NCG030500_DMR_20210712

Stormwater DischargilL:,,lonitoring Report
for North Carolina Division of Energy, Mineral and Land R sources General Permit No. NCG030000
Date submitted -7 1 Z_Z!
CERTIFICATE OF COVERAGE NO. NCG03 0 0 /�
FACILnY NAME C.�f L i i✓e �_It1�'e•J�
COUNTY 1l em er il
PERSON COLLECTING SAMPLES
LABORATORY T �S,4` /��z�r _ lab Cert. li �1DGj
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
/1-N
SAMPLE COLLECTION YEAR 2 &?— I
SAMPLE PERIOD �an-June ❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS E30RW []HQW []Trout []PNA
RECEIVED []Zero -flow ❑Water Supply [:]SA
JUL 19 ['Other C/�.s�'r• '/
2021
CENTRIgL FILE, PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
owe S4c 00N
n No dischnrne this nPrind ?2
Outfall No.
Date Sample
Collected 1
24-h6uir rainfall
amount,
Total Suspended Solids
PH,
Standard
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Total Toxic
(mo/dd/yr)
Inch.as3
units
Hydrocarbons
Organics'
Benchmarks
_
100 mg/L or 5o mg f O
6.0 -- 9.0 .
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Pars meter Code
-
46S29
C0530
00400
01119
010s1
01094
00552
78141
%i4•� ['h71
1.E�1 Ci2 Z�
a � �j f
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���
�.. (�i�ra
.iJU�S
�.r�Z1�'
/
6,.-� I�/el
�! 1
I Monthly sampling (instead of semi-annual) must
begin with the second consecutive benchmark
exceedance fnr the ramp naramptpr at the came .,iofnir
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to Sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
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Stormwater Dischareonitorine Report
for North Carolina Division of Energy, Mineral and 4 nd Resources General Permit No. NCGO30000
Date submitted '? Z- Z-
CERTIFICATE OF COVERAGE.No. NCG03 © _ D
FAauTY NAME G'r'c�s L ' ✓ — hl�1v��
COUNTY N rsc�
PERSON COLLECTING SAMPLES
LABORATORY T`ts+ A.ner:Ga Lab Cert. # 2-(a9
Comments on sample collection or analysis:
Part A: Stonmwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR
SAMPLE PERIOD [fan -June luly-Dec
or ❑ MonthW, (month)
DISCHARGING TO CLASS QORW QHQW []Trout ❑PNA
[ero-flowRa
ater Supply []SA
C3`Other 'L'"
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
n NA dicrhnmp thic nprind22
OutFah No.
Date San 6
Cofttedi
(moJddJyri
24-hodrrabrfall
arnoctrd�Standard
Irrdrtss
Total Suspended Solids
A
units
Total Copper
Total Lead
Total Zinc
Nan -Polar O&GJ
Total Peb aleum
Hydrocarbons
Total Toxic
Organfcss
BenChnWft
_
100 rrrg/'L,or so "W
"-9.0
odl10 rneft
G&M mg/L
Q126 mg/L
is mg/L
1 Met.
PanzowterCode
-
46529
CO530
00400
01119
010s1
01094
00552
78141
t -aaZ
491234
, 5511
/10 �°
'7$
ZZ S ,,w
Zv-00
- mummy samping pnsmao or semi-annuar) must aegin witn the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outiall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit, Section 8, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found In 40 CFR 469.12; for electronic crystal manufacture use the definition as found In 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page i of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall Include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO),1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this Witty is implementing the all the provisions of the
solvent management plan Included in the Stormwater Pollution Prevention Plan."
rDANi rp t, MA V T) O
Name (Print name)
PLAtJ*r MANAGi' e-
TrtVftt title) Otlig-4-- y
?ll
Signature Date
Note: Results must be reported in numerical format. Do not report Below Detection limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported In the format. "<)M m h", where XX is the numerical value of the detection
limit, reporting limit, etc. In mg/L.
Note: if you report a sample value to excess of the benchmariy you must Implement Tler 1, Tier 2, or Tier 3 response& See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
n No disrhnrree this nPried72
Outfall No.
Date Sample CAllected1
(mo/dd/yr)
244hour raht U amomrt,
Inches'
Nair► Motor Og or
Hydraulic OB Usage
Non4War 0&G/ Total
Petroleum Hydrocarbons
Total Suspended
solids
Benci<norb
-
-
-
is mg/L
100 mg/Lor 5o mgjV
PwameterCo*
-
465"
HCOIL
00552
C0530
LLL
Footnotes from Part A also apply to Part B
Note: if you report a sample value In excess of the benchmark, you must implement Tier 1, rier 2, or T%r 3 responses. See General Permit text.
Permit Date:ire j2fl18-05/31J2t721 SWU-245, last revised 11018
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Stormwater Dischare =t onitorine Report
for North Carolina Division of Energy, Mineral and d esources General Permit No. NCG030000
Date submitted tl 2- f z/
CERTIFICATE OF COVERAGE O. WOW 97 O , o
FACILITY NAME G��'nw C f 'I s,
COUNTY 1f a cv� 1
PERSON COLLECTING SAMPLES mac- lc
LABORATORY T+eS4 .4Wr;c— Lab Cert.
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
W
SAMPLE COLLECTION YEAR 2041
SAMPLE PERIOD ErJan-June ❑ July -Dec
or [3 MonthW, [month)
DISCHARGING TO aAss oi;R QHQW [Trout QPNA
[Zero -flow Water supply [3SA
[Other Q " C— -"'
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Outfail No.
sample
D
(ma/dd/Vr1
24-ltodt iainfafl
!ems
Total Suspended solids
pH,
sianind of
Total Capper
Total Lead
Total Zinc
Non -Polar O8�G/
Total Petroleum
Hydrocarbons
Total Toxic
nies�
Benrhotarlcs
Porometer Code
_
to 2z. 21
I.
4GS29
un mg/Lor"nWV
C0530
2-9 `--
IW-9.0
09
7-57
o" n A
01119
1•OC6
o&X nWL
01051
,d.a©ls
0.= nWL
01094
ss nWL
00552
1 mg/L
78141
1 Mnnthfu enrnnlina %i..e+—A -9
f.JL
• -- r o . ----_ -. --•••• �••••�9v ••••+�• •+�e......w. utG aawnu wnsecuitve uencnmarK exceeQ8n0e TOr the same parameter at the Same OUtfali.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
sSee General Permit, Section B, Table 1 to Identify the especially sensitive receiving water classifications where the more protective benchmark applies.
Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics Is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found In 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/l/2018-05/31/2021 SWU-245, last revised 11/1/2018
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Stormwater Discharg '" onitorine Report
for North Carolina Division of Energy, Mineral and L nd esources General Permit No. NCG030000
Date submitted 12 Z4
CERTIFICATE OF COVERAGE NO. NCG03 D _$ © 0
FACIuTY NAME _ CyYeU+ OCA44vE 5 A ` -b
COUNTY_ 4-,Weg-go,.t
PERSON COLLECTING SAMPLES
LABORATORY r'e-A+ ft-4Z Lab Cert. #f &4
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
W
SAMPLE COLLECTION YEAR ZOZI
SAMPLE PERIOD rJ3Jan-June E] July -Dec
or E3 Monthly', (month)
DISCHARGING TO CLASS []ORW QHQW QTrout QPNA
❑Zero-flow:ayis;
Watjr Supply []SA
(Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
Outfall No.
Date Sample
Collectadi
(ono/+M%Yrj
244hour rainhil
imn t tt,
Ind
Total Suspended Solid
Siandarilunits
Total Copper
IT
Total Lead
v+4f.+1ur ye Iris
Total Zinc
penvu. -
Non -Polar O&G/
Total Petroleum
Fiydrocarbo�u
Total TotalorgToxic
c
nkss
Ber►dlfrrarks
ftmmeftwCode
_
-
46 "
lOD trtg/L or 50 ing/L4
COS30
6db-9.0
OD400
7, 3
Ohm mg/L
01119
L.805
0.ws mg/1.
01051
.4. W2SV
0.126 mg/L
01094
.G.A
is mg/L
00552
,L257mW1.e
1 mg/L
78141
1 Monthly sampling (instead of semi must
begin with the second consecutive benchmark
exceedanm fnr the camp naramator �+ *tie �,..,� ,,...9-H
or sampling periods with no discharge at any single outfail, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Section 8, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found In 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/112018-05/31/2021 SWU-245, last revised 11/1/2018
Rapp 1 of I

Facilities that incorporate a sohrent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(70),1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics Into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
'nAJ1P IL 4"-r.1a
Name (Print name)
PLANT
True t tide)
� � ►z Z
Signature Date
Note: Results must be reported in numerical format. Do not >tieoott Below Detection Umit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, dtien must be reported In the formaL "<)M me/V. where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tler 2, or Tler 3 responses• See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
17-1
lf_ Jd_ _f_ — . • • .-4
Footn(
Outfall No.
Date Sample Collected
(mo/dd/1Ir)
Whom raWaq antourt%
tndtes'
New Mator Op or
Hydraulic OH Usage
1Vv arscnurge
Non -Polar 0&6/ Total
Petroleum Hydrocarbons
mrs perroor-
Total Suspended
Solids
Benchmarks
Parameter Code
-
-
46529
NOOIL
15 rng/L
00552
100 mg/L or so mgW
C0530
-4
IteS from Part A alcn annly to pert R
Note: If you report a sample value In excess of the benchmark you must implement Tier 1, Tler 2, or Tier 3 responses. See General Permit text.
Permit Date: /2418-05/31/2021 SWU-245, last revised ilh"�018

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l% Stormwater Discharx onitorinz Report
for North Carolina Division of Energy, Mineral and Land tesources General Permit No. NCG030000
Date submitted 22/
CERTIFICATE OF COVERAGE No. NC 03 40 5 4
FACILITY NAME 4;; Q ,l :v
COUNTY l esd%-/
PERSON COLLECTING SAMPLES woe_- a
LABORATORY 7cZi- Al►ew-, ca Lab Cert. g Z1y9
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2' 04 I
SAMPLE PERIOD Jan -June ❑ luly-Dec
or jQ Monthly' [month)
DISCHARGING TO CLASS ❑ORW QHQW []Trout ❑PNA
Dero-flow
�Water Supply [35A
200ther 05 "C_ "'
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
n No disrhnrep thic nprind?2
Outfatl No.
Date *
(#no/dd/1R)
244todr rainfaq
amount,
hod
Total wed Sogdssiamiard
Total Copper
Total Lead
Total Zinc
Non -Polar O$G/
TotalCollected' Petroleum
Hydrocarbons
Total Toxic
OW nicss
Benchntrrks
_
100 mg/L or s0 mgf 0
C0530 a
GA- 9.0
00400
oA10 mg/L
01119
OATS Mg/L
010Si
01m mg%L
01094
is mg(L
00SS2
1 mg/L
78141
Parameter Code
46529
nme
7.9
1­1 sully wmwing jinsteaa or semi-annual) must t"n wmm the secona consecuthve benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Section 8, Table 1 to Identify the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics Is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found In 40 CFR 433.11, for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found In 40 CFR 469.31).
51
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 1 of 3

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TLI e"N
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 It SECTION B.
• TIER & HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FORTHE SAME PARAMETER ATANY ONE OUTFALL? YES Q NO Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES [] NO d
REGIONAL OFFICE CONTACT NAME:
Mall an ortaW cam of MOM tndadhro all 'Na Dhdraroe"reoarix wfdlta 3b*w of modot ofG►e tab results for at end of moriitorino aeriod in the
�e of !ft pbdxrroe"'reaorts) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN M CERTIFICATION FOR Aw11► INFORMATION REPORTED•
01 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 evahuate the Womration submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathe ft the information, the information submitted Is, to the best of my lowwrledge and belief, true, accurate, and complete. I
am awarr there are significant penahies for submitting false information, including the possibiEfty of fines and imprisonment for knowing violations."
�4to-zz P- *Ik� —VI-2-124.
Slgmature of Permittee
Date
Permit Date: li/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 3 of 3

Environmental
Quellty
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on felling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N_IC16101 —1,10l 61010 or Certificate fof Coverage No.: NlCIG16131,01-<-1,91 al
Facility Name: (iv/;^11- S.5/✓ITDriS
County;
Inspector: e'
Date of Inspection: zZ
Time of Inspection: /D % 37 Al
Total Event Precipitation (inches): �
Phone No. 92,S--&(/-? -2z�/;5
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. ?A _ O o t Structure (pipe, ditch, etc.): Skc,, M `A/d4.o,— O e)"�v �
Receiving Stream:
Describe the industrial activities that
.ae_, r -bi
the outfall drainage area:
IC1 ve, 4 ✓ t S
SWU-242, Last modified 06/01/2018
Page 1 of 2

2. Color. Describe the color of the discharge i
(light, medium, dark) as descriptors: ynry /,;
basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak ....
chlorine odor, etc.): SenC-)I
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy;
1 0 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (P 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7.
8.
9.
1 (P 3 4 5
Is there any foam in the stormwater discharge? 0 Yes ri .
Is there an oil sheen in the stormwater discharge? OYes
Is there evidence of erosion or deposition at the outfall? O Yes
44@-
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
CwI7-242. Last m ffltled 06/01/2018

r:n
,EnWronniental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this farm, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N_ICIir 1 DI 1e91 vl 01. 0l or Certificate of Coverage No.: NIC/G/Ol-.,-5ld9/5 / d 141
Facility Name:
County:
Inspector:
e V<— r1a
Date of Inspection: 4,
Time of Inspection: %a= Z S/j4j
&
Total Event Precipitation (inches): _g�
Phone No. 6;? s ~ Gf> 3 - Z �zj 3
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this si ture, I certify that this report is accurate and complete to the best of my knowledge:
12 A4
(Signature of Pemuttee or Designee)
1. Outfall Description:
Outfall No. 2-*--00 Z Structure (pipe, ditch, etc.): Ver- y
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
EOVA yee- 7cinL;u; Lx, f-
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the
(light, medium, dark) as descriptors: 1
basic colors (red, brown, blue, etc.) and tint
1r
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): NO 641e, P
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 (9 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
3 4
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7.
8.
2 3 4 5
Is there any foam in the stormwater discharge? O Yes i��
Is there an oil sheen in the stormwater discharge? Oyes 0 1 i
9. Is there evidence of erosion or deposition at the outfall? Q Yes +6 C
1©. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
Indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
gwim4 - Last modified 06/01/2018

EnWronmenu d
Qualirl
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on f lling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stonnwater-gps
Permit No.: N/C/4!5 I OI 3101 d /014 or Certificate of Coverage No.: NICIG101310l5'1 v 1 e)l
Facility Name: el el- —
County: )4e J sr,, Phone No. �413
Inspector: '--Ae
Date of Inspection: 4; Z . &
Time of Inspection: 72 : 2,9 /I114
Total Event Precipitation (inches):
s� it
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
a=C2a�f�' l�
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. P# -op3 Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur in the outfail
`n cyew �rk'-� Le;
area:
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the
(light, medium, dark) as descriptors: 1
basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct gdors that the discharge may have (i.e., smells strongly of oil, weak ~�
chlorine odor, etc.): IUD Odor
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy;
1 6) 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 Q 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 0 3 4 5
7. Is there any foam in the stormwater discharge? A Yes No.
8. Is there an oil sheen in the stormwater discharge? OYes 415
9. Is there evidence of erosion or deposition at the outfall? O Yes 46
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
RW17_242. Last modified 06/01/2018

Envimnniemul
Quaftty
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on felling out this form, please visit https://deq.nc-gov/about/divisions/energy-mineral-land-resources/
npdes-Stormwater-gps
Permit No.: N_ICISIC131010101 of or Certificate of Coverage No.: NICIG/6:Ph3101 S51V I,01
Facility Name:
County: ff cr�er�,ti/ Phone No.��
Inspector: &e-Vc. F-1016(
Date of Inspection: 22 % zl
Time of inspection: l0y 32,#,W
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature ofPermittee or Designee)
1. Outfall Description:
Outfall No. W -VNStructure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
r-aAv-5,ar 4rLA-� 10AX=5dVCk-
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ Ye-r y I ' -A 4.4Y
3. Odor: Describe any distinct
chlorine odor, etc.): /Vo 4
that the discharge may have (i.e., smells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
6) 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 6) 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
Lam"' 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes No.
8. Is there an oil sheen in the stormwater discharge? OYes '
9. Is there evidence of erosion or deposition at the outfall? O Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
on
Page 2 of 2
SWU-242. Last mMfied 06101t2018

E'nvlronnenta!
Quolity
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc,govlabout/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NIC41O I3l01 o/ 01 A or Certificate of Coverage No.: NICIG/O/3/O/S/D/ DI
Facility Name:
County: Phone No. V29 _ & 93- Z W3
Inspector: <-4ev C__ PC,Y C
Date of Inspection: 41
Time of Inspection: 19' Z 1 #h4
Total Event Precipitation (inches): 0 165
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
rL
44 �-
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. D# _ O i 4 Structure (pipe, ditch, etc.):
Receiving Stream:
41s�
Describe the industrial activities that ocC,W
ith' the outfall drainage area:
Page 1 of 2
SWU-242, Last modified 06101/201 S

2. Color: Describe the color of the
(light, medium, dark) as descriptors: L
basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _ A)0 Cj
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
I T 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 6) 3 4 5
7. Is there any foam in the stormwater discharge? O Yes
l..
8. Is there an oil sheen in the stormwater discharge? ©Yes No .-.
9. Is there evidence of erosion or deposition at the outfall? O Yes 6�L-
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SwU-242. Last modified 06/01/2018