NCG120085_2022 DMR_20230203

Winston-Salem
/Forsyth County
Utilities
Water•Wastewater•Solid Waste
Old Salisbury Road Landfill,3336 Old Salisbury Road,Winston-Salem,NC 27127
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
([e-mail])
Re: Fourth Quarter NPDES Compliance Submittal for 2022
Old Salisbury Road Landfill, Forsyth County, North Carolina
Permit No. NCG120095
To Whom It May Concern:
As you are aware, the Winston-Salem/Forsyth County City/County Utilities Commission is monitoring
stormwater under Permit No. NCG120095 at the Old Salisbury Road Landfill located at 3336 Old Salisbury
Road in Winston-Salem, North Carolina (NC). Monthly monitoring was initiated following consecutive
exceedances of the total suspended solids (TSS) benchmark at outfalls #1, #6, #7, and #11. The purpose
of this correspondence is to provide the required reporting for the fourth quarter compliance period for
2022.
Quarterly samples were collected from monitoring points with discharge on December 22, 2022. During
this event,five outfalls(#1,#6,#7,#9,and#11)were sampled and six outfalls (#2,#3,#4,#5,#8,and#10)
did not discharge and were not sampled. The required discharge monitoring report(DM R)is attached for
the December 2022 event. The Commission is investigating the sources of exceedances of total
suspended solids(TSS)for outfalls#1,#6,#7,and#11 and will document any necessary corrective actions.
Also note that we are awaiting a response to our January 28, 2020, submittal related to non-routine
testing as part of the Work Plan for fecal coliform exceedances. If you have any questions or require any
additional information, please contact us. We appreciate your assistance with this project.
City Council:Mayor Allen Joines;Denise D.Adams,Mayor Pro Tempare,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:
I 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] Winston-Salem/Forsyth County Utility Commission:Randall S.Tuttle,Chair;L Wesley Curtis,Jr.,Vice Chair;Harold E.Day;Torn Griffin;Yvonne H.Hines;Duane Long;Hugh
tnr ie..,reo-rhaa asor nnoard a are.�.e rr.do.anr<....-ems v..�.noar

4 Inston-Saletn• Forsyth County
/County Utilities
Sincerely,
WINSTON-SALEM/FORSYTH COUNTY CITY/COUNTY UTILITIES COMMISSION
Gordon Dively
Solid Waste Iperat' ns S pervisor
Attachment: DMR
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 C.'

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 DEMLR Regional Office.
Certificate of Coverage No. NCG12 0095 Person Collecting Samples: Darren Cox
Facility Name: Old Salisbury Road Landfill Laboratory Name: Pace Analytical
Facility County:Forsyth Laboratory Cert. No.: NC633
Discharge during this period:❑J 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)? II
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR El Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall Pond 1 Outfall Pond 6 Outfall Pond 7 Outfall Pond 9 Outfall Pond 11
Code
N/A Receiving Stream Class C C C C C
N/A Date Sample Collected MM/DD/YYYY 12/22/2022 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 0.94
C0530 TSS in mg/L(100 or 50*) 282 505 978 20.8 3,020
00400 pH in standard units(6.0-9.0) 6.85 7.11 6.75 7.22 6.29
00340 Chemical Oxygen Demand in mg/L 54.5 25.9 33.0 40.5 49.8
(120)
31616 Fecal Coliform in#per 100 ml(1000) 391 1330 4850 1430 1870
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) - - - -
NCOIL Estimated New Motor/Hydraulic Oil - -
Usage in gal/month
* Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),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 mg/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,includ' g the possibility of fines and imprisonment for knowing violations."
r��" lc /�Z.vZ3
G
is gnature of Permittee or elegated Authorized Individual Date
Email Address [e-mail] Phone Number 336-734-1565

aceAnalytical0 Pace Analytical Services,LLC
9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
January 01, 2023
David Reedy
Golder Associates, Inc.
5B Oak Brank Dr
Greensboro, NC 27407
RE: Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
Dear David Reedy:
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- Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
4`3 REPORT OF LABORATORY ANALYSIS
I, / This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,LLC. Page 1 of 18
4e0, 6

Pace Analytical Services,LLC
i ® 9800 Kincey Ave. Suite 100
aceAnalytcal
Huntersville,NC 28078
www.pacelabs.com [phone]
CERTIFICATIONS
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
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 VirginiaNELAP 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 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
SAMPLE ANALYTE COUNT
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92643647001 SDO-1 SM 2540D-2015 VLG 1 PASI-E
SM 9222D-2015 MWF 1 PASI-E
SM 5220D-2011 JP1 1 PASI-A
92643647002 SDO-6 SM 2540D-2015 VLG 1 PASI-E
SM 9222D-2015 MWF 1 PASI-E
SM 5220D-2011 JP1 1 PASI-A
92643647003 SDO-7 SM 2540D-2015 VLG 1 PASI-E
SM 9222D-2015 MWF 1 PASI-E
SM 5220D-2011 JP1 1 PASI-A
92643647004 SDO-9 SM 2540D-2015 VLG 1 PASI-E
SM 9222D-2015 MWF 1 PASI-E
SM 5220D-2011 JP1 1 PASI-A
92643647005 SDO-11 SM 2540D-2015 VLG 1 PASI-E
SM 9222D-2015 MWF 1 PASI-E
SM 5220D-2011 JP1 1 PASI-A
PASI-A=Pace Analytical Services-Asheville
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 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
ANALYTICAL RESULTS
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
Sample: SDO-1 Lab ID: 92643647001 Collected: 12/22/22 08:35 Received: 12/22/22 10:40 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 282 mg/L 26.3 1 12/23/22 10:31
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method:SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 391 CFU/100 mL 1.0 1 12/22/22 15:11 12/23/22 14:10 D6
5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011
Pace Analytical Services-Asheville
Chemical Oxygen Demand 54.5 mg/L 25.0 1 12/30/22 01:54 12/30/22 04:47 M1,R1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 4 of 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
ANALYTICAL RESULTS
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
Sample: SDO-6 Lab ID: 92643647002 Collected: 12/22/22 09:20 Received: 12/22/22 10:40 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 505 mg/L 29.4 1 12/23/22 13:26
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method:SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 1330 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 25.9 mg/L 25.0 1 12/30/22 01:54 12/30/22 04:48
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 5 of 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
ANALYTICAL RESULTS
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
Sample: SDO-7 Lab ID: 92643647003 Collected: 12/22/22 09:15 Received: 12/22/22 10:40 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 978 mg/L 41.7 1 12/23/22 10:21
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method:SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 4850 CFU/100 mL 1.0 1 12/22/22 15:11 12/23/22 14:10
5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011
Pace Analytical Services-Asheville
Chemical Oxygen Demand 33.0 mg/L 25.0 1 12/30/22 01:54 12/30/22 04:48
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 6 of 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
ANALYTICAL RESULTS
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
Sample: SDO-9 Lab ID: 92643647004 Collected: 12/22/22 10:13 Received: 12/22/22 10:40 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 20.8 mg/L 4.8 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 1430 CFU/100 mL 1.0 1 12/22/22 15:20 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 04:48
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 7 of 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
ANALYTICAL RESULTS
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
Sample: SDO-11 Lab ID: 92643647005 Collected: 12/22/22 09:45 Received: 12/22/22 10:40 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 3020 mg/L 83.3 1 12/23/22 13:24
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method:SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 1870 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 49.8 mg/L 25.0 1 12/30/22 01:54 12/30/22 04:48
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 8 of 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
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: 92643647002,92643647005
METHOD BLANK: 3878191 Matrix: Water
Associated Lab Samples: 92643647002,92643647005
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:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 9 of 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
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: 92643647001,92643647003,92643647004
METHOD BLANK: 3878205 Matrix: Water
Associated Lab Samples: 92643647001,92643647003,92643647004
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:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 10 of 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
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: 92643647001,92643647002,92643647003,92643647004,92643647005
METHOD BLANK: 3878584 Matrix: Water
Associated Lab Samples: 92643647001,92643647002,92643647003,92643647004,92643647005
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: 92643647001,92643647002,92643647003,92643647004,92643647005
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: 92643647001,92643647002,92643647003,92643647004,92643647005
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: 92643647001,92643647002,92643647003,92643647004,92643647005
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: 92643647001,92643647002,92643647003,92643647004,92643647005
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:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 11 of 18

Pace Analytical Services,LLC
i ® 9800 Kincey Ave. Suite 100
aceAnalytcal
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
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:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 12 of 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
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: 92643647001,92643647002,92643647003,92643647004,92643647005
METHOD BLANK: 3882359 Matrix: Water
Associated Lab Samples: 92643647001,92643647002,92643647003,92643647004,92643647005
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:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 13 of 18

Pace Analytical Services,LLC
i ® 9800 Kincey Ave. Suite 100
aceAnalytcal
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALIFIERS
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
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:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 14 of 18

Pace Analytical Services,LLC
aceAnalytical® 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
www.pacelabs.com [phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Old Salisbury Rd LF SA SW
Pace Project No.: 92643647
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92643647001 SDO-1 SM 25400-2015 745505
92643647002 SDO-6 SM 2540D-2015 745504
92643647003 SDO-7 SM 25400-2015 745505
92643647004 SDO-9 SM 25400-2015 745505
92643647005 SDO-11 SM 2540D-2015 745504
92643647001 SDO-1 SM 92220-2015 745608 SM 92220-2015 745609
92643647002 SDO-6 SM 92220-2015 745608 SM 92220-2015 745609
92643647003 SDO-7 SM 92220-2015 745608 SM 92220-2015 745609
92643647004 SDO-9 SM 92220-2015 745608 SM 92220-2015 745609
92643647005 SDO-11 SM 92220-2015 745608 SM 92220-2015 745609
92643647001 SDO-1 SM 52200-2011 746568 SM 52200-2011 746578
92643647002 SDO-6 SM 52200-2011 746568 SM 52200-2011 746578
92643647003 SDO-7 SM 52200-2011 746568 SM 52200-2011 746578
92643647004 SDO-9 SM 52200-2011 746568 SM 52200-2011 746578
92643647005 SDO-11 SM 52200-2011 746568 SM 52200-2011 746578
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/01/2023 08:40 AM without the written consent of Pace Analytical Services,LLC. Page 15 of 18

I Uc:K_I itle: ENV-FRN1-HUN1-0C34 vOl_Tech Spec Sample Condition I
I ce. Upon Receipt
I I --"3-= 1 Effective Date:0S 12:2J22
Laboratory receiving samples:
Asheville 0 Eden ❑ Greenwood 7 HinterSVllle D R3leigh T McCh3r :l!C I •`!C r '„ r
r WO* ° 92643647
6bidQY h Lf 0 (/t (I� ¢-e I Fr*:t
Courier. L=edEx [UPS D,,,p, : 111111 III 1 I 111111 III
Carrier Tracking Number: 92643647
Custody Seol Present? Dies e.: Seas Intact? ❑Ye; `:,_
I� � - ,._ .._,,,Person Examining Contemn:
Packing Material: •bb!3 .,,;,1 [1_„�c'e- -a C -. _
-'' ❑ ,• Biological Tissue Fr n?
a - • QYes ❑No PI A
Thermometer: 0 IR ucn I' ‘c' --I 0 0 Z Type of Ica: ❑We: ❑Shia None ~
(y ❑
Cooler Ten ('C): —1° 2— Correction Factor:Ada j 5Let'oct ('C) — ' 2
Temp should be above freeing to 6°C
Corrected Cooler Temp('C): `f• C ['Samples cut of retro criteria.Samples cr.ice,r ling --,ss
--, has begun
USDA Regulated Soil(2 -4 „,water sample)
Cid serrrle::r`gir o e In a y__ a-.. _::re v!:-..r,-_1_:. .e_'E:a:e3:CA,PY,Cr 5C(Lhe
_k moos)? _ __a e_orlr.ale. ,...a .:r?'g'1 SCi:e(ir :.cn :;y.❑Yes Ei;io ._._ ,ua.v3ii sr'r___.: ?['Yes DPlc�/ I Ct:r:n'ents/Gist.^'-97:C•r
Chafn of bus:_=v:rase"t' (�/tes ❑;Ic ]^tJa 11.
ISamolea arrive.:vii:`i-I-:;d lire? eyes ❑•to nPt'4 12,
Short Hold Time Analysis(<72 hr.)? InYs I+;:o ❑.;4 13. Ce C c../
Rush Turn Around TimeRe:yes:_-. rive- 174: ❑rt.
SLffic ant Volume? Yees Flees:
Correct.Containers Used? Ee es' ❑Pto ❑'I;a 6.
-Pace Cortainers Used? [!`,•es Delo ❑*L.
Containers Intact? Rives ❑':o ❑`t;, 17.
Ci:;:lied aril•Isis:Semple:=•_'d Fil:e-ed' Oyes 0iiio (Kula I E.
Sample labels Ma _CC7 eves ❑'lo ❑v/A 9.
-Inck dCs Gatetnme'ID/Analyses Matrix-
/
Headsos-'_it VOA Vials(>5-5mm)? I—' 2s (_i•:: -•;-ti 11..
Trip filar;~PPreser.t? j;"es Dio 1.1.
Trio Clank Cus:odv Seals Present? f _, Elm: 2'. _
COMMENTS/SAMPLE DISCREPANCY
Field Data Required? Oyes ❑No
Lot ID of s lit con 3!r r;:
Temp Leg:Temp must be maintained CLIENT NOTIFICATION/RESOLUTION
at 45 C during login,record temp -
everf 20 minutes.
Time opened:/•o tt 0 Temp: V.2.
Time: ( o `f O put in cooler
Time: Temp:
Person Contacted: Date/Time:
Project Manager SCURF Review: Date:
Project Manager SRF Review: Date:
Qualtrax Document ID:70677 Page 1 of 2
Page 16 of 18

�� Occurrent Name: I Dc.um-en:
?, , 1, r' Bottle Identification Form(BIF) I Issued:N^_v:r per li,2021
r.r✓r;'hr�?,r't;Cd; Page 1 of 1
•
Document No.: I Issuing Authority:
F-CAR-CS-0-t3-Rev.01 Par,r,,,,1;,,_-„
*Check mark top half of box if pH and/or dechlorination is Project WO# : 92643647
verified and within the acceptance range for preservation
samples. PM: AMB Due Date: 01/04/23
Exceptions:VCA,Colifcrm,IOC,Oil and Grease,DRO/S31S(water)CCC,LLHg CLIENT: 92-Go 1 der
**Bottom half of box is to list number of bottles
i
7 Z Z r. �� r r.'i -� � `- Z - n a
a- i' — — '- N 2 - — - t - I 1 a >
LI E.
u u u — — nZ.h 2 -O f U ? O = Cif: G O O = N c "a v
,, u Y. u 2 i--, v _ 1 2 2 c > n n Z c c
c n n ra i G OC = Z < = c s d v c 's =
J J J_ L J J E. E '. < E r! R G Q r, N N .u..e. •0! .9 E J
C C C E E E t TJi E < J J N N 4l H C Q •,;, E
1A o o z ,� o L 7 •.• = C Q E J ,� J J J J V1 C
r-ii 6i 0 — , .-I ry N S' - LA _ O V E E E •., A E E E E J
N .. ti N u+ o 0 0 0 n E E
C.
7 > P.
P.
v 2 N t➢ r+ '., V1 tit Q c Fi 7 G .M. r! .. C ,C.- C C.
J 2 a C C ^� C C t.7 n1 "t rn M iT n C1 01 < Y f:, ry r' N
i ._ m m 2 m C is m I- y ` t7 U' `. V V V 2 l7 L� M a
< < ,z Q C > > C > >1 I\ I I 1 I INN\ I 1\I \\N I I \\ c
\. / i \, \ \ 1\ I\\ \
I \ \
� \ 1 \<\ v\. N \ \ \ I { l
\\_
s N
A'\\\ N \NN
N
it i �\\\ I \ \\\J
N
I1 Ov
7 , \ \\\ III \ffIll
8 \. NI\\\ \, \\\ Oa
1\\\\ \, \\\\
9 ell
10 \ \\\\ N \\\
N\\\ \ \\\
11 I I
1 \\\\ N \\\ 1 \
\ \1I\ II\ \h\N 1 \\
pH Adjustment Log for Preserved Samples
Sa mpl a ID Type of Preservative pH upon receipt I Date preservation adjusted Time preservation Amount of Preservative
Lot x
adjusted
added
Note: Waenever there is a ciscrepancy affecting North Carolina compliance samples,a capy of this form will be sent to the North Carolina OEHNR Certification (i.e.
Out of hold,incorrect preservative,out of temp,incorrect containers. Office(
Page 17 of 18

I m m G! > 1) ALA
ha me c i bc v� r ITEM# ➢
' a5N a o o
.c h E
• n c `. nDcn O In : 0 0
(A T r i C C -O o . O O i i C LL -
•
o
- nm -
.
1 u O o (
n s y
2.
a
j aN m Fa EH'. G O
,- \
: ' m ' ,
n o f_ c .
yg. 11 t
i g o 'D ' Yp "1`q -- 3> /
4
❑ v . Am
ti n a '
0 tf
I II
t $ !
4;
fj
1 I �nr:2 'S63
B cvi '3I e v -9 omXlCJ
rvova s n o
-/ 1- 1 4',o,D Z,rU FvJg y� , 221t E O )
` Z m e ? n � ,
an O m an
^Arp A MATRl CODE (see,al:dzorles lc lell-- > 1 Shl:PLE TYPE (G=GRAD C=COlF! Oa H
n F.
` A ' n O y❑
1 i ›,
[ -4 -4 o a.Z/ r ti r 3 I' f a
F.
m m m
c 3 a i C` i I w m n Ln m m =
o o y �C u y m m 0 N 10 K n (l D
m rn o ,J -r S ) o o O n °1- -
v v Gl _' ❑ N ( tr. . - 3 v o
m D L m O V\ m FA O
C)
A ("l SAf.'PLE TE:1P AT CCLLECTIC•N m N ^.
•
73�l A O Q 0
( :. `J m 1 OF CONTAINERS a v A n > % Q
m O N m o" yr (/)
1 in UnHresened o o c 1 o ; o —I
G m
H2SO4 n ,, o 0 m m-i Pri-
�• 'rS a P
Q" • HNO3 -o b N r� iCI 1i ml ❑ pii ^ c a ° D\I i- NaOH 'k 'i o C
o
Ne2S203 rD -' n !v
v
_: m
than o' n l` g 71
❑ I Other
o 0
o Other o `� D D ill
" _ (711
Analyses Test Y/N 0 v
's11 x x x x x x x x x lx r. COD g 3- '
ao J 4 9 ^-Q
s. g x x x x x x x x x x x Feca!Coll y C
m = o
N X x x X x x x x x x x TSS a 3 o N N u r-a
�,
n
n ai O
> Q a C)
�� 8 n C
e a 3
�, �! m _ ? p a)
N `"
N f n a s
0 ."-in ea
-, m C
I L.,, n
D
j,4' I N
-0 n
N
TEMP n C 'S• I IO m
N
Residual Chlorine(YrN; ETo •• m
Received on G, C G G Z - g �_
Ice - G J -S 0 o x
(Y/N) v� \ / r o an
Custody ao
to , p,
Sealed .� ^'
0
Cooler o �\
O
(YIN) = c
rn
Samples
Intact ~�
(Y/N)
Page 18 of 18

Stormwater Inspections for General Permit NCG012000
Project: Old Salisbury 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 Darren Cox 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
Pond 1 12/22/2022 Yes
Pond 2 12/22/2022 Yes
Pond 3 12/22/2022 Yes
Pond 4 12/22/2022 Yes
Pond 5 12/22/2022 Yes
Pond 6 12/22/2022 No High sediment load, may require additional measures to reduce turbidity
Pond 7 12/22/2022 Yes
Pond 8 12/22/2022 Yes
Pond 9 12/22/2022 Yes
Pond 10 12/22/2022 Yes
Pond 11 12/22/2022 No High sediment load, may require additional measures to reduce turbidity
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

Environmental
Quality
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/ / / / / / / / or Certificate of Coverage No.: N/C/G/ ) /Z/©/
Facility Name: QL_t Sett-I S 6cs 2'-t Y,36-1 Ceb Ltet tT('Lt_
County: Phone No. S 3 — 3 t-1 156s
Inspector: ((�Crf C()yc
Date of Inspection: I2122)22
Time of Inspection:
Total Event Precipitation(inches): O•C'-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 Permittee or Designee)
1. Outfall Description:
Outfall No. $j_l Structure(pipe,ditch, etc.): }�i PC.
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242,Last modified 06/01/2018

Environmental
Quality
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/ / / / / / / / or Certificate of Coverage No.: N/C/G/ l /`Z/U/O/C/57
Facility Name: SrScs2s-i t-L_
County: Phone No. g 3 C " 3 t 1 Is��
Inspector: ( (AZt-! C ( >
Date of Inspection: J2j 2 Z J 22
Time of Inspection: g`4S
Total Event Precipitation(inches): � q Lf
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. Spt Structure(pipe, ditch, etc.): Jc) j��„� Plpc
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242,Last modified 06/01/2018

Environmental
Quality
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/ / / / / / / / or Certificate of Coverage No.: N/C/G/ ) /2/O/©/a/5/
Facility Name: C. (_tt�F'LL
County: tiS y S I Phone No. 3 3 7 3 Lf '3S6S
Inspector: (�-rJ C
Date of Inspection: )2/ 2 Z f 22
Time of Inspection: 85-9
Total Event Precipitation(inches): C9,911
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. by-3 Structure(pipe, ditch, etc.): MC.) R.0‘,-1 ()t o c-
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242,Last modified 06/01/2018

Environmental
Quality
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/ / / / / / / / or Certificate of Coverage No.: N/C/G/) /Z/O/O/a lsl
Facility Name: ©Lt Sert-+Sg(.52`.t Y? M Cb LRNLI'ltr�
County: 'Fa sim - Phone No. S36 73 L1
Inspector: P�(, rt C(�?�
Date of Inspection: l2J 2 24 22—
Time of Inspection: t 5
Total Event Precipitation(inches): (DI em
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:
( ignature of Permittee or Designee)
1. Outfall Description:
Outfall No. 50 d—LI Structure(pipe,ditch, etc.): 1910�
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
ISO
Page 1 of 2
S\U-242,Last modified 06;01/2013

NiC
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisions/energy-mineral-Iand-resources!
npdes-stormwater-gps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ I /Z/O/O/Q/57
Facility Name: QLL Sftu Ststhr-t 12p1�'1 Gab tRc3lf i t_L_
County: `Fea-Sy-1-1A- Phone No. 33i 73`I-is
Inspector: b1 (t f\. J C(,}c
Date of Inspection: 1?./27.4 22
Time of Inspection: g -
Total Event Precipitation(inches): a 911
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. SQ((-S Structure(pipe,ditch, etc.): e.PV
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
KO ftAlt-i
Page 1 of 2
SWU-242,Last modified 06/01/2018

Environmental
Quality
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'
n p d es-sto rm water-g ps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/) /2/0/0/c /5/
Facility Name: SA1—+S.S02't i4f3fr.] Cab t-Rtsf---1t-t_
County: Phone No. s36 73 t~f iS S
Inspector: ----)P ,(J cJ C()>
Date of Inspection: +Zi'22 J 22
Time of Inspection: q2-0
Total Event Precipitation(inches): 0, 9 •
'-j
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:
( ignature of Permittee or Designee)
1. Outfall Description:
Outfall No. SD0-6 Structure(pipe,ditch, etc.): Ps PG
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
S WU-242,Last modified 06/01/2018

Environmental
Quality
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/
npd es-storm water-gps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ ) /Z/O/O/a/57
Facility Name: 01-b Sftt-tS6(s2-t Y.4am- Gab LAssD�►Lt_
County: ' j'Lcy---1+- Phone No. 3 Lf -
Inspector: ')Ag,I Lc 4 C()>
Date of Inspection:
Time of Inspection: �j c
Total Event Precipitation(inches): ©,9 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:
( ignature of Permittee or Designee)
1. Outfall Description:
Outfall No. SDO-? Structure(pipe,ditch, etc.): {al p
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242,Last modified 06/01/2018

1 .0
Environmental
Quality
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/ / / / / / / / or Certificate of Coverage No.: N/C/G/) /2/O/O/R/57
Facility Name: QLT Sit-iS6tf2-t 12.(162 C T t.Rcsli tt_
County: lt,Sy-1-1 - Phone No. g3 "73 Li -1S-€ "
Inspector: ---0 ((u-YJ C()>
Date of Inspection: ray 221 22
Time of Inspection: /ooc
Total Event Precipitation(inches): a 1 9
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:
( ignature of Permittee or Designee)
1. Outfall Description:
Outfall No. SOcO--4 Structure(pipe,ditch, etc.): (p�
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242,Last modified 06/01/2018

Environmental
Quality
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/
npde s-s to rm wate r-g ps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/) /2/O/O/a/5/
Facility Name: QL j Se-uSsscsro-t 12Gh-"t] C. b Lfc oLfit✓�.
County: Phone No. 33� 13 t'I
Inspector: --0A t.n cJ C O4
Date of Inspection: l2J 1.2)22
Time of Inspection: /0/ -
Total Event Precipitation(inches): ORLI.
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. 5 o—e1 Structure(pipe,ditch, etc.): Pi Gi,=
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
•
Page 1 of 2
SWU-242,Last modified 06/01/2018

Environmental
Quality
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/
np des-s to rm wate r-g ps
Permit No.: N/C/ / / / / / / / or Certificate of Coverage No.: N/C/G/ ) /2/0/O/fit/57
Facility Name: OLDS t S rr c32-t 1 c&T cab ��-
County: folly-t-l+- Phone No. 73 t'i '1,s6Sr'
Inspector: � C(
Date of Inspection: I2/22J22
Time of Inspection: y's-S—
Total Event Precipitation(inches): lJ t
gq
•
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:
( ignature of Permittee or Designee)
1. Outfall Description:
Outfall No. SC)00—04 Structure(pipe,ditch, etc.): Pt t;
Q�
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
nlb ft,ou
Page 1 of 2
SWU-242,Last modified 06/01/2018

Environmental
Quality
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/ / / / / / / / or Certificate of Coverage No.: N/C/G/ I /2/O/�/a/S/
Facility Name: Q - SA1-4SVScsrt i I? Cab LRND it✓L
County: 'FOASy-r-1 - Phone No. 33(:i -'13 c-1 —jS6S
Inspector: C C) e
Date of Inspection: 121 2 2422
Time of Inspection: q43
Total Event Precipitation(inches): I qt-r
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. S -)1 Structure(pipe,ditch, etc.): 'Sr r lh-
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
S W U-242,Last modified 06/01/2018