NCG030535_MONITORING INFO_20181101

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
❑HISTORICAL FILE
C�MONITORING REPORTS
DOC DATE
❑ jo/q 11 01
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCG030000
Date submitted I f - I - 02o 18'
CERTIFICATE OF COVERAGE NO. NCG03a 6 3 S-
FACILITY NAME Z F Q_n.SSi ' lo
S LL C.
COUNTY CAT
PERSON COLLECTING SAMPLES LJ i«iw�. %CAS
LABORATORY PAC-L AAaJwkC41 Lab Cert. # gaiga-7yr3
Comments on sample collecf Ion or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR -2 0 18'
SAMPLE PERIOD ❑ Jan -June ®,July -Dec
or ❑ Monthly) _ (month)
DISCHARGING To CLASS ❑ORW ❑HCtW []Trout ❑PNA
i rC []Zero -flow []WaterSupply []SA
13.
V G� Other
�CPLEAA WEMBER TO SIGN ON PAGES 2 AND/OR 3 4
u}YN.i-�at,. FILES
QWR SiEcTtiON
No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-haur rainfall
amount,
Inches3
Total Suspended Solids-
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks "-=>
_
-
100 mg/L or 50 mg/L
6.0 -- 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
o-i2o( rxl 8c
/a.. -18
.S a► L
6.6
Nb
Al D
a, 3
A
-ao z c
0-- ft -! Fr
g,syIqF
A.
516.
N
6.35
/VLF
1 Monthly sampling (instead of seml-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidellnes for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility Is implementing the all the provislons of the
solvent management plan Included in the Stormwater Pollution Prevention Plan."
a/,+
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported In numerical format. o re ort Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported In the format. "<XX me/L'. where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value In excess of the benchmark, you must Implement Tier I, Tier2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period
Dutfall No.
Date sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
-
-
SS mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
NIA
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mall an original and one copy of this DMR, Including all "No
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
sorts, within 30 da,
the lab results (or at end
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

acmnaljftal
wwapacdab&com
October 26, 2018
William Edens
ZF Chassis Components LLC
1570 E. P St. Ext.
Newton, NC 28658
RE: Project: Stormwater Sampling 10-2018
Pace Project No.: 92403331
Dear William Edens:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite100
Huntersvdle, NC 28078
(704)B75r9092
Enclosed are the analytical results for sample(s) received by the laboratory on October 12, 2018.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Sarah Graham for
Angela Baioni
[e-mail]
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall dot be reproduced, except in full,
v ittwut the written consent of Pace Analytical Services, LLC.
Page 1 of 14

a
aceAnalyfical
wlisonrtr
I
Project: Stormwater Sampling 10-2018
Pace Project No.: 92403331
Pace Ana"cal Services, LLC
980010nceyAve. Suite 100
Huntersville, NC 28078
[phone]
Charlotte Certification 10s
9800 KinceyAve. Ste 100, Huntersville, NC 28078
LouisianafNELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Feld Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification M 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Virginia[VELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification M 99030001
VirginialVELAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
TW report shag not be reproduced, except in fun,
without the written consent of Pace Analytical Services, LLC. Page 2 of 14

Pace Analytical Services, LLC
aceAna6d cal
980D WceyAve. Suite 100
Huntersvilte, NC 28078
WWW-P
i
(704)875-9W2
SAMPLE ANALYTE COUNT
Project: Stormwater Sampling 10-2018
Pace Project No.. 92403331
Analytes
Lab lD Sample ID
Method
Analysts
Reported Laboratory
92403331001 10-2018 #1
EPA 1664E
ims
1 PASI-C
EPA 200.7 Rev 4.4 1994
SH1
3 PASI-A
SM 254OD-2011
CEH
1 PASI-A
EPA 9040C
RLO
1 PASI-A
92403331002 10-2018 #2
EPA 1664E
JMS
1 PASI-C
EPA 200.7 Rev 4.4 1994
SHi
3 PASI-A
SM 254OD-2011
CEH
1 PAS[ -A
EPA 9040C
RLO
1 PASI-A
REPORT OF LABORATORY ANALYSIS
This report Shall not be reproduced, except in fug,
without the mitten consent of Pace Anatytir Services. LLC. Page 3 of 14

Pace Analytical Services, LLC
980D 1Gncey Ave. Suite 100
aceAnalXical Huntersville. NC 28078
Www.pacebbs.— [phone]
I
ANALYTICAL RESULTS
Project: Stormwater Sampling 10-2018
Pace Project No.: 92403331
Sample: 10-2018 ##1 Lab ID: 92403331001 Collected: 10/11/18 10:00 Received; 10/12/18 09AO Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method. EPA 1664E
Oil and Grease
ND mg/L
5.0
1
10/26/18 04:32
200.7 MET ICP
Analytical Method: EPA200.7 Rev4A 1994 Preparation Method: EPA200.7 Rev 4.4 1994
Copper
ND MA
0.0050
1
10/1311813:45 10/15/18 04:03 7440-50-8
Lead
ND mg/L
0.0050
1
10/13/18 13:45 10/15/18 04:03 7439-92-1
Zinc
0.34 mg/L
0.010
1
10/13/18 13.45 10/15/18 04:03 7440-66-6
2WD Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
6.8 mg/L
2.5
1
10/16118 02:38
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.0 Sid. Units
0.10
1
10/16/18 04:27 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 10/26/2018 03:46 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 14

aceAnalytrcal
W W.paaetahs.cam
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 IGncey Ave. Suite 100
Huntersas, NC 28078
[phone]
Project: StonTrwaler Sampling 10-2018
Pace Project No.: 92403331
Sample: 10-2019 #2 Lab ID: 92403331002 Collected: 10/11/18 11:00 Received: 10/12/18 09.40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
HEM, Oil and Grease
Analytical Method: EPA 1664E
Oil and Grease
ND mg1L
5.0
1
10/26/18 04:33
200.7 MET ICP
Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994
Copper
ND mg/L
0,0050
1
10/13/18 13:45 10/15/18 04:06 7440-50-8
Lead
ND mg/L
0.0050
1
10/13/18 13A5 10/15/18 04:06 7439-92-1
Zinc
0.35 mg/L
0.010
1
10/13/18 13:45 10/15/18 04:06 74404"
2640D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
14.8 mg1L
5.0
1
10/16/18 02:38
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
5.6 Std. Units
0.10
1
10/16118 04.56 H3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in M.
Date: 10126/2018 03:46 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14

aceMalXicala
www4mmela6scam
I
Project: Stommater Sampling 10-2018
Pace Project No.: 92403331
QC Batch: 438519
QC Batch Method. EPA 1664B
Associated Lab Samples: 92403331001, 92403331002
METHOD BLANK: 2410940
Associated Lab Samples: 92403331001.92403331002
Parameter Units
Oil and Grease mglL
QUALITY CONTROL DATA
Analysis Method: EPA 1664B
Analysis Description: 1664 HEM, Oil and Grease
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 4.8 10/26/18 04:27
Pace Analytical Services, LLC
9800 I(incey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 2410941
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Oil and Grease mg/L 38.5 36.8 96 78-114
MATRIX SPIKE SAMPLE: 2410942
92403461001 Spike MS MS % Rec
Parameter Units Result Conc. Result % Rec Limits Qualifiers
Oil and Grease mglL ND 38.5 36.1 93 78-114
Results presented on this page are In the units indicated by the 'Units' ccAumn except where an alternate unfit is presented to the right of the resuk
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/26/2018 03:46 PM without the written consent of Pace Analytical Services. LLC_
Page 6 of 14

acmnalytical
www4xK* ab&cam
Project: Stormwater Sampling 10-2018
Pace Project No.. 92403331
QC Batch: 436116
QC Batch Method: EPA 200.7 Rev 4A 1994
Associated Lab Samples: 92403331001, 92403331002
METHOD BLANK: 2399821
Associated Lab Samples: 92403331001, 92403331002
Parameter Units
Copper mg/L
Lead mg/L
Zinc mg/L
QUALITY CONTROL DATA
Analysis Method:
Analysis Description:
Matrix: Water
EPA 200.7 Rev 4.4 1994
200.7 MET
Blank Reporting
Result urnit
Analyzed
ND 0.0050
10/15/18 03:22
ND 0.0050
10/15/18 03:22
ND 0.010
10/15/18 03:22
Qualifiers
Pace Analytical Services, LLC
98M ftoey Ave. Suite 100
Huntersville, INC 28078
[phone]
LABORATORY CONTROL SAMPLE: 2399822
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Copper mg/L .5 0.51 102 85-115
Lead mg/L .5 0.49 97 85-115
Zinc mg/L .5 0.49 98 85-115
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
2399823
MS
92403307001 Spike
Parameter Units
Result Cone.
Capper mg/L
87.9 .5
Lead mg/L
41.8 .5
ug/L
Zinc mg/L
172 .5
ug/L
2399824
MSD
Spike MS MSD MS MSD % Rec
Cone. Result Result % Rec % Rec Limits RPD
.5 0.61 0.61 103 103 70-130 0
.5 0.53 0.54 97 99 70-130 1
.5 0.67 0.68 99 101 70-130 1
Results presented on this page are in the units indicated by the "Units" column except where an atternatb unit is presented to the right or the msuiL
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fu0,
Date: 1012612018 03.46 PM without the mitten consent of Pace Analytical Services, LLC.
Quat
Page 7 of 14

acemalXical
wwwpwelabatxurt
I
QUALITY CONTROL DATA
Project: Stormwater Sampling 10-2018
Pace Project No.: 92403331
QC Batch: 436341 Analysis Method: SM 254OD-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92403331001,-92403331002
METHOD BLANK: 2400752 Matrix: Water
Associated tab Samples: 92403331001. 92403331002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids m91L ND 2.5 10116/18 02:36
Pace Analytical Services, LLC
9800 Kmcey Ave. Suite 100
Huntersvdle, NC 28D78
[phone]
LABORATORY CONTROL SAMPLE: 2400753
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Quatifiers
Total Suspended Solids mg1L 251 246 98 90-110
SAMPLE DUPLICATE: 2400754
92403318001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg1L 2440 2140 13 D6
SAMPLE DUPLICATE: 2400755
92402710007 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L ND ND
Results presented on this page are in the wilts indicated by the " UrJts- column except where an alternate unit is presented to the right of the resWL
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 10/26/2018 03:46 PM without the written consent of Pace Analytical Services, l.i_C. Page 8 of 14

aceAnaljftal
wxw.pacefabxcwrr
I
Project Stormwater Sampling 10-2018
Pace Project No.: 92403331
QC Balch: 436345
QC Balch Method: EPA 9040C
Associated Lab Samples: 92403331001, 92403331002
SAMPLE DUPLICATE: 2400761
Parameter Units
pH at 25 Degrees C. Std. Units
SAMPLE DUPLICATE: 2400762
Parameter
pH at 25 Degrees C
QUALITY CONTROL DATA
Analysis Method: EPA 9040C
Analysis Description: 9040 pH
92403054001 Dup
Result Result RPD Qualifiers
7.3 7.3 0 H3
92403281002 Dup
Units Result Result
Std. Units 6.3 6.3
RPD Qualifiers
1 H3
Pace Analytical Services, LLC
98M KinoeyAve. Suale 100
Huntersvdle, NC 28078
(704)B75-9092
Results presented on this page are In the milts Indicated by the "Units' column except where an alternate unit is presented to the dgM of the resulL
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fiA,
Date: 10/26/2018 03:46 PM without the -ratter consent at Pace Analytical Services, LLC.
Page 9 of 14

aceAnaljdical
www.pacelabscvm
}
QUALIFIERS
Project: Stormwrater Sampling 10-2018
Pace Project No.: 92403331
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dflution of the sample a[iquoL
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.
Pace Analytical 5ervices, LLC
9800 Kmcey Ave. Suite 100
Huntersvifle. NC 28078
(7W)B75-9M
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 Contra[ 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.
Add preservation may not be appropriate for 2 Chloroethyhrinyl 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.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PAS1-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H3 Sample was received or analysis requested beyond the recognized method holding time.
REPORT OF LABORATORY ANALYSIS
This report "I not be reproduced, except in fun,
Hate: 10/2612018 03:46 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

(�Iacmnalj&al
www4az 8bs.G,ifA
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Stormwater Sampling 10-2018
Pace Project No.: 92403331
Pace Analytical Services, LLC
9800 Kinsey Ave. Suite 100
Huntersvi0e, NC 28078
[phone]
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical
Analytical Method Batch
92403331001
10-2018 #1
EPA16648
438519
92403331002
10-2018 #2
EPA 1664B
438519
92403331001
10-2018 #1
EPA 200.7 Rev 4A 1994
436116
EPA 2D0.7 Rev 4A 1994 436140
924033310D2
10-2018 #2
EPA 200.7 Rev 4A 1994
436116
EPA 2D0.7 Rev 4A 1994 436140
92403331001
10 2018 #1
SM 254013-20111
436341
92403331002
10-2018 #2
SM 254OD-2011
436341
92403331001
10-2018 #1
EPA 9040C
436345
92403331002
10-2018 #2
EPA 9040C
436345
Date: 10/26/2018 03.46 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 11 of 14

Cef�li8�jlffCcY�a
Document Name:
Sample Condition Upon Recel t(SCURI
Document Revised: February 7, 2018
Page 1 of 2
Document No.:
F-CAA-CS-033-Rev.06
Issuing Authority:
I
Pace Caronnas QualitvOfffce
Laboratory receiving samples:
Asheville ❑ Eden[-] Greenwood ❑ Huntersville., Raleigh[] Mechanlcsville❑
• •xa�=Wlffl
[Bent Name: WO# : 92403331
C hc, s�' Project q:
Caurier: ❑F d Ex ❑UPs ❑LISPS ❑Cnent 1111111 IN 11111111111
❑ Commercial UPSce []Other: 92403331
Custody Seal Presents ❑Yes , VNo Seals Intact? []Yes ONa
Packing Material: 10Bubble Wrap ❑Bubble Bags ❑None ❑ Other
Thermometer/:IR Gun [D: 92TO45 Type of Ice: ,P. et ❑Bgue
Cooler Temp ('CI: ( - Z Correction Factor. Add/Subtract ('C) _ _p I
Cooler Temp Corrected ('Cj:q , I_
USDA Regulated Sall (® N/A, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check rnapsl?
flyac 11Nn
Datefindtlats Person Examining Contents: W
Biological Tissue Frozen?
❑yes ❑Na . WA'
❑Nana
Temp should be above freezing to 6'C
(:]Samples out of temp criteria. samples on ire, cooling process
hashegun
Did samples originate from a foreign source (internationally,
inrludlnr Hawail and Puann niml? r1Yps 11Nn
i
Comments/Discreairy:
Chain of Custody Present?
Yes
❑No
❑NIA
I.
Samples Arrived within Hold Time?
14es
[]NO
❑N/A
2.
Short Hold Time Analysts 102 hr.)?
❑Yes
No
❑N/A
3.
Rush Turn Around Time Re uestedT
es
4
❑N/A
4.
Sufficient volume?
es
ONO
❑N/A
S.
Correct Containers Used?
Y s
[]No
Or -VA
6.
-Pace Containers Used?
; Y'cs
ON.
❑NIA
Containers Intact?
MYes
ON.
❑N/A
7.
Dissolved analos: Sam les Field Filtered?
Oyes
❑No
UkJA
B.
Sample Labels Match CO[?
Yes
[]No
❑N/A
9.
-tnchrdesDate/Time/ID/Anal sis . Matrix:
Headspace in VDA Vials (>5-6mm)?
Oyes -ONO
Trip Blank Present?
❑Yes
ONO
-00 /A
11.
Trip Blank Custody Seals Present?
[--]Yes
ONO
I]N/A
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURf Review:
Project Manager SRF Review:
Date/Time:
Field Data Required? Dyes Duo
Date: 10-1 Z/-19
Date:
Page 12 of 14

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BP4U-12S mL Plastic Unpreserved (N/A) (CI-)
BP3U-250 mL Plastic Unpreserved (N/A)
BP2U-500 mL Plastic Unpreserved (N/A)
BP1U-1 liter Plastic Unpreserved (N/A)
BP4S-12S mt Plastic H2SO4 (pH < 2) IV-)
BP3N-Z50 mL plastic HNO3 (pH t 2)
BP4Z-iZS mL Plastic ZN Acetate & NaOH (:p9)
BP4C-125 mL Plastic NaOH (pH > 12) (CI.)
WGFU-Wide-mouthed Glass jar Unpreserved
AGiU-1 liter Amber Unpreserved (N/A) (Cl-)
AG1H.1 liter Amber HCl (pH < 2)
AG3U-250 mL Amber Unpreserved (N/A) (Cl.)
AG25.1 liter Amber HZSO4 (pH < 2)
AG35.250 mLAmber HZ504 tpH <Z)
AG3A(DG3A)-250 mLAmber NH4C1(N/A)(CI-)
D69H-40 mt VOA HCl (N/A)
V69T-40 mt VOA Na25203 (N/A)
VG9U40 mL VOA Unp (N/A)
DG9P-4D mL VOA H3PO4 (NIA)
VOAK (6 vials per kit)-503S kit (N/A)
V/GK (3 vists per ktt)-VPH/Gas kit (N/A)
SPST-125 mL Sterile Plastic (N/A— labj
SPIT-ZSC mt. Sterile Plastic (N/A —lab)
BP3A-2S0 mL Plastic (NHZ)2SO4 (9.3.9.7)
AGOU-100 mL Amber Unpreserved viols IN/A)
VSGU.20 mL Scintillation vials (N/Aj
DG91.1140 mL Amber Unpreserved vials (N/A)
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Section A
Required Cilent I fe "..1ion:
CHAIN -OF -CUSTODY / Analytical Request Document
The Chatri-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed acIrately.
Sactlan 13 Section C
Reaulrad Prolect Infomallon- Invoice information: Pflug I Of
companr, Vchasals - Nwwton
Report To: W111arn Edens
Attention: NN *.11 , Ct rV1
Address: IS70 East P Street Fat
Copy TO:
CompanyNarits;
Newton, NC. 28058
Address: P Y-frcepf,
email: I
Purrhaso Order P.
Pace Quota:
Phone: sm-871-7453 Pax
Prolect Name: stormwatersamplim
Paco Protect Manager. annala.balonftocolabs.coon
Y-3 Y statoi, L'o it oil; "'ri
Requested Due Dole:
Projectfl: a
Paco Ptorile, 10. 37313.1
NC
R&fuest6d
Z,
MATRIX
�V
9
COLLECTED
ProservatIves
DMN watal
8
wer wr
wag. VIF.W ww
Pffldud
SAMPLE ID 01 OL
-
A,
START
-
END
Ono Ch ractor par box. WP A&
0
4h
(A� 01h.1 OT
liampte ids must be unique Tk... To
DATE!
TIME
DATE
TIME
1",
1
AA
16-
ILL
110-111
11ft
16AM
I
I- 1XI
I 1
1
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10/
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CNACo
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SAMPLER-NAM'EiN6 N'A'TU
X
PRINT Noma of SAMPLE
SAMPLER
SIGNATURE of SAMPLE
OATEIS!!nod
Ary

STORMWATER DISCHARGE OUTFALL (SDO)
'ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM
Calendar Year 2018
Individual NPDES Permit No. N
Certificate of Coverage (COC) No. N
or
RECEIVED
This monitoring report summary of the calendar year should be kept on file on-994A 60acnity sppp.
FILES
F
Facility Name: ZF Chassis Components, LLC CENTRAL _ n1AIR cC—T'n l
County: Catawba
Phone Number: (828 )468-3340
Total no. of SDOs monitored 2
Outfall No. 1
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑�
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes[] No ❑✓
If this outfall was In Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No 0
Total
Rainfall,
Inches
Parameter, units
TSS
PH
Copper
Lead
Zinc
O & G
Benchmark 1
NIA
100 mg/L
6-9
.007 mg1L
.03t mg/L
.067 mg1L
15 mg/L
Da Sample
D
Collected,
mmlddlyy
.,' fi
�• h ri
y
.�
°, ; 15.
�k y
f
.21 1
; S Cknj
. 5V
64,
D
N
�c (+ I^ SWU-264 - Generic Annual DMR
rLS,J4s dvt_ �o t{yrW ty ih s4wlp�(..I �ro` "07 r".f4it. Last rovisod5✓17120'13

Additional Outfall Attachment
Outfall No. 2
Is this outfall currently In Tier 2 (monitored monthly)? Yes ❑ No❑✓
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes[:] No©
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency
Other ❑
Was this 5DO monitored because of vehicle maintenance activities? Yes ❑ No Q
Total
Rainfall,
Inches
Parameter, units
TS S
PH
Copper
Lead
Zinc
O & G
Benchmark
N/A
100 mg/L
6-9
.007 mg/L
.03 mg1L
.067 mg/L
15 mg/L
Date Sample
Collected 1
mmlddlYY
o6 2 /is
o
Cw r
5-
5.
.35
�' S�S�l�;c$ �inG �'4SuwS rj,,►.�fn 'f'vri�d�fy �.� ,Saw,Plcs frwn, �►cq�y f''4?r{alf .
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system:dosiditd to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
Signature
Date /;2
For questions, contact your local Regional Office:
DWQ Resaional Office Contact Information:
ASHEVILLE=REGIONAL OFFICE F_AYE_TT_E_VILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE
2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301
Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115
[phone] Fayetteville, NC 28301-5043 [phone]
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
__ [phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
,TO preserve, protect
and enhance
North Carolinas water._."
SWU-264 - Generic Annual DMR
Last revised 5/17/2013

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resgurces General Permit No. NCG030000
Date submitted .�9 lk
CERTIFICATE OF COVERAGE N0. NCG03 a S 3 S SAMPLE COLLECTION YEAR ;6I ?'
FACILITY NAME �z F ch ssi S SAMPLE PERIOD ZJan-June ❑ July -Dec
COUNTY q� CC C- g�,� or ❑ Monthly) (month)
PERSON COLLECTING SAMPLES W� Il«m _ d FiGC[,=" 1�.,/'j1&ARGING TO CLASS ❑ORW ❑HCIW ❑Trout ❑PNA
LABORATORY P Lab Cert. # ❑Zero -flow ❑Water Supply ❑SA
Comments on sample/collec on or analysis: �} JUL 16 2018 KOther
�A CENTi-<AL i ILLS
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Part A: Starmwater Benchmarks and Monitoring Results
ANo discharge this period:
outfall No.
Date Sample'
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
'Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here,
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the stormwater Pollution Prevention Plan."
Name (Print name)
Title (>Print title) p�
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX me/L where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value In excess of the benchmark, you must Implement Tier 1, Tler2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period:
Outfall No. '
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
8ench►»arks
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Liz
Footnotes from Part A also apply to this Part B
* see General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: - HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this AMR, Including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period
in the case of "No Discharge" reports) to.
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations."
(Signature of
/zg&,--
(Date)
Permit Date;11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted . % 1 Z--/ 0
CERTIFICATE OF COVERAGE No. NCG03j2 S J_ S SAMPLE COLLECTION YEAR 2 Q 17
FACILITY NAME Z 1= C/af ff r (_ cl,-e4 fs ZGCP1=r� j~ 11/pMMPLE PERIOD ❑ Jan -June gC July -Dec
COUNTY (_'Ct f a_wb OL or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES Lc X/rPrn('ZJAN 19 2C,, ,3 DISCHARGING TO CLASS []ORW ❑HQW ❑Trout ❑PNA
Zero -flow Water Supply ❑SA
LABORATORY ( �� Lab Cert. # a R DWR S1�Cri0N Other
Comments on sample collection or analysis: MAtIONPROCESSING UNIT
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inche53
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/Total
Total Petroleum
Hydrocarbons
Toxic
Organics
Benchmarks ==_>
_
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
- 017
ia S
6S 61WIl
5-1
,006 ,Il
/YD
41/)
1114
-01
-/-7
So
ra
fV
1-
/
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes, For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
_ ! VIA_
Name (Print name)
Title (Print title)
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX me/L'", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L. `
(Vote: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period:2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour ralnfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 mg/L ...
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

,Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTI N B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO&
1F YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orlainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end 9f monitoring period
In the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting,false information, including the possibility of fines and imprisonment for Knowing violations."
I)Idll,?
(Da
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 7Y- /L Z�
CERTIFICATE OF COVERAGE NO. NCG03 9� S
FACILITY NAME -2F Ch a. 5 f, f r�G�, PU n J G G C
COUNTY C
PERSON COLLECTING SAMPLES
LABORATORY Lob Cert. #
Comments qn sample collection or "alysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Z O ( 7
S PLE PERIOD Jan -June ❑ July -Dec
D or LJ Monthly' (month)
JUL 2 1 2MCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
CENT UI,I []Zero -flow []WaterSuppiy []SA
RAL FILES fS36ther�
DWR SECr►ory ..... _.._
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
NR No discharge this period?2
Outfall No.
date Sample
Collected"
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organlcss
Benchmarks
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
.1 mg/L
U
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive recelving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan Included In the Stormwater Pollution Prevention Plan,"
G j X/1 e z -/"
Name (Print name)
Title ( rint title)
(Signature} (Date)
Note: Results must be reported In numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported In the format. "<XX ma/ILwhere XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inche2
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
-
15 mg/L .
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017
5WU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must Implement Tler 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PARTA AND PART B MONITORING RESULTS:
* A BENCHMARK EXCEEDANCE TRIGGERS TIER ! REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES []NO[]
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR. including all "No Discharge" reports, within 30 days of receipt of the tab results for at end of monitoring Period
In the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mall Service Center
Raleigh, North Carolina 27699-1617
SOLI MUST SIGN THIS CERTI ICA ION FOR ANY INFORMATION REeORTED;
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the Information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties f r submitting false information, Including the possibility of fine;7�
imprisonment for knowing violations,"
�
+;Signature of Permitteej (Dat
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted f — /d — 1 Z
CERTIFICATE OF COVERAGE NO. NCG03_1 ! _35
FACILITY NAME Z F C&_4_5 � r C (^t►.s, Fta� �vf J
COUNTY 6
PERSON COLLECTING SAMPLES
LABORATORY 1�,.Lr rd,l Lab Cert. # q aj / 1-/;L 7410
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Z 0 ,/6
SAMPLE PERIOD ❑ Jan -June July -Dec
����`, I�� or ❑Monthly' (month)
5 ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
JAN 12 U17 ❑Zero -flow ❑Water Supply []SA
CENTRAL FILES [there
DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH.
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks =-=>
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
-201
/ 2-/ -
L7
14/P
0.
/
A/
12 - o 2
/
AV
7h
If/f
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
kzzl
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period ?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G/TPH by
CPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ==s
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: if you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR Includin all "No Discharge" re orts within 30 days of recei t o the lab results for at end of monitoring eriod
in the case of "No Discharge" rewls) o:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are si ificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Qyality General Permit No. NCG030000
Date submitted
clople
CERTIFICATE OF COVERAGE NO. NCG03 0 S 3 S
FACILITY NAME Z l �C
COUNTY &V
PERSON COLLECT G SAMPLES IG� C d
LABORATORY 1 Lab Cert. #i F al ya 7Yb
Comments on sample collectio or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Z0I.o
SAMPLE PERIOD k Jan -June ❑ July -Dec
or ❑ Monthly' month
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
Iolero-flow Water Supply ❑SA
'Riothey4E
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total, Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks ===>
-
-
100 mg/L or 50 mg/L
G-0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
1 b l
l
. D In aA
S&D
/V D
#00101hok
0470
IL
f.
Alp
D . **
i3
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Nam���
e (Print name)
Title (Print title)
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX me/L". where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
-
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 -- 9.0 SU
VIA
-
Footnotes from Part A also apply to this Part B
*-See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
P6-t PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oNginal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receiat of the lab, results for at end of monitoring gerlod
in the case of "No Dischar e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware hat there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations."
OI
(Signature of Permittee) (Rate
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

4,
Semi-annual Stormwater Discharge Monitoring Report
+-1
for North Carolina Division of Water Quality General Permit No. NCG030
Date submitted
CERTIFICATE OF COVERAGE No. NCG03
FACILITY NAME Z F (�,gSCf
COUNTY rn/r A,A t
PERSON COLLECTING SAMPLES
LABORATORY w r Lab Cert. q
Comments on sample collect! n or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
CnA a -
SAMPLE COLLECTION YEAR 7-01S
SAMPLE PERIOD ❑ Jan -June July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
RECEIVED tether-- -C, -
.BAN 1 1Pgy§E REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
CENTRAL FILES
DWR SECTION No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
Benchmarks ==>
_
-
100 mg/L or 50 mg/0
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
Z- U l"J
Z3,
q
AID
AID
0,0-4-q-1)
12 - 10
,Z
.D
Al2
N D
0,020
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX me/L". where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
ti
Permit Date: 11/1/2012-10/31/2017
,*
SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z, or Tier 3 responses. See General Permit text
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT" NAME:
Mail an original and one cony of this DMR, Including all "No Discharge" reports, within 30 days of receipt of the lab results (ar at end of monitoring period
In the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 7—Z6 r / f
CERTIFICATE OF COVERAGE NO. NCG031S 2-S
FACILITY NAME _ f{r f L--L
COUNTY woL
PERSON COLLECTING SAMPLES e
LABORATORY I Lab Cert. a
Comments on sample collet ion or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 70
SAMPLE PERIOD [Bla-n-June ❑ July -Dec
or ❑ Monthly' _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA,
❑Zero -flaw ❑Water Supply ❑SA'
RECEIVED tether e
JUL 2 12015 PLEASE REMEMBER TO SIGN ON PAGES z AND/OR 3 4
CENTRAL FILES
DWR SECTION ❑ No discharge this period?'
Outfail No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
standard units
Copper
Lead
Zinc
Non -Polar 0&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics5
Benchmarks =__>
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
O. r
.3
p
D
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they'must be reported in the format, "<XX mgZL", where_ XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
Part S: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
0 No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ==_>
_
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
r
�
Footnotes from Part A also apply to this Part B-.
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
w
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
" _ _ r at end of monitoring period
Mall an original and one copy of this DMR, rncludlna a!1 No Discharge_ reports,_w1t _in 30_ days o receipt o the lab results or_„_
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
7��s
(Date)
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

a
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG03 D 5 3 5
FACILITY NAME Z F Ch aJj"J C)V0/t'^*J L CC
COUNTY
PERSON COLLECTING SAMPLES Iel�eZrr.-u
LABORATORY Lab Cert. #
Comments on sample collection or analysis:
No Ais'aa cg e Ar sa.,;d, ,.,SOP.,; aof
Part A: Stormwater Benchmarks and Monitoring Results
RECEIVED
JAN 15 2015
CENTRAL FILES
SAMPLE COLLECTION YEAR , 2- of Y DWR SECTION '
SAMPLE PERIOD ❑ Jan -June 'July -Dec
or ❑ Monthlyl (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other G
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3
X No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organics
genchmarks ===>
-
-
100 mg/L or 50 mg/L
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
All !1ti
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Iy/ Prs� czy�o
Name (Print name)
Tit�rint title)
(Signature) (Date)
f
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month. /Vo I' /g�P�r q 6fp
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ==>
_
-
15 mg/L
100 mg/L or. 50 mg/L*
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 2 of 3
Cr
'r

"Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO,R
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, includina_off "No Discharge" reports, within 30 days of receipt of the lab results (or_ at end -of monitoring _period
in the case o "No Dischar e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
1 tZ_aO(r
{Date}
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted _ / ~ ,T�� .- / Ll
CERTIFICATE OF COVERAGE NO. N000311 S S SAMPLE COLLECTION YEAR Z V 1 (-I
FACILITY NAME ,7 F rti tires SAMPLE PERIOD n Jan -June [:]'July -Dec
COUNTY #- &L/ 61, or []Monthly' [month)
PERSON COLLECTING SAMPLES c MCZ Clrd TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY A e c Lab Cert. q D K�c�MgBJNG
11-w Zero -flow Water Supply ❑SA
Comments on SUL sample colle on or analysis: 2W ROther C _
2 3
CENTRAL FILES PLEASE REMEMBER To SIGN ON PAGES 2 AND/OR 3 4
Part A: Stormwater Benchmarks and Monitoring Results
DWQIBOG
❑ No discharge this periodr2
Outfall No.
°
Datie`Sample'k
y„�,
�'.'F' x '�Y3 �_. ki
24-haur rainfall
u,. �ha E_7� p 3�
, � u r, � "k
Total Suspended Sollds�
1 ql -ram ,
pH,
_
Copper
Lead
Zlnc
"Non- ar084-
Total Petroleum
MOO
Hydrocarbons
9enchmarks =a>
`
'100 �ng/LFor 5Q mg/,L
� . 610 9T0
0:007 mg/L
0:03 mg/L
O'06T mg/L
15'mg/L
i ing/L
6 - 0/
- -H
2
7 F
0-0 PR
kP.
0, va
Z-
7-/(
zs
7 i�
A010
a2.
P• 3
e14
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit, For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan Included in the Stormwater Pollution Prevention Plan."
/ 1/Z ZA
Name (Print name)
Title (Print title)
(Signature)
(Date)
Note: Results must be reported in numerical format. Dg not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format. "<XX mall.". where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
. 7 No dischagae this Deriod ?�
Footnotes from Part A also apply to this Part B
' See General Permit text, Table 5, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
i
FOR E/1$-T 6 AND PART B MONITORING RESULTS:
r A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NQ,®
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mall an orlalnal and one cony of this OMR. including all "No Discharge" reports within 30 days of receipt of the lab resultslor_atend o f monitorina oerlood
In the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
12M MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to
assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the Information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, Including the possibility of fines and Imprisonment for knowing violations."
�y
R grey
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 3 of 3