NCG060209_MONITORING INFO_20190419

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
El HISTORICAL FILE
li�- MONITORING REPORTS
DOC DATE
❑ joo O� I `
YYYYMMDD

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No
y' Date submitted
CERTIFICATE OF COV RAGE NO. NCG06� C�
FACILITYNAME
COUNTY v r•1
PERSON COLLECTIMS SAMPLES
LABORATORY_U� C6�Q.(� Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
NCG06Wt
C
MAY 0 �
6 2013
-a 0 19 sr DE"'R`LAnrD QUgt,;,.
SAMPLE COLLECTION YEAR 0j?A4yll
ar�R SAMPLE PERIOD ❑Jan -June ❑July -Dec p�rlrrl INS
or [e 1Wonthlys^ ADCij (month}
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
❑Zero-flower� ff❑Water Su ly []SA
Pmer L_%l C + VIJ
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats U�-c e animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
l'1
Total event rainfall ? or ❑ No discharge this period3
Outfall;No
Sample
ccollected, mo/dd/yrl
T55
-mg/L , ;'
H,
: 9fandard units ,
"D
'.
•:. mg/L :",
d
mg/L..
FecalCoilfor,oats
w Colonies *'er'100 ml
Enterococcl;
Calonfes er 100 ml
Benchmark '-s''
is
`-100'or'5W `=.
"rWithin 6.0•`-"9 0_
120 ?
30
.1000i.
5001
Parameter Code
- -
C0530 ` '-`
. 00400 ': - '
; 00340:
'; '00556 ° '
31616
" 61211
,S
S
G
Aj
a
-zs _-19
lons
s
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"see General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes Vno
Permit Date: 11/1/2018-05/31/2021
(if yes, complete Part B)
5WU-249, Last Revised 11/5/2018
Page Iof2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfail No.
'Mate ,Sample Collected
"(mo/dd/yr)'
24 hour rel`nfall amount , 4
1nches? , �, .
'NewWcitor Olhor t
r
= Hydraulic'.all ljsage ,
Non Polar O&G]TotaI
' I?etroleum Hydrocarbons:,E
Total Suspended Sollds
3
Benchmarks h
<
15 mg/L' -
300:ii7g%L or'S0 mg/L,
P,ara►neterCade°'!
+E
f-:�4Y'465Z9,_ ''
FEU ', NCOIL,,,
00552 �,
e`,<A"CO53D
Footnotes from Part A also apply to Part B
— • *FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES tNO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIO A }OFFICE? Er, O ❑
REGIONAL OFFICE CONTACT NAME;
i
Mail an original copy o f this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case
of "No Discharge" reports) to;
Division of Water Quality
Attn: DWQ Central Files
1617,Mail Service Center
Raleigh, NC 27699-161�L,
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 violati ns."
/
Signature of
Permit Date:11/1/2018-05/31/2021
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG06Q���
Date submitted MAY 08 Zpr.
CERTIFICATE OF COV RAGE NO. NCGOJ� C�
FACILITY NAME 0a, Uj
�L
COUNTY \ r1 C
PERSON COLLECTIN'G SAMPLES G v
LABORATORY t�f�� Lab Cert. #-
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Q 0 [_RM� �aOIJAL17-Y
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec PERAjIr11NG
or PiV onthlys�AO.Ul (month)
DISCHARGING TO CLASS ❑ORW ❑HC!!W ❑Trout ❑PNA
❑Zero -flow �[]Water Supjj1y ❑SA
FACILITY ACTIVITIES INCLUDE (check all that apply):
use/process meats animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
0
Total event rainfall z__L or ❑ No discharge this period'
outfall No ,
•Date Sample:.
i ,-._ :
Collected;,mo dd r
TSS,' ' '
�,.l �
mg/L
pH, ..
Standard,units
COD,",
rn Lr ` ,'
_ OII and Grease,
s , m L : ''
Fecal ColIform;
Colonies: ara00 ml .
i" ..Enterococcl,
t.: . .
Colonies per 100.mI
Benchmark
aWithln 8.0`=,9.0.
iZO,=
a 30
10001.
.5001'
Parameter Code
=
' CO530 ° ,'
' .'00400'`
00340 °.
31616``:.
61211 ? 1
,S
S
11,3(1
s
9S
I Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
sMonthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new oil per month? ❑ yes 9(no
Permit Date: 11/1/2018-05/31/2021
(if es complete Part B)
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
"
a
r
Data`Sam"IeiColiacted=
p.r,.,..,,
'24`hnur rain#allcamounf,f�;.New'Motor
3
,EnChe -
011 or° 5Nan•Puiar,0&ajTatal
at : ,•,, r 4'
Petroleum'H grocarbons ,.
Y
otal 5u� e� did:Sollds-
T p
r"
•Banchmarksf;,��,.
.ti'"`Fsv y,,-Z
�..�;- : * ,���. k. ;,.
Y -Fya iTF
��� ...s_ �.�.�. � :� ��.��r
Lrr £ _ a
�<��.�. .�.;,�, ��, ::.,
5?;�'rttuf ..-. -i .,:,
� � m� �A_s>i3 rng/L :; �.� -
:- s"'." 4",
rip0'tri8%L or.Sp mg%L
Parometer Coda.3
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES t% NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIO A OFFICE? 1� S ErNO ❑
REGIONAL OFFICE CONTACT NAME: I 1
Mail an on inal copy of this DMR including all "No Discharge" reports within 30 days o recei t o the lab results or at end o monitorin eriod In the case
of "No Discharge" re arts ta;
Division of Water Quality
Attn: DWQ Centrai Files
1612,Mail Service Center
Raleigh, NC 27699-161Z,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations.'_ -
Signature of Pe
Permit Date: 11/1/2018-05/31/2021
�- 14 -1
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

(':)7Z Y�-
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted �l- �r" t u _
CERTIFICATE OF COVERAGE NO. N00066 a_ L SAMPLE COLLECTION YEAR Q-011 U _
FACILITY NAME W0.5 UJ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats [�ise animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? DYES EON
LABORATORY_ _ 5LC\J \_RLab Cert. #i
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE: -)�
0Tota! event rainfo!! z3�' � or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/ r
TSS,
m L
pH,
Standard units
COD,
MOIL
Oil and Grease,
m• /L
Fecal Coliform ,
Colonles per 100 ml
Enterococci ,
Colonles. er 100 mi
Benchmark
100 or SO
Within 6.0 - 9.0
120
30-
1000
S00
2�1O
`
S
i
Only applies to facilities that use/process meats. Nov 15 2018
2 The total precipitation must be recorded using data from an on -site rain gauge,
3 For sampling periods with no discharge at ate( outfalls. You must still submit this dischaFge i i.6riltoFingit;ep6rt with a checkmark here.
aSee General Permit text, Table 3, identifying the especially sensitive receiving water classifcafions Lvhe�e t'17e more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [(no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo dd r-
Oil and Grease,
mSIL
TSS,
mg/L.
pH,
Standard units
New Motor Oil Usage,
Annual averse al mo
Benchmark
-
30
100 or 50
6.0 -- 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any out€ails, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
(if yes, complete Part B)
RIFCIFIVED
NOV32018
STORP'll`tia E� PERMITTI
✓uc
bast Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART 8 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SE TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC 5 FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES MNO ❑
IF YES, HAVE YOU CONTACTED THE DWQ RE IONAL OFFICE? YES O ❑
REGIONAL OFFICE CONTACT NAME: m.
Mall an original and one copy of this DMR, Including all "No Discharge" reports, wFthin_30 days of receipt of the lab results !or at er d of
monitoring period in the case of "No Discharge"' reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617-Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm$tee)
(Date)
Additional copies of this form may be downloaded at: htti):Iloortal,ncdenr.org/web/`=w�q/ws/SLI/­npdesswtttabA
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted
CERTIFICATE OF CgVgRAGE NO. NC 06 ad'a SAMPLE COLLECTION YEAR C� 0 19
FACILITY NAME ��
SAMPLE PERIOD ❑ Jan -June ❑ JJuuly-D
PE
COUNTY RSON CODE) G SAMPLES
or PWonthlys ) f'ol _ (month]
LABORATORY
Lab Cert. ft
PR 1
�1pt�
Part A: Stormwater Benchmarks and Monitoring Res ults•''] '~
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
E[itFier SlN
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats a animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
--MP�Lc-H - go Fa&O
Total event rainfall 1 or JtVo discharge this period'
OutfalLNo. -
'Date Sample'.
y :..
Collected, mo/dd% r .
iSS,
mg/L
:"'pH,jun�ts,
Standardm
`COD,' -
/L ,•
�:._ 011 an&Grease,' ;
mg%L`
Fecal:Coliform,
a
=>Colonies �er,300 ml
�.. '-Enterococci,
Colonies er..1DO ml
8enchrnark- " ;'
'.rr ^ ,:, : ,;-A
`100 6r'�50" "
' Within 6'
120` �
;1 .3D _
SOODI =_
50D1
Paramefer:'fade
E ;:,;
C0530; ;MF=
,.'004D"00340
`: b
k., . ;;;r:00556 - , r =
t,31616 ,+ .
61211
1 Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, YOU must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes 0-no
Permit Date:11/1/2018-05/31/2021
(if es complete Part B)
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Oiatfall No.
Date Sample Collected
(rno/dd/yr�'
24 hour'ral'nfall amount,
I'richeil
New Motor 011 or =
x P
Nydiaullc'0 . Usage
Non polar 0&G/Total`
,. �.
•;Petroleum Hydrdcarlaon`s.
Tatal'Sus endediollds-'
P
,Benchmarks , " r
} E..
... rs� a 1 ;
r r
15'm L" w
`Parameter_66-
- +
<46529 .`
f3': }NCQIL '
;y; 00552'":•rt
' y C053D `
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II 5 TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [NO
IF YES, HAVE YOU CONTACTED THE DEMLR PEGI A `FICE? EStNO
REGIONAL OFFICE CONTACT NAME; � �\
cjfk
Mail an original covv of this DMR, includina all "No Discharge' reports, within 30 days of receivt of the lab results (or at end of monitorina period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1612,Mail Service Center
Raleigh, NC 27699-161Z,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations.; _
Signature of
Permit Date: 11/1/2018-05/31/2021
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
CERTIFICATE OF COVE AGE NO. NCG06O a,() 9,
FACILITY NAME INRCS .W Q ~
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted S " T — t 9
SAMPLE COLLECTION YEAR a d
19
RECEIVED
MAR 11 2015
CENTRAL FILES
SAMPLE PERIOD ❑ Jan -June ❑ Ju y-Dec
or [E9Monthlys cL f month
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flo ❑Water Supply ❑SA
®tither �:S S i, Syo
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats N�use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
V7GWKvK ,� � W o F'Lo�KT
Total event rainfall a or N;Ko discharge this period'
Outfall No,
pate Sample
Collected, mo/dd/ r
TSS,
mg/L
y. pH,
Standard units_
COD,
mg/L
Oiland;Grease,
mg/L
Fetal Collform,
Colonies piii 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
-
100 or 50'
Wltl'iln 6.0 - 9.0
120
30
10001
5001
Parameter Code
-
C0530
00400
00340
00556
31616
61211
I
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ❑ no
(if yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall Na.
-
dCollected
Date Samrripl le
/Yr)
24-houi rainfall amount,
� Inchesz
New�Motar Dil o r
-..
Hydraulic O11,Usage
Nan=Poker OS�G/TotaL�
Petroleum Hyiirocarbons
Totil Suspended Solids
Benchmarks
-
15 mg/L
100 mg/L or 5o mg/V
Parameter Code
46529 , `
NCOIL '.
A0552
C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
Moil an
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II S CTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE D MLR REGIONAL OFFICE?`� YES NO ❑
REGIONAL OFFICE CONTACT NAME: ft 1\S� --��� `` ]
0 t, t�'�' .1`l1{50 t 1\` l
this
of "No Discharge" reports) to:
"No
Division of Water Quality
Attn: DWQ Central Files
1617Mail Service Center
Raleigh, NC 27699-161.7,
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 violatipns.;
Signature of Pe
Permit Date: 11/1/2018-05/31/2021
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06 � �kO I FACILITY NAME 0.r5aW r[ee Al h l 1
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
RECEIVE{....
MAR ] 1 ?17
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR ao � 1
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [1 ,%Ionthlys -CSgm aci (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []WaterSupply ❑SA
[j/VOther Ot,S L'
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats [yuse animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or eNo discharge this period'
Outfall No.
Date Sample
Collected,'mo/dd/ r
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Collform,
Colonies per 100'mi
Enterococci,
Colonies per 100 ml
Benchmark .
' 10D or50" :•'
Within 6.0= 9:0
120
30
1000E
500E
Parameter Code
-
C0530
00400
00340
00556
31616
61211
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling {instead of semi-annual} must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ❑ no
Permit Date: 11/1/2018-05/31/2021
(if yes, complete Part B)
5WU-249, Last Revised 111512018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No:
Date Sample Collected
(mo/i!d/yr)
24=h6urralnfall amount,
Inches
New,Motor-011 or
pHydraulk'DIIiUsage
Non -Polar 0&G Total
,
Petroleum:Hyilracarbons
YTotal.Suspended Sollds
Benchmarks
'
=�'
154ng/L
1-100 mg/L'or 50 ing/l."
Parameter code,
-
46529
NCOIL"
00552'
C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART ll 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 4NO ❑
IF YES, HAVE YOU CONTACTED THE DEML REGI AL OFFIC ? YES El -NO ❑
REGIONAL OFFICE CONTACT NAME: ` 1 1l
�5 S `� of\ \-V' � rt0 �1t
Mail an oriainal copy of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attu: DWQ Central Files
1617,Mail Service Center
Raleigh, NC 27699-161
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations.; _
Signature of Per
Permit Date: 11/1/2018-05/31/2021
a-1A
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

,�M
STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted `--a3I to
CERTIFICATE OF COVERAGE NO. NCG060 of O1 SAMPLE COLLECTION YEAR aQ 19
FACILITY NAME 6, QcC_—,Q0j qRCE
_
SAMPLE PERIOD ❑Jan -June El July -Dec
COUNTY
PERSON COLLEC ING SAMPLES c� S or [I�'R/Ionthly5 oece (month)
LABORATORY Lab Cert. # DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑�Zero-flow ❑Water �uppl ❑SA
f�F �- F06ther yJ
JAN 3 0 RE `� FACILITY=ACTIVITIES INCLUDE (check all that apply):
20113 FEB 0 4 2 tic use/process meats Buse animal fats/byproducts
DENR-LAND QUALITY
STORMWATER PERMITTING
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL FILES
D 111Rkjks�WAEMBER TO SIGN ON THE REVERSE 4
t I
Total event rainfa!l a or ❑ No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/ r
TSS,:
mg/L
pH,
Standard units
COD,
•mg/L
Oil and'Grease,
mg/L
Fecal Coliform,
Colonies er 100 ml
Enterococcl,
Colonies per 100 ml
Benchmark
-
100 oe'504 '
Within 6.0 — 9.0
120 r
30
10001
S001
Parameter Code
-
COS30
00400
00340
Oa556
31616
61211 '
QA
AZ
1 only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5Monthly sampling (instead of semi-annual) most begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes Slno
Permit Date: 11/1/2018-05/31/2021
(ifyes, complete Part B)
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No
,'Rate Sample Collected;"
;
(mo/dd/yr)
'14 hour ralnfelhamount,
ilnches
, ,New Motor OII or
Hydreullc OEItUsage .
.' , N.an-Polar 0,&GlTotal' z
,`P�troleum,HydrocarboM
- c
TotaLSuspended Solids
`s ,�
Benchmarks.
i'; N - i T`'t
1 - + fl`J;# 2 ,F
.g+ rts
•rr,-" - ru�.
--g/L'o-
I01} mr SO mg/L1.
Parameter CodeNCOIL
00552
C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B•
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II S TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES,FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES 5NO ❑
IF YES, HAVE YOU CONTACTED THE DF,MLR fiEGIO AL OFFICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original -copy of this DMI,!; including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case
o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations..' _
Signature of Per
Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG06O a O SAMPLE COLLECTION YEAR
FACILITY NAME 0.0 G
COUNTY \ SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
PERSON COLLEC ING SAMPLES S or [1]' Ionthlys DC,Ge 6r Imonth
LABORATORY �: CLt Lab Cert. sx DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Wappl ❑SA
Other Q�dS CW
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats [Muse animal fats/byproducts
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -i
ll
Total event rainfall z�` or ❑ No discharge this period'
Outfell No,
Date Sample .
Collected 'md/dd/ r::
TSs„
`m /L . . .
pH,-
' Stand'ard'units.?
COD,
.m .L "
Ofl.end.Grease',
m /L
Fecal.Collform,
Colonies ' er 100 ml
'Enterocaccl,
Colonies; er 100 ml
Benchmark ,
100:or'50`•`'
�Wlthin:6:0. 9'
- 220
>' .30
14001
5401
Parameter Code
-
,."COS30.. ,.
',' `" '. 00400'A'"
';: =+'003/4�0
' 00556 s`
31616
61211
v1
a
U
S
�f
-a
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes sna
Permit Date: 11/1/2018-05/31/2021
(if es complete Part B)
SWU-249, Last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
x Z �-
rt y -u.r
s ��'
.Outfiill;Na . , Y
;.
;j.. r _ Gov'
ata;5arn le Golf `cted .
p t n h
f x.: >:y6. ��,w
t .y i£ J�
.J,=�,a. ¢s .u'�
A aunt fa ;a o"```t
2F h aln II m un ,:,isw
. tiTL � , .z,
f' zl1 vi J `� �.'.i�Sk
...t5}.,Inc het,F.,aNyd
l iy.wv. !-..-:-},:t {
,; l to ao +o k,
Mo r ,ll t
:.F ,.; ,,,;
/. /� I� { 2,
raullcioll,Usa$e
F - .,. xn,r -•.x r.; 3+
Nn , .o a ' atal ;Sa
n P I r0&q/1".��
:.s; � ,v„ ,. :R :s
petroleum-'Mydrocarbons,r,-,
..
:,,,._ -
, rt..,.
7otal:Su� ended Sandv''
,
`8enth►tiarki a
r
'� s
J„
I00 m Ifpr.30im /L
III% g
rP. brameter Code „r, � � ��
�.,,,.�,, � � �t�� �.T: r ,la:•.
->< . , �; c,:,<,� .483x9� t�kA3,��. ;:��b
f :lu�.;;�:. � :�NCQIL ;::� � . Y I
DTI �, � ��l,�;;00552,:. .�;..;- r
s„� ,;� t..: ,C0330 I.,
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS-
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B.
Y 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II 5 ION B.
a TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE D M� LR ff GIO AL OFFICE? YES NO ❑
REGIONAL OFFICE CONTACT NAME: 0. ~ �$ �'IL
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results jar at end of monitoring period in the case
o "No Dischgr e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
T-
YOU MUST -SIGN THIS CERTIFICATION FOR ANYINFORMATION 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 vlolatiyLns.'
Signature of Per
V Q�
Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
D t b ;tt d la� `-- i 8
�?�CE11VEl
a e s u m i h 20131
.r.,,,,
CERTIFICATE OF CO AGE NO. NCG06O �� SAMPLE COLLECTION YEAR
DENR-LAND QUAUTY
FACILITY NAME C S a�i ti „_. � „� ., AGILITY ACTIVITIES INCLUDE {chec all that apply): STORMIf�'AT�R PE�Pi,Ti�lhG
COUNTY ���t.. L ) ❑ use/process meats use animal f s/byproducts
PERSON COLLECTI G SAMPLES , A 4' 8 zOq�SCHARGING TO SALTWATERS? —]YES �O
LABORATORY Lab Cert. # jrr,v
CENTRAL FILF3 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
UNIR S E ;T IO � J
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall or [ 16 discharge this period3
Outfall No.
Sample Collected,
mo/dd/ r
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
m /L
Fecal Collform ,
Colonies perlOoml
Enterococcl ,
Colonies per 100 ml
Benchmark
-
100or50
Within-6.0-9.0
120
30
1000
500
1 Only applies to facilities that use/process meats. E�� (� i� v d
2The total precipitation must be recorded using data from an on -site rain gauge. v V I(� C� W
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no {If yes, complete Part 13)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. .F
Outfall No,
Sample Collected,
mo dd r
Oil and Grease,
mglL
TSS,
migIL
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
30
100 or SO
6.0 — 9.0
-
Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
s For sampling periods with no discharge at a" outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*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 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCP FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES kP No ❑
IF YES, HAVE YOU CONTACTED THE DIWJEGIO
OFFICE?1� S NQ ❑REGIONAL OFFICECONTACT.NAME:\���5
Mail an original and one cpjpv of this DMR including all "No Dischar e" reports, within 30 days of receipt of the lab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617-Mail Service Center
Raleigh, NC 27699-1612,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/nUdessw#tab-4
SWiJ-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1 d- y— i 8
CERTIFICATE OF COV RAGE NO. NCGO O SAMPLE COLLECTION YEAR ao18
FACILITY NAME �gCTW� 'N FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY MLk C� _ ❑ use/process meats E'Gse animal fats/byproducts
PERSON COLLECTING SAMPLES T RECEIVEDISCHARGING TO SALTWATERS? [—]YES [UW
LABORATORY
Lab Cert. # 9L'018
CENTRAL FILES
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterocoai ,
Colonies per 100 ml
Benchmark
-
100 or S0
Wlthin 6.0 — 9.0,
120
30
1000
500
' Only applies to facilities that use/process meats. S'�kj arA�esse. Wea epl�,i (}YLS
2The total precipitation must be recorded using data from an on -site rain gauge. ��
P p g g g r�C'� �q ` C t ►9._ OCR RC �. q S
nFor sampling periods with no discharge at anyoutfails. You must still submit this isc arge.�nitoring report with a checkmark here. 5(::,
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. l l
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?[] yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/ r
Oil and Grease,
m .L
TSS,
mg L
pH,
Standard units
New Motor Oil Usage,
Annual average al/mo
Benchmark
30
100 or 504
6.0 - 9.0
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
{ifyes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OLUTFALL? YES VNO
IF YES, HAVE YOU CONTACTED THE qWQ EGIONA `FICE? Et �NO
REGIONAL OFFICE CONTACT NAME:
����` Mp�:-�o c,A
�4
Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results !or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617-Mail Service Center
Raleigh, NC 27699-1612
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
O ar [
(Date)
Additional copies of this form may be downloaded at:.http://Portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water ualit enrgl Permit No. NCG060000
Date submitted
CERTIFICATE OF COV AGE NO. NCG06O 0 l }}
FACILITY NAME lW C-N 1�1
COUNTY t.,4
PERSON COLLECTI G SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
0
f
I
W
SAMPLE COLLECTION YEAR A.
FACILITY ACTIVITIES INCLUDE (ch ck all that apply):
❑ use/process meats Buse animal ats/byproducts��'"
DISCHARGING TO SALTWATERS? ❑YES animal
PLEASE REMEMBER TO SIGN ON THE REVERSE -'l
Total event rainfall 2 or ao discharge this period'
Outfall Na: ° `.
'Sam ple'Collected;'
;mo/dd/yr,
: TSS,
--rrig/L
pH;
Standard:units ...
-COD;--':
,."mg/L' .
011=and Grease,.
mg/
Fecal Collform ,
Colonies;per 100 ml ;"
Enterococci ,
Cvlonles'per 100 ml .
Benchmark =
r,
i100 or 50 %.',
:`4Within 6.0- 9:0•
-:r: E.r:120 :..
:.30..N=' �.i
4 i•" : iD00..
�500 '
SEP 1
1 Only applies to facilities that use/process meats. ! q - IS A / �• / / , �
2The total precipitation must be recorded using data from an on -site rain gauge. ul [.l [� W
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'018
LE
!ON
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no (if yes, complete Part 8)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No
,Sample Collected,
=mo/dd/yi• '-
011�and Grease,
;::- TSS,
mg/L'• .,--
'• pH,
Standard units '
New Motor OlI Usage,
Annual average gal/mo
Benchmark
-
30
100-or-50
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
C 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 S TION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE.BENCH MARK EXCEEDEN ES FORTH E SAME PARAMETER AT ANYONE OUTFALL? YES MNO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGION � FF10E? Y k. � NO
REGIONAL OFFICE CONTACT NAME: ` A \ °S"
�`C�:s s -►fie �s ��� 1 n rno �. J mo��oon���
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results tor at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617—Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, Lander penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
1—k� — lU
(Date)
Additional copies of this form may be downloaded at: http://portal,ncdenr.org/web/wq/ws/su/npdessw#tab-4
5 W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 18— 1 0— 12
CERTIFICATE OF COV RAGE NO. NCG06� O SAMPLE COLLECTION YEAR 1 O
FACILITY NAME Q l c��++F C LITY ACTIVITIES INCLUDE (guse
ck all that apply):
COUNTY _ EL.. t�u5ee/process meats animal fats/byproducts
PERSON COLLECTI G SAMPLES c A��Dff RG�ING TO SALTWATERS? ❑YES [VO
LABORATORY �S1y\ %ON-Lc� Lab Cert. # 1 U I
CENTIRAL FII.CPLEASE REMEMBER TO SIGN ON THE REVERSE 4
OWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 � or ❑ No discharge this period3
` Outfall No
Sample:Collected;
'tmo/dd/yrf < ..
'� =�.rTSS,
L µmg/L
pH,
.'Standard units
COD;
�_ '. irmg/L
°Oil an. Grease;
mg/L"" ' `
Fecal Collform ,.
Colonies perlQO ml
Enterococci ,
Cvlonles'per loom
'Benchmark :
- 100 or 50 ,
--Wlthln_-6.0 -9 0
�: T= 120, t
30. - L.
' .�1004,:
500 '
34r
G 5
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at My outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 51no
Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall Na:
Sample Collected,
= mo/dd/yr _'-
_Oil and Grease,$
mg/i
F TS5,
=<mg/L •; •
pH,.
Standar&units,^--
New Motor Oil Usage,
--Annual average gal/mo
Benchmark .
.. - ..,_ ....
:. -= 30 ` '
.400`6r'50
6.0 — 9.0' .
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
RECEIVED
AUG 16 2018
DENR-LAND QUAAI.ITY
STORrAWATER PERMITTING
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II S TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [VNO ❑
IF YES, HAVE YOU CONTACTED THE b Q RE IONAL FFI I? Y S. NO ❑
REGIONAL OFFICE CONTACT NAME: �. -- a4m
mk
Mail an origirlal and one copy „af this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results_(or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161;LMail Service Center
Raleigh, NC 27699-1612-
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Pe
(Date)
Additional copies of this form may be downloaded at: httP://Portal.ncdenr.org/web/wq/­
ws su n dessw#tab-4
SWU-249 Last Revised: October I8, 2012
Page 2 of 2

72
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality G neral Permit No. NCG060000 RECEIVED
Date submitted � ch
j� JUL 0 9 2018
CERTIFICATE OF COMAGE NO. NCGO o� O SAMPLE COLLECTION YEAR V
FACILITY N E Q CWk.) et 111 FACILITY ACTIVITIES INCLUDE (ch k all that apply): STORMW TER ERMI TY
COUNTY {�L \ ❑ use/process meats [use anima! ats/byproducts ArP�Ml7TING
PERSON COLLECTI G SAMPLES DISCHARGING TO SALTWATERS? []YES CNO
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or VNo discharge this period3
`Outfal1 No:-_ `-'Sam
:mo/aa%yr.: "
t '. •TSS,,
=-mg/L` o J
?pH,
' Standard`units
GQD;"''� 5
+" mg/L
1 . Oil and Grease;
mg/C` ' .: `
Fecal Collform:,
. �COlaniesper 100 ml'
Enterococck ,
Colonies per100 ml
'Benchmark
100'or 50 =*
: Wlthin,6.0:-;9:0-=
120
30--. - t-
. 1000'. = .
50o
rsc�.Ii�
CLl
VW6
1 V LUI
Only applies to facilities that use/process meats. CC n r � FIIrES
2The total precipitation must be recorded using data from an on -site rain gauge. � .N G -- / V O [,`r`� LvTION
3 for sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No:
"SampleCollected,
--. :and%dd/yr :
OII and Grease,
-.
-.> mg/L.,
TSS,
:...mg/1 •.5 :
; Standardunits : >
New Motor Oil Usage,
Annual average gal/mo
Benchmark . '
-
30 > `
100 or'50
6.0 - 9.0'
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at ay outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 1$, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE 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 S CTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE.BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES M NO ❑
IF YES, HAVE YOU CONTACTED THE D Q RE IOV
OFFICE? Y 5ngNO❑
REGIONAL OFFICE CONTACT NAME: �� �S1I.
a Ir 4
V
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results Lor at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
16172Mail Service Center
Raleigh, NC 27699-1612.
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permyttee)
�-a- �)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/weIlLvvq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
„s Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division -mf Water Quality | PermitPJo.
Date submitted I — I y
CERTIFICATE OF COyEqAGE NO. NCG��6a
COUNTY IS14\\ r\
PERSON COLLE.CTING-.SAMPLES
LABORATORY Lab Cert. #
Part A:StonnvveterBenchmarks and Monitoring Results
SAMPLECQLL EOlONYEAR
FACILITY ACTIVITIES INCLUDE (ch9ck all that y)
| |use/pnocessrneats Muse mn| products
DISCHARGING TO SAQlWAT2RS7 F]YES YN[}
PLEASE REMEMBER T0SIGN ON THE REVERSE
Total event nzin8 z/�______ or VNo discharge this
000,
` Only applies tnfacilities that use/process meats, �� m y�^� y--� [�
zThe tnm|predpita�nnmu`�berecorded using d�ahomnanun��cmingauge. -^� \� f�\ \�� ~^� �\/ �� �--{-'��L�/
^ For sampling periods with nodischarge a\any outfalls. You must still submit this discharge monitoring report with a checkmark here.
43ee General Permit text, Table 3' identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than-55-gallons of new motor oil per month? El yes 0no
Part GkVehicle Maintenance Area Monitoring Results- only for facilities averaging > 55gal oYnew motor o|l/month.
JS
nits
^Only applies wofacilities that use/process meats. -
The total precipitation must be recoredusingdn*ofnomonon*itemhn8muge.
` For sampling periods withnnd|mbarDeatanvgutfa|b^youmustshU.submitthbdkzhargemnnitorngreport with acheckmorkhere.
`See General Permit text, Table 3,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(jLy�L� complete Part 13)
3WU-249 Last Revised: October 0. 2012

*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 11SVCTION B.
• TIER 3:. HAS YOUR FACILITY HAD 4'OR MORE BENCHMARK EXCEE_DEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES V NO ❑
IF YES, HAVE YOU CONTACTED THE D Q.RE 10 A OFFICE? Y S. NO ❑
REGIONAL OFFICE CONTACT
N S 5�N
Mail an on inal and onexopy 4 this DMR Jncludin all "No Dischar e" reports,.within 30 days.of receipt of. the lab results or at end o
monitoring period in the i a e-of "No Discharge" reports) to:
-Division oMater Quality
Attn: DWQ Central Files
161Z.Mail Service Center -
Raleigh, NC 27699-1612—
YOU MUSTSIGN 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, lncluding the..possibility of fines and imprisonment for knowing violations.11.
(Signature of: Per tee) (Date)
Additional copies of this form may be downloaded at: htt : /portal.ncdenr.org/web/wq/ws/su/npdessw4tab-4
SWU-249 Last Revised: October 18, 2012
i Page 2 of 2

CERTIFICATE OF
FACILITY N E
COUNTY
PERSON COLLEC
LABORATORY_
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT Alt O
for North Carolina Division of Water QualitxxGe`neral Permit No. NCG060000 9
Date submitted ac't " l sr RMw ��DQ
RAGE NO. NCGO60 off. � � SAMPLE COLLECTION YEAR QD i " ATERP�RMj �c
S w \ FACILITY ACTIVITIES INCLUDE (check all that apply):
c ❑ use/process meats � use animal fats/byproducts
iAMPLJS vco DISCHARGING TO SALTWATERS? DYES [�KO
Lab Cert. # "'A" RE 'EIVED
JUL 10 2018
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall ! a or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
Ur-INCOl3; L r
13W m11/CTI
Oil and Grease,
lN mg/L
Fecal Collform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
100 or.50
Within fiA — 9.0
120
30
1000
500
O
Z
Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [ ono (ifyes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfali No.
Sample Collected,
mo/dd/ r
Oil and Grease,
mg/L
TSS,
m L
pH,
Standard units
New Motor Oil Usage,
Annual averse al/mo
Benchmark
-
30
100 or 50
6.0 - 9.0
-
Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at aU outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifyingthe espedally sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 avast Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B,
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it 5 CTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC S FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE D Q RE ION `L`O�F �? r NO ❑
REGIONAL OFFICE CONTACT NAME: � UNJ 1`M�
-��1,;s sue- � s ► ll an rn�n-�h� m�r� � ��.�
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge' reports) to:
Division of Water Quality
Attn: DWQ Central Files
161;LMail Service Center
Raleigh, NC 27699-1612
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of 4jmittee)
(Date)
Additional copies of this form may be downloaded at: http_//portal.ncdenr.org/web/wg//ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL_ STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qualit General Permit No. NCG060000
Date submitted _ '� 1 4z
CERTIFICATE OF COV RAGE NO. NCGOE� SAMPLE COLLECTION YEAR
FACILITY N f :� w \ FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/ meats � use animal fats/byproducts
PERSON COLLECjLbIG SAMPL S ass—N DISCHARGING TO SALTWATERS? DYES [ KO
LABORATORY \;\� COC Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN -ON THE REVERSE -->
.#f
Total event rainfaii 2or ❑ No discharge this period3
Outfall No
; Sample Collected;
mo/dd%yr,
'--TSS,"
m %L :": ,
'VK "
' Standard units' ;::
—Co. "
:mg/L'
OII'and.Grease, ,
m" /L .-
Fecal Collform_;
Calanies`per300'ml -:
Enterococcl ,
° :Colonies' per 100 m1
Benchmark
-
100 or•50
:Within 6:0 140;:
=1Z0 ..: '
'30>
_ = 1000 ..
500
-3 `%
40
Q
'
�.614
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at anv outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes LPno (i_f yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall:No. -
: _ Sample'Collected,,.
mo/dd/. r .
=, Oil'and Grease,
mg/C
'z TSS,
m L
pH, -.
; Standard units'::.
New Motor CNI,Usage,
; ,Annual4vera� e'gal/mo
'Benchmark
-
30
'100'or 50 .
•6.0•=`9.0
-
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at 2ny outfalls, you must'still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying.the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
C 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 S CTION B.
* . TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC S FOR THE SAME PARAMETER AT ANY ONE OUTFACE? YES V NO ❑
IF YES, HAVE YOU CONTACTED THE Dr RE 101\14 LSO, ,� Y NO ❑
REGIONAL OFFICE CONTACT NAME: �,V��Vi 1 `1 5— } 1 TAI
�� S S iA� 1 S S ► i t� {� Y`�ltdll� i\' It
Mail an original and onexopy of this OMR including all "No Dischar e" reports, within 30 days of receipt of the lab results for at end o
monitoring period in the case of 'No_Discharge' reports) to:
Division of Water Quality
Attn: DWQ Central Files
161;LMail Service Center
Raleigh, NC 27699-1612.
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction.or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Pe, rnittee)
6 16
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wg//ws/sulnpdessw#tab-4
S W U-249
_1-
Last Revised: October I8, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 !�Q��,Date submitted s� `1$AY
^ ab l sT °FaR �'9
CERTIFICATE OF CO ERAGE NO. NCGQb 9 ��` FACILITY ACTIVITIES check all that apply): GR�IfygTQNOQ B
FACILITY NAME a ( pp y) E U
COUNTY ❑ use/process meats use animal fats/byproducts RpE;V74;1
PERSON COLLECTI GSA LES S DISCHARGING T• SALTWATERS? ❑YES []1 0 NG
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
�!p
Total event rainfall 23 `E' or ❑ Na discharge this period'
Outfall No,
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Collform ,'
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500,
0
G
Only applies to facilities that use/process meats. �� (%1� , `0 V Lo
The total precipitation must be recorded using data from an on -site rain gauge. �`� �i7 VAP V j
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ono
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/ r
Oil and Grease,'
mg/L
TSS,
m /L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
R E G E I V E D
MAY 2 9 2018
GVV1R"SE CTfO1",a
SWU-249 Last Revised: October 1$; 2 12
Page i of

*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 It S TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONA OFFICE? YE NO
REGIONAL OFFICE CONTACT NAME: ,5-- N ll
V
Mail an original and one copy of this DMR includingall "No Discharge" reports, within 30 days o receipt o the lab results jor at end a
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161�Wail Service Center
Raleigh, NC 27699-1612,
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 Dnes and imprisonment for knowing violations."
(Signature 4 Permittee)
( Date)
Additional copies of this form may be downloaded at: http://portal.ncdenc.or./web/wq/ws/su/ni2dessw#tab-4
S W U-249
Last Revised: October 19, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted L{' — 1 a— I g
CERTIFICATE OF COV RAGE NO. NCG060 11
FACILITY NAME WOL
COUNTY
PERSON COLLECTING SAM LES kf, O `tRr— `ZC
LABORATORY Eim) Ci Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
RE
SAMPLE COLLECTION YEAR + 8
� a'AA�J �CTIVITIES INCLUDE (check all that apply):
I use/process meats use animal fats/byproducts
APRI p RGING TO SALTWATERS? ❑YES P90
CENTRAL FILES
D I�VR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE
I li
Total event rainfall 2fz or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcl ,
Colonies per 100 ml
Benchmark
-
100 or 50
With In 6.0 — 9.0
120
30
1000
500
3-a -
/ /
3OVL3
.sIV
A
1 Only applies to facilities that use/process meats. � (� j F" r,1 w 2 The total precipitation must be recorded using data from an on -site rain gauge. 3 I v o 64 r
t�)
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes NA06 (if yes, complete Part By
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/ r
Oil and Grease,
mg/L
TSS,
m /L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
REcelVeD
APR 17 2018
DENR-LA QUALITY
STORMWATER PERMITTING
Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HADA OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [�NO ❑
IF YES, HAVE YOU CONTACTED THE DC R GIO , FFICE? Y S ❑ r
REGIONAL OFFICE CONTACT NAME: , �S -`�M\ { � f �±' {. •s -'r
� S G-\ate_
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results or at end o
monitorin-q period in the case of "No Discharge" reports] to.
Division of Water Quality
Attn: DWQ Central Files
161ZMail Service Center
Raleigh, NC 27599-1512
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm`i#ee) .
(Date)
Additional copies of this form may be downloaded at: http-.1/portal.ncdenr.orglweb/wcl/ws/sulnpdesswtftab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

f ..
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality Ge eral Permit No. NCG060000 RECEIVED -
Date submitted 3 - a 3 -I PAR 28 2010
CERTIFICATE OF CO RAGE NO. NCG06� c O SAMPLE COLLECTION YEAR �(Q I ©ti ia,ANO QUALITY
FACILITY N ME l at,.3 2e FACILITY ACTIVITIES INCLUDE (check all that applyj: fiOR VAS'€ VERII�lrMG
COUNTY v n ❑ use/process meats [0-t7ge animal fats/byproducts
PERSON COLLECTING SAMPLESg� }'ems Sew DISCHARGING TO SALTWATERS? [:]YES[�14-0 ����,���
LABORATORY_ Lab Cert. # APR 0 4 2018
PLEASE REMEMBER TO SIGN ON THE REVERSE
Part A: Stormwater Benchmarks and Monitoring Results
1 11 CENTRAL FILES
Total event roinfail 2 Af or ❑ No discharge this perid*R SECTIOI,,
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 - 9.0
120
30
1000
500
O
,3o
GIVA
' Only applies to facilities that use/process meats. O F �'w, f r
zThe total precipitation must be recorded using data from an on -site rain gauge. v�O1L` 1�
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 1 no (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/ddJ r
Oil and Grease,
m /L
TSS,
mg/L
pH,
Standard units
New (Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 - 9.0
-
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at 2a outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised; October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SE TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES VNO ❑
IF YES, HAVE YOU CONTACTED THE DWQ RECIONA OFFICE?
REGIONAL OFFICE CONTACT NAME:
,/r0 (Vq (50 r�q
Mail an original and one copy of this DMR, including al! "No Discharge" reports, within 30 days of receipt of the lob results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161�LMail Service Center
Raleigh, NC 27699-1612
YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
/ . ,► '
(Signature of Vei jmittee) .
3� 3 a
(Date)
Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 3 a 3 f
CERTIFICATE OF CO RAGE NO. NCG06Q� SAMPLE COLLECTION YEAR a( Q / U
FACILITY NA ME C aw e FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY 1-i\ ❑ use/process meats LQ-d9'e animal fats/byproducts
PERSON COLLECTING SAMP ES S DISCHARGING TO SALTWATERS? DYES t110
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON T14E REVERSE '!
Total event rainfall z or ❑ No discharge this period3
Outfall No,
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Collform ,
Colonies pa 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
100 or 50
Within 6.0 — 9.0
120
30
1000
500
O
ril30
r1
B,8 C
'Only applies to facilities that use/process meats. l n f 0 F �,, r
2The total precipitation must be recorded using data from an on -site rain gauge. 01� 1 ` IV (A
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Fk�ho
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No,
Sample Collected,
mo/dd/ r
Oil and Grease,
m l.
TSS,
m L
pH,
Standard units
New Motor Oil Usage,
Annual average al/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if es, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE TION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE5 FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES VNo ❑
IF YES, HAVE YOU CONTACTED THE DWQ RE IONA OFFICE? YIkS O
REGIONAL OFFICE CONTACT NAME: k� (0\VS W\n
tY\o41t
Mail an original_ and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end o�
monitorina period in the case of "No Discharge" reports] to:
Division of Water Quality
Attn: DWQ Central Files
1612.Mail Service Center
Raleigh, NC 27699-1612—
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted.. Based on my inquiry of the -
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Ve}mittee)
3--t�3- �a
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quali y Ge ral Permit No. NCG060000 RECEIVED
Date submitted `
) CERTIFICATE OF COVE AGE NO. NCG06O �� { SAMPLE COLLECTION YEAR 01 0 FFg 0 9 2018 I
r-► ram- I� Y ACTIVITIES INCLUDE ch all that apply): DENR-
FACILI7Y NAME F e _ ,� ( piP y): LAND QUALITY
COUNTY 1 use/process meats use animal f is/bYF2WNATER PERMITTING
PERSON COLLECTI G SAMPLES FE6 I �r 1 MHARGING TO SALTWATERS? ❑YES �NO
LABORATORY
Lab Cert. # CrIod ,:L. "ILES
OWR SECTioNt
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or VNo discharge this period'
Outfall No,
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard u is
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 10D ml
Benchmark
100 or 504
Wkthln 6.0,Q-
_., }-- �120 :
30
1000
500
rt
Z 2fli
' Only applies to facilities that use/process meats.
zOWY, The total precipitation must be recorded using data from an on -site rain gauge. J `�3 V
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/ r•
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or SO4
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
Z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at �ny outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
S W U-249
(ifyes, complete Part B)
RECEIVE
FEB 12 2018
CENTRAL FILES
OWR SECTION
Last Revised: October 18, 2412
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II S TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES MNO, ❑
IF YES, HAVE YOU CONTACTED THE D Q RE IONAL FFIC`E7 YE �NO
REGIONAL OFFICE CONTACT NAME: UsNAP,
SAEAS `skt A oin m3��1�
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617-Mail Service Center
Raleigh, NC 27699-1617-,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of P, rmittee) .
i-131�
( Date)
Additional copies of this form may be downloaded at: http://Portal,ncdenr.o[gZweb/wq/ws/`su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qual'ty Ge 4erai Permit No. NCG060000
Date submitted —
CERTIFICATE OF COVERAGE NO. C0 6V 0 1 ( SAMPLE COLLECTION YEAR a(3 4 f
FACILITY NAME Ct(-"SC IL Q.EC ! FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY C 4 47j r ❑ use/process meats use animal fa/byproducts
PERSON COLLECT)ING SAMPLES ''+f DISCHARGING TO SALTWATERS? ❑YES RKO
LABORATORY Lab Lab Cert. fi
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
i�
Total event rainfall 2112 or ❑ No discharge this period3
Outfall No,
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
oil and Grease,
mg/L
Fecal Collform ,
Colonies per 100 ml
Enterococcl ,
Colonies per 100 ml
Benchmark
100 or 50
Within 6.0 — 9.0
120
30
1000
500
a
'.Al
4
r4ltl
0
Only applies to facilities that use/process meats. Q)4 pA��s f NO
2 The total precipitation must be recorded using data from an on -site rain gauge:
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. �Aer
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes M no (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/ r
011,and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
30
100 or 50
6.0 — 9.0
AN 2 9 2017
1 On}y applies to facilities that use/process meats. CENTRAL
z The total precipitation must be recorded using data from an on -site rain gauge. DWR SECTION 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
RECEIVED
JAN 2 5 2010
1rN'R-LAND QUALITY
4TOR 1 ATER PERMITTING
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME QUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
e TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE QUTFALL? YES ffif NO ❑
IF YES, HAVE YOU CONTACTED THE Dr -RjGIOn 1., FICE? j, ] N ❑
REGIONAL OFFICE CONTACT NAME:1 0, W11115 VV`1 11�1ti� 4f�
1
Moil 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
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161- Mail Service Center
Raleigh, NC 27699-161Z
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Pe�nittee)
I-1s-f g
(Date)
Additional copies of this form may be downloaded at: http:11,portal.ncdenr_org/web/wp/ws/su/npdesswittab-4
S W U-249
Last Revised: October 19, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted /-q — 4-� �— / r]
CERTIFICATE OF COVE GE NO. NCG060 2L t
FACILITY NA E WQ(_,Sb L 1 M I
COUNTY -- _ PERSON COLLECTAG SAMPLESUjat};�r OTl
LABORATORY EkN)S iq)C�,{�c� Lab Cert. if
s
Part A: Stormwater Benchmarks and Monitoring'Results
SAMPLE COLLECTION YEAR
FACILITY ACTIVITIES INCLUDE (checy all that apply):
❑ use/process meats Nruse animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES LldKO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
1 I!
Total event rainfall zor ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
'1 1 91
C e
1 -
/6
8 E'
3
6 ,4;T-
Os-
C'q�
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes dno (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
RECEIVED
DEC 18 2017
CENTRAL FILES
DWR SECTION]
SWU-249 1-ast ReVised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II 5 CTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES VNO ❑
IF YES, HAVE YOU CONTACTED THE DW1Q R GIONALLTFICE? Y5 [� NO ❑REGIONAL OFFICE CONTACT NAME: l��o.`rlJ� I`n�
S Ap, S Skk ors
Mail an oriainal and one coon of this DMR. includina all "No Discharge" reports. within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161;LMail Service Center
Raleigh, NC 27699-161L
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perr�ittee)
4— /
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp,/web/wq/ws/­su/­npde.ssw#tab-4
S W U-249
Last Revised: October 18. 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality G neral Permit No. NCG060000
Date submitted n RECEIVED
CERTIFICATE OF COVf RAGE NO. NCG06Oa �S l t SAMPLE COLLECTION YEAR � U r � NOV 13 E1;;
FACILITY NAME _ C1«t ) _ C'_s Mt 1 \ FACILITY ACTIVITIES INCLUDE (ch k all that apply): CENTRAL fill
COUNTY Z �`� ❑ use/process meats [muse animal �s ats/byprod
R SECTION
c
PERSON COLLECTIN SAMPLES DISCHARGING TO SALTWATERS? BYES animal
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or 11No discharge this perioa3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Collform ,
Colonies per 100 ml
Enterococci I,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
500
zOnly applies to facilities that use/process meats. N b �7 T h V Q�} c 0The total precipitation must be recorded using data from an on -site rain gauge. •4�
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
in Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B,
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II S CTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES 'W NO ❑
IF YES, HAVE YOU CONTACTED THE D Q R GIONA OFFICE? Y NO
REGIONAL OFFICE CONTACT NAME: 1
�t
Drc\``�`e
Mail on original and one copy of this DM_R, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case of Discharge" reports to:
Division of Water Quality
Attn: DWQ Central Files
1617-Mail Service Center
Raleigh, NC 27699-1617.-
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Pe
(Date)
Additional copies of this form may be downloaded at: http:l/portal.ncdenr.oriz/weblwq/ws/su/npddessw#tab-4
SWU-249 Last Revised: October 18. 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted to —� — k C'\
CERTIFICATE OF COVE AGE NO. N00066 � 0
FACILITY i WE QJCtrSGt e.414141
COUNTY �V
PERSON COLLECTING SAMPLES
LABORATORY ° Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �0
OCT 12 2017
STORM� fR"L�'0 QQ!Llrt
FACILITY ACTIVITIES INCLUDE (che all that apply): wATE17P��r fl7rr�,G
❑ use/process meats use animal is/byproducts
DISCHARGING TO SALTWATERS? []YESWNO
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall a or V No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci I,
Colonies per 100 ml
Benchmark
100 or 50
Within 6.0 — 9.0
120
30
1000
500
1 Only applies to facilities that use/process meats. FLOW—
1 ��
2The total precipitation must be recorded using data from an on -site rain gauge.
No 3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
3D
100 or 504
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at aU outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
EIVE0
OCT�,;
CENTRAL FILES
DWR SECTIO,Ni
(i_f yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
* 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE TION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC S FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES aNO ❑
IF YES, HAVE YOU CONTACTED THE D Q EGIMN�FICE?
REGIONAL OFFICE CONTACT NAME: tr2 f �S' Wnj��NO
�
LS
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617.Mail Service Center
Raleigh, NC 27699-161Z.
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perfnittee)
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 10 `� — V
CERTIFICATE OF COVE�AGE NO. NCG066 2 ,
FACILITY NAME (�1.���SCt I
COUNTY
PERSON COLLECTI G SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Q0l I
FACILITY ACTIVITIES INCLUDE (cheyk all that apply):
❑ use/process meats Yuse anima! is/byproducts
DISCHARGING TO SALTWATERS? ❑YES animal
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall z or k No discharge this period
Outfall No.
Sample Collected,
mo/dd/ r
TSS,
mg/L
pH,
Standard units
COD,
m /L
Oil and Grease,
m /L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
Soo
Only applies to facilities that use/process meats. k j �_Z e
2The total precipitation must be recorded using data from an on -site rain gauge. N W
3 For sampling periods with no discharge at 2ny outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/ r
Oil and Grease,
mg/L
TSS,
m /L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo .
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here,
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
* 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II 5E TION B.
* TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO
IF YES, HAVE YOU CONTACTED THE D Q EGI�NPfFICE?NO
REGIONAL OFFICE CONTACT NAME: tit W1 [[!S� OM
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 da s of receipt of the lab results for at end o
monitoringperiod in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161ZMall Service Center
Raleigh, NC 27699-161;L
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perkttee)
(Date)
Additional copies of this form may be downloaded at: http-.1/portal.ncdenr.org/`web/wq/`ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality 7a eral Permit No. NCG060000
Date submitted
CERTIFICATE OF COV RAGE NO. NCG0J 0
FACILITY NAME rS W 1
COUNTY
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. ft
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR C�10 J
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats E§-dre animal fats/byproduct
DISCHARGING TO SALTWATERS? ❑YES [P]
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
RECIE1 VED
SEP 1120 17
DENR-LAB D 0 J�Llry
sroRM�,arFf� e�"np"G
s
Total event rainfall a or No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcl ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
R l;
1 Only applies to facilities that use/process meats. /�
2The total precipitation must be recorded using data from an on -site rain gauge. NO I=Lo Q A `k G US`�'
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. !
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Call and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
,CEIVED
SEP 13 2017
CENTRAL FILES
D'VVR SECTION
(if yes, complete Part 8)
SWU-249 Last Revised: October 18. 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It 5 CTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN 5 FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES UNO ❑
IF YES, HAVE YOU CONTACTED THE D Q REGIONA OFFI�E? YE NO
REGIONAL OFFICE CONTACT NAME: L� o. �1 c�= `� �Yti
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 eriod in the case o "No Discharge" reports to:
Division of Water Quality
Attn: DWQ Central Files
161ZMail Service Center
Raleigh, NC 27699-1617—
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and -belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibil_�y of fines and imprisonment for knowing violations."
(Signature of Permittee) -
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wqlws/su/npdessw#tab-4
S`VU-2 l9
Last Revised: October 18, 2012
Page 2of2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality 7a eral Permit No. NCG060000
Date submitted — �
CERTIFICATE OF COV RAGE NO. NCG06(� A O ) SAMPLE COLLECTION YEAR ao 11
FACILITY NAME rS w FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY use/process meats a animal fats/byproducts
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? DYES []#O
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or No discharge this period"
Outfall No.
Sample Collected,
mo/dd/ r
TSS;
m /L
pH,
Standard units'
COD,
m /L
Oil and Grease,
mg/L
Fecal Collform ,
Colonies per100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100or50
With In, 6.0-9.0
120
30
1000
5o0
' Only applies to facilities that use/process meats. n
2The total precipitation must be recorded using data from an on -site rain gauge. O F� (,(} � �7 us `�
' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here. [
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/ddlyr
Oil and Grease,
m /L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
C 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II 5 CTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES VNO ❑
IF YES, HAVE YOU CONTACTED THE DL REGIONA OFFI�E? YE NO
REGIONAL OFFICE CONTACT NAME: (��, o. cS iyf\
-A ks 5 i�� i S b�� �� fjr., 1hOf MO�� n�'Z.
Mail an original and one copy of this DMR including all "No Dischar e" reports, within 30 days of receipt of the lab results for at end o
monitorina.,Ireriod in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Fifes
161ZMail Service Center
Raleigh, NC 27699-1612-
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 possibil> of fines and imprisonment for knowing violations."
(Signature of Permittee) -
(Date)
Additional copies of this form may be downloaded at: http:/Iportal.ncdenr.org/web/`wqLwsjsujnpdessw#tab-4
S W i i-249
Last Revised: October 18, 2012
Page 2 of 2

'i
ReCiENED
SEMI' ANN�IAI. STORMINATER DISCHARGE MONITORING REPORT AUG zJ,)
for North Carolina Division of Water Qu Ity G natal Permit No. CGD60o8 RMwATFR PERM17 1NG
Date Submitted
CERTIFICATE OF CqIRRAGE NO. NCGQ6�)' ra
FACILITY NAME
COUNTY
PERSON COLLECTI G SAMPLES
LABORATORY Lab Cart. #
Part A:
and Monitoring Results
SAMPLE COLLECTION YEAR 20 ��
FACILITY ACTIVITIES INCLUDE (ch k all that apply):
Eluse/process meats Muse animal ts/byproducts
DISCHARGING TO SALTWATERS? ❑YES WO
PLEASE REMEMBER TO SIGN ON
Total event
or
IE REVERSE 4
No dischorge this
4 Only -applies to facilities that use/process meats. ) �, O ��1 �/
The total precipitation must be recorded using date from an on sj ite rain gauge. j L� i
For sampling periods with no discharge at AW' outfalls. You must still submitthls discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Malnteriance Activities using more than 55 gallons of new motor all per month? ❑ yes ❑ no (If yes. complete Part B)
8: Vehicle Maintenance Area Monitbrins Results: only for facilities aoereging N. 55 Rai of new motor
_ Only applies to facilities that use%process meats.
z The total precipitation mulct he recorded usi�p data from an an -site rain gauge,
1 kor sampling periods with no discharge at j= outfalls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Sy1!U-249 L 10 nnf17

f .
f
*FOR PART A AND E&BL&MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER i REQUIREMENTS. SEE PERMIT PART II 5ECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II S CTION B.
• TIER 3: HAS YOUR FACILMY-HAD 4 OR MORE BENCHMARK EXCEEDS FOR THE SAME PARAMETER AT ANY ONE OUTFALLP YES VN O ❑
IF YES, HAVE YOU CONTACTED'THE D Q R GIO FtCE7 YIEs �O ❑
REGIONAL OFFICE CONTACT NAME: a
}
4--Wks S� r\ �'� ll'� O n M0���"s�
Division of Water Quality
Attn: DWQ Central Files
167XMall Service Center
Raleigh, NC 27699-161& -
"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 aellef, 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 vioiatlons:`I
(Signature of
(Date)
Additional copies of this form maybe downloaded at: o s
SVM-249
Last Revised: October 18, 2012
Page 2 of 2 ..

for North Carolina Division of Water Quality General Permit No. IMCGO6000o
Date submitted —' '_
CERTIFICATE OF CCIV RAGE NO. N e) �o 1 SAMPLE COLLECTION YEAR ca — RECEIVED
FACILITY NAME G('SGL � FACILITY ACTIVITIES INCLUDE (check all that apply): JUL 26 �:�, i
COUNTY 1 ❑ use/process meats 91ranimal fats/byproducts
PERSON COLLECT1106 SAMPLES DISCHARGING To SALTWATERS? AYES CRNO` CENTRAL FILES
LABORATORY_ L CC�C` ec�- LobCert.# ©Wig SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
: The total precipitation must be retarded using data from an on -site rain gouge.
For sampling periods with no discharge at g' outfalls. You must still submlt.this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classlflcatlons where the more protective benchmark applies.
old this facility perform Vehicle MainterianceActivltles using more than 55 gallons of new motor oli per month? ❑ yes io (ffye complete Part B)
3 he total precipitation must he recorded usitis dada from in amhe rain gauge, .
i±or sampling periods with no discharge at g= autfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, Identlfying the especially sensitive receiving water classifications where the more protective benchmark applies.
RECE/VED
sroMw LAND QUALITY
ATER PERMITT/NG
SWU-249 . __.,,__.:__�..,...,. _ ,o inin

i
*FOR Eaff A AND BART 11 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 Z REQUIREMENTS. SEE PERMIT PART 11 5 CTION B.
TIER 3: HAS YOUR FACILITY. HAD 4 OR MORE BENCHMARK EXCEEDEN FOR THE SAME PARAMETER AT ANYONE OUTFALLY YES NO ❑ '
IF YES, HAVE YOU CONTACTED'THE DVyq R G!O A4 S MNoM
REGIONAL OFFICE CONTACT NAME:
Division of Water Quality
Attn:.DWQ Central Files
167aMall Service Center
Raleigh, NC 27699-161*1
N 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 beilef, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false
Information, Including the possibility of fines and Imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be
downloaded at: o s
SWU 249
Last Revised: Octobar 18, 2012
Page 2. of 2 „

CERTIFICATE OF
FACILITY NAME
COUNTY
PERSON COLLEC,
LABORATORY
RAC
for North Carolina Dlvlslon of Water uality neral Permit No. NCG06000�C��NR� 1 `� ��1�
Date submitted Ar
1f0 CGD6 SAMPLE COLLECTION YEAR���
e C Lt7 FACILITY ACTIVITIES INCLUDE (ch k all that apply):
❑ use/process mats Luse animal is/byproducts.
,ES DISCHARGING TO SAI.TWATERS7 ❑YES [ hO
Lab Cert. #
PLEASE'REMEMBER TO SIG I�.ON THE REVERSE ->
unjy-appues to raciuties inat use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge. CENTRAL FILES
3 For sampling periods with no discharge at �y outfalls. You must still submit this discharge monitoring report with a checkmark here. DWR gECTION
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this faculty perform Vehicle Mainter ance Activities using more then 55 gallons of new motor all per month? ❑ yes &(no (ups, complete Part B)
8: Vehicle
for
> SS -Gal of new motor
Only applies to facllitles that use/process meats.
27he total precipitation must be recorded using data from an on -site rain gauge,
1 kor sampling periods with no discharge at RM outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SVM-249 r to •1AII

's
f
I
f
-FOR EAIn A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II 5 ON B.
• TIER 8: HAS YOUR FACILITY. -HAD 4 OR MORE BENCHMARK EXCEEDE S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES INO ❑
IF YES, HAVE YOU CONTACTEDTHE D" RE ION�k 1!ICE? Y NO
REGIONAL OFFICE CONTACT NAME:
l an -orlainal and aile coolf. of ffils QMA, ftdgftg. all a " moaft MOM &VA o o t e Ink mufts for at end 9f
c ! r ad ti � a
Division of Water Quality
Attn:.DWQ Central Files
161AMail Service Center
Raleigh, NC 27699-1617, ;
sI certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a
ystem 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 laellef, true, accurate, andicomplete. 1 am aware that there are signlflcant penalties for submitting false
Information, including the possibility of fines and Imprisonment for knowing vlolations."
(Signature
D n
er r
(Date)
Additional copies of this form may be downloaded at: e
SVM-249
r-.
Last Revised: October 18, 2012
Page 2 of 2

RECEIVED
SEMI=ANNUAL STORMWATE_R DISCHARGE MONITORING REPORT MAY 17
for North Carollna Division of Water Quallty General Permlt No. C 060000 CENTRAL FILES
Dote submitted �— 1-0 �� DWR SECTION
crroly
CERTIFICATE OF C011 AGE NO. NCG06 6 SAMPLE COLLECTION YEAR
FACILITY NAME (1ScaW ee ► FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY _ ❑ use/process meats use animal fats/byproducts
PERSON COLLECT! G SAMPLES DISCHARGING TO SALTWATERS? []YES [<O
LABORATORY Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part As Stormwater Benchmarks and Monitoring Results
Total event
or rWNo discharge this
j only -applies to facilities that use/process meats. �� PLO O t � 00 Y] R -r`
The total precipitation must be recorded using data from an on -site rain gauge. C• +E✓'-' [ �'"`-�-
3 For sampling periods with no discharge at A]l outfalls. You must still submit this discharge monitoring report with a checkmark here.
°see General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? ❑ yes ❑ no (if ves• complete Part B)
B: Vehicle Maintenance Area Monitoring Results: only for %cilltles averanins > SS nal of new motor
'Only applies to facilities that use/process meats.
TThe
total preclPhation must be recorded usl�j data Pram an oil -sits rain gauge,
kor sampling periods with no discharge at grill outfalls, you must still submit this discharge monitoring report with a checkmark here.
'OSee General Permit text, Table 3, Identifying the especlally sensitive receiving water classifications where the more protective benchmark applies.
SVM-249 . __.r._..s__�. n ._ti. _ to vnvi

I
C
i
*FOR PART AND PART 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 a REQUIREMENTS. SLOE PERMIT PART II SE ION B.
• TIER 3: HAS YOUR FACILITY. HAD 4 OR MORE BENCHMARK EXCEEDEN 5 FDR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES [NO ❑
IF YES, HAVE YOU CONTACTED, THE D RE IONALOFFIFE7 YES NO
REGIONAL OFFICE CONTACT' NAME: O- \ �} 4.
Division of Water Quality
Attn: DWQ Central Files
161AMall Service Center
Raleigh, NC 27699-161aL,
o Us sro THIS CERTYRICAVON FOR
"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,.orthose persons directly responsible forgathering the Information, the information submitted Is,
to the best of my knowledge and 6ellef, true, accurate, and complete. I am aware that there are significant penalties for submitting false
Information, Including the possibility of fines and Imprisonment for knowing violations'."
(Signature
(Date)
Additional copies of this form may be downloaded at: s
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 ,

RECEIVED R�
�.; c
��' 'APR 28
CENTRAL FILES APR 27z0�7
DWR SECTION
SlEMkNNUAL STORMWATER DISCHARGE M®NOT®R9NG REPORT �ENR_CgND
for "I CarO��n� ®Iv�sion ®f.Water ul�Nty nGral Perrmit No. 4CGOGOOOD STQRA4ATc8 QU I
Date subm{tted G
CERTIFICATE OF VEIiAQE NO.
FACILITY NAME
COUNTY
PERSON COLLECPhG SAMPkES _
LABORATORY
SAMPLE COLLECTION YEAR
FACILITY ACTIVITIES INCLUDE (chgck all that appied:
❑ use/process meats [g use anim"ts/bYProducts
�S DISCHARGINa To sALTWATERS? {3YES MNO
Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
0
niterina Raaulta Total event rainfall �� or 0 No discharge this
1 - i 3a a8 — lY1 1 a.o 1' I G. � I rA3 C* I -< S I N
4 Only -applies to facilities that use/process meats.
The total predpltatlon must be recorded using data from an on -site rain gouge. '�� A& 5C�M.� � �,d��
3 For sampling periods with no discharge at gljy outfalls. You must still submit -this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities uslnS more than 55 gallons of now motor all per month? ❑ Yes (f no (&M complete Part B)
B:
Area
for
s 35-Sa1 of new motor
' Gnly applies to facilities that use/prncess meats.
= r{ft xatpl Froclpltiltian mint ha tac�O d�11,01 l an QW5 rain gauge,
� v samn ing periods with no discharge at fly outtalla, you must still submit this discharge monitoring report with a checkmark here.
4Svp General Permit text, table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
cwr r_oAa

*FOR PARTAND I &U B MONITORING RESULTS:
A BENCHMARK l XCEEDANCE TRIGGERS TIER x REQUIREMENTS. SEE PERMIT PART II SECTION B.
o Z EXCEEDANCES IN A RdW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER a REQUIREMENTS. SEE PERMIT PART II 5 CTION a.
m TIER 3: HAS YOUR FACILITY. HAD 4 OR MORE BENCHMARK EXCEEDEI ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? VIES [NO Cj
IF YES, HAVE YOU CONTACTED�THf D QlRE ION Q CE? t NO
REGIONAL OFFICE CONTACT IIme
�n� S s.`
vIVIMIUF1 Oi Water %"WI]LY
Attn:.DWQ Central Files
1677,Mall Servlce Center
Ralel h, NC 27699-161,
"I certlfy, 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 qu6lifled 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 iaellef, true, accurate, and complete. I am aware that there are significant penalties for submitting false
Information, Including the possibility of fines and Imprisonment for knowing violations."
(Signature'of
l t - 9
(Date)
Additional copies of this form may be downloaded at:
{ d ss
S VM 249
r-,
Last Revised: October 18, 2012
Page 2 of 2

for -North Carollna Dlvlslon of Water Quality General Permi# No. NCGoe000n
Date submitted
CERTIFICATE OF C qq RAGE NO. NC 6„� 1 SAMPLE COLLECTION YEAR 0 In
FACILITY NA C'S FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY v ❑ use/process meats flE�Gse animal fats/byproducts
PERSON COLLECTIN13 SAMPLES DISCHARGIPJ13 TO SALTWATERS? ❑YES 9*0
LABORATORY Lab Cart. #
PLEASE'REMEMBER TO SIGN ON THE REVERSE 4
2The total precipitation must be recorded using data from an on -site rain gauge. N V w w — LJ M l \1 .
a For sampling periods with no discharge at ffly outfalls. You must still submit -this discharge monitoring report with a checkmark here.
aSee General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this faclllty perform Vehicle Malnteriance Activities using more than 35 gallons of new motor aril per month? ❑ yes ❑ no
B: Vehicle Maintenance Area Monitbring Resultoronly for facllitles averaging > 95-gal of new motor
'Only applies to facJlltles that use/process meats.
Z'The total prcglVl%ti1111 Must Ise recorded &1' �d� �l rpm n O�i•51te fain huge,
' ��or sampling periods with no discharge at AM outfails, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
IVED
.-U u 9 2011
STi>�r1,i�nJAr��
w vet, complete Part B)
.cwtr_2Ao

I
*FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER-1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
s 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. sEE PERMIT PART II S CTION B.
o TIERS: HAS YOUR FACILITY. HAD 4 OR MORE BENCHMARK EXCEEDEN s FOR THE SAME PARAMETER AT ANY ONE OUT -FALL? YES III
[]
IF YES, HAVE YOU CONTACTED"THE DWQ R IOPt F CE? V S NO
REGIONAL OFFICE CONTACT NAME; J- a
Division of Water Quality
Attn:.DWQ Central Files
161XMall Service Center
Raleigh, NC 27699-161�
"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 theInformattion submitted. Based on my inquiry of the
person or persons who manage tha system, or those persons directly responsible forgathering the Information, the information submitted is,
to the best of my knowledge and liel€ef, true, accurate, and complete. I am aware that there are significant penalties for submitting false
Information, Including the possibility of fines and Imprisonment for knowing violations:"
(Signature of
o
(Date)
Additional copies of this form may be downloaded at: a e s ess
C .
i
SWU-249
r~.
Last Revised: October 18, 2012
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No
W Date submitted b '�
CERTIFICATE OF COV RAGE NO. NCGO6 a,O 'k
FACILITY N E UM M x\A_
COUNTY
PERSON COLLECTI G SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
NCGOROOFaC �PIVED
JUN 0 7 2019
DENR-LAND OUAUTY
0
SAMPLE COLLECTION YEAR STORMWATER PERMITTING
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or [J*Wnthlys Lmonthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero-flo [:]Water Su y ❑SA
Pamer
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats Wuse animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
'Mfl Y -- N 0 F1, 0 ZkT
Total event rainfall' or Rj1V5 discharge this period'
Outfall No
Date Semple`, .'
_
*Collected,,mn/dd/ i
TSS, :_,
, . ,
mg/L •
pH, ....: x
Standard units .
COD; .A
m /L ':. _
;�> 'Oil and':Grease,.:�
mg/L .'
Fecal:Coliform, .
Colonies er'1001ml
t" Enterococci;
Colonies er 100.m1"
-Benchmark.= 3
�1
100"ar504'
i=WltlhEn.6:0'- 9.0n
r ; 120. f.+
' 30
10001.
5001 "
Parameter Code
_ '
tiC0530 "' s.
0040D'-
00340 �" :
"� ..'='00556 , z, .'''
c. z.*` 31616
`61211''./
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
'For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ❑ no (i.fyes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 5WU-249, Last Revised 11/5/2018
Page 1 of 2

Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
s
'� , '.�OutfalliNo�<re s"
i .'.;_'__ `.' - .'+Yf@4 .E
t`. Date;Sam Ie Collected '
P '.TOtal'Sub
'y+` f - . -n•L. '•Y ,k. "i,.
24 hour; rainfall amount,-
,F: t
` NewiMotor 011 or'�
draulli'OIIIUsa'a t�;
„g_ -.�
k w
Non PclarJ0�G/Total
Petrofeum,H drocarbons ?
a.4.. Y
a Y a�
'
erided,5otlds
p ,.
M'�,�...�t?rt•. ... � �...
.y^5>' �',-
•r,{f.1
eenchrriorks .°
0�. C i=` �s i's`1. °++
rS.r-3 '-4".S 1 s[ E+fl;C L«'3:
i i :f::rri+R' ;/ffiYit'E �.!'ih
'-•d; {E .icy',•.,._ F,'�
mg/L `_„ P rlw, ..�:,T
'fEr ..t y,=,. '4i'
,;100fmg/L' Or 50 rn
'-',
P,aramet"rCodi:FC
-t _
r46529; . ,•s ==
NCOIL
00552,
_, tD530rf
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
• 2 EXCEEUANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 5 TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES INO
IF YES, HAVE YOU CONTACTED THE D MLR EG19 � F,,FICE? NO
REGIONAL OFFICE CONTACT NAME: W S" i
Mail an oriainal cony of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results (or 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, NC 27699-1612,
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 violatigDs._" _
Signature of Pe
Permit Date: 11/1/2018-05/31/2021
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted _ C__ �-9
CERTIFICATE OF COV RAGE NO. NCG06 a O SAMPLE COLLECTION YEAR
FACILITY NT CSC SAMPLE PERIOD ❑ Jan -June .UNTY� ❑t ,Ju�! -Dec
PEORSON COLLECTI G SAMPLES or [��Vttfnthlys� i L�1 (month)
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Su y ❑SA
Fier �lQS3
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats Wuse animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
'fxAtR Y — N 0 Fl o _�Lr
Total event rainfall'_ or discharge this period?
0utfall No .
Date Sample.'.
Coflected'mo dd% r.
TSS,
„h `m Lt-� .
5tandard;unfts�.
- m L,:Colonies
. 011 and Grease,
, ,
Fecal Coliforrn,
er,'300 ml ,
Enterowcci,
,:.Colohies' er.l00,m1
Benchmark.'.-
-100'ar'Sol.
Within6;o- 9 0'
I20 " ;
Y` • 30 _ '
10001
500'
Parameter"Code
_
t0530"-',
00400- ,
"''`='00340.
;_,r•-00556:
3161G
6121T,
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at �ny outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfal€.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes [] no
Permit Date: 11/1/2018-05/31/2021
(i_f yes,, complete Part By
SWU-249, last Revised 11/5/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
" ` ';• ca. 'i
UttaIl No
,di- .,ry ,7 - ::r h.
t Date Sample;Collected
F,
74,hburrainfall umourtt
��� g ;x
�� >r Inches' tsy�H
New Motor 011 or, ,
:,, :=f .
dreullc DiI Usage
,+Non Pnlai a&0%Total
r�,.
P.etrolaum H drocarbonsF
Y.
','
Total Sus erided,`Solids'.
j P,,
.8 'r
`BanrltMarka
, '?go-? --; r $a '$'
x 1+,,<.', ?i- •�. t, S
'' d i F -�-4 S
-- A " ' F: ^�
mg L•.
t 4"`'' " • w.
�44.t g�lo
;.Pardmeter,Cotle.�
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II 5 TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES gNO
M❑
IF YES, HAVE YOU CONTACTED THE D LR EGI lL FLFICE? ! ,� �NO
REGIONAL OFFICE CONTACT NAME: I 1 S = UJ�
Mail an orlainal copv of this DMR, includina all "No Discharae" reports. within 30 days of receiat of the lab results for at end of monitorina period in the case
o "No Dischar e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617,Mail Service Center
Raleigh, NC 27699=161T,
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 violatigns.° _
Signature of Per
Permit Date: 1J/1/2018-05/31/2021
C-3 -11
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

CERTIFICATE OF CO'
FACILITY N E
COUNTY
PERSON COLLECTI
LABORATORY
for -North Carolina 01vlslon of Water UaNGeligral Perm t No. N000150000
Date submitted r
10.,,{{��CG061Q L SAMPLE COLLECTION YEAR Q
— �i 0.� aia� ,` FACILITY ACTIVITIES INCLUDE (the k all that apply):
❑ use/prucess meats tg7use animal ats/byproducts
ES '� DISCHARGING TO SALTWATERS? DYES (9NO
Nadi\. -- Lab Cert. # —
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
uiny appges ro raenaIes tnar use/process meats.
a The total precipitation must be recorded using data from an on -site raln gauge.
8 For sampling periods with no discharge at ffliy outfalls. You must still submit -this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identlNing the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? ❑ yes 5ino (if ves, complete Part 13)
B: Vehicle Maintenance -Area
for facllltles everealnit s 55.aal of new motor
MAR 07 2017
'.L
STCIR!.l I.tYATE R [-1- , ;S
Only applies to faclutlas that use/procQss meats.
IT4hl a tote, Prc�l�ltatlat� must to Tritgj ed, u� ONIte lain gauge,
For samp`ing periods with no discharge at My outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
RU raeo

i
*FOR AA T A AND PART B MONITORING RESULTS:
a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION 9.
2 EXCEEDANCEs 1N A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 S CTION S.
o TIER 3: HAS YOUR FACILITY.. HAD 4 OR MORE BENCHMARK EXCEEDEN 5 FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES [10 l]
IF YES, HAVE YOU CONTACTE131HE DVIQ EGI FFIC YES NO ❑
REGIONAL OFFICE CONTACT NAME: 0.-
Division of Water Quality
Attn:.DWQ Central Files
16&7,Mall Service Center
Raleigh, NC 27699-161&
"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. 1 am aware that there are significant penalties for. submitting false
information, including the possibility of fines and Imprisonment for knowing violations.'"
(Signature
ax a� l�l
(Date)
Additional copies of this form may {ref downloaded at: h=:/hpartal 0cdenr,org1web/w;Iass -a
SVM 249
r-,
Last Revised: October 18, 2012
Page 2 of 2

FILE COPY
far Noah Carolina Divlslon of Water Duality G IT
ral-Permit No. C 06onao
Date submitted
CERTIFICATE OF VER OE NO. NCGo6l � 1
FACILITY NAME Ca Q
couN rY
PERSON [ALLECTI 13 p
SAM tTTES� Fr SC
i.ABORATORY j2 toe�V _ Lab Cert. #
Part Ai Stormwater. Benchmarks and Milnitorlm Re
3 l 1 a-1�—
SAMPLE COLLECTION YEAR 11
FACILITY ACTIVITIES INCLUDE [check all that applyf
❑ use/process meats a;msfe animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES 03M
PLEASEREMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 11 or No
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
s For sampling periods with no discharge at gay outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance, Activities using more than 55 gallons of now motor all per month? � yes I_"J eo (ifya% complete Part a)
1111: Vehicle Maintenance Area Monkprinit Results: only for faculties everasina > 55sal of new motor
JAN 312011
LR fi 14 ITTING
` Oniy applies to faculties that use/prntess meats.
=The total prealpitaalun Musth1a mm�d 4
Il' ` �om QD1115 lain jauge,
For sampling periods with no discharge at= outfaiis, you must stiff subrrilt this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identlfying the especially sensitive receiving water classifications where the more protective benchmark applies.
C Wr i_9d0

*FOR PART a AND PART B MONITOI
A BENCHMARK EXCEEDANCE
0 2 EXCEEDANCES IN A ROW F{
e TIER 3: HAS YOUR FACILITY., I
IF YES, HAVE YOU CONTACTS
REGIONAL OFFICE CONTACT I
IG RESULTS:
1IGGERS TIIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER a REQUIRUNIENTS. SEE PERMIT PART JUS TION. B! •.
D 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ["
ME DVVQq RE ION e CE? V. O
ME: -K
OYN -M `ti'r.�ty] -ice t
Division of Water Quliiity
Attn:.DWQ Central Files
169XMall-Service Center
Raleigh, NC 27599-1£13,
"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 qubllfled 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:"
(519nature"o Pertnittee)
(Date)
Additional copies of this forrn may b J downloaded at: es5
swv 249
` s Last Revised: October 18, 2012
r`` Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted s
CERTIFICATE OF C ERAGE NO. CGQfiO SAMPLE COLLECTION YEAR
ao 6
FACILITY NAME -- , FACILITY ACTIVITIES INCLUDE (check all that apply): X;
COUNTY - ❑ use/process meats use animal fats/bypro 1
PERSON COL
ING SAMPLES ' _ �- ., DISCHARGING TO SALTWATERS? ❑YES [UNO z�
c�
LABORATORY Lab Cent. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitorine Results
Total event
or
1 Only'applies to facilities that use/process meats. s.0 s �V f E FLOW
zThe total precipitation must be recorded using data from an on -site rain gauge. ,J �j
3 For sampling periods with no discharge at a,_,py outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
this
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? ❑ yes ❑ no (ff Ves complete Part B)
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
1 �.1�1�����: , 4FRI,. a
III 4�lif
�dl feii" ..'.r
't_'r
aj�L �.l'�"�'Z �" *'id
J i
t • r c�; ��'i`is �t ": ''L�
Y i i ., �] .. � ' '�i�tie
-- y = Y;�t y
4r kr
-� I
mmm MAMOM
q .l� �1: I'M
' r
•.SWLm-
1 Oniy applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge atAU outfalls, you must still submit this discharge monitoring report with a checkmark here.
4see General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249
f .nrzt ReviRed: Octnher 18. 2012

*FOR PART A AND P, ART 8 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 S ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEbEN FDR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE D Q R GIO FFICE? Y NO
REGIONAL OFFICE CONTACT NAME: L NAS
�3
Mail an original and one co o this DMR Includln al! " a Inch r e" re orts wI#h!n 30 d s aIalgtofthelab-resufts ar a# end o
monitorina aerlod In the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161XMall Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY NFORMATION REPD TED.
"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 fll s and Imprisonment for knowing violations."
(Signature of Pein
—1—/c�
(Date)
Additional copies of this form may be downloaded at: tto a .ncde o web w ws su n dessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2. of 2 „

• -- - tom.
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGo60000
Date submitted
CERTIFICATE OF C ERAGE NO. CGII � a , SAMPLE COLLECTION YEAR
FACILITY NAME -- FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats Ouse animal fats/byproducts
PERSON COLLEC ING SAMPLES DISCHARGING TO SALTWATERS? []YES
LABORATORY Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part Ae Stormwater Benchmarks and Monitorina Results Total event ralr{fioll Y or AN discharge this
Only -applies to facilities that use/process meats. f V E— k o PLOW
2The total precipitation must be recorded using data from an on -site rain gauge. I V J
3 For sampling periods with no discharge at M outfalls. You must still submit this discharge monitoring report with a checkmark here.
aSee General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor all per month? ❑ yes ❑ no (ffes complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: oniv for facilities averaging > SS gal of new motor oil/month.
Only applies to facilities that use/process meats
"The total preclpltatlon must be ricorded using data from an on -site rain gauge,
I Por sampling periods with no discharge at am outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SVM-249

*FOR PARTS AND PART B MONITORING RESULTS:
a A BENCHMARK EXCEEDANCE TRIGGERS TIER-1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 5&eTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENW FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES O ❑
IF YES, HAVE YOU CONTACTED THE DXVq R GIO 8!FICE? Y 2k(NO
REGIONAL OFFICE CONTACT NAME: S `!
. V
Mail on orlain IZ I a d pile coo V. o f this D R l n cl r l "No sc r 0 doys of recdat dthe Lob, resufts Lor at end o
monrtor1M ggr1gd In the, case. of "Nc Dlsrharae" MRO- sl to:
Division of Water Quality
Attn: DWQ Central Files
1151aCMall Service Center
,Raleigh, NC 27699-161;k
YOU MUST SIGN T1415 CERTIFIC T10N EPA A N Y WEWM 1 ON BEjWRT
"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 relief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
Information, including the possibility of fangs and imprisonment for knowing violations."
(Signature of
9-1-A;
(Date)
Additional copies of this form may be downloaded at: tto c"enr,oeb/wgLws/sm/npdessw#tab-4
SWU-249
r-
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality Genera! Permit No. NC6060000 u�0 o�
Date submitted
CERTIFICATE OF CgVERAGE NO. NC606O SAMPLE COLLECTION YEAR o �� QG
FACILITY NAME Co FACILITY ACTIVITIES INCLUDE (chBck all that apply):
COUNTY ❑ use/process meats use animal fats/byproducts
PERSON COLLECTI G SAMP ES.--- DISCHARGING TO SALTWATERS? []YES[j�NO
2c
LABORATORY 1EjN_0QCV'e,,N1 _ Lab Cert. #
PLEASE'REMEMBER TO SIGN ON THE REVERSE 4
urny appnes to Faujives mar use/process mears.
ZThe tatal.preclpltatlon must be recorded using data from an on -site rain gauge.
a For sampllrig periods with no discharge at= outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? [] yes Odno (I# M complete Part B)
B: Vehicle Maintenance Area
for fadlides averaging > 55 gal of new motor
Only applies to facRitles that use/process meats.
ZThe total precipitation must be recorded using date from an On-51te rain gauge,
1 kor sampling periods with no discharge at I= outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249

-FOR PART RT A AND PART 3 MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER Z REQUIREMENTS. SEE PERMIT PART II SECTION a.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME_ OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11S ON B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEED C S FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES NO ❑
IF YES, HAVE YOU CONTACTED THE D Q R GION L FFICE7 , YE PI ❑
REGIONAL OFFICE CONTACT NAME: L ` W�
le -'NS
Mall gn orl inal ond ene c this D R ! c!u ! ! " c N o s !t ! 30 d s a receipt o he 1 b-results or at end a
monitoring erlod In he case. o "No Discharge" reports)
Division of Water Quality
Attn: DWQ Central Files
161XMall Service Center
Raleigh, INC 27699-161;�,
IM MU5T 5 GN TFI15 CER TIRC ON FOR A I V Y IN O ON &CM
"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. I am aware that there are significant penalties for submitting false
Information, including the possibility of fines and Imprisonment for knowing violations."
(Signature
Permlttee)
(Date)
Additional copies of this form may be downloaded at: a a c e a e w es a :
SWU-249
Last Revised October 18, 2012
Page 2. of 2 „

r~�
SEMI: -ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quallty General Permit No. N00060000
Date submitted -"
CERTIFICATE OF C VERAGE . NCG06 � Q
FACILITY NAME
COUNTY N
PERSON COLLECTIIIJG SAMPLES ' "~
LABORATORY Lab Cart. #
Part A Stormwater Benchmarks and Manitorinn Results
SAMPLE COLLECTION YEAR d. n.� .. � . _ 714. 4I'
FACILITY ACTIVITIES INCLUDE (check all that apply): e`�I�
❑ use/process meats use animal fa /byproducts
DISCHARGING TO SALTWATERS? AYES [PNO
PLEASE'REMEMBER TO SIGN ON THE REVERSE 4
Totalevent
or V No discharge this
i
II if '
Only applies to facilities that use/process meats. , f �� n FLOW
ZThe total precipitation must be recorded using data from an on -site rain gauge. 1V O / V/U �C�
3 For sampling periods with no discharge at AM' outfalls. You must still submit this discharge monitoring report with a checkmark here.
aSee General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? ❑ yes ❑ no (if yes, complete Part B)
B: Vehicle Maintenance Area Monitoring Results: only for facllltles averaaing > 55 gal of new motor
Only aPPlles to facllltles that use/process meats.
The total precipltatioll must be recorded using data from an on-51te rain gauge, .
1 kor sampling periods with no discharge atgpj, outfalls, you must still submit this discharge monitoring report with a checkmark here.
°see General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 .— 0 'nIn

i
-FOR PART A AND PART 0 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 !f SEC DN B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC -FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES fla NO 0
IF YES, HAVE YOU CONTACTED'THE D Q 1 N `OFFICEW S � ❑
REGIONAL OFFICE CONTACT NAME: , �+ ��� \ ��r
{
Ma l an on irlal nd o e co o his M i cf ! a" c u s 30 a s o cel t o tfle o L is or a e d
"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 tkiose persons directly responsible for gathering the information, the Information submitted is,
to the best of my knowledge and 1 elief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
Information, including the possibility of fines and Imprisonment for knowing violations."
(Signature
M-I- /C
(Date)
Additional copies of this form may be downloaded at: o o e ess -4
\NV
K `
SVM-249
r_.
Lost Revised: October 18, 2012
Page 2 of 2 .,

for North Carolina Division of Water allty eeral Permit No. {j0006O000
Date submitted � y E '�
CERTIFICATE OF COVERAGE N O.p
tirsOsLl
FACILITY N E �nCb aSSa�,J
COUNTY
PERSON COLLECTI G SAMPLES
LABORATORY Lab Cart. #
Part A
and M6ri toring Results
SAMPLE COLLECTION YEAR a d r 'E'
FACILITY ACTIVITIES INCLLIDE (check all that apply):
❑ use/process meats EN —se animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES 020-0
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event
or
1 Only-appiles to facilities that use/process meats. h � {� �V � {� I O � / � y . �
2The total precipitation must be recorded using data from an on -site rain gauge. V dJ J v L o W
3 For sampling periods with no discharge at I outfalls. You must still submit. this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
this
Did this facillty perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? ❑ yes []no (Ityes complete Part 8)
T he total precipltatlan must he racarded US4 date from an on -site rain gauge.
�or sampling periods with no discharge at pM outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark ap d les.

*FOR P SI AND P&ftTjM MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER-1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
e 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SE ION B.
TIER 3: HAS YOUR FACILITY. HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YE5LV NO
1F YES, HAVE YOU CONTACTED THE DYYQ REIPIONAI, OFFICE? V NO ❑
REGIONAL OFFICE CONTACT NAME: `
\ I
Division of Water Quality
Attn:.DWQ Central Files
1W.Mall Service Center
Raleigh, NC 27699-151�.
YOUMU r rGnr ► C Rr FJ r10 A O
"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 quallfled person nel'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 beilef, true, accurate, and complete. I am aware that there are slgniflcant penalties for submitting false
Information, Including the possibility of fines and Imprisonment for knowing violations."
(Signature of
\--�-l1;
(Date) .
Additional copies of this form may be downloaded at: o e o @ s sw
SVM 249 Last Revised: October 18, 2012
t; Page 2 of 2 .,

CERTIFICATE OF
RECEIVED
SEMI-ANNUAL STORM —WATER DISCHARGE MONITORING REPORT AUG 2 9 2016
for North Carolina Olvislon' of Water Quality General' Permit No. G-060000 DENRR L,4 Ni
Date submitted
O _
FACILITY NAME YJAh — a
COUNTY
PERSON COLLECTING SAMPLES_
LA130RATORY Ghy Cbce`r .�h -- Lab Cart. #
SAMPLE COLLECTION YEAR a0 ! `�
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats Wse animal fa s/byproducts
[ DISCHARGING TO SALTWATERS? YES [DAD L
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
1
The total precipitation must be recorded using date from an on -site rain gauge.
'For semplfng periods with no discharge at gM outfalfs. You must still submit -this discharge monitoring report with a checkmark here.
See General Permit text, Table 3, Identifying the especially sensitive recelvingwater classifications where the more protective benchmark applies.
lid this facliity perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? [] yes 02"n'o (ffyes complete Part
art e; Vehicle Maintenance Area Monitoring ResultsrorlIV for.facliltles averemInR o 55 gal of new motor off/month.
(if .�t
S L{ ".i,l�l
a•,i '�<4 y' u
+(--11j-?'i!,.,i;:.,l)t�
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A.,t r I�.i.,]�':i`5"?�t?t. :� ,5.6 +�c,';�<—'•3'li' "L.-iiahr, •�f}ys.lJtieyn.•',
j
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fir. r. ;i-7irTelr.{.
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)��„!�'f-1 �I,+1y' - 1'!''I I, r l .]F III 1,� jlry{l' , i 1} t 1„y,r1 yp�J. t JJ�1��ry} N• I, Ir[t�F,IJ�/� rx ����ryj jay, y��{I
�:l:[Ili•�1351��47�i�r'�.�Il���i'L!I:ili i¢{�I4f�rWSn i:]f'i:�����fl'lJ �'IF •��ill_tJIR•�'.�� �i}NYP1�r��iat'Il[I.�'P.StY,I`-l..+a'++Y„11
'he total mcipltation must be recorded using data from in on -site rain gauge, .
for sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here.
ea General permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
]VU-249 , __�.,�-a__ 7. 1l F�l .. ,Q '2nin

*FOR PART A AND P B MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER a REQUIREMENTS. SEE PERMIT PART II S CTION B.
o TIER 3: HAS YOUR FACILITY, HAD 4 OR MORE BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE D Q RE ION 110E7 NO
REGIONAL OFFICE CONTACT' NAME:
VV �}
M—aff gn o f a ro s PZ& 1 s e" ' 9 0 o �t e h u s t nd o.
mgnI#or1nA ioer/ad In therase of_'No 'Q1schar e� Mg0ts1_v:
Division of Water Quality
Attn:.DWQ Central flies
161AMall Service Center
Raleigh, NC. 27699-1618'.
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 flees and imprisonment for knowing violations."
(Signature of
-as-/67
(Date)
Additional copies of this form may be downloaded at: h#pL/ip—ortoJ,nrdenroay=b/wo/ws/sM/nodeLsydt@IL-_
SVVU-249
Last Revised October 18, 2412
Page 2. of 2 ..

FIL 'C cc
"'V
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted g " C
CERTIFICATE OF COVERAGE NO. NCGO& UQl
FACILITY NAME \ cw
COUNTY
PERSON COLLECT& G SAMPLES
LABORATORY Lab Cert. #
SAMPLE COLLECTION YEAR
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats Oase animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ❑ATO
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
3un ,yapJAWN La raciunes tnat use/prMess meats. :L�y L„� � 1 V � � LOW
The total precipitation must be recorded using data from an on -site rain gauge. ii I
s For sampling periods with no discharge at jU outfalis. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? [:]yes ❑ no (if yes• complete Part B)
B; Vehicle Maintenance Area Monitoring Results: only for facilities averaidns > 55 sal of new motor
Only applies to facilities that use/process meats.
z The total predilltation must be recorded using data from an on-5he rain gauge.
1 Vor sampling periods with no discharge atim outfalls, you must still submit this discharge monitoring report with a checkmark here.
4see General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 f ..ot Do..:ee.l• nntnhar I In19

V,
*FOR PART A AND Eaff B MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION S.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART Il SECTMN S.
TIERS: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCP FOR THE SAME PARAMETER AT ANYONE OUTFALLP YESfffNO0
IF YES, HAVE YOU CONTACTED THE DW EGIO OFFICE ES aWO
REGIONAL OFFICE CONTACT NAME: 1 M�c� n
Mail an or na nd one o o th s DMR ! Iudln 1! " s eu o t 3rQ d ore ! t o the lab res is orate d o
monitor!a verl d 1 the case. of 'olio Discharge" ta:
Division of Water Quality.
Attn: DWQ Central Files
161XMall Service Center
Raleigh, NC 27699-1617,
Y U MUST SIGN THIS C IC LION EO ANY WEPAOLATIONO T D:
"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 possibili�y of fines and Imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at:hglR://Por-tal.ncdgnr.org/-webLW/­Ws/s d ssw a -
a
5WU-249
Last Revised: October 18, 2012
Page 2 of 2

CERTIFICATE OF C.PVERfiGE NI
FACILITY NAME
COUNTY �L i
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted
FW
PERSON COLLECTING•SAMPLES � lh �2� QSV6
LABORATORY &j� Laik-ert. #j
r
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR f o
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats [�G'se animal fats/byproducts
1G'
DISCHARGING TO SALTWATERSP []YES EXO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
1 Ir
Total event rainfall 2 Y"� or [] No discharge this period'
VIM
W�1211151ia'M'
M I =4 9
, _
' :'� _ �
fi . �' �
f sqr - r �
'=C� :
i ..'Pd
�� l 1 3 ', ' r .
r v, z
� `oaf-
I� 07887 . ,W19
ts.. '!' �hL 1 � �
� � J�''b�`-`�vt
{ iYi�� � F '���4Y.
urnyapplies to racmties twat use/process maars.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfells. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, ldentlfying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than S5 gallons of new motor all per month? ❑ yes g no es complete Part Bj
Part B: Vehicle Maintenance Area Manitoring Results: only for facilities averaging > 55 gal of new motor all/month.
f'.
� ! , L�- O "i
F 1 '0 = Yt
{,ty�g7I
�s t,. �'yS A{I'�j:'Y .' ! ';jN�
- -
-J vJ i
c"1-�'fi
_
l , N",1fL'i
?I �'C+w't »��•, �i40-Ltir�
--�{C'��'�T
_ 11+9K'l1
■
1-Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Mr outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 i.Ast Revised: October 18. 2012

*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 EXCEEDENC FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑
IF YES, HAVE YOU CONTACTED THE DVQf REGIO�L �FICE7 E5 [Z N ❑
REGIONAL OFFiCE CONTACT NAME: L-� R S�
AS or�' rr"k MO` \%
Mali an on inaI and one copy of this DMR In dudino all "No' schar e" re arts within 30 da s o Mel t Of the Iab'results prat end o
monitoring perfad in the rasea, f "No Discharge" reoortsi to: -
Division of Water Quality
Attn: DWQ Central Files
1619,Mail Service Center
Raleigh, NC 27699-161;k
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."
1ST$nature of
(Date)
Additional copies of this form may be downloaded at: htt�:lLportal. ccdenr.ors/web/wo/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2. of 2 .,

"ILE COPY
REPORT
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING EP
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted S a~ % G' op�y ✓g `9� �a
CERTIFICATE OF COVERAGE NO CG06O of O ..L SAMPLE COLLECTION YEAR
FACILITY NAME a i,.1 FACILITY ACTIVITIES INCLUDE (check all that apply): FQ��ri�y
COUNTY : ❑use/process meats ® use anim�al fa s/byproducts ���c
PERSON COLLECTI G SAMPLES _ �• DISCHARGING TO SALTWATERS? []YES ENO
LABORATORY Lab Cert. ##
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part At Stormwater Benchmarks and Monitoring Results Total event rolnfall z or P<o discharge thisperiod'
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Only -applies to facilities that use/process meats. -A n � I -- O FLQ
The total precipitation must be recorded using data from an on -site rain gauge. r 1�' i`
a For sampling periods with no discharge at = outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identlfying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? ❑ yes ❑ no ( Rs complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor all/month.
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1 Only applies to facliftles that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at gpy outfalis, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5WU-249 r „ + 0....... a• n..r.,e,er IS? )nI,)

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER-2 REQUIREMENTS. SEE PERMIT PART ll SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART I] S TION B.
• TIER 3: HAS YOUR FACILITY. HAD 4 OR MORE BENCHMARK EXCEEDEN S FOR THE SAME PARAMETER AT ANY ONE OUTFALLP YES MNO ❑
IF YES, HAVE YOU CONTACTED THE D Q RPGIMA QFFICE7 1(ES O ❑
REGIONAL OFFICE CONTACT NAME: i 1 �- _$\I
4-�: s e4e., %IS Df.\ 641.` V.,ov'oct I
Mal! an original and o e g2gy of this DMR lrlclu& a! "No Discharge' reports, within 30 days of recei t of the 1ab,results for at end o .
munitoring Period In the case o "'No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161 ,Mail Service Center
s`11 Raleigh, NC 27699-161a,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the Information, the Information submitted Is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and Imprisonment for knowing violations."
(Signature of Pe
S _' /C
(Date)
Additional copies of this form may be downloaded at: httR:/Iportal.ncdenr.ors/web/wa/ws/sulnpdessw#tab-4
Last Revised: October IS, 2012
Page 2. of 2 ..
SWU-249

CERTIFICATE OF
FACILITY NAME
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted „•, 1 "
Wil
COUNTY ii
PERSON COLLECTIN6 SAMPLES
LABORATORY Lab Cart. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR a 0 l 6
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES Q90—
PLEASE REMEMBER TO SIGN ON THE REVERSE 4 cl)
Total event rainfall or o discharge this perlod�
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1 Oniyapplies to facilities that use/process meats. {�{� C ti 1 1 n
The total precipitation must be recorded using data from an on -site rain gauge. T 1l� i,t CCU
For sampling periods with no discharge at rM outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [] yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 pi of new motor oil/month.
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only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at My outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
r1EIVED
fr"'R 07 2016
ii ei-1 P NP 01 IN In
(_ es �cornplate Part;8) y
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SVM-249 T . , r Ao,.:,, a• n..r.,L,o. t Q ini�

*FOR PART_A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li�TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEpEN S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO
��0
iF YES, HAVE YOU CONTACTED THE D Q EGIO A QFFICE? YES O ❑
REGIONAL OFFICE CONTACT !NAME: �10. �
s- 0-% NAA 6 k3
Mail an on inal gnci one co o this DMR F ciu !n al " ischa e'� r o s wit %i 30 d s a recei t a the lab,results or at end a .
monitoring perlad In the case. of "No DlachgWeu ,reports to:
Division of Water Quality
Attn: DWQ Central Files
161XMail Service Center
Raleigh, NC 27699-161;;,
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 compiete. I am aware that there are significant penalties for submitting false
Information, including the possibility of fines and Imprisonment for knowing violations."
(Signature of Pe
`f_(-�g
(Date)
Additional copies of this form may be downloaded at: btte[1portal.ncdenr.ors/web/wa/ws/su/npdessw#tab-4
SWIJ-249
Last Revised: October 18, 2012
Page 2 of 2 ..

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORTp�
C). �p15
for North Carolina Division of Water Quality I eneral Permit No. NCGO60000
f Date submitted
CERTIFICATE OF COVERAGE NO. CG06 O O ! SAMPLE COLLECTION YEAR C �
FACILITY NAME 1 FACILITY ACTIVITIES INCLUDE (che k all that apply):
COUNTY f ❑ use/process meats ❑V 'use animal f is/byproducts
PERSON COLLECTIN SAMP ES 0. y DISCHARGING TO SALTWATERS? ❑YES [BNO
LABORATORY Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 or QNo discharge this period?
°dry
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Only'applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at arty outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Vno es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facllltles averaging > SS gal of new motor all/month.
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'Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
s For sampling periods with no discharge at MW outfalls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 i ....t Ao.a: i• n-t ;h i Q )ni,)

*FOR PART A ARID PART_ 8 _MONITORING RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Il SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [NO ❑
IF YES, HAVE YOU CONTACTED THE D QiRlck�
ONAL RFF 4E? YE NO
REGIONAL OFFICE CONTACT NAME: � —
Mail an arl Inal and one co o this DMR Includin all "No Ischar e" re arts within 30 days o receipt o the lab, results or at end -at,
monitoring period In the case. of "No Discharge"re arts to:
Division of Water Quality
Attn: DWQ Central Files
161XMall Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the Information, the Information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
Information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
3-H -/C.
{Date)
Additional copies of this form may be downloaded at: tt orta .ncde r o we w ws su n dessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 .y

CERTIFICATE OF
FACILITY NAME
SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality eneral Permit No. NCGO60000
Date submitted 3 7G
I
WI
COUNTY 1`
PERSON COLLECTIN6 SAMP ES 0.
LABORATORY. 11� �-C 2xi,, Lab Cert. #
SAMPLE COLLECTION YEAR O l
FACILITY ACTIVITIES INCLUDE (cheot all that apply):
❑ use/Process meats use anlmal f is/byproducts
DISCHARGING TO SALTWATERS? YES L&NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
uniy-appues io ractimes ina; usetprocess meats.
The total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at AM outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? ❑ yes Vno (if Wes, complete Part B)
Part S: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 5S gal of new motor all/month.
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The total precipitation must be recorded using data from an on -site rain gauge.
s For sampling periods with no discharge at jM outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.

-FOR PART A AND PART B-MONITORING RESULTS:
o 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 SE IDN S.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0NNO
IF YES, HAVE YOU CONTACTED THE pMIT-
REONA,LFF CAE? YE NO
REGIONAL OFFICE CONTACT NAME: W r \ olti
Division of Water Quality
Attn: DWQ Central Files
162XMall Service Center
Raleigh, NC 27699-161;t,
YOU MUST SIGN IS CERTIFICA MDA FOR AN Y I F A TION ME PORT o:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the
person or persons who manage the system,.or those persons directly responsible for gathering the Information, the Information submitted Is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
Information, including the possibility of fines and Imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: h1tod1portal c e a e w s dess a -4
SWU-249
Imo•..
Lest Revised: October 18, 2012
Page 2 of 2 ,.

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water T
ality General Permit No. NCGO60000
Date submitted 1
CERTIFICATE OF . VE GE N NCGors�„ SAMPLE COLLECTION YEAR A 4 c
FACILITY NAME FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ❑ use/process meats use animal fats/byproducts
PERSON COLLECT NG SAMPLES I DISC14ARGING TO SALTWATERS? []YES g3W
LABORATORY_ _ 6XW_ 1 C _ exnr\ , Lab Cert. #
PLEAASE REMEMBER TO SIGN ON THE REVERSE 4
Or
unit' applies iu raciimes tnaz use/process meals.
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at &y outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
RECEIVED
FEB 2 3 2013
I»}ENR-; AMID' QUALI ; f
S T ORNI%P%ATEn RERiVUTl,G
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of now motor all per month? ❑ yes eno (if yes. complete Part 8)
Part B: Vehicle Maintenance Area Monitorins Results: only for facilities averaging :o 55 gal of new motor oil/month.
Only applies to facjlitles that use/process meats.
`The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at j= outfalis, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5WU-249

*FOR PART A AND PART S MONITORING RESULTS.
a A BENCHMARK EXCEEDANCE TRIGGERS TIER-1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SEC ION B.
a TIER 3: HAS YOUR FACILITY. -HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [a p
IF YES, HAVE YOU CONTACTED THE D Q R Gf AltiICE?O ❑
REGIONAL OFFICE CONTACT NAME; a i
all an arl I al and one co is D R Inc! I l " o sc a " arts 1 A wit 30 d s a cel t o the lab results for at end o .
monitor n Period in the case. o "No sehar e'" repos ta:
Division -of Water Quality
Attn: DWQ Central Files
16laMall Service Center
Raleigh, NC 27699-161XI
YOU MUST SIGN THIS CERM—ICA ELON 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 witF%a
system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my Inquiry of the `` ,;7
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."
t.
10
[Signature of
a-1��
(Date)
Additional copies of this form may be downloaded at:http-.//portal.ncdenr,org/wob/­
-wg/ws/su/ngdesswjftab-a
SWU-249
Last Revised: October 18, 2012
Page 2. of 2 .,

ONLUIW89d 831bMW801S
r-.
910Z c a
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT 03AOC)a
for North Carolina Division of Water uality General Permit No. NCG060000
Date submitted — <;- f
CERTIFICATE DF VE GE N %NCGO6��Ll SAMPLE COLLECTION YEAR �� l
FACILITY NAME -- FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Eluse/process meats 0 use animal fats/byproducts
PERSON COLLECT NG SAMP ES DISCHARGING TO SALTWATERS? [DYES E]far
LABDRATORY ,-V1C 2 cam_ Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall Z .0 _ or 0 No discharge this perlod3
ME.,
:
a € ° !r
° kyt �j3:i.
'9fai�kt#
,. T..�im
?i'ijSr�_+Y nor
fT(=A=
�2Z1 a I °Fi�l
e 'J.
R ■■°• :�o oar
ON
' Only -applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at p y outfalis. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, ldentifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor all per month? ❑ yes eno (if -yes complete Part B)
• new motor oil month.
5,r ..
I * p3� s ✓
�r' "F
i Sy W ;
'At, ri�4ptKtSiIJ"
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uniy applies to rac'Ames mat use process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at My outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
REMO��
5 FO at 2%
DE,N,R_Lkjj0 QUALITY
STORAONATS PERMITTING
SWU-249 i ..ot fl-+-;, t Q ,)ni,)

*FOR PART A AND PART f3 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II:SEC ION- B.
• TIER 3r HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES- u0 ❑i„"
IF YES, HAVE YOU CONTACTED THE D Q R GI A DICE=? �.NO ❑
REGIONAL OFFICE CONTACT NAME: Q Xz '
Mall an orI !na! and one coo y of this DMR Mcludln a all "No Dlschar e" re orts withlhMdays o IF receipt of the lab -results for at end o
monitorino period In the case. of "No DlscharAe" Mgorts to:
Division of Water Quality
Attn: DWQ Central Files
161XMall Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION_ REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the Information, the Information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
Information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http:/Iportal.ncdenr,org/`web/wq/ws/sm/npdessw#ta
SWU-249
Last Revised: October 18, 2012
Page 2. of 2 .,

4
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000 .
Date submitted _ % - k k — I fro _
CERTIFICATE OF COVERAGE N NCG060 O SAMPLE COLLECTION YEAR O
FACILITY NAME to 0. FACILITY ACTIVITIES INCLUDE( chrus:anim."afts/byproducts
ll that apply):
COUNTY ` ❑use/process meats
PERSON COLLECT G SAMP E5 q DISCHARGING TO SALTWATERS? []YES O
LABORATORY '�V Lab Cert. #
Part A, Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
1� U
Total event rainfall Z-3 - or ❑ No discharge this perloc
r ll
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111M 1111B U111111 IN
0 0 1 WAVE 11M 111111
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F _
oc s meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at outfails. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month?[] yes [�no ( es complete Part 8)
Part B• Vehicle Maintenance Area Monitarin > of new motor oil month.
'
� " I�
-'K?, I1I1 n ITiNE
._;4
r s!
NII3eCr°"
unry appues to raq;mes tnat use/process meats.
2The total preclpitation must be recorded using data from an an -site rain gauge.
3 For sampling periods with no discharge at gpy outfalls, you must still submit this discharge monitoring report with a checkmark here.
"see General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
SWU-249 is )nih

*FOR PART A AND PART B MONITORING RESULTS:
o A BENCHMARK EXCE£DANCE 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 S CTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES NO ❑
IF YES, HAVE YOU CONTACTED THE Dr R GIO j 'I � N ❑
REGIONAL OFFICE CONTACT NAME: a� B
o k\ M o ran:-�
Mall an original and one co o R this D lrlcludln a! " o isc ar e" reportswithin 30 days o receJ # o the lab results or at end o
monitorina POzWd In the rase. a
I "No Discharge' re orts #o:
Division of Water Quality
Attn: DWQ Central Files
161XMail Service Center
Raleigh, NC 27699-161ik
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 w
person or persons who manage the system, or those persons directly responsible for gathering the Information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and Imprisonment for knowing violations."
(Signature of
_1-A--1
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.ora/web/wa/ws/su/npdessw#tab=4
f - %.
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 .,

r_�, 1-1
c t- .
CERTIFICATE OF
FACILITY NAME
COUNTY ,!�D L,
PERSON COLLEC
LABORATORY
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted 9L " k k r
d 10 1 SAMPLE COLLECTION YEAR ,,. a Q l
0. FACILITY ACTIVITIES INCLUDE Ichefik all that apply):
❑ use/process meats use animal is/byproducts
�Pf SCE DISCHARGING TO SALTWATERS? AYES (NO
Lab Cert. #
PLEASEREMEMBER TO SIGN ON THE REVERSE 4
I . It
unry-appnes to Tacimies mat use/process meals.
3Thu total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
QSee General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than S5 gallons of new motor all per month? ❑ yes ['no (f es complete Part B)
B: Vehicle Maintenance Area Monitoring Results: oniv for
> 55 Rai of new motor
'Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at AM outralls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE 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 a REQUIREMENTS. SEE PERMIT PART 1I 5 CTION 9.
o TIER 3: HAS YOUR FACILITY- HAD .4 OR MORE BENCHMARK EXCEEDEN ES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES Uj NO ❑
IF YES, HAVE YOU CONTACTED THE ❑ Q R GIO j FICE� N ❑
REGIONAL OFFICE CONTACT NAME:
� �� S 5 l� ► S S-C'� `� o k� t`na,n ��r:-� b''C� {lq i
Mail an art ! ed and one cuoy of this D R f�cludln all " o Isch r " orts wlthi 30 d s o news t o the lah•results ar at end o .
manitorina i0dod In the case. o "No Dlseft e" reports)to:
Division of Water Quality
Attn: PWQ Central Files
161CMall Service Center
Raleigh, NC 27699-161;t,
YOU MUST SIGN THIS CERTIFICATION_ FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a
system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the
person or persons who manage the system,.or those persons directly responsible for gathering the Information, the Information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
Information, Including the possibility of fines and Imprisonment for knowing violations."
(Signature of
\_A\ _ I
(Date)
Additional copies of this form may be downloaded at: http://g_ortal.rnc4enr.ara/web/wa/ws/su/nodessw#kab-4
S
SWU-249
Last Revised: October 18, 2012
Page 2. of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water ualit G�n aI Permit No. NCG060000 RECEIVED
AA Date submitted — DEC 14 2015
CERTIFICATE OF VERA ENO. GarsL V SAMPLE COLLECTION YEAR Ol� R S
FACILITY NAME ti l FACILITY ACTIVITIES INCLUDE (chec all that apply): i NR pC��;� 1my
COUNTY ❑use/process meats use animal fa s/byproducts ORf 41�h4 � lruln
PERSON COLLECTING SAMPLES DISCHARGING TO SALTWATERS? AYES �10
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or - No discharge this perloce
R6iF£.z'rn�rF�.y
1 • w� r �
6F
-C` Y;5J�1
CCYSii!!-��
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yrr, f 5{ r
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6�1-}({� i.�s:.l�l'C1}.�j,I
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rr .1F..i1r1:c461Y
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i G 1 i ' i
S__.'.i��'4y�
�• � ,'Jti-,+ _ i�1639
2 uniyapplles to facilities that use/process meats. OVEABET,— �� FLOW
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at L y outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor all per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: oniv for facilities averaidns > 55 sal of new motor oil/month.
�� 1 1 Jm.1
f�1.
r-0
ji� 11LS,Y,
16z,�ryd1
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`stN ��`,, ,../'j�,`.gsr' f�};'��h�'d
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it£-1 aff G jjf•�e
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�� i T^.,}.
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_
uniy applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
4 For sampling periods with no discharge at Mr outfalls, you must still submit this discharge monitoring report with a checkmark here.
See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
( es complete Part B)
S VM-249
Last Revised: October 18. 2012

*FOR PART AND PART B MONITORING RESULTS:
a A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 S TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES MNO ❑
IF YES, HAVE YOU CONTACTED THE D Q R�GIO A DF ICE? YJE NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orl ►nal and one copy of this DMR Including all"No ►scha eu reparts, within 30 days o recel t of the lob, results for at end o .
manitorina period in the case. of "Na Discharge'' reports)
Division of Water Quality
Attn: DWQ Central Files
163XMall Service Center
Raleigh, NC 27699-161;�,
YOU MUST SIGN THIS CERTIFICATION FOR ANY NFO MA►ION REPORTED.
"I certify;,under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. i am aware that there are significant penalties for, submitting false
Information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
to-'° -ts
(Date)
Additional copies of this form may be downloaded at: http://i)ortal.ncdenr.org/web/­wci/­WsLsulnpdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

CERTIFICATE OF
FACILITY NAME
COUNTY :Z)
PERSON COLLEC
LABORATORY
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water ualit !in al Permit No. NCGOfiOOOO
Date submitted _
NO.
k-
SAMPLES
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
5
DEC 14 2C41
Utlim_LANU QUALITY
SAMPLE COLLECTION YEAR ao I S tX-RMWATER PERMITTING
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats 0-u-'se animal fa
DISCHARGING TO SALTWATERS? [:]YES [290
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2_ or [E41N"o discharge this perlod3
Gill_ a _e
In
9 a None, M- tZA-01
gmnwl- I -
.40
I WIN;, -0 n
i". wo r 6 na
'N
011; rA
�, I'll
-nd
III *,Affn se'.
WIN
h rk Pw "s M C R MAN
_'Pec -L
apt;
Q, Cc 16 ^nI a L
Only -applies to facilities that use/process meats.
2
The total precipitation must be recorded using data from an on -site rain gauge, 1\3 v V vj - f - - t
For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? I-1] yes ID no if yes complete Part 13)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
p,
:L Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on-slte rain gauge.
3 For sampling periods with no discharge at AM outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SVVU-249 Last Revised: October 18, 2012

*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 S TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES O ❑
IF YES, HAVE YOU CONTACTED THE D Q RkGIO A OF ICE? =NO❑
REGIONAL OFFICE CONTACT NAME:
`his Si 6- S-�>;ko�\ `ntsk •
Mail an original and one opy of -this DMR Including all "No Discharge"' reports, within 30 days of recel t of the lab, results for at end o
monitoring erlad In the case. o "No Dischar e" re orts to:
Division of Water Quality
Attn: DWQ Central Files
161W,Mail Service Center
Raleigh, NC 27699-1617,.
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
Lr�,-'° -lS
(Date)
Additional copies of this form may be downloaded at: http:Z/Por-tal.ncdenr.org/web/­
w ws su n dessw#Iab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE N . NCG06 r14 I SAMPLE COLLECTION YEAR 0? / S
FACILITY NAME r 6 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY - ❑ use anlal fuse/process meats as/byproducts
PERSON COLLEC ING SAMPLES 0. DISCHARGING TO SALTWATERS? ❑YES B2tNO
LABORATORY_ U\-,- Lab Cert. #1
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
r� �I
Total event rainfall z • 1 or ❑ No discharge this perlocP
k`-s�
v,�-��>;. i'.hf -'7' .3 CH;aI
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. Inls`
6
o
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3
84
2 Only -applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge,
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes EWn"o (If ves. complete Part 8)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
2' y .:•-. �
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Q
,r � r�_
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«' e.4".!?ii'i
,,j'�,i�ce, I , a � ,, :
Cu�"1'.i5.e .. i.2 :,,?=L f di�Y :y_.f.
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
RECEIVED
"t 14
�NR,LAND QUALITY
''�d�Riz1�'/�:7€121p.�RivJ,i7Tl�',=
S WU-249
Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER Z 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 SE TION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES VNO ❑
REGIONAL OFFICE CONTACT NAME:D Q R1ON W I l � � YES IrfMA
1'1Az-1'
NO
►s s�-6- onno,4b
Mail an original and one vany of this DMR Including ail "No Discharge" Warts Ia�results or a# end o
manitorino oerlad in the case. o "No Dischar e" re arts to: -
Division of Water Quality
Attn: DWQ Central Files
1610ZMail Service Center
Raleigh, NC 27699-161W,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
W. r,-q
(Date)
Additional copies of this form may be downloaded at: http:Zlportal.ncdenr.org/web/­wq/ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 ,

T
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 41oll
Date submitted 16 — /'—
Os�40
CERTIFICATE OF COVERAGE . NO. Ncrm&kO
FACILITY NAME
COUNTY LQ�E
PERSON COLLECTING SAMPLkS--> W"EJE
]\VL Cert. LABORATORY C,�NeAQ, Lab'
Part A:'Stormwater Benchmarks and Monitoring Results
"z/'
SAMPLE COLLECTION YEAR 2k6j.�5: 'S '*0
FACILITY ACTIVITIES INCLUDE (check all that apply):
Eluse/process meats Ehu'ie animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES 9WO
PLEASE REMEMBER 2 ITOj SIGN ON THE REVERSE 4
Total event rainfall 111 or E] No discharge this period?
j.3-P
Ma,
e
TV IMS E
M11
t
WE
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MCI
MOMOKLON,
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F 9
N A
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a - --i-ap
,03
C2.
C=
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Onlyappliesto facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at LU outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? El yes
D/n o. (if yes,
complete Part 13)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
$9
ISAR!
R.
A
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ri i i
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gck
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ug
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I Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'see General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18. 2012

-FOR PART A AND PART B MON1TORiNG 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 SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL2 YES [NO ❑
IIF YES, HAVE YOU CONTACTED THE DWQ EGIO AL gFFICE? •1� ES 'VNO
REGIONAL OFFICE CONTACT NAME: r o. _1
Mail an original and one OpV of -this DMR Includin all "No Discharge" re arts within 30 days of receipt of the lab- results for at end o
monitoring erlad In the case o "No Dlschar e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161dZMall Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICA TION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the Best of my knowledge and Belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
(Date)
Additional copies of this form may be downloaded at: http://p-ortal.ncdenr.org/weVwq/­w5lsu/­npdessw#tab-4
SVM-249
Last Revised: October 18, 2012
Page 2 of 2 .,

'i
V
SEMI-ANNUAL. STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. N00060000
Date submitted 10 " /<�`
CERTIFICATE OF COVE AGE NO. U - NCGQ6� SAMPLE COLLECTION YEAR 01
FACILITY NAME uc a� �C'S FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY k ❑ use/process meats use animal fats/byproducts
PERSON COLLECT MG SAMPLES - ck DISCHARGING TO SALTWATERS? []YES QW0
LABORATORY V 1ft a j=p�, Lab Cert. #
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitorina Results
Total event rainfall a i�21 t or ❑ No discharge this period
� C`i e �-
unly
Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
- M11
, fjz16-
' •1' Ya. '#� -mj
h
13iu Ed7a711L i�
y
F'i��!_T/ 1'f 3r�5
-
, rath�,-'�.�11f•,''
i
1!
` Only applies to facilities that use/process meats.
' The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at gpy outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 r n,.,: a. n ..L _ io in»

*FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 §EPTION B.
• TIER 3: HAS YOUR FACILITY 4HAD OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO Q
IF YES, HAVE YOU CONTACTED THE DWQ EGIO AL RFFICE? ES; NO ❑
REGIONAL OFFICE CONTACT NAME: to 1S —
Mail an orl anal and one copy of this DMR Includin all "No Discharge" worts. within 30 days of recel t of the lob -results Lor at end of
monitorin erlad in the case. o "No Dischar e" re ores to:
Division of Water Quality
Attn: DWQ Central Files
1619,Mail Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATIONREPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
l o-)Cr1C5
(Date)
Additional copies of this form may be downloaded at: http://P-ortal.ncdenr.ore/web/wa/ws/su/ngdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 ,

CERTIFICATE OF
FACILITY NAME
COUNTY � q
PERSON
LABORATORY
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 1� ` � ` l S
Lab Cert. #
Part Ac Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR d� I S q4'<4
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats -Erse animal f /byproducts
DISCHARGING TO SALTWATERS? ❑YES [D1fO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total evert rainfall 2 or ONo discharge this perloce
�S
i-4I�
;. r.t0i. a
% � �, � r
;�}�
'�.3+2
"" tl i r
l t1 .1i
5 r r _ ° 1°_,
r ;;�,,;�,, r ir�
3.+sd� 7° s
I t- h:
'T .
r s1
•f.
1F1���.,�}}� II66
'ri,,'Id ��•
Ir(_.If.Yjj"-'j',,`,�q}1�f3tq�'/J��
fl I�J.FL.R.:I}�..'iiiS�CU.:a
1 [�L/ '-G 7ji
t "�' •n�� l�.
f, 1 'rS r iA A"P.
� 1 ' 3�
7 -
��'?�C�{;�J y, r{ t 11 ' .
_-� MJ,ii: ° 1 � _ �
y:- !_ `"' v'i'
r jS A �' -T !1' -
1 Only applies to facilities that use/process meats. f\i ! Q(1 S 7r� N0 FlV
The total precipitation must be recorded using data from an on -site rain gauge. �1, �t
3 For sampling periods with no discharge at rM outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 5S gallons of new motor all per month? ❑ yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
,14
g"�s
yY
F—°i• 1
9�lS.fi L`;�i��ys[t
-5 •k j
R�I�L�I i•I 1� ;r'i.,.+ `
it ��`>
`j [ MEW
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at M outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part By
SWU-249 Last Revised: October 18.2012

*FOR PART A AND P, ARC S 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 SE TION B.
• TIER 3: HAS YOUR FACILITY, HAD 4 OR MORE BENCHMARK EXCEEDENC FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES ONO ED
IF YES, HAVE YOU CONTACTED THE D Q RErpiONA, l Q��10E? NO
REGIONAL OFFICE CONTACT NAME:
-'VN 5;�� �S 5�,�� or
Mail an on inal and one ccoy of this DMR Including all "No Discharge" re arts withia 30 days o cei t o the la6,results or at end o
monitaring gerlod In the rase. o "No Discharge" re orts to:
Division of Water Quality
Attn: DWQ Central Files
1617,Mall Service Center
Raleigh, NC 27699-161X,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPOJiTED:
"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 posobility 9f flnejAnd Imprisonment for knowing vialations."
(Signature of Permittee)
�—�—Is
(Date)
Additional copies of this form may be downloaded at: ttortal.ncdenr.or web w ws s dessw#t -4
SWU-249
Last Revised: October 18, 2012
. Page 2 of 2 ,.

CERTIFICATE OF
FACILITY NAME
COUNTY 71)1,
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG06000j
Date submitted
NO. NCG066� Q 'i e N i Are
PERSON COLLECTING SAMPLES M-ke_c- 'ZkU
LABORATORY _E�<�NW� t&V"N- - -L.L Lab eert #
Part A: Stormwater Benchmarks and Monitoring Results
<
SAMPLE COLLECTION YEAR a01
FACILITY ACTIVITIES INCLUDE (check all that apply):
1:1 use/process meats [9-11se animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES [ENO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
it
Total event rainfall zor [E:]] No discharge this period3
Q
.Coll_ CA,
Coll t kl�'
- L, �j �
Vvil
R _T
A '0 W41
5601M —A V
L A
PJ A
1) -
' Only -applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor of[ per month? E] yes U�o if yes complete Part 13)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
, nn"'
R5
41 ow,004"
MR
h
i AM. ANS 14. 0
ON,
JR,
WN
A! 1401.35
1 Only applies to facilities that use/process meats,
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SVM-249 Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it 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 EXCEEDEN 5 FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES � NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ RE ZONAL OFFICE? Y - MNO
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one co o this DMR Includingall "No Discha e" re -arts, within 30 days o recei t a-f the lab, results Lor at end o
monitoring period In the case o "No Dischar e" re orts to:
Division of Water Quality
Attn: DWQ Central Files
16 KMail Service Center
Y
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared Under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted Is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
-h--Is
(Date) ^
Additional copies of this form may be downloaded at: http:ZZportal.ncdenr.org/webLwgLw5/su/npdessw#tab-4
3
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

RECEIVED
iiir�AND (QUALITY
SEMI-ANNUAL STORMWATER DISCHARGE MONrTOR�NG REP.Q T
for North Carolina Division of Water quality General Permit No. NCG060000 Sr�RA4vv p�'A �r
Date submitted S JG
CERTIFICATE OF COVERA ENO. CG06 b�, 01 SAMPLE COLLECTION YEAR `5
FACILITY NAME — C FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY t,� : ❑ use/process meats []'Gse anima! fats/byproducts
PERSON COLLECTING SAMPLES 0. 5C DISCHARGING TO SALTWATERS? ❑YES ONO
LABORATORY^ Lab Cert. #_ C'1
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
/r
Total event rain all z or ❑ No discharge this period'
° pg'p
_•-
`•Cyy�h.�
"`�,i
1 f f
�>aL uY
, pr(y€y_�I,
~�_�fLhalax�=i
yypp77--,LL,TTA� 0 1
)
al'. -12
Fgf3.�r,',ee,,�.y{{}r����
'1 - ri,fdr.��
y�r[-tig -'i J
1.7 1 f lids- _1 ��E
S 1
{t - r � L;S' � 4�1
i�'py� IF.
� � E7.' �'���
-�i�ri ]'�� 1 1 y'i�4t
py�+�ir�} 1 O �� %' �
�"Im
m, I
only -applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at gU outfails. You must stiii submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 5S gallons of new motor oil per month? ❑ yes [p4o
Part B: Vehicle Maintenance Area Monitorine Results: only for facilities averaRinit > 55 aal of new motor oil/month.
f� '
1 _
.� •1 r ��,L
iIS — z- �'1: r y
L. • y � � �{'.
T`��F✓IE v
� z ,tif �(� Jrr i O11
I�nv_,�¢•u
t _ ' T•r.., t
1f.� ., ., r � F� v­
r - -
1{s ,, .u7 '-.;i
IN
Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
For sampling periods with no discharge at env outfalis, you must still submit this discharge monitoring report with a checkmark here.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if ves• complete Part B)
;WU-249 T ....• De,.:-1• nM-_t'w 19 )nl,)

*FOR PART A AND pART B_MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
* 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCPSFOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES M NO
IF YES, HAVE YOU CONTACTED THE DWQ REVIONAL FFICE7 Y c 11 nI
REGIONAL OFFICE CONTACT NAME: 1 5 J ��
Mall an orIginal and one MRy of this DMR lhcludln all " a Discharge" re o s _wi—thlh 30 days of rece! t gi the lab, Lesults for at end o
monitoring periad In the case. of No Discharge" reports) to
Division of Water Quality
Attn: DWQ Central Files
161XMall Service Center
Raleigh, NC 27699-161d`Z
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
N 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 possibiflty of fines and Imprisonment for knowing violations."
(Signature of
,�3-11--Is
(Date)
Addltionai copies of this form maybe downloaded at: tt : o l.ncdenr or eb w ws su n dessw#tab-4
SVM-249
Last Revised: October 18, 2012
Page 2. of 2

CERTIFICATE OF
FACILITY NAME
COUNTY �k
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qualit� General Permit No. NCGO60000
�) Date submitted — � _ <3
rILw
PERSON COLLECTING SAMPLES
LABORATORY -Lab te'rt. #
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED-
JUL 0 6 2015
r CENTRAL FILES
SAMPLE COLLECTION YEAR K DWR SECTION
FACILITY ACTIVITIES INCLUDE [check II that apply):
1:1 use/process meats D<Se anlmal fat§/byproducts
DISCHARGING TO SALTWATERS?E:]YES U4146
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or�No discharge this period3
;-
rr
-- rSe- �
M
ald
t:
"4r'*unE
c
T M T DO
I—
- AN
0PAIARRAMU1
A
. . . . . . . . . . .
' only -applies to facilities that use/process meats. —;SUN) e — N) c� F Lo LK)
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? [:] yes 0 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
aq,
g gp0it j2
01n
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more Protective benchmark applies.
754?4
(jLyq& complete Part B)
SWU-249 Last Revised: October 18. 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION 8.
0 TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENYS FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES NO
IF YES, HAVE YOU -CONTACTED THE DX4Q R IONAL Q�I�E7 NO
REGIONAL OFFICE CONTACT NAME: \ \S� 1 •
NMCIL
;-S S� 2
Mail an on final and one copV of this DMR inciudin all "No Discharge" re arts within 30 days of receipt of the lob, results for at end o
monitorina veriod in the case. o "No D1schar e" re arts to:
Division of Water Quality
Attn: DWQ Central Fifes
163XMall Service Center
Raleigh, NC 27699-161dZ
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 personas who manage the system, or those persons directly responsible for gathering the information, the information submitted Is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and Imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/­w---ws/­su/npdessw#tab-4
SWU_249
Last Revised: October 18, 2012
Page 2 of 2 „

CERTIFICATE OF
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted kS
d`nvICOA6C nin rar=nn a o q
FACILITY NAME
COUNTY ZD
PERSON COLLECTIR163 SAMPLES
LABORATORY 'Lah Cart. #
Part A,- Stormwater Benchmarks and Monitoring Results
FcPivE-
JUN 0 9 2015
NAM SAMPLE COLLECTION YEAR a o 1 -13 WFORMACcC7IQN
TlGtJ PROCESSING J,�'!T
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats [use animal fats/byproducts
DISCHARGING TO SALTWATERS? DYES [91140
PLEASE'REMEMBERTO SIGN ON THE REVERSE 4
Total event rainfall z or 9RN discharge this periace
O
-L -�_ '•
r_- a
`'F- FTL:_S:•
•�':°vs��;3
iii:s111
°
�T�°]]��
91
k--f r
�+' �3
•1 8vv1''r�.�- 7 7��,��qqmi�.�
127A,
� AM,
11'j' rloF]f�
s M° r
r �•
l r� 1 i
' .'
Y f ,i ; t 1 1-' .,
at1 ' Only'applies to faciilties that use/process meats. ��] O FL O
The total precipitation must be recorded using data from an on -site rain gauge. j
3 For sampling periods with no discharge at My outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective. benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no ( es complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 pi of new motor oil/month.
3r �t���{'
'I
'S+'p J -
�_F i •, HF.Q
-.•i, - . 7 F� r'�',r, '
4 Jr , �f l� t
y-rl'� �{r�yT.,, ,z na 5,;,y
e'� aS"Rtf,-i F fY �'.i �p_i
isLi��Zl
Ar1N1
fI s.159?
'r1
�SL�'ii�SkESL1llFTcif
A
" Only applies to faclllties that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at ga outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249
Last Revised: October 18, 2012

"FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION S.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES &�rIVO Ej
IF YES, HAVE YOU CONTACTED THE DWQ RE IONAL OFFICE? YES ONO ❑
REGIONAL OFFICE CONTACT NAME: � 5.—
�
Mail an orJ Jnal and one copy of this DMR includin all "No Discha e" reports, within .90 days of EM&i t of the lab, results for at end of,
monitorina oerlod in the case. of "No Discharae" reoorts) to:
Division of Water Quality
Attn: DWQ Central Files
161XMali Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
Information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
C-J--)�s
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wa/­ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 .,

MI -ANNUAL STORMWATER D
RECEIVED
MAY 0 5 2015
CHARGE MONITORING REPORT
for North Carolina Division of Water Qu_iligLGe,i AI Permit No. NCG060000
Date submitted S"y f t� n
CERTIFICATE OF COVERAGE NO. NCGO66 SAMPLE COLLECTION YEAR
FACILITY NAME Rl\�
ac — om W 0. 1 �u�� FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY a)❑ use/process meats E3-ffse animal fats/byproducts
PERSON COLLECTING' SAMPLES DISCHARGING TO SALTWATERS? []YES 2K]
LABORATORY ' �^' - L'abi Cert. #
�. PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
MAY 0 5 2
CENTRAL FILES
DWR SECTH�_"
Total event rainfall 2 or [D� o discharge this period3
tyx« j p^c,^'
��+
"tfd `� '
`sr}?'0
i
:�':lr.}^r. ,--i �.l .fi•{.-r
'�?'++-,^^.v ,Si-tH ;_'fi{".'_-G Z
J 'xJ
;use IeLol ct d
i?,���
1 _ s
A 3...P�41. r '. ,:
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a l
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3 Only -applies to facilities that use/process meats. �'� '� Z L;— Q L d W
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? ❑ yes ❑ no if yes complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
�tfalS4ltNo.'
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r i? "�{I.
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L' �Ss ~3
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]{.i> {� •{ni•� L•
` Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalis, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5WU-249 Last Revised: October 18. 2012

r
*FOR PART A AND PART S MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 5�rNO ❑
IF YES, HAVE YOU CONTACTED THE DwQ R GION OFFICE? YE NO
REGIONAL OFFICE CONTACT NAME: !—��C V�1�\� S — U�]�
•5 5�
Mail an ari lnal and one My gf this DMR including aA "No Discha e" re arts withiq 30 days of recel t _of the lab- results ar at end o
monitorina period in the case of Discharge" re arts to:
Division of Water Quality
Attn: DWQ Central Files
161,7,Mall Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Pe
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/wq/­ws/su/­npAessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2 .,

I i'l , T I I
CERTIFICATE OF
FACILITY NAME
COUNTY aV
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water, Quality General Permit No. NCGoGonoo
Date submitted � - � ') - )IS —
M
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
11117�1�
SAMPLE COLLECTION YEAR 0 1 S G
FACILITY ACTIVITIES INCLUDE (check all that apply):
E] use/process meats ffa-Ws—e animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES [
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall or Vodischarge this period'
z N
Zg egm,p. 1
. !,�
R
ft
-
1, 1 ryes;
--a-WN'T 4130K
91, IN 14 R
W 0 0
im
-ng�-
:!L-
gm
w
mvavow
2 Only -applies to facilities that use/process meats. E Br AJO -F.� 0 LK)
3 The total precipitation must be recorded using data from an on -site rain gauge.
4 For sampling periods with no discharge at arry. outfalls. You must still submit this discharge monitoring report with a checkmark here.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month?[] yes 0 no (lLyg& complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
pg.
gg
,.Sao
_R L
, R
M
V-5.-AN" _0
�­Rlql
1 Only applies to facilities that use/process meats.
2 The total precipitation must he recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at AU outfalls, you must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more Protective benchmark applies.
SAM-249 Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCE'S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES MNO ❑
IF YES, HAVE YOU CONTACTED THE DW RE 10 A 1=ICE?O
REGIONAL OFFICE CONTACT NAME:
V v
Mail an ari anal and one co o this DMR includin all "No Dischar e" re orts within 30 da s o recei t o the 1a16 results ar at end o
monitoring Aerlod in the case. of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1611,Mail Service Center
Raleigh, NC 27699-161aZ
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for, submitting false
information, including the possibility of fines and imprisonment for knowing violations,"
(Signature of Pe(mittee)
a-f�g--)s
(Date)
Additional copies of this form may be downloaded at: htt ortal,ncdenr.or web w ws su n dessw#tab-4
SWU-249
Last Revised: October 18, 20I2
Page 2 of 2 „

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted -3 15
CERTIFIC
FACILITY
COUNTY
PERSON
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
0
SAMPLE COLLECTION YEAR o O � -S— cU6,1VED
FEB. 10 FACILITY ACTIVITIES INCLUDE (check all that apply).. 20,
E] use/process meats [Plu"se animal fats/byprod 5
DISCHARGING To SALTWATERS? [:]YES 290 _S'VT/;ZAL uct!L
DWR es
rION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall " or ®discharge this period
aj. w"
�?
f rk
M...'g,
F.
K It
Uk"Co
a I T llrl
;�Ujlra at
Rv
�AA_A
2_1 MR 0
MR ierW
I P
Only -applies to facilities that use/process meats. �A t� LkAPI-\)\, — N () F L O Q
The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any. outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? 0 yes 0 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor all/month.
lie
_ d - - '-ft
'fpsp gg'Lv
RN
T_
3
M
d
r 0
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(±MtS complete Part B)
SWIJ-249 Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE ON B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCP FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [ NO ❑
1F YES, HAVE YOU CONTACTED THE DWQ R GIO A OFFIC 7 YE5 No ❑
REGIONAL OFFICE CONTACT NAME: p,
Mail an original and one copy of this DMR inrludln all "No Dlsthar e" re arts within 30 days o recel t o the lab -results or a# end o
monitoring eriod In the case o "No Dischar e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161XMaii Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a '
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false '•
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Peroiittee)
�-�> -)s
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/eblwa/ws/su/­npdessw#tab-4
5WU-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECIFdV
for North Carolina Division of Water uality General Permit No. NCG060000 JAIj, 1 5 EC
11�13
Date submitted � DENF� r
n Ark p
CERTIFICATE OF COVERAGE NO. NCGB6 ll SAMPLE COLLECTION YEAR d� i srORMwar � PQUAL ! �
FACILITY NAME a�1 C FACILITY ACTIVITIES INCLUDE (ch all that apply):
COUNTY kxOt1 ` ❑ use/process meats Ef use animal f is/byproducts
PERSON COLLECT! G SAITLES— O Q DISCHARGING TO SALTWATERS? [—]YES NO
LABORATORY r_Sv oC e,tx Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
it
Total event rainfall z •s or ❑ No discharge this period'
Cv3;� s��w--rr.� �+hryf•'
(- �
;:_ -utfa I � o: �
,� ,� � ��
':1,.^:r;r.: _�•s ��r, rr
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< S
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Al
1 Only -applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor all per month? ❑ yes dno (if ves• complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
,� .�ri,; :.'_ _ �`-•�i�_l'�i
.,r :fit allaS�,
i
1,:.��Sv2-3 L: ca. ���w3y..
riSanpleC liectetl,�:.
/►
r ..?E.� ,Itv ih`.:'�N-!"nyj�-
ail an'l ease
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=��:r.}.�,"~�M'�"�` .l���ss:�,«r,c
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-�;."� ..:'s��; . �� �'� �',s�•.���
d't`..
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18. 2012

*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 It SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN_CttS FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ONO ❑
IF YES, HAVE YOU CONTACTED THE DVI Q REGION L OFFICE?, ` ES NO ❑
REGIONAL OFFICE CONTACT NAME: M
Mail an ari ina! and one copy of this DM R lncludin all "No Dischar e" re orts within 31? days o recei t of the lab -results or at end o .
manitorin erlod In the case. o "No Dischar e" re orts to:
Division of Water Quality
Attn: DWQ Central Files
1615-1,Mail Service Center
Raleigh, NC 27699-161*
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. i am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.orgLweb/wq/ws/su/­npdessw#tab-4
- --
SWU-249 Last Revised: October 18, 2012
4 Page 2. of 2

SEMI-ANN UAL..STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water qua,Rty General Permit No. NCG060000
Date submitted "'
CERTIFICATE OF C VERAGE NO. NCG06 1Q SAMPLE COLLECTION YEAR a
FACILITY NAME FACILITY ACTIVITIES INCLUDE (ch all that apply):
COUNTY u ❑ use/process meats 0 use animal f is/byproducts
PERSON COLLECTING SA PLES (XIDISCHARGING TO SALTWATERS? [:]YESQNO
LABORATORY E�7d1 C Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
�►
Total event rainfall z •sor 0No discharge this periods
.�•Yse� y F^•..gi21!,7-•
?l p .� ji r -
�4`�.�k,�;?=47r ' A
.^J+-cr_y .L7 R''A•�,Y=
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Ell
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r �,' �k. "F a:s'
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�f � �'�o �� _'iii � s `i.R�.
/ -
3R3
<S
1 Only, applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor all per month? ❑yes [Z(no (if ves, complete Part B)
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 5S gal of new motor oil/month.
`tF..
12OWED
I7
oil 1il�rl� :^�+:v1S'
�!t'.6"F"i IA'ia�i�"'..� +rw'
S [" 1 h
i• V •`�.�'y] f�}J�jp 1 {
wJ, !'��. • ...I �>=T1�4'�h•1'a+'i
_ /�
y `J:{ t� l§
i1M T l .. �L
1+f 'R�!]SA t... L"x
Yi�'�/�SW.iF��F
(�n>�
�ibFY:Jf37�`• rMte'rLL.r�+i+
1 Only applies to fapilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at gM outfails, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
J'� � . 5 2r715 ,
b�ryr ,
Srdh'r1�iv j�': � !Ty
$WIJ-249 i aet Ae•.:ePri• rlr tnl°F.y 1 R 71117

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SE ION B.
• TIER 3: HAS YOUR FACILITY, HAD 4 OR MORE BENCHMARK EXCEEDEN S FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES NO 0
IF YES, HAVE YOU CONTACTED THE D q R G10N L OFFICE? ES NO ❑
REGIONAL OFFICE CONTACT NAME: ��
Maii an arf !na! and one Mgy v this DMR includfn all "No Dischar e" re arts within 30 da s a recel t o the lab, results for at end a .
monitoring erfod in the case o "No Discharge" re orts to: -
Division of Water Quality
Attn: DWQ Central Files
1617,Mail Service Center
Raleigh, NC 27699-1fi1a1'�
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
� -� -I
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/­wq/­ws/su/`­npdessw#tab-4
_SWU-249 Last Revised: October IS, 2012
Page 2. of 2 „

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quallt2neral Permit No. NCG060000
Date submitted kl It -
CERTIFICATE OF CO'
FACILITY NA!I)\\N
COUNTY L"
PERSON COLLECTIN
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �o 1 1+ -
FACILITY ACTIVITIES INCLUDE (check all that apply):
0 use/process meats EJ-11'se animal fats/byproducts
DISCHARGING TO SALTWATERS? E3VES OaITO'
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or [E�o discharge this period'
F-1:1 I
P
N
4-1 4�
C loll,
Nil
S. 14
r/1 (PIR
K
n,Xs.,
qlveq%
012005
N
M
C
PIP
es nil
l,azeocx
sZF
crt
mggaamg
�_"'
I - - Only -applies to facilities that use/Process meats. L
The total precipitation must be recorded using data from an on -site rain gauge. NOVEW8E?,- �JO
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?E:] yes E] no (if ygs complete Part B)
Part 8: Vehicle Maintenance Area Monitoring Results- only for facilities averaging > 55 gal of new motor oil/month.
q Ir
N Eli- 't
"';Z.
rMe N
NAM 115MM
al
Win
Nj F1'
IV-u
-I
1015
sage
Ampinwa I r) M
10-01! A.
N
ffli X®RM02RAINIMMR
MO-Ft�NN-
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
I For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SW-U-249 Last Revised: October 18. 2012

*FOR PART A AND PART S MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II�TION B.
f TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NOIF []
REGIONAL OFFICE CONTACT NAME:S, HAVE YOU CONTACTED THE o�Q(� OLNA OFFICE? Y �S ` R 0
Mail an on final and one copy of this DMR includin aU "No Discharge" reports. within 30 dos of receipt of the lab -results or at end o
monitorina period In the case. o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161eZMail Service Center
Raleigh, NC 27699-161*7-,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage.the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. i am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/­wq/ws/su/­npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2. of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted \ \ "' 10 - � t+
CERTIFICATE OF
FACILITY NAIIAE
COUNTY Z
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert. #
Part A:'Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR �0 I ±
FACILITY ACTIVITIES INCLUDE (check all that apply):
El use/process meats [Duse animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES D96
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 — or P��o discharge this perlace
.0 C
i fl
I'C "i
IL
mzma
'y qj yq!.Aj�!Ff. JU
nX %
NKk7----R1f"'0qP_%
B&M
3 gl
A. %
la
. ;t
NIT A
-N,
"Fem I!,
Wzl
"M OF jgg% f
-pird-Ow, �A
r.0
Uq r.0
e 41
RX., 0MUM
N,
MR111YES
Only'applies to facilities that use/process meats. Y - OB E_:_ - � r_\� 0 L W
The total precipitation must be recorded using data from an on -site rain gauge. C, �T 0
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? 0 yes 0 no (± yes complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
P V5
aTP
ag � ge.
IKOA 11-Mg-
R
`0 A ;4
J. 40
AN 8 'f V
� r-03,
. Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more Protective benchmark applies.
RECEIVED
NOV 14 2014
[)ENR-LAND QUALITY
STORMVVATER PERMITTING
5WU-249 Last Revised: October 18. 2012

*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 SE TION S.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDEN 5 FOR THE SAME PARAMETER AT ANY ONE oUTFALL? YES No ❑
IF YES, HAVE YOU CONTACTED THE D Q REGIONAL OFFICE? YE NO
REGIONAL OFFICE CONTACT NAME:
5 5�:o (`nork1r��� mo rN A oc i cz .
Mail an original and one coolf of this DIM including all "No Discharge" reports, within 30 da s of receipt of the lab, results or at end o
monitoring aeriod in the case. of "No Discharge" reoogsj to:
Division of Water Quality
Attn: DWQ Central Files
161dZMail Service Center
Raleigh, NC 27699-161X,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: httpjjportal.ncdenr.org/web/`wq/ws/su/npdessw#tab-4
3WiJ-249- Last Revised: October 18, 2012
Page 2. of 2

CERTIFICATE OF
FACILITY NAME
COUNTY L
PERSON COLLEC
LABORATORY
SEMIANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCGO60000
Date submitted \ X 1 0 ` t y`
Lab Cert. #
Part Ai Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats [Fuse animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES DIM
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event ro , all 2 or &Wo discharge this period
2-J �s-.� -e "' •�g9�nri.
']utfd�l .,QeaSar1
- .15fY K..[>t r�i
�!r-ry •`�lnq;t-'Ri: �'€;f ;
- f
} :� ,:fi•`f" �,S'�rT
r2�I.i:�X
3 "'.' f -
, i [r_ r yfF
-�4 n[[;�.
i �'i+ :_r rr:
•r, ti-- b ';3. '` r, i
.IA
i- 'yl���'ilsy
i�[■,11���!! wall
_�s[
i."i' :. -'.ictr': ' 1 -
{' .fig, i✓' };y,4
.54 MY,yr i
j-`r}:).,Y..
-+iy��a`- Y -E •..S+jrf•.,�,£wr
[ 'r-at' -lrx '�Sp
Ki�S,fb'�{ k r
,�I i7 5$( •F1
�r • .�:i 4��A'. a'11.
T_ �3i
' •'•nfY"rx+.tia3"' r; rh.ry K.cy[, sF^
s a3
-f�1�jy�Ci it r`��jir
M1vR[ P �i b
�7. �C$$i,�,iww SQ Q.ii�- I
i 4i1 :rrf-a3t" s.�' - I ...
S �+'. f.�..
C �iit� -- '�
d. 1. .�/n� _
- •���� Q
P��i�.:1i�M1�'fr•5ht
.:4 X'}.--.�s+�-.is:.n^.`.g`I4ra�h�.Y•23.h'w41I1'�:�6.�,
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o- } 1 t�
SIR
wt.?t: a � ..�_
-64'[
C-
eQ'"ert
r•e.-� ��k3
1 Only -applies to facilities that use/process meats. Q��O� E�� �� O r , W1
iThe total precipitation must be recorded using data from an on -site rain gauge.
a For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑ no (if yes
• complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > S5 gal of new motor oil/month.
_
-�yII
,li�[S
r r.. s i
.�Be>nohmarlc �# �
wti•ir ;cr"•'- ata,�'q
te
+ " �,L
.t �l�lQlk �l 4 i -.r,
�?�. �-;"� �` .,�8� '�
� s:4.i't !t.?2���'�i3'�Y.i'o-�._r:., f?
re
3'- . r..:`-+itq, _ u 1111
'_e 1$
s� i z,N.
�
�,�,. '�:� 3�- ��'���t��.a{
k Imo_ a-:� 4a� P.• 9
F�r,- „s i v - '.'1:R;
Tay}```, = ?x,-ir:
c e
t. Irmt� dl � u�d
1�0 c
�!`,.}�:__�� _,Y b��il
, ,tidr y-'s
E.1� ORI
�_ . A�Rf�:`
A4�J�� `S.s�.0 Y..
�".. 3'�,i sr�c�� ,-��r,��:�•
..t k(�"rlrlr`: e s�r+.��. ui�•,
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at r�U outfalis, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5WU-249 Last Revised: October 18, 2012

*FOR PART A AND PART 8 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SE TIONye
B.
• TIER 3: HAS YOUR FACILITY. HAD 4 OR MORE BENCHMARK EXCEEDEN S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES OZ NO ❑
IF YES, HAVE YOU CONTACTED THE D Q RE IONA1L,5�OQFFICE? YE NO
REGIONAL OFFICE CONTACT NAME: C.�1�A NS M�
Mail an on Ina! and One copy of this DMR Including all "No Dlschar e" re arts within 30 days a recei t o the lab results or at end a .
manitarina perlad in the case. o "No Dischar e" reports) to: . .
Division of Water Quality
Attn: DWQ Central Files
1619,Mail Service Center
Raleigh, NC 27699-161dZ
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the Information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
11s10� 1
(Date)
Additional copies of this form may be downloaded at: http_/L1ortal.ncdenr.orgLweb/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
r. Page 2. of 2 .,

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water QuallVGeneral Permit No. NCGO60001
Date submitted W✓
I —
CERTIFICATE OF
FACILITY NAME
COUNTY ,AJ
PERSON COLLEC
LABORATORY Cab Cert.
Part AiStormwater Benchmarks and Monitoring Results
RECEIVED
SAMPLE COLLECTION YEAR OCT 0 3 2014
FACILITY ACTIVITIES INCLUDE (check all that apply): CENTRAL FILES
1:1 use/process meats [Bluse animal fats/byproductsDWR SECTION
DISCHARGING TO SALTYVATERS? [-]YES EDN16-
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or P1,96- —discharge this period?
-4
•RREAR00,
wgf
0
�-'ggge Ort-41
K. T1
N4'z I &
'Me i
-V M,
fowl
g4 ig�
'Ki i r4 � 5 1 .
ag T
R FR.
:eA��f �Cj.c �i'7
M,. I.. e
6
AN nj
3)
7M -0, M, irl d. ;V
Ky
Only -applies to facilities that use/process meats. SCVj_EM86z_j\j0 PLOW
The total precipitation must be recorded using data from an on -site rain gauge.
For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [-] yes ❑ no (if -yes , complete Part 13)
Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
1P
Mow 71V i Z
'Ail -In i
WK7
ot 'm
A aw. r qfl. 11agg
A
H'
ENM
R�ffiOSd 6tily
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SMW-249 Last Revised: October 18. 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
Y 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDErN(O
FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO
IF YES, HAVE YOU CONTACTED THE D Q R GIONAL OFFICE? YEREGIONAL OFFICE CONTACT NAME: 'S 1 J ' T CC" 1 ,m0 �� N Y11f1 s S}�e. �rsk� li aY, 'AlmQ
Mail an on inal and one co o this DMR includingall "No Dischar e" reports, within 30 days o recef t Qf the lab results Lor at end o
monitoring period in the case. of "No Discharge" meartsl to:
Division of Water Quality
Attn: DWQ Central Files
163,7,Mail Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Pgfrmittee)
+ V , J
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/­wglws/Lulnpdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 „

R r—
UEIVED
SEMI-ANNUALSTORMWATER DISCHARGE MONITORING REPORT AUG 222014
for North Carolina Division of Water P Quality 'eneral Permit No. CENTRAL FILES
Date submitted, $
- - DWQ/80c,
CERTIFICATE OF COYERAGE NO. NCG06 0 � 0 11 SAMPLE COLLECTION YEAR a I �f
FACILITY NAME _ZOA
JZFACILITY ACTIVITIES INCLUDE (check all that apply):
I
COUNTY � use/process meats �se animal fats/byproducts
PERSON COLLECTING SAN _]YES U9_0
,IPLES DISCHARGING TO SALTWATERS?
LABORATORY
Part A- Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
yj
No discharge this period
Total event rainfall 2 I R or [EE11
09,
W
R6E
N",
E0w
�I'
f6 a_
'S
go
A)A
A14
-3
f) 0
c S0A
I Only -applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifyihg the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor off per month?E] yes no (if yes, complete Part 8)
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
' NlMa
MW
4AANO
1ENU
W~
UAo
g@'-;; ! L:
:1, P; ponj
mazindw
46-
_u
Only applies to facilities that use/process meats.
The total precipitation must be recorded using data from an on -site rain gauge.
For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here,
'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SVV'U-249 Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
+ A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 5E -TION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDE�NC FOR THE SAME PARAMETER ATANY ONE OUTFALL7 YES [VIVO ❑
IF YES, HAVE YOU CONTACTED THE DVQ G1ON�FF�CE� F< LI/_i ry ❑
REGIONAL OFFICE CONTACT NAME: L� S— n
Mail an original and one copy of this DMR includfn all "Na Discharge" re arts within 30 days o f receipt of the lab, results Lor at end o
manitorina period In the case. o "No Dfschar e" reports)to:
Division of Water Quality
Attn, DWQ Central Files
161aMail Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/`wq/­ws/su/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 ,

CERTIFICATE OF
FACILITY NAME
COUNTY_
PERSON COLLEC
LABORATORY
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted, I')— � � — r1A
'ERAGE NO.
i SAMF�LES,
f, \
ao
�'Y\ Z07S
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED-
JUL 2 5 2014
CENTRAL FILES
DWQIBOG
SAMPLE COLLECTION YEAR a 01Ly,
FACILITY ACTIVITIES INCLUDE (cte all that apply):
El use/process meats use animal fats/byproducts
DISCHARGING TO SALTWATERS? F]YES ED�o
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfalla or [DINo discharge this period
US I
.�. ,=�C, �;�, � ��..
Fi�� s-�'�-'!�''�si' i':
U2
`01ra d; r, se`f .$�-���e
�+1 s�.a'-fni�� .L��
�'CO �`��`��
;. ,C`i�'. �4•'
..{r�' f r cf cl�`?•'
:? :=; .y, �
N- OW
3. Onlyappliesto facilities that use/process meats.
7 The total precipitation must be recorded using data from an on -site rain gauge. -:s�Qe- No FLOO
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? E] yes 0 no (If3tgs, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
1
.0�'f%rx" A10
7-hi
W.
M i
•
t
g. . .
Wr.QII Ugsi0
'. , M R'
O-
k 1Y0Q45
�e"o X-M
Only applies to facilities that use/process meats.
2 The total Precipitation must be recorded using data from an on -site rain gauge,
3
For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4
See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWIJ-249 Last Revised: October 18, 2012
1NWft�-

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
+ 2 EXCEEDANCE5 IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SE ION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENce2� FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NCO []
IF YES, HAVE YOU CONTACTED THE DWQ R GI AL FFICE?(, f YES 0 NO
REGIONAL OFFICE CONTACT NAME: UNOLO M1� is— W AIO
4- �h:5 s:�C� ; s �A \4
Mail an original and one copy of this DMR including all "No Discharge' re arts within 30 days of recei t of the lab -results or at end o
monitarina period in the case. o "No Discharge Morn) to:
Division of Water Quality
Attn: DWQ Central Files
161a�,Mail Service Center
Raleigh, NC 27699-161W�,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4
5WU-249
Last Revised: October 18, 2012
Page 2 of 2 „

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT RECEIVED
for North Carolina Division of Watert�Qualit General Permit No. NCG060000 JUL 2 5 2014
Date submitted
CERTIFICATE OF C VERAGE O. NCG060 SAMPLE COLLECTION YEAR V CENTRAL /13 ALES
Q �WQ180G
FACILITY NAME LQu<«�Ce FACILITY ACTIVITIES INCLUDE (chepk all that apply):
COUNTY 5e a ❑use/process meats Eruse animal �f s/byproducts
PERSON COLLECTING SAMPLES e ► DISCHARGING TO SALTWATERS? ❑YES RrNO
LABORATORY �� Lab Cert:
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z� or ❑ No discharge this Period
--Jxc- _ "+7✓!![^';F
- n:.i�..Q-.^.t ;i�.i:_t"f„_"aa �iR4�}3�CP�11�.���,� � .a;,"�,��'+��,"C:v.� 5r�
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74
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IBenchmar
:. ....... " .,.. -"" ._ IC'aG�':^fy-
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. �.��r.•:csr_.Y.. r..,-
4f i ]O
ALA
1 Only applies to facilities that use/process meats. L zetow d er, f M��C
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any, outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (if Yes, complete Part 13)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
°:i'DutfaIlRI:
a �3
_.off roi ya Y Fs1A i r,;,,m
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e Sa t Ile to.,.
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ila d G ea a u'T
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lyWN`.Y3• r _- ,7.r ri�
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y-�'4j f.-•f:i�' :'�fS"=v�[s,1:%�i',�.
i`,,Y�', 1 `F !i .may. 1
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any. outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249
Last Revised: October 18. 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTIOV
• 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 pf this DMR Including
all "No Discharge" re orts within 30 da s of receipt of the lab -results tar at end o
monitorina period in the case. o "No Discharge' reports) to: --
Division of Water Quality
Attn: DWQ Central Files
1619,Mail Service Center
Raleigh, NC 27699-1617,
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the hest of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of perr
q--15-1
(Date)
Additional copies of this form may be downloaded at: http./Igartal.ncdenr.Qrg/web/`wq/ws/su/­npdesswtttab-4
SWU-249
Last Revised: October 18, 2012
Page 2. of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality G'Teral Permit No. NCGO60000
Date submitted — I
CERTIFICATE OF COVERAGE NO. NCG06
FACILITY N��h
_
COUNTY
PERSON COLLECtl
LABORATORY
SAMPLES
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
JUN 1 1 2014
SAMPLE COLLECTION YEAR
FACILITY ACTIVITIES INCLUDE (check all that apply):
0 use/process meats Eq-use animal fats/byproducts
DISCHARGING TO SALTWATERS? E]YES E1W
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CENTRAL FILES
DWQ180G
Total event rainfall 2 — or �No discharge this period3
OZal
.
!V
�Ki.-
Z
. ­_,
"
­4.
$­ig
Jr.
oll
�WNZ4.1
wrZ
PP
!" ^
01
rriiark
I--V\f-\ Onlyappliesto facilities that use/process meats. J , t,)o F_L0
The total precipitation must be recorded using data from an on -site rain gauge. " k
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? [—] yes [—] no
Part B; Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of now motor oil/month.
_p e�(
NgsSp
kup Lt$'�L
8 otof
Rk
%'0'0'6
I Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part B)
SAF11-249 Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT
PART 11 SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART IdSC-TION B.
TIER3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES
OR THE SAME PARAMETER
AT ANYONE OUTFALL?
YESO
IF YES, HAVE YOU CONTACTED THE DWQ R GION f1LtO QqE? YE t O
96
REGIONAL OFFICE CONTACT NAME: \
4 -WN S 5NQe, i.S s�it-V
oy mbn
iN\z \krj ,
Mail an on final and one copy of this DMR including all "No Dischar e" reports
within 30 da s a
recei t o the lab results
or at end a
monitoring period in the case. of "No Discharge_" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1517
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 ,

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
I en
for North Carolina Division of Water Quality G � era] Permit No. NCGO60000
Date submitted, "!5 /G
CERTIFICATE OF COVER GE NO. NCG06�
FACILITY NAME
COUNTY
PERSON COLLEC*0,SAMPLES
LABORATORY b Cert.
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
bAA.v 91
SAMPLE COLLECTION YEAR ::q o / '+
FACILITY ACTIVITIES INCLUDE (check all that apply):
Eluse/process meats Eg-ds--e animal fatsbyproducts
DISCHARGING TO SALTWATERS7 []YES 2005
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
11
Total event rainfall 2_6_4 or F-1 No discharge this Period3
3
11
0
-
"
'
kcni
; 2-�!
g1l6T
5
iKuIta
k
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`
4r 6
e
N
iv
ius
-. Ma
a
-ei'w
mm
3 0
< S
01
!�P=30 - 1'4-
9 j
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3
A14
A ll�
I Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at gny outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? F] yes 2]-<o� {if yes , complete Part 13)
Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor all/month.
M60
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-0
'f
R1
4­
� 6
b;a r
units y
j,
nN'TSSMiae*2
uat.ayera es al mop;;
Ni
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge,
3 For sampling periods with no discharge at AU outfalls, you must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
RECEIVED
MAY 2 2 2014
CENTRAL FILES
DWQIBOG
SAFIJ-249 Last Revised: October 18, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SEC DN B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES KYNO ❑
IF YES, HAVE YOU CONTACTED THE DiWQ GIDI�A4 Q�(tCE 0 Yf NO
REGIONAL OFFICE CONTACT NAME: LL- ��jj 1 lL I S— (�1f 1 mi ft
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
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
\S—/( �
(Date)
Additional copies of this form may be downloaded at: http://por-tal.ncdenr.org/web/­wq/`wslsu/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No..NCG060000
Date submitted AL-7--a � k��
CERTIFICATE OF COVERAGE NO. NcGor)�
FACILITY NAME
COUNTY CN
PERSON COLLECTING SAMPLES
LABORATORY
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
MAY 0 2 ZU14
SAMPLE COLLECTION YEAR CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): DWQ/-ROG
Eluse/process meats E3-Use animal fats/byproducts
DISCHARGING TO SALTWATERS? [-]YES E3N6-
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2- or D No discharge this period'
P
1, gsc
W'Cork
4R
-'0
F!"•
g r cl qqa&
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge. FLO W,
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? 11 yes 0 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
n
A
_w"
I Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at gU outfalls, you must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
QLygs, complete Part 13)
SWIJ-249 Last Revised: October 19. 2012

*FOR PART A AND PART 8 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 SE ION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO EJ
IF YES, HAVE YOU CONTACTED THE D1{VQ R GIO''NlAl4 OFFICE? 1 AYES �" I� ❑
REGIONAL OFFICE CONTACT NAME: 1 W� \5 W\��'^� a
��•S S�T�. �S 5�� 0 n
Mail an original and one cw of this DMR, including all "No Discharge" reports, within 30 days of receipt of the !a6 results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
RaleiRh, NC 2769 -
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http:l[portal.ncdenr.ors/web/wglwslsu/npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 „

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of WaterQuality General Permit No..NCG060000
Date submitted -14
CERTIFICATE OF COVERAGE NO. CG066 'C)\ Q)
FACILITY NAME
COUNTY n2
PERSON COLLECTING 9AMPLES
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED *
MAY 0 2 10114
SAMPLE COLLECTION YEAR R () I CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): DWQIBOG
D use/process meats [9-ffs—e animal fats/byproducts
DISCHARGING TO SALTWATERS? F]YES ff]NO—
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 or 0 No discharge this period3
g
cXW
R�
!
i.
IO
g
'AgZ
M
EgNN�
p a_
M
Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
No F�_Go
3 For sampling periods with no discharge at pny outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? El yes Ll no
Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
r �N7
a ­LUA
- P0
t
I Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(jtygs, complete Part 13)
SWU-249 Last Revised: October t 8, 2012

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
TIER 3: HAS YOUR FACILITY, HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES � NO ❑
I YES, HAVE YOU CONTACTED THE D Q RE IOI\In�A��j 1 E? YE
REGIONAL OFFICE CONTACT NAME:�a W��{
T�1S
Mail an original and one cony of this DIM, including all "No Dischyme„ moms,- within 30 days of receipt of the lab results for at -end_ of
monitoring period in the case o f "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Fifes
1617 Mail Service Center
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.org/web/­wq/­ws/su/`­npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2-

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Qualit
,4 T� General Permit No..NCGO60000
Date submitted — I t�
CERTIFICATE OF r _ OVERAGE NO
FACILITY NAME
COUNTY
PERSON COLLECTIN6 SAMPLES
LABORATORY
CGO,�) Q, C
cl r\ Ica C .�a Lo
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR as
FACILITY ACTIVITIES INCLUDE (check all that apply):
El use/process meats Eg-use-animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES [
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
REC;EIVP'-[D
C
MAY 0 2 2014
Total event rainfall 2 — or 0 No discharge this periodo
CENTRAL FILES
DWQ180G
INIM9aeal
1.wwg-
4
.
T
6,.
Standard s
M
d
i-gTfK
MpRF
M­
Only applies to facilities that use/process meats. r
The total precipitation must be recorded using data from an on -site rain gauge. ��EN��A'ZY - J�O PLOW,
3 For sampling periods with no discharge at gny outfalls. You must still submit this discharge monitoring report with a checkmark here.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?Ej yes [:1 no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
,iitfallFNola
1IefGollected
W t
NOrY
O-K—�
7ZN3'
MgR
V5-X�Iaii
'R m
0
.
R�N14X
�
AMmotbrip
TM
6fieliffairk'
'0
11"'0 _1'9
f, �Z' '�F __-; " -
N.
A ;3
OU
J'W; X
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge,
3 For sampling periods with no discharge at an
rt
4 y outfalls, you must still submit this discharge monitoring repowith a checkmark here
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
complete Part B)
SWU-249 Last Revised: October 18,2012

*FOR PART A AND AP RT 8 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE. PERMIT PART II SECTION B.
+ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SEC ON B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES OR THE SAME PARAMETER AT ANY ONE OUTFALL? YES [ONO ❑
IF YES, HAVE YOU CONTACTED THE D Q REGIONA FFI�C�F,? YES �O
REGIONAL OFFICE CONTACT NAME: ti
Mail on original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
manitorinci period in the case. o "No Dischar e" re arts to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
(Date)
Additional copies of this form may be downloaded at: http1(portal.ncdenr.oEg/web/wq/ws/su/nodessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2 „