NCG060216_DMR_June - Dec_20201204

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and:Land Resources General Permit No. NCG060000
Date submitted \\" 41V" -a0,
CERTIFICATE OF CQVERAGE NO. NCG06 3 j r SAMPLE COLLECTION YEAR a a 0
FACILITY NAME 4Acfk0 '0ba f A Mak.\ SAMPLE PERIOD J n-June July-Dec
COUNTY S b\-kelc ❑ ❑ y
PERSON COLLECTING SAMPLES C or ( llonthlys NOv2rn�e:� (month)
LABORATORY b Cert. I7 DISCHARGING TO CLASS DORW ❑HQW [Trout ❑PNA
csw\000 ! []Zero-flow, ❑Water Stspply ❑SA
P/Ther CAAS'S- a 3
% EACILITY ACTIVITIES INCLUDE(check all that apply):
CCII�' Vr i a/process meats (animal fats/byproducts
DEC 21 20,. j
DER jJ .I�hEA REMEMBER TO SIGN ON THE REVERSE-1►
-fd
Part A:
Stormwater Benchmarks and Monitoring Results Total event rainfall 2 or [l No discharge this period3
4ti.'. m hl. ,, , .. h j4a'ts�y.�' 8, T S•� J ,! J �`"1 ,y' ,_t a,; �y w,
uy, a � 1.p .F:'� �i� r ....�9+, .; :` , r, r ..fi �o r U ,.,{3 .�,;r�4 k .�.l }y '"
tfriil Nr, f 1• [;.,$ r a'. !'le.� I ,r' .e °l�r{i9� ,'i,#.,�'..J ';'?ECG -.�_ :.Er;�{' :fl`. ..;i
.f :, � � • .�i 4.A.,,�'. Fr f+ ., . i '..�.. I�i,� � �rx�rt t�{ ;.�t �:'. t t: t. > yr>,1 �,zAli,^,. �;.
ppg+qq//�� mark • j N P d'' e z*V �I r' �Rs +5dh{ i`� �I ZsAl.�d�rta.ti��� Ih 1���, � « w .i4�V'
Banc M. r .a f , `F" e f F11 i ?'. •
�'Aa�� �r � r1e11 , {` rr�• ,+ 1vti u�ct�'r��
Parometer cod : t' '+ d ks' t p '1' P, ,t :sfL �,� f 3x7 { r' ' lz.;. r u ?fir`
c, n s� s-- A/ A/A
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from anon-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 55 gallons of new oil per month?❑yes lino (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.
Duffel!No, Date Sample Collected . 24•haur rahitti°a bout, ..New Motor011 or Non.Polsr,O*G/Total Total Suspended Salida
(mo/dd/yr1 niches* ; HydraulicO11 Uses. Petroleum Hydrocarbons
Benchmarks 4, • it mft/I. 100 mg/L or SO
Parameter Code 46$2 - NCC11. 00452 C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION .
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO V
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 0 NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, Including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case
of"No Discharge"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief,true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing viol ons."
Signature of Pe ittee 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 CQVERAGE NO. NCGO6o A SAMPLE COLLECTION YEAR aQ QQ
FACILITY NAME I`Okt,�C\t� u�' �ee���.�
SAMPLE PERIOD ❑Jan-June []July-Dec
COUNTY �� 0.C� or Vr-onthlys C) — (month)
PERSON COLLECTING SAMPLES
LABORATORY Lab Cert.# DISCHARGING TO CLASS EORW ❑HQW Trout EPNA
[]Zero-fIowWater Su,ply QSA
RE
i� EOtlter ASS j SI*J
C� rE CILITY ACTIVITIES INCLUDE(check all that apply):
NOV 1 6 2020 use/process meats animal fats/byproducts
+r N
sAL
PLEASE REMEMBER TO SIGN ON THE REVERSE-)
04.-Wl*i - -00 F• 0 ,,d-'
Part A:Stormwater Benchmarks and Monitoring Resultsts g Total event rainfall 2 or 1•i �o discharge this period3
Oats iB 114 R,$M} rl� �Wz)a�i U' !� g K �jj11i€f k uF;l I.::u pm ft .R
Qutf ill No, Ol s h r tea. , 1"T P VIVXM 1 !I 1� .�. r .�I.a . �f Pii16 1b)
y t , �,1 , veyf 4� ic4i� � ,r;j , #.>€x `! �i? #-.4 ` I
!Cs , A"' !-1Pti srr, ot,t,. �.?. 11,1 :111a �rj' ;�? ;.�,yr P3T'ii s'1;!I r'�o%;i»', 4 1 i t ,: _. .1.1 G^ `,, ..
�r(
... R ✓ Y R jh �y I �4� �i¢� �P I Co�fiA� � �'M�+ + .
Banc mark • f. i �, ) F p
.. ,. M -�'�sr `�j��) � � ell s+ �1 � �t r 1 . JIu�R �� 1.l ��� �$W��� Z n.,i:�'OA! +
paramatrr.Cod+ .. r`� d$ F� a 52 i•. i p3�L< .:y u c Y , .: l 4a
€# 1 �.`�`�4.1t,r.0.1i+'aSk;:11 i:!# ,1..1i,U1C, Uill,'�I.l.� k '� "k t 4,f ir. 0 �' "-' ''6 211 ..
•
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from anon-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 Eo (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.
Dutfeli No,
pate sample Collected 2�►ur r#IntaU�amounts '$New Motor,00 or NoItePO$ar,O&a/total Total suspended Solids
(too/dd/yr) Itst e0t °HydrauUc OH,Us se Petroleur+ .Hydrocarbons
1 W+' W g/'. -1wMwY. #"' 1"1W'"N N I(1"
...
or SO m4g/LBenchmarks - N , *** �. .`. d; Ct .Barometer Cade
�.. . e. w
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
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES D NO lir
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q NO El
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case
of"No Discharge"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the Information,the information submitted is,to the best of my knowledge and
belief,true,accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing viola ons."
Signature of Pe ittee 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 ! 0 /a— 0-0
CERTIFICATE OF C•VERAGE N . NCGO6t I b SAMPLE COLLECTION YEAR CQ O Q..O
FACILITY NAME Qui(ki\ v- SAMPLE PERIOD RJanl -Dec
COUNTY SCE �G t� ❑ Y l
PERSON COLLECTING SAMPLES iqr� � if` 1Ci►�t1.S' or onthlys-June Sf
Ju pT 1 (month)
LABORATORY �- L Cab Cert.Ji 3 ) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
V •co C.\Nt e..../ `V (]Zero-flow, ❑Water Supply []SA
EaTher CtSS C) •SW
? g_. FACILITY ACTIVITIES INCLUDE(check all that apply):
0 C T 26 2020 Eluse/process meatstfse animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE�1►
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 2 .►� or ■ No discharge this period3
�!!{� i .. ' ..,:.r�. ,... ._..r 6,� .,a�T C,{!a .�o'o� y�'Y� �' �si�K'f" gr..1..�,'..
Ouyfolil No, ,g ,;, r �„ p7Jr s l%f cl , .�,�i j)i 1 a^
4 -+ .1tt n h,I �. i�a�;yf(7 yet i.�w..:ac$s,i" J�< r• �},z,es L+� r :}cy7:1.d n �: _� id-�,� ,.. # Rrl, wl� M�ii0�
`. Ak: 94x ''�ez. l� £I 4t C. `4? _r : "[,+('�`.10 t ,t :nG !� le��_^h�r P3 i5 'T $. a € �� >. i l �° n G ,'
aenc mark - r }y . k �� A;; ( (, , 1 g ti 1
1 - Ii ! f ( ddlb SZ K 3 If Z�' [4 +Ri .,* }
+ r �t o- i .2 v l s�q��t7� f iX� ���r � � 3+r: �`/
Parana t*r 00 .� .t ., ., 61211• \ -�o � �c G. : =
NA A/,A
Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from anon-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.
SMonthiy 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 [ o (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.
Date Semple Collected 24.hour ra$ a' amount, NewMotor Otl or Non.Poiar,O&$/rota) Total usspended Solids
outfal No. mo dd yr 1dc .
Benchmarks �. . , ��.�/ 4 - , ` ; - .$ 4 w, a\.,�, x .�. A i l�iri�li11 11' "14 * *Petroleum d rbon i0d�m /L or So mg/L4
Parameter Code - • 4650Y NCOII. 00811 C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION 3.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO 0
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case
of"No Discharge"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief,true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing viol 'ons."
p1 o- 1 - a�Signature of Pee 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. N00060000
Date submitted — 1 — �Q
CERTIFICATE OF COVERAGE N NCGo6 �•L SAMPLE COLLECTION YEAR a V at)
FACILITY NAME 0.U(�Ng,.
�"Q (�(\\\: SAMPLE PERIOD 0 Jan-June July-Dec
COUNTY Vic: q �--�
PERSON COLLECTING SAMPLES or L -IdiSnthlys I V (month)
LABORATORY Lab Cert.g Ax i- -. DISCHARGING TO CLASS ❑oRW ❑HQW []Trout ❑PNA
❑ iow C(mot� '['Water u�p W SA
SEP 11 2020 her
C� i ` ;; . FACILITY ACTIVITIES INCLUDE(check all that apply):
w �.
L:_
DWP. S':=C110 l E] use/process meats se animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A.Stormwater Benchma
rks and Monitoring Results Total event rainfall 2 or scharge this period'
'Date a, i d :{3' r.=z x t
:., �N py �� y� �d. �'...f ���'., €�. �:: �;r p.n Ir� 9r�a,.�;.,a q.fy r€��}.�.x �_�z� �..k'k!;A.7 1 y Q
..;' - ':` 3 _,,.4 i �.6' ,b .J:4..3 -' ..
irf.l Nrr , : ' ,>�r, gig. ., r .j .. .I s gt i�iMPA ipcl,,
` l (r �. i Fvg } .; `?ad$tT rs , h -r3, FPx4,. 9 a ;.r
04. 0 p; S� t ,,pt . 4 ,i rr".�.c l )i4 C4: .'id':'T 41 .61 f:. I r ' t- T x .t, r Q o G q
{{ p3 Co �, yy j�
b t. ,1... �r r ;y •t"a,y:,_:f t r{+,��; yy, `j,t-. r�` € ��+'f�'�,,� A d�#:. ./ h+.�rts1�A 6.��/,'�:i ,�.. I r`11N R 'IkM� i
. . ,... ,�. .0
`+y�,� �� �``� F '� �M� .
•
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from anon-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.
tee General Permit text,Table 1,Identifying the especially sensitive receiving water classifications where the more protective benchmark•applles.
SMonthiy 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•oll per month?❑yes kro (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.
outf II No. Date Sample Collected 24»hour rainfall'amount, NOW Motor:gll or Nor►»polar O&G/Total Total Suspended Solids
(ro/dd/yr) Inches* Hydraulic Oil Usage Petroleum Hydrocarbons
Benchmarks - is mg/i.. 100 mg/L or SO mg/L4
Parameter Code - 4e520 N4OII. 00552 C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO EV
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case
of"No Discharge"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief,true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing viola 'ons."
Signature of Pe ittee Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2of2

STORMWATER:DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and.Land Resources General Permit No. NCG060000
Date submitted 8 3 9 a
CERTIFICATE OF C VERAGE NO NCGO6�a I SAMPLE COLLECTION'YEAR Q 0
FACILITY NAME v.0 lA(-° ec 1 f \\1
COUNTY V. �J SAMPLE PERIOD ❑Jan-June ❑July-Dec
PERSON COLLECTING SAMPLES or [ Ofonthlys ��} (month)
LABORATORY Lab Cert.# DISCHARGING TO CLASS DORW DHQW Trout DPNA
DZero-flow FlWater Supply OSA
gather CSS C) SW
FACILITY ACTIVITIES INCLUDE(check all that apply):
[] use/process meats [Rare animal fats/byproducts
SEP 0 8 2020
PLEASE REMEMBER TO SIGN ON THE REVERSE-
Af° ge-060 &Dic-4-Rkl ) 4 t
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 or ` 'o discharge this period3
'Pate v7 yy'Y "i'� �J tS Nn�{ y`x'b� �ti :i!'� l r.ev ,q� F{CI vi�1
00411•:ff, '-? .a e ... � 1 ifi..•'''a Y ft..' �p{� f�{lz• :V ..y,. �S :n1T, ' NIi S�if. r' ! 14 it ! 'rfV: 'G i4� 7>� �h i f ! 1 F rocoac
No, .g Ir .�5, t 5 u { Jo k d .t. i It, l`: 7 IF+ ,r I.i I� t*(�AX�ITtI
�f i .n, *.(. r' R'':5 .i{�. 'r-t �* �y. Yt :�( �...Jo 1n:x.�}Zrl.v >':k^x7y#' if`'4 ,�S }>.,�'.s t', 1 a �: ;:'� 1
.>�' -`' a . 'r.}`V 4 t�'-. J,i .y1 1 I.{. 3. p 1 '`� ., 't ,A ,7 ,5 11. , ',Co {...;
��yj ��yy yy� �Mi d �{'{ �.� ..''�' ��...r��mlt� r! .a�.,tt��'y't.....i.L., i i1 1�1•'il�� .3� ,::t:id El �, r"y`11 rS'4 r,.let.,h,�i;,,°,I t'f�.. z �:c'�x'fJy l�t.`"11G;!2�f,i �'i�al l �{i{l:}a����ilib9ff n .. F:'"WVj'
Ben )`I.I.L ' Yf ^ S 'f V 5 f'"' r t ' 3 2� A A' ` r` J �_,4e �,.
# .,: l�A':":1 !1 -lit 5{�I.IIr r IC 1 s'.. 3'-4,=: l; w r es r'.f �, ,d �' tN.�s,iq dYf ��4 j
a am ter"dad.,'.: 1 Y{" 1J Yq to...: y f r5 n i h v •yFf7 "r 7•ft f tk1'2'�.:Jr..A:� 3 1 V
'` .. �. �_�'i,.:ld��{!S�'in� a`l 1. ,4.t,�'r 1434.14�c� ;ir`P, °c ( el.txP . � r ....�,�. w..�.
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.
tee 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 E<o (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.
Outfwll No, Date Sample C+iyilicted' 24«hour r�if liifi ernOunti New Motor, D orr Non»Po$ir O ►G/1'otal Total Suspended Solid:
(mo/dd/yr) iriiezhilif�t } � .i r lrrriuitc;Oft t hill is ,.Petroleum Hydrocarbons
Benchmarks r *; 1 100 mg/1.or SO mg/L4
Parameter Code - 40520 NCCik 001152 CO580
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
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES © NO DE
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR,including all"No Discharge"reports, within 30 days of receipt of the lab results 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 viola ons."
5' (a—2— cac ,
Signature of Pe ittee 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 (\-- of 3 Q
CERTIFICATE OF C VERAGE N . NCGO6�a J � to,, SAMPLE COLLECTION YEAR oC 0 a o
FACILITY NAME QIAC�����(` e� I v \\\` SAMPLE PERIOD E'!an-June Q July-Dec
COUNTY 'C., \ACNd
PERSON COLLECTING SAMPLES Gc23 Ewkr\ or [ - onthlys -01-ta1e.- (month)
LABORATORY V Lab Cert.g 3r) DISCHARGING TO CLASS ❑ORW ❑HQW [Trout ❑PNA
Et1V 1(c C),\e.cv-N C . [.]Zero-flow ❑Water Supply DSA
li0ther 4.S-C 0- i S W
RECEI\J1LITY ACTIVITIES INCLUDE(check all that apply):
AUG 04 2020 0 use/process meats Ntise animal fats/byproducts
CENTRAL ALES
DWR SECTIGIEASg REMEMBER TO SIGN ON HE REVERSE 4
o LA. G,\\ 1 \c o,, M o/\-k�\� mon,�o c,� , o�\c- l
�
S'r f moc\ kn mw..\,
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 • or No discharge this period
�c to mpi# i- . `i ,4,,, ",,,,Y1 .N � 61 -F ,, ,z, '4,,1 ,4 Zx -5�'17 i' '_' ` £,v,,,&7 r,,, } i x t t y� op cc
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r. f�.nF���d "d,.1.4. ,S,I+!`.:��..i P'k�d:v�Ji �I'�.�'`s).lL'. w��` .�d11�1.9..R.�.� �i'��,n 3,vm�i'�.T,��wC. J«�_w...:..i. ....t�. ... w. _.�J.=��!A�
1 - ao �o t� - t 5 A iv A.
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from anon-site rain gauge.
3For sampling periods with no discharge at Any outfalls.You must still submit this discharge monitoring report with a checkmark here.
tee General Permit text,Table 1,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SMonthiy 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 (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 No, Data Sample Collected 24 ►ur ra lied amOunti t1$i Motor+ �1 or NOn'P sar O&N/`'otal
(mo/dd/yr} . l o t Total Suspended solids
1 'dralil�l , �l'� af INr rolot 14ydrdcatrbons
r e xt r[ / e Al-WA X p'Mr•Il-011•Wirr%**MI*11,i YrYid,P"''W i,y�,rl W e.f"'0�.„At. FY t.*Y1 F -k Y F I v.ry
Benchmarks 4 • -/) ppg,// q g g/I4
a_:.. .r �_.� .....eK„ .. .w .'Y;I`4 h' ,I**..v.A r0l .* 'Of/0✓.r_I—iWr'wrwr N'VM'dr"lt rr ,.wr .y . .r r`n v_.�4 •���
o a�ra �
Parameter Code 0SO " NCOH, 001S2 �. C053p
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 D NON(
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ® NO
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR, including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case
of"No Discharge"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief,true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing viola ions."
Signature of Pe ittee 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 6- /S -a
CERTIFICATE OF cOVERAGE p10. NCGO6 1 SAMPLE COLLECTION YEAR Q 0 10
FACILITY NAME L i c�r\ibu,c: 111k�
COUNTY Seo���t�c SAMPLE PERIOD tian-June E]July-Dec
PERSON COLLECTING SAMPLES GC- 't„J��°‘ or D Monthiys (month)
�
LABORATORY \ 'Lab Cert.t`-J 30 DISCHARGING TO CLASS ❑ORW ❑HCIW []Trout EPNA
ewk('OC , c L []Zero-flow pWater Supply.... OSA
Other css C, J W
R EC F P /F D FACILITY ACTIVITIES INCLUDE(check all that apply):
JUN 2 9 2020 0 use/process meats 13.ifie animal fats/byproducts
C PLEASE REMEMBER TO SIGN ON THE REVERSE 4
II
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall2 , or No discharge this period3
Y +a r1 r "�',4" ��=3 E'��}*E�."�'",�`Ksf '�.". - ,g�iCi�w+t �.. ,,t�' a^k"ce. r leh v-. ��_sr r�4 '+ si�a?,x!_ _ ��rn ! - _
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j 4L� �y
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f� ►1.�
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� 1,�,A.�63�Y����S.`1 1.�.4�i tF7:„� I��'3':?.=�i,AA�rA...n�:S��xE:,�/2'N3 �.! I,L��wt�,.�e�Ci'e`�, ,�' 7t.�� .012
1 Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from anon-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.
tee 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 Nino (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.
Outfell No, Date Sample Collected SMhaur rolrifeltamount, New Motor Oil or. Nan►Polar 0Sk4/Total Total Suspended solids
(mo/dd/yr) . Iriichot- Y Hydrocarbons
V.. mW � Hydrlrwlle Oil,(,fileSg, Petroleum
Benchmarks • w _ • is'VIOL 100"mg/L or S0 mg/L•
Parameter Code 44520 NCOII 00SS2 C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION .
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES D NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 0 NO❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR,including all"No Discharge"reports, within 30 days of receipt of the lab results(or at end of monitoring period in the case
of"No Discharge"reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and
belief,true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing viola ons."
Signature of Pe Ittee Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2