NCG060330_MONITORING INFO_20181005

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v U&o Eblit,
DOC TYPE
❑ HISTORICAL FILE
�1 MONITORING REPORTS
DOC DATE
�-D l7 t D0S
❑
YYYYM M D D

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina DivisiRWFVjLa�tq quality General Permit No. NCG060000
Date sub -3- /la
Orr n - 20i�
CERTIFICATE OF COVERAGE NO. NCGO60 1 50 CENT 4AMPLE COLLECTION YEAR 1019
FACILITY NAM _Y �t�J!0.W G►(.5 T RAL F1LCILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY ,,..,_ CTrON ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTI,%G SAMPLES p / DISCHARGING TO SALTWATERS? []YES RNO
LABORATORY /li41t L465_ Lab Cert. tr AD
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall z or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies Opt 100 ml
Enterococci ,
"`Colonies'per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
­500..
9-� • �
�%
<
unz. v
o3ep
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, You must still submit this discharge monitoring report with a 6eckmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Ano
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No,
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30:
100 or 50
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of

*FOR PART A AND PART B MONITORING RESULTS:
0 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 54.
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 lab results or at end o
monitoring eriod in the case o "No Dischar e" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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 kn
ete. I am aware that there are significant penalties for submitting false
r knowing violations."
la-3-)$
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wglws/su/npdesswt#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 oG�
Date submitted l! - /'y - / � !'�G
CERTIFICATE OF COVERAGE NQ. NCG06�� a SAMPLE COLLECTION YEAR .2D 7 ��17
FACILITY NAME - G r-e_.� +trin+er1t cr& 0 S n at'k_S FACILITY ACTIVITIES INCLUDE (check all that apply): irCENTRAL FLEE
COUNTY I.A 0 j o N ❑ use/process meats []use animal fats/byproiffig? SECTION
PERSON COLLECTING SAMPLES Rv 6 e, �S� t 1 N�4fs DISCHARGING TO SALTWATERS? []YES jg]NO
LABORATORY r LA ki Lab Cert. # Zu
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 3
Total event rainfall 2 - l g or ❑ No discharge this perlod3
Outfall No.
Sample Collected,
mo/dd/ r
TSS,
m L
pH,
Standard units
COD,
m L
Oil and Grease,
m L
Fecal Coliform ,
Colonies per 100 ml
8nterococc1,
Colonies per 100 ml
Benchmark
100 or SO
Within 6.0 — 9.0
120
30
1000
Soo
ao
1p-go- /7
it1000
q03,
Only applies to facilities that use/process meats.
3 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 5S gallons of new motor oil per month? ❑ yes A no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No,
Sample Collected,
mo/dd/ r
Oil and Grease,
m L
TSS,
mg /L
pH,
Standard units
New Motor Oil Usage,
Annual averse al/mo
Benchmark
-
30
100 or SO
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if M complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*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 oLiginal and one copy of this DMR, Includlno all, "No Discharge" reports, within 30 days.of receipt of the „lob results for at end of
monitorina period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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 knowle nd belief, true, accurate, and complete, I am aware that there are significant penalties for submitting false
Information, iryfr[ g the po§hibility of ' prisonment for knowing violations."
14111
(Date)
Additional copies of this form may be downloaded at: http://Dortal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2of2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
_ . for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted - Zg
CERTIFICATE OF COVERAGE NO. NCG06 6 3 3 O
FACILITY NAME ��Z04'r !-�i✓1o)C( r�CrtS �y}i;_
COUNTY r
PERSON COLLECTIN9 SAMPLES_ /it%1f ;5))Jcu.x
LABORATORY Lab Cert.1'
Part A: Stormwater Benchmarks and Monitoring Results
UL 0 5 Z017
©WRrSECTION
SAMPLE COLLECTION YEAR ..�PU17
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal f is/byproducts
DISCHARGING TO SALTWATERS? []YES Qv 60
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 /, 3c?"or ❑ No discharge this period3
Outfall No.
Sample Callec4ted,
ma/,dd/,yr
T55,
mg/,1
pH,
Standard units
CdD, " :
mg/1.
s:. Oil and Grease,
mg/,I.
F ce al'Collform ,
Colonies er 10.0 m1
Entsr� ococci ,
Calo.nles er 144 ml
denchmark�
I750 or k%
[Within 6.0,,w9.0
120
30�
1480
�500
46
-Z3 ►1
Z
6.04
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no (ifyes, complete Part Bj
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
Offmo/dd/,yr
oil and Grease,
mg/L
�Tss '
mg/1
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmarks
30
100 or 50
5 0 .0
2 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page] of 2

*FOR PRT A AND PART B MONITORING RESULTS:
Ay2ENCHMARK 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, including all "No Dischar e" 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 Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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, ir�cluding_tlze_lZossibility of fines and imprisonment for knowing violations."
LFAAR.P ice
Additional copies of this form may be downloaded at: http://portal.ncdenr.or web/wq/w5/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000IVED
Date submitted Z -b -Za ► 7
FEB 08 201?
CERTIFICATE OF COVERAGE NO.;NCG06 0 6 3 Q SAMPLE COLLECTION YEAR 9014 CENTRAL FILES
FACILITY NAMEr�KS FACILITY ACTIVITIES INCLUDE (check all that apply)': DWR SECTION
COUNTY ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTIfjq SAMPLES ,V14C •��M DISCHARGING TO SALTWATERS? []YES 210
LABORATORY %/L jAhs Lab Cert. # Z
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall a or ❑ No discharge this perioal
:..r.. r,.. •.:'--,,.,....ry .. �.
outfall,No.
V,rf".' ['Lt •� c'�, • } ia_5
,..,i'_x'F.w .>r ...M M:,r 9,::
,a amp •Cot ed, e
5 le lest �
�;. _'Y �.^ ,.� x.t.
� +'v' !��{ti �� ..{� }. �iAFi'j
:ax ", . ... ..r. ,�,. �
rj' k.., i Yv. ,
� rT 5;1:,�ti�,i:�
5
.�B � .�:'.t•+:-
S'k�r�r d' ��
iri ,L,�,.Flk
� g/.
.. _ ..., .Y:'
�, .y�i'$At', .rP.rf.\j'
,: ,pii, �:�r >,�.
a Yw_.: �' f+,?x Y�
-K:�:1' :,slltii `.1, .d•
+i� .: y'�..
S dardunits;.A
tan. ...
'Y.N-1::.•'J'
1 f;.,4Eirrn"
�„/r
�: �..� .'ii',e£N•.� . .�y ,. �{
.,,,5, -1 J, rr.
�mg/L4_,Cwa,.,�l;mBlLr�:..;,rr37,
::Y-a .ri '
yif:i� a 1 `�' ci$
" 3`: r•!.c t �.
� {`}P .�"J �$r:. f �"yv :.�'�, x..
s{,;,
xY,:.�, -�. S<"
r caLColifo'r'iit
u { 'aY�
V, �.�^a �' �Zti .�.. '4/.Y."�7e4..,
f
a.lo s; O�ml Y
C nie per"_A IV?
, 1 --'Jn,
?� %�"'s " '•,�;
Enteto'coccif
-1 •� d J"+"
tOCOloniest er�100,m1�«
�r. �.
._. _ �
r}..,F Gi. ;t.�•f rp `w �-Jr
, �'r�'.,..�.....��-k •uuES�t�`.-`�i;,.1ti
i' ,far X`�
��f... ...a. _ ti. .d.Mc
�' � t"�',u•-.•
. ,.. .....9... rrs_ i3w
�'`�. � e���F
o%,r...�12 :��a�4�,L
H� '''�,11mC'a2�'`�=r"� #.
..�w.r�,. �� rva a�.:. srw`tC,,:l�r:&'
`i:!c � s'��" kc;,�yr i+t.ifiti
�s.�7xr1.r rr...i' (k.�-; ..-h; �d .:
i -? 1, ¢'✓< `'n ri
.kn n.'.. .w"7tYr�- ,...' �., M , J'� �"+J.
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at outfalls. You must still submit this discharge m�onitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes Q no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
..,..:.. -.- u.
e�.:0utfali6lVoih=a
•';'i,�i 9 514 -Y
r s
..r,w'w: '«•i nr ..-
Sam Ie Collected
t,,. 'vp ", '::
.s "a `!�"? ,`ia,','. 1'.'..
m0 dd r
=z `,a ?: a/ /a ,get :
..v.nw w.n� r
+ �+�Dll andGrease ;=
t,�., e:,, ,rK,4„ a�
r•�F-n•N K"C:S.;� :1'�S.:k w„''M
m L
w .; f i gJ., ,IhOP
'+^ R.let^L „..;,
,T55 rr e>�r
; s+�yr?'l'.,,, ,:,
�.':. },.. +..E: r. z r: s3'
�` .l m
�5 #n. U •. r-AWA0..
__ .. sn-
r,.r
: ;sw.P<�•:, k
;"-<, ...5 �.f;,
5t`andaunits
l
......... i4;
.}q.,. �•sr.., �.c,�., ,a,f
New:MotoraOilgUsa
[:�'yRr }r.,1. ,„r J� ,
a:r.w
gnnuaara ema,?�,
. �. / V
;"'T,sr-'�,' xi-.-...w.:.--
aerichmark
.:. ._.
-• :: +.�.';r-M-&'<•:V fir. '1 9_ "�
d � is ; � .J," 'fix
i. „:.1�A iw
!.-' •:. ,. :5'"r 3.;"7�-ra•:'
rr. 1 30 F� �
'7 f"x. ,y+qd
REQ, 100 or.50r ,.r
,.. �'�.i, �..�?
Rya., 'M1je�'-. };�,� - v.yysa�,,
6" 6.0 �,� fl t�;: #d
->l5. s tom:
p:
:,.fie. r r
' Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 for sampling periods with no.discharge.at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table,3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if ves, complete Part B)
SWU-249 Last Revised: October 18, 2012
n..,... 1 ..r n

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME 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 cqgy of this DMR Includin all "No Dischar e" re orts within 30 days o recei t o the lab results or at end o
monitoring period In the case of_"No Discharge" reports to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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, Ipcluding-the-pessibility of fines and imprisonment for knowing violations."
(Signat
(Date)
Additional copies of this form may be downloaded at: htto://portal.ncdenr.ore/web/wglws/su/nedessw#tab-4
S WU-249
Last Revised: October 18, 2012
n..,... 1 _rn

qqP
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted
I na//2 0/1�
CERTIFICATE OF COVERAGE �INO. -NCG066 3 p RCCE' V gPAPLE COLLECTION YEAR ao 16
FACILITY NAME T 4vAlzai &' OCT 31 2016ACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY QQ + &rn CENTRAL FIL ❑ use/process meats ❑ use animal fats/byproducts
PER56N COLLECTING SAMPLES h, t+ bJ TIO�ISCHARGING TO SALTWATERS? []YES EXO
LABORATORY A R L4,3 S Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall . OL or ❑ No discharge this perlod3
Outfall No. _'
;Sample Collected,
" ma dd r
TSS,
m L,;,;.,
pH,
Standard:units.z:,mg/L;,�:r;.Colonles
COD,
..
Oil and Grease, •
...-,',Fecal Coliform ,
er,100.m1Coloniese�,'10D'mis;
µ �;<Enterococti ,;.
Be`nchmar`k
a 3,�
100`o'r0o
�:Wlthln 6'0,,'0 Q, i
" . k. 120�
h`30 :�
.« p .,1000w: .•:a
Y500_
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
45ee General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes L'_lno (i#_yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No r-
.
-
4 'r Sample Collected,
�`
mo/dd/yr ;, _
Oil anc! Greasey
. , mg/L ft
m55,
r.
$/L
pH,
Standard,units . ,a
f Nevir'Motor Oil Usage, .
, Annuai.average..gal/mo
fenchmark! >"
=:
,0,A;«
e < 100 or 50..:=-
6.0=;9.8
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page] of 2

4T A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES 1N 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 9
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 lab results (or 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, NC 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, inr,1i&tg the possibility of#<es and_jpVfisonment for knowing violations."
er
h
(Date)
Additional copies of this form may be downloaded at: http://Portal.ncdenr.orp/web/wa/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted I Z 1Z1I1s
CERTIFICATE OF COVERAGE NO. NCG06 3 3 _0 SAMPLE COLLECTION YEAR Jl RECEIVED
FACILITY NAMET�ino�+0 �aQ2��2�t _ FACILITY ACTIVITIES INCLUDE (check all that apply): r ` 1 V
COUNTY 11M ❑ use/process meats ❑ use animal fats/byproducts JAN 11 2016
PERSON COLLECTII' SAMPLES a 14 ❑ DISCHARGING TO SALTWATERS? YES IgNO
LABORATORY j� Lab Cert. It 20 CENTRAL FILES
PLEASE REMEMBER TO SIGN ON THE REVERSE 4 DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall Z j, or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units:.
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcl , .
Colonies per 100 ml
Benchmark
-
100 or 50
Within.6.0 - 9.0
120
30
1000
500
01
12 Z
.7
rl
4S.
<
<
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 54
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
{ifyes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*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:
Mall an original and one copy of this DMR, 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 Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 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 Af fines and imprisonment for knowing violations."
(Signature of
l 1 5 1 1%
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orp,/web/wows su npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Y}
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
r .. for North Carolina Division of Water Quality General Permit No. NCG060000
Date {{submitted _ZI(a./ a zo/ f
CERTIFICATE OF COVERAGE NO. NCG06Q 0 RECEIVI&❑�PLE COLLECTION YEAR
FACILITY NAME 6iWr 5 206CILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY A)+ ❑ L use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES o 1 u CENTRAL FICTIQIVCHARGING TO SALTWATERS? ❑YES [✓]NO
RVII
LABORATORY 1' Lab Cert. # 120
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall z or ❑ No discharge this period
ill No.
sample Collected,
mo/,dtl/yr
TSS�
mg/,L
pf{,
Standard units
COD,
mg/,L
Oil and Grease,
Mgt,
F cal. al Ccliform ,
Colonies per 100 ml
Enterococci ,
Cofanles per 10D m1
[Be chmark�
V100 ,o Wr&Arg
&Wl.fhl"nT6.0 — 9.0'
�i20�
�30
�1000
50D�
J
7 i.?
GAS
91kA3
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at aU outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
5ample"�ColleIFUMX- cted,
mo/,dd/, r
'� roil dnd°'Grease,
mglL
AVM TSS,
mg/,L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/,ma
J19enchma k
3A�lllllllll
�1QD ar 50�
=W00200Il
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge,
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page l of 2

"OR WPARTA AND PART B MONITORING RESULTS:
• A BENCHMAK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
V
• 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, including all "No Discharge" reports, within 30 days of receipt of the lab resultslor 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, NC 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 af Per
1 16
(Date)
Additional copies of this form may be downloaded at: http://Portal,ncdenr.orp/web/wgZws/su/npdessw##tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

oSTORMWATER DISCHARGE OUTFACE (SDO)
MONITORING REPORT
ParmIt Number NC or SAMPLES COLLECTED DURING CALENOQR YEAR: 2016
Certlnoate of Coverage Number. NCG , H2y __ frills monfloring teportsball be rvcaired by the DIv1elon Water than 30 days from
the date the faculty reeleves the sampling muhs from the laboratory.)
FACILITY NAME Btittgrball. LLC . T$ttMv Feed M111 COUNTY Sampson
PERSON COLLECTING SAMPEE(8) Terry McMgr _ — _ — — PHONE NO. S11014333300
CERTIFIED LABORATORY(S) , E0!drocherrt Lab 0 e4
Pert A. SpectNc Monttorleq Requirements
RECEIVED
JUN 0 h 7i!-;�
6wit x�`sr
��,� 2
.,ice
gam IeCollir
�
S..'.u-�'sC]Gkr.
To apes rb
t,�Fl1ir m"�
''�tibb04GQ
H"
drtda"ir4 n
'"�.=::i Di
CheitElz<9E�YOYj�d."
-�ma��nd�mf�Jl►r,. '
'..:rsfn'556#'�t'-.`'-
Oft 1 t3r6af&
q�0� �
*`
i"� �"'`'�'�^,�.��M
r
�".�r��r;
ram' 'tom
6enctlmerRM--Yr��
p?:'"'m" rq°_.fR!
;�i��*mi:Otl� '"
kYllhtoO:D=D:O#;"�v
i#�LL,';n't20,�-;:rw
�-nr:,r70i,rs-`�r:!�
ate'- ..�e�.
4""'• 'SiF�?
Fyu€t�sz'x';"?
,;�.�'s'�"'""�':��.,?.r.�,:�"
1
5222015
18.1
7.15
33
e5
Does this fe alyy perform Vehicle Mainienancs AWvlties using more than 55 gelona of new molar oll per month? —Yes X No
(d yes, Complete Part 8)
Part B: Vehicle Maintenance Activity Monitorfhp Requiramants
$
O1uftltll�, ��a�Ei
M:�d�Y„�`
�c1-1
(i
bat6tyl. 4�n� 'w5
�cl`rYled�++�aw
056fi z
t)0� arw�.e�'r r
saFbartded
15ddDtlggr" �
�r �
�r v
��.�i'tl•-�
Olrtlsagevt
�
y F Y 1q
�::. --
� � �
r
�a�'•'"
"f�`_xr.!'s��r�
iiiSfdd'..'�� -:.y
m" '��'F'"' �iec'
�s
aal(;4. � --
mots "`5�;>c�
;is'"";
Form SWU - 249-102107
Enlerend Into Excel by
Butterbakf, LLC Turkey Feed MITI
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Data $122115
Total Event Precipitation (inches): 1Z
Event Duration (hours) 3
(if more than one storm event was sampled)
Dale
Total Event Precipitation (Inches):
Event Duration (hours} .
Mail Original and ono copy to:
Division of Water Duality
Attn: Central Files
1511 Mail Service Center
Raleigh, North Carolina 2709-1617
'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 proparly gather and evaluate ilia Information submitted. Based on my inquiry of the person or persons who manage the
system, orthosa persons directly responsible forgathering Information, the Information submitted is, to be best lcluding the posalblity of fines: and
Imprisonment for knowing violations."
(Signature o armitlee)
1/0, ;(Date
Form SWU - 249-102107
£ntarend into Excel by
Sutterball;LL.0 Turkey Feed Mill
Page 2 of 2

r
Environmental Chemists, Inc.
envirocheni 6602 Windmill Way, Wilmington, NC 28405 - 910.392,0223 Lab • 910392.4424 Fax
® 710 Howsertown Road, Nlanteo, NC 27954 - 252-473.5702 Lab/Pax
255-A Wilmington Highway, JAclsonvlIle, NC 28540 - 910.347.5843 Lab/pax
ANALYTICAL & CONSULTING CHEMISTS in%®ewimnmentalchemists.com
Butterball - Turkey Facirity
Date of Report: May 22, 2016
5604 Turkey Highway
Customer PO #:
TIAey NC 28393
Customer ID: 12050009
Attention: Terry Meroer
Report;11= 2015-05826
Project ID: Stormwater
Lab ID Sample ID.
Collect AateTme Matrix Sampled by
15--13511 Site: Outfall 001
5/11/2016 7:15 Ad Water client
Test
Method Results Date Analyzed
OII & Grease (O&G)
EPA IBM <5 mg/L 05/19/2015
Residue Suspended (TSS)
SM 25A0 d 18.1 mg/L 06/1212016
• COD
Sou a2200 33 mg/L. OU1812016
Comment
Reviewed by:
Repart 0_ 2015-058M Page 1 of 1

Anfloloal & Corssujting Chamists
ENVIRONMENTAL CHEMISTS, INC
NCDENR: DWO C> RTIFICATION # 94 NCOWS: DLS CERTIFICATION $ 3TT29
COI 1 1=minN Ahrn nwAIN Ai: CiIRwny
6602 Wfrrdmirl Way WltmIngtcn, NC 28405
OFFICE: 9t0-392.0223 FAX [phone]
infoP_environmentalchemists.com
CLIENT, Butterball-TurkeyFacility
PROJECT NAME: Storm Water
REPORT NO: cc
ADDRESS: 5604 Turkey HighwayHigilway
CONTACT NAME: Terry Mercer
PO NO,
Turke , NC 28393
REPORT TO: 1L/Y'Y'
�pj�
PHONEIF'AX.
COPY TO: GCS
email: tmercer butterbaii.cam
Sampled Bv: SAMPLE WOP.- f . Infhra +_ F r; Fffltrant. w n WRIT. ST o Stream_ SO = Sail. SL a Slu doe. Other:
F_ -
Sample Identiftation
ININIKEM���
M
MM
�aa
a■�w�iiii��
......c �r�ici� rev Np�rqu. N{:G'B]lle A: �/ ![SJ6GL@O: Kesampie 1
Delivered Sy: —Re ceives# B . y L bate: i
Comments- TU
e

t' -
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000 RECEIVE]
Date submitted 'I/ e 4.10
CERTIFICATE OF COVERAGE NO. NCG06 b 3 10
FACILITY NAME _CAR 77 %mie,+0 )20_, e
COUNTY 1­V7
PERSON COLLECTING SAMPLES ALe44&
LABORATORY ?2A 44905 Lab Cert. fi 20
Part A: Stormwater Benchmarks and Monitoring Results
JUN 1 2 2D14
SAMPLE COLLECTION YEAR ,,��i CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply): DWQIBOG
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES [�f6
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr.
755,'
-mgli
pH,
v .
'Standard:units
COD,
mg/i.',
Oil and Grease;
mg/L
Fecal. Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 rni
Benchmark
-
1 OO or 50
_
]Nithln 6.0 ` 9:4
n
120'"
30
1000
Soo
Dal
-iS-
.4q
6.9
<5
<.Z
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes [K no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No
-
Sample Collected;
:
y::p�,,;t.e_.
y Oiiand Grea` se '
°- y
m Lam:
755,
d-a,m L
pH,
.:
Standardunits, ._-
aNew M.ot'or Oil Usage,
Annual-:average�gal/no,'
Benchmark -
y.s �' fin;
:' :p `3Q
j `100,or s0 ? m. �
6 0 = 9 0,.
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*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 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO 2
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" reporm-within 30 days of recent of the lab results1,or 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, NC 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."
(Signatureof Armittee)
:71JAV zoo
(Date)
Additional copies of this form may be downloaded at: http:/Zportal.ncdenr.org/web/wglws/`su/­npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2