NCG120034_2022 DMR_20230203

Winston-Salem/Forsyth County
4,
IJti 1 ities
Water•Wastewater•Solid Waste
Hanes Mill Road Solid Waste Facility,325 W Hanes Mill Road,Winston-Salem,NC 27105
0:336-727-8000, F:336-661-4905, utilities.cityofws.org
February 2, 2023
Attn DEMLR Stormwater Program
North Carolina Department of Environmental Quality
Division of Mineral, Energy, and Land Resources, Stormwater Division
Land Quality Section,Winston-Salem Regional Office
450 West Hanes Mill Road,Suite 300
Winston-Salem, NC 27105
Re: Fourth Quarter NPDES Compliance Submittal for 2022
Hanes Mill Road Landfill, Forsyth County, North Carolina
Permit No. NCG120034
To Whom It May Concern:
As you are aware, the Winston-Salem/Forsyth County City/County Utilities Commission is monitoring
stormwater under Permit No. NCG120034 at the Hanes Mill Road Landfill located at 325 West Hanes Mill
Road in Winston-Salem, North Carolina (NC). The purpose of this correspondence is to provide the
required reporting and results for the first quarter compliance period for 2022.
Quarterly samples were collected from four of the eight compliance monitoring points (SDO-A2, SDO-F,
SDO-3 and SDO-J) on December 22, 2022. Outfalls OS-1, OS-2, OS-3, and OS-4 did not have flow during
the December 22, 2022 event. The required discharge monitoring report (DMR) is attached for the
sampling event.
If you have any questions or require any additional information, please contact us. We appreciate your
assistance with this project.
Sincerely,
WINSTON-SALEM/FORSYTH COUNTY CITY/COUNTY UTILITIES COMMISSION
ji/4-1/
Gordon Dively
Solid Waste Operations Supervisor
i
City Council:Mayor Allen loines;Denise D.Adams,Mayor Pro Tempore,North Ward;Barbara Hanes Burke,Northeast Ward;Robert C.Clark,West Ward;
John C.Larson,South Ward;Jeff Macintosh,Northwest Ward;Kevin Mundy,Southwest Ward;Annette Scippio,East Ward;lames Taylor,Jr.,Southeast Ward;City Manager:
Lee D.Garrity
County Commissioners:David R.Plyler,Chair;Don Martin,Vice Chair;Fleming El-Amin;Ted Kaplan;Richard V.Linville;Tonya McDaniel;Gloria D.Whisenhunt;County
Call 311 or 336-727-8000 Manager:Dudley Watts,Jr.
[e-mail] wlnston•Salem/Forsyth County Utility Commission:Randall S.Tuttle,Chair;L.Wesley Curtis,Jr.,Vice Chair;Harold E.Day;Tom Griffin;Yvonne H.Hines;Duane Long;Hugh
1Al Inrnioan fhrfa Parhnr nnnal.l n clnn,arr r•ha.lna Wilann 411an Vn„neer

dityinston-Salem•Forsyth County
/County Utilities
Attachments: DMR, Qualitative Monitoring Reports, Laboratory Certificates-of-Analyses
C: Jamal Clark, Stormwater Operations Supervisor, City of Winston-Salem, Suite 232, City Hall, 101
N. Main Street, Winston-Salem, NC, 27101, P.O. Box 2511, Winston-Salem, NC, 27102-2511,
[e-mail]
Darren Cox,WSP USA Inc., 5B Oak Branch Drive,Greensboro, NC, 27047, [e-mail]
I

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG120000
Landfills
Click here for instructions
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR)Upload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DE MLR Regional Office.
Certificate of Coverage No. NCG12 0034 Person Collecting Samples: Nicolas Tejeda
Facility Name: Hanes Mill Road Landfill Laboratory Name:Pace Analytical
Facility County:Forsyth Laboratory Cert. No.: NC633, NC12, NC40
Discharge during this period:❑✓ Yes ❑ No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?❑Yes ❑✓ No
If so,which Tier(I, II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR ✓❑Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall #3 Outfall A2 Outfall F Outfall J Outfall
Code
N/A Receiving Stream Class C C C C
N/A Date Sample Collected MM/DD/YYYY 12/22/2022 12/22/2022 12/22/2022 12/22/2022
46529 24-Hour Rainfall in inches 0.94 0.94 0.94 0.94
C0530 TSS in mg/L(100 or 50*) 378 618 201 5080
00400 pH in standard units(6.0—9.0) 8.10 5.59 5.78 6.45
00340 Chemical Oxygen Demand in mg/L 78.4 59.3 40.2 231
(120)
31616 Fecal Coliform in#1 per 100 ml(1000) 5200 1470 5450 5000
Additional parameters for outfalls in drainage areas that use>55 gallons per month of new hydraulic oil on average
00552 Non-Polar Oil&Grease in mg/L(15) - <5 - -
Estimated New Motor/Hydraulic Oil
NCOIL Usage in gal/month > 55 gal
* Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 50 mg/L.All other water classifications have a benchmark of 100 rng/L
Notes(optional):
"I certify by my signature below,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,'nclu ing th possibility of fines and imprisonment for knowing violations."
21 z1t...DZ3
Signature of Permittee or Dele ted Authorized Individual Date
Email Address [e-mail] Phone Number 336-734-1565

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
January 03, 2023
Darren Cox
Golder Associates Inc.
5B Oak Branch Drive
Greensboro, NC 27407
RE: Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
Dear Darren Cox:
Enclosed are the analytical results for sample(s)received by the laboratory on December 22, 2022. The results relate only
to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual,where applicable, unless otherwise noted in the body of the report.
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
• Pace Analytical Services-Asheville
• Pace Analytical Services-Charlotte
• Pace Analytical Services- Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
viQ Katt°
_`'� - REPORT OF LABORATORY ANALYSIS
/ This report shall not be reproduced,except in full,
qe� ••
without the written consent of Pace Analytical Services,LLC. Page 1 of 19

Q n Pace Analytical Services,LLC
ve. 100
ace An IalytICal i 9800Hulntersvlle,NC1te 28078
www.pacelabs.com [phone]
CERTIFICATIONS
Project: Hanes Mill Rd.LF SA SW
Pace Project No.: 92643702
Pace Analytical Services Charlotte
South Carolina Laboratory ID:99006 South Carolina Certification#:99006001
9800 Kincey Ave.Ste 100,Huntersville,NC 28078 South Carolina Drinking Water Cert.#:99006003
North Carolina Drinking Water Certification#:37706 Florida/NELAP Certification#: E87627
North Carolina Field Services Certification#:5342 Kentucky UST Certification#:84
North Carolina Wastewater Certification#: 12 Louisiana DoH Drinking Water#:LA029
South Carolina Laboratory ID:99006 VirginiaNELAP Certification#:460221
Pace Analytical Services Asheville
2225 Riverside Drive,Asheville,NC 28804 South Carolina Laboratory ID:99030
Florida/NELAP Certification#: E87648 South Carolina Certification#:99030001
North Carolina Drinking Water Certification#:37712 Virginia/VELAP Certification#:460222
North Carolina Wastewater Certification#:40
Pace Analytical Services Eden
205 East Meadow Road Suite A,Eden,NC 27288 North Carolina Wastewater Certification#:633
North Carolina Drinking Water Certification#:37738 Virginia/VELAP Certification#:460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 2 of 19

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
SAMPLE ANALYTE COUNT
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92643702001 SDO-3 SM 2540D-2015 VLG 1 PASI-E
SM 9222D-2015 MWF 1 PASI-E
SM 5220D-2011 JP1 1 PASI-A
92643702002 SDO-F SM 2540D-2015 VLG 1 PASI-E
SM 9222D-2015 MWF 1 PASI-E
SM 5220D-2011 JP1 1 PASI-A
92643702003 SDO-J SM 2540D-2015 VLG 1 PASI-E
SM 9222D-2015 MWF 1 PASI-E
SM 5220D-2011 JP1 1 PASI-A
92643702004 SDO-A2 SM 2540D-2015 VLG 1 PASI-E
SM 9222D-2015 MWF 1 PASI-E
EPA 1664E REL 1 PASI-C
SM 5220D-2011 JP1 1 PASI-A
PASI-A=Pace Analytical Services-Asheville
PASI-C=Pace Analytical Services-Charlotte
PASI-E=Pace Analytical Services-Eden
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 3 of 19

Pace Analytical Services,LLC
aceAnalytical0 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
ANALYTICAL RESULTS
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
Sample: SDO-3 Lab ID: 92643702001 Collected: 12/22/22 10:47 Received: 12/22/22 11:53 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method:SM 2540D-2015
Pace Analytical Services-Eden
Total Suspended Solids 378 mg/L 20.8 1 12/23/22 10:22
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method:SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 5200 CFU/100 mL 1.0 1 12/22/22 15:45 12/23/22 14:10
5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011
Pace Analytical Services-Asheville
Chemical Oxygen Demand 78.4 mg/L 25.0 1 12/30/22 01:54 12/30/22 04:52
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 19

Pace Analytical Services,LLC
aceAnalytical0 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
ANALYTICAL RESULTS
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
Sample: SDO-F Lab ID: 92643702002 Collected: 12/22/22 10:21 Received: 12/22/22 11:53 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method:SM 2540D-2015
Pace Analytical Services-Eden
Total Suspended Solids 201 mg/L 16.7 1 12/23/22 10:26
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method:SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 5450 CFU/100 mL 1.0 1 12/22/22 15:45 12/23/22 14:10
5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011
Pace Analytical Services-Asheville
Chemical Oxygen Demand 40.2 mg/L 25.0 1 12/30/22 01:54 12/30/22 04:53
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 19

Pace Analytical Services,LLC
aceAnalytical0 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
ANALYTICAL RESULTS
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
Sample: SDO-J Lab ID: 92643702003 Collected: 12/22/22 09:40 Received: 12/22/22 11:53 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method:SM 2540D-2015
Pace Analytical Services-Eden
Total Suspended Solids 5080 mg/L 100 1 12/23/22 13:29
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method:SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 5000 CFU/100 mL 1.0 1 12/22/22 16:00 12/23/22 14:10
5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011
Pace Analytical Services-Asheville
Chemical Oxygen Demand 231 mg/L 25.0 1 12/30/22 01:54 12/30/22 04:55 M1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 6 of 19

Pace Analytical Services,LLC
aceAnalytical0 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
ANALYTICAL RESULTS
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
Sample: SDO-A2 Lab ID: 92643702004 Collected: 12/22/22 09:22 Received: 12/22/22 11:53 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method:SM 2540D-2015
Pace Analytical Services-Eden
Total Suspended Solids 618 mg/L 25.0 1 12/23/22 10:24
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method:SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 1470 CFU/100 mL 1.0 1 12/22/22 16:00 12/23/22 14:10
HEM,Oil and Grease Analytical Method: EPA 1664E
Pace Analytical Services-Charlotte
Oil and Grease ND mg/L 4.9 1 01/03/23 01:15
5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011
Pace Analytical Services-Asheville
Chemical Oxygen Demand 59.3 mg/L 25.0 1 12/30/22 01:54 12/30/22 04:56
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 7 of 19

Pace Analytical Services,LLC
i ® 9800 Kincey Ave. Suite 100
aceAnalytcal
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
QC Batch: 745504 Analysis Method: SM 2540D-2015
QC Batch Method: SM 2540D-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92643702003
METHOD BLANK: 3878191 Matrix: Water
Associated Lab Samples: 92643702003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 12/23/22 13:23
LABORATORY CONTROL SAMPLE: 3878192
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 240 96 90-110
SAMPLE DUPLICATE: 3878193
92643647005 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 3020 3130 4
SAMPLE DUPLICATE: 3878194
92643702003 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 5080 5120 1
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 8 of 19

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
QC Batch: 745505 Analysis Method: SM 2540D-2015
QC Batch Method: SM 2540D-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92643702001,92643702002,92643702004
METHOD BLANK: 3878205 Matrix: Water
Associated Lab Samples: 92643702001,92643702002,92643702004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 12/23/22 10:20
LABORATORY CONTROL SAMPLE: 3878206
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 240 96 90-110
SAMPLE DUPLICATE: 3878207
92643647003 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 978 980 0
SAMPLE DUPLICATE: 3878208
92643553001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 440 402 9
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 9 of 19

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
QC Batch: 745608 Analysis Method: SM 9222D-2015
QC Batch Method: SM 9222D-2015 Analysis Description: 9222D Fecal Coliform(MF)-EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92643702001,92643702002,92643702003,92643702004
METHOD BLANK: 3878584 Matrix: Water
Associated Lab Samples: 92643702001,92643702002,92643702003,92643702004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 12/23/22 14:10
METHOD BLANK: 3878587 Matrix: Water
Associated Lab Samples: 92643702001,92643702002,92643702003,92643702004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 12/23/22 14:10
METHOD BLANK: 3878588 Matrix: Water
Associated Lab Samples: 92643702001,92643702002,92643702003,92643702004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 12/23/22 14:10
METHOD BLANK: 3878589 Matrix: Water
Associated Lab Samples: 92643702001,92643702002,92643702003,92643702004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 12/23/22 14:10
METHOD BLANK: 3878590 Matrix: Water
Associated Lab Samples: 92643702001,92643702002,92643702003,92643702004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 12/23/22 14:10
SAMPLE DUPLICATE: 3878585
92643647001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms CFU/100 mL 391 700 57 D6
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 10 of 19

Pace Analytical Services,LLC
i ® 9800 Kincey Ave. Suite 100
aceAnalytcal
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
SAMPLE DUPLICATE: 3878586
92643661004 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms CFU/100 mL 1230 1500 20
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 11 of 19

Pace Analytical Services,LLC
i ® 9800 Kincey Ave. Suite 100
aceAnalytcal
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
QC Batch: 746840 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664E Analysis Description: 1664 HEM,Oil and Grease
Laboratory: Pace Analytical Services-Charlotte
Associated Lab Samples: 92643702004
METHOD BLANK: 3883349 Matrix: Water
Associated Lab Samples: 92643702004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg/L ND 5.0 01/03/23 01:15
LABORATORY CONTROL SAMPLE: 3883350
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L 40 34.7 87 78-114
MATRIX SPIKE SAMPLE: 3883351
92644249002 Spike MS MS %Rec
Parameter Units Result Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L ND 39 34.0 85 78-114
SAMPLE DUPLICATE: 3883352
92643788002 Dup
Parameter Units Result Result RPD Qualifiers
Oil and Grease mg/L 3.0J 3.1J
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 12 of 19

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
QC Batch: 746568 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Laboratory: Pace Analytical Services-Asheville
Associated Lab Samples: 92643702001,92643702002
METHOD BLANK: 3882359 Matrix: Water
Associated Lab Samples: 92643702001,92643702002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L ND 25.0 12/30/22 04:47
LABORATORY CONTROL SAMPLE: 3882360
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Chemical Oxygen Demand mg/L 750 797 106 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3882361 3882362
MS MSD
92643647001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 54.5 100 100 174 181 119 126 90-110 4 M1,R1
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3882363 3882364
MS MSD
92643689001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 52.1 100 100 160 174 107 122 90-110 9 M1,R1
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 13 of 19

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
QC Batch: 746570 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Laboratory: Pace Analytical Services-Asheville
Associated Lab Samples: 92643702003,92643702004
METHOD BLANK: 3882368 Matrix: Water
Associated Lab Samples: 92643702003,92643702004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L ND 25.0 12/30/22 04:54
LABORATORY CONTROL SAMPLE: 3882369
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Chemical Oxygen Demand mg/L 750 792 106 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3882370 3882371
MS MSD
92643702003 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 231 100 100 350 343 119 112 90-110 2 M1
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3882372 3882373
MS MSD
92644019003 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 117 100 100 348 267 231 150 90-110 26 M1,R1
Results presented on this page are in the units indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 14 of 19

Pace Analytical Services,LLC
i ® 9800 Kincey Ave. Suite 100
aceAnalytcal
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALIFIERS
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
DEFINITIONS
DF-Dilution Factor,if reported,represents the factor applied to the reported data due to dilution of the sample aliquot.
ND-Not Detected at or above adjusted reporting limit.
TNTC-Too Numerous To Count
J-Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL-Practical Quantitation Limit.
RL-Reporting Limit-The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S-Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is
a combined concentration.
Consistent with EPA guidelines,unrounded data are displayed and have been used to calculate%recovery and RPD values.
LCS(D)-Laboratory Control Sample(Duplicate)
MS(D)-Matrix Spike(Duplicate)
DUP-Sample Duplicate
RPD-Relative Percent Difference
NC-Not Calculable.
SG-Silica Gel-Clean-Up
U-Indicates the compound was analyzed for,but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting.Therefore,calculated parameters that are typically reported as
"Total"may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited analytes.
TNI-The NELAC Institute.
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample(LCS)recovery.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 15 of 19

Pace Analytical Services,LLC
aceAnalytical0 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Hanes Mill Rd. LF SA SW
Pace Project No.: 92643702
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92643702001 SDO-3 SM 25400-2015 745505
92643702002 SDO-F SM 25400-2015 745505
92643702003 SDO-J SM 2540D-2015 745504
92643702004 SDO-A2 SM 25400-2015 745505
92643702001 SDO-3 SM 9222D-2015 745608 SM 9222D-2015 745609
92643702002 SDO-F SM 9222D-2015 745608 SM 9222D-2015 745609
92643702003 SDO-J SM 9222D-2015 745608 SM 9222D-2015 745609
92643702004 SDO-A2 SM 92220-2015 745608 SM 92220-2015 745609
92643702004 SDO-A2 EPA 1664B 746840
92643702001 SDO-3 SM 52200-2011 746568 SM 52200-2011 746578
92643702002 SDO-F SM 52200-2011 746568 SM 52200-2011 746578
92643702003 SDO-J SM 52200-2011 746570 SM 52200-2011 746579
92643702004 SDO-A2 SM 52200-2011 746570 SM 52200-2011 746579
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/03/2023 01:18 PM without the written consent of Pace Analytical Services,LLC. Page 16 of 19

I I I I 1 (N/A)
sa,dweg
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S N N a Page 17 of 19
•u a E o` y m'm c (3 #IN31I e- N el at Itf CO 1, CO 0) G N
o a)
fn K U Q U' W d

Ut;#_Title: ENV-FRM-HUN1-0034 vOl_Tech Spec Sample Condition
/- 'ace' Upon Receipt
•((( I Effective Date:05r112022
Laboratory receiving samples:
Asheville ❑ Eden ❑ Greenwood Ti Huntersville n Raleigh,] MechanicsvilleE Atlanta Kernersville"
.,. '> ; Client Name:
tide A J i Q fi; �'3 Project R:
Courier: ❑Fete Es CUPS ❑LISPS ❑Client 1` D C1 :i
❑Commercial ['Pace ['Other:
L ctr3
Carrier Tracking Number:
Custody Seal Present? Des No Seals Intact? Dies ❑No 1
Datvinitials Person Examining Contents:
Packing Material: liEubble Wrap ❑?ub:ae Fags
❑i;cr.e ❑ Other Biological Tissue Frozen?
�p u Z Des CND [ N/A
1�
Thermometer: 0 IR Gun ID: �"1
Type of Ice: 7fNlet ❑Blue ❑Ncne
Cooler Temp('C): 3•y Correction Factor:Add/Subtract ('C) ,2_
2— Temp should be above freezing to(5°C
Corrected Cooler Tamp('C): - ❑Samples cut of temp criteria.Samples cn ice,cooling pros=ss
has begun
USDA Regulated Soil(Q N/A,water sample)
Cid samples originate in a quarantine zone within the United States:CA,NY,cr SE(check maps)?). Cid samples originate from a foreign source(internationally,
pees ❑ilo including Hawaii and Poem.R;ce)?❑Yes ❑Ne
Comments/Di<-creoancy:
Chain of Custody Present? ate.res ❑Nc ON/A 11.
Samples Arrived within Hold Time? eIYes ❑rio ❑N!A 12.
Short Hold Time Analysis(<72 hr.)? [fees ❑No ❑N/A 13.
Rush Turn Around Time Requested? Eves 171!to ON/A 14.
Sufficient Volume? Gres ❑Nc ON/A 15.
Correct Containers Used? [ Ties ❑Na ❑NIA 6.
-Pace Containers Used? Ekes ❑No ON/A
Containers Intact? Yes ❑Na ON/A 17.
Cissclved analysis:Samples Field Filtered?
Elves ❑rio 1N/A I E.
Sample Labels Match COC? [/]!es ['No ON/A 9.
-Includes Date/Time/ID/Analysis Matrix: w r
Headsoace in VOA Vials(>5-5mm)? ❑Yes ❑No 6/A 110.
•
Trip Blank Present? Eyes ❑No J/A 11.
Trio Plank Custody Seals Present? ❑Yes ❑No IEN/A
COMMENTS/SAMPLE DISCREPANCY
Field Data Required? Dyes ❑No
Lot ID of split ccntainers:
Temp Lcg:Temp must be maintained CLIENT NOTIFICATION/RESOLUTION
at<5 C during login,record temp -
every 20 minutes.
Time opened:Iits3 Temp: g'y
Time: (1,- 1) put in cooler
Time: Temp:
Person Contacted: Date/Time:
Project Manager SCURF Review: Date:
Project Manager 5RF Review: Date:
Qualtrax Document ID: 70677 Page 1 of 2
Page 18 of 19

Document Name: I Document Issued:November 15,2021
Bottle Identification Form BIF
aceAnaiyticBl ( i Page 1 of 1
Document No.: Issuing Authority:
F-CAR-CS-0,13-Rev01 Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination is Project# J
verified and within the acceptance range for preservation
samples. G 0
Exceptions:VOA,Colifcrm,TCC,Oil and Grease,DRO/8015(water)DOC,LLHg A J J t c- GV'- 7
**Bottom half of box is to list number of bottles
_.
Z " u <
73
-. z z Z - _ _° V 1c. <
z
_ _ z
Z L Q z N N , 7_ ? Z fV ? C ^76 rn 5 w
ra. e- N C E < Z ?
Z 2A I I < '>
c C. c �^ O <z O C9 c c c O 1,1 E MO u ? u u IN11 n a,
c > n c c C.
n n N N j .' u .D y d E = z O Iv- .2 w u
n
J J a _, E < < E < N O O O < a `w o`� m E c -0
E E E
�n o o °' E E E E a` `w E y E Q -' .>., > J =" '" � a -4 h <
N o _ N voi ,`^ 3 = = _ o ij E E E E > ° E E E E -, J
N N x vi N .l N c ^ o 0 0 0 0 n o 0 o E E
O 7 > > vt. Z r i m 2 6 S N v c c �, m r+ vi ui CD
C C.
C.
a C.
0.. 1 C 0 �J .-I M ti en en 01 c-, a., 4a'1 < 0- H H N 'y 0 0
m m m 3 ¢ 4 4 4 4 4 O > > E j j y 4 a 0 H Cry ol I
1 \ I V\\\ \ 1\\\ I m o > o
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N 1 \\\\ \ \\\4I \\
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5 \\
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pH Adjustment Log for Preserved Samples
Sample ID Type of Preservative pH upon receipt Date preservation adjusted Time preservation Amount of Preservative
adjusted added Lot If
Note: Whenever there is a discrepancy affecting North Carolina compliance samples,a copy of this form will be sent to the North Carolina DEHNR Certification Office(i.e.
Out of hold,incorrect preservative,out of temp,incorrect containers.
1
Page 19 of 19

Stormwater Inspections for general permit NCG012000
Project: Hanes Mill Road Landfill SEDIMENT PONDS Monitoring for week beginning:_ 12/19/2022
All Erosion and sedimentation control facilities and stormwater discharge outfalls must be inspected at leas once(twice,if on 303(d)listed stream for construction related parameters*)per seven days within 24 hours of a rainfall of
0.5 inches per 24 hours.Permitte must keep a record of inspections.
RAINFALL: Gauge must be maintained on site
Date of Rain Amount of inches Name of the Inspector By this signature, I certify(in accordance with Part II Section B, 10 of the NCG012000 Permit)that
12/22/2022 0.94 Nicolas Tejeda-Torres this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
EROSION AND SEDIMENTATION CONTROL FACILITIES INSPECTED: Identification of all facilities may require additional pages.
Facility Date of Inspection Operating Properly
Identification of all Yes or No Describe corrective action taken (may need to attach additional information)
areas
Sediment#I 12/22/2022 Yes
Sediment#Al 12/22/2022 Yes
Sediment#A2 12/22/2022 Yes High sediment load, may require additional measures to reduce turbidity
Sediment# 1 12/22/2022 Yes
Sediment#2 12/22/2022 Yes
Sediment#3 12/22/2022 No High sediment load, may require additional measures to reduce turbidity
Sediment#4 12/22/2022 Yes
Sediment#5 12/22/2022 Yes
Sediment# B 12/22/2022 Yes
Sediment#C 12/22/2022 Yes
Sediment# D 12/22/2022 Yes
Sediment# E 12/22/2022 Yes
Sediment# F 12/22/2022 Yes
Sediment#J 12/22/2022 Yes
Sediment#OS1 12/22/2022 Yes
Sediment#0S2 12/22/2022 Yes
Sediment#0S3 12/22/2022 Yes
Sediment#OS4 12/22/2022 Yes
Has all land disturbing construction been completed?NO Yes or No?Has the final permanent ground cover been completed and established?NO Yes or No*303(d)listed streams for
Construction related parameters-The latest list may be obtained from the division of water quality,or from the following website location:http:h20.enr.state.nc.us/construction303d

•r,nrrtewfif.
Qua.'it
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/(/ 1 /2./o/o/3/L[/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: \-tcl1 S �lil1 Eoacj L?s
County: "fo;1-itn Phone No. 33 421-53C00
Inspector: (to..5 1
Date of Inspection: 12\22\Z(V22
Time of Inspection: t,33
Total Event Precipitation (inches): 0 .1M
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 Permit ee or De igne
1. Outfall Description:
Outfall No. St) iA. Structure (pipe, ditch, etc.): j
Receiving Stream:
�rtb 6ru5y C-{e .
Describe the industrial activitibs that occur within the outfall drainage area:
C- L L (
Page 1 of 2
S WU-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: ALIA
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor, etc.): kADV•02-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4
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:
2 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:
2 3 4
7. Is there any foam in the stormwater discharge? 0 Yes No
8. Is there an oil sheen in the stormwater discharge? oYes No.
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.
Page 2 of 2
SWU-242,Last modified 06/012018

E-' ,rnnten :z?
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/( eI 1 /2/0/ / /L/ or Certificate of Coverage No.: N/C/G/ / / / / / /
11
Facility Name: t4Cfle.s (. ilk Load t_
County: 'fo;stite, Phone No. 336 42.E -$wc,
Inspector: c.L5 1eJ a ,c-Tofft
Date of Inspection: '‘2\2Z\•Z V2 -
Time of Inspection: U22
Total Event Precipitation (inches): 0•�L�
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 Permit ee or De igneq)
1. Outfall Description:
Outfall No. SLb { Structure (pipe, ditch, etc.): (P.Re._
Receiving Stream:
-h4)-4ckfy 01" qliz ssy (
Describe the industrial activities that occur within the outfall drainage area:
LarcjU
Page 1 of 2
S WU-242,Last modified 06/01?2013

2. Color: Describe the color of the discharge using basic colors(red,brown, blue,etc.)and tint
(light, medium,dark)as descriptors: k4J\
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil, weak
chlorine odor, etc.): Y\ynQ.
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4
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:
2 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 2 3 4
7. Is there any foam in the stormwater discharge? 0 Yes sip.No.
8. Is there an oil sheen in the stormwater discharge? °Yes 642,No.
9. Is there evidence of erosion or deposition at the outfall? to Yes 0 No. C'( ,`s.Vu1"
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

•
t" ,nrten'1'
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https:%/deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-storm water-gps
Permit No.: N/C/(/ ( /2/0/O/3/q/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: �Uf1� �i1� EC/Ca L
County: "Foc�•f4 Phone No. 336 421-gcoc,
Inspector: (;c,kct3 190Ack, Z5
Date of Inspection: �Z\ZZ\Zu2L
Time of Inspection: C 42.
Total Event Precipitation (inches): 0 •°1-1
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 Permit ee or De:igne:)
1. Outfall Description:
Outfall No. S Structure (pipe, ditch, etc.): ?tt
Receiving Stream: `'
'TYt O L GF Cigk511 (J kZ
Describe the industrial activities that occur within the outfall drainage area:
ckovdL Yi l
Page 1 of 2
SWU-242,Last modified 06/01/2013

2. Color: Describe the color of the discharge using basic colors(red,brown, blue, etc.)and tint
(light, medium, dark) as descriptors: \tell,0 Z
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor,etc.): YteN‘Q.
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 2 3 4
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 2 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 2 3 4
7. Is there any foam in the stormwater discharge? 0 Yes No.
8. Is there an oil sheen in the stormwater discharge? °Yes C No.
9. Is there evidence of erosion or deposition at the outfall? 0 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,
Page 2 of 2
S W U-242,Last modified 06/0 120 1 8

:.
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/C./ 1 /2./0/O/3/ / or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: EOC i LT
County: 'fo f.-51{v, Phone No. 33E t 2 -geoc,
Inspector: 1e -1-0114_5
Date of Inspection: 12\22`Z V22
Time of Inspection: \5')
Total Event Precipitation (inches): 0•�t'�
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 Permit ee or De:ignea)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.): �� 2
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
(iksjc) l.' 4 to
Page 1 of 2
SWU-242,Last modified 06/01/2013

2. Color: Describe the color of the discharge using basic colors(red,brown, blue,etc.)and tint
(light, medium, dark)as descriptors: 4-ov,
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil, weak
chlorine odor,etc.): \lQS
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
] 2 3 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:
2 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 2 3 5
7. Is there any foam in the stormwater discharge? 0 Yes b No.
8. Is there an oil sheen in the stormwater discharge? °Yes 2_No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes cik 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.
Page 2 of 2
SWU-242,Last modified 06/01/2018

F' .;r--,nrnen{o!
Q%J;'t t
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/// I /2/0/o/3/14/ or Certificate of Coverage No.: N_/C/G/ / / / / / /
Facility Name: \ACtlnes iIt eoad L
County: `f }- Phone No. 3 L, 7 -53WO
Inspector: i\lr C:uAct> "Tejo -'[-of fZS
Date of Inspection: 12\22`Zo2Z
Time of Inspection: 5
Total Event Precipitation (inches): 0
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 Permit ee or Designee)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.): T12
Receiving Stream: `
Describe the industrial activities that occur within the outfall drainage area:
C-1(yc& CsrOtkA
Page 1 of 2
S WU-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: \p..AOLZ
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor, etc.): Y\on1t-
4, Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
2 3 4
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:
2 3 4 5
6. Suspended Solids: Choosey the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4
7. Is there any foam in the stormwater discharge? 0 Yes f.,No
8. Is there an oil sheen in the stormwater discharge? °Yes ci�lo.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes i-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.
Page 2 of 2
SWU-242,Last modified 06/01/2018

•
F ;r:,n tenta
Qu:.
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-storm water-gps
Permit No.: N/C/s/ 1 /2/0/o/ 3/L-{/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: Banes il{ eoac t_.
County: fv;j•f}{n Phone No. 331)-- 42.1 -Ba)C,
Inspector: ct5 t esda��OfcZs
Date of Inspection: 12\2-2`Zo22
Time of Inspection:
Total Event Precipitation (inches): 0.9M
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 Permit ee or De igne )
1. Outfall Description:
Outfall No. E Structure (pipe, ditch, etc.): at' c_
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Lary.nkk,�
Page 1 of 2
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2. Color: Describe the color of the discharge using basic colors(red, brown, blue, etc.)and tint
(light, medium, dark)as descriptors: VttA,V ‘4,QA0cn�
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor, etc.): of a-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 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:
2 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 2 "/ 4 5
7. Is there any foam in the stormwater discharge? 0 Yes tfNo.
8. Is there an oil sheen in the stormwater discharge? °Yes �No.
9. Is there evidence of erosion or deposition at the outfall? 0 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.
Page 2 of 2
SWU-242,Last modified 06/01/2018

_ ;fit • .
me -:,/
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/(/ 1 /Z/0/t / / / or Certificate of Coverage No.: N_/C/G/ / / / / / /
Facility Name: i pad U
County: `cfs it, Phone No. 33 421-i3WO
Inspector: c:utct5 Iz, _ --Tof
Date of Inspection: 12V-.1-\Z�2Z
Time of Inspection: kt)Z\
Total Event Precipitation (inches): 0 •�i1
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:
411
(Signature of Permit ee or De:igne:)
1. Outfall Description: CZIALUAL
Outfall No. Structure (pipe, ditch, etc.): ?�
Receiving Stream: 1
Arhi-aik{ � y drainage
Describe the industrial activities that occur within the outfall area:
Page 1 of 2
S WU-242,Last modified 06/0I/2018

2. Color: Describe the color of the discharge using basic colors(red,brown, blue, etc.)and tint
(light, medium, dark)as descriptors: \gieWA kO.v\
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil, weak
chlorine odor,etc.): Y1c Q •
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 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:
2 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 2 3 5
7. Is there any foam in the stormwater discharge? 0 Yes No
8. Is there an oil sheen in the stormwater discharge? oYes ¢2No.
9. Is there evidence of erosion or deposition at the outfall? o Yes 96-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.
Page 2 of 2
S WU-242,Last modified 06/0 1/20 1 8

�men far
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/6/ ) /2./0/O/i/i{/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: Glf1e� Okitt £c a 1
County: ''fcf ti.,citn Phone No. 33 - 421-gC0C7
Inspector: -rey,4c,
Date of Inspection: 12\22\ 7-02 -
Time of Inspection: 61141,1
Total Event Precipitation (inches): 0. M
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 Permit ee or De:igne:)
1. Outfall Description:
Outfall No. 3 Structure (pipe, ditch, etc.): , ,,Fe
Receiving Stream:
Y oc- eirris54 (fie_
Describe the industrial activities that occur within the butfall drainage area:
C(.0-VJ
Page 1 of 2
S WU-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: '9o,c14 Aov'
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil, weak
chlorine odor,etc.): \Deka
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4
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:
2 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 2 3 4
7. Is there any foam in the stormwater discharge? 0 Yes No.
8. Is there an oil sheen in the stormwater discharge? °Yes 90 No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 94.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.
Page 2 of 2
SWU-242,Last modified 06,'O I/20I 8

Ee,vrorren'a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/ia/ + /2./0/c>/3/Lt/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: \--iCiftes (.Ailt coed t_}'
County: �c;y .1�, Phone No. 33 42.1-SZ.700
Inspector: (.i,65 eyeAck.-fit?{fZy
Date of Inspection: 2\Vl\7-021-
Time of Inspection: \iJi
Total Event Precipitation (inches): 0 •9t4
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:
(Signatur111
)
1. Outfall Description:
Outfall No. Z Structure (pipe, ditch, etc.): Corlat - ! _
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
GlcA
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2. Color: Describe the color of the discharge usin=basic colors(red, brown, blue, etc.)and tint
(light, medium, dark) as descriptors: \i1(4 3_
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil, weak
chlorine odor,etc.): 49-S
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 Q 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:
2 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 y 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes No.
8. Is there an oil sheen in the stormwater discharge? °Yes .No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes (k-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.
Page 2 of 2
SWU-242,Last modified 06/0 120 1 8

r^ r'-;r'rnen'a'
(z:�:i!ii
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/(,/ ) /2./0/O/ /-/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: t1Clrtes Vkill eoa3 t-'E
County: "fciif5titr, Phone No. 336 421-QODO
Inspector: 3i cz Lct7 1 e --To i1
Date of Inspection: 1 Z\Z2\Z 02' .
Time of Inspection: 1 D3'4
Total Event Precipitation (inches): 0.9M
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 Permit ee or De igne
1. Outfall Description:
Outfall No. SLR t Structure (pipe, ditch, etc.): Pk-ea-
Receiving Stream: A\A0461' Cll.L
Clttuss CA4 -
Describe the industrial activities t t occur within the outfall drainage area:
ve LcAiacriu
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: tJros99,_ ,
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor,etc.): hpa,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4
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:
2 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 2 3 4
7. Is there any foam in the stormwater discharge? O Yes tNo.
8. Is there an oil sheen in the stormwater discharge? OYes No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes k-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.
Page 2 of 2
SWU-242,Last modified 06/O1/2018

4.
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/h/ l /2/0/o/ /L(/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: ClY1�S �Jlill 2.0a3 z�
County: 'fo;s•j{v, Phone No. 33G l24 -gcoo
Inspector: N\CZACi7 eieJa-Toic s
Date of Inspection: %2\22\7-022-
Time of Inspection: (o'*t
Total Event Precipitation (inches): 0 .'Li
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:
mr
(Signature of Permit ee or De.ignel)
1. Outfall Description: i4ACA,t
Outfall No. `j0 2-. Structure (pipe, ditch, etc.):
Receiving Stream:
t)x- c �; CdMs5q CAzi le,
Describe the industrial activities that occur within the outfall drainage area:
P� ( t(
Page 1 of 2
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2. Color: Describe the color of the discharge using basic colors(red,brown, blue, etc.)and tint
(light, medium,dark)as descriptors: OYay.a�. _
3. Odor: Describe any distinct odors that the discharge may have (i e., smells strongly of oil, weak
chlorine odor,etc.): INC7v
4, Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4
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:
2 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:
t 2 3 4 9
7. Is there any foam in the stormwater discharge? 0 Yes No.
8. Is there an oil sheen in the stormwater discharge? ()Yes �lo.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes p-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.
Page 2 of 2
S W U-242,Last modified 061012018

•
E -vnmen,ur
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/s/ 1 /2/0/o/3/c{/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: hail s. 'JL Ut eckid L><
County: 0.5{4 Phone No. 3 423 53.Z.VC,
Inspector: k a 5 1"t- TOiR5
Date of Inspection: 12\22\Zv22
Time of Inspection:
Total Event Precipitation (inches): 0 .9M
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:
.41
(Signature of Permit ee or De.igne:)
1. Outfall Description:
Outfall No. ( j Structure(pipe, ditch, etc.): irkg'k"t
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
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2. Color: Describe the color of the discharge using basic colors(red, brown, blue,etc.)and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have(i e., smells strongly of oil, weak
chlorine odor, etc.): Y\Oyul..
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 4
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:
2 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 2 3 4
7. Is there any foam in the stormwater discharge? 0 Yes No
8. Is there an oil sheen in the stormwater discharge? °Yes 66-No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes Chlo.
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 06i012018

x
•
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/(./ I /2./0/o/i/L{/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: \--Cine\ ►11 e.oai t_c
County: .fo;j1}t., Phone No. 336 421 -$C0C,
Inspector: le -1-of(4.5
Date of Inspection: 12\22\
Time of Inspection: '(, 't j
Total Event Precipitation (inches): 0 .9L,
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:
r
(Signature of Permit ee or De:igne:)
1. Outfall Description:
Outfall No. 5 " Structure (pipe, ditch, etc.): !Qt
Receiving Stream: i
r►"1•1 f eatSSi4 .
Describe the industrial activities that occur within the outfall drainage area:
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: - -a r%
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor,etc.): r OM_
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 2 3 C 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:
2 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:
2 3 5
7. Is there any foam in the stormwater discharge? o Yes No.
8. Is there an oil sheen in the stormwater discharge? 0Yes -No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes p-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.
Page 2 of 2
S W U-242,Last modified 06;01/2018

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/./ ► /2./0/O/3/L/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: \--iCiae1 Dill Dad 1-U
County: "fr;1-1—in Phone No. 3.3k., 421-SWO
Inspector: k "1-90..da
Date of Inspection: 12.\22\Zv2Z.
Time of Inspection: 117)
Total Event Precipitation (inches): 0.9M
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:
-- r r
(Signature of Permit ee or De:igne:)
1. Outfall Description:
Outfall No. SZb S Structure (pipe, ditch, etc.): <
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
(uvIkt1t
Page 1 of 2
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2. Color: Describe the color of the discharge using basic colors(red,brown, blue,etc.)and tint
(light, medium, dark)as descriptors: Cjq X _
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor, etc.): h
4, Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
2 3 4 4101
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:
2 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:
2 3 4
7. Is there any foam in the stormwater discharge? 0 Yes No.
8. Is there an oil sheen in the stormwater discharge? OYes -No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes #6-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.
Page 2 of 2
S W U-242,Last modified 0610 1 20 1 8

3
Storinwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources!
np d e s-s to rm wate r-gp s
Permit No.: N/C/Ea/ 1 /2/0/O/3/ / or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: \4(Oyt2 Qc,ct u:
County: 'Ors 44-t Phone No. 336- 421-$tob
Inspector: \ -'Cotrz5
Date of Inspection: 12\22\7-022
Time of Inspection: \\lb
Total Event Precipitation(inches): 0-TA
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 Permit ee or De igne )
1. Outfall Description:
Outfall No. 1 Structure(pipe,ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
UIO+i
Page 1 of 2
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.)and tint
(light, medium, dark)as descriptors:
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor,etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 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 2 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 2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? OYes o No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 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.
Page 2 of 2
SWU-242,Last modified 06,'012018

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources'
npdes-sto rm water-gps
Permit No.: N/C/6/ ) /2/0/c /3/(- / or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: �QY►eC ¶i(t 2.00160 OF
County: 'focgst}v, Phone No. 336- 4-21-Boob
Inspector: idictAa5 ►G0-TOfrt5
Date of Inspection: \2.\22\Z022.
Time of Inspection:
Total Event Precipitation(inches): 0-'IM
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
(Signature of Permit ee or De.igne:
1. Outfall Description:
Outfall No. O 2 Structure(pipe, ditch, etc.): (C
Receiving Stream: , �+
/ A cA G Alt c-cca • -Uo
Describe the industrial activities that occur within the outfall drainage area:
Kt ow-
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:
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 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 2 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 2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? °Yes 0 No.
9. Is there evidence of erosion or deposition at the outfall? o Yes 0 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.
Page 2 of 2
SWU-242,Last modified 06/0 120 1 8

F' nrten'a
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources!
npdes-stormwater-gps
Permit No.: N/C/j/ 1 /Z/0/o/3/'4/ or Certificate of Coverage No.: N/C/G/ / / / / / /
Facility Name: \-ictne oct a
County: 'f orstitn Phone No. 33k; 411 -8WC,
Inspector: VA%(.T.k0i7 1e,
Date of Inspection: 12\22\7-017--
Time of Inspection: 1 -2C/1
Total Event Precipitation (inches): 0 .9M
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:
411
r ,
(Signature of Permit ee or De:igne:)
1. Outfall Description:
Outfall No. C5 Structure (pipe, ditch, etc.): lP,-
Receiving Stream:
�vi�- a.Y c1E G. sk1 Cr -k t-kc) ` 5C-kt,464--
Describe the industrial activities that occur within the outfall drainage area:
Ykrt
Page 1 of 2
S WU-242,Last modified 06/01,2013

2. Color: Describe the color of the discharge using basic colors(red, brown, blue, etc.)and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil, weak
chlorine odor,etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 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 2 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 2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? °Yes 0 No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 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.
Page 2 of 2
SIWU-242,Last modified 06101/2018

F. .i r.men to!
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/Ca/ ( /2/0/o/3/L{/ or Certificate of Coverage No.: N_/C/G/ / / / / / /
Facility Name: \ 2nes 4Jitl 2.0,c:A a
County: ¶o; •,cif, Phone No. 33f) . -$WC)
Inspector: (c,Ia7 I z -I-014Z'
Date of Inspection: \2.\ZZ\Z022
Time of Inspection: \\33
Total Event Precipitation (inches): 0 . ELM
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 Permit ee or De:igne:)
1. Outfall Description:
Outfall No. Of? Structure(pipe, ditch, etc.): 112--
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
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:
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor,etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
1 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 2 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 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes 0 No.
8. Is there an oil sheen in the stormwater discharge? 0Yes O No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 0 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.
Page 2 of 2
S W U-242,Last modified 06,'01/2018