lie-best-of-Inc-icnowiedge------------
C r�r .,�,,t`
r '�.E � . �
r;7��vv-lE• -y' x„ '`t'
5(�� - � rs ..t �� a.-1
� �xj��' . i;.. `n .• � �`(' �
t 'fit, n ,t. d� �%S��Sa
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a.
IC'`T s J" -a -
q a" {t
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i'?��'t✓R� .,,.t('
IS S�lfy4 ���y.
ti ,��,
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.��a .� Zy 9sV'�`t
< ✓ t 4T.T 1�.. ice'
�°ktk�'rr'... �''ftat � t-t: H:
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is t i�,q� Y. FfL�
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•�
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015
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---C€NTRACF1LES—
"—
Does this iaciL:v acz`,T: Vehicle Ma...�nanc AnvL';es osir:g Mom :ha:l �S gallions o' r.. » -:e;c. o° =:—c by Vcs
1
'if'ycs: cem piety Past 3)
Part B: Ve ticle Maintenance Activity 'vtenitoring Requirements
u�••' t 1�1..e7`.��
I�t �„ 1 t '1 1 I�f11F.�
��i,�'
�O�f(riF�F�7j�iO,rM1�t.a�".'
,;t��,y�t.•�,ht sni>� � �� .�
IA. t
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xKs• FK ���'t .�r� tl / �t • � ..lit
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f ..'lY � °t Ksy s v� s%'.:
i4AF9'�' !E'

STORM EVEh7 CEL4RnCTEAST(CS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (cc --F avpLcable -
(if morn char. One storm cvcc; was saspicd)
Date
Total Event Precipitation (inches):
Event Duration (hours): (o,1y a;plicabic - see pe;m:,.)
Mail Original and one caps' :a'
Division e` Water Quaii.
Attu Cc,.' --a! ^iics
t 617 ;✓a.i SCrvICe Cen:cr
Liaicigh. Nord Czro Lima 27699-i617
"I certify, under penalty of Law, that this documcut and all attachments were prepared under n;v direction or st:percision in accordance
system designed tnassure that Qualified txtso ¢ae[^. ro petit/ , at(:er had eva[t:atc the i.^.famia. ttu;i sti6itnttec:. L'ased a_^ ntc :aaai=9 a:` c::c [tc:-son
or persons who manage the system, or those persons directly respoasibie for gathering the infor¢:atioe, the information sub�dtted s, :a the best
of toy Imow(edge and belief; true, accurate, sad complete_ i atn aware a= ;here are significant penalties for submitt-mg false ie.`or wino
including the possibility of Genes and imprisonment for 6-noc ..eg rialatioas.'

STOR-MWATER DISCHARGE OUIT'ALL (SDO)
��'� �-..• MONITORING REPORT
Permit Number: NCS �' �q or SAMI LES COLLECTED DUR LNC CALFNI)Ali YEAR:
Cert nc to of Coverage Nnmher: NCG - (This monitoring report shall he received by the Division no cater than 30 days from
the dntc the facility recci,c: (he sampling reti::lts from the tahoratr' p.)
FACILITY NAME S �'f-•t�.0a-fl w_ OO�LLt!Cis ,�"c.
PERSON COLLECTLNG SAt4- PLE(S{)�%�
CERTIFTED LABORATORY(S) S>� C Lab 4 377
Lab x
Part A: Speedy Mociforing RegturemenL
COUNTY Q.I
Pt NT NO. - - Li I`
SIGNATURE OF P R E OR DESIGNEE)
By this signature, I certify ;hat this report is accurate
complete to the best of my knowiedge.
,�'i�SAY��. } l�� t��yn:p�TT i,� �'$ir' i��f,...-i�H k.'� ��`i.
WM
�'�•II�$-_'tee= r^y..-1'y^
/Ellsop
—
i
!
IUEWRAL
FILE
CTION j rat
Does tcds [2cu tv pe e.^ Vc ic!e a n' aarce A :i:;cs cs -.o c that: �' ZaE s e:` c x' -1.0:ar oi! pc:: c r; y^s no
(if Yes: complete- Pa.'t D)
Part B: Vehicle Maintenance Activity Motutorir. Requirements
"". 1� 1 1.�,�. �•^�
'. '4��c"'�'viEi'-f;I
1�+��
11 I
Ir,s�11'43 ^�.
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raw

S'P'ORM EVEN i CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Dnradoo (heats): (oei, if appbcablc - ss
(if more :1-= One stoup c'cct was sa✓.pled)
Date
Total Event Precipitabon (inches):
Event Duratiou (heurs): (only -F appi cablc - see pc, Wit.)
Mail Original and one copy to:
D:v;s:an o[ Wire, QuaL-Cv
Attu: Cc;a:ai ruts
1 617 Masi Scrvicc Center
Kaiaigh. Nor'!: G1r01-ina 27699-7617
"I certify, under penalty of taw, that this document and aJ attadtments were prepared under .ny direction cr superc^san in accordance Sri L: a
system desigued to assure that qua[ifled persoanei properly gather pad evaluate tl:c irfor=tioc subatit.ted. Based on ;:y iageI-y oC Lhe per son
or persons who manage the system, or those persons direcdy responsible for gathering the mfC=tiore, file i nforcat:oa submitted is; to the ttc}t
of my imo? [edge and belief, true, accurate, and complete. F am aware u':at there arc signiHctet penaitic: for ::ah ntitY;.^.g false
induding the possibUlry of ;ones and imp rsonmert for lcnowmg v.oiatious.'
( igcatu:e of Pertnictce) (?�:it� ���._-

STORMWATER DISCHARGE OUTFALL(SDO)
,"6NTTORING REPORT
Permit Number: NCS VtN A$4 or
Certiri ate of Coverage Number: NCG
FACILITY N.A7vtE w `
PERSON COLLECTING SA.^QPLE(S a �c;
CERTIFIED LABORATORY(S) 5 C Lab 75
Lab 4
Part A: Specific Monitoring Requirements
SAMPLES COLLECT7iD DURING CALENDAR YEAR: _ -
(This monitoring report shall be r eceived by the Division no later than 30 clays from
the date the facility receives the sampling results Lam the laboratory.)
rr
CCOUNTYaft t 'Tri. L
/� NE NO 1 6 — !
ECEIVE® (SIGNATURE OF P NffTTEE OR DESTGN'EE)
AUG U 7 2015 By this siguatt:re, T cerNfc that Lhis report Ls accurate
CENT co¢:plete, to tale best of my knowledge.
DWR SECTION
�p'�
Mv.
e
.. h •..�
K
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$. yS." .cY']
V
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�xi�'�vs�•''i�4�. _-:_ cl�h�Jcwxrt.�r 't .. I �Y dfS��','jy7s�. �
i
f
I
I
i
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I
Does thds facility perfnmi 'chicle ta.r a ce. p,✓. es cs_-"g l o t:a.55 gz!�Gns 0f;.cw.='10.02 Pe: -:e _ ycs r.e
(i yes; co:: piete Par! B)
n_o. cr,. x.:..r.. %A..:..n,..n­ A.- ivav Mnnitnrinn RertrriremenN
lJ�.�s,'l.-,
Me�..fh.S
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STORNI EVENT CH:IRACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if appLcabie —see
(if more (Fan one stern evert was s=.pled)
Date
Total Event Precipitation (inches):
Event Duration (hours): 'caly appiicabie — see pc, --,lit.)
Nlaii Original and one copy to:
Division of Water Quality
Act¢ Cc.t:ai riles
1617 Mai: Service Center
Raleigh, North CaroLna 27699-76i7
"I certify, under penalty of raw, that this document and all attachments were prepare(`. under my direction or s.:pervsion in accordance �-tth a
system designed to assure that quiliGed personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persorts directly respon_cihie for gathering the infortrntinn, thr, inform .dra ccthr-.::tted is, to :he best
of my knowledge and betiet; true, accurate, and complete_ ? nun aware Unit :here are sign_fi=t penalties Cotsbutitting false informaL"On.
including the possibility of fines and imprisonment for k' ow!ng violations.'

?�f STORIvIWATER DISCHARGE OUTFALL (SDO)
MONTTORIIVG REPORT (�
�+$q or SAMPLES COLLECTED DURING CALENDAR YEAR..=
Permit Number: NCS �� -
Certificate of Coverage Number: NCG - (This monitoring report shall e received by the Division no later than 3 a}'s,,from
the date the facility receives [fie sampling rerxl [s from the [aboratcry-) V"
FACILITY NAME S ^t-rO^ w0 t! -
PERSON COLLECTr';G SA-MYLE(S
CERTIFIED LABORATORY(S) SC Lab if �37J
Lab t
Part A: Specific Moniforing Requirements
COUNTY 011 'Sri RECEIVE NE N Y b — !
RECEI SIGNATURE ERMYITEEORDESIGNEF) c
JUL 0 6 2015 By [h s signature, I certify that this report iss accurate
complete to the best of me knowiedge.
CENTRAL FILES
IIWR SFCTION
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H .a jEarir1f 11 1. .. pwar
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—
Does .h s tac ty perf -1 Vehicle Maictc, .� tivo; cs usv.g mom than. 55 galicns of rc ao:er 01 pc: tno❑th? _ yes 4-no
(if yes; comp:ete Part B)
�0 �y
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9 i. ` &1 y
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t
,YkY6�:9K �

STOP-M JEVENT CRARACTERISTICS:
I P .
Date
Total Event precipitation (inches):
Event Duration (hours): (only if applicablc — see permit.)
(Lf more than one storm event was san pled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only is applicable — see permit. t
Mail Original and one copy to:
Division or Wave: QL aHi y
Attn: Central Flies
1617 Mail Service Center
Raleigh, North CaroLna 27699-i637
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance witi: 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 infortatiou submitted is, to the best
of lay knowledge and belief, true, accurate, and complete. I am aware tjat there are sig fi,ant penalties for submitting false info r. 'ion,
including the possibility of Cures and imprisonment for knowing violations-"
_
( attire of Pertnittee) ('����

STOR I WATER DISCHARGE OUI'FALL (SDO)
:WIONTTORL*iG REPORT
0
Permit Number: tics Oc)(�, A 7 O1-
Certificate of Coverage Number: NCG .
FACILITY NAME Sne.nar\d.pa, �ti0 _PS t::r✓CnG.
PERSON COLLECTING SA-11APLE(S e .t s-^"
CERTIFIED LABORATORY(S) S C Lab # 375
Lab 9-
Part A: Specific Monitoring Requirements
SA-MYLES COLLECTED DURLNG CALENDAR YEAR: _
(This monitoring report sbaL' be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY
(SIGNATU'RE OF P '4TITEE OR DESIGNEE)
By this signature, I certify that this report is accurate �9
complete to the best of my knowledge.
C3
�'
�
rT �� ?
��t
It- 4la .• • 1 � �,� 1 �l �
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?�'_�''�5.�!i�T�,;' � i3
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,'i` _a�i.`•1i;P i. ' -
•.'>�'��
/r
Does this f::ci-11t� per."o;rl �'c:�c.e ?.�_'ai:.;eaa-nce F,cev::ics us;r. mom m than 55 gvicn s o: new meter o1 x::':e^*_Z? _yes no
-_ (ifyes; complete Pa 1. -.-- --
.F_:_._.......... A,.N.:k �A.,..itn ino Rwncirerrients
.r`
I t 4(!;iH�J'
i 1 11'7rv4
.'��..Y%JCv�•OG�..:+.'�1r
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E—

Ilki

.STORi EVENT CHAK-kCTERLSTiCS:
t
Dale
Total Event Precipitation (inches;:
Event Duration (hours): (only ilf applcab:e — sec pe=-O
(if more than. one stc^n event was S=mpied)
Date
Total Event Precipitatieu (inches):
Event Duration (hon: sj: (only if applicabic — see permi:.).
Mail Original and one copy
D;visio.r.. of Water QuaiiN
Attm Central Fiics
2517 Mail Scrvice Cent-;
Raleigh, North Czolina 2769S
to:
:6;7
"I certify, under penalty of taw, that this document and all attachments were prepared under my direction.or supervision in accordance with a
system designed to assure that quaMed personnel properly gather and evaluate the inforrantiou submitted. Based on my iaquiry of Le person
or persons who manage the system, or thosepersonsdirect y responsible for gathering the information, the iafo=.ration submitted is, to the best
of my knowledge and belief; true, accurate, and complete_ i am aware tLat there are significant penalties for stemitting false v.fo=t-on.
including the possibility of fines and imprisonment for inowing violatiotss."
( id ature o.` Pertaittee)

STORMWATER DISCHARGE OUTFALL {SDO)
MONUORING REPORT
Permit Number: NCS Oc)c, R74 or - SAMPLES COLLECTED DURIING CALEITIAR YEAR: _
Certificate of Coverage Number- NCG - (This monitoring report shall be received by the Division no later than 30 days from
the datethe facility receives the sampling' results from the laboratory.'
FACILITY" NAME ' S G•l.�r COLTiTY Q. 1
PERSON COLLECTING SAMYLE(S a � = ti � P NE NO.
CERTIFIED LABORATORY(S) SC Lab # 37�
Lab # IGNATL"RE OF WIMTEE OR DESIGNEE)
By this signature, I certify that this report Ls accurate:*,
_complete to -the best of_tnv
Part A: Specific Moafferiag Requirements
1, 1h
L� t i
•'•'.'
_[
4T•4: li i��rtS�� _ ti�-
s--~+ �i-4 . �
� �.+..^Ci�v
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wvi lrv.^•
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.fy it `^v:Y°.
�: s���t��,,a�,�g�pa�Tf"�I,�S•`y$
tj �
ti
l� •...>�'4�Y �{'����,•^,t�
.t. x'�. �? ��>t•^vyl{��T.-
tr��+ayy���j�'�v��.,
9 Y �1 '
yi Y,y �t t �
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Sit � �
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tt y E
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kt JT�� Y
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y� �c.-•�'�'.s:�
: ...7i�f��S+�J2L5L�.''P.:.:
?��,��'�3.fti5"
tv ..11•^Ei:�i'+`fi�S�i
Does this facu:ty perform VeLicle Mai:.ienance Activi*;cs us;aE T.o , that. 55 galicns of .^.cw moron o:i p : Icclii'? _ ycs ro
(if yes; complete Part B)
AArn,tirrmrnts
�f•..�r 1.1...•
..r .......�. __vv//
its kM1ri. 1 T�4�S��$
�WyY_
.ua 'r.EY-1'6�axsn°'af"�'..�a15�]
y7; nys9
a•,v�
11 "EZ'�a
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i [1 jj'v '•' i.
{O t F.51k:it:)�i0
£�>V�,. 'Q.
f
i5
i:i ��''" , � i . it �`" ti�'tj�
half.'` '{
�
. . 7'i*���r11.�'E��
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3
, r Y j`d�iii (
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♦ . a�+j,�'i�r�iK�T'
�
'�c�,�7�}
RECEIVED

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only kf applicable - see pernit.)
(if more than one storm eveet was saspled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicablc - see permit.)
Mail Original and one copy to:
DMsion of Water QuaLtti•
Ann: CenCal Flies
l6 i7 Mail Service Center
Raleigh, North Carolina 27699-i617
"I certify, tinder peualty of law, that this document and all attachments were prepared tender try directionar snpervision in accordance with a
system designed to assure that qualified personnel propetiy gather and evaluate the information submitted. Based on my inquiry of 4ke person
or persons wbo manage the system, or those persons directly responsible for gathering the information, the ituormntion submitted is. to the best
of my knowledge and belief; true, accurate, and complete. I am aware that there arc significant penalties for submitting false information,
including the possibilty of fines and imprisonment for knowing violations."
( igaahu'e of Pertnittee) (ITa 1

STORMWATER DISCHARGE OIITFALL (SDO)
MONITOR NG REPORT
Permit Number: NCS $4 or SAAII'LES COLLECTED DURING CALENDAR YEAR:`
Certificate of Coverage Number: NCG - (This monitoring report shall be received by the Divislo❑ no later than 30 days from
the date the facility receives the sampling remits from the laboratory
FACILITYNA.ME--S�`t-^a" W� S liUs . Co'
O..lt
PERSON COLLECTING SAPITLE(S P N� ti0 t
CERT=DIABORATORY(S) —SC. Lab 375
Lab 4 (SIGNATURE O EWtiM-I'EE OR DESIG r E)
By this signature, I certify that this report iss accurate PVT
---REf _complete to_the _best of my
Part A: Specific Moti foriag Requirements- 1 - ED
Ann
Ki�{
�i
� „
�( R , n ✓i _I' �� Y'C! 41 1" y1 ni4y�t+��
_ y
I � 1
GGi �.` ..
Dons :his fac ty pe:fc �'chicic Ma-' lance AcT::;;CS ss:g .,gym
_. har. _zy11Gns Of acw mOta- o cs q ^O
(i Vs; complete Part 3)
Yart 6 ♦ CLLIIIC
ciao' u. �.- �••
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1
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y I •t'Cvt
o e�hj'
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r �� r_":.
r
.M��-�Ol°L}•,4."l
,

STORIM EVE-NT CHARACTERISTICS:
A
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — sce permit.)
(if more than one stem event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (oa:y if applicable — see permit.).
Mail Original and one copy to:
Division of Water Qua:i^+
Attn: Central riles
16I7 Mai; Service Center
Fialcigh, Nord: Carolina 27699-i6 i 7
"I certify, tinder penalty of law, that this document and all attachments were prepared under my direction or st:pervislon in accordance with: a
system designed to assare that qualified personnel property gather and evaluate the informp.tice submitted. ne_sed on my inqu:ry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the infortation submitted is, to the hest
of my knowledge and belief; true, accurate, and complete- i am aware that there are: significant penalties for submitting false info, .ca Coa.
including the possibility of lines and imprsonment for knowing viaiatiors."
( igaaturc of Pe e)

STORMWATER DISCHARGE OUI-FALL (SDO)
MONITORING REPORT
Permit Nnmber: NCS �� $4 or SAMPLES COLLECTED DURING CALENDAR YEAR:
CertiEicate of Coverage Number: NCG - (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.) ®�
FACII.ITY NAME S G+f.r�ar• W O ✓ Zti G. *,N
TY_PERSON COLLECTING SA.MPLE(S e.� = t � P0VE NO.CERTITTED LABORATORY(S) S C. LabM '37 Lab ti Np 8 20ATURE OF P E OR DESIGNEE)
by, this signature, I certify that this report is accurate ®�
r,, thv hest -of my knowledge.
Part A: Specific Mon foring Requirements
y
YC I 1 1_•,. �. � =
� I�i� [ [
a-'t �/ �� +7mxy:
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'.�a��.�a .�� XJ W'yv.�x '� �
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�sC1�'.-�-7�1 as.�0��`[yltl
W[ � �1,�„Yw,�IP 'n���ivla�tt
•i
,
tt
Does this faciiitr' performs Vehicle Maim; nance
Ac'V;�cs us, g
.o: than 55 gal: o. s of new aotcr o i per me n� ?
_ yes no
(if yes; complete Pact B)
■�i iiYsl7i1[
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STORIVrEVENT CHARACTERISTICS:
U Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable - sec permit.)
(if more than one stony evicet was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only i.` applcable - see permit.).
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mai: Service Center
Raleigh, North Carolina 27699- i 6 i 7
"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 dm
directly responsible for gathering the inforation, the information submitted is, to the best
of my knowledge and belief; true, accurate, and complete. I art aware that them arc significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
( antre e` Permittee) (D

STORM WATER DISCHARGE OU"TFALL (SDO)
MONITORING REPORT
Permit Number: NCS
or SAMPLES COLLECTED DURLNG CALENDAR YEAR:
- (This monitoring report shaft be received the Division later than 30 days fro�cL
Certificate of Coverage Number' NCG
the datetheCadtity receives the samplireng resin Ls from the labora[ory-) u �
COUNTY A-li i"4L
FACILITY NAME ONE NO. — f
PERSON COLLECTING SA.MPLE(S e R—s1s_ 'e'er
CERTIFIED LABORATORY(S) S C Lab #f 375
Lab p IGNATURE O PE E OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of my knowledge.
Psi- A- Cnerific Monitoring Requirements
ti'- ��}a, s�•y�
C� '�`' •i5"i - i0
i ft t
r: ee ila�:e'�T'�•
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ra+���:s�P�l""r�3I3L�-♦x�u `ni .
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t`•tt�I sz, '{'aa `�j�65:.i�n"T
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l�t S If 1^.L .-'x
ri ice. tj tic�a�y�j�
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rt.° �'"¢`Ma��.sY
r w e
S-� r'i•,T.u: �`I.'G��a K-17�ht-�`.i��nu..♦�ItU'r-♦
--L111
Does this fat liry perform Vehicle Ma r' mote Ac[ i4es using mom than 55 galions of .^.cw motor o1 pc, -north? _ yes no
(if yes; complete Pa^. B)
' ''
r
•'^ct �'
v__i• .rT-�
��'2���
~'ril�',�`6`dC�--�.4
11 il.�� �' =`*?
£a 5'a-'•
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t�- �:y'�1 ..1 41 y�6aaar eS
0� 77 t, , �fi
r� vil.5 ate•
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Ill . fi•a�
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12608

STORM EVEti'r CHARACTERISTICS:
,Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.).
Mail Original and one copy to:
Division or Water Quality
Ann: Cemral Fries
1617 Mai Service Center
Raicigh, North Carolina 27699-i6i7
"I certify, under penalty of law, that this docanneat and all aCachmeats were prepared under my directiogor supervision in accordance with a
system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsib[e 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."
3 -.2-(s
_TNIF �.

STORM F.VE\T CHARACTERLSnCS:
Date
Total Event Precipihabuu Oucbcs):
Event Duration (hours): (only if applicable — sce per:niL)
(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
Attu: Central Files
1617 Nlaii Service Cenrar
Ralcigh, North Carolina 27699-1617
"I certify, tinder penalty of law, that this document and all attachments were prepared under my direction.or supervision in accordance with a
system designed to assure that qunfified personnel properiy 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 Imowing violations."

STORM WATER DLSCRARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number: NCS �� �'$4 or - SAMPLES COLLECTED DUP.LNG CALENDAR YEAR:
- (This monitoring report shalt br: received by the Division no later than 30 days from
CertiCrcate of Coverage Number: NCG
the date the facility receives the sampling results from the laboratory.)
FACILMNAME SG`f.^a+'` W PC�r Vu,� COUNTYj CLAJ
PERSON COLLECTING SANME(S o R it "i PHONE NO. C
CERTIFIED LABORATORY(S) S C Lab # 37�
Lab � (SIGNATiIRE OF PERMI'I"IEE OR DESIGNEE)
By this signature, I certify that this report is accurate
complete to the best of m}_itnowfedge__
Part A: Snecific Moniforing Requirements
e
K f D
C '�•�,,.-t�.
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'
Iul
SECTION
Does this facility perform Vehic'.e N.aintenance Acavi:ics using R:o:c tha:� 55 gaLcns cf rc� ;ao.or o:i x::nc: �h7 _ yes �' rc
(if yes; compietc Part B)
y
E �
rr' t.... eR.se+'s
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• °' c'4`) T »t s '�
� �e,p'"-
e S'Irl `•�'•� r
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1 1 • > �,.ry
� STD J%i .�
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1 1
1 a
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� pL� S� �l-
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b fC '�(a r

STORM EVEINT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (Lours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hams): (only applicable — see permit.).
Mail Original and one copy to:
Division of Ware: Quality
Attn: Central Files
1617 Mai: Service Center
R- icigh, North Carolina 276994617
"I certify, under penalty of law, that this document and all attachments were prepared under my directiogar supervision in accordance "Irh a
system deigned to assure that qualified personnel properly gather and evaluate the information submitted. ➢aced on my ingairy of Lie person
or persons who manage the system, or those persons directly responsible for gathering the inforatatiou, the information submitted is, to the best
of fay knowledge and belief; true, accurate, and complete. I am aware that there arc significant penalties for submitting false infor gnon.
including the possibility of fines and imprsotmtent for knowing violations."
a )J
( kgnatare of Perini e) /�y�l

1
STORM WATER DLSC,AARGE OUTFALL_ (SDO)
,MONiTORDvG REPORT
Permit Nnmber: NCS �� �' $� or SAMPLES COLLECTED DURLNG CA LEN�AR YEAR: _
Certcate of Coverage Number. NCG - (This monitoring report shall be received by the Division no later than 70 days from
the date the facility re<ciccv the samp.Gng results Crom the laboratory'.)
WO r (P.SCT✓�l/ �nC.
FACILITY NAME
PERSON COLLECTING SAIviPLE(S e a�s= RECEIVED
IFI
CERTED LABORATORY(S)S Lab # �7�
Lab 4-
NOV 0 7 i
PartA: SRedflir .M_omforing Requireclents
DWR SEC770�J
COUNTY I 0-14 ;-a_�
PHONE NO.- . - 1- — -' S :
(SIGNATURE OF PERNU=' F OR DESIGNEE)
By this signature, I cert;fc that Luis report is accurate
� �
�
x + �
'r _`,S{4"�4`-'s�'"`•�r
,..I.
, _ }�j��e, �C_r1 d.- r,
Rail
f
i
�
i I I
'
tiV
L FILES
ECTION
SS I' ns of : ew' tart. of Pet : GGti:? -- Vcs X ^C
Does thus faciuly Per-= �' eFdc'.e .o ha : gzo.
(%f yes,- com:j)iete Pa.^. B)
�0 f�,+Fl �
�� iet\ �y,2��k�„i�ia._1ec,.s
E.. L F .,.., � er-^7
��•--'
x ' 0 � R

P
t.>STOR-NIEVENTCHA-RACTERTSiICS:
Date
Total Event Precipitation (inches":
Event Duration (hours): (only if app Leabie - see pern't-)
(if more thaq one stortn sveet was sa_ Pl d)
Date
Total Event Precipitatioa (inches):
Event Duration (hGrrs): (o Wy c aopiicabie - sce permit.).
Mail Original and one copy to:
Division of Water Quaiir+
Ara: Ccnerai Flies
16 i7 Mail Servicc Ccntcr
iLlicigh. Norte Carolina 27699-t6:7
"I cer-tifv, under penalty of law, that this document and all attachments were prepared under try directior. or s.:pery s on in accordance with a
.. nnci propetiy gather and evaluate the infor=60r- subtuittrd. based on my iagairs of the person
system designed to assure that gtraIified
or persons who ^-wave the system, or those persons dig the inforcafiac:, the ireformation subrr.tt
-ectiv responsible for gathering is, to the best
of my knowledge and belief; broc, accurate, and complete. I am aware :hat :here arc signsfscant penalties fen subntitt_ng faLsc info. nation..
including the possibtiity of fmcs and imprisonment for 6raowing violntier_s."

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date Attn: Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Event Duration (hours): (only if applicable — scc 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 property gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
F0� S`.v U-246-1 12608

STORM EVENT CHARACTERISTICS:
Mail Original and one copy to:
-
Division of Water Quality
Date
Attn: Central Files
Total Event precipitation (inches):
1617 Mail Service Center
Event Duration (hours): (only if applicable — see permit)
Raleigh, North Carolina 27699-1617
(if more Ilian. 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 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,
induSV the possibility of fines and imprisonment for knowing violations."
Fot-: SWU-2=6-11260E

STORM EVENT CHARACTERISTICS: Mail Original and one copy to:
Division of Water Quality
Date Attn: Central Files
Total Event Precipitation (inches): 1617 Mail Service Center
Event Duration (hours): (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" document and all attachments were prepared under my direction.o� 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."
Form SWU-246-112608
D_,.,. � -co

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
Form SWU-246-112608

GTORM EVENT CFIARACTERLSUCS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.)
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
"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."
Matt __�.....
Form S W U-2a6-112608

STORM EVENT CIIARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit)
(if more than. one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit).
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh North Carolina 27699-1617
"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."
4ignat�iu�re of Pe=ttee
a )
Form SWU-246-112608
n___ 1 -11

STORM EVENT CHARACTERISTICS:
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit)
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours): (only if applicable — see permit.).
Mail Original and one copy to:
Division of Water Quality
Attn: C.^nL'al Filcs
1617 Mail Service Center
Raleigh, North Carolina 27699-I617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction.oT 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."
( ignatS t e of permittee)
0
Pn, CWtI Id(._I IIrnR

STORM WATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Permit Number NCS 000292 SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(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 Resinall Corporation
PERSON COLLECTING SAMPLE(S) Bill Lewis
CERTIFIED LABORATORY(S) Summit Environmental Technologies Lab #
Lab #
Part A: Specific Monitoring Requirements
COUNTY Northampton
PHONE NO. [phone]
SIGNATURE OF PERMITTEE OR DESIGNEE
REQUIRED ON PAGE 2.
Outfall
No.
Date
Sample
Collected
50050
Total
Flow (if app.)
Total
Rainfall
Chem. Oxygen
Demand
(COD)
Total
Phosphorus
TP
Total
Suspended
Solids TSS
Total
Nitrogen (TN)
pH
mo/dd/vr
MG
inches
mn/L
m /L
m /L
mg/L
units
001
06/21 /2014
0.010
1.35
72.0
< 0.50
5.0
1.4
6.89
002
06/21/2014
1 0.057
1.35
53.0
0.74
11.0
2.8
7.12
JULb
ZU14
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes X no DWQ/BOG�V
(if yes, complete Part B)
Part R- Vehicle Maintenance Artivitc Mnnitnrino Requirements
Outfall
No.
Date
Sample
Collected
50050
00556
00530
00400
Total Flow
(if applicable)
Total
Rainfall
Oil & Grease
(if appl.)
Non -polar
O&G/TPH
(Method 1664
SGT-HEM), if
appl.
Total
Suspended
Solids
pH
New Motor
Oil Usage
mo/dd/yr
MG
inches
ma/1
mg/1
unit
al/mo
Form S WU-247. last revised 21212012
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date 06/21/2014
Total Event Precipitation (inches): 1.35
Event Duration (hours): 6 (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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature
July 15, 2014
(Date)
Form SWU-247, last revised 21212012
Page 2 of 2