NCG030505_MONITORING INFO_20190102

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ (� bI qy/ t7a
YYYYM M DD

" Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted W-I 1 IA
CERTIFICATE OF COVERAGE No. NCG03 L' 5— L a
FACILITY NAME Oi-ftei1oLi-ricdn,,m
COUNTY '
PERSON COLLECT NG A PLES L-1 G 2 , G
LABORATORY Lab ert.# iZ_
CSaMments on sample collectio or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 20f;
SAMPLE PERIOD ❑ Jan -June ❑ July -Dee
or ® Monthly'0CJVyL (month)
REGc�151 �,INGTOCLASS ❑ORW ❑HCIW ❑Trout ❑PNA
!^ ❑Zero -flow ❑Watersupply ❑SA
JAN 0 2 2019 ®Other G
CENi'RAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
DWR SECTION
No discharge this period?'
Outfall No.
•
Date Sample'
Collected'
(mo/dd/yr)
24hour rairdelh'
amount,
Inches' '.
'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non-Polar O&G/
Total Petroleum
'Hydrocarbons
Total Toxic
Organics,
Benchmarks ==>
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
#2
10
Zb
l
• .I
0.005
ND
o Q
ND
NIA
' Monthly sampling (instead of semi-annua)) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no dischafge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilitie` incorporate a solvent management plan into the Stormwater F:,;,;_tion Prevention Plan may so certify, and the requirement for TTG„ionitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
i
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX me/L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier I,.Tier Z or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharnp this nprind?2
Outfall No.
Date Sample
'Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar C&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended.Solids
PH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

.Note: If. report a sample value in excess of the benchmark, you must IMIP.—Onent Tier 1, Tier Z or Tier 3 responses. See General Permit text
FOR PART AND PART B MONITORING RESULTS: ;
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitorina period
In the case of "No Discharge reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina. 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that q lified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those perso s ect responsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am a ha a are significant penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing violations."
of Permitteej
Permit Date:11/1/2012-10/31/2017
la a ky
Date)
SWU-245, last revised 10/2S/2012
Page 3 of 3

r
w
for North
Carolina Division of Water Quality General Permit No.
Date submitted��—
CERTIFICATE OF COVERAGE NO. NC603 O_ 5 0 5
FACILITY NAME Si Wild_ineo�Q� } �LLJ10
COUNTY _�}� 1 u
PERSON COLLECTING PLES L,-`00
LABORATORY_.[_I,��_ Lab Cert. f( NI pr
Comments on sample collection or analysis:
I
Part A: Stormwater Benchmarks and Monitoring Results
Outfall No. Date sample' 24-hourrainfalF,
Collected' amount, Total Suspended Solids
(mo/dd/yr) Inches' .
chmarirs - a 100 In or 50 mp/L
NCGO30000
SAMPLE COLLECTION YEAR ZDI$
SAMPLE PERIOD Q Jan -June [] July -Dec
or a] Monthly'cpJoe( (month)
R ��D'SCCHAARRGIDISCHARGING TO CLASS QORW �HQW QTrout QPNA
LL�_.. []Zero -flow FlWaterSupply QSA
OCT 3 0 2018 [$Other G
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES Z AND/OR 3
DWR SECTIOiJ
No discharge this period?2
PH, Non-PolarO&G/ Total Toxic
Standard units Copper Lead Zinc Total Petroleum Organlxi
Hydrocarbons
6.0 - 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 1s =/L i mart
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.21; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit D�te:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

F-a�3itiest� .-, incorporate a solvent management plan into the Stormwater Pm= bn Prevention Plan may so certify, and the requirement for TTO m-or itoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is Implementing the all the provisions of the
solvent management plan Included in the StormVater Pollution Prevention Plan."
0
Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the formal "<XX mg/L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tierl,.Tier Z or tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
r— ..
Outfa11No.
Benchmarks = a
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches°
Non -polar O&G/TPHby
EPA 1664(SGT-HEM)
15 mg/l.
NO aiscnarge
Total Suspended Solids
100 mg/L or 50 mg/V
this period?`
pH
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
+ See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

.A/2ter if ,, report a sample value in excess of the benchmark, you must impre"ment Tier 1, Tier Z or Tier 3 responses. See General Permit text.,D
FOR PART 6 AND PART B MONITORin r R SULTS
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
° 2 XCEEDANCES IN A ROW FOR THE SAME PA
• TIER3: HAS YOUR FACILITY HAD 4ORMORE BENHMARK XCEE ENCESFOR HRESAMEPARAMETERIATANYONEREMENTS.EOUTFAnLLL?PYYESIQ OIOC] IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge reran V
Division of Water Quality) te;
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CE IFICATION OR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to
assure that qualified Personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the
those pVet
ctly r sponsible forgathering the information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete.
am awg system, or
re significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
' V Q/ 3�,�
ofPermlKee)
7 k n (Date)
Permit Date: il/1/2012.10/31/2017
SWU-245, last revised 10/25/2012
Page 3.of 3

— ..�ai�nw��n rce OrL
for North Carolina Division of Water Quality General Permit No. NCG030000
CERTIFICATE OF COVERAGE NO.
FACILITY NAME
COUNTYadin
PERSON COUL NG
LABORATORY-11LU
Comments on sample
Lab Cert.1i t7 �
or analysis:
_CfN-T?jN,L
FILES
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
Outfall No.
I DateSamplo 12A-hourraintall
Collected 1 amounr.
Total Suspended Solids I pH'
Standard units
100mg/Lor56mg/L 6.0-9.0
SAMPLE COLLECTION YEAR ZOIQ�
SAMPLE PERIOD ❑Jan -June []July -Dec
or ®Monthly'_ Lmonthl
DISCHARGING TO CLASS []ORW ❑HQW []Trout QPNA
QZero-flow QWaterSupply QSq
[Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -),
No discharge this period?'
' Non -Polar O&G/
Copper Lead .Zinc Total Petroleum TotalToxic
Hydrocarbons Organics'
007mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L
'Monthly sampling (Instead ofsemi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
� For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a c
'The total precipitation must be recorded heckmark here. us(ng data from an on -site rain gauge. Unattended sites may be elig(ble for a waiver of th
`See General Permit, Table 3 identifying the rain gauge requirement.e especially sensitive receiving water classifications where the more protective benchma
s Total Toxic Organics sampling is applicablrk applies,e onlyforthose facilities which perform metal finishing operations, manufacture semicon
electronic crystals, or manufacture cathodductors, manufacturee ray tubes. For purposes of this permit the definition of Total Toxic Organics (s that defin
Effluent Guidelines for the facility subject tition contained In the EPAo the requirementto sample (for metal manufacture use the definition as found in 40 CFR 469.12; for e(efinishing use the definition as found in 40 CFR 433.11; for semiconductor
tube manufacture use the definition found in 40 CFR 469.31). ctron(c crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
Permit D?te:ll/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
maybe waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics Into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the stormwater Pollution Prevention Plan."
Name
Title�lPrinLHC(
y �o
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BOL, <P" Non -detect, N D, or other similar non -numerical
format. When results are below the applicable limits, thev must be reported in the format "<XX me/L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value In excess of the benchmark, you must Implement Tier 1, Trer Z or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
Footnotesfr
Outfall No.
Benchmarks
Date Sample
Collected'.
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664(SGT-HEM)
15 mg/L
NO aiscnarge
Total Suspended. Solids,
100 mg/Lor 50 mg/L•
this period?`
pH
6.0— 9.0 Su
3m Part A also aoolv to
chic Port n
See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:31/1/2012-30/31/2017
SWU-245; last revised 10/25/2012
Page 2 of 3

Note: Ih report a sample value in excess of the benchmark, you muss imw—rntent Tier 1, Tier 1, or Tier 3 responses. See Genera/ Permit text.
_FOR PART A AND PART B MONITORING RESULTS
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDER
ES FOR THE SAME PARAMETER AT ANY ONE OUTFACE? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQREGIONALOFFICE? YESNO❑ ❑ REGIONAL OFFICE CONTACT NAME:__�Wj,�'� i'im'vil] OFFI <
! rt01
(rZdl a cg52 of ONO Dicrharae" re_ a_ o_ rtd fn
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699.1617
YOU MUST SIGN THIS CE8jIFIrATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or
those pers� y r B nsgle for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware t ear i icam: penalties for submitting false Information, Including the Possibility of fines and imprisonment for knowing violations."
Permittee)
Permit Date:11/1/2012-10/31/2017
Z(Date)
5WU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual-Stormwater D„char?e Monitorine Report
for North Carolina Division of Water Qua ity General Permit No. NCG030000
Date submitted
I
CERTIFICATE OF COVERAGE NO. NCG03���
FACILITY NAME -i nil �......
COUNTY '
PERSON COLLECTING SA PLES TOO
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ZD18
SAMPLE PERIOD Jan -June 0 July -Dec
or ® Monthly'M
_., 014 month
DISCHARGING TO CLASS E]ORW MHQW Trout E]PNA
RECEIVED❑Zero-flo^w ❑Water supply OSA
[f Other (1,
SEP 05 2018
CENTRAL, FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 i
DWR SECTION
Outfall No.
Date Sample
i
(mo/dd/yr)
24=hour rainfall
Inches'
Total Suspended Solids
PHA
Copper
No
Lead
discharge
Zinc
this period?'
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics'
Benchmarks =__>
100 mg/L or 50 mg/L°
9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1 Monthly vamnlino
finct.orl of �ow,t_�.,
....i� .-..._.
�__:_ ...�_I �_ -
..
_..
- , ----- -• _I... I uegln %mU1 uic �e�uiiu wnsecunve benchmark exceedance for the same parameter at the same outfall.
3 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table.3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit D�te:11/1/2012-10/31/2017 SWU-245,last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certifythat to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature) I (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BD'L, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L". where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
El No discharge this period?2
Outfall No.
Date Sample
I
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar 0&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended.Solids
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or SO mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Dale: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if report a sample value in excess of the benchmark, you must in., .ment Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• ,4 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO D
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES NO
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly respo Bible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am a�a�ree th�a ere r sI ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
l))�Cf,1N�
of
Permit Date:11/1/2012-10/31/2017
S c �
(Date)
SWU-24S, last revised 10/25/2012
Page 3 of 3

`or North Carolina
CERTIFICATE OF COVERAGE NO. N
FACILITY NAME
COUNTYf JAI
PERSON COLLECTING AM5 PLFs I
Division Water Quality G�QT eneral Permit No. NCG030000
Date submitted
LABORATORY _��t� Lab Cert. # N
Comments on sample coliection ar analysis:
00 UzFn t i
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 201
SAMPLE PERIOD Q Jan -June [] June Ju—�
EDti,� 7Gor Monthly' onth)IARINGTOCLASS ��m
ORW HQW QTrout []PNA
AUG 03 ppi$ QZero-flow []Water Supply E]SA
CENTRAL other
FILES
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
NC
OutFall No.
Datesample
Collected,
244hourrainfall
Total Suspended Solids
pi.�. .'
(mo/dd/yr)
amount,
Inches,
Standard unite
Copper:0.03r_
ead
Benchmarks=>
_
-
100 mg/L or SO mg/L
6.0-9.0
0.007 mg/L
3 mg/L
i
Monthly samolinefinsteadnf<A,,,l_a,,.,,­n...,,...�.,...._...._�_____
,
charge this per od?'
Non -Polar O&G/
Zinc Total Petroleum Total Toxic
Hydrocarbons Orgamcss
0.067 mg/L I 15 mg/L
- --•, •• w=s u.=,ewnu consecutive Denchmark exceedance for the same parameteratthe same outfall.
ZForsampiing periods with no discharge at anysingle outfall, you muststill submitthis discharge monitoring reportwith a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
' Total Toxic Organics sampling is applicable onlyforthose facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found In 40 CFR 433,11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Rermit Dpte: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

Facilitiesthat incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. 1 further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan"
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BD�, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<kX me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?z
Outfall No.
Date Sample
collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar 0&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L'
6.0-9.0 SU
Footnotes from Part A also apply to this Part B
*See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
%� !� Page 2 of 3 gym^

/Dote: lf; report a sample value in excess of the benchmark, you must im4 pre'
mentTierl,Tier2,orTier3responses. See General Permit text.
FOR PART AND PART B MON BORING RESULTS
• ABENCH MARK ECCEEDANCE TRIGGERSTIER I REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES INA ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES []NO[]
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES QNo `
REGIONAL OFFICE CONTACT NAME:
In the case of "No Discharae�_ __ to,
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
I certify, under penalty of law, that this document and all attachments were prepared under my direction crsupervislon in accordance with a system designed to
assure that qualifed 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,
amaw�aSr that signifiiamPenalties forsubmittingfalse information, includingthepossibility offines and imprisonment for knowing violations:,
of Permittee)
(Date)
Permit Date:ll/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Disc are Monitoring Rei3ort
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted tOi7.5T
CERTIFICATE OF COVERAGE NO.
FACILITY NAME .S
COUNTY.
PERSON COLLECTING
RECC1V
/SAMPLECOLLECTIONYEAR -ZOl_$
C r ,
SAMPLE PERIOD 01an-JuneJuly-De-Dec
JUL 0 5 2013 or Y montIt month
DISCHARGING TO'CLASS 7 'RW HQW Trout
Lab.Cert.#_ m(A- QPNA
,— O��T'�AU �I�l'' • []Zero -flow QWaterSupply [
Comments on sample cOollleecio�no r analysis: DIp1Z SECTION
N6 j�]Other_ ( ,
5
Part A: Stormwater Benchmarks and Monitoring Results
Outfall No. I DateSample I Z4-hourrainfall•
Collect amount_
Benchmarks �
Total Suspended Solids I PH'
Standard units Copper
100 mg/L or So mg/L' 6,0 —9A 0.007
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this perfod?z
Non -Polar O&G/
Lead .Zinc Total Petroleum Total Toxic
Hydrocarbons Orgy°1as
0.033 mg/L 0,067 mgJL 15 mg/L 1 mg/L
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter.at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites maybe eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit, the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433:11; far semiconductor
manufacture use the definition as found in 40 CFR 469.12, for electronic crystal manufacture use the definition as found in 40 CPR 469.I and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit D�te:11/1/2012-10/31/2017
SWU-245, last revised 10/2s/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based
(TTO), I
Note: Results i
format. When
limit, reportinf
Note: If you
Part B
Footnotes fri
' See General
i my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
fy that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
agement plan included in the Stormwater Pollution Prevention Plan."
Name (Print nam
Title (Print title)
(Signature)
(Date)
be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
is are below the applicable limits, they.must be reported in the format. "<XX me/L', where XX is the numerical value of the detection
etc. in mg/L.
a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this neriod;)2
I
Outfall No.
'
Date Sample
Collected..
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended.solids
pH
Benchmarks==>
_
-
15 mg/L
100 mg/L or 50 mg/L"
6.0-9.0 SU
Part A also apply to this Part B
mit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: !f you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FO& PART AND PART B MONITORING RESULTS
A BENCHMARKEXCEEOANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [� []
IFYES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q Np NO REGIONAL OFFICE CONTACT NAME:
in the case of"No nlischarae renortsi fo.
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CE TIFICATION FOR ANY INFORMATION RE ORTED:
"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 forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware re s' dfcant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ignature f Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 1 n-,.5/2012
Page 3 of 3 ..l

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 5 IZ2116
CERTIFICATE OF COVERAGE NO. NCG03 0 5 0 5 SAMPLE COLLECTION YEAR ZOIP,
FACILITY NAME .S anity E%%Aeerec1 1=0.41Cnr o SAMPLE PERIOD Q Jan -June ❑ Julyy Dec
COUNTY 1 1 or © Monthly'r;l 10uk4all42monthl
PERSON COLLECTING 'SAMPLES LToole L .CAI On DISCHARGING TO CLASS ❑ORW ❑HQW Trout ❑PNA
LABORATORY_La Cert.N 12 RECEIVED ❑Zero -flow ❑Watersupply ❑SA
Comments on sample collection or analysis: ®Other
JUN 0 2 2018
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 a
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
Outfall No.
Benchmarks =__>
Ou+�u11 41
u+ I#
Date Sample
Collected
(mo/dd'/yr)
2418
24=hour rainfall
amount,
� Inches;
Total Sus ended Solids
P
100 mg/L or So mg/L°
"1 M51 L_
I L-
pH'
Standard units
6.0 - 9.0
85
.5
Copper
0.007 mg/L
IJD
0,003 M4 1.
L _I ivo
Lead
0.033 mg/L
ND
WD
❑rscnarge
Zinc
0.067 mg/L
ND
0.0-105
rn/s period
Non -Polar O&G/
Total Petroleum
Hydrocarbons
15 mg/L
ND
ND
Total Toxic
Organicss
1 mg/L
—
' Monthly camnlinvlinct.o,i ..f co...;_-..,.. - n ......_.
w__:_...:.��i___
..
Z - "" IJIIUUI/ FIIU�� u=rIII VVILII LI�C �tL.Unu LUnsecutwe oencnmarx exceedance for the same parameter at the same outfall.
3 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table.3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469,22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit D�te:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature) I (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX me/C, wliere XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No dischorae this oeriod?Z
Outfall No.
Date Sample
Collectedi.
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended.Solids
pH
Benchmarks =__>
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
in the case Q "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those personsdirectlyresponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:11/1/2012-10/31/2017
s/9/ e-
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring? Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 5 �Z-d i F,
CERTIFICATE OF COVERAGE NO. NCG03 0 5 0 5 SAMPLE COLLECTION YEAR J
FACILITY NAME S�anle4 Evlg�neer�cl �aSicn,na SAMPLE PERIOD ®Jan -June
COUNTY _5��1�—� or Q Monthly
PERSON COLLECTING SAMPLES - L_. to rL Gle On DISCHARGING TO CLASS OC
LABORATORYLab. Cert. #12 ,
Comments on sample collection or analysis: RECEIVED ©I
MAY 31 2018
Part A: Stormwater Benchmarks and Monitoring Results pWR AL FILES
IN
Y31 �
SrQRQ A RL1 ory
Dec
vi�nll �k2i/month i
❑Water Supply
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 i
Outfall No.
Benchmarks =__>
OuFOA # 1
uI 1#
Date Sample
Collected '
(mo/dd/yr)
2418
24=hour rainfall
amount;
Inches3
Total Suspended Solids
p
100 mg/L or So mg/L'
1 m
I
Standard units
and
6.0 — 9.0
26,95
5
Copper
0.007 mg/L
IJD
0­003-mcilt.
U ivo
Lead
0.033 mg/L
ND
OD
mscnarge
Zinc
0.067 mg/L
ND
0.0-105
tnls penodt
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
1 mmg/L
ND
ND
Total Toxic
Organics'
1 mg/L
—
Monthly .-i
t�,.
Z --- -• _ "" I ,,UKcgln wiLlI uic �ewiiu wusecuuve oencnmarK exceeaance for the same parameter ,atthe same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table.3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433:11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Pacilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature) I (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BD�L, <PQL, Non -detect, ND, or other similar non -numerical
format, When results are below the applicable limits, they must be reported in the format, "<XX mgA!' where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar D&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 rng/L
100 mg/L or 50 mg/L*
6.0-9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017 SWU-245,last! revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
a 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES Q NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [ NO
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those personsdirectlyresponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am awarehere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

STAN LEY.
Engineered Fastening
DWQ Regional Office Supervisor:
Subject: Tier 3 Storm Water Response RECE�VED
Emhart Teknologies, LLC f `MI 31 201%
Stanley Engineered Fastening QUA1lN
614 NC Hwy 2005 gTORMWA ERPERM1Tf1N0
Stanfield, NC 28163
Certificate of Coverage NCG030505 - Effective September 17, 2015
Benchmark
Values
Nov 2015
Jun 2016
Jan 2017
Jun 2017
Dec 2017
Apr 2018
0.067
0.091
0.0454
0.0986
0.142
0.0576
0.0705
Zinc
m L
mg/L
m L
mg/L
mg/L
m L
mg/L
0.007
0.007
0.0173
0.0067
0.0219
0.008
Copper
mg1L
m L
m L
m L
m /L
ND
m L
This Tier 3 Response is being communicated because of 4 Zinc exceedances in Emhart's facility's storm water
Outfall #2,
While Copper has not yet reached 4 exceedances, it could fall into the same criteria due to unknown
contributing source(s). As such, the copper data has been included as well.
As required, Tier I and Tier II responses have been documented at each exceedance(s). Concluding the June
2017 sampling exceedance, the site began monthly monitoring.
Following the April 2018 exceedance, the site has obtained sampling containers to capture storm water samples
from multiple locations leading into the primary outfall point to help identify contributing source(s).
Facility Notes and Observations:
There's been no modifications and/or changes to the operation during this time; therefore, the source(s) of the
zinc and copper in this outfall is unknown.
The environment (trees/bushes/grass/tadpoles) surrounding the outfall area appears to be very "alive" with no
visible areas of concern.
This outfall gets a large portion of runoff from roof drains, the back yard, the parking lot, and highway.
Please advise if further action is required. We appreciate any assistance in resolving this matter.
Since y,
Lind ey To
HR/Sr EHS Manager
704-888-7104
[e-mail]
www.StanleyEngineeredFastening.com

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted i-11.24' (g
CERTIFICATE OF COVERAGE NO. NCG03 0 !�_ rO rJ
FACILITY NAMEFnninaar;7 C,7,7__
COUNTY L
PERSON COLLECTINfd SAMPLES
^ r N111n Lab Cert. # _Ij l�_
on sample collection or analysis:
Part A: Stormwater Benchmarks and' Monitoring Results
SAMPLE COLLECTION YEAR 201
SAMPLE PERIOD ❑ Jan -June July-Dec
E�+�• or ® Monthly', (month)
\.r �oISCHAGING TO CLASS []ORW ❑HQW ❑Trout ❑PNA
MAY 03 2018 ❑Zero -flow ❑Water Supply ❑SA
IX-1OtherC.
CENTRAL FICEq
OWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
041
Outfall No.
Benchmarks =>
Date Sample
Collected'
(mo/dd%yr)
_
Z4 hoar rainfall
amount,
Inches
_
Total Suspended Solids
100 mg/L or So mg/ L°
pH;
Standard units
6.0 - 9.0
Copper;0.033
0.007 mg/L
No
L
discharge
Zinc
this period?`
Non Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
0.067 mg/L
15 mg/L
1 mg/L
' Monthly sampling
(instead of semi-,,mmn
mnci
hooin ..A+ +i,-_______ ______....._
_ b,,. •• _ �_ wimecuuve uencnmarK exceeoance tor the same parameter'atthe same outfall.
2For sampling periods with no discharge at any single outfall, you must still submitthis discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites maybe eligible for a waiver of the rain gauge requirement.
See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained In the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433,11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

Facilitiesthat incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(70), 1 certifythat to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported In numerical format. Do not report Below Detection Limit, BDIL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/Ln, where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tler 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging> 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'.
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar C&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
200 mg/L or 50 mg/L•
6.0 — 9.0 Su
Footnotes from Part A also apply to this Part B
" See General Permit text, Table 5, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benehmork, you must implement Tier 1, Ter 2, or Tier 3 responses. See General Permit text.
FOR PARTA AND PART B MON ITORING RESULTS
• A BENCHMARK EXCEEDANCETRIGGERSTIER I REQUIREMENTS. SEE PERMIT PART it SECTIONS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
' TIER3: HAS YOUR FACTUTY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANy ONE OUTFALL? YES
IF YES, HAVE YOU CONTACTED THE DWQ REGI OVAL OFFICE? YES[]NO Q NO REGIONAL OFFICE CONTACT NAME:
in the case of &No Dischame" reports) r
Division of Water Quality
Attn: DWQCentml Fifes
1617 Mail Service Center
Raleigh, North Carolina 27699-1517
YOU MUSE SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED
I certify, under penalty of law, that this document and all attachments were prepared under my direction orsupervision 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 dire esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1
am a re significant penalties for submitting false information, indudingthee possibility of fines and imprisonment for knowing violations."
(S' nature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-24S, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. N0003
FACILITY NAME 1n
COUNTY ISSnNi.
PERSON COLLECTING; SAMPLES l, adc -
LABORATORY N (k Lab Cert. #
CommentsIon sample collection or analysis:
Z SAMPLE COLLECTION YEAR 2DIb
SAMPLE PERIOD Jan -June 0 July -Dec
or Monthly' F-2bCUCV month
RECEQISGCHA�GING T CLASS :ORW 0HQ QTrout ,PNA
N� �t 44ii ❑Zero -flow ❑Water Supply ❑SA
APR 04 2018 [`,other C ,
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 i
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
111
Outfall No.
Date Sample
Collected i
(mo/dd/yr)
24-hour rainfall
amount,
� Inches;
Total Suspended Solids
P
pH'
Standard units
Copper
vo
Lead
arscnarge
Zinc
tnis period r
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics s
Benchmarks =__>
100 mg/L or 50 mg/L°
6.0 - 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
' Monthly
--...I....o — Gov J_rill wnii Lilt seconD consecutive Dencnmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
;The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table.3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature) I (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BD;L, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
IncheS3
Non -polar 0&G/TPHby
EPA 1664(SGT-HEM)
Total Suspended, Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
PermitAte:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 2 of 3
�a

Note: if yok'-report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
y
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge"reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ctl r - f ned 3 Icoll� 3
(Signature of Permittee) � Ae-(,tc LEIS cbnad 1 C0.11&� qjq= bj -911D (Date)
p� 3�2ro�1g i� 1�9C W b COuad 51T
-` �r ml� 3UJn2r a,1 ahbn deb nai�Dn-�sfm
Is 41&1- new CM+GLCF
wpY lsu{ D� 50k but Wilt Ise, In 40
all4� `lj` 110o, �M,s will be abmikCl
� -to c resale
I VA-n b en1 Shl"L
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 211211g
CERTIFICATE OF COVERAGE NO. NCG03
FACILITY NAME�p� I fir'
COUNTY �I�
PERSON COLLE NGJSPLESLABORATORY�CAr I
comments on s
or analysis:
15 SAMPLE COLLECTION YEAR 201-7
VUQ—�_ SAMPLE PERIOD ❑ Jan -June N July -Dec
or NJ Monthly'_ (monthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
# l7 RECEIVE® [Zero -flow [:]WaterSupply []SA
Other 0,
� FEB 21 2018
Prwi;l 111211Si
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 \�
DWR SECTION
I —I a:_ ---- _ .,2
Outfall No.
Date Sample
,
Collected
(mo/dd/yr)
24=hour rainfall
amount,
Inches'
Total Suspended Solids
P
P H,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
s
Organics
Benchmarks =__>
12 zo n
100 mg/L or 50 mg/L
5. L
6.0 —9.0
lu .1
0.007 mg/L
ND
0.033 mg/L
N D
0.067 mg/L
0. 0
15 mg/L
1 mg/L
:ALLrngI
L,
.•,.,,.,,,., ... PIF1111s �nioicau ui �c,111-diuiudil ,rituL uegin with the second consecutive benchmark exceeciance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469,22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Dyte: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitorr.ng
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format "<XX me/L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General,Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n Ain riicrhnrno rl,lo n . 4-.>2
Outfall No.
Date:Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches s
Non -polar O&G/TPH by
EPA 1664 (sGT-HEM)
Total Suspended. Solids..
-
pH.
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes fron
rant A also apply to this Part is
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. see General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES Q NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
in the cased "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date:11/1/2012-10/31/2017
21 1g
(Date)
SWU-245, last revised 10/2S/2012
Page 3 of 3

for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 2L 121I S
I
CERTIFICATE OF COVERAGE NO. NCG031
FACILITY NAME S�t td
COUNTY }gnIt',
T
PERSON COLLECTING SAiMPI FS I
LABORATORY_
Comments on s
or analysis: !
D 5 SAMPLE COLLECTION YEAR 201-1
t1J (g SAMPLE PERIOD ❑ Jan -June July -Dec
or Q Monthly' (month)
IC1Lcf-nI h)-f DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
# li Zero -flow ❑Watersupply ❑SA
^ I Other C,
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 —> \�
❑ No discharge this period
Outfall No.
Date Sample
Collected ,
(mo/dd/yr)
24-hourrainfall
amount, �
Inches'
Total Suspended Solids
Standaardnd units
Copper
Lead
Zinc
Non-PolarO&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
g
Benchmarks ===>
100 mg/L or 50 mg/ L°
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
A002
n
5. 1_
In .1
ND
W I
0. 0
rng
rviunimy sampling linsieaa Or semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any; single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table.3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
I
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format "<XX me/L" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, .Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle, Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
IVn rJkrhnrn0 thic norin,4P2
Outfall No.
Date;Samole
Collected'.
(mo/dd/yr)
24=hour rainfall
amount,
s
Inches..
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended.Solids..
pH,
Benchmarks
15mg/L -
100 mg/L or 50 mg/L*
6.0-9.0SU
i
Footnotes from Par
M diau dpPiy io ims Part 5
* See General Permit text, Table S, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 - SWU-245, last revised 10/25/2012
Page 2 of 3 -

Note: If you report a sample value in excess of the benchmark, You must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B,
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES Q NO[]
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [] NO
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge"renortsl to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Permit Date:11/1/2012-10/31/2017
2148
(Date) '
SWU-245, last revised 10/2S/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 11,
CERTIFICATE OF COVERAGE NO. NCG03 Q. Q 5
FACILITY NAME 5janle14 GVl%11J&0LA Ina
COUNTY ayi14
PERSON COLLECTIN SAMPLES _ L.Toph.
LABORATORY_ hj1A Lab Cert. ff N
Comments on
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 201-1
IDS 1 SAMPLE PERIOD ❑ Jan -June July -Dec
J or Monthly' month
DISCHARGING T CLASS ORW HQW ❑ [-]Trout ❑PNA
�/ ❑Zero -flow ❑Water Supply ❑SA
RECEIVED �© E�Pther ('
Nov 17 2017 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
CENTRAL FILES
DWR SECTION
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall•
amount,
Inches'
Total Suspended Solids
P H,
Standard units
Co
Copper
wu
Lead
uucnurye
Zinc
rnis penoor
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics'
Benchmarks ===>
OWN
100 mg/L or 50 mg/L
6.0 - 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
a --- ...r.... 0 %•••�• �, a����,.av �1-U-L U=sill wiui nie secona consecutive oencnmam exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit D�te:11/1/2012-10/31/2017 SWU-245,last revised 10/25/2012
Page i of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waivedl. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I icertify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent'management plan included in the Stormwater Pollution Prevention Plan."
Note: Results i
format. When
Name (Print name)
Title (Print title)
(Signature)
(Date)
be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
Its are below the applicable limits, they must be reported in the format. "<XX m¢/L", where XX is the numerical value of the detection
limit, reportinSlIimit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
I ❑ No discharge this period?z
Outfall No.
Date Sample
Collected`.
(mo/dd/yr)
24-hour rainfall
amount,
3
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended.Solids
�.
pH
Benchmarks
=__>
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
i
i
Footnotes from Part A also apply to this Part B
* See General Pejrmit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/S/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO �7( IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete,
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
A // /
of Permittee)
Permit Date:11/1/2012-10/31/2017
(Date
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 5 I
CERTIFICATE OF COVERAGE NO. N000315-0.5—
FACILITY NAME . lti &I "ifW9f0'1r4 NKdov,.,.,
COUNTY
PERSON COLLI
LABORATORY.
Comments on
PILES
Lab Cert. #
collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Z611
SAMPLE PERIOD ❑ Jan -June E July -Dec
or [` Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RECEIVE[ ❑Zero -flow ❑Water Supply [_]SA
NOV 17 2017 ®Other C
CENTRAL FILE!$EASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 a
DWR SECTION
Outfall No.
Date Sample
Collected r
(mo/dd/yr)
24-hour rainfall •
amount,
Inches3
Total Suspended Solids
P
pH
Standard units
Copper
wu
Lead
mxnurye
Zinc
uus penoa�
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
s
Organics
Benchmarks =__>
2
100 mg/L or SO mg
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
1S mg/L
1 mg/L
1 Mnnthk,
Z -- ....e — 0111ivaq 111U,L urelll WILT] ue ie second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

II
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
I
"Based
(TTO), I
solvent
Note: Results I
format. When
limit, reportin€
Note: If you
Part B
i my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
fy that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
agement plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
lust be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
-esults are below the applicable limits, they must be reported in the format. "<XX me/L" where XX is the numerical value of the detection
limit, etc. in mg/L
a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No disrharnp thic nprinri72
Outfall No.
Date Sample
Collected'.
(mo/dd/yr)
24-hour rainfall
amount,
InchesTotal
Non -polar 0&G/TPH by
EPA 1664 (SGT-HEM)
ded.Solids
c. ..
pH
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
I
L .
I.
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/I /2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report g sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
in the case of LNo Discharge" reports/ to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are si ' icon penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/2S/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qu lit General Permit No. NCG030000
Date submitted —1 2$ 1-7
,CERTIFICATE OF COVERAGE NO. NCG03 0 5 0
FACILITY
LITY 11
NAME SaanlP J (-L11(le2
FACYQr� F(15�en� 1
�a
PERSON COLLECTINt SAMPLES�irIfPUTryIO
LABORATORY Pne�( J— Lab Cert. # 12
Comments on sample collet ion or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 201-1
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or Monthly'_ (month)
DISCHARGING TO CLASS ❑ORW �HQW Trout [:IPNA
RECEIVED ❑Zero -flow EWaterSupply E]SA
AUG 15 2017 Other C
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
DWR SECTION
Outfall No.
Date Sample
Collected '
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
P
P H
Standard units
Copper
No
Lead
discharge
Zinc
thus period.
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Or anics
g s
Benchmarks =__>
1
NO OuTF
L
100 mg/L or SO mg
6.0 - 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
1S mg/L
1 mg/L
Auffab 2,
21 I
'i0 m L
(c.Slo
1 r\/r (\!1♦�t�\/ n�inn r�ne4nn� ..0 .
-I\
- - r••••o �• J 01 1iU011 Ueel[l wiui Me secona consecutive oencnmarK exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table,3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
- Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Dyte:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify) and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX m¢/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this nprindP"
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
N-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended.. Solids -
pH
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
,Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES Q NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge" reports/ to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
--k;T.r—
(Signature of
Permit Date:11/1/2012-10/31/2017
(Date)
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted Z 7-011
CERTIFICATE OF COVERAGE NO. NCG03 O L Q a
FACILITY NAME JFQ 11 N J:;)p j I-j-ad ask l\m
COUNTY „(t J
PERSON COLLECTING SAMPLES Lvldsrc,Toole-
LABORATORY La Cert.q 12
Comments on sample collection o analysis:
5 100 iA rd&I AI- ,Tul-Dec ?Llb > lade
San -Ion Swrpl2 du %,kS- -, erne
SAMPLE COLLECTION YEAR 201-7 (or 2DI(0
SAMPLE PERIOD ❑ Jan -June Q July -Dec
or Monthly' (monthl
DISCHARGING TO CLASS [:]ORW 0HQW QTrout OPNA
QZero-flow ElWatersupply [:]SA
RE-CEI1 ED ®Other
i-o mect c011Tlicuice..FE6 2 g 201PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 ->
Part A: Stormwater Benchmarks and Monitoring Results
CENiFZAL FILES
DWR
Outfall No.
Benchmarks =__>
dk I
Date Sample
Collected
(mo/dd/yr)
_
O l t I
24-hour rainfall
amount,
Inches'
-
Total Suspended Solids
P
100 mg/L or SO mg/L
lo. tl1 L
pH'
Standard units
6.0 - 9.0
'1. (slo
- �ry
Copper
0.007 mg/L
N t7
LJ rvo
Lead
0.033 mg/L
N D
uiscnarge
Zinc
0.067 mg/L
0.01la
Mis period r-
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
35 mg/L
Total Toxic
Or anics
g s
1 mg/L
—
+
I
l2 L
"1.9
_
®.00(o-j
ND
0.08
KID—
1 Monthly samnlina
l inctaarl of ocmi_
r..���i1..,,,.«�..,,.:_...:.L.L______�__.
..
- --- - - �=sll WTI uic Sewiiu wnsecuuve oencnmarK exceeoance for the same parameter at the same outfall.
a For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433,11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities' that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No dischornp this nprind72
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24 iour rainfall
amount,
3
Inches
Non -polar 0&G/TPHby
EPA 1664 (SGT-HEM)
Total Suspended Solids,
..
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L'
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See GAFieral Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• -•.A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/V
Signature of Permi�ee) '2
(Date)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report k4�
for North Carolina Division of Water Quality General Permit No. NCG030000
Date sub 'tt d I I
ml e 1
CERTIFICATE OF COVERAGE NO. NCG0315- LI
FACILITY NAMEL}0y��;,FnainQored Facle�'�n
COUNTY
PERSON COLLE�NG AMPLES uTu'�rp1e
LABORATORY e lll��I _Lab Cert. # _ (Z
Comments on sample collection or analysis: n
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 20I(o ®�
SAMPLE PERIOD PqJan-June ❑ July -Dec
or ❑ Monthly' _ (month)
DISCHARGING TO CLA55 ❑ORW ❑HQW ❑Trout ❑PNA
i j Zero -flow Water Supply ❑SA
ECE51 y E® Mother C
AUG 15 204LEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION
Outfall No.
Benchmarks =__>
I#L
Date Sample
Collected '
(mo/dd/yr)
24=hour rainfall
amount,
Inches'
Total Suspended Solids
100 mg/L or 50 mg/L
Standaardnd units
6.0 - 9.0
Co PPer
0.007 mg/L
❑ No
Lead
0.033 mg/L
discharge
Zinc
0.067 mg/L
this period?'
Non -Polar O&G /
Total Petroleum
Hydrocarbons
15 mg/L
Total Toxic
r
Oanics
g s
1 mg/L
#2
n
ND
8.b
0.01
N�
,oy
1 Monthly camnlina linctcarl n£ ­­n
-
..
z - - - - - - �•• / ^., -=6111 111� >«yJJU wioewuve uencnmarK exceeaance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
' Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433,11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit D�te:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities' that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX m¢/L". where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
'Date Sample' '
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
a
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended,Solids.
.pH
Benchmarks ===>
15 mg/L -
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
a
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
+'
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES Q NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge" regortsl to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Date)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 11.11 1 I to
CERTIFICATE OF COVERAGE NO. NCG03-0— _a 4 5 SAMPLE COLLECTION YEAR 2OI5
FACILITYNAME 51unL4 F giAee(M RKaPniAQ SAMPLEPERIOD []Jan -June ©July -Dec
COUNTY I or Monthly' ❑ Y (month)
PERSON COLLEC ING AMPLES _ r Q_ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY_ Lab Cert. # IZ ����'` /�D ❑Zero -flow []Watersupply ❑SA
Comments on sample collec ion or analysis: V [AOther C
JAN 2 0 Z016 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES
pWR SECTION
Outfall No.
Date Sample
1
(mo/dd/yr)
24=hour rainfall
Inches'
Total Suspended Solids
and
Copper
LJ ivo
Lead
:0.033
ascnarge
c
:0.067
trus period r
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics'
Benchmarks =__>
0 +*I
11 30 15
1 5
O.�I�4
0!i
100 mg/L or 50 mg/L
11.5 m
12.0 L
6.0 - 9.0
5(o
—1.01
0.007 mg/L
D
0.001
mg/L
ND
D
mg/L
0.018�
0.
15 mg/L
ND
1 mg/L
1 Monthly samnlinv hnctpnri of cp.n f_­..••_n
--- - -- •• �=6� ..I II LIM �tLUFIu wFuecuuve oencnmarK exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results, are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit; etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharae this aeriod?z
Outfall No.
Date Sample
Collected'
(ma/dd/yr)
'24-hour rainfall
amount,
a
Inches.
Nan -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended,Solids.
� . - t...� �-� -
, pH
Benchmarks =__>
15 mg/L
100 mg/L or 50 mg/L'
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
' • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submittine false infnrmaffnn including the possibility of fines and imprisonment for knowing violations."
t3ignnrure or vermittee)
(Date)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 1
`y f2y,i+s fac 'q1ecl 8 Zs IS
CERTIFICATE OF COVERAGE NO. NCG03Q !� Q5 8�
SA PLE COLLECTION YEAR ZOIS
FACILITY NAME r o, Gr,ne and f 1 k•wn SAMPLE PERIOD ® Jan -June ❑ July -Dec W 1oAC41e'4o la 0li
COUNTY �4nnIL ' ��
or El Monthly' (moP hl O A 44
PERSON COLLE NGI SAMPLES DISCHARGINGf�TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY Cabanalysis:
.#�J_ RACE ❑Zero -flow ❑Watersupply ❑SAS
Comments on sample toile ion or analysis: Cc ®Other r
�Ia,+
P 2015 0
!EMAQt duriq 2 5 [�
CENTRAL FILnEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
DVVR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
170
M
Outfall No.
Benchmarks =__>
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
-
Total Suspended Solids
100 mg/L or 50 mg/L
pH,
Standard units
6.0 - 9.0
Copper:O.033:mg/L
0.007 mg/L
Li 1vo
o,scnorge
c
:0.067
mg/L
this period?`
Non -Polar O&G/
Total Petroleum
Hydrocarbons
15 mg/L
�)
Ita
a`} IS
i
ND
NO
Ulf
N
n a
Monthly sambline
(instaari of CA,,,L�.,.,,
n ..,,,.«
k,...,., ...:...�_ _____�
-- --- - - , ��• oegi V I,11 die second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Dpte:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or. other similar non -numerical
format: When results are below the applicable limits, they must be reported in the format. %XX m¢/L", where XX is the numerical value of the detection
limit, reporting limit; etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. see General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this oeriod?2
Outfall No.
Date Sample'
Collected'
(mo/dd/yr)
-24-hour rainfall
amount,
a
Inches
Non -polar 0&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended.Solids.
. - �:;: ,• .
pH
Benchmarks =__>
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
i
_J
s
Perm mate: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PAT A AND PART B MONITORING RESULTS
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
----------------
(Signature of
,-Z3—' �-
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Dischar a Monitorin Report
y for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted I I 115
CERTIFICATE OF COVERAGE NO. NCG03 0 5
FACILITY NAME Qyda"1 1)SR �� 5 SAMPLE COLLECTION YEAR
COUNTY SAMPLE PERIOD Jan -June © July -Dec
PERSON COLLECTING SA PLIES or ❑Monthly'_ (month)
LABORATORY' 1onl� C CDISCHARGING TO CLASS �ORW �HQW QTrout �PNq
�gnn14fi_Tced Lab Cert. #_ I� RECCIUGD QZero-flow �WateTrout y pNA
Comments on sample collection or analysis:
JAN 14 2015 ®other G 4
Part A: Stormwater Benchmarks and Monitoring Results
Outfall No. Date Sample 24-hour rainfall
Collected' amount, Total Suspended Solids
(mo/dd/yr) Inches3
Benchmarks =__> 100 mg/L or so mR/L
CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
OWR SECTION
❑ No discharge this period?z
pH, Non -Polar 0&G/ Total Toxic
Standard units Copper Lead Zinc Total Petroleum
Hydrocarbons Organics'
6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
' Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: ll/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

Facilitiesthat incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX m¢/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No dischoroe this neriod?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total ended.Solids.
.. ,
pH
Benchmarks =__>
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit DAe: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: lj you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BE EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCE5 IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES Q NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO REGIONAL OFFICE CONTACT NAME:
in the case of "No Discharge" resorts) to:
Division of Water Quality
Attn: DWQ Central Files
2617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information. including the possibility of fines and imprisonment for knowing violations."
1 1 1
(Date)
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water quarity General Permit No. NCG030000
Date submitted 11 1
CERTIFICATE OF COVERAGE NO. NCG103 O 5 O !1_
FACILITY NAME -AvAol UQ, I II _
COUNTY
PERSONCOLLE TING AMPLES L1l�SP �b0�2—
LABORATORY La Cent, q
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR -2,%Iq
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' /monthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
RECEIVED UOther L
DEC 0'8 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
CENTRAL FILES
DWR SECTION
❑ No di,,;,, ge th ' d�
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall'
amount,
Inches
Total Suspended Solids
cz
P H, unitsOrganics
Standard
='
Copper
Lead
`
Zinc
is perlo .
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Benchmarks =__>
_
-
100 mg/L or 50 mg/L°
6.0 — 9.0
0.007 mg/L
0.033 mg/L
0.067 mg/L
15 mg/L
1 mg/L
NQ FLOVJ
n
D,0051 M41-
NID
0.0 rliwck
ND
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:ll/l/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Pacilities 'that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be Feported in the format. "<XX me/L", where XX is the numerical value of the detection
limit, reporting limit,,etc. it mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharqe this period?Z
Outfall No.
Date sample
Collected,
(mo/dd/yr)
-24-hour rainfall
amount,
inches'-
Non -polar O&G/TPH by
EPA 1664(SGT-HEM)
Total $uspended,Solids
,100
,pH,
Benchmarks =__>
_
-
15 mg/L
mg/L or So mg/L*
6.6 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
FOR PART A AND PART B MONITORING RESULTS,
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR. including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period
in the case of No Discharge reports) to: L
Division of Water Quality
Attn: DWQ Central Files _
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: `
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Il 1S 1
(Date)
Permit Date:ll/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3