NCG060295_DMR June-Sept_20200915

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted 09/15/2020
CERTIFICATE OF COVERAGE NO. NCG06 0 2 9 5 SAMPLE COLLECTION YEAR 2020
FACILITY NAME Mountaire Farms Inc.-Lumber Bridge Processing Plant
COUNTY Robeson SAMPLE PERIOD ❑Jan-June ❑July-Dec
PERSON COLLECTING SAMPLES Robert Jackson or *Monthly_August (month)
LABORATORY Cameron Testing Services,Inc. Lab Cert.# 645 r`M1 Au
TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
RF F: �r LS) ['Zero-flow ❑Water Supply ❑SA
S E P 21 2020 ❑■Other c;sw
FACILITY ACTIVITIES INCLUDE (check all that apply):
4},v 1 , 1G^! ❑l use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 2 or ❑ No discharge this period'
OutfaII No. Date Sample TSS, pH, COD, Oil and Grease, Fecal Coliform, Enterococci,
Collected,mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
unable to obtain a representative sample
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.
'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>S5 gal of new motor oil/month.
Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total Total Suspended Solids
Outfall No. Inchesx Hydraulic Oil Usage Petroleum Hydrocarbons
(mo/dd/yr)
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4
Parameter Code - 45529 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 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 Ei NO 0
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES NO Q
REGIONAL OFFICE CONTACT NAME: Bradley Bennet
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 violations."
4:`_..46,411/t)
Signature of Permittee 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 09/15/2020
CERTIFICATE OF COVERAGE NO. NCGO6 0 2 9 5 SAMPLE COLLECTION YEAR 2020
FACILITY NAME Mountaire Farms Inc.-Lumber Bridge Processing Plant
COUNTY Robeson SAMPLE PERIOD ❑Jan-June ❑July-Dec
PERSON COLLECTING SAMPLES Robert Jackson or ❑■Monthly_August (month)
LABORATORY Cameron Testing Services,Inc. Lab Cert.# 645 DISCHARGING TO CLASS ❑ORW ❑HQW ['Trout ❑PNA
❑Zero-flow ❑Water Supply ESA
■❑Other C;Sw
FACILITY ACTIVITIES INCLUDE(check all that apply):
❑■ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 2 or ❑ No discharge this period'
OutfaII No. Date Sample TSS, pH, COD, Oil and Grease, Fecal Coliform, Enterococci,
Collected,mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
unable to obtain a representative sample
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 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.
Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total Total Suspended Solids
Outfall No. Inchesz Hydraulic Oil Usage Petroleum Hydrocarbons
(mo/dd/yr)
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4
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 II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES Q NO 0
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 0 NO 0
REGIONAL OFFICE CONTACT NAME: Bradley Bennet
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 violations."
.4)‘d
Signature of Permittee 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 08/14/2020
CERTIFICATE OF COVERAGE NO.NCGO6 0 2 9 5 SAMPLE COLLECTION YEAR 2020
FACILITY NAME Mountaire Farms Inc.-Lumber Bridge Processing Plant
COUNTY Robeson SAMPLE PERIOD ID Jan-June ❑July-Dec
PERSON COLLECTING SAMPLES Robert Jackson or ❑Q Monthlys_July (month)
LABORATORY Cameron Testing Services,Inc. Lab Cert.# 645 DISCHARGING TO CLASS ❑ORW ❑HQW ['Trout ❑PNA
❑Zero-flow ❑Water Supply ❑SA
•Other C;Sw
RE�'`FIVLITY ACTIVITIES INCLUDE(check all that apply):
Muse/process meats ❑use animal fats/byproducts
AUG 2 5 2020
CC rcf"L i=1 SE REMEMBER TO SIGN ON THE REVERSE-4 UUJ� �z. 11ff�F►
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall 2 wA or ❑No discharge this period3
Outfall No. Date Sample TSS, pH, COD, 011 and Grease, Fecal Coliform, Enterococci,
Collected,mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
unable to obtain a representative sample
—
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 Kly 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 0 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 No. Date Sample Collected 24-hour rainfall amount, New Motor OH or Non-Polar O&G/Total
(mo/dd/yr) Inchesz Hydraulic Oil Usage Petroleum Hydrocarbons Total Suspended Solids
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4
Parameter Code - 46529 NCOIL 00552 C0530
unable to obtain a representative sample
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 Q NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES 0 NO r
REGIONAL OFFICE CONTACT NAME: Bradley Bennet
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 violations."
ccejZti
Signature of Permittee 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 08/14/2020
CERTIFICATE OF COVERAGE NO.NCGO6 0 2 9 5 SAMPLE COLLECTION YEAR 2020
FACILITY NAME Mountaire Farms Inc.-Lumber Bridge Processing Plant
COUNTY Robeson SAMPLE PERIOD ❑Jan-June ❑July-Dec
PERSON COLLECTING SAMPLES Robert Jackson or QMonthlys_July (month)
LABORATORY Cameron Testing Services,inc. Lab Cert.# 645 DISCHARGING TO CLASS ❑ORW DHQW ❑Trout ❑PNA
❑Zero-flow ['Water Supply ❑SA
['Other c;sw
FACILITY ACTIVITIES INCLUDE(check all that apply):
❑� use/process meats ❑use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall'Nth or ❑No discharge this period'
Outfall No. Date Sample TSS, pH, COD, Oil and Grease, Fecal Conform, Enterococci,
Collected,mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
unable to obtain a representative sample
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.
'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?Q 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 No. Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total
(mo/dd/yr) Inches2 Hydraulic Oil Usage Petroleum Hydrocarbons Total Suspended Solids
Benchmarks
Parameter Code - - 15 mg/L 100 mg/L or 50 mg/L"
- 46529 NCOIL 00552 C0530
unable to obtain a representative sample
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 0 NO Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES n NO 0
REGIONAL OFFICE CONTACT NAME: Bradley Bennet
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 violations."
F -lc
Signature of Permittee 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
RECEI\/pu
Date submitted 07/06/2020
JUL 13 2020
CERTIFICATE OF COVERAGE NO. NCGO6 0 2 9 5 SAMPLE COLLECTION YEAR 2020 CENTRAL FILE•
FACILITY NAME Mountaire Farms Inc.-Lumber Bridge Processing Plant DWR SECTION
COUNTY Robeson SAMPLE PERIOD ❑Jan-June ❑July-Dec
PERSON COLLECTING SAMPLES Robert Jackson or 0Monthlys_June (month)
LABORATORY Cameron Testing Services,Inc. Lab Cert.# 645 DISCHARGING TO CLASS ❑ORW ❑HQW ['Trout ❑PNA
❑Zero-flow ❑Water Supply ❑SA
*Other c;sw
FACILITY ACTIVITIES INCLUDE(check all that apply):
❑■ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall�1.95" or ❑ No discharge this period'
OutfaII No. Date Sample TSS, pH, COD, Oil and Grease, Fecal Conform, Enterococci,
Collected,mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
01 06/15/20 17.6 5.98 <10.0 <5.00 340
02 no discharge
03 06/15/20 163 5.96 143 <6.00 2600
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 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 No. Date Sample Collected 24-hour rainfall amount, New Motor Oil or Non-Polar O&G/Total
(mo/dd/yr) Inches2 Hydraulic Oil Usage Petroleum Hydrocarbons Total Suspended Solids
Benchmarks - - 15 mg/L 100 mg/L or 50 mg/L4
Parameter Code - 46529 NCOIL 00552 C0530
02 no discharge
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 0 NO El
IF YES,HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES El NO 0
REGIONAL OFFICE CONTACT NAME: Bradley Bennet
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
impriso ent for know' g violation ."
Signature of Permittee Date
Permit Date:11/1/2018-05/31/2021 I
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 06/22/2020
CERTIFICATE OF COVERAGE NO. NCG06 0 2 9 5 SAMPLE COLLECTION YEAR 2020
FACILITY NAME Mountaire Farms Inc.-Lumber Bridge Processing Plant
COUNTY Robeson SAMPLE PERIOD ❑Jan-June n July-Dec
PERSON COLLECTING SAMPLES Robert Jackson or *Monthly' May (month)
LABORATORY Cameron Testing Services,Inc. Lab Cert.# 645 DISCHARGING TO CLASS fORW ❑HQW ❑Trout ❑PNA
❑Zero-flow ❑Water Supply nSA
n fOther C;Sw
FACILITY ACTIVITIES INCLUDE (check all that apply):
3UN 9, 9 Zd2� n use/process meats ❑ use animal fats/byproducts
lLY a
ail
L1\'J'� J`��i PLEASE REMEMBER TO SIGN ON THE REVERSE-
Part A:Stormwater Benchmarks and Monitoring Results Total event rainfall�4.8" or ❑No discharge this period'
Outfall No. Date Sample TSS, pH, COD, Oil and Grease, Fecal Coliform, Enterococci,
Collected,mo/dd/yr mg/L Standard units mg/L mg/L Colonies per 100 ml Colonies per 100 ml
Benchmark - 100 or 504 Within 6.0—9.0 120 30 10001 5001
Parameter Code - C0530 00400 00340 00556 31616 61211
01 05/19/20 53.1 7.59 35.4 <6.00 5800
02 no discharge
03 05/19/20 52.0 6.22 56.4 <6.00 8200
'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.
4See General Permit text,Table 1,identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5Monthly 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 No. Date Sample Collected 24-hour rainfall amount, New Motor O[I or Non-Polar O&G/Total Total Suspended Solids
(mo/dd/yr) Inchesa Hydraulic Oil Usage Petroleum Hydrocarbons
Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/14
Parameter Code - 46529 NCOIL 00552 C0530
02 no discharge
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 El NO Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES El NO Q
REGIONAL OFFICE CONTACT NAME: Bradley Bennet
Mail an original copy of this DMR,including a!!"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."
auf0(j— ,Z2 -p?
Signature of Permittee Date
Permit Date:11/1/2018-05/31/2021 SWU-249,Last Revised 11/5/2018
Page 2 of 2