NCG120034_DMR_20240306

NC Department
Environmental Quaolif
t
Winston-Salem/Forsyth County Received Y
Utilities MAR 0 6 2024
pr
Water•Wastewater•Solid Waste Winston-Salem
Hanes Mill Road Solid Waste Facility,325 W Hanes Mill Road,Winston-Salem,NC 27105 Regional Office
0:336-727-8000, F:336-661-4905, utilities.cityofws.org
March 1, 2024
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: First Quarter NPDES Compliance Submittal for 2024
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 2024.
Quarterly samples were collected from four of the eight compliance monitoring points (SDO-A2, SDO-F,
SDO-3 and SDO-J) on January 9, 2024. Outfalls OS-1, OS-2, OS-3, and OS-4 did not have flow during the
January 9, 2024 sampling 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
(1/44414 La•—•
Gordon Dively, PE
Solid Waste Operations Manager
City Council:Mayor Allen toines;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,lr.,Southeast Ward;City Manager:
Lee D.Garrity
County
Manager:Commissioners:DudleyWatts,Don Martin,Chair;Gloria D.Wtrisenhunt,Vice Chair;Dan Besse;Richard V.Linville;Tonya D.McDaniel;David R.Plyler;Malishai Woodbury;County
Call 311 or 336 727 8000
[e-mail] Winston-Salem/Forsyth County Utlllty Commission:L.Wesley Curtis,Jr.,Chair;Chris Parker,Vice Chair;Simpson O.Brown,lr.;Harold Eustache;font Griffin;Yvonne H.
Hines;Hugh W.Jernigan;Duane Long;Calvin McRae;Charles Wilson;Allan Younger

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/County Utilities
Attachments: DMR, Qualitative Monitoring Reports, Laboratory Certificate-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]
George Wegmann,WSP USA Inc.,5B Oak Branch Drive, Greensboro, NC, 27047,
[e-mail]
2

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NCDEQ Division of Energy, Mineral and Land Resources NC Departrner,,_
Environmental Qu ,;,y;;
Stormwater Discharge Monitoring Report (DMR) Form for NCG120000 Received
Landfills MAR 0 6 2024
Click here for instructions
Win ston-Sa Ic
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR) Uplo�ie( �nv�i)tl1C
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 0034 Person Collecting Samples: Nicolas Tejeda
Facility Name: Hanes Mill Road Landfill Laboratory Name: Pace Analytical
Facility County:Forsyth Laboratory Cert. No.: NC37706, NC12
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 0 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 01/09/2024 01/09/2024 01/09/2024 01/09/2024
46529 24-Hour Rainfall in inches 2.3 2.3 2.3 2.3
C0530 TSS in mg/L(100 or 50*) 6500 545 124 149
00400 pH in standard units(6.0—9.0) 8.70 8.50 8.31 7.90
00340 Chemical Oxygen Demand in mg/L
(120) 185 99.4 57.7 30.0
31616 Fecal Coliform in#per 100 ml(1000) 8800 1570 1130 933
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) - <4.9 - -
NCOIL Estimated New Motor/Hydraulic Oil >55 gal -
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 informatio in udi the possibility of fines and imprisonment for knowing violations."
3//APz9
Signature of Permittee o elegated Authorized Individual Date
Email Address [e-mail] Phone Number 336-734-1502

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Pace Analytical Services,LLC
9800 Kincey Ave. Suite 100
aceHuntersville,NC 28078
[phone]
January 17, 2024
Ben Draper
WSP
5B Oak Branch Drive
Greensboro, NC 27407
RE: Project: Hanes Mill Road LF
Pace Project No.: 92707302
Dear Ben Draper:
Enclosed are the analytical results for sample(s) received by the laboratory on January 09, 2024. 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]
612-473-6801
Project Manager
Enclosures
cc: George Wegmann,WSP USA, Inc.
','
z vA./ REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
_`�i•',. without the written consent of Pace Analytical Services,LLC. Page 1 of 19

Pace Analytical Services,LLC
Pace 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
[phone]
CERTIFICATIONS
Project: Hanes Mill Road LF
Pace Project No.: 92707302
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 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 VirginiaNELAP 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
9800 Kincey Ave. Suite 100
ace® Huntersville,NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project: Hanes Mill Road LF
Pace Project No.: 92707302
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92707302001 SDO-J SM 2540D-2015 WE 1 PASI-E
SM 9222D-2015 DAW 1 PASI-E
SM 5220D-2011 JP1 1 PASI-A
92707302002 SDO-A2 SM 2540D-2015 WE 1 PASI-E
SM 9222D-2015 DAW 1 PASI-E
EPA 1664E DVR 1 PASI-C
SM 5220D-2011 JP1 1 PASI-A
92707302003 SDO-3 SM 2540D-2015 WE 1 PASI-E
SM 9222D-2015 DAW 1 PASI-E
SM 5220D-2011 JP1 1 PASI-A
92707302004 SDO-F SM 2540D-2015 WE 1 PASI-E
SM 9222D-2015 DAW 1 PASI-E
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
9800 Kincey Ave. Suite 100
Huntersville,NC 28078
�!V [phone]
ANALYTICAL RESULTS
Project: Hanes Mill Road LF
Pace Project No.: 92707302
Sample: SDO-J Lab ID: 92707302001 Collected: 01/09/24 08:19 Received: 01/09/24 11:32 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 149 mg/L 13.5 1 01/10/24 13:02
MBIO 9222D Fecal Coliform EDN Analytical Method: SM 9222D-2015 Preparation Method: SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 933 CFU/100 mL 1.0 1 01/09/24 15:31 01/10/24 15:29 D6
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Pace Analytical Services-Asheville
Chemical Oxygen Demand 30.0 mg/L 25.0 1 01/13/24 02:34 01/13/24 05:39
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 4 of 19

Pace Analytical Services,LLC
n/'�/'�� 9800 Kincey Ave. Suite 100
Q/ _G Huntersville,NC 28078
V [phone]
ANALYTICAL RESULTS
Project: Hanes Mill Road LF
Pace Project No.: 92707302
Sample: SDO-A2 Lab ID: 92707302002 Collected: 01/09/24 08:09 Received: 01/09/24 11:32 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 545 mg/L 29.4 1 01/10/24 15:01
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method:SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 1570 CFU/100 mL 1.0 1 01/09/24 15:31 01/10/24 15:29 D6
HEM,Oil and Grease Analytical Method: EPA 1664E
Pace Analytical Services-Charlotte
Oil and Grease ND mg/L 4.9 1 01/17/24 09:00
5220D COD Analytical Method:SM 5220D-2011 Preparation Method:SM 5220D-2011
Pace Analytical Services-Asheville
Chemical Oxygen Demand 99.4 mg/L 25.0 1 01/13/24 02:34 01/13/24 05:39
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 5 of 19

Pace Analytical Services,LLC
ace'/'� 9800 Kincey Ave. Suite 100
/// e Huntersville,NC 28078
�.! [phone]
ANALYTICAL RESULTS
Project: Hanes Mill Road LF
Pace Project No.: 92707302
Sample: SDO-3 Lab ID: 92707302003 Collected: 01/09/24 09:44 Received: 01/09/24 11:32 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 6500 mg/L 62.5 1 01/10/24 09:58
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method: SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 8800 CFU/100 mL 1.0 1 01/09/24 15:57 01/10/24 15:29 D6
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Pace Analytical Services-Asheville
Chemical Oxygen Demand 185 mg/L 25.0 1 01/13/24 02:34 01/13/24 05:40
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 6 of 19

Pace Analytical Services,LLC
9800 Kincey Ave. Suite 100
7,/! ace® Huntersville,NC 28078
[phone]
ANALYTICAL RESULTS
Project: Hanes Mill Road LF
Pace Project No.: 92707302
Sample: SDO-F Lab ID: 92707302004 Collected: 01/09/24 09:10 Received: 01/09/24 11:32 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 124 mg/L 11.9 1 01/10/24 13:03
MBIO 9222D Fecal Coliform EDN Analytical Method:SM 9222D-2015 Preparation Method:SM 9222D-2015
Pace Analytical Services-Eden
Fecal Coliforms 1130 CFU/100 mL 1.0 1 01/09/24 15:57 01/10/24 15:29 D6
5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Pace Analytical Services-Asheville
Chemical Oxygen Demand 57.7 mg/L 25.0 1 01/13/24 02:34 01/13/24 05:40
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 7 of 19

Pace Analytical Services,LLC
9800 Kincey Ave. Suite 100
aceHuntersville,NC 28078
[phone]
QUALITY CONTROL DATA
Project: Hanes Mill Road LF
Pace Project No.: 92707302
QC Batch: 824374 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: 92707302003
METHOD BLANK: 4264162 Matrix: Water
Associated Lab Samples: 92707302003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 01/10/24 09:58
LABORATORY CONTROL SAMPLE: 4264163
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 242 97 90-110
SAMPLE DUPLICATE: 4264164
92707302003 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 6500 7060 8
SAMPLE DUPLICATE: 4264165
92707300007 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 960 987 3
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 01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 8 of 19

Pace Analytical Services,LLC
� 9800 Kincey Ave. Suite 100
ace Huntersville,NC 28078
[phone]
QUALITY CONTROL DATA
Project: Hanes Mill Road LF
Pace Project No.: 92707302
QC Batch: 824378 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: 92707302001,92707302004
METHOD BLANK: 4264195 Matrix: Water
Associated Lab Samples: 92707302001, 92707302004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 01/10/24 13:02
LABORATORY CONTROL SAMPLE: 4264196
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 236 94 90-110
SAMPLE DUPLICATE: 4264197
92707302001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 149 145 3
SAMPLE DUPLICATE: 4264198
92707377001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 1750 1980 12
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:01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 9 of 19

Pace Analytical Services,LLC
Face'/'� 9800 Kincey Ave. Suite 100
/// e, Huntersville,NC 28078
�.A V [phone]
QUALITY CONTROL DATA
Project: Hanes Mill Road LF
Pace Project No.: 92707302
QC Batch: 824607 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: 92707302002
METHOD BLANK: 4265244 Matrix: Water
Associated Lab Samples: 92707302002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 01/10/24 15:00
LABORATORY CONTROL SAMPLE: 4265245
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 232 93 90-110
SAMPLE DUPLICATE: 4265246
92707302002 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 545 546 0
SAMPLE DUPLICATE: 4265247
92707391002 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 158 160 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:01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 10 of 19

Pace Analytical Services,LLC
9800 Kincey Ave. Suite 100
ace' Huntersville,NC 28078
[phone]
QUALITY CONTROL DATA
Project: Hanes Mill Road LF
Pace Project No.: 92707302
QC Batch: 824410 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: 92707302001,92707302002,92707302003, 92707302004
METHOD BLANK: 4264306 Matrix: Water
Associated Lab Samples: 92707302001, 92707302002,92707302003, 92707302004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 01/10/24 15:29
METHOD BLANK: 4264307 Matrix: Water
Associated Lab Samples: 92707302001, 92707302002,92707302003, 92707302004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 01/10/24 15:29
METHOD BLANK: 4264308 Matrix: Water
Associated Lab Samples: 92707302001,92707302002,92707302003,92707302004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 01/10/24 15:29
METHOD BLANK: 4264311 Matrix: Water
Associated Lab Samples: 92707302001, 92707302002,92707302003, 92707302004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 01/10/24 15:29
METHOD BLANK: 4264312 Matrix: Water
Associated Lab Samples: 92707302001, 92707302002,92707302003,92707302004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 01/10/24 15:29
SAMPLE DUPLICATE: 4264309
92707300004 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms CFU/100 mL 71.0 76.0 7 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:01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 11 of 19

Pace Analytical Services,LLC
/'� 9800 Kincey Ave. Suite 100
ace' Huntersville.NC 28078
[phone]
QUALITY CONTROL DATA
Project: Hanes Mill Road LF
Pace Project No.: 92707302
SAMPLE DUPLICATE: 4264310
92707300003 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms CFU/100 mL 309 420 30 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:01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 12 of 19

Pace Analytical Services,LLC
�/1/'�� 9800 Kincey Ave. Suite 100
■ _G Huntersville,NC 28078
V [phone]
QUALITY CONTROL DATA
Project: Hanes Mill Road LF
Pace Project No.: 92707302
QC Batch: 825776 Analysis Method: EPA 1664E
QC Batch Method: EPA 1664B Analysis Description: 1664 HEM,Oil and Grease
Laboratory: Pace Analytical Services-Charlotte
Associated Lab Samples: 92707302002
METHOD BLANK: 4270683 Matrix: Water
Associated Lab Samples: 92707302002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Oil and Grease mg/L ND 5.0 01/17/24 09:00
LABORATORY CONTROL SAMPLE: 4270684
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L 40 32.3 81 78-114
MATRIX SPIKE SAMPLE: 4270685
35852848002 Spike MS MS %Rec
Parameter Units Result Conc. Result %Rec Limits Qualifiers
Oil and Grease mg/L 1.1U 38.8 31.9 81 78-114
SAMPLE DUPLICATE: 4270686
92706692002 Dup
Parameter Units Result Result RPD Qualifiers
Oil and Grease mg/L ND 2.5J
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:01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 13 of 19

Pace Analytical Services,LLC
ace'/'�� 9800 Kincey Ave. Suite 100
/// /�+ Huntersville,NC 28078
(�(�J�,/ [phone]
QUALITY CONTROL DATA
Project: Hanes Mill Road LF
Pace Project No.: 92707302
QC Batch: 825329 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Laboratory: Pace Analytical Services-Asheville
Associated Lab Samples: 92707302001,92707302002,92707302003,92707302004
METHOD BLANK: 4269127 Matrix: Water
Associated Lab Samples: 92707302001,92707302002,92707302003, 92707302004
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L ND 25.0 01/13/24 05:34
LABORATORY CONTROL SAMPLE: 4269128
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Chemical Oxygen Demand mg/L 750 759 101 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 4269129 4269130
MS MSD
92707199001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chemical Oxygen Demand mg/L ND 100 100 120 118 109 106 90-110 2
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 4269131 4269132
MS MSD
92707300008 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 30.0 100 100 141 160 111 130 90-110 12 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:01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 14 of 19

Pace Analytical Services,LLC
ace 9800 Kincey Ave. Suite 100
Huntersville,NC 28078
[phone]
QUALIFIERS
Project: Hanes Mill Road LF
Pace Project No.: 92707302
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 ofAcrolein 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: 01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 15 of 19

Pace Analytical Services,LLC
/'�/�/'� 9800 Kincey Ave. Suite 100
/Jf/ G' Huntersville,NC 28078
�+!�! [phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Hanes Mill Road LF
Pace Project No.: 92707302
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92707302001 SDO-J SM 2540D-2015 824378
92707302002 SDO-A2 SM 2540D-2015 824607
92707302003 SDO-3 SM 25400-2015 824374
92707302004 SDO-F SM 2540D-2015 824378
92707302001 SDO-J SM 92220-2015 824410 SM 92220-2015 824411
92707302002 SDO-A2 SM 92220-2015 824410 SM 92220-2015 824411
92707302003 SDO-3 SM 92220-2015 824410 SM 92220-2015 824411
92707302004 SDO-F SM 92220-2015 824410 SM 92220-2015 824411
92707302002 SDO-A2 EPA 1664E 825776
92707302001 SDO-J SM 52200-2011 825329 SM 5220D-2011 825343
92707302002 SDO-A2 SM 52200-2011 825329 SM 52200-2011 825343
92707302003 SDO-3 SM 52200-2011 825329 SM 52200-2011 825343
92707302004 SDO-F SM 52200-2011 825329 SM 52200-2011 825343
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date: 01/17/2024 03:08 PM without the written consent of Pace Analytical Services,LLC. Page 16 of 19

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Page 19 of 19

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https:'ldeq.nc gov?about'divisions+energy-mineral-land-resources/
npdes-storm water-gps
Permit No.: N/C/G /1 /2t 0/0 /3/'{t or Certificate of Coverage No.: WC/GI 1 / l / I /
Facility Name: QY Q till 2.00,4 a,w..
County: .-._YoYSthel Phone No. ..._..336. -421- 8000,._,
Inspector: i SQ tgS --rfj t�.� 1x
Date of Inspection: 1\c 2. J
Time of Inspection: 235
Total Event Precipitation (inches): 2 30
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 Perrnitte or D s gn e)
1. Outfall Des ption:
Outfall No. 5p0- 1 ,1 Structure(pipe, ditch, etc.): 4��2
Receiving Stream: T
VIANMEA AY1 611 .Of C3 f 4 ( (,4 eve.
Describe the industrial activitie that occur within the outfall drainage area:
QseJ ft�.�..
Page 1 of 2
S W U•242,Last modified 06/01.2019

2. Color: Describe the color of the discharge using basic colors(red, brown, blue, etc.) and tint
(light, medium, dark)as descriptors: n
3. Odor: Describe any distinct odors that the discharge may have(i.e.,smells strongly of oil, weak
chlorine odor, etc.). !n _
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 ;J
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 sk No.
8. Is there an oil sheen in the stormwater discharge? 0Yes bp No
9. Is there evidence of erosion or deposition at the outfall? Yes 0 No ' .1 S10V\
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 modified06:01,/01$

yCi
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https.'ideq nc:govaboutldtvisionstenergy-mines{-land-resources.'
npdes-stormwater-gps
Permit No.: N/C/G, /1 /2?0I0 /3! r or Certificate of Coverage No.: N/C/G/ / / / / / !
Facility Name: \a1n¢5 �(�� 2.0ad a
County: _.V41.41n Phone No. , 3. 12-4- eri,}(_G .,_..�..�.
Inspector: i.L.c , "Tirik . �.,:..,.
Date of Inspection: gk 2.04
Time of Inspection. SOa
Total Event Precipitation (inches): 2 . 34
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 Pennine or D s'gn e)
L Outfall Des ption:
Outfall No. 5DO— P2. Structure (pipe, ditch, etc.): WACrek yt -
Receiving Stream: 1-
umapruhl
Describe the industrial activities that occur within the out all drainage area: _
_u-.- L s LAM k ti ...
Page 1 of 2
Sw'U-242.Last modified 06/01 20t8

2. Color: Describe the color of the discharge using basic colors (red, brown, bloc, etc ) and tint
(light, rrt,drum, dark)as descriptors: Iin S>
3. Odor: Describe any distinct odors that the discharge may have(i e ,smells strongly of oil, weak
hlo:in_• odor, etc.) oy�Q
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is eery cloudy
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, i.here 1 is no solids and 5 is extremely muddy
1 2 3 5
7. Is there any foam in the stormwater discharge? 0 Yes N.
8. Is there an oil sheen in the stormwater discharge? °Yest No
9. Is there evidence of erosion or deposition at the outfall? ,Yes 0 No. 'EVCbS+py‘y
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-24 2 Last modified 06.01.201 S

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please 'rsrt https•,ideq.nc govraboutidivisions?energy-mineral•land-resources?
npdes-storm water-gps
Permit No.: N/C/(i 11 / 2/0.10 3'-(/ or Certificate of Coverage No.: N/C/G/ / / .l / /
Facility Name. H4YIQ* t4 2.e+a,d
County: Vol.ittin Phone No. 336- ` 2' - Qi{jo4
Inspector. _..14jch(as "VIA(-lots
Date of Inspection: a1/21
Time of Inspection: (642-
Total Event Precipitation (inches). 2 3
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge;
(Signature of Permitte or De's'gn e)
1. Outfall Des ption:
Outfall No. 0 Structure (pipe, ditch, etc.): C_ W-Mtg., o.Atk,ir.
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
do K. land U
Page I 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. 144. a ,y1J_._______
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 f is clear
and 5 is eery cloudy
3 4 5
5, Floating Solids: Choose the number which best describes the amount of floating solids in the
sto;mwater discharge,where 1 is no solids and 5 is the surface covered with floating solids
tw 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is ni solids and 5 is extremely muddy
1 (2 3 4 5
7. Is there any foam in the stormwater discharge? qz Yes 0 N.
8 Is there an oil sheen in the stormwater discharge'' OYes ' Nn
9. Is there evidence of erosion or deposition at the outfall'' 0 Yes No.
10. Other Obvious Indicators of Stormwater Pollution:
List and de nbe
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
Swtt-242,Last moditied 06.01+2018

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on Jilting out tits form please tistt hupsatdeci.nc.goviabouttdivisionsrenergy-mineral-land-resources'
npdes-storm water-gps
Permit No: NiC/C- i 1 I 210/0 131-! or Certificate of Coverage No.: N/C/U,' I / / i / +"
Facility Name: 144aY1a$ ts-CW oc,u,11 '
County: Vors' _ Phone No. 33.).. �2 _ISQO...__ _.
Inspector: giCt;(a zjek' t�fYc's
Date of Inspection: 11 ak 2.02.4
Time of Inspection: c1.1150
Total Event Precipitation (inches): 2 ?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:
(Signature of Permitte or D s-gn e)
1. Outfall Des ption:
Outfall No. Structure (pipe, ditch, etc.): Aletik
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
5 WU-242,Last modified 06/01 2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue. etc.)and tint t
(light, medium, dark)as descriptors 1*ttae11oo.
3. Odor: Describe any distinct odors that the discharge may have(i e., smells strongly of oil, weak
chlorine odor, et ). s
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is eery cloudy
I 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater discharge, where I is no slid and 5 is the surface covered with floating solids
2 3 4 5
b, Suspended Solids: Choose the number which best descnbes the amount of suspended solids in
the srormwater discharge, where I is no solids and 5 is extremely muddy
I 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes eti No.
8. Is there an oil sheen in the stormwater discharge" °Yes qQ No
9. Is there evidence of erosion or deposition at the outfall? 0 Yes ¢t2 No
In. 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 2of2
SWU•242,Last modified O6.0 i 2018

Em ironmentat
Qualit y
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling our this form,please rrsit https.Pdeq.ne gov aboutidivisiransrenergymineral•land-resources'
nodes-storm‘vater-gps
Permit No.: N/C/c, 11 1 2..i 0/0 r'3 i.{1 or Certificate of Coverage No.; N/C/G1 I i l I I
Facility Name: 14QW2 (t1.1 2.-oad l
County: for5.4 ^ Phone No. 330-. st c,
Inspector; t p. 'Vutyes
Date of Inspection: i il24)
Time of Inspection: 351
Total Event Precipitation (inches): 2 . 30
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 Permitte or D s'gn e)
1. Outfall Des ption:
Outfall No. Structure (pipe, ditch, etc.): Ofte
Receiving Stream:
-ktbLf(iateY . .d C assti ctteS
Describe the industrial activities that occur within the outfall drainage area
CiALO
Page ! of 2
S WU•242,Last modified 06/01 2018

2. Color: Describe the color ot'the discharge using basic colors (red, brown. blue, etc.) and tint
(light, med um, dark)as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (t e , smells strongly of oil, weak
chlorine odor, etc.). _ ._. _Sawa_
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy
1 3 4 5
5, Floating Solids: Choose the number which best describes the amount of floating solids in the
stunnwater 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 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes cik No
8. Is there an oil sheen in the stormwater discharge'' °Yes 41,No
9. Is there evidence of erosion or deposition at the outfall? 0 Yes 64 No
10. Other Obvious Indicators of Stormwater Pollution:
List and des ribe
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
Last modified 06,i, ZU l a

•
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit httpsi+'deq.nc gov!abouVdivisions/energy-mineral-land-resources
npdes-storm water-gps
Permit No.: N/C/c, t 4 ?21010/viq or Certificate of Coverage No.: NIC/G? / /
Facility Name: \a5 t-&t 2..0,;14,1 {
County: p/5,4.10 Phone No. 3 321- 24)00
Inspector: 65 -Vert-Tar yes
Date of Inspection: i\Q`2.42,4
Time of Inspection; GI(S
Total Event Precipitation (inches): 2 330
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 Pertnitte or D s gn e)
•
1. Outfall Des ption:
Outfall No. e Structure (pipe, ditch, etc.): cutup -
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
C 6V44 la0d6u
Page I of 2
SWU-242.Last modified 06/01 2018

2. Color: tk tribe the color of the discharge using basic colors(red, brown, blow, etc-)and tint
fight medr.,m, dark) as descriptors
3. Odor: Describe any distinct odors that the discharge may have (i e ,smells strongly of oil, weak
chlorine odor, et._ ) i_ Y10ysp
4 Clarity: Choose the numb.-:1- which best describes the clarity of the discharge, where 1 is clear
d 5 is eery clo.,dy
2 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater 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 I is no solids and 5 is extremely muddy
2 � 4 5
7. Is there any foam in the stormwater discharge'? 0 Yes N.
8. Is there an oil sheen in the stormwater discharge'? OYes 3No
9. Is there evidence of erosion or deposition at the outfall' 0 Yes 4,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 ? of2
Sw U-241.Last modified 06.01,2018

•
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling our this form please visa haps,hdeq.nc.gov?about%divisionsienergy-mineral-land-resour:es.r
npdes-storm water-gps
Permit No ' N/C/G /l / 2/0/0 /3/t{/ or Certificate of Coverage No : N/CIGi
Facility Name: }AQA¢5 t`•Utl toOki
County: Vori,tio. Phone No. 336- 12a:Lt&O,.._.,_
Inspector: _._ i(..6 S 7 14 c-Tocwes
Date of Inspection: ... t ZU 2_4
Time of Inspection: _ (IT)
Total Event Precipitation (inches): 2 30
•
All permits require qualitative monitoring to be performed during a "measurable storm event.'•
A "measurable storm event" is a storm event that results to 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 Permitte or D s gn e)
1. Outfall De ption:
Outfall No. F Structure(pipe, ditch, etc.): C n C6„;)IQ -
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page I of 2
SWU-242. Last modified 06i01 2018

2. Color: Describe the color of the ischarge using basic colors (red, brown, bloc, etc ) and tint
(tight, medium, dark)as descriptors. ar .
3. Odor: Describe any distinct odors that the discharge may have (i e , smells strongly of oil, weak
chlorine odor, etc.) Mitt
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is eery cloudy
2 3 5
5. Floating Solids: Choose the number which best describes the amount of floating solids to the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids
I 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy
2 3 5
7. Is there any foam in the stormwater discharge? 0 Yes 0 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 fQ No
10. Other Obvious Indicators of Stormwater Pollution:
List and des nbe
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
SV U•242,last modified 0o 0I 2014

}
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling our this form, please vestt https:''fdeq.nc govtaboutidivisions?energy-mineral-land-resources,
npdes-storm water-gps
Permit No.: N/C/C, / 1 / 2/Oi0/3!44/ or Certificate of Coverage No.: N/C/G/ / / / / C /
Facility' Name: 14aAa3
County: `OYs', #vti,_. Phone No. �3b- 121- 0
Inspector: i.4.a..__..Tejek'TttrWS
Date of Inspection: 11 ak 20
Time of Inspection: 911
Total Event Precipitation (inches): 2 3ti
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 lithe 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 Permitte or DIs gn e)
•
1. Outfall Des ption:
Outfall No. I Structure (pipe, ditch, etc.)' _AV , 0p
Receiving Stream:
irVibilkgmk
Describe the industrial activities that occur within the y r outfall drainage area:
Page I 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 tine
(light m m, dark) as descriptors C�IC�I
3. Odor: Describe any distinct odors that the discharge may have (i e , smells strongly of oil, weak
chlorine odor, etc.) 1111)W-
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
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids.
ED
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy.
1 2 3 4
7. Is there any foam in the stormwater discharge? Yes 0 No t1"A)2 foxy,
8. Is there an oil sheen in the stormwater discharge' 0Yes 11.,N'
9, Is there evidence of erosion or deposition at the outfall9 0 Yes No
IQ. 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 24? Lait modified 06,01,2018

k '
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit hups:Ildeq.nc gov/about/divisions/energy-mineral-land-resourcesi
npdes-s torm water-gps
Permit No.: N/C/G !I /2,/0 0 i 3`L{! or Certificate of Coverage No.: N!C!G! / ! ! ! /
Facility Name; QV1Q t'-& 2.00d l
County: Yofilip _. Phone No, 336- 0,..._ _.
Inspector: i LG -`Comes
Date of Inspection: t\ak
Time of Inspection: Ck2.6
Total Event Precipitation (inches): 2 3t
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 Permitte or D s gn e)
1. Outfall Des ption:Outfall No. Z Structure (pipe, ditch, etc.)• (.UYICCet , CO Ned •
-
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
w._. clo Page 1 of 2
5WU-242.Last modified 06/01.2018

2, Color: Describe the cola' of the discharge using basic colors (red, brown. bloc. etc ) and tint
(light, medium,dark)as descriptors. _.._.....,SE
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 I is clear
and 5 is very cloudy
i 3 4 5
5, Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater 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 s!ormwater discharge, where I is no solids and 5 is extremely muddy
6. 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes ' No
8. Is there an oil sheen in the stonmwater discharge? oYes 2 No.
9. Is there evidence of erosion or deposition at the outfall? 'Yes 0 No [tri:4191n.
10. Other Obvious Indicators of Stormwater Pollution:
List and des ribe
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 Ob.01 2018

•
Environmental
QaaUt,
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form please tt.ut https:1+deq.nc gov!about'divtsionsienergy-mineral-land-resources/
npdes•stormwater-gps
Permit No : N/C/C-t : 1 /2.0/0/31L(/ or Certificate of Coverage No : N/C/G/ I / / / /
� t¢ I
Facility Name: 4YS ►1.� c�2.aa
County: ._LGL"' 1fn Phone No. 336- 2 -
. 1
a ..,._. fit,.........._
Inspector: i CG 6.5 `rejet-'CQCM S
Date of Inspection' 1\ct\ Gzt-
Time of Inspection:
Total Event Precipitation (inches): 2 36
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 Permitte or D s'gn e)
1. Outfall Des ption:
Outfall No, Structure (pipe, ditch, etc.): ��� �}{pg
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
L Lav kid
Pagel of 2
S W U-242.Last modified 06/01 2013

2. Color: Describe the color of the discharge using bast• L ok r. (red,brown, h w etc )aid tint
(tip-: t. medium. dark) as descriptors: ___ __Of ' Q.
3. Odor: Describe any distinct odors that the discharge may have (i e , smells strongly of oil, weak
chlorin-..7 odor, etc.) . .
4. Clarity: Choose the number which best describes the carity of the discharge, where 1 is clear
and 5 is Nerycloudy
1 2 3 4
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
sionnwaier 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 srnrmwater discharge, where I is no solids and 5 is extremely muddy'
1 2 3 4
7. Is there any foam in the stormwater discharge? 0 Yes N
8, Is there an oil sheen in the stormwater discharge" 0Yes A No.
9, Is there evidence of erosion or deposition at the outfall9 0 Yes ffs 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
SWtj•242,Last modified 06:01 2013

tt iCi`
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling ow this form. please visit hops:'+deq.nc.goviaboutidivisions'energy-mineral-land-resources'
npdes-storm water-gps
Permit No.: N/C/(, /1 / 2/0/0 /314! or Certificate of Coverage No.: N/C.!G / / f / l /
Facility Name: }-klN\a5 kql Z.c, Jw._W (-"
County: Vorsik, Phone No. 33,6- 1274,L 4.
Inspector. t`-(;to(0.5 Teyik'Tor rses
Date of Inspection: (\ak 2.0 {
Time of Inspection: Ct340
Total Event Precipitation (inches): 2 3
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office,
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitte or D s gn e)
1. Outfall Des ption:
Outfall No. 'Z. Structure (pipe, ditch, etc.): YyleA-at tk?e.
Receiving Stream: T
Describe the industrial activities that occur within the outfall drainage area:
Ik v it Lairdc.
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 00,
42.
3. Odor: Describe any distinct odors that the discharge may have(i e ,smells strongly of oil, weak
chlorine odor, etc.)
A Clarity: Choose the number which best describes the clarity of the discharge, where I 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
stonnwater discharge, where I 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, w here I is no solids and 5 is extremely muddy.
2 3 4 �}
7. Is there any foam in the stormwater discharge? "4 Yes 0 No
8. Is there an oil sheen in the stormwater discharge'? °Yes ct No
9. Is there evidence of erosion or deposition at the outfali' 0 Yes No.
ID. Other Obvious Indicators of Stormwater Pollution:
List and describe
iNote: 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 2of2
5w L•242„Last mod,lied 06.01?LOI i

•
Emvironmen ta!
Quality
Stormwater Discharge Outfali (SDO)
Qualitative Monitoring Report
For guidance on filling ow this form. please visit Mips.'deq nc goviaboadivisions/energy-mineral•land-resources'
nodes-storm water-gps
Permit No.: N/C/C-t /1 12i 0/0 '3..'(l or Certificate of Coverage No.: N/C/Gi 1 / I ! I /
Facility Name: }4Qy\cz_5 Q.oac) t ...e.
County: Yor5,,t4o Phone No, 336 -42" 4-.H
Inspector: ...L`�iill(a5 -rerit
Date of Inspection: 1\
Time of Inspection: Ckt-l _._..._.._.�—
Total Event Precipitation (inches): 2 30
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 Permitte or D s'gn e)
1. Outfall Des ption:
Outfall No. ''7J Structure (pipe, ditch, etc.):
Receiving Stream:
b� i
Describe the industrial activities that occur within the outfall drainage area:
dc:t t t..c,rd jk(
Page I of 2
SWIJ-242,Last modified 06/01.20i8

2. Color: Describe the what'of the discharge using basic colors (red, brown, blue etc I and tint
(light, medium dark)as descriptors: Q A'
•
3. Odor: Describe any distinct odors that the discharge may have(i e ,smells strongly of oil, weak
chlorine odor, etc.) Ylt
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is eery cloudy
2 3 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids
Q 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy
I 2 3 5
7. Is there any foam in the stormwater discharge? 0 Yes 44)N
8. Is there an oil sheen in the stormwater discharge" °Yes 40 No.
9. Is there evidence of erosion or deposition at the outfall' O Yes 9 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
5,4<>-242.Last modified 06.01.20 IS

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forgindanee on filling out this form, please visit https:fdeq.nc.gov?aboutidivisions,'energy-mineral-land-resources'
npdes-storm water-gps
Permit No: N/C/G /I /2/0/0/3/l-(/ or Certificate of Coverage No: N/C/G/ ! l / I 1 1
Facility Name: 14Q111¢5 9 i L _
County: Vots4ip Phone No. 336- 32:1 Q
Inspector: 11 "- eA -"Voiles
Date of Inspection: 1\ 2.02.4 -
Time of Inspection: c
Total Event Precipitation (inches): 2 30
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 permrttee 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 Permute or D s-gn e)
t. Outfall De ption:
Outfall No, t4 Structure (pipe, ditch, etc.):
Receiving Stream:
GY-61:551 crede.
Describe the industrial activities that occur within the outfall drainage area:
“it
Page I of 2
SwU-242,Last modified O6r01 2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.)and tint
(light, medium, dark)as descriptors: _-- 4404
3. Odor: Describe any distinct odors that the discharge may have (i e ,smells strongly of oil, weak
chlorin:: odor, etc.)
d, Clarity: Choose the number which best describes the clarity of the discharge, where I 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 I is no solids and 5 is the surface covered with floating solids
(1) 2 3 4 5
Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where t is no solids and 5 is extremely muddy
2 3 5
7. Is there any foam in the stormwater discharge? 0 Yes (k No
8. Is there an oil sheen in the stormwater discharge' °Yes '6 No
9. Is there evidence of erosion or deposition at the outfall' 0 Yes lb 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 U-2a? Last modified O6.002013

10
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please t.rsu hops:t!deq.nc goviabout)divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N!C/(, ! 1 /2!o!o /3.`'-{/ or Certificate of Coverage No.: N/C/G/ / l / / / /
Facility Name: t-kC1YY42.5 µ1/41 g-oad LI
County: o Phone No. 336. -2
Inspector: t4 i L.c.1 te6 �'
Date of Inspection: l\ak 264 -
Time of Inspection: O(>0
Total Event Precipitation (inches): 2 30
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 Permitte or Dys'gn e)
1. Outfall Des ption:
Outfall No. a Structure (pipe, ditch, etc.): . . g
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Luc Lava C+It -.---
Page 1 of 2
S WU-242.Last modified 06/01.2013

2, Color: Describe the color of the discharge using basic Lolors(red,brown, blue.etc-)and tint
(light, midi ,m, dark)as descriptors: CXov 4/
3, Odor: Describe any distinct odors that the discharge may have (i e , smells strongly of oil, weak
ih o in od.,r, etc.). Vie.nt
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
stonnwater discharge, where I is no solids and 5 is the surface covered with floating solids
Q 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, IA here I is no solids and 5 is extremely muddy
I 2 3 5
7. Is there any foam in the stormwater discharge? O Yes N
8, Is there an oil sheen in the stormwater discharge"' oYes 9(No
9. Is there evidence of erosion or deposition at the outfall'' O Yes 95...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 A.L;•242,Last modified 06.01;2013

Environmental
Qualit r
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling our this form please visit httpsa:deq.nc.gov?about/dtvtsionsienergy-mineral-land resources?
npdes-storm‘vater-gps
Permit No.. NFC/(, 11 .+2; 010 /3114/ or Certificate of Coverage No.: N/C/G/ / / ,r / /
Facility Name: 4COV5 /load I
County: Yorfic-4tt► Phone No. 336 321- SO0C
Inspector i.L a(1d. [—Q( -"cUC+c¢4 _ _ .-....,..
Date of Inspection; 1 Q 2.0.4
Time of inspection. ,0140
Total Event Precipitation (inches): 2 30
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 Permitte or D s gn e)
1. Outran De ption:
Outfall No. 05 —I Structure (pipe, ditch, etc.): ?‘Fe
Receiving Stream: 1
Describe the industrial activities that occur within the outfall drainage area:
_.._ ....w. _.. Y+Crie
Page t of 2
S WIJ•242.Last modified 06i01,2019

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
2 3 4 5
5, Floating Solids: Choose the number which best describes the amount of floating solids in the
s►onnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids
1 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I 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 N
8. Is there an oil sheen in the stormwater discharge' °Yes O N
9, Is there eviden,:e of erosion or deposition at the outfall? 0 Yes o No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe “i. gi 5t,, (cp
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
t.at modified O0,01 2U13

!(T 'ronmental
QLa&ty
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please 12sit https /I'deq.nc.govtabout/'divisionslenergy•mineral•land-resources)
npdes-storm water-gps
Permit No.: N/CtC,/1 2 0/.0 3.'14t or Certificate of Coverage No - N/CIO?
Facility Name: 2.-c,161 t
County: _...,yorio, Phone No. 336- 321-SUoo _W
��, II
Inspector: 1�liS 1a ""C.'ej k 5��les
Date of Inspection: 4 1 4:11 .424
Time of Inspection:
Total Event Precipitation (inches). 2 • 30
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 Pennine or D s'gn e)
1. Outfall De ption:
Outfall No. OS-,2. Structure (pipe, ditch, etc.): Q t()R
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
ora
Page I of 2
SWU-242.Last modified 06101 2019

2. Color: Describe the color of the c[ischarge using basic colors(red, brown, blue,etc ) and tin!
(light, medium, dark)as descriptors
3. Odor: Describe any d s,:inct odors that the discharge may have (i e , smells strongly of oil, weak
cltlorin,_! odor, etc )
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 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonnwater 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 I is no solids and 5 is extremely muddy.
2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes 0 N:
8. Is there an oil sheen in the stormwater discharge'' 0Yes 0 N
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 0 Di.5.jtat .
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 V.L'-24? 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 goviabout/divisionstenergy•mineral-land-resources/
npdes-storm water-gps
Permit No.: N/C/C, /1 / 2!0/0 /3!'/ or Certificate of Coverage No.: N/C/G+' / / / / f /
Facility Name: 4QY1¢5
County: Vors,, Phone No. 336- 12,3A;Ko.
Inspector: .._._. iLG(ct .
Date of Inspection: 1\ak 242.4
Time of Inspection: l036
Total Event Precipitation (inches): 2 . 30
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 Permitte or D s gn e)
1. Outfall Des ption:
Outfall No. Structure(pipe, ditch, etc.): U4)4
Receiving Stream:
r►u2d -orb of- G 2t ,s,t C44 ',
Describe the industrial activities that occur within the outfall drainage area:
Page tof2
SWU•2-12,Last modified 06,01r 2018

2. Color: Describe the color of the discharge using basic colors(red, brown, blue, etc.)and tint
(light, medium, dark)as descriptors: %SOL*,
3. Odor: D :,cube any distinct odors that the discharge may have (i e.,smells strongly of oil, weak
chlorine odor, etc.)
4 Clarity: Clio,Js,2 number which best describes the clarity of the discharge, where I is clear
and 5 is :ry cloudy
2 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stonvlwater 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
,torinwater discharge, where i is no solids and 5 is extremely muddy
2 3 4 5
7. Is there any foam in the stormwater discharge' 0 Yes C N
8. Is there an oil sheen in the stormwater discharge? ()Yes <12 .No
9. Is there evidence of erosion or deposition at the outfall' 0 Yes q;t(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 L5-242 Last modified 06,'01+201 S

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on fl/h-g t' j. please tr.i,t https `deq nc gov about.divisions'energy•mineral-land-resources'
npdes-s torm wa ter-gps
Permit No N/C'G + I ? Zl 0+0 t 3'-{' or Certificate of Coverage No : N/CGG.'
Facility Name: "CIV\¢ t41. 2.-bad t
County: _. :'for/54444 Phone No. 33C,- '421-
Inspector: � 1��,65 -rept Torres_
Date of Inspection. I\,Qk
Time of Inspection 10t0
Total Event Precipitation (inches). 2 30
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 Permitte or D s gn e)
1. Outfall Des ption:
Outfall No Qs-' _ Structure (pipe,ditch, etc ), 17)A
Receiving Stream:
AattAaw._.' 1 _ Sdi_ rtc ssy C.4e6•.
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242.Last muddied 06/01 2019

2. Color; tescribe the color of the ciis:hdrge using basic color (red. lbrowit, )and tint
(light, medium, dark)as descriptors
3. Odor: Describe any distinct odors that the discharge may have (i e ,smells strongly of ott, weak
chlorin:r odor, etc.)
4 Clarity: Choose the: nurnbcr which best describes the cla t y :pf the dis::harge. where I is clear
and 5 is %cry cloudy
1 2 3 4 5
5 Floating Solids: Choose the number which best describes the amount of floating solids in the
stortttwarer dischaj:go, where E is no solids and 5 is the surface covered with floating solids
2 3 4 5
fi_ Suspended Solids: Choose the number which best describes the amount of suspended solids in
the ;t. rmwater discharge, tl here l is no solid; and 5 is extremely muddy
1 3 4 5
7. Is there any foam in the storm«ater discharge' 0 Yes 0
S Is there art oil sheen in the srorinwater discharge`? °Yes 0 No
9. Is there eviden:_e of erosion or deposition 3t the outfalll 0 Yes 0 ND
lft. Other Obvious Indicators of Storms ater Pollution:
List and describe .- PIS
Note: Low clarity, high solids, andior 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\x1;• 4? Lasimodlfied06;01 20tA

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